LFTF RLE POST MORTEM CARE PERFORMANCE CHECK LIST

PERFORMANCE CHECK LIST
Procedure: POST MORTEM CARE Exceptional Good Average Poor

(4) (3) (2) (1)
A. PREPARATION:
1. Verify from the chart for the following: confirm if death is
declared by medical practioner and note time of death, if
autopsy is requested, validate for any organ retrieval and
donation if planned, consider religious and cultural beliefs
during the process.
2. Assemble all necessary equipment needed and bring to the
patient’s room. Equipment: Gloves and apron; bath towels;
wash cloths; wash basins; scissors; Shroud kit with name tags;
bed linens; documentation forms. Prepare and label tags.
3. Explain to the family about the post mortem care and
procedure and the transfer of body to the mortuary and
ensure that they agree.
4. Verify the patient using two identifiers.
5. Follow the facility’s infection control practice for marking a
body that poses an infectious risk to others.
B PROCEDURE:
1. Put a sign outside of the door in the hallway, make sure to be
done first. Close the door & pull the curtain to respect
privacy.
2. Prepare the water for the bed bath.
3. Perform hand hygiene , don gloves, gown, mask, and eye
protection.
4. Assess the general condition of the body and note the
presence of dressings, tubes, and medical equipment.
5. Raise the bed up & flatten it out. Remove all sheets, blankets,
& the gown from the patient. Remove any drains & tubes
such as IVs & foley catheters & medical equipment. (If you are
unsure of whether something should be removed or this is
beyond your scope of practice, follow policies and procedure
of the facility).
6. Remove dentures & glasses that should go in a container &
placed to the side. They should later be placed inside the
body bag with the patient. If culturally appropriate, use a
rolled-up towel under the chin to close the patient’s
mouth and close the patient’s eyes by gently pulling the
eyelids over the eyes.
7. Give the bed bath like you would if the patient was still alive.
Place an absorbent pad under the patient’s buttocks. Wash
soiled body parts. If family members or a caregiver are
assisting with washing the body and providing postmortem
care, instruct them to don gowns and gloves as protection
from body fluids.
8. Put a fresh hospital gown on the patient's body according to
facility. Brush or comb the patient's hair.
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PERFORMANCE CHECK LIST
9. Identify which of the patient’s belongings are to stay with his
or her body and which are to be given to the family by making
a list to be signed.
10. Tie one of the name tags onto the patient's big toe.
11. Unfold the body bag & unzip it all of the way, then, roll up half
of the bag longways.
12. Turn the patient on the side. Determine help if needed. The
other caregiver should then tuck the old linens underneath
the patient & place the clean fitted sheet on the mattress.
Tuck the fitted sheet under the patient as far as possible.
13. Next, tuck the rolled end of the bag underneath the patient.
Make sure the bag is placed in such a way that patient ‘s body
will be able to fit. This means the bag should reach past their
head, all the way down past their feet.
14. Turn the patient onto their other side and finish putting on
the fitted sheet and unroll the rest of the bag and zip up the
bag.
15. Place an identification label on the outside of the shroud by
tying the two zippers together with the name tag according to
facility’s practice.
16. Stretch the flat sheet over the bed completely covering the
body bag. Note: Out of respect, you do not want visitors in
the hallways to clearly see the person in a bag while they are
taken to the morgue.
17. Place dentures and glasses to go in the body bag with the
patient and the last name tag should go with the patient's
remaining belongings. Make sure the belongings get to the
patient's family.
18. Ensure that prompt transportation of the patient’s body to
the mortuary has been arranged. Observe family members,
friends, and significant others responses to the loss, and
provide support as needed.
19. Discard used supplies appropriately, remove PPE, and
perform hand hygiene.
20. Document the procedure in the patient’s record such as
special preparations of the body; medical tubes, devices or
lines left in or on the body; personal articles left on & secured
to the body; personal items given to family with description,
date, time and to whom be given and location of body
identification tags, etc.
SCORE (____/ 100) * 100 = _____ TOTAL SCORE
Name: ________________________________ Score: ___________________________

Section & Group #: ______________________ Date: ____________________________
Clinical Instructor: _______________________
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PERFORMANCE CHECK LIST

Procedure: POST MORTEM CARE Exceptional Good Average Poor

Name: ______ Score: _

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