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Organ Donation Process and Criteria in Australia

Learn about the legal definitions of death in Australia, pathways to organ donation, criteria for organ donors, and the supportive role of healthcare professionals in the donation process.

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Organ Donation Process and Criteria in Australia

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  1. Version 1 – 16 December 2010

  2. Declaration of Death Irreversible cessation of circulation of blood in the body of a person - cardiac death or Irreversible cessation of all function of the brain of a person - brain death In Australia the two legal definitions of death are: The ANZICS Statement on Death and Organ Donation; Australian New Zealand Intensive Care Society (ANZICS) 2008, 3rd Edition, Pp 39

  3. How and where you die determines what you can donate ICU Brain Death Heart Lungs Liver Kidneys Pancreas Intestine Eye tissue Bone tissue Skin tissue Heart valves ICU Cardiac Death Lungs Liver Kidneys Pancreas Eye tissue Bone tissue Skin tissue Heart valves WARD / OUT OF HOSPITAL Cardiac Death Eye tissue Bone tissue Skin tissue Heart valves

  4. Pathway to Organ Donation • Brain Death • Catastrophic neurologic injury • Death declared • NOK + coroner consent • Donor Information Collection • Tissue typing serology • Organ offer + Allocation • Operating Theatre • DCD • Irreversible cardio respiratory or • neurologic illness / injury • Treatment futile & withdrawal planned • NOK + coroner consent • Donor Information Collection • Tissue Typing + serology • Organ offer + Allocation • Treatment withdrawn – cardiac death likely within 60 mins • Death declared • Operating Theatre

  5. Call the donor coordinator regarding medical suitability to donate Who is a potential organ donor? • Intubated + ventilated • Died from brain death or imminently dying and withdrawal of cardiorespiratory support is planned • Sufficient BP for organ perfusion • No evidence of: • Current malignant disease • Age limits 1 – 80 years The ANZICS Statement on Death and Organ Donation; Australian New Zealand Intensive Care Society (ANZICS) 2008, 3rd Edition, Pp 41 Australasian Transplant Coordinators Association Incorporated, 2008 National Guidelines for organ and tissue donation, 4th Edition, Pp 8.

  6. Supporting the donation process • Everyone advocates for donor and family • Priority is family values and principles • Team approach • Roles and responsibilities DonateLife Agencies

  7. Who is a potential eye/tissue donor? • Any person who has died may be able to donate eyes and tissues • Circulatory death in hospital wards (the majority for eyes) • Brain dead organ donors • Donation after cardiac death organ donors

  8. Refer • If families/patients raise donation as part of end of life care • Patient is deemed as a potential donor by ICU/ ED consultant Contact Nurse Donation Specialist (NDS) 0411323006 for any queries regarding organ and/or tissue donation DonateLife 24/7 pager- 93470408

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