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It is the policy of the HSE to provide a framework for the timely and safe pronouncement of death by registered nurses in the HSE and Section 38 services: designated centres for older persons, nurse led intellectual disability services registered by HIQA and specialist palliative care services. The policy outlines the role of the nurse in the safe pronouncement of death in adults (over 18 years of age), the necessary governance procedures to facilitate, enable and ensure safe pronouncement of death by nurses, to include: education competence assessment and application of local policy. The policy promotes a quality, safe environment for the dying person and provides support to those important to the dying person.