RN pronouncement

  1. ]What would you include in a nurse's note for an RN death pronouncement? Could someone write an example of a thorough note? Thanks.
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  2. 13 Comments

  3. by   CoffeeRTC
    Called to room by CNA at 4pm and noted resident without pulse, respirations or BP. Resident DNR. Family at bedside. Call placed to DR Jones. Order to release body to funeral home received.

    Thats the very basic note.
  4. by   HeatherLPN
    I always put that the absence of vitals was confirmed by another nurse and the time that was done.
  5. by   leslie :-D
    pt found w/o pulse, respirations. pupils fixed. md notified. order for rn pronouncement. spoke with dtr on phone. body released to _______fh at 4pm. pt was dnr.
  6. by   suebird3
    Resident found unresponsive; Absence of P/R/BP. Family, MD, Admin., and DON notified. Body released to...... If pt. is Hospice, we notify Hospice, also.

    SueB
  7. by   leslie :-D
    i never understood the rationale of taking bp.
    if you don't have a pulse, then isn't taking a bp redundant?
  8. by   suebird3
    We had one heavy set resident who was a beast in regards to pulses. Surprisingly, we could get a BP when rezzie was alive....

  9. by   NYNewGrad
    No one needs the EKG flat line printout?
  10. by   CoffeeRTC
    Quote from NYNewGrad
    No one needs the EKG flat line printout?
    Not in LTC. No ekg machines.
  11. by   CapeCodMermaid
    "Resident with no pulse, no respirations, lack of pupilary response. Pt is DNR. MD notified. MD is unable to come to facility at this time. Order received for RN pronouncement. MD stated he will notify the family. Order received to release body to the funeral parlor."
    I had a patient once whose wife refused to believe he was dead because she "didn't hear any alarm go off like on ER" I had to explain the difference between an 02 concentrator and a telemetry monitor and she still wouldn't believe her husband was dead. I had to call the doc to come pronounce.
  12. by   mead
    REDIDENT HAS NOPULSE NO BP. SUPERVISER NOTIFIED DR. NOTIFIED, AND ORDER TO RELEASE BODY RECEIVED. fAMILY PRESENT OR NOTIFIED . fUNERAL HOME NOTIFIED AND BODY RELEASED @ [HR].
    nOTE BODY REMAINS WE US FOR 2 HRS PRIOR BEING RELASED TO FUNERAL HOME
  13. by   CapeCodMermaid
    Always check your own facility's policy for RN pronouncements....and don't forget, sometimes the nurse CAN'T pronounce...an unexpected death, a death within 24 hours of admission (unless the person came in to die)...the circular letter from this state is about 3 pages long on when to call the ME.
  14. by   EbraLPN
    At 10am resident's respirations noted absent, RN supervisor notified. Resident assessed, BP/P/R absent, Pupils fixed. MD notified, new orders - RN Pronouncement and order to release body to funeral home confirmed by Jane Doe NP covering for Dr John Doe. Resident pronounced at 10.30AM. Body released to MacVille Funeral Home.

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