A patient dies after suffering a severe cerebrovascular accident (CVA). The family members are informed of his demise and are at the bedside. What documentation should be noted in the patient's medical record? (Select all that apply.)

A. Time vital signs ceased. Documenting the time at which vital signs ceased is important for medical and legal documentation. This helps establish the timeline of events leading to death and can be relevant for determining the official time of death.

B. Results of the autopsy. While an autopsy may provide valuable information, it is not typically documented at the time of death unless available. Autopsy results are generally included later after they are completed, not immediately after death.

C. Why the patient died. While the cause of death is often determined, it is generally not the nurse's role to speculate or document the reason for death in the medical record at the time of death. It is more appropriate for the physician or coroner to document the cause.

D. Official time of death. The official time of death should be documented as this is critical for legal, medical, and procedural purposes. It is typically recorded when the attending physician or another authorized individual pronounces the death.

E. Who pronounced the patient. It is necessary to document who pronounced the patient deceased to ensure that the pronouncement of death is legally recognized. This is part of standard medical documentation and ensures proper identification of the responsible party.