Legislation and Responsibilities in Nursing Practice: Handling a Reportable Death

What is the legislation and/or regulation that guides nursing practice in regard to reportable deaths?

Additionally, in the following scenario, outline your responsibilities as an EN in regard to a reportable death?

Mr. Bee is a patient in your care. You attend a home visit to conduct a standard health assessment and find Mr. Bee has unexpectedly passed away. You see medication you don’t recognise and needle you don’t recognise.

You have never encountered this situation before and are rattled. You phone your RN at the practice and the GP to find out what to do. The RN tells you to phone the police – it has been determined by the GP that this is a reportable death.

What do you do next?

ANSWER

Legislation and Responsibilities in Nursing Practice: Handling a Reportable Death

Introduction

Nursing practice is guided by legislation and regulations that outline the responsibilities and procedures surrounding reportable deaths. When faced with a reportable death, it is crucial for nurses to understand their obligations and follow the appropriate protocols. This essay explores the legislation that guides nursing practice in relation to reportable deaths and outlines the responsibilities of an Enrolled Nurse (EN) in a specific scenario.

Legislation and Regulation

In Australia, the legislation and regulation that guide nursing practice in regard to reportable deaths vary between states and territories. The specific legislation in this scenario will depend on the jurisdiction where the nurse is practicing. For example, in New South Wales, the relevant legislation is the Coroners Act 2009, which defines reportable deaths and outlines the obligations of healthcare professionals.

Responsibilities of an EN in a Reportable Death Scenario

1. Assess the Situation

As an EN encountering a reportable death, your first responsibility is to assess the situation. In this scenario, upon discovering Mr. Bee has unexpectedly passed away and noticing unfamiliar medication and a needle, it is important to ensure your own safety and the preservation of the scene.

2. Notify the Appropriate Authorities

Following the instructions of the Registered Nurse (RN) and the General Practitioner (GP), you should immediately contact the police. Reportable deaths, as determined by the GP, require notification to the authorities, typically the police, in accordance with the relevant legislation.

3. Preserve the Scene

While awaiting the arrival of the police, it is important to preserve the scene and avoid tampering with any potential evidence. Refrain from moving or touching items and ensure the area is secure to maintain the integrity of the investigation.

4. Document the Incident

As an EN, it is crucial to document the incident accurately and comprehensively. Record the details of the situation, including the time, location, observations, and any other relevant information. This documentation serves as a vital part of the report and can aid in the investigation.

5. Provide Support and Communication

During this challenging situation, it is essential to provide support and communicate effectively with the patient’s family or other individuals present. Show empathy and compassion, ensuring they are informed about the situation while respecting their privacy and confidentiality.

6. Collaborate with the Multidisciplinary Team

Work collaboratively with the RN, GP, and other healthcare professionals involved in the patient’s care. Share information, follow their guidance, and contribute to the investigation as required.

7. Reflect and Seek Support

Encountering a reportable death can be distressing and emotionally challenging. It is important for the EN to reflect on the experience and seek support, both personally and professionally. Consult with the RN or utilize available employee assistance programs to process the event and address any emotional impact.

Conclusion

Legislation and regulation guide nursing practice in relation to reportable deaths, ensuring a standardized and appropriate response in such situations. When faced with a reportable death, ENs have specific responsibilities, including assessing the situation, notifying the appropriate authorities, preserving the scene, documenting the incident, providing support and communication, collaborating with the multidisciplinary team, and seeking personal and professional support. By following these responsibilities, ENs can contribute to the accurate reporting and investigation of reportable deaths while upholding their professional obligations and providing compassionate care to all individuals involved.