Organ Donor Care MAP: A Multidisciplinary Approach

1996 ◽  
Vol 6 (3) ◽  
pp. 101-104
Author(s):  
Mary Holmquist
Keyword(s):  
Family Support ◽  
Multidisciplinary Approach ◽  
Organ Procurement ◽  
Medical Center ◽  
Action Plan ◽  
Organ Donor ◽  
Time Frame ◽  
Organ Procurement Organization ◽  
Potential Organ Donor ◽  
The Family

A Care Multidisciplinary Action Plan was developed at a 300-bed rural medical center in 1994. Once a potential organ donor is identified and referred to the organ procurement organization and the family has consented to donation, the ICU nurse initiates the Care Multidisciplinary Action Plan, which is based on an 8-hour time frame for ICU care that may be adjusted as needed. The first hour includes prompts for coroner notification, billing changes, and completion of hospital-specific death notice forms. The remaining hours are spent administering tests and preparing the donor for organ retrieval. Collaborative issues such as donor family support also are addressed. ICU nurses who used the donor care Multidisciplinary Action Plan were interviewed to determine its effectiveness.

Organ Donation, Brain Death and the Family: Valid Informed Consent

2015 ◽  
Vol 43 (2) ◽  
pp. 369-382 ◽  
Author(s):  
Ana S. Iltis
Keyword(s):  
Informed Consent ◽  
Brain Death ◽  
Organ Donation ◽  
Organ Procurement ◽  
Organ Donor ◽  
Public Understanding ◽  
Organ Procurement Organization ◽  
The Family ◽  
Driver's License ◽  
Brain Dead

In July 2013, parents in Ohio objected to their 21-year-old son becoming an organ donor. Elijah Smith was involved in an accident and pronounced dead using neurological criteria. The organ procurement organization (OPO) went to court and argued that because the young man was brain dead and because his driver's license indicated that he wished to be a donor, the court should allow them to use his organs. The mother argued that her son did not understand what he was signing when he signed his license and that his signature did not reflect an informed decision. The court disagreed with her, saying that he had indicated a wish to donate his organs and that no one but Elijah could revoke that wish. His organs were removed.Elijah's mother suspected that he did not understand what he was signing. She might have been right, given what we know about the process for obtaining permission for organ donation and the limited public understanding of brain death.

Increasing Referrals and Donations Using the Transplant Center Development Model

1996 ◽  
Vol 6 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Mark T Gravel ◽  
Penelope Szeman
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Medical Center ◽  
Development Model ◽  
Tissue Donation ◽  
Staff Education ◽  
Organ Procurement Organization ◽  
Organ And Tissue Donation ◽  
Transplant Center ◽  
Donation Process

Although transplantation centers directly benefit from organ and tissue donation, they continue to yield low organ and tissue referral and donation rates. Our medical center and organ procurement organization developed a model to increase referral and donation rates. This model, called the Transplant Center Development Model, facilitates the donation process, specializes staff education, and promotes administrative involvement. After it was was implemented at our medical center in 1991, the referral and donation rates from 1988 to 1990 were compared with those from 1991 to 1993. The results showed that after implementation of the model, the organ referral mean increased 47%; the organ donation mean, 50%; and the tissue donation mean, 117%. These findings suggest that this model may be a valuable tool in transplant center development.

Centralized Organ Procurement Organization Surgical Center: First 200 Brain Dead Organ Donor Transfer Experience.

2014 ◽  
Vol 98 ◽  
pp. 668
Author(s):  
R. Pietroski ◽  
P. Lange ◽  
N. Houghton ◽  
A. Kowalczyk ◽  
A. Trost ◽  
...  
Keyword(s):  
Organ Procurement ◽  
Organ Donor ◽  
Organ Procurement Organization ◽  
Brain Dead

scholarly journals Organ donor recovery performed at an organ procurement organization (OPO)-based facility is an effective way to minimize organ recovery costs and increase organ yield

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e74
Author(s):  
M.B.M. Doyle ◽  
J.A. Lowell ◽  
E. Stahlschmidt ◽  
D. Brockmeier ◽  
K. Collins ◽  
...  
Keyword(s):  
Organ Procurement ◽  
Organ Donor ◽  
Organ Procurement Organization ◽  
Organ Recovery

Interaction of Organ Donor Families and Recipients

1996 ◽  
Vol 6 (4) ◽  
pp. 191-195 ◽  
Author(s):  
David Lewino ◽  
Lisa Stocks ◽  
Gail Cole
Keyword(s):  
Direct Contact ◽  
Organ Procurement ◽  
Organ Donor ◽  
Descriptive Study ◽  
Organ Procurement Organization ◽  
Transplant Center

An exploratory descriptive study of donor families and recipients of cadaveric organs was done to determine their feelings about direct contact with each other. Direct contact was desired by 70% of donor families and 75% of recipients. Donor families wanted to see firsthand the benefit of the transplant to another person. Recipients primarily wanted to express gratitude. Both groups think they have a right to meet. Although both think these interactions should be professionally regulated and facilitated, they do not think the transplant center or the organ procurement organization is responsible for the outcome of a meeting. Donor families and recipients think the process should be gradual with prior correspondence. On the basis of our findings, we have developed a list of suggested guidelines to use when facilitating an interaction.

The Timing Factor in the Consent Process

1996 ◽  
Vol 6 (2) ◽  
pp. 84-87 ◽  
Author(s):  
Patricia A Niles ◽  
Burton J Mattice
Keyword(s):  
Organ Donation ◽  
Medical Profession ◽  
Organ Procurement ◽  
Organ Donor ◽  
Apparent Difference ◽  
Next Of Kin ◽  
Consent Rate ◽  
Family Approach ◽  
The Family ◽  
Organ Procurement Organizations

Organ procurement organizations have been educating the medical profession on the importance of timing during the donation request process. Separating the request for donation from the notification of death has been encouraged when approaching families for consent for organ donation. This study evaluated the timing of the family approach and consent rates. A 23-month study was performed on all organ donor referrals in a 1.1 million population base. During the study period there were 203 referrals: 67 were medically unsuitable, next-of-kin was not available in 2 cases, 7 were coroner refusals, and 127 were suitable for donation. In this latter group, families were offered the option of organ donation. No apparent difference when donation was requested before or after the death pronouncement was found. Data indicated, however, that when the family is told of the death and is asked for donation simultaneously, the consent rate decreases 32% to 37%.

Correspondence and Personal Contact between Donor Families and Organ Recipients: One OPO's Procedure and Experience

1997 ◽  
Vol 7 (3) ◽  
pp. 106-110 ◽  
Author(s):  
AnnaKay Vajentic
Keyword(s):  
Organ Procurement ◽  
Time Frame ◽  
Personal Contact ◽  
Organ Procurement Organization

This article discusses one organ procurement organization's procedure for facilitating correspondence between donor families and recipients while respecting the needs and rights of all involved. From 1992 to 1995, a total of 542 donor family and recipient correspondences were facilitated. Recipients wrote more than 80% of the letters, with the number of donor family correspondence increasing each year. Trends are discussed including the percentage of correspondence initiated by donor families and recipients, reasons for correspondence not being forwarded by the organ procurement organization, the time frame in which correspondence occurred, and the number of families who requested personal contact.

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