In NY, two RNs may pronounce a death. Notice is made to supervisor and MD, but at my hospital, the pronouncement comes from the RNs (unless an MD happens to be there, as is the case in a code). Pretty much the circumstances would be in the event the death is expected--comfort care for terminal patient, for instance, and no MDs would be around.
In FL, RN's can pronounce a hospice pt, but I don't know about inpatients.
yes, In FL we can pronounce inpatients if the death is not unexpected....always been fuzzy on how that is defined, but Ive made many pronouncements, then informed MD and supervisor, never been told my pronouncement wasn't valid
This shows how new I am---I just assumed in every state 2 nurses called TOD. If not the nurse--WHO? in the hospital some times all we have in house is an ER dr, and he could be busy--at the LTC no drs.
We do have to call the primary DR and get an order to release the body to the morgue.
I notice how many people mention that 2 RNs may pronounce. That is the way it is usually ordered at my facility as well, but after reading the law, it appears that that is hospital policy.
In my unit (ICU), I only see orders in a patients chart for 2 RNs to pronounce death on patients with DNR orders that aren't intubated and death is expected soon. Patients who are made comfort care tend to have these orders as well.