1. One Legacy Organ Donation
Module 8:
One Legacy Organ Donation

2. Why OneLegacy is needed
More than 121,000 on national waiting list
20 on waiting list die each day
Another name is added to the list every 13 minutes

3. Who is OneLegacy
Not-for-profit Organ Procurement Organization (OPO) and Tissue Recovery Agency
Federally designated and funded
Accredited by Association of Organ Procurement Organizations, Eye Bank Association of America & American Association of Tissue Banks

4. Who is OneLegacy Established to:
Educate the public about benefits of organ & tissue donation and transplantation
Recover, preserve and distribute donated organs & tissues
Increase the availability of organs & tissues for transplantation

5. Transplantable Organs & Tissues◄ ◄
ORGANS
TISSUES ◄ ◄ ● ● ◄ ● ●
Cornea/Eyes
Heart Valves
Skin
Bone
Tendons
Cartilage
Veins ◄
● Kidneys
● Liver
● Heart
● Lungs
● Pancreas
● Sm. Intestine ◄ ● ◄ ● ◄ ◄ ◄ ◄ ◄ ◄

6. Organ & Tissue Donor Criteria
Donation criteria often changes
NO ONE SHOULD BE RULED OUT
Refer All Ages
Regardless of Medical History
Even patients is under Medical Examiner / Coroner’s Jurisdiction
Patients with Advanced Directives (even those objecting to donation)

7. Tissue Donor Potential
Identifying A Potential Organ & Tissue donor
Organ Donor Potential
Tissue Donor Potential
Ventilated with a devastating illness or injury and one or more of the following:
Family considering DNR
Prior to Withdrawal of ventilator
Loss of one or more brainstem reflexes
Pupils fixed
No Cough or Gag reflex
No response to painful stimuli
No spontaneous respirations
All deaths must be referred to OneLegacy within one hour of cardiopulmonary arrest

8. HIPAA Privacy Rule on Organ & Tissue Donation
CFR § (h) -- Final Rule: A covered entity may use or disclose PHI to OPOs or other entities engaged in the procurement, banking, or transplantation of cadaveric organs, eyes or tissue for the purpose of facilitating organ, eye or tissue donation and transplantation.

9. Potential Donor Evaluation
Tissue Donors
All deaths are reported to OneLegacy
During the referral, the caller will provide all clinical information requested
OneLegacy will determine tissue donation suitability
Organ Donors
An onsite evaluation will be performed to identify
The plan of care and status of the patient
Plans for possible brain stem testing
Plans for or family mentions of withdrawal of life-sustaining measures

10. Brain Death VS Donation after Cardiac Death (DCD)
Ventilator dependent
Minimal brain stem reflexes
Cannot maintain vital functions without support
Cardiac arrest is unavoidable.
DCD
Ventilator dependent
No brain stem reflexes
Unable to maintain own vital functions
Cardiac arrest is unavoidable

11. Family Support Physician explains brain death and tests
Do Not Mention Donation
Bridging statement example for hospital personnel
“Someone will be coming in to speak with you regarding end of life decisions that you will need to make.”