5E GUIDANCE VERIFICATION
Hospice UK, the National Nurse Consultant Group, and the Royal College of Nursing are pleased to inform you that we have published ‘Care After Death: Guidance for staff responsible for care after death’ (fourth edition) and ‘Care after Death: Registered Nurse Verification of Expected Adult Death’ (5th edition).
5E GUIDANCE PROFESSIONAL
This guidance may be used to inform training for other registered healthcare professionals who are regulated by a professional body who, under statutory regulation, are recognised by the Professional Standards Authority. If the RN does not feel confident after completing training, they could undertake the verification of death with the remote support and guidance of a more experienced colleague. Local areas may want to adopt a pragmatic approach to training. There has been an e-learning module for the Registered Nurse Verification of Expected Adult Death developed by e-Learning for Health and this may provide a useful resource. RNs already competent in verification of an expected adult death are not expected to repeat the competency assessment, rather to familiarise themselves with the changes within this guidance and adopt the changes into their practice. from infectious illness including COVID-19, radioactive implants, and implantable devicesĪ competency assessment tool (see Appendix 2) accompanies this guidance for RNs to demonstrate their practical skills, knowledge and understanding for verifying an expected adult death. ensuring the health and safety of others, e.g.respecting the dignity, religious and cultural needs of the patient and family members as far as is practicable.in a timely, sensitive, and caring manner.in line with the law and coroner requirements (see Appendix 1).This guidance ensures that the death is dealt with: Timely verification – within one hour in a hospital setting and within four hours in a community setting – is supportive to bereaved families, and is necessary prior to the deceased being moved to either the mortuary or funeral directors, We recognise that this timeframe may not be achievable under current sustained COVID-19 infection circumstances, in these cases it may be appropriate to offer guidance to families regarding the positioning of the deceased person and the maintenance of a cool environment.įamilies should be advised that there might be a difference between the time of the last breath and the official time of death. This guidance has been developed in line with the person and family centred care recommended in national documents. It is anticipated that local areas will develop their policies based on the guidance, but sensitised to the local area, enabling staff to care appropriately for the deceased, supporting and minimising distress for families and carers at any time of the day, night, or week. The aim of this guidance is to provide a framework for the timely verification of expected adult deaths by experienced (assessed as competent), registered nurses (RN).
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