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Organ Donation Request

  1. Ensure LOPA has been notified if the patient meets any of the following criteria: 1) the patient's Glascow Coma Scale is less than or equal to 5;    2) the patient is on a ventilator with the possibility of discontinuation of mechanical and pharmacological support; or 3) the patient has a life threatening illness.
  2. Assist with the determination of brain death.
  3. Ensure that brain death has been declared.
  4. Coordinate a meeting of the family, physician and the LOPA coordinator, as requested.
  5. The LOPA coordinator will determine whether the patient had an advance directive about organ donation or is listed in a donor registry.
  6. The LOPA coordinator will explain the process of recovery if the patient has an advance directive requesting organ donation.
  7. If there is no advance directive, the LOPA coordinator determines whether the family will consent to organ donation.
  8. If the family decides to donate, or there is an advance directive for organ donation, the LOPA coordinator will coordinate the donation process. If there is conflict among family members, or disagreement about the patient's prior consent, the LOPA coordinator will work with the family to understand and resolve issues.
  9. If the patient is having life support withdrawn, and the family has consented to non–heart-beating donation, the LOPA coordinator works with the medical and nursing team to coordinate the donation.
  10. If the patient is brain dead, and the family decides not to donate, discuss with the physician, family, and health care team when and how to discontinue therapy.
  11. Provide the emotional support the family needs to cope with the death of their loved one.
  12. Involve pastoral care representatives, social workers, and/or grief counselors.