Aiko WatanabeMRN P-000000452782y · Female Central Branch ICU · ICU-3
Allergies: Penicillin
This screen documents a patient death in ICU. This is a separate, distinct action from
Discharge and cannot be undone via a simple form correction — hospital/legal death-certification
requirements apply.
Death Documentation
Confirm Death Documentation
This will finalize the death record and mark ICU-3 as available for
the next admission after bed cleaning. This action cannot be reversed through this form.
Confirm all fields above are correct before proceeding.