Learn about a new Pre-Printed Order (PPO) and form that set the standard for the care of patients who are actively dying.

What's happening?

The Student Practice team would like to inform all students and faculty instructors about a new Pre-Printed Order (PPO) and form that set the standard for the care of patients who are actively dying (those patients who we think might die in the next hours to a couple of days). The Actively Dying: Adults – Acute – Clinical Protocol was released in April 2017.



Practice changes

Impacted programs/

Education and implementation

Effect date

Actively Dying
Protocol –


  • There is a new PPO to support patients w ho are actively dying – last hours to days
    of life.

  • Patients are required to be assessed daily to see if they are still appropriate for the
    PPO and ensure they continue to receive pain and symptom management.

  • Physician to review all medications and w rite stop orders in the Doctor’s orders on
    all unnecessary medications.

  • Patients (or Substitute decision maker) must be aw are patient is being put on
    Actively Dying PPO.

  • Conversations w ith families, and patient if appropriate, should include: awareness of
    the patient’s diagnosis, prognosis and goals of care have been discussed (i.e.
    Medical Order for Scope of Treatment has been updated to reflect current goals).




Nursing and

Communication to
Abbotsford Regional
Hospital (ARH) and
Mission Memorial
Hospital (MMH)
notifying impacted
employees and
areas of go-live of
this PPO.

March 14, 2018

Care Plan:
Actively Dying
Patients – Form 


  • The protocol sets the standard in caring for patients w ho are actively dying in acute

  • New Care Plan: Focus of care is to maximize comfort and quality of life for patient
    and to support their family.

  •  It is everyone’s responsibility to ensure patient (or Substitute Decision Maker) and
    family are aw are patient is thought to be in dying time.

  • Patients continue to receive excellent basic care: bed bath, eye care, mouth care.

  • Patients continue to receive pain and symptom management (see PPO).

  • Patient is moved to private room if at all possible.

 July 11, 2018 at ARH and MMH

Why is this important?

Fraser Health considers the patient experience in all parts of the health system. This includes the development and revision of policies, Clinical Decision Support Tools, forms, and Pre-Printed Orders. Our goal is to provide quality care that is sensitive and responsive to patient needs, preferences, and beliefs.


How will this impact students and faculty instructors? 

Students and faculty instructors who are completing student placements in Fraser Health are expected to apply any necessary c hanges in their practice to ensure that patients, clients, and residents continue to receive safe and quality care. Students and faculty instructors can only access this CDST via FH Pulse when they are on a Fraser Health computer on a Fraser Health site.


Please contact the Student Practice Team

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