Implementing minimum notification criteria for organ donation in an acute hospital's critical care units

Nursing in Critical Care
Greg Bleakley

Abstract

To increase the number of donated organs through an effective donor identification and referral scheme in a large acute hospital's critical care units. The barrier to successful organ transplantation is a serious shortage of donated organs. In January 2008, the Department of Health officially endorsed all 14 recommendations presented by the Organ Donation Taskforce. Recommendation 5 from the Taskforce is that minimum notification criteria for potential organ donation should be introduced on a UK-wide basis. A hospital policy entitled Required Referral was implemented into a large hospital trust consisting of four critical care units. Support from the trust board was sought and it was agreed that the policy would be implemented as a 'pilot policy' in the first instance, then a formal review after a 6-month period. A rolling education programme was instituted to incorporate 170 clinical staff to ensure the policy was activated with the following criteria: If the plan is to perform brain stem death tests on a patient or a clinical decision is made to withdraw treatment, the on-call donor transplant co-ordinator is contacted for an assessment of suitability. A significant increase in potential donor referrals and a 200% increase in...Continue Reading

References

Nov 1, 1990·Dimensions of Critical Care Nursing : DCCN·M L Stoeckle
Apr 7, 2005·Health Information and Libraries Journal·Lorraine McLeodAnn Wales
Apr 28, 2006·BMJ : British Medical Journal·Kerri BarberChris Rudge
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Nov 21, 2008·BMJ : British Medical Journal·Zosia Kmietowicz
Sep 12, 2009·Transplant International : Official Journal of the European Society for Organ Transplantation·Gurch RandhawaVivienne Parry

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Citations

May 22, 2018·Critical Care Medicine·Janet E SquiresGregory A Knoll
Jul 22, 2010·Nursing in Critical Care·Julie Scholes, John Albarran
Sep 26, 2020·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Kahyun KimYoun Jung Lee

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