TheatrePracticeStandardsGeneric1

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Generic Theatre Standard No 09 - Care of the Deceased In the Operating Department Please read Allow Natural Death (A.N.D.) Policy and Guidance Framework for Adults & Children (including neonates). Care of the Deceased Patient in RCHT Operating Theatre Contacts in the Event of a Patient Death in the Perioperative Environment • Bereavement Office staff can be contacted on 01872 252713 • The Bereavement Office is operated by 4 members of staff and open Monday to Friday – 9.00am to 5.00pm • The mortuary staff have key liaison with the Bereavement Support Service staff, coordinating on issues such as viewings and specialised services. • The mortuary staff work 9.00am to 5.00pm and ‘on-call’ • The Department of Histopathology, staff are based at Royal Cornwall Hospital where mortuary and post mortem facilities are available. • For further information/advice: o Bereavement Office ext 2713 o RCH Mortuary ext 2555 o Histopathology Department x2550 Following the death of the patient in the perioperative environment • The requirements of different faiths and religions must be taken into consideration. • Daytime: The Bereavement Office must be telephoned to be informed. • Night Time: The Bereavement Office will communicate with the mortuary to determine any new admissions to the mortuary out of hours. A message can also be left on the answer phone so Bereavement Staff can pick up once they are in. • A member of the Bereavement Office staff will then: o o Go to the ward to collect any property left behind Contact a doctor to complete the death certificate • Visiting the deceased is coordinated by the Bereavement Office; they will also coordinate and have links with all funeral directors. • The Bereavement Officer will consult the mortuary register and liaise with ward staff and the chaplain regarding post mortems, funeral requirements and consent, advising the mortuary technicians of requirements • The mortuary staff will ensure the Pathology Directorate mortuary card is completed and placed in the correct file. Signatures • All entries into the health record, including amendments, should be clearly dated, timed, signed and the designation of the person making the entry should be clearly recorded. 48
Donor Transplant Coordinators • Are responsible for the care of a patient who has died, speaking to the family and organising the organ donation procedure. • The Theatre Manager will retain copies of signatures of all healthcare professionals who make entries on healthcare records, together with the professional's registration number (NMC or HPC). The register of signatures will be reviewed and updated annually. In the Event of an Unexpected Death Occurring in Theatre • If an unexpected death occurs within the perioperative environment the person in charge must ensure that the following personnel are informed immediately, in order to comply with the requirements: o o o Theatre Manager Ward and/or intensive care staff It is the responsibility of the medical staff to inform their senior colleagues • The surgeon must inform the Coroner’s Office. A medical certificate will not be issued. • It is the surgeon’s decision to decide whether to continue with the operating session or to cancel the remainder of the operating for that session. • Sudden unexpected death will result in a coroner’s post mortem as a legal requirement. • Post mortem examination can provide information about the illness or other cause of death. Without a post mortem, the cause of death can be wrong in up to 30% of cases • By law a coroner can order a post mortem examination to be done. There are three main reasons why a death is referred to the coroner: o o o Death has been sudden and unexpected. A person has been ill but the doctor confirming the death is not certain why it happened at that particular time. A death has been the result of an accident or unusual circumstances (including deaths following a medical procedure such as surgery). • If a member of theatre staff is approached by a relative, or other responsible person, about post mortem arrangements for adults, the request should be referred directly to a member of the medical team responsible for the deceased or the Bereavement office, as appropriate. Organ Donation • If the patient had previously agreed/consented to organ donation, immediate advice must be sought from the coroner, via the consultant in charge, or from the coroner's office. The coroner must be told and must agree before organs can be removed. In some cases, organ donation may not be possible for medical reasons. In The Event of an Unexpected Death Occurring in St Michael’s Hospital Theatres (in addition to the above guidelines) • The body will be removed by the coroner and medical certificate issued after post mortem and inquest. • The Coroner will arrange for the body to be collected. • If there is gross contamination by body fluids, the deceased patient should be washed. 49
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New Bookmark Drugs Table of Content
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MEMBERSHIP OF THE WORKING PARTY Dr
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SECTION I - SUMMARY AND RECOMMENDAT
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SECTION III - INTRODUCTION Patients
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purchase these services. They must
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SECTION VI - PREPARATION FOR THE TR
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A patient who remains hypotensive d
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A patient who has been made physiol
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4. Other equipment • suction •
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important to involve those who take
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REFERENCES 1. Association of Anaest
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APPENDIX II TRANSFER CHECKLIST FOR
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• Advice should be obtained from
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8. Harassment and Bullying • Dign
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Appendix 1. Governance Information
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Appendix 2. Initial Equality Impact
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