EDITH - Family Instructions and Checklist

  • Family Instructions and Checklist

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    Instructions:

    Once you receive the PDF, print it out, complete all sections by hand, and keep it with your important documents. Ensure all family members and caregivers know its location.

  • TILLWELL EDITH PROTOCOL - FAMILY INSTRUCTIONS

    Tillwell Contact: 204-885-0409 (24/7)

    Physician Contact: ________________________________________________________

    Date EDITH Forms Completed: ______________________________________________

    Form Expiry Date: ________________________________________________________

    WHEN DEATH OCCURS:

    ✓ DO NOT CALL 911

    • Emergency services are not needed for an expected death
    • If called accidentally, show them the End of Life Directive

    ✓ TAKE YOUR TIME

    • There is no rush to do anything immediately
    • Say your goodbyes, hold hands, fix hair - whatever feels right
    • Some families spend minutes, others spend hours

    ✓ WHEN READY, CALL TILLWELL

    • Phone: 204-885-0409
    • Available 24 hours a day, 7 days a week
    • Tell them: "[Patient's name] has died at home under EDITH protocol"

    ✓ INFORMATION TO HAVE READY

    • Patient's full name and date of birth
    • Time of death (approximate is fine)
    • Your relationship to the deceased
    • Contact information for person making arrangements

    ✓ WHAT HAPPENS NEXT

    • Tillwell will dispatch a team (typically 1-4 hours)
    • We will coordinate with your physician
    • We will notify the Medical Examiner's office
    • We will transport your loved one with dignity

    IMPORTANT CONTACTS:

    Tillwell Inc.

    1. Phone: 204-885-0409 (24/7)
    2. Email: till@tillwell.ca

    Attending Physician

    Name: ____________________________________________________________
    Phone: ___________________________________________________________
    After Hours: ______________________________________________________

    Covering Physician (if different)

    Name: ____________________________________________________________
    Phone: ___________________________________________________________
    Family Contact Person

    Name: ____________________________________________________________
    Phone: ___________________________________________________________
    Relationship: _____________________________________________________

    Backup Family Contact

    Name: ____________________________________________________________
    Phone: ___________________________________________________________

    DOCUMENT LOCATIONS:

    End of Life Directive: ____________________________________________________

    Health Care Directive: ___________________________________________________

    Will: ___________________________________________________________________

    Insurance Documents: ____________________________________________________

    Pre-arrangement Documents: ______________________________________________


    Keep this form in a prominent, accessible location. Ensure all family members and caregivers know where to find it.

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