MCN’s customizable template, Bereavement Assessment, is taken from our Hospice Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals.

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Here is some sample content from Bereavement Assessment:

	PURPOSE: To provide guidance for the assessment and reassessment of the bereavement needs of families or caregivers. POLICY: Hospice shall provide bereavement services for at least 13 months after the patient's death to surviving family or caregivers. PROCEDURE: On admission, the Hospice social worker or chaplain may complete a Bereavement Risk Assessment, which is kept in the patient's clinical record. Bereavement counseling shall be provided based on the assessment of the family's/ caregiver's needs, the presence of any risk factors associated with the patient's death and the ability of...
Second excerpt:
	...or chaplain shall review the Bereavement Risk Assessment to decide the potential needs of the survivors. After the death occurs, the Hospice social worker or chaplain shall complete the Bereavement Follow-up Assessment. A plan for intervention is developed based on the findings of the Bereavement Follow-Up Assessment. Hospice staff shall note documentation of interventions on a Bereavement Services Checklist. Hospice files all bereavement documentation in the patient's clinical...