Comparison of Consent Rates between Hospital-Based Designated Requestors and Organ Procurement Coordinators

M. Bires
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Abstract

Journal of Transplant Coordination, Vol. 9, Number 3, September 1999 Establishing the Designated Requestor Program Before the designated requestor program was presented to a hospital, the OPO set criteria for participation that demonstrated the hospital’s commitment to the program. First, the hospital was required to demonstrate 100% compliance with its own policy of routine referral of every death and impending death for 1 year. The compliance was validated through a death record review conducted by the OPO. The hospital was then asked to choose participants based on their support of donation and their availability to provide appropriate support to the grieving family. These participants had to have experience working with families throughout the donation process, and have a strong personal belief in donation. Also, participants had to accept brain death and be comfortable and knowledgeable about donation issues. The participants who were identified by the hospital attended an 8-hour designated requestor program conducted by the OPO. This training, developed by CORE, is based on the foundation of assessment of the family’s understanding and acceptance of brain death and the importance of decoupling. The objectives of the designated requestor program were stated, and an overview of the donation process was presented to provide basic knowledge of the process. This overview Comparison of consent rates between hospital-based designated requestors and organ procurement coordinators
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医院指定请求者与器官采购协调人同意率的比较
《器官移植协调杂志》,第9卷,第3期,1999年9月建立指定请求者计划在指定请求者计划提交给医院之前,OPO设定了参与标准,以证明医院对该计划的承诺。首先,要求医院证明100%遵守自己的政策,即1年内对每例死亡和即将死亡进行例行转诊。通过OPO进行的死亡记录审查验证了遵守情况。然后,医院被要求根据他们对捐赠的支持以及他们是否有能力为悲伤的家庭提供适当的支持来选择参与者。这些参与者必须在整个捐赠过程中有与家庭合作的经验,并且对捐赠有强烈的个人信念。此外,参与者必须接受脑死亡,并对捐赠问题感到舒适和了解。由医院确定的参与者参加了由OPO举办的8小时指定请求者方案。这项由CORE开发的培训是基于评估家属对脑死亡的理解和接受程度以及脱钩重要性的基础上进行的。指定的请求程序的目标进行了说明,并介绍了捐赠过程的概述,以提供该过程的基本知识。本文概述了医院指定请求者和器官采购协调员之间同意率的比较
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