Organ Donation

Bendigo Health Emergency Department Aims

“to achieve 100% referral rate for End of Life patients to DonateLife

for consideration of organ and/or tissue donation”

Donation Process



  • All organ suitable patients must be referred to the ICU Registrar and discussed with Intensivist

  • If no bed available in Bendigo, the Director of ICU and Administration on call need to be notified to authorise transfer of patient to Melbourne via ARV

  • Do NOT discuss Organ Donation with family during same conversation as End Of Life Conversations – these must be separate

  • Discussions will ideally be led by the Intensivist, but may be initiated by Senior ED staff

  • If family members bring up Organ Donation, advise this will be considered and refer to ICU.

 

Definitions

Donation after Circulatory Death (DCD)

-          Circulatory Death defined as “irreversible cessation of circulation of blood in the body of the person”

Donation after Brain Death (DBD)

-          Brain Death defined as “irreversible cessation of all function of the brain of the person”


Organs and Tissues Considered for Donation

DCD DBD Tissue Bank (delayed)

Heart

Lungs

Liver

Pancreas

Kidneys

Intestine

Heart

Lungs

Liver

Kidneys

Eyes (cornea)

Tendon

Bone

Skin

Heart valves



Priority of Senior Next of Kin (SANOK) For Consent

ADULTS (<18yo)

CHILDREN


1. Spouse or de facto, domestic and same sex partners

2.
Adult son or daughter

3. Parent

4. Brother or Sister


1. Parents


2. Adult brother and sister

3. The Child's Guardian



Indications & Suitability for Organ and Tissue Donation

-          Patient must have a non-recoverable condition and family accepting of decision for

End of Life Care

-          All patients including children <18yo and adults >80yo

DonateLife will discuss medical suitability for patients with the following comorbidities or clinical conditions:

-          Active cancer

-          Bacterial Infections including sepsis

-          Hepatitis B and C

-          Multi organ failure

-          Receiving high dose inotropes

-          On NIV – for end stage respiratory disease/failure

Patients that will be referred to Coroner’s Court

FURTHER INFORMATION

 

 

 

  • This email address is being protected from spambots. You need JavaScript enabled to view it.

Phone: (02) 6198 9800

 

Eye Bank Donor Coordinator: 0408 370 148

 

Phone: (03) 9684 4444


WANT TO LEARN MORE?

DonateLife Education Sessions