參考說明分析ufh-nur0003e pc003post mortem care

1、POLICYPATIENT Neonate, Pediatric, Adult, Fetus t is n 1500gm or a ion period over EEstablish guidelines t-mortem care，the notification of the family and the reporting of and to ensure accurate, timelyPOLICYPATIENT Neonate, Pediatric, Adult, Fetus t is n 1500gm or a ion period over EEstablish guideli

2、nes t-mortem care，the notification of the family and the reporting of and to ensure accurate, timely and legal removal of a deceased To provide accurate communication bet of a patient.PROCEDUREn nursing and other departments as it pertains to a The n who the death will Thenext of oinformthemoftheind

3、ividualsndtoseekregardingtheremovalofthebodyand ntodiscusstheautopsyoptionwiththenextofkinortheguardianandmakethe autopsy policy.ation.Ifthere isaneedofautopsy, The nurse will HospitalsupervisorwhowillnotifythemedicalrecordsFrontdeskreceptionisttochangetheFuneralhometomovethebodytothem the family or

4、 legal guardian.ueafterobtainagreementOfficer or Night Cashier for FamilyCouncelingoncall,andPatient hours),assary,foremotionalsupport,assistanceincontactingfamilymembers/friends,arranginglodging,transpor Administrator on Call to notify them of the ion,orFor an unexpected Office use onlyNursing Admi

5、n TITLE 題目T-MORTEM EFFECTIVE DATE 生效日期2008-3-REVISED DATE 修訂日期UFH-NUR-0003-E-PC-REVIEWED 日期ION LOCATION UFHgroupBJUmarketSHUmarketTJUmarketGZUmarketNursingAdmin,PatientServiceAPPROVEDApprover1:SHUGeneralManager，SHUMarketing OperatingCommitteeApprover2:UFHApproval 3: Board of QAbpolicycommittee Final

6、 Approval: Board of QASCOPY ThenwillinformtheDepartmentChair.TheDepartmentChairinform theCMOorThehospitalsupervisorwillinform theCNO,administratoron-call,CEO ThenanddepartmentchairwillreviewthesentineleventcriteriainitiatethesepoliciesifCare of the deceased ue shroud from department or central suppl

7、y ThenwillinformtheDepartmentChair.TheDepartmentChairinform theCMOorThehospitalsupervisorwillinform theCNO,administratoron-call,CEO ThenanddepartmentchairwillreviewthesentineleventcriteriainitiatethesepoliciesifCare of the deceased ue shroud from department or central supply Dressthepatientinhisorhe

8、rownclothesorothersifrequestedbythefamily. Place the deceased patient on their back in straight alignment.Cleanthebodyas sary,andfillthenoses,ears,anusandvaginacottonball.Somepatientswithcertainreligions(Muslim,Jewish)mighthospitalstaffnottotouchthebody,tientRemoveallvaluablesanddoublecheckbytwostaf

9、fs,keepheboxand/orpassthevaluablestopatientsnext of kinorthelegal Valuablesshouldbeconsideredasallpatientsbelongings.Nothingshouldthrownawayunlessspecifiedbythenextof Place well fitting s soon t-expiration. If ill outh ensure theyfitting, do not force or tie the jaw. dentures do not remain in dentur

10、ecup,areproperlylabeledaspropertytobereturnedtothe legal guardian or next of kin.Remove all inserted tubes and indwelling lines including peripheral Donotremovetubesinsertedbysurgicalprocedurei.e.Chesttubes,CVPlines until determination of autopsy has been obtained.Patient identification s will consi

11、st FilloutthreeIDtagsbyhandwritingwithpatientsname,dateofmedicalrecordandthetimewhendeathispronounced.Thedeathtimeshall be in RED.Attachonetagtogreattoe,onetagtooutsideofbodyshroud,onetagtothe body drawer.Loosely xpired patient in plastic ue Theondutynurseshouldcontactthefuneralhomebasedontheagreeme

12、ntwith the next of kin or legal guardian.Thedeceasedshouldnotbehewardforntwohours.Insituations,thebodycanbehewardfornon4 hours. situationswillbeassessedbythenursingUponremovalofbody,removeallusedlinensandusedableitemseofPerMedicalWasteManagementandalRemoval of the Removalofthedeceasedshouldbedoneasd

13、iscreetlysible.emergencyexitistheonlytshouldbeusedduringremovaloftheThefrontdoormustneverbeusedwhentransferringthebody.sibleuseserviceelevatoranda ltrolleytoremovetheThehearsefrom thefuneralhomewilldrivetothesideofthebuildingandthe body will be moved to the hearse.Thehospitalsecurityguardwillberespo

14、nsibletoassistwiththeremovaltransportofthedeadheOffice use onlyNursing Admin COPY Ifthedeceasedrelativeswouldlikethebodyrepatriated, thenursingstaffpatientshouldbecontactedtoassistincontactingthepatientsandFuneralAuthorization for Theattendingnwillobtainwrittentoperformanautopsytheimmediatefamily/si

15、gnificantother,nextofkinorIfthedeceasedrelativeswouldlikethebodyrepatriated, thenursingstaffpatientshouldbecontactedtoassistincontactingthepatientsandFuneralAuthorization for Theattendingnwillobtainwrittentoperformanautopsytheimmediatefamily/significantother,nextofkinorlegalTheimmediatefamily/signif

16、icantother,nextofkinorlegaliveofdeceasedmustsigntheAuthorization must be witnessed.t-MortemAutopsyform.ThisAccordingtolocallaws,iftheimmediatefamily/significantother,nextkinorlegaliveofthedeceaseddoesnot wishtohavean performed,theirrequestmustberecordedandanexplanationwrittenindetailin the medical r

17、ecords.havethe opportunitytooverruleanyrequestsforautopsiesif thecauseof death is unknown.PathologyrequestformsmustbesignedbyattendingPhysi to Laboratory.nandLaboratoryshallbecontactedforbodyngandtransferandrelatedfollowiSpiritual needs of expired patient and next of Notereligious/spiritualaffiliati

18、ononthechartandprovidedculturallyspirituallyt-mortem careasDemonstraterespectforexpiredpatientinverbalandnon-verbal CareofNextofKin If Present:For any t he hospital, the hospital supervisor will patient / Administrator-on-call for after hours, and family oncalltocometothehospitalandassistwiththefami

19、ly,nextofSometimes,thismayneedtobedonepriortotheactualdeath,i.e.oncecodeblueis called(refertothecodeblue policy).milymembers, next kinhaveverballyrequestedfornosupport,patientservi call and family counseling does not need to come.,administrator-Provide emotional support using principles of utic If n

20、ot Givepropertyandallvaluablestopatients.Ifduringnight,valuableswiththenursesupervisorandpasstoPatientServi ineECGslipshallbeobtainedandsignedbytheA n pronouncedthepatientsdeath.TheECGslipshallbe patients medical record.rmanentpartdeathtimeonthegraphchartandnursingnotes,useredpenrecord“Expired”onthe

21、patientsregistrationt-mortem care in nursing notes as Office use onlyNursing Admin COPY The n who pronounced the patients death will write the )andhavethe departmentchoponit.Thehasfivecopieswhicharedistributedasnthe Book,tosubmittoMedicalRecordaftereachbook isusedbyERForLocalThe n who pronounced the

22、 patients death will write the )andhavethe departmentchoponit.Thehasfivecopieswhicharedistributedasnthe Book,tosubmittoMedicalRecordaftereachbook isusedbyERForLocalSanitaryInspectionifrepatriate(sentbyMedicalLiaisonOfficer, to reportthedeathforpreviousmonth before the10th of next month)For Local Hea

23、lth Bureau (give to next of kin or legal The patients family to register the death (give to next of kin or legal To funeral Acopyofthedeceasedsvisaandpassportmustbekeptinpatientsmedical n shall complete the death record within 24 hours atients Nurseshallcompletetmortemchecklistbeforethedeceasedisfro

24、mtheward.ThechecklistshallbehedepartmentforreferenceThebusinessofficewillcollectnextofkinorlegallyresponsiblepartyinformationuponreleaseofthebodyforthepur e of followuponanywithpartycoverage,the businessoffice willsendappropriatebillstothe thirdpartypayer. Foranyunpaidbalancefollowinganythirdpartypa

25、yment,thebusinessofficewillnot followup with thenextofkinorlegally responsiblepartyforpayment until15 workingdaysafterthedateoflessthefamilyinitiatesanddesiresotherwise.If deceasedisaself-paypatient,theBusinessofficewillarrangeforthenextofkinlegally responsible party to settle the bill for the deceased upon release of the Ifpaymentcannotbearrangedttime,thebusinessofficewillarrangewithnextofkinorlegallyresponsiblepartyapaymentplanforsettlementorotherl Other Accordingtothe ernmentregulationsifthedeathiscausedbydemicdisease,t