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UAGACalif. Health
&
Safety CMS Collaborative
JointCommission
400 400
In California an eligible donor may register his/her wishes
on which registry?
Donate Life CaliforniaOr
Done Vide California
The Donate Life California Donor registry is what type of registry and does not require the consent of any
other person?
First person consent
The minimum time frame for a well documented diligent search to locate family or LNOK is how many hours?
12 Hours
The UAGA has expanded the list of who can make the
decision for a non-registered donor to include the following
individuals
•Grandchildren•Close friends who exhibited special careand concern for the deceased person
When should a hospital provide the LNOK a written
statement regarding the possible brain death of their
loved one?
When is upon request, but no later than shortly after the treating physician has
determined the potential fro brain death is imminent
A “reasonable brief period” is defined as when?
What is the amount of time afforded to gather family or next of kin at the patient’s
bedside?
A hospital must do what if a patient’s LNOK voices any special religious or
cultural practices and concerns surrounding the issue of brain
death?
How to make reasonable efforts to accommodate those religious & cultural practices
and concerns
What does it mean for a hospital to notify OneLegacy about a death or imminent
death in a timely manner?
Call within one hour
Imminent death is defined as?
•Patient with severe, acute brain injury•Requires mechanical ventilation•Physicians are evaluating a diagnosis of brain death•Physician has ordered that life sustaining treatment by withdrawn pursuant to family’s decision
Who is responsible to screen donors
for medical suitabiliity?
The Organ Procurement Organization(OPO)
The individual who initiates the donation discussion must be whom?
The OPO representative or a traineddesignated requestor
The responsibility to develop protocols for organ and tissue
donation is whose?
The Hospitals
The JC requires the hospital to partner with OPO’s with the what
activities
•Maintaining of patients•Medical record reviews•Education efforts
Under JC regulations hospitals are responsible to do what for organ / tissue
donors?
Maintaining a potential organ / tissue donor
What is required by TJC to be posted in
units?
The National Benchmark for organ donation conversion rate is:
75%
Donation after Cardiac Deaths (DCD) should be what percent of hospital’s
overall organ donors
10%
Is a care planning meeting, takes place on every single potential donor
case, prior to any discussion of donation with patient’s family
The number one reason why families say ‘no’ to donation is
Lack of trust and caring of the hospital staff
AACN, vol 22, no 6, Dec 2002
