(a) A pronouncement of death may be made by a registered nurse on a person with an “anticipated death” who is in a healthcare facility, or a private home served by a licensed home healthcare provider or government/private healthcare agency. (b) Prior to any pronouncement of death pursuant to this Section, there shall be certification of an anticipated death by an attending physician. The certification shall be documented in the person’s medical or clinical record, and shall be valid for purposes of this Section for no more than one hundred eighty (180) days from the date of the documentation and must be recertified every one hundred eighty (180) days to remain valid. (c) A registered nurse who has determined and pronounced death, under this Section, after diagnosing the absence of human responses, shall document the clinical criteria for the determination and pronouncement in the person’s medical or clinical record and notify the certifying physician. The registered nurse shall communicate pertinent information to appropriate persons, sign the death certificate, and record the: (1) Name of the deceased; (2) Presence of a contagious disease, if known; and (3) Date and time of death.
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(d) The registered nurse, upon completion of the death certificate, shall contact the funeral home identified by the family. The funeral home shall be responsible for transporting the deceased person to the funeral home. (e) The healthcare facility or licensed home healthcare provider shall have adopted written policies and procedures that provide for the determination and pronouncement of death by a registered nurse under this Section. A registered nurse employed by any healthcare facility may not make a determination or pronouncement of death under this Section unless the facility has written policies and procedures implementing and ensuring compliance with this Section. The Police Department and the Chief Examiner shall immediately be notified of any deaths which are of a different nature than anticipated or are suspicious in nature. (f) In this Section, (1) “Determination of Death” means diagnosis of death based on observation and assessment of absence of human response. (2) “Healthcare Facility” means a private, municipal, state, federal or military hospital, mental health and substance abuse hospital, public health, skilled nursing facility, kidney disease and cancer treatment center (excluding freestanding units), intermediate care facility, long-term care facility, nursing home, hospice facility or home health agency. (3) “Anticipated Death” means a death caused by life-limiting illness, infirmity, or disease, as certified by the attending physician that he or she discussed a prognosis of terminal condition with the patient and the patient’s family, and that the patient consented to a “No Resuscitation” order or has executed a Declaration or an Advanced Directive to that effect. (g) Limitation of Liability. A registered nurse who determines death in accordance with this Act is not liable for civil damages or subject to criminal prosecution for the registered nurse’s actions based on the determination of death. A person who acts in good faith in reliance on a registered nurse’s determination of death is not liable for civil damages or subject to criminal prosecution for the person’s actions. SOURCE: Added by P.L. 27-015:2 (Apr. 26, 2003). Subsection (f) amended by P.L. 29-008:5 (Sept. 7, 2007). 2012 NOTE: Subsections (c)(1) through (c)(3) and (f)(1) through (f)(3) numbered by Compiler to harmoniously fit this section.
ARTICLE 3A ADOPTION OF NURSE LICENSURE COMPACT
SOURCE: Added by P.L. 36-006:1 (Mar. 5, 2021). 2021 NOTE: P.L. 36-006 mandated the Guam Board of Nurse Examiners submit the following reports, as follows: Section 4. Reporting Requirement. Upon the implementation of the Nurse Licensure Compact, and quarterly thereafter, the Guam Board of Nurse Examiners (GBNE) shall report to the Department of Public Health and Social Services Health Professional Licensing Office (DPHSS HPLO) the number of nurses who hold a multistate nurse license issued by the GBNE and the number of nurses licensed by other Nurse Licensure Compact jurisdictions who are employed or privileged by a hospital or clinic on Guam. The DPHSS HPLO shall forward a copy of the reports to the Speaker of I Liheslaturan Guåhan no later than five (5) business days upon receipt. Section 5. Annual Fiscal Impact Report. The Guam Board of Nurse Examiners shall provide an annual fiscal impact report of licensure fee revenues and annual operating expenditures associated with the Nurse Licensure Compact membership to the Speaker of I Liheslaturan Guåhan, which shall be submitted one (1) full year after the implementation of the Nurse Licensure Compact and annually thereafter.
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