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Post-Mortem Care

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on 29 January 2014

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Transcript of Post-Mortem Care

Post-mortem Care

General Guidelines

Procedures
1. Wash and dry your hands thoroughly.

2. Obtain equipment.

3. Obtain additional assistance if necessary.

4. If family members or visitors are present, ask them to wait outside the room until the procedure has been completed. Assist the deceased resident's roommate out of the room.

5. Close the door to the room.

6. Lower the head of the bed.

7. Put on gloves.
Purpose

Preparing the patient for viewing by family

Ensuring proper identification of the patient before transporting the body to the morgue

Providing appropriate disposition of patient's belongings

Maintaining vital organs (heart, kidneys,lungs,livers and pancreas), if donation is planned

Post-mortem care is the care provided to a patient immediately after death and emotional care of the family.
Do not perform post mortem care until the resident has been pronounced dead.

The cultural, religious, and age-related needs of the deceased patients and the family/significant others will be considered when delivering post-mortem care.

Unless otherwise instructed, remove all jewelry from the deceased resident.

Treat the deceased resident with respect and dignity.

Handle the deceased residents carefully to prevent distortion, discoloration or other harms to the body.

If there is any question of criminal involvement in the death, materials removed may be considered forensic evidence and the body will not be cleaned


Equipment

Disposable bags
Bath towels
Wash basin filled half full with warm water
Cotton balls
Syringe
Brush
Comb
Shroud (sheet or clear plastic)

Planning
Word Bank:

Morgue
PostmortemCare
eyelids
donation
shroud
mouth
Implementation


1. Place one pillow under the resident's head.

2. Disconnect all tubes, IV lines and catheters unless autopsy is to take place.

3. Placed the deceased in the supine position.

4.Remove watch, jewelry

5. Straighten the resident's arms and legs gently

6. Close patient's eyes by gently taking the eyelashes and pulling the eyelids down over the eyes.
7. Cupping your hand under the resident's chin and apply light pressure to close the mouth. If the resident wore dentures, reinsert them. If the mouth will not stay closed, place a rolled towel under the chin.

8. Place disposable pads to the perineal area to absorb any stool or urine released as the sphincter muscle relaxes

9. Remove all soiled dressings

10. Wash soiled areas of body


Implementation
11. Comb the resident’s hair

12. Cover all wounds with clean dressings.

13. Put on clean gown for the deceased patient.

14. Leave the wrist identifications band in place

15. Attach a second identification tag to the ankle or great toe.

16. Position the resident’s arms to the sides.


17. Cover the resident with a sheet. Place the sheet up over the chest for family viewing.

18. Remove all post mortem care equipment, supplies, and trash from room.

19. Put away or dispose equipment and supplies used.

20. Pour the bathwater and all other used liquids down the toilet.

Post-Implementation
1. Unless otherwise instructed, invite the family back into the room and leave them alone with the resident.

2. Place resident's all possessions in bag

3. Clean, disinfect, and return all reusable equipment to designated storage areas. Tidy up the room

4. Wrap client in shroud and place on stretcher

5. Transfer patient to morgue

6. Permit the roommate to return to the room.

Documentation of Death


1.Time, date, situation of cessation of pulse and respiration
2.Date and time care was given
3.Name and title of the individual(s) performing the procedure.
4.What was done with the resident’s personal effects, especially jewelry and dentures.
5.Signature and title of the person recording the data.
6. Report any other information in accordance with facility policy and professional standards of conduct
7. Cultural requests
8. Document notification to morgue officer
Typically a nurse or nursing assistant prepares the body. The Registered Nurse will pronounce the death of the patient if the attending physician is absent, however the attending physician is required to complete and sign the death certificate.
Who Performs the skill?







Who receives the skill?
A deceased patient.
Gelan Wang
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