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 |
|
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
