{"ref":"NC-HSP-DTH-01","title":"Patient Death: Plan for Death, Pronouncement and Report of Death","category":"Hospice care","summary":"Sets the Agency's written plan to be followed in case of patient death, in every setting: collection of the data needed for the death certificate, recording the time of death, determination and pronouncement of death, notice to the attending physician who signs the death certificate, notice to next of kin or legal guardian, authorization and release of the body to the funeral home, notice to the medical examiner when the law requires it, and notice to the Division of any death resulting from an injury, accident or other possible unnatural causes.","inShort":["When a patient dies, the family calls us, not 911. If you are there and are not the nurse, call the nurse at once.","The registered nurse checks for signs of death, records the time, and reports to the physician, who determines death.","If the death may be from a fall, injury, accident or anything unnatural, do not move or clean the body. The nurse calls the medical examiner.","The nurse tells the attending physician, the next of kin and the funeral home, and records each call.","Deaths from injury, accident or other possible unnatural causes are reported to the Division by the Administrator.","Respect the family's religious and cultural wishes and give them time with the patient."],"primaryCitation":"10A NCAC 13K .1108","citations":["10A NCAC 13K .1108","10A NCAC 13K .0901(b)(1)-(3), (16)","G.S. 90-323","G.S. 130A-115","G.S. 130A-117","G.S. 130A-383(a)"],"federalCitations":["42 CFR §418.64(d)(1)","42 CFR §418.106(e)(2)","42 CFR §418.112(c)(2)(iv)","21 U.S.C. §822(g)(5)"],"surveyorAsks":["Show me your written plan for patient death.","Who determines death for a patient who dies at home at night, and how is it documented?"],"forms":[{"ref":"NC-HSP-DTH-01-A","title":"Patient Death Record and Notifications"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13K .1108)","5. Collecting the Data for the Death Certificate","6. Preparing for an Expected Death","7. When a Death Is Reported","8. Determination and Pronouncement of Death","8.1 North Carolina law","8.2 The Agency's procedure","8.3 Deaths in facilities","9. Notifications","10. Deaths That Must Be Reported","11. The Death Certificate","12. Care of the Body and the Family","13. Medications and Equipment After the Death","14. Records and Follow-Up","15. Responsibilities","16. Records and Compliance Monitoring","17. Staff Training","18. References","19. Related Policies and Forms","20. Approval","21. Revision History"],"version":"1.0","sample":false,"pack":"nc-hospice","state":"North Carolina","service":"Hospice","guides":[{"path":"/guides/hospice-policies/","h1":"What policies are required for hospice?"},{"path":"/guides/hospice-conditions-of-participation/","h1":"Hospice Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}