If the deceased was actively participating in a hospice program:
Do not call 911. Instead, call your hospice nurse to inform her of the death. The nurse and the hospice agency will work together to legally pronounce the death, handle any necessary calls, and help with arrangements to have the deceased transferred to our funeral home.
If the deceased was not in a hospice program:
1. Call 911
2. Unlock the door
3. If your loved one has an out-of-hospital, Do Not Resuscitate (DNR) document, have it ready to hand to the paramedics immediately when they arrive
4. Provide cardiopulmonary resuscitation (CPR) if this is appropriate, and there is no existing DNR document
5. Wait for further instructions from the emergency, medical, and law enforcement personnel.
When you call 911, both the police and the paramedics will probably respond. Paramedics will treat a "non-attended" (non-hospice) death like any other patient at risk. They do not expect ordinary citizens or the family to be expert at determining death, so they will likely initiate emergency medical procedures. They will also probably take the person to the emergency room of the nearest hospital, where death may be officially pronounced by the emergency room doctor.
If your loved one has previously signed a Do Not Resuscitate order, or DNR, and you have the document ready to show the emergency personnel, they can forgo attempting cardiopulmonary resuscitation (CPR). However, they will probably still transport the deceased to the emergency room, so that the doctor may make the official death pronouncement.