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Acting on Every Donor’s Designated Decision:
The Time is Now!
Susan Stuart
I Said Yes
How To Act on Every Donor’s Designated Decision:
Hardwire Donor Designation in the OPO
• Create an Organizational Culture of Donor Designation Every Time
• Board Education• Involve Legal Counsel
– Availability 24/7• Training & Retraining of the
Requestors• Senior Requestor Availability• After Action Reviews
I Said Yes
How To Act on Every Donor’s Designated Decision: Hardwire Donor Designation in the Hospitals
Proactive Measures:
Meetings– CEOs– Risk Management– Nursing Administration – Medical Staff– Coroner/ME’s– End of Life Staff
• Write it into hospital donation policies• Conduct staff education
I Said Yes
How To Act on Every Donor’s Designated Decision:
Hardwire Donor Designation in the Community
Proactive Measures
• Community Outreach– Donors Rights Paramount
• Legislators
• Funeral Directors
• Media– All interviews first person
consent is honored
I Said Yes
How To Act on Every Donor’s Designated Decision: Without a Hardwire Donor Designation Process
• Respond with Affirmative Position– Notify Hospital CEO– Notify Legal (OPO & Hospital)– Notify Nursing Administration– Notify Media Relations
• Isolate the Direct Care team and OPC
• Gather all the Facts on Family Dynamics
I Said Yes
Establish Reasons for Family Opposition• Mistrust
– Show the document• Loss of control
– Avoid mix message to the family• Ask them about donation vs. informing them of the
designation• Community hospital case
– DCD • Give the family the opportunity to be present for
withdraw of care
• Anger– Involve End of Life Care Experts
I Said Yes
How To Act on Every Donor’s Designated Decision: Hardwire Donor Designation Process
After Action:• OPO Staff
– Debrief and provide support
• Hospital Staff– Debrief and provide recipient follow up
• Donor Family Follow-up– Donor family letters– Bereavement care– Respect families decision
I Said Yes
Why Act on Every Donor’s Designated Decision?
1. To Reduce OPO Variation in Practice
2. Meet Our Mission of Saving Lives