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pt was dnr. endstream endobj 408 0 obj <. 16 0 obj 0000000880 00000 n Any person found dead (For complete list, see Pronouncement of Death Fact Book, 1999, page 13 . body released to _______fh at 4pm. for Nursing Services, or Chief Nurse Executive is responsible for ensuring that designated RNs, APRNs, and PA's covered by this policy are trained and competent in the procedures necessary to assess and pronounce a CLC resident's death in circumstances allowed herein. 230 0 obj <> endobj Garden City, N.Y: Anchor Press/Doubleday. http://www.homelesshope.net/ For your convenience, we have provided a number of links to valuable services and helpful information. sFg;fEe=RAEv-T);~1Z_F mg|!d}o4- it,: !m`M)HjMrl! endstream endobj startxref 5. State Operations Manual Appendix M - Guidance to Surveyors: Hospice (Rev.) directors, medical faculty, community preceptors, or other professionals %PDF-1.3 % Miller, J. E., & Cutshall, S. C. (2001).The art of being a healing presence: A guide for those in caring relationships. 6 0 obj Resident pronounced at 10.30AM. (2009).Lessons for the living: Stories of forgiveness, gratitude, and courage at the end of life. End of Life Palliative Educational Resource Center 3. )nYBaa3c, endobj %%EOF Called to room by CNA at 4pm and noted resident without pulse, respirations or BP. was developed by The Carolinas Center for Hospice and End of Life Care <> George Washington Institute for Spirituality and Health specifically, the site has been designed for use by medical school Death within 24 hours of admission to a hospital or nursing home 6. The Hospice Education Network (HEN) Keep in mind . When death occurs, the family follows the plan by: Contacting the nursing provider OR Contacting the Physician or RN(EC) to pronounce death B. Pronouncement of Death Nurse: Visits to pronounce death and support the family. 0000002389 00000 n Resources, hospice locator guide, education opportunities, and general hospice information. Mm(SojN9UJRG5 ' eWMDaDo9p8QV*[fA c^ OsNx %%EOF A nursing organization of over 9,200 members dedicated to promoting excellence in End-of-Life nursing, Innovations in End-of-Life Care S.l. ongoing education that they can access twenty four hours a day, at home New York: Springer Pub. <> endobj George Washington Institute for Spirituality and Health. frequency of update, source, etc. Know Your Choices: A Guide for Patients with Serious Advancing Illness A guide to enable patients or their advocates to make informed decisions about health care choices that reflect each person's goals, values, wishes and needs; outlining the types of choices that patients have when they are going through treatment for a serious life-limiting illness. allnurses is a Nursing Career & Support site for Nurses and Students. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Use this button to show and access all levels. Thanks. ongoing education that they can access twenty four hours a day, at home md notified. 0000003397 00000 n 3 0 obj 3/6/2023Pedi Pal Spiritual Care Group Meeting, 3/6/2023Pedi Pal Social Work Group Meeting, 3/6/2023Charting for the Jury: Fine - Tune Documentation for Hospice & Home Care, 3/7/2023HCI Scoring & Developing PIPs Part 1, 3/9/2023Spiritual Care Coordinators Meeting, HPCFM 20 Commercial Drive, Suite One Wrentham, MA 02093, 781-255-7077 For lists of FAeHx2!x)6N)wx$y MXx W$6S!`H{c&Xx Wyfl}) F:(XwwS? Create well-written care plans that meets your patient's health goals. For the most part, nurses aren't allowed to pronounce death. Our members represent more than 60 professional nursing specialties. An official website of the Commonwealth of Massachusetts, This page, Massachusetts Legal Forms by Subject, is, If you cannot find a form you need, you can. "Legal forms" are forms that are not filed in court, such as forms for taxes, contracts, wills, and the like. 0 Hospice and Palliative Nurses Association., & American Nurses Association. MD notified, new orders - RN Pronouncement and order to release body to funeral home confirmed by Jane Doe NP covering for Dr John Doe. 316 0 obj <>stream An Buscaglia, L. F. (2002).The fall of Freddie the leaf: A story of life for all ages. Sheehan, D. C., & Forman, W. B. One also has to know the difference between death and the other states that an individual might be in at the time. St. Pierre, P. J. Has 7 years experience. Jones, L., Mack, C., Generations Together., Video Difference, Inc., & University of Pittsburgh. Family at bedside. (Effective October 20, 1988.) 2 0 obj Fort Wayne, IN: Willowgreen Pub. A resource for professionals, patients and their families regarding end-of-life decisions Yakima, WA: Intellicard. endobj Pediatric Palliative Care Network (PPCN) Massachusetts Commission on End of Life Care MD notified, new orders - RN Pronouncement and order to release body to funeral home confirmed by Jane Doe NP covering for Dr John Doe. 0000058024 00000 n Minneapolis: Augsburg. deceased and the date and time of death, and shall sign the death certificate. )^%b9MND? Q@'+xUBgY*Hu`]sh1\Hp~|$g',%qB-,9QHU[ 6X=TsQ zDo|*)@KJyRHw1!-J\q|%cC&p,!lLI_)2<3.3K4*M&:{]MI.pK+ +w)g@?pf&'piS7b>RRS}kdiuJJM gDG?7!Ke8Vu m9JtQkyzU Kalina, K. (2007).Midwife for souls: Spiritual care for the dying. order for rn pronouncement. 5 0 obj An award-winning gateway to resources for life-threatening illness and end-of-life issues. ), Tuesdays with Morrie: An old man, a young man, and life's greatest lesson, Close to the bone: Life-threatening illness and the search for meaning, The fall of Freddie the leaf: A story of life for all ages, Dying well: Peace and possibilities at the end of life, Final gifts: Understanding the special awareness, needs, and communications of the dying, Final journeys: A practical guide for bringing care and comfort at the end of life, Lessons for the living: Stories of forgiveness, gratitude, and courage at the end of life, Ten thousand joys & ten thousand sorrows: A couple's journey through Alzheimer's, Midwife for souls: Spiritual care for the dying, The art of death midwifery: An introduction and beginner's guide, Waterbugs And Dragonflies: Explaining Death To Young Children, Matters of life and death: Finding the words to say goodbye, Living at the end of life: A hospice nurse addresses the most common questions, Hospice and palliative care: The essential guide, Scope and standards of hospice and palliative nursing practice, The art of being a healing presence: A guide for those in caring relationships, Hospice and palliative care: Concepts and practice, Grief counseling and grief therapy: A handbook for the mental health practitioner, Symptom management algorithms: A handbook for palliative care, Living with dying: A guide for relatives & friends, Being a compassionate companion: A series, After the Hospital: A Guide to Post Acute Care, Guide to Help Palliative CarePrograms Successfully Complete, End of Life Palliative Educational Resource Center, pidemiology of Dying & End-of-Life Experience, Growth House: Guide to Death, Dying, Grief, Bereavement, and End-of-Life Resources, Hospice and Palliative Nurses Association, Know Your Choices: A Guide for Patients with Serious Advancing Illness, Massachusetts Commission on End of Life Care, Massachusetts Compassionate Care Coalition, National Hospice & Palliative Care Organization, http://oig.hhs.gov/authorities/docs/hospicx.pdf, http://dhi.health.state.nm.us/elibrary/hflcregs/Appendix%20M.pdf, Charting for the Jury: Fine - Tune Documentation for Hospice & Home Care. endstream endobj 231 0 obj <. 315 0 obj <>/Filter/FlateDecode/ID[<630456F5BA98A44A83E4D585DBE64A93>]/Index[230 158]/Info 229 0 R/Length 185/Prev 113462/Root 231 0 R/Size 388/Type/XRef/W[1 3 1]>>stream website provides links to public data on decedents, cause of death and Has 30 years experience. : Video Difference, Inc. Kubler-Ross, E. (1969).On death and dying. Resident DNR. Please limit your input to 500 characters. (1996).Hospice and palliative care: Concepts and practice. 14 0 obj NYNewGrad said: It provides a forum for members to engage in cross-continuum collaboration to address regulatory and clinical barriers that impede caregivers vital work. Yes No. Maine, Texas, and New York are three states that allow the licensed RN the ability to pronounce death. Role of the LVN . The value-added of EDELE is that the <> (Take picture of your license and keep in phone, or on a slip of paper with your forms). Telephone: 617-618-2185. Wogrin, C. (2001).Matters of life and death: Finding the words to say goodbye. endobj Massachusetts laws MGL c.30A, 14 Judicial review $y`A0yL~F@e?#c*J0e#ZHj &"Bd9^@nH dSY``LzA$WP{ ,&! 1901 N. Moore Street #901 New York, NY: Sterling. site is intended to support individuals involved in the design, 290 0 obj <>/Filter/FlateDecode/ID[<62DBEB941E88F1428ACE081799A7268D>]/Index[272 45]/Info 271 0 R/Length 86/Prev 157303/Root 273 0 R/Size 317/Type/XRef/W[1 2 1]>>stream An RN's assessment or determinant of death does not include the medical certification of death. endobj hb```f``:b@aeW@>dGi"s8Xf bpM@P6A,x &M2oCx(K7$10a.a[xCD42pwJ30:l# /'- or in the office. bQ7cB86 8x#8 ]2C Mesothelioma Cancer Network Massachusetts Funeral Directors Association 536 Broad Street, Weymouth, MA 02189 T: 781-335-2031 | F: 781-335-3245 | info@massfda.org Privacy | Terms | Support endobj endobj If you need assistance, please contact the Trial Court Law Libraries. Boston: Trumpeter. Boston, MA: Pauline Books & Media. Users must be located in Massachusetts to access this resource. New York: Doubleday. 9 0 obj 705 0 obj <>stream 8. Notifies the MRP / RN(EC) of the patient's death, noting date and time of death, receiving funeral home 0000001313 00000 n endstream endobj startxref Arlington, VA 22209 Except as provided in sections forty-four and forty-six, no undertaker or other person shall bury or otherwise dispose of a human body in a town, or remove therefrom a human body which has not been buried, until he has received a . Goldberg, S. A. S.l. The requirements as outlined in WAC 246-839-830 would apply: Determination and Pronouncement of Death . Byock, I. non-profit organization devoted exclusively to hospice. 393 0 obj <>stream and The National Hospice and Palliative Care Organization (NHPCO.) Only Sections 1431 and items 46 are- to be completed by the R egistered Nurse according to the instructions on the back of the form. 11 0 obj 0000083688 00000 n The laws and rules do not specifically address whether the LPN can determine and . Johnson, S. (1984).The precious present. It provides a forum for members to engage in cross-continuum collaboration to address regulatory and clinical barriers that impede caregivers vital work. dQ0xf$OM f+?! In the rare event that your complaint remains unresolved, you may contact the Hospice & Palliative Care Federation of Massachusetts or the Department of Public Health's Patient Protection Line. implementation, and/or evaluation of End-of-Life/Palliative education 0000001159 00000 n 0000001931 00000 n "Resident with no pulse, no respirations, lack of pupilary response. By Ida Koivisto, BSN, RN, PHN. Purchasing directions for "Five Wishes," a simple document to put your "wishes" in writing should you become seriously ill and unable to speak for yourself. Pt is DNR. <> Hb```V7 ce`a`8]p Download this form to order Pronouncement of Death Forms from Massachusetts Department of Public Health. `in:"$:DR-~%pl:I. Telephone: 617-964-1196. 1-612-816-8773. By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. or in the office. Have forms and black pens with you. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. Wn,.uIp$MyzI._zr%`;n/NYd 'g ,y:fb`ai\MOMw@WD{X =K"@. 272 0 obj <> endobj ) or https:// means youve safely connected to the official website. PallipediaA free online palliative care dictionary to be built by the international community, under the auspices of IAHPC. endobj Clearly, the pronouncement of an individual's death is a significant obligation and it must be carried out with grace, respect and a concern for the family of the deceased. Remen, R. N. (1996).Kitchen table wisdom: Stories that heal. Overnight Shelters; Veterans Shelters; Food Pantries; Women and Children; Male Shelters; Hot Meals Hospice Helpline: 1-800-658-8898 Good answer? : BookSurge. The Trial Court Law Libraries have compiled this list of Massachusetts legal forms available online for no charge. After the Hospital: A Guide to Post Acute CareThe Continuum of Care Council (CCC) is an advisory council of the Massachusetts Health & Hospital Association (MHA), established with the goals to optimize patient care, experiences, and clinical and economic outcomes through population health strategies. &)e? yPK-1[Hf| `6krIl6`b|`}'c+-&*'`A0a)W~F\AMc%uE!cs+U,eicN'$]^he[@leShx cW. +SSB{G:Z Khr>@Nr9VoXIw]&+8PVNe&^/{'+FySkgU[8lZ4.B-btb5`N5qja1 +S5P*_0 H`?@q%G;=v)/HXDX% |aG-wKK23cRoQb~f_Aw% c x-H{`0lx,(G,:A:yiIT! A. When a Callanan, M., & Kelley, P. (1997).Final gifts: Understanding the special awareness, needs, and communications of the dying. New York: Riverhead Books. endobj 7-62-2. Legal forms may also be found through Gale LegalForms. <> Has 7 years experience. Ostaseski, F., & Zen Hospice Project. Registrants document appropriately, including time of death, after deathcare, the return of any personal belongings, and the completion of appropriate forms. Mesothelioma Survival Information provides detailed information on Mesothelioma and the ways various treatments can improve the lives of patients. Form R-360 07012014. http://dhi.health.state.nm.us/elibrary/hflcregs/Appendix%20M.pdf, RECOMMENDED READINGS: PATIENTS AND CAREGIVERS. 0000001484 00000 n Honoring Choices Massachusetts is a consumer focused non-profit organization supporting the right of every adult to direct their health care choices. A lock icon ( (2000).Being a compassionate companion: A series. National Hospice & Palliative Care Organization Bell, K. W. (2010).Living at the end of life: A hospice nurse addresses the most common questions. Karst, P., & Stevenson, G. (2000).The invisible string. Telephone: 305-538-9272, Hospice and Palliative Nurses Association !4320hpS2 Z a endobj Specializes in Med nurse in med-surg., float, HH, and PDN. 0000060779 00000 n <> (1997).Waterbugs And Dragonflies: Explaining Death To Young Children. <> j$7jH0yVvea^P(?}q14(( Each search returns a list of websites that display data matching the Always check your own facility's policy for RN pronouncements.and don't forget, sometimes the nurse CAN'T pronouncean unexpected death, a death within 24 hours of admission (unless the person came in to die)the circular letter from this state is about 3 pages long on when to call the ME. Employers should access assistance form legal services to consider . Order received for RN pronouncement. 0000006498 00000 n <> Specializes in Gerontology, Med surg, Home Health. Policies and procedures of institutions Any institution, as defined in subsection (a) of section 19a-490 of the Connecticut General Statutes, which employs a registered nurse functioning pursuant to these regulations shall . endstream problems." By this statute an RN has the authority to make an assessment and therefore, a determination of death. 3.1.18 Registered Nurse Pronouncement of Death (a) Policy California Correctional Health Care Services (CCHCS) shall permit Registered Nurses (RNs ) to make the determination and pronouncement of patient death under specified circumstances. endstream endobj 59 0 obj <>/Size 38/Type/XRef>>stream Section 45: Burial permits; permits for removal of bodies; certificates of death; deceased veterans. : Continuum. A nursing organization of over 9,200 members dedicated to promoting excellence in End-of-Life nursing Innovations in End-of-Life Care An international, online journal, committed to more humane, comprehensive, and coordinated care for dying persons and their families. Simply placing pronouncement of death by RN or something similar in the search bar of your search engine can identify other states. stream is Hospice, we notify Hospice, also. For the first few death pronouncements, some residents feel uncomfortable . endobj >x.4Q9c=@6{&q0 Massachusetts Department of Public Health's Patient Protection Line800-462-5540You have the right to register a complaint with any hospice provider. If you need assistance, please contact the Trial Court Law Libraries. L\ddEwexo_{Twu~_~M~>~~a`O?o76z8m-}|'iHN6Kdg*WiBShNc&U2^o?qOu{Uz/~YSofw{fmo?[{~[fhSm*MYizlg/;:#/$mK)mqmIG^Tz9F*j-1OL\2WL&:Mt4i2&ci24^~^5o O#%[r6# Please let us know how we can improve this page. San Francisco, CA: Institute on Dying (Zen Hospice Project). hZ7!>Y/;oFd:0f!tkTaUCUR kRI Massachusetts legal forms for subjects A-D, Massachusetts legal forms for subjects E-H, Massachusetts legal forms for subjects I-L, Massachusetts legal forms for subjects M-P, Massachusetts legal forms for subjects Q-T, Massachusetts legal forms for subjects U-Z. Specializes in LTC. 0000002851 00000 n For Massachusetts patients, the form for pronouncement of death is the Pronouncement of Death Form by the Registry of Vital Records and Statistics in the Commonwealth of Massachusetts. 8 0 obj D8*$[UH Immediately after pronouncement of death, a physician licensed in the commonwealth who attended the decedent during the decedent's last illness, or his covering physician, or the licensed physician who has declared such person dead, or, if the death occurred in a hospital, a hospital medical officer duly authorized by the administrator, shall, in Thorofare, N.J: Slack. O!62H4|C&p. New York, N.Y: Bantam Books. x]O8Lc;NVawXj/\q'I9v!%4|f:b 9>&zIit(0~c]99]L/a,VuyBdO|%"Z)smh S WsB ( hkJp L=0HegeJa,( o. Order received to release body to the funeral parlor.". Callanan, M. (2008).Final journeys: A practical guide for bringing care and comfort at the end of life. (2010).Ten thousand joys & ten thousand sorrows: A couple's journey through Alzheimer's. New York: Riverhead Books. http://www.healthcareproxy.org/, Massachusetts MOLST Massachusetts Medical Orders for Life Sustaining Treatment. If your complaint is not resolved by your hospice team, or if you feel uncomfortable discussing it with them, you should contact the administrator of your hospice. info@hospicefed.org. The obligation also must conform to the RN's or APRN's legal and ethical mandates. The law requires that in order for a nurse to pronounce, the facility must have a written policy, which is jointly developed and approved by the medical staff or medical consultant and the nursing staff, specifying under what circumstances a RN can make a pronouncement of death. Offers %PDF-1.5 Online Resources and Recommended Readings. The feedback will only be used for improving the website. Edition, 2001 hospices by county and general information about hospice. HW}#_M%7V MD notified. 7-62-3. <>>> Please remove any contact information or personal data from your feedback. Growth House: Guide to Death, Dying, Grief, Bereavement, and End-of-Life Resources 0000001138 00000 n If pt. Stickney, D., & Hernandez, G. O. hbbd``b`z$ HX bHv`U= YDA 8Qd#io + Albom, M. (1997).Tuesdays with Morrie: An old man, a young man, and life's greatest lesson. We barely have functioning dynamaps let along EKG machines. What would you include in a nurse's note for an RNdeath pronouncement? Death associated with diagnostic/therapeutic procedure 5. Hospice Foundation of America 'I7[wzw$ I always put that the absence of vitals was confirmed by another nurse and the time that was done. I had to call the doc to come pronounce. Some page levels are currently hidden. MHA and its Continuum of Care Council would like to acknowledge the many clinicians, partners, and organizations that contributed to the creation of this guide. Section 45. The Watson, M. S. (2005).Oxford handbook of palliative care. endstream endobj 273 0 obj <>/Metadata 23 0 R/PageLabels 266 0 R/PageMode/UseOutlines/Pages 270 0 R/StructTreeRoot 44 0 R/Type/Catalog/ViewerPreferences 292 0 R>> endobj 274 0 obj <>/MediaBox[0 0 612 792]/Parent 270 0 R/Resources<>/Font<>/ProcSet[/PDF/Text]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 275 0 obj <>stream an e-learning course that is appropriate for your hospice staff's Honoring Choices informs and empowers adults, 18 years old and older, to make a health care plan to receive the best possible care that honors their choices, all through their lives. Telephone: 617-618-2185 Sign In Forever Sunshine, ASN, RN 1,261 Posts Specializes in LTC. Association Management Software Powered by, For your convenience, we have provided a number of links to valuable services and helpful information. See the Online Resources and Recommended Readings listed below. 4. Garden City, N.Y: Doubleday. qbbXRl GfKqkY@Uj&[-%>j3l5 3. At 10am resident's respirations noted absent, RN supervisor notified. National Hospice and Palliative Care Organization mx4JG=w' "($CrVH '!~~0c|HuYdb:g4Fg)S'~~;Z+bc'P6>ek,X Please do not include personal or contact information. A comprehensive resource guide and directory of end-of-life care resources and services available throughout Massachusetts. The time of pronouncement is the official time of death. Specializes in NICU, PICU, Transport, L&D, Hospice. $,et&; if you don't have a pulse, then isn't taking a bp redundant? Telephone: 850-681-2010, Guide to Help Palliative CarePrograms Successfully Complete You have the right to register a complaint with any hospice provider. lol. Death of any child under the age of 18 years from any cause 7. DEATH CERTIFICATE MEDICAL CERTIFIER WORKSHEET . for physicians, nurses and other health care professionals. %PDF-1.7 % <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Worden, J. W. (1991).Grief counseling and grief therapy: A handbook for the mental health practitioner. MD stated he will notify the family. (c) "Anticipated Death" is death which is, in the opinion of the attending physician, expected due to illness, infirmity or disease. New York: Scribner. 0000002623 00000 n When a patient dies in a licensed hospice or a nursing home in the absence of a physician and under specific circumstances, that person may be pronounced dead as provided by law in GA Code Ann, 31-7-16 and . Thank you for your website feedback! (Effective August 2, 1994) Sec. V\V6 W$mV5 72[H,Cj5Nb`kC endobj This It 10 0 obj Connor, S. R., & Connor, S. R. (2009).Hospice and palliative care: The essential guide. Choosing a specialty can be a daunting task and we made it easier. New York: Broadway Books. http://hankdunn.com/. endobj endstream endobj startxref Specializes in LTC, rehab. New York: Macmillan. There are currently no news items posted. course/clerkship directors, residency and continuing education program Guidelines 6 c. removing any medical equipment or drains (except for autopsy cases); d. assisting with any postmortem tissue or sample procurement; and e. assisting with processes for organ or tissue transplantation. an e-learning course that is appropriate for your hospice staff's Marina del Rey, Calif: DeVorss Publications. The RN s role is limited to the pronouncement of death after an assessment of the patient. Resident found unresponsive; Absence of P/R/BP. http://smhs.gwu.edu/gwish/about/contact. 13 0 obj Hard Choices for Loving People: 12 0 obj Body released to MacVille Funeral Home. <> Please complete the information pertaining to the decedent as well as the cause of death information as this document will be used to . (1998).Dying well: Peace and possibilities at the end of life. Local Homeless Services: Post mortem care is provided (refer to agency . State in your note what you observed when assessing the resident, that a DNR was in effect, MD notified, family notified, and don't forget the time of death, and the time that the md and family were notified. endobj spoke with dtr on phone. Honoring Choices Select the Get form key to open the document and begin editing. MD is unable to come to facility at this time. t21cKW%qD+8"alaC0`. Davidson, G. W. (1990).Living with dying: A guide for relatives & friends. A nurse practitioner, after the death of a person who was a patient under the care of such nurse practitioner, may declare the person dead. Expected death without family members present: Request that the nurse accompany you to the first few death pronouncements. If there are also court forms on a topic, we link to that section of official court forms for your convenience. endobj Massachusetts Medical Society St.2022, c.42, 31 Continues the authorization of nursing practice by graduates and students in their last semester of nursing education programs in accordance with guidance from the Massachusetts Board of Registration in Nursing (BORN) until 180 days after the Public Health Emergency ends. A nurse may determine and pronounce death, but shall not certify death as defined in . }=y\Ev_]&c9\-,l)QhR|t_a Texas law provides for RN pronouncement of death. Massachusetts Legal Forms by Subject The Trial Court Law Libraries have compiled this list of Massachusetts legal forms available online for no charge. The 17 0 obj << /Linearized 1 /O 19 /H [ 880 279 ] /L 120281 /E 107017 /N 3 /T 119823 >> endobj xref 17 22 0000000016 00000 n endstream endobj 39 0 obj <>/Metadata 5 0 R/PieceInfo<>>>/Pages 4 0 R/PageLayout/OneColumn/OCProperties<>/OCGs[40 0 R]>>/StructTreeRoot 7 0 R/Type/Catalog/Lang( E N - U S)/LastModified(D:20070918092624)/PageLabels 2 0 R>> endobj 40 0 obj <. MK=l6SUQK>SHMX5iIm5Q7aY.nM WYS"J:thFVveCS.1BcFz|eh;qdNJ.[N:d#7P!,lhBSH*E,%fyZO]Z6ypCO{-5~28 &0(0jlGDCG.87|372/ QX 8^ If your complaint is not resolved by your hospice team, or if you feel uncomfortable discussing it with them, you should contact the administrator of your hospice.