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HSE National Clinical Guidelines for Post Mortem Examination Services (2023)

dc.contributor.authorHSE Guidelines for Post Mortem Examination Services: Review Group
dc.date.accessioned2023-04-17T09:55:47Z
dc.date.available2023-04-17T09:55:47Z
dc.date.issued2023-04-17
dc.identifier.citationHSE National Clinical Guidelines for Post Mortem Examination Services (2023)en_US
dc.identifier.urihttp://hdl.handle.net/10147/635255
dc.descriptionThe purpose of the HSE National Clinical Guidelines for Post Mortem Examination Services (2023) is to build on the previous standards from 2012 and outline recommended practices required in post mortem examination services, based on current legal requirements, professional standards and international best practice. This document is the HSE national clinical guidance for all relevant staff in the health service and HSE funded services who are involved in any stage of the provision of post mortem examination (PME) services. This document may be read in conjunction with: 1. HSE National Toolkit of Templates for Post Mortem Examination Services (2023) 2. HSE Post Mortem Examination Service Process Map (2023) 3. Suite of five template booklets: • Adult booklet: A guide to a hospital post mortem examination (Consented / non-coronial PMEs) • Adult booklet: A guide to a coroner’s post mortem examination • Perinatal booklet: A guide to a hospital post mortem examination (Consented / non-coronial PMEs) • Perinatal booklet: A guide to a coroner’s post mortem examination • Paediatric booklet: A guide to a post mortem examination (hospital and coroner’s PME) A literature review accompanying this document will be published on the website of the Faculty of Pathology, RCPI.en_US
dc.description.sponsorshipDr. Colm Henry, Chief Clinical Officeren_US
dc.language.isoenen_US
dc.publisherHSEen_US
dc.relation.ispartofseriesVersion 2.0en_US
dc.rightsCC0 1.0 Universal*
dc.rights.urihttp://creativecommons.org/publicdomain/zero/1.0/*
dc.subjectPost mortem examination servicesen_US
dc.subjectcoroneren_US
dc.subjectPatient Safetyen_US
dc.subjectquality and patient safetyen_US
dc.subjectorgan retentionen_US
dc.subjectmanagement of retained organsen_US
dc.subjectmanagement of temporarily retained organsen_US
dc.subjectconsenten_US
dc.subjectanatomical pathology techniciansen_US
dc.subjectpathologisten_US
dc.subjectstate forensic PMEs (suspicious or unusual deaths)en_US
dc.subjectcommunication and the post mortem examinationen_US
dc.subjectStorageen_US
dc.subjecttransportation and ultimate disposal of tissue samples and management of retained organs following post mortem examinationen_US
dc.subjectRecords management following coroner and hospital post mortem examinationen_US
dc.subject.otherPart two: The post mortem examination 2.1. An introduction to the post mortem examination process flow 2.1.1. What is a post mortem examination? 2.1.2. What is the difference between a full and limited post mortem examination? 2.1.3. Understanding the post mortem examination process 2.1.4. Why is a post mortem necessary? 2.1.5. The post mortem examination process flow 2.2. Deaths reportable to the coroner 2.2.1. What does the coroner do? 2.2.2. Who should report a death to the coroner? 2.2.3. General guidance 2.2.4. Deaths reportable to the coroner under the rules of law 2.2.5. Examples of deaths reportable to the coroner in line with good practice 2.2.6. Deaths reportable in the case of maternal death, stillbirth or infant death 2.2.7. Deaths occurring before arrival at the hospital / mortuary 2.2.8. Guidelines for state forensic PMEs (suspicious or unusual deaths) Part three: Consent and the post mortem examination 3.1. An introduction to consent 3.2. When is consent required? 3.2.1. Consent and the coroner’s post mortem examination 3.2.2. Consent and the hospital post mortem examination 3.2.3. Why is consent not required for the disposal of tissue samples / body fluids? 3.3. Who may give valid consent? 3.3.1. Who may give valid consent when the deceased is an adult? 3.3.2. Who may give consent in the case of children (including babies who died before or during birth or deceased infants and children)? 3.3.3. Who may give consent in the case of children in care, or where a care order is in place? 3.3.4. Who may give consent in the case of a parent aged under 18 years? 3.3.5. Who may give consent in the case of a ward of court? 3.4. Who is responsible for sharing information about the PME and seeking and obtaining consent? 3.5. Involving the multidisciplinary team in seeking and obtaining consent 3.6. What are the requirements for valid consent? 3.6.1. Decision making under duress 3.6.2. Decision making capacity of the person making the decision 3.7. What is the process of seeking consent? 3.8. How should consent be documented? 3.8.1. How should verbal consent be recorded? 3.8.2. How should consent be recorded if a person cannot write? 3.8.3. What information should consent forms include? 3.8.4. Where should the consent form be filed? 3.9. Consent for organ and tissue retention for clinical teaching, medical education and / or research 3.10. What happens if consent is declined or withdrawn? Part four: Communication and the post mortem examination 4.1. An introduction to communication and the post mortem examination 4.2. Section one: General guidance for communication with the family of the deceased 4.3. Section two: Communication and consent regarding the post mortem examination 4.3.1. What information should be included in the discussion? 4.3.2. Key contact / designated family liaison 4.3.3. Reasons for undertaking a PME 4.3.4. What options do the family have? 4.3.5. What action should be taken in potential donation for transplantation cases? 4.3.6. Who can report a death to the coroner or request a hospital PME? 4.3.7. What does a PME entail? 4.3.8. Communication specific to the PME 4.3.9. Who will perform the PME? 4.3.10. When and where will the PME happen? 4.3.11. Information on the timing of when the PME is completed 4.3.12. Formal identification of the body4.3.13. Information on the appearance of the deceased before the family view the body 4.3.14. Clinical audio or visual media 4.3.15. Information about the PME process 4.3.16. Information on the taking of tissue and blood samples 4.3.17. Communication regarding the removal and temporary retention of organs 4.3.18. Possible reasons for the retention of organs 4.3.19. What happens in the exceptional case where it is necessary to examine an organ which is too small to be sampled or temporarily retained? 4.3.20. Communication regarding the storage and sensitive management of retained organs 4.3.21. Communication regarding the burial or cremation of temporarily retained organs 4.3.22. Options for the burial or cremation of temporarily retained organs 4.3.23. Hospital arranged burial 4.3.24. Hospital arranged cremation 4.3.25. What to do if the family do not specify their wishes 4.3.26. Organ and tissue retention for clinical teaching, medical education and / or research 4.3.27. Documenting acknowledgment of information / consent 4.3.28. What happens where consent is not given? 4.3.29. Sharing a progress report 4.3.30. Contact with the family following completion of the PME - communication of the PME results 4.3.31. Documentation of communication 4.4. Section three: General guidance for communication with the coroner Part five: Records management following coroner and hospital post mortem examination 5.1. Why is records management important? 5.2. What is good records management in PME services? 5.2.1. Record management following coroner and hospital post mortem examination 5.2.2. Content of the healthcare record following post mortem examination 5.2.3. Minimum information to be included in registers and electronically Part six: Storage, transportation and ultimate disposal of tissue samples and management of retained organs following post mortem examination 6.1. Storage and management of tissue samples and retained organs 6.2. Transport 6.3. Ultimate disposal of tissue samples and sensitive management of organs 6.3.1. What happens to blocks and slides from tissue samples? 6.3.2. Guidelines on the sensitive management of organs (burial, cremation or donation) 6.3.3. What to do in the rare event that a temporarily retained organ cannot be located? 6.4. Release of body / retained organs to funeral directors / undertakers following post mortem examination Part seven: Training 7.1. Introduction to trainingen_US
dc.titleHSE National Clinical Guidelines for Post Mortem Examination Services (2023)en_US
dc.title.alternativeHSE National Clinical Guidelines for Post Mortem Examination Services (2023)
dc.title.alternativepost mortem
dc.title.alternativePost mortem examination 2023
dc.title.alternativeHSE Post mortem examination
dc.typeGuidelineen_US
refterms.dateFOA2023-04-17T09:55:48Z
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