Reply To: End of Life Policies/procedures/standards of practice

  • Linda Ritter

    August 4, 2021 at 11:55 am

    ‚ÄčOn our in-patient Hem/Onc/SCT Unit we staff our End-Of-Life Care patients 1:1 or 1:2-our rationale being that this time requires intensive nursing care and commitment to the family. Our nurses assist with legacy making whether it is model clay hand prints or canvas frames with finger or hand prints, We have a special room, larger than the others with two couches for visitors, a table and chairs, lamps–all to make it more “home like” than “hospital like,” and we have different visitor policy for EOL patients. For the nursing staff we have provided education on Palliative and End-of-Life Care using ELNEC (End-of-Life Nursing Education Consortium ) Modules, so nurses are educated in symptom management, communication, grief and loss, and care at time of death.

    Hope this helps,

    Linda Ritter, RN, CPON
    Pediatric Oncology RN Coordinator
    Lucile Packard Children’s Hospital, Palo Alto California
    Original Message:
    Sent: 08-03-2021 11:23 AM
    From: Myra Woolery
    Subject: End of Life Policies/procedures/standards of practice

    At our institution we have an adult hospice unit. We are in the process of revising the organization polices and nursing standards and procedures to include pediatrics etc. The plan is for the pediatric patients to remain on the pediatric inpatient nursing unit unless the family wants to go to the hospice unit where the rooms are configured differently. Would anyone be willing to share any policy/procedure//standards that speak to hospice care in the hospital setting and staffing ratio you have for end of life patients.


    Myra Woolery, CPON,PHD,RN
    Clinical Nurse Specialist
    Baltimore, MD
    United States