° Gains trust with the family knowing that the hospital did everything in their power to save their loved one's life.
° The family no longer needs to make a decision about comfort care.
° The family knows that the patient died because of their injury and not their decision to withdraw support.
° No conversations about the "if's" and organ donation. This can appear as if we are hoping for death and the family may still have hope.
1. Huddle
° NORS, nurse, physician, family support, other important staff
2. Timely approach for donation
° Quicker is usually not better
° Coupled vs. decoupled
3. Brain death declared if the patient appears arreflexic prior to speaking with legal decision-maker
4. Location
5. Appropriate Requestor
NORS is striving to ensure that the conversation with the legal decision-maker is effective rather than just appropriate (mention by trained staff). This helps ensure that the decision regarding donation is made in the ideal circumstances and the legal decision-maker has the best opportunity to make the decision they need to make.