Verification of a death refers to using a clinical assessment to establish that a death has occurred.
Certification of a death is a formal process of making a diagnosis of the cause of death and reporting this via a Medical Certificate of Cause of Death (MCCD). Certification of a death is a legal requirement under the Birth, Deaths and Marriages Registration Act. To register the death with the Registrar of Births, Deaths and Marriages in the relevant state or territory in which the death occurred, the MCCD must be signed by an authorised person. This is often the GP. Where no authorised person is available to certify a death, the police will need to be called and the coroner involved.
In palliative care, a death is usually expected. In this case, medical practitioners (doctors), registered nurses, registered midwives, or registered paramedics can verify a death (i.e. confirm that a person has died). This is done by assessing the:
If eye pupils are fixed and dilated and none of the other assessment criteria listed above can be detected then clinical assessment confirms that a person has died.
Certain organisations may have a policy regarding verification of a death. For this assessment it is important to follow your organisation’s policy and procedures and the relevant State and Territory policy.
State-based and Territory-based guidance can be found for verifying a death:
Professional clinical judgement is required to verify a death and unique circumstances may warrant additional checks over and above the minimum guideline.
Verifying a death is a voluntary act for nurses, midwives, and paramedics who can chooses to defer to another appropriate medical practitioner, registered nurse, registered midwives, or registered paramedic.
Any doctor who knows the person’s medical history and is prepared to certify the cause and circumstances of death can complete the Medical Certificate of Cause of Death (MCCD). If a doctor has been treating a patient immediately before they died, or if they examine the body, they will generally have 48 hours after the death to complete the MCCD or the death should be reported to the coroner. The MCCD is given to the funeral director or persons arranging the funeral service.
A doctor can sign a MCCD, if they are satisfied
is drawn from the following resources:
Page created 05 October 2023