Why Declare a Patient Brain Dead?

° 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.

Five Parts of an Effective Request

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.