Autopsy services
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Transcript of Autopsy services
Autopsy Services Presented by:
Sampada Khair
An autopsy—also known as a post-mortem examination, necropsy, autopsia cadaverum, or obduction-is a highly specialized surgical procedure that consists of a thorough examination of a corpse to determine the cause and manner of death and to evaluate any disease or injury that may be present.
Objectives of autopsy To determine the cause of death To ascertain whether death is natural
or unnatural Whether the death is accidental,
suicidal or homicidal To ascertain time passes since death To establish identity of the body Whether still birth or live birth of newly
born infant
Autopsy services provides feedback to physicians and families
regarding the disease processes associated with a patient's death.
major outcome of each autopsy is the accurate transmission of this information to the appropriate clinical staff in a timely manner.
provides training for medical students and pathology residents in the principles and practice of anatomic pathology
Helps for clinical research to improve medical care
location Ground floor is best location for
mortuary block and post mortem room Suitable exit Size depends on whether it is teaching
or non teaching Estimated one death per bed per year
adequate vehicular access from the service road
discreetly sited away from clinical, kitchen and dining areas, with no direct entry to public and staff
located at ground level the need for convenience of access by the
various users (staff, visitors and undertakers) the need for the mortuary to be associated
with/or near a histopathology lab number of entrances will be determined by
whether the building is freestanding or linked directly to other hospital buildings
Mortuary block A morgue or mortuary (in a hospital or
elsewhere) is used for the storage of human corpses awaiting identification or removal for autopsy or disposal by burial, cremation or other method.
Consist of mortuary room with racks for dead bodies
Cold storage arrangements should be available. Temperature below 4 degree
Post-mortem room Equipped with two drainage boards and
two large sinks Floor should be stain proof and easily
washable Sufficient light Drains with abundant water supply Lights and electrical fittings shold be in
good working condition
Storage lockers, needed for holding personal clothing and other personal items
Floors and drainage: Channel gratings should be designed in short sections, which can be easily lifted and disinfected by submersion in a sink or container.
Drains should be of sufficient diameter to prevent blockages, particularly waste pipes from sinks
Lay out I-------------------------------------------
CLEAN DIRTY* the reception area * waiting room(s) * the PM room * the dirty utility room/instr- * interview/counselling ument store room(s) * the body store* bier room(s)* offices* the general purpose and linen store* the observation area* the staff changing areas * The specimen store
PM Department
LAYOUT OF DEPARTMENT
The coroner’s roleCoroner is a magistrate who investigate reportable deaths. This include deaths where• Identity of the person-unknown• Death was violent or unnatural• The was suspicious• The cause of death is unknown• The death occurred in care• The death occurred in custody• The death was the unexpected outcome of
the healthcare to be provided
Medical Officer Can give cause of death->without the
autopsy->can fill in death intimation card->giving cause of death->send to coroner->send deposition form duly filled in within 24 hours
Cannot give cause of death without autopsy->contact coroner’s office->get his permission for autopsy->after PM death intimation filled and signed by MO and countersigned by RMO->sent to coroner->deposition should reach within 24 hrs.
Organisational structure • Professor and associate professor-establish policies and procedures-essential managerial and administrative procedures-teaching and training• Lecturer-assisting the section in charge• Lab technician-accept specimens , carry out tests ,
maintain records and equipments• Lab attendants• Sweeper • Record assistant• Clerk/stenographer/artist/photographer
THANK YOU