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TheatrePracticeStandardsGeneric1

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11 Leakages from the oral cavity, vagina and bowel can be contained by using suction, drainage<br />

and using incontinence pads. Do not attempt to pack these orifices. The body bag will<br />

prevent any leakage escaping further.<br />

12 Exuding wounds, surgical incisions should be covered with a clean dry dressing and<br />

absorbent pads as necessary.<br />

13 Stitches and clips should be left intact. Stomas should be covered with a stoma bag.<br />

14 Wash the patient, unless requested not to do so for religious/cultural reasons or carer’s<br />

preference.<br />

15 Attend to hygiene needs, paying particular attention to hair, nail care and oral hygiene.<br />

16 Male patients should be shaved, unless they chose to wear a beard in life. If shaving a man<br />

apply a water-based emollient cream to the face.<br />

17 Clean the patient’s mouth using a foam stick to remove debris and secretions. Apply<br />

petroleum jelly to lips and perioral area<br />

18 If the patient had dentures with them these can be cleaned and replaced into the mouth if<br />

possible. If this cannot be done send them to the mortuary with the patient and document<br />

this.<br />

19 Remove jewellery and any personal items, unless requested or advised otherwise. Ensure<br />

that appropriate records are made of any personal items left on the body or otherwise.<br />

(Follow RCHT Guidance on Patient’s Property).<br />

20 Ensure identification labels/wrist bands are in place in accordance with RCHT Guidance on<br />

Positive Patient Identification.<br />

21 All deceased patients must be properly identified with two identification bracelets, one on the<br />

wrist and one on the ankle. They must show the patient’s name, hospital/NHS number, date<br />

of birth, and religion if known. In the event of the patient’s name being unknown the HIN<br />

system is used and the identification bracelet must state UNKNOWN MALE / FEMALE.<br />

22 Dress the patient in a gown/shroud or own clothes, as required.<br />

23 Place an incontinence pad underneath the buttocks to contain any soiling.<br />

24 Enclose the body in a sheet, securing it with adhesive tape, ensure the face and feet are<br />

covered and that all limbs are held securely in position.<br />

25 Place the body in the bag, completing: Notification of death - one copy of the notification of<br />

death slip must be taped securely to the shroud, one copy must be taped securely to the<br />

outside of the sheet or cadaver bag, and one copy in the patient notes of the deceased<br />

26 Ensure documentation is complete<br />

- Notice of death (A5 yellow card); Mortuary card<br />

- Notification of Death for Bereavement Office (A4 White)<br />

27 Document last offices practice, including property and any specific requirements for mortuary<br />

care.<br />

28 Dispose of clinical waste<br />

29 Arrange for transfer of the body, communicating any specific requirements to<br />

portering/mortuary staff<br />

30 Transfer property, patient records and any additional items to the general office/bereavement<br />

office<br />

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