Pronouncing patients death

  1. 0 Hello, I have a question. I live in California and have been looking where is says that nurses can pronounce a patients death. I know hospice nurses do, but I can't find it anywhere in the nurses board site. I work in an acute setting and a supervisor can pronounce a dnr patient. I would appreciate a link and more info. Thank you.
  2. Visit  ambrosial profile page

    About ambrosial

    Joined Jul '13; Posts: 3; Likes: 2.

    22 Comments so far...

  3. Visit  SuesquatchRN profile page
    0
    Here in TX a nurse can pronounce WITH a physician's order. Perhaps CA is the same.
  4. Visit  Meriwhen profile page
    0
    Couldn't find a link to anything about CA RNs being able to pronounce patient death.

    However, why not shoot the BRN an e-mail and ask them?
    Board of Registered Nursing - Contact Information
  5. Visit  AJJKRN profile page
    0
    In our facility we have a protocol that we follow for "intentional" deaths, i.e. comfort care patients. Two nurses can pronounce. It may just be facility specific?
  6. Visit  applewhitern profile page
    0
    Years ago, we could pronounce, but everywhere I have worked in the last decade, only a physician can, in a hospital setting, anyway. When my son passed, the hospice nurse pronounced him.
  7. Visit  RNsRWe profile page
    0
    Interesting question. Last time I worked in a hospital in NYS, just two years ago, two RNs or one MD/DO could pronounce a death. I assumed it was a State legal issue....but maybe it was hospital policy?

    Worth checking into.
  8. Visit  ♪♫ in my ♥ profile page
    0
    In the first California facility in which I worked, death could be pronounced by two RNs following a set protocol. In my present California facility, it's only done by the docs.

    Like so much in nursing, it's not a matter of state scope of practice but rather institutional policy and protocol.
  9. Visit  DeLanaHarvickWannabe profile page
    1
    Quote from AJJKRN
    In our facility we have a protocol that we follow for "intentional" deaths, i.e. comfort care patients. Two nurses can pronounce. It may just be facility specific?
    Intentional...shouldn't that be "expected"?

    Intentional to me sounds like giving a KCl push!
    AJJKRN likes this.
  10. Visit  SuesquatchRN profile page
    0
    Quote from RNsRWe
    Interesting question. Last time I worked in a hospital in NYS, just two years ago, two RNs or one MD/DO could pronounce a death. I assumed it was a State legal issue....but maybe it was hospital policy?

    Worth checking into.
    In NYS I could pronounce - RN, LTC.
  11. Visit  chihuahuaman profile page
    0
    Where I work in Canada, an RN can pronounce death provided comfort care orders have been signed by the doctor and death is expected.
    This, however, has no bearing on what you can do in the facility where you work in California. Your best course would be to check your facilities policies regarding this issue.
  12. Visit  RNsRWe profile page
    0
    Quote from SuesquatchRN
    In NYS I could pronounce - RN, LTC.
    Maybe it was just hospital policy. I would like a more definite answer, though, so I'll see if I can find it. Thanks!
  13. Visit  spectrabrite profile page
    0
    i am an lvn in hospice in ca, i have pronouced 2 in the past 48hrs. It is done by.the nurse as a order that the dr signs later like a voice order
  14. Visit  zanfelhor profile page
    0
    I live in florida, am an LPN, there must be two LPNs, or one RN to pronounce


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