LPNs gain authority to pronounce death in hospice care

A recent government meeting convened to discuss Senate Bill 1080, which aims to empower licensed practical nurses (LPNs) in hospice settings to pronounce death under specific conditions. The bill stipulates that the patient must be a hospice patient with a do-not-resuscitate order and under the care of the LPN. While a physician, physician's assistant, or certified registered nurse practitioner is still required to certify the death, this legislation seeks to address the ongoing shortage of healthcare personnel by allowing LPNs to perform this critical function.

During the meeting, representatives expressed strong support for the bill, highlighting its potential to alleviate delays in death pronouncements that can be distressing for families. Representative Stehr, a former hospice nurse, shared personal experiences of waiting for hours for a pronouncement, emphasizing the emotional toll on families during such difficult times.

Concerns were raised regarding liability protections for hospice agencies and LPNs, with some representatives questioning the rationale behind exempting them from certain legal responsibilities. However, it was clarified that LPNs would only be protected if they adhere to regulations set by the Board of Nursing, and any actions outside their training would not be covered.

The bill has garnered broad support from various organizations, and no opposition has been reported. As discussions continue, the focus remains on ensuring that hospice care can be delivered more efficiently while maintaining safety and regulatory compliance. The committee is expected to move forward with the bill, reflecting a commitment to improving end-of-life care in the Commonwealth.