Get Instructions: Call The On-call Number To Advise The Commission Of The ... - Scoc Ny

Filling out the Instructions: Call The On-call Number To Advise The Commission Of The death form is crucial for timely communication regarding inmate fatalities. This guide will help you navigate the process effectively and ensure that all necessary information is accurately provided.

Follow the steps to complete the form accurately.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Provide the details in Section I titled 'Reporting Facility, Inmate Information, Circumstances of Death.' Include names of reporting facility, inmate, chief administrative officer, and hospital. Fill out the inmate's date of birth, race, sex, height, weight, and inmate number.
3. Complete the dates related to the incident, including the date and time of death, and include details about the ambulance or rescue squad involved.
4. Answer questions regarding the inmate's history, including details on substance abuse, treatment types, and any intake screening done.
5. Record the immediate cause of death in Section II along with a detailed clinical summary of the inmate's medical history during the 90-day period prior to death.
6. In Section II, provide a detailed account of events leading to the death, including treatment provided and the circumstances surrounding the incident.
7. Ensure to include names and titles of all medical staff involved in the terminal event within Section II.
8. Double-check all fields for accuracy. Once completed, save the changes to the form, and consider downloading, printing, or sharing it as needed.

Take action and complete your document online to ensure timely communication.