It is routine for our Hospice RN's to pronounce in the home, notify primary MD and funeral home (and physician signs the death certificate).
We recently hired a new executive manager who is reviewing our policy/procedure manuals and she says that only those patients on hospice may be pronounced by RN.
So what about hh patients with terminal illness, not on hospice, have DNR orders and they die in the home? New boss says state of Michigan does not allow the RN to pronounce in that case. 911 must be called to transport body to ER for pronouncement.
I cannot find anything on the the web about RN pronouncement regulations.
Please share any insight you may have on this subject......