(a) A registered nurse licensed under this chapter may make a determination and pronouncement of death of a person under the following circumstances:
(1) an attending physician, an attending advanced practice registered nurse, or an attending physician assistant has documented in the person's medical or clinical record that the person's death is anticipated due to illness, infirmity, or disease; this prognosis is valid for purposes of this section for not more than 120 days from the date of the documentation;
(2) at the time of documentation under (1) of this subsection, the physician, the advanced practice registered nurse, or the physician assistant authorized in writing a specific registered nurse or nurses to make a determination and pronouncement of the person's death; however, if the person is in a health care facility and the health care facility has complied with (d) of this section, the physician, the advanced practice registered nurse, or the physician assistant may authorize all nurses employed by the facility to make a determination and pronouncement of the person's death.
(b) A registered nurse who has determined and pronounced death under this section shall document the clinical criteria for the determination and pronouncement in the person's medical or clinical record and notify the physician, the advanced practice registered nurse, or the physician assistant who determined that the prognosis for the patient was for an anticipated death. The registered nurse shall sign the death certificate, which must include the
(1) name of the deceased;
(2) presence of a contagious disease, if known; and
(3) date and time of death.
(c) Except as otherwise provided under AS 18.50.230, a physician or physician assistant licensed under AS 08.64 or an advanced practice registered nurse licensed under this chapter shall certify a death determined under (b) of this section within 24 hours after the pronouncement by the registered nurse.
(d) In a health care facility in which a physician, an advanced practice registered nurse, or a physician assistant chooses to proceed under (a) of this section, written policies and procedures shall be adopted that provide for the determination and pronouncement of death by a registered nurse authorized by a physician, an advanced practice registered nurse, or a physician assistant under this section. A registered nurse employed by a health care facility and authorized by a physician, an advanced practice registered nurse, or a physician assistant to make a determination and pronouncement of death under this section may not make the determination or pronouncement unless the facility has written policies and procedures implementing and ensuring compliance with this section.
(e) Notwithstanding AS 08.68.800(a)(1), this section applies to a qualified nurse described in AS 08.68.800(a)(1) who is employed by a federal health care facility.
(f) The Department of Health may adopt regulations to implement this section.
(g) In this section,
(1) “determination of death” means observation and assessment that a person is dead, as defined in AS 09.68.120;
(2) “health care facility” means a private, municipal, state, or federal hospital, psychiatric hospital, tuberculosis hospital, skilled nursing facility, kidney disease treatment center (excluding freestanding hemodialysis units), intermediate care facility, or Alaska Pioneers' Home or Alaska Veterans' Home administered by the Department of Family and Community Services under AS 47.55.
Structure Alaska Statutes