This is an excellent question just raised in Hospice Nursing Support Group Public Group | Facebook
Here's what I do:
1) Once on site, document mileage
2) Enter the home and see how the family is doing, then assess for death and note time of death
3) With family permission, immediately all the funeral home
4) Then I call the primary care provider
5) Then check if on family desires for when to have any equipment picked up, then work that out
After that I fill out the death certificate portion that can be filled out along with a cheat sheet for the funeral home that includes the primary care provider contact information Only after that do I educate on med disposal for the family; most of the time they dispose of the medication on their time.
If the funeral home is local, by now (30 to 60 minutes after my arrival), the funeral home personnel comes in, and I'm present through that portion. If they are not, I ask the family if they want me to stay with the exception of far-a-way funeral homes where I'm given an estimate of 3 to 6 hours for arrival of the funeral home staff; then I let the family know and typically they don't want me there for that long and they need private time.