Adult Medical Emergency Handbook - Scottish Intensive Care Society

CHECKLIST OF REQUIREMENTS
This checklist is used at ward level to ensure that all important steps
are taken and to document timing and responsible individuals.
Patient’s death confirmed by doctor?
Senior nurse in charge informed of patient’s death?
Next of kin notified of death? (See breaking bad news guidelines)
Procurator Fiscal Notification - inform as appropriate
Death certificate prepared? (See instructions in Deaths Book)
Death certificate given to family?
Family returning later for death certificate? (if yes please record
at the bottom of the page)
Bereavement booklet given to family?
Valuables/belongings returned to family?
Valuables held in cashier office?
Post Mortem If required - Patient’s family must sign
Copy of signed post mortem consent given to family?
Cremation Form B (if appropriate) completed?
Cremation Form B (if appropriate) sent to Mortuary?
Infection Certificate for undertaker sent to Mortuary?
Consultant informed - within 24hrs
GP contacted - within 24hrs
Medical records informed - within 24hrs
Cancel any follow up appointments if already booked prior
to death
Arrangements to collect death certificate: Date: / / Time:
Other comments:
Determine families
wishes regarding
jewellery?
To remain on the patient? Yes / No
Comments:
Initials Yes No
Initials Yes No
Initials Yes No
Initials:
288 adult medical emergencies handbook | NHS LOTHIAN: UNIVERSITY HOSPITALS DIVISION | 2009/11