Organ and Tissue Donation

Question 1

Does not inhibit the viewing of the deceased.

Answer 1

The recovery of arm and leg bones for donation

Question 2

The time intevral between death and receiving the remains is:

Answer 2

Longer than Normal

Question 3

The time needed to embalm:

Answer 3

Is Longer Than Normal

Question 4

1. Getting enough arterial fluid to the legs, feet, arms and hands.
2. Controlling the leakage of fluid after embalming.

Answer 4

Embalming Concerns

Question 5

• Clean and bathe the body as normal.
• Disinfect and clean the mouth, nose, and eyes (if not enucleated) as normal.
• Set features as normal.

Answer 5

Pre-Embalming

Question 6

• Remove all sutures and open all procurement incisions.
• Remove any prosthetic devices. The devices remain if they do not interfere with locating and injecting the arteries.
• Locate the arteries to be used for injection.
• Raise left and right carotid arteries for injection of the head and trunk. The head and trunk can also be injected through the femoral artery.
• Do not use a pre-injection fluid; make the arterial fluid stronger than usual for the trunk and limbs.

Answer 6

Embalming and Restorative Procedure

Question 7

Inject using the femoral artery.

• Start as close to the top of the leg as possible.

Answer 7

Legs

Question 8

• Clamp off vessels that have been cut during procurement and are now leaking. If the femoral artery has been cut, start the injection below the cut.
• You will probably not be able to clamp off all leaking vessels, clamp those that are leaking the most.

Answer 8

In the Legs

Question 9

If the lower legs or feet do not recieve fluid, these arteries can be injected.

Answer 9

The Anterior or Posterior Tibial Arteries

Question 10

The dorsalis pedis artery can be raised and injected or the feet can be hypodermically injected using a needle and syringe or a trocar. Trocar holes can be sutured closed, or a trocar button can be used.

Answer 10

If the feet do not recieve fluid

Question 11

Can be injected by using the axillary or brachial arteries.

Answer 11

The arms and hands

Question 12

If the hands do not recieve enough fluid through the axillary or brachial arteries, this artery can be injected.

Answer 12

The Radial Artery

Question 13

The trunk can be embalming using these arteries.

Answer 13

The femoral, subclavian or carotid arteries

Question 14

Inject the head with these arteries.

Answer 14

Carotid

Question 15

Does not need to be as strong as the solution used for the trunk and limbs.

Answer 15

The Injection Solution For The Head

Question 16

Overnight if time permits, but at least a few hours.

Answer 16

Allow the body to drain for as long as possible (After Injection)

Question 17

• Dry all tissue in the arms and legs
• If prostetic devices were removed, replace them.
• Coat the tissues with a preservative and absorbent product.
• Suture the incisions using a tight suture.
• After all suturing is complete, wash the entire body.
• Aspirate the thoracic and abdominal cavities, and cavity inject as normal.
• Coat all incision lines with mortuary glue and use cotton as a barrier to leakage.
• Cover the cotton with a strip of plastic sealed on all sides by wide tape as an additional barrier to leakage.
• Rubber or plastic undergarmets are placed on the arms, legs, and trunk; or a unionall can be used as the final barrier against leakage.
• Dress and casket

Answer 17

After Injection

Question 18

Be generous with this powder. Leave a bed of powder in the bottom of tissue area to absorb any future leakage.

• In addition to the powder, some embalmers like to use absorbent cotton in the tissue area.

Answer 18

Coat the tissues with a preservative and absorbent product.

Question 19

Any opening in these garments, such as sleeves and cuffs, can also be sealed with wide tape.

Answer 19

Rubber or plastic undergarmets are placed on the arms, legs, and trunk, or a unionall can be used as the final barrier against leakage.

Question 20

Removal of the entire eyeball.

Answer 20

Eye Enucleation

Question 21

There is a greater change of swelling and discoloration if the lids are handled roughtly or squeezed with forceps.

Answer 21

Slide an aneurysm hook under the eyelid and raise gently.

Question 22

Gently remove the ______ in the eyesocket.

Answer 22

Packing

Question 23

Dry the socket with ______.

Answer 23

Cotton

Question 24

Leave this in the socket during embalming.

Answer 24

Saturate a small ball of cotton with a drying agent and swab the socket.

Question 25

Place an ___ \_\_\_\_ over the cotton, and close the lids in the proper position.

Answer 25

Eye Cap

Question 26

A surface compress consisting of a bleaching agent can be placed on the area.

Answer 26

If any area of the eye has been discolored due to the enucleation process.

Question 27

Massage cream should cover all areas of the face on which the fluid may leak.

Answer 27

Coat lids and the area around the eyes with massage cream

Question 28

Instead, a normal strength arterial fluid should be used.

Answer 28

Do not use a pre-injection fluid (for eye enucleation)

Question 29

Should proceed using a minimum amount of pressure and rate of flow. It may be necessary to inject both carotid arteries this area more slowly than your injection of the body in order to achieve sufficient preservation without swelling.

Answer 29

The Injection of The Head

Question 30

If swelling beings, decrease the rate of flow and pressure. Place a pack of cotton saturated with cold water on the area to act as a pressure compress to inhibit swelling. Finger pressure may also be applied during and after injection.

Answer 30

Observe the eye areas carefully during injection

Question 31

* Remove the temporary cotton packing * Dry the socket and duplicate the eyeball using cotton or mortuary putty. * Place an eyecap on top of the cotton or putty. * Eyelids can be glued closed if necessary.

Answer 31

After Injection - Eye Enucleation

Question 32

Follow the procedures for eye enucleation with the exception of: * It will be necessary to aspirate the flud from the eyeball before embalming. * The drying and packing is done inside the empty eyeball instead of the eye socket.

Answer 32

Removal of The Cornea Only

Question 33

Usually removed from the back, chest and thighs.

Answer 33

Skin

Question 34

The removal of this does not damage any arteries, muscles, joints, bones or other organs needed for embalming.

Answer 34

Skin

Question 35

The main concern with regard to embalming after skin procurement is:

Answer 35

To control the leakage from the area in which the skin was taken

Question 36

* Arterially inject the body using the normal procedures. * Allow the area affected to drain naturally during the embalming.

Answer 36

Injecting bodies where skin has been removed

Question 37

Wash the entire body, including the affected area, and then towel dry.

Answer 37

After the arterial injection (skin donation)

Question 38

Should be treated with a surface application of a drying and preservative product such as gel, powder or fluid followed by a waiting time of 30-60 minutes, or longer, if time permits.

Answer 38

The area used for skin donation

Question 39

Presents the most difficulty because it usually requires two people to roll and treat this area.

Answer 39

Skin Taken From The Back

Question 40

Paint the area with embalming glue and cover it with cotton.

Answer 40

Wipe and dry the affected area (skin donation)

Question 41

* Place a sheet of plastic over the treated area, and seal the edges using wide tape. * Place plastic or rubber undergarmets or a unionall on the deceased. Any openings in the garments can be sealed with tape. * Dress and casket

Answer 41

Finishing the process- skin donation