Guideline for coding organ donation after death: Difference between revisions
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*Donation after cardiac death (DCD) is where a donor who is not brain dead is dependent on life support and the family has decided to withdraw care. When the patient's heart stops beating, the organs are then recovered in the operating room. | *Donation after cardiac death (DCD) is where a donor who is not brain dead is dependent on life support and the family has decided to withdraw care. When the patient's heart stops beating, the organs are then recovered in the operating room. | ||
*These would be coded with [[Dispo]] as the OR where they are going. They are not dead when they leave, so they are '''not''' "Died - to OR". | *These would be coded with [[Dispo]] as the OR where they are going. They are not dead when they leave, so they are '''not''' "Died - to OR". | ||
**In the few instances of DCD that I have seen, withdrawal of care and death do occur in the ICU. The patient is then transported to the OR if they die within the acceptable window of time. In these cases, | **In the few instances of DCD that I have seen, withdrawal of care and death do occur in the ICU. The patient is then transported to the OR if they die within the acceptable window of time. In these cases, the patient is not considered transfer ready, as they must remain in ICU until they die, therefore they will not have a transfer ready time, and the box should be checked. If the patient is a potential organ donor and then deemed not to be, the Transfer Ready DtTm will be when that determination is made. [[Palliative care]] should be added as an acquired diagnosis on the date that the patient was made ACP C [[User:Mlagadi|Mlagadi]] 08:17, 2023 January 6 (CST) | ||
*In the rare case that they withdrew while still in ICU then moved directly to OR for organ harvest, code the death in the ICU with the time being the actual time of death and the dispo as '''Died - to OR''' | *In the rare case that they withdrew while still in ICU then moved directly to OR for organ harvest, code the death in the ICU with the time being the actual time of death and the dispo as '''Died - to OR''' | ||