° Identify the potential donor
° Patient has suffered a severe brain injury, is ventilated, and has lost any brain stem reflexes.
° Refer the patient to NORS quickly
° Agreements define this as 60 minutes. This ensures optimal outcomes for transplantation.
° Do not speak with patients decision-maker about donation options
° CMS regulations dictate that only a member of NORS or someone trained by NORS may initiate the donation discussion.
° Do not de-escalate care!
° Blood pressure, urine output, oxygenation, electrolytes, glucose
° Often times, de-escalation of care occurs on non-survivable injuries. This can drastically affect the gift that can be donated and may be detrimental to the survivability of the transplantation recipient.
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Date last modified: August 12, 2013.
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