- Certify the patient as soon as is appropriate
- Complete a discharge summary on CRS
- Enter the patient’s record on CRS
- Go to Ad Hoc on top bar
- Select discharge from the list on the left of the screen
- Select in-patient discharge summaryThere are now 4 pages:
- Discharge Info I – copy and paste from the summary above. Make it clear that the patient has died
- Discharge Info II – Select finalised and select GP in the bottom box and it will be sent direct to GP practice.
- Diagnosis – should auto-populate
- TTA – Select Not applicable.
- Local GPs will receive this electronically. Ask the ward clerk to print it out and send it by post for non-local GPs.
- Does the death need to be referred to the coroner?
- The following is a guide to which patients require referral to the coroner. If in doubt refer.
- Death was violent, suspicious or unnatural (i.e. all traumas)
- Cause of death is unknown
- Death related to self-neglect or neglect by others
- Suicide
- Any death in custody
- Death is related to an accident
- Death during surgery or before recovery from anaesthesia
If any of these criteria are met then a coroners referral form (\\LNASV3\Directorates$\surgery_&_anaes\ACCU\Critical Care\Summaries\Deceased patients) needs to be completed. You should copy and paste the summary of care into this document and ensure the hypothesized cause of death is completed.
Please ensure a consultant has reviewed your coroner’s referral before sending it.This should be sent to bereavement at bereavement@bartshealth.nhs.uk
- If not complete a MCCD and a cremation form:
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- MCCD book is kept in the CD cupboard. Once complete it should be attached to the notes and left for the ward clerk to take to the bereavement office.
- A cremation form (Form 4) (http://bartshealthintranet/About-Us/CAGs/Clinical-Support-Services/Pathology/Documents/Cremation-form4.pdf) should also be completed it can always be removed later if not necessary.