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Organ tissue donation

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wcmc

The Arkansas Regional Organ Recovery Agency (ARORA) determines if patients who die at the hospital are suitable for organ or tissue donation. For all patient deaths and imminent deaths, ARORA must be contacted within one hour to assess suitability. If deemed suitable, ARORA will discuss donation with the family following strict procedures to obtain consent and manage the donor according to federal law.

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Organ/Tissue Donation Arkansas Regional Organ Recovery Agency (ARORA) is the organ/tissue procurement agency used by WCMC  All patients who die in the hospital are considered to be potential donors - usually for eyes and/or tissue  ARORA must be called within one hour of death to determine potential donor suitability for all deaths and imminent deaths • All deaths – every patient that dies in the hospital • Imminent deaths – usually potential brain deaths • Mechanical ventilator support (in CCU or ER) • Glasgow Coma score of < 5 • Plan to withdraw support
Organ Donation (continued)  At the time of death or imminent death a routine referral is made to ARORA, who determines if the patient is a suitable organ and/or tissue donor  If ARORA states the patient is not a suitable donor, notation is made on the Post-Mortem Release eform and the family is not asked about donation  Information related to organ/tissue donation on the Post Mortem Release eform is completed before the body is released from the hospital  An ARORA coordinator is available 24-hrs a day
Organ Donation (continued)  No staff member, including physicians, is to discuss donation prior to calling ARORA – this is a federal law  Only after donor suitability has been determined is the family approached about donation and only a representative of ARORA talks with the family about donation using discretion and sensitivity toward the family  Once the patient is determined no longer capable of survival and is supported on the ventilator solely for organ donation, physiologic management becomes critical to the successful outcome of transplantation
Organ Donation (continued)  If ARORA determines the patient is a suitable donor they will discuss options with the family or give hospital staff directions  The CCU or ER nurse assists in fulfilling ARORA’s medical orders related to providing patient care and donor maintenance  These orders are written on the physician order form as a verbal order from the ARORA coordinator  ARORA is responsible for further evaluation of the donor, notification of the appropriate organ tissue recovery agency, obtaining informed consent, and providing management of the potential donor

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Organ tissue donation

  • 1. Organ/Tissue Donation Arkansas Regional Organ Recovery Agency (ARORA) is the organ/tissue procurement agency used by WCMC  All patients who die in the hospital are considered to be potential donors - usually for eyes and/or tissue  ARORA must be called within one hour of death to determine potential donor suitability for all deaths and imminent deaths • All deaths – every patient that dies in the hospital • Imminent deaths – usually potential brain deaths • Mechanical ventilator support (in CCU or ER) • Glasgow Coma score of < 5 • Plan to withdraw support
  • 2. Organ Donation (continued)  At the time of death or imminent death a routine referral is made to ARORA, who determines if the patient is a suitable organ and/or tissue donor  If ARORA states the patient is not a suitable donor, notation is made on the Post-Mortem Release eform and the family is not asked about donation  Information related to organ/tissue donation on the Post Mortem Release eform is completed before the body is released from the hospital  An ARORA coordinator is available 24-hrs a day
  • 3. Organ Donation (continued)  No staff member, including physicians, is to discuss donation prior to calling ARORA – this is a federal law  Only after donor suitability has been determined is the family approached about donation and only a representative of ARORA talks with the family about donation using discretion and sensitivity toward the family  Once the patient is determined no longer capable of survival and is supported on the ventilator solely for organ donation, physiologic management becomes critical to the successful outcome of transplantation
  • 4. Organ Donation (continued)  If ARORA determines the patient is a suitable donor they will discuss options with the family or give hospital staff directions  The CCU or ER nurse assists in fulfilling ARORA’s medical orders related to providing patient care and donor maintenance  These orders are written on the physician order form as a verbal order from the ARORA coordinator  ARORA is responsible for further evaluation of the donor, notification of the appropriate organ tissue recovery agency, obtaining informed consent, and providing management of the potential donor