Organ Donor

Organ donation is the removal of the tissues of the human body from a person who has recently died, or from a living donor, for the purpose of transplanting.

Organs that can be procured include: the heart, intestines, kidneys, lungs, liver, pancreas. These are procured from a brain dead donor or a donor where the family has given consent for donation after cardiac death, known as non-heart-beating donation.

The following tissues can be procured: bones, tendons, corneas, heart valves, femoral veins, great saphenous veins, small saphenous veins, pericardium, skin grafts, and the sclera (the tough, white outer coating surrounding the eye). These are only procured after death.

Organs that can be donated from living donors include part of the liver or pancreas and the kidney.

For more detailed information about the definition of ORGAN DONATION see: http://en.wikipedia.org/wiki/Organ_donation

Collection process for Organ Donor who has died

• Diagnosis: brain death or death has been declared
• Patient status: Expired
• Diagnosis codes: brain dead (524) & organ donor (874) "or" organ donor (874) and status "expired"
• Discharge date: is the date and time patient is sent from ICU to the operating room (not the time brain death is declared). This was decided when the database program began in the late 1980's because a number of organ donors did not leave ICU for 1-2 days after being declared brain dead.
• Discharge to: leave blank (use to be discharge to OR)
  • (since ACCESS database doesn't allow data in the field "discharge to" when patient is deemed expired, then we will no longer put discharge to OR. It is assumed that if a patient is declared brain dead (coded as 524) and is also coded as on organ donor (code 874) that he went to the OR for organ harvesting.

Discussion

• content needed for "Collection process for living Organ Donor (donor and recipient)" section. Ttenbergen 15:29, 16 October 2008 (CDT)

• Just to add: remember to capture Bronchoscopy done on all donors and VDRL"s in lab--FLindell 05:17, 25 September 2008 (CDT)
  • Not all Organ Donors have a bronchscopy done, so don't automatically assume and code it. The only time it is done is if there are considering the lungs. This is according to a Respirologist from STB ICU. Does anyone want to comment further on this?TOstryzniuk

What time to use for brain death

The following refers to an ongoing discussion, not to a change in collection rules.

As discussed in the Critical Care Review Group, we will propose to the steering committee to record of brain death date & time instead of when patient leaves the ICU to go to the OR for organ harvesting. TOstryzniuk 12:27, 9 October 2008 (CDT)

The reason we is recording the date and time when a patient leaves the ICU to go to the OR for donation instead of date and time they are declared brain dead was to allow the unit to capture nursing workload (tiss days) & ICU occupancy. Some patients are in the unit for 1-2 days before all is in order to proceed with organ donation.TOstryzniuk 19:31, 6 October 2008 (CDT) Ttenbergen 15:26, 16 October 2008 (CDT)

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