Guideline for coding organ donation after death: Difference between revisions

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 === Donation after Cardiac Death (DCD) ===
-*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. Withdrawal of care, and death usually will occur while still in the ICU.
-*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".
+*For a patient who dies while in the ICU and goes on to donate organs, code the [[Dispo]] as '''Died - to OR''', with the time and date of the patient's death. These patients should have an acquired diagnosis of [[Organ donor (organ/tissue donation by the donor)]], with the corresponding date of the time of withdrawal of care. These patients will not have a transfer ready date, so the checkbox should be checked off. Patients that go on to donate organs should not have an acquired [[Palliative care]] diagnosis.
-**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)
+*For a patient who is a potential organ donor, but does not die within the time required for organ retrieval, then do NOT include [[Organ donor (organ/tissue donation by the donor)]] as an acquired diagnosis. The Transfer Ready DtTm for these patients will be when they are deemed unsuitable for organ retrieval. [[Palliative care]] should be added as an acquired diagnosis if there is an order for making the patient "ACP C" [[User:Mlagadi|Mlagadi]] 12:31, 2024 September 25 (CDT)
-*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'''
 === MAID with Organ Donation ===