Category: Dept. Docs.

Coroners Referrals

The patients ED needs to report has changed…

The key change with the new guidance is that not all patients who die in the ED need to be reported to the coroner….

Provided that none of the other circumstances as detailed in the guidance note apply deaths within 24 hours of admission to Hospital or a Hospice do not need to be reported with respect to a death of a person over 18 years of age in the following circumstances:

  • A qualified medical practitioner certifies death is due to natural causes and
  • The family or other party do not raise any concerns

The full guidance is available – Guide to Reporting Deaths April19

If you need to report to coronerDeath in ED

Digital ECG

Digital ECG has now gone live on both sites.

We now have no excuse for loosing ECGs and not sending them to the wards with patients!

Please ensure you put an operator ID in as well as all the patient information to ensure the ECG transmits to EPR – if you are having problems look at the troubleshooting guide on the side of the machine.

Ensure a doctor/ACP signs all ECGs using EPR – just like when they were paper!

Quick Reference and Trouble Shooting Guide are available here  Digital ECG Quick reference guide

The SOP for reviewing and signing ECGs is available here Digital ECG SOP

Self-Discharge

Still in the ED

  • Explain why we would like them to stay and the management options as clearly as possible
  • Assess mental capacity (over 16 years)
  • Complete self discharge paperwork
  • Remember under 18’s, legally don’t have the right to refuse treatment (however, the principles of the mental capacity act should be applied)

Left ED

  • Assess the risk, do we need to:
    • Police safe & well check
    • Contact patient/next-of-kin
    • Inform GP
    • Inform Safeguarding team
    • Flow chart
  • Inform Nurse-in-Charge
  • Add to handover board if actions are required by the in-hours team
Searchs: abscond, absconded, did not wait, didnt wait, didn’t wait

Death in ED

Do you need to Refer? – Rule change

  • A qualified medical practitioner certifies death is due to natural causes and
  • The family or other party do not raise any concerns
  • The full guidance is available – Guide to Reporting Deaths April19

Referred to the Coroner immediately (24 hrs/day)

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