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The Role of the Respiratory Therapist in Organ Donation The ...

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Hospitals<br />

Conditions <strong>of</strong> Participation<br />

1. Refer all deaths to <strong>the</strong><br />

OPO. Referral must be<br />

“timely” and<br />

“imm<strong>in</strong>ent.”<br />

2. Hospitals must<br />

participate with <strong>the</strong>ir<br />

approved OPO <strong>in</strong><br />

Medical Reviews.<br />

3. Only staff tra<strong>in</strong>ed or<br />

employed by an OPO<br />

may <strong>of</strong>fer families <strong>the</strong><br />

options <strong>of</strong> donation<br />

4. All request for donation<br />

must be a collaborative<br />

effort between OPO and<br />

hospital.<br />

5. Develop cooperative<br />

relationships with eye<br />

and tissue banks.<br />

6. <strong>The</strong> OPO must<br />

determ<strong>in</strong>e donor<br />

suitability.<br />

Current Cl<strong>in</strong>ical Triggers:<br />

When to Refer<br />

Imm<strong>in</strong>ent Death Referrals<br />

Regardless <strong>of</strong> age, diagnosis, cause <strong>of</strong> death, sedation or religious beliefs<br />

call on all vented patients<br />

with<strong>in</strong> 1 hour <strong>of</strong> meet<strong>in</strong>g any <strong>of</strong> <strong>the</strong> follow<strong>in</strong>g cl<strong>in</strong>ical triggers:<br />

• Glasgow coma scale (GCS) 5 or less<br />

• Absence <strong>of</strong> 2 or more <strong>of</strong> <strong>the</strong> follow<strong>in</strong>g reflexes:<br />

Cough Reflex<br />

Gag Reflex<br />

Pupillary response to light Corneal Reflex<br />

Response to Pa<strong>in</strong><br />

Loss <strong>of</strong> Respirations<br />

• Call when contemplat<strong>in</strong>g discussions <strong>of</strong> <strong>the</strong> follow<strong>in</strong>g:<br />

Before withdrawal <strong>of</strong> life support, mak<strong>in</strong>g End <strong>of</strong> Life Decisions -<br />

while organs for transplant are still viable<br />

How <strong>the</strong> staff sees us:<br />

2

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