Organ Donation Flashcards
What is the ODTF?
Organ Donation Task Force
What types of donation fall under the human tissue act 2004/6?
Paired
Altruistic
Non-blood relatives/friends/partners need to go through what to donate?
ULTRA
Unrelated Regulated Authority - Human Organ Transplants Act
What are the criteria for donation after brain death?
Confirm brain stem death Irreversible brain damage Exclude reversible causes Exclude depressant drugs Core temp >34C Exclude metabolic/circulatory/endocrine disorders Exclude reversible causes of apnoea
What are the criteria for donation after circulatory death?
Significant brain injury Planned withdrawal of care Significant level of support to withdraw Family discussion Offered option of donation Time of Death
What must be checked before approaching relatives about organ donation?
Is the patient registered on the Organ Donor registry
Establish whether Pt carried donor card
Can authorisation for transplant be withdrawn?
No
What proportion of patients on the heart/lung donor registry will die waiting?
25%
What parts of the eyes can be donated?
Cornea
Sclera
How can hip/knee replacement patients help to donate?
Donate femoral heads/patellas to bone bank
Must be <55
Which valves can be taken by transplant?
Pulmonary
Aortic
How are transplanted hearts used?
Children and women of child bearing age - don’t have to take warfarin
What are the contraindications for tissue?
Known HIV
Previous transplants
Known vCJD
Individual assessment
How can the organ donor register accessed?
Check donor register Check for donor card Ask if wishes verbalised Check if noted in a will Approach family
What is the family hierarchy when seeking donation?
Adult/civil partner Partner for >6mo Adult child Parent Brother/sister Grandparent Adult grandchild Aunt Cousin Niece Friend of longstanding
