Our facility just recently put out a memo telling us that due to Meaningful Use ( I don't even know what that is) when we have a pt expire in order to discharge them from our Meditech system we must put in a Preliminary Cause of Death. I feel like this is outside of my scope of practice as an RN. I am not a doctor, I cannot say why someone died. Some of the other nurses and I are refusing to do this. What do you guys think?