PROCEDURE

1.Check the chart for the physicians certification of the death of the patient. 2.Ask permission and explain to the significant others that you are going to perform post mortem care. 3.Prepare the necessary materials. 4.Ask the family if they wish to remain inside the room during the procedure. 5.If in the ward, draw curtains to provide privacy. 6.Pour lukewarm water into the basin. 7.Put on clean gloves. Remove jewelry or any personal items of the patient and give them to the significant others. 8.Close the patients eyes. Put on dentures, if any. Then close the patients mouth. 9.Remove all equipment, tubes, supplies, and dirty linens according to hospital protocol. 10.Dip wash cloth in basin with lukewarm water then wrap it around your hands to form a mitten. Using a circular stroke, wet patients forehead, eyes, cheeks, nose, mouth, and ears. Using the same technique, soap the areas mentioned. Then wash with lukewarm water, still using the same technique. 11.Get cotton balls and put them on patients closed eyes, in the nares, and in the outer ear. Then secure each with a tape lengthwise. 12.Secure the patients jaw with a cravat.

RATIONALE
-the physician is the only one who can declare if the patient is already dead. -in order for the significant others to know what are you going to perform

-to save time and energy -in order for the significant others to decide and to spend time with their loss -not to expose the dramatic events of the patient

-to do bed bath of the deceased -for legal purposes and so you will not be charges of theft

-closing the eyes of the deceased is a form of showing respect and eternal rest, close it. -remove everything in order to prepare patient for the funeral

-start from the least contaminated area to the most contaminated area.

-so that secretions in the eyes, nose and ear will be drained in the cotton.

-after 15- 20 minutes the patients jaw will open and stiffed.

13.Darpe the patient with a blanket then remove the top sheet underneath. 14.Remove patients clothes carefully as to not expose any body part.

-to wrap the patient to be transported to funeral home -even the patient is dead you have to provide privacy and respect the corpse

-to prevent discoloration 15.Perform bed bath on the patient. a.Expose farther arm. Place bath towel under -to prevent microorganism you have to dry sin thoroughly it. Perform step #10 on this body part. Then dry thoroughly

b.Expose the other arm. Do the same procedure c.Using the same technique, wet, soap, and rinse the chest, abdomen, sides and pubis. d.Turn patient towards you. Place the towel lengthwise under the patients back, down to the buttocks. Wet, soap, and rinse the back and the buttocks thoroughly. e. Expose patients farther leg. Place towel under it. Wet, soap, and rinse thigh, leg, groin, and foot. f.Do the same thing to the leg nearer you. g.Finish the bath doing the same to the patients genitalia. 16.Put on the diaper, underwear, and patients new clothes. 17.Remove bath blanket 18.Give the family option to view or not to view patient and accompany them as they do so. 19.Encourage the family to say goodbye.

-to clean other arm as well

-to clean the chest, abdomen and pubis

-to clean the patients back to prevent discoloration

-to clean the leg, prevent discoloration

-to clean from secretions, corpse must look descent

-to drain secretions in the diaper, put on clothes for decency and sign of respect -bed bath is done -they could view the corpse, sign and of respect and empathy

-to allow them to say goodbye for their love one, allow tome for grieving process -to provide privacy, death involves grieving process

20.Do not rush this process. Once the family is more comfortable, ask if they would like to be left alone. 21.Apply nametags on the hand and foot.

-name of patient transported in morgue

22.Cover and secure the patient with the shroud. Secure the shroud with safety pins. Secure another nametag on the shroud. 23.Transport patient to the morgue.

-to wrap corpse

-for embalming or autopsy