STANDARD OPERATING PROCEDURE
SOP-0175 Rev 7
Donation by Donor Designation
1.
2.
3.
Purpose:
1.1.
This document describes the policy and procedure used to obtain and document authorization
for donation through donor designation. It is the intent of LifeSource to honor donor designation
that is legally documented by a resident of any state in the United States.
1.2.
This policy is intended to provide an ethical and legal mechanism for assuring authorization for
organ, tissue and eye donation in accordance with state and federal laws and regulations.
Authorization consists of any properly executed donor designation that has not been revoked. In
the absence of such designation, authorization will be obtained from legal next-of-kin or the
person(s) who have legal responsibility for the final disposition of the deceased.
1.3.
LifeSource will ensure that the family discussion process is facilitated by trained team members
in a sensitive, compassionate, and timely manner, consistent with requirements and requisites
of donor hospitals, as applicable.
Responsibilities:
2.1.
It is the responsibility of the Director of Organ Procurement and the Director of Tissue Services
and Donor Services Center to ensure that personnel are trained to fulfill donor designation in
accordance with this SOP.
2.2.
Personnel responsible for discussing donation of organs, tissues and eyes are: LifeSource
Coordinators and Donor Services Coordinators.
Definitions:
3.1.
Anatomical gift - A donation of all or part of a human body to take effect after the donor’s death
for the purpose of transplant, therapy, research, or education. It is made by:
3.1.1. Document of gift - A document of gift signed by the donor or other person authorized to
make the gift according to law. If the person cannot sign, the document of gift must be
signed by another individual and by two adults (at least one of whom is a disinterested
witness), all of whom have signed at the direction and in the presence of the donor
and/or each other, and state that it has been so signed; or
3.1.2. Authorization - A document of gift signed by the classes of persons, in legal order,
unless the decedent has made a refusal to make an anatomical gift that is unrevoked at
the time of death. The gift must be made by:
3.2.
3.1.2.1.
A document of gift signed by the person, or
3.1.2.2.
The person’s oral communication that is electronically recorded or is
contemporaneously reduced to a record and signed by the individual
receiving the oral communication.
Document of gift - Is expressed in any of the following documents:
3.2.1. Driver’s or chauffeur’s license;
3.2.1.1.
Revocation, suspension, expiration, or cancellation of the license does not
invalidate the anatomical gift.
3.2.2. State-issued Identification Card;
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Donation by Donor Designation
3.2.3. Advanced Directive;
3.2.4. Will;
3.2.5. Organ, Tissue, and Eye Donation Registry; or
3.2.6. Donor card or other writing intended to make an anatomical gift and that is signed by the
potential donor.
3.3.
Donor - An individual whose body or part is the subject of an anatomical gift.
3.4.
DD - Donor Designation - A donor’s indicated intent to donate organs/tissues/eyes at the time of
death as expressed in a document of gift.
3.5.
Minor - An individual under 18 years of age.
3.6.
ME/C – Medical Examiner / Coroner
3.7.
Emancipated Minor - "Emancipated" minors can give legal consent for any type of medical or
mental health service. The emancipated minor must fit one of these three categories:
3.7.1. Living separate and apart from parents of guardian (with or without permission,
regardless of duration) who is managing her or his own financial affairs;
3.7.2. Married;
3.7.3. Minor who has given birth to a child.
3.8.
Revocation - A revocation (i.e. removed “donor” from driver’s license) of a document of gift
evidenced by:
3.8.1. A record signed by the donor or other person who was authorized to make a gift during
the donor’s lifetime;
3.8.2. An oral statement made during a terminal illness in the presence of two adults at least
one of whom is a disinterested witness;
3.8.3. Revocation of a will containing the donor’s designation.
3.9.
Refusal - A refusal to make an anatomical gift expressed through any writing signed in the same
manner as a document of gift, or any other writing used to identify the individual as refusing to
make an anatomical gift.
3.10.
LNOK – Legal next of kin or other person having authority to make an anatomical gift according
to the following legal order:
3.10.1. Minnesota: Agent; Spouse; Adult child; Parent; Adult sibling; Adult grandchild;
Grandparent; Guardian; Adult exhibiting special care/concern; Other person with
authority to dispose of decedent’s body.
3.10.2. All other states, including South Dakota, North Dakota, and Wisconsin: Agent; Spouse;
Adult child; Parent; Adult sibling; Adult grandchild; Grandparent; Adult exhibiting special
care/concern; Guardian; Other person with authority to dispose of decedent’s body.
3.11.
Agent - An individual who is:
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Donation by Donor Designation
3.11.1. A health care agent.
3.11.2. Expressly authorized to make an anatomical gift on the principal’s behalf by any other
record signed by the principal.
3.12.
Guardian – A person appointed by a court to make decisions regarding the support, care,
education, health, or welfare of an individual. This does not include a guardian ad litem.
3.13.
Know – To have actual knowledge (not merely a suspicion).
3.14.
Disinterested Witness – Any adult other than the person making the decision on behalf of the
donor and cannot stand to gain from the donation. For example – if the donor’s wife is his
LNOK, then his sibling could be the disinterested witness, a donor hospital staff member could
be a disinterested witness;
3.14.1. A LC, a transplant physician, or a potential recipient is not to be considered a
disinterested witness.
3.15.
Reasonably Available – able to be contacted by the procurement organization without undue,
excessive, or extreme effort; and willing and able to act in a timely manner consistent with
existing medical criteria necessary for the making of an anatomical gift.
3.16.
CDR - Certified Designated Requester - Hospital staff member who has been trained by
LifeSource to discuss donation with families.
3.17.
LS – LifeSource
3.18.
LifeSource donor record: A record pertaining to any referred patient, donor, or non-donor, which
is filed according to a unique LifeSource ID Number, and maintained in electronic and/or paperbased formats.
3.19.
LC - LifeSource Coordinator: Family Support Coordinator, Donation Coordinator, Advanced
Practice Donation Coordinator, Hospital Coordinator, Organ Procurement Manager; or other
LifeSource team member trained for this purpose; responsible for obtaining authorization for
organ and/or tissue and eye donation.
3.20.
DRC – Donation Resource Coordinator
3.21.
TAOC - Tissue Administrator on Call
3.22.
TRC - Tissue Recovery Coordinator
3.23.
DSC – Donor Services Coordinator; responsible for obtaining authorization and fulfill donor
designation for organ, tissue, and eye donation.
3.24.
Leadership Team – Chief Executive Officer, Chief Administrative Officer, Director of
Procurement, Director of Hospital Services, Director of Quality and Regulatory Affairs, Director
of Tissue Services and Donor Services Center, Director of Public Affairs
3.25.
OPO – Organ Procurement Organization
3.26.
Referral Source – Entities such as hospitals, medical examiners, coroners and individual allied
health care professionals who identity potential donors and refer them, or their next of kin, to
LifeSource.
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Donation by Donor Designation
3.27.
4.
5.
Witness – a person over the age of 18 who is not an team member or agent acting on behalf of
LifeSource that listened to or was present for the discussion or a recording of the authorization.
References and/or Associated Documents:
4.1.
GUI-0046 Process Flowcharts for Donor Designation
4.2.
SOP-0215 Donor Risk Assessment Interview
4.3.
SOP-0014 Obtaining Authorization for Donation by Next of Kin
4.4.
SOP-0093 Donation after Circulatory Death
4.5.
LifeSource Organ and Tissue Donation Brochure
4.6.
LifeSource Donor Designation Brochure
4.7.
Family Conversation Resource
4.8.
Authorization Form Resource
4.9.
Designation of Gift Form Resource
4.10.
Centers for Medicare & Medicaid Services (CMS) - Conditions for Coverage for Organ
Procurement Organizations: Final Rule; 42 CFR 486.342 (b)
4.11.
Joint Statement of the American Association of Tissue Banks, Association of Organ
Procurement Organizations, and Eye Bank Association of America: Model Elements of Informed
Consent for Organ and Tissue Donation; Adopted November 30, 2000.
4.12.
MN UAGA: MN Law 525.921-525.9224
4.13.
ND UAGA: North Dakota Century Code 23-06.6-10
4.14.
SD UAGA: South Dakota Statute 34-26-48 to 34-26-72
4.15.
Wisconsin Legislative Council Act Memo: 2005 Wisconsin Act 229; Anatomical Gifts – Consent
Regarding Bone and Tissue.
4.16.
Minnesota Statute 325L Uniform Electronic Transaction Act
4.17.
South Dakota Codified Laws Chapter 53-12 Electronic Transactions
4.18.
North Dakota Cent. Code Chapter 9-16 Electronic Transactions
4.19.
Wisconsin 2003 Act 294 Chapter 137 Authentications and Electronic Transactions and Records
Materials and Equipment as Needed:
5.1.
FORM-0058 Designation of Gift
5.2.
FORM-0110 Designation of Gift – DSC Use Only
5.3.
FORM-0166 Donor Risk Assessment Interview Less than or Equal to 12 Years Old
5.4.
FORM-0167 Donor Risk Assessment Interview Birth Mother
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Donation by Donor Designation
5.5.
6.
FORM-0168 Donor Risk Assessment Interview Greater than 12 Years Old
Procedure:
6.1.
Preliminary Assessment
6.1.1. DSC/DRC/LC will collaborate with referral source to determine the LNOK according to
state-specified legal priority. The LNOK priority is based on the laws of the state in which
the death occurred. The LNOK must be reasonably available according to state law (see
LNOK definition). If not reasonably available, a member of the next class shall be
contacted. Before discussing donation with the LNOK, the DSC/DRC/LC will attempt to
obtain information regarding:
6.1.1.1.
The potential donor’s clinical status;
6.1.1.2.
The potential for organ, tissue and eye donation;
6.1.1.3.
LNOK’s understanding of the situation; and
6.1.1.4.
Existence of DD.
6.1.1.4.1.
The DSC/DRC/LC will attempt to locate evidence of DD
expressed in a document of gift by contacting:
6.1.1.4.1.1.
The appropriate source of information: MN Department of
Public Safety, Driver and Vehicle Services (DVS) and the
Donate Life Minnesota Organ and Tissue Donation
Registry; ND Department of Transportation and State
Radio Communications; SD Department of Public Safety
and State Radio Communications; WI online donor registry
and WI Driver’s License.
6.1.1.4.1.2.
If the decedent is a resident of a state not located in the LS
donor service area, the state’s OPO will be contacted to
assist in the assessment and obtainment of the document
of gift;
6.1.1.4.1.3.
If applicable, the hospital or emergency facility, law
enforcement officers, firefighters, paramedics, other
emergency rescuers, medical examiners or coroners; and
6.1.1.4.1.4.
Family members when timing is appropriate
6.1.1.4.2.
When LS team members are informed through a clear description
of a document of gift from LNOK (over a recorded phone line) and
neither LS nor the referring agency can obtain a copy, LS will:
6.1.1.4.2.1.
Honor DD in good faith that the representation of the
document of gift explained by the LNOK is factual;
6.1.1.4.2.2.
Ask that the LNOK to mail, fax or e-mail a copy of the
document of gift to LifeSource. This request is made as a
commitment to doing what is reasonable to obtain a copy
of the documentation. However, it is not required to obtain
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Donation by Donor Designation
this copy; we may proceed with the donation in good faith
that DD exists. There is no requirement to follow up with
the LNOK if we do not receive a copy of the document of
gift as requested.
6.1.1.4.2.3.
Document family’s description of DD on FORM-0058
Designation of Gift or FORM-0110 Designation of Gift DSC Use Only, under considerations and family wishes, in
the LifeSource donor record, and in the hospital medical
record, as applicable.
6.1.2. If there is no LNOK, the DSC/LC will contact the DRC for further guidance.
6.1.3. If the LNOK of highest priority is not reasonably available, the DSC/DRC/LC should
document this information in the LifeSource donor record and in the hospital medical
record, as applicable. Documentation should include at a minimum the reason for
unavailability of a LNOK, and a description attempt/s that were made to contact them.
6.1.3.1.
In such cases, the DSC/DRC/LC should then determine the LNOK of the
next class using legal order (See 3.10) and conduct the authorization with
them.
6.1.4. LNOK order will be determined based on the state in which the death occurred (See
3.10.1 and 3.10.2).
6.1.5. If DD is not located, the DSC/DRC/LC will seek authorization for donation per SOP-0014
Obtaining Authorization for Donation by Next of Kin.
6.2.
Determination of Existence Revocation and/or Refusal
6.2.1. The DSC/DRC/LC will seek evidence of any:
6.2.1.1.
Refusal to donate
6.2.1.1.1.
6.2.1.2.
If documentation of refusal exists, donation will not proceed, even
if the LNOK desires to authorize donation.
Revocation of the document of gift
6.2.1.2.1.
If potential donor has revoked a previously made document of gift,
DSC/DRC/LC will seek donation pursuant to LNOK authorization.
6.2.2. If there is any doubt as to the clarity of a potential donor’s intent with respect to donation,
the DSC/LC should:
6.2.2.1.
Consult with the DRC; the DRC may consult the Administrator On-Call,
Donor Services Management Team, LifeSource Leadership Team and/or
legal counsel as needed.
6.2.2.2.
Assess the dates of documentation, if documentation of the deceased’s
intent is inconsistent, the document with the most recent date will prevail.
6.2.2.3.
Include hospital administration in discussions as directed by any of the
previously mentioned parties in 6.2.2.1.
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Donation by Donor Designation
6.2.2.4.
6.3.
Provide documentation of designation and any subsequent revocation,
amendment, or refusal; and include any photocopies, faxes, electronic
transmissions, and DVS or other appropriate agency documents in the LS
donor record, if one is created, and in the potential donor’s hospital medical
record.
Family Discussion Regarding Donor Designation
6.3.1. All discussions shall be carried out with sincerity, compassion and respect to the
circumstances, views and beliefs of the family. The discussion will be completed in a
confidential, sensitive, and professional manner.
6.3.1.1.
For organ, tissue and eye referrals triaged to an LC, it is important for the LC
to collaborate with hospital staff for discussing donor designation and
donation with the family (e.g. pastoral care, nursing staff). Ideally donation
conversations should take place in an appropriately private setting.
6.3.1.2.
For tissue and eye referrals, DSC shall arrange with the referral source to
connect with the family via telephone.
6.3.1.3.
All telephone LNOK authorization and DD conversations must be recorded.
6.3.1.4.
If English is not the primary language of the LNOK, an interpreter will be
offered. Document the offer and response in the LifeSource donor record.
6.3.2. The DSC/DRC/LC will communicate to the LNOK the donor’s known intent through DD
and provide a copy of the Document of Gift.
6.3.3. The DSC/DRC/LC will discuss the implications of the DD and that it is LS’s responsibility
to comply with donor intent.
6.3.4. If needed, the DSC/DRC/LC may describe the law to emphasize the legal mandate to
fulfill the donor’s intent.
6.3.5. The DSC/DRC/LC will discuss the donation process with the LNOK and offer the
LifeSource Organ and Tissue Donation Brochure and the LifeSource Donor Designation
Brochure to the LNOK.
6.3.5.1.
If the conversation is via telephone, DSC/DRC/LC will offer to review the
brochures with the LNOK. Inform them that they will receive a copy of the
brochures along with a letter discussing the outcome of the decedent’s gift.
6.3.5.2.
DSC/DRC/LC may also provide the family with information about where they
can review the brochures electronically or offer to send it to them via
electronic mail.
6.3.6. The DSC/DRC/LC will offer condolences and may discuss and/or provide information to
the LNOK (dependent upon LNOK interest in and understanding of the following):
6.3.6.1.
Family’s understanding of the death;
6.3.6.2.
General description of the organs, tissues and eyes that may be donated
and for what general purpose, including transplantation, research and
medical education;
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Donation by Donor Designation
6.3.6.3.
Estimated time requirements;
6.3.6.4.
Donor screening and recovery processes;
6.3.6.5.
Laboratory evaluations including testing for certain transmissible diseases;
6.3.6.6.
Uses and distribution of the organs, tissues and eyes;
6.3.6.7.
Potential impact donation has on funeral preparations such as timing and
viewing;
6.3.6.8.
LS’s responsibility for donation-related fees;
6.3.6.9.
Other organizations likely to be involved in the recovery, processing, and
distribution of this donor’s organs, tissues and eyes;
6.3.6.10.
Release of donor’s current and past medical records;
6.3.6.11.
Address questions and provide additional information about donation as
requested by the family; and
6.3.6.12.
LS contact information if family has questions or concerns about the
donation.
6.4.7.1 DSC/DRC/LC will conduct the Donor Risk Assessment Interview using
SOP-0215 Donor Risk Assessment Interview using FORM-0166 Donor Risk
Assessment Interview Less than or Equal to 12 Years Old, FORM-0167
Donor Risk Assessment Interview Birth Mother or, FORM-0168 Donor Risk
Assessment Interview Greater than 12 Years Old
6.3.7. In cases where the ME/C has assumed jurisdiction, DSC/DRC/LC will explain that the
ME/C must release the gifts for donation and is responsible for the release of the body to
the funeral home.
6.3.8. The DSC/DRC/LC will ask the family how they can be supported as the donor’s intent is
carried out (i.e. answering questions, connecting them with clergy, physicians or others).
The DSC/DRC/LC will facilitate such support in collaboration with hospital staff.
6.3.9. If the family does not support the donor’s designation and resists donation, the
DSC/DRC/LC shall explore reasons with sensitivity, compassion and respect toward the
family. In a positive manner, the following resources shall be offered, as appropriate:
6.3.9.1.
The DSC/DRC/LC shall explore the family’s understanding of the gift and
offer the following resources, as appropriate:
6.3.9.2.
Information that the family requests or that may assist the family in
supporting the donor’s decision;
6.3.9.3.
Explanation that LS’s practice is based on the donor’s decision and wishes
in accordance with state and federal legal requirements;
6.3.9.4.
Family conference including extended family members who might be able to
help facilitate support;
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6.3.9.5.
Opportunity to meet with others who may be able to address family
concerns, including clergy, donor advocates, transplant recipients, cultural
liaisons, and health professionals; and
6.3.9.6.
Information on the benefits of donation.
6.3.10. If the LNOK remains unsupportive for organ donation, the LC will consult the DRC and
follow GUI-0046 Process Flowcharts for Donor Designation.
6.3.11. Before any decision is made to not pursue organ donation when DD is present, the
referral should be reviewed with a member of the Organ Procurement Management
Team and a Leadership Team member.
6.3.11.1.
If there are legal questions pending, LS legal counsel should be consulted.
6.3.11.2.
It is recommended that the appropriate LS party communicates with an
Administrative representative of the donor hospital when determining the
course of action in the presence of DD and family opposition. Such
collaborative discussions will determine how donation will be pursued in light
of legal, moral, ethical, or other good faith considerations. Appropriate
hospital personnel should be kept informed of such happenings.
6.3.11.3.
Other donation agencies (i.e. eye bank) shall be notified before any deferral
is made for their respective agencies.
6.3.12. If it is deemed that donation will not be pursued; document the reason(s) in the
LifeSource donor record and the hospital medical record, as applicable. The
DSC/DRC/LC should inform the LNOK and offer support.
6.3.13. If it is deemed that organ donation should be pursued despite family resistance to the
donor’s designation, the DSC/DRC/LC will communicate to the LNOK that LS will
proceed with donation to honor the donor’s wishes in accordance with applicable law.
The DSC/DRC/LC will offer the LNOK any support deemed appropriate.
6.3.13.1.
Such situations may require additional support for LC and/or hospital staff.
6.3.13.2.
Director of Public Affairs shall be notified of such cases.
6.3.13.3.
Document information related to donation in the presence of family
resistance to DD in the LifeSource donor record.
6.3.14. Whenever a decision is reached to pursue donation, assess if:
6.3.14.1.
The document of gift specifies only a general intent to make an anatomical
gift by words such as “donor”, “organ donor”, or “body donor” or by a symbol
or statement of similar import, the gift may be used only for transplantation
or therapy,
6.3.14.2.
The intent to donate organs, tissues and eyes for purposes of research will
not be presumed,
6.3.14.3.
If the document of gift is specific as to which organs, tissue, eyes may be
recovered, LS will follow the documented wishes to the best of our
knowledge.
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6.3.15. The DSC/DRC/LC will facilitate authorization for research and medical education by
completing FORM-0058 Designation of Gift Form or FORM-0110 Designation of Gift –
DSC Use Only with the LNOK.
6.3.15.1.
The form will be read as it is worded (verbatim) to the LNOK.
6.3.15.2.
The LNOK will be asked to indicate a “yes” or “no” response to each
question. If the LNOK offers any other response or a lack of response (i.e.
silence or “I suppose”) the DSC/DRC/LC will seek clarification - i.e. “is that a
yes?” or by repeating the question and/or asking if further clarification is
needed to make a decision.
6.3.16. Only the LNOK signature is necessary. Additional family members should not sign in the
LNOK section of the Authorization Form; additional family member(s) may serve as a
witness(es).The DSC/DRC/LC conducting the Authorization will sign in the “person
receiving authorization” portion of the form, along with one other witness. All telephone
authorizations shall be recorded and are made available to the family upon request.
6.3.16.1.1.
When a recorded line is used as a witness, check the box, if
appropriate, on the bottom of the form and draw a line through the
second witness section.
6.3.16.1.2.
Considerations or Family Wishes:
6.3.16.1.3.
DSC/DRC/LC will inform the family that the donor may be required
to wear long sleeves if the funeral arrangements will include an
open casket viewing. Tissue (e.g. arm bone) recovery may be
limited based on viewing arrangements.
6.3.16.1.3.1. If funeral plans include viewing with the donor wearing
short sleeved attire, neither upper nor lower arm bones or
skin may be recovered.
6.3.16.1.3.2. If funeral plans include a viewing with the donor wearing
long sleeved attire, only upper arm bones may be
recovered.
6.3.16.1.3.3. If the funeral plans do not include viewing of any type
(private or public), upper and lower arm bones may be
recovered.
6.3.16.1.3.4. Check the appropriate box regarding viewing plans on the
Designation of Gift Form.
6.3.16.1.4.
Document viewing plans under “Considerations or Family Wishes”
section of FORM-0058 Designation of Gift or FORM-0110
Designation of Gift - DSC Use Only.
6.3.16.1.4.1. Any additional family wishes will also be documented in
this section.
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6.3.16.1.5.
Copies of the document of gift (e.g. driver’s license or donor
registry), FORM-0058 Designation of Gift or FORM-0110
Designation of Gift - DSC Use Only, and the LifeSource Organ
and Tissue Donation and Donor Designation Brochures will be
provided to the family (either in-person or via mail).
6.3.16.1.6.
The original Designation of Gift Form will be placed in the
LifeSource donor record. Copies of the Designation of Gift form
and document of gift will be provided to the referring source for
their medical records.
6.3.16.1.7.
The outcomes of family discussion(s) will be shared with the
appropriate referral source staff and be documented within the
LifeSource donor record and hospital medical record, as
applicable. Documentation includes:
6.3.17. DSC /DRC/LC will offer LS aftercare services to the family and provide contact
information should the family wish to speak with LS at a later time. The DSC /DRC/LC
will express appreciation and recognition of loss to the LNOK and when possible, obtain
addresses and phone numbers of appropriate family members for follow-up
communications. Information related to supporting families and aftercare will be
documented in the LifeSource donor record.
6.4.
Documenting Authorization for Donation after Circulatory Death (DCD):
6.4.1. When the patient, LNOK, or legal guardian in consultation with the medical staff, have
decided to withdraw life-sustaining medical treatment;
6.4.2. And the patient, LNOK or legal guardian have expressed interest in pursuing donation;
6.4.3. And the potential donor is DD;
6.4.4. The LC will assist the family to honor their loved one’s decision to donate by completing
FORM-0058 Designation of Gift in accordance is SOP-0175 Donation by Donor
Designation and SOP-0093 Donation after Circulatory Death.
6.4.5. If pre-mortem Heparin is to be administered, permission is required from the patient,
LNOK or legal guardian. Permission for Heparin administration will be documented using
the “Considerations or Family Wishes” section of the Designation of Gift Form.
6.5.
When CDRs are involved:
6.5.1. The DSC /DRC/LC will consult with the CDR to assess the situation and develop a plan
(i.e., presence of DD, family structure and understanding of brain death, donation
options, and determination of LNOK) prior to the CDR discussing donation with the
LNOK.
6.5.2. DSC /DRC/LC must:
6.5.2.1.
Explain DD to the family;
6.5.2.2.
Offer a copy of the document of gift;
6.5.2.3.
Provide and offer to discuss the Donation and DD brochures, and
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STANDARD OPERATING PROCEDURE
SOP-0175 Rev 7
Donation by Donor Designation
6.4.7.2 Complete FORM-0058 Designation of Gift or FORM-0110 Designation of
Gift - DSC Use Only and FORM-0166 Donor Risk Assessment Interview
Less than or Equal to 12 Years Old, FORM-0167 Donor Risk Assessment
Interview Birth Mother or FORM-0168 Donor Risk Assessment Interview
Greater than 12 Years Old
6.6.
Transporting the donor for recovery:
6.6.1. With DD donations, authorization is not required to transport the body. If the body needs
to be moved to another location for the purposes of donation, the DSC /DRC/LC may
inform the family.
6.7.
Donor Designation by Minors:
6.7.1. Donor designation by individuals under the age of 18 years shall be honored unless the
LNOK amends or revokes the decision.
6.7.1.1. DSC /DRC/LC shall notify the LNOK of this right to amend or revoke the
donor’s designation.
6.7.1.2. Revocations will be documented in the LifeSource donor record.
6.7.1.3. Notification and any amendments shall be documented on: FORM-0058
Designation of Gift Form or FORM-0110 Designation of Gift - DSC Use Only.
6.7.1.4. The right of the LNOK to revoke or amend the DD does not apply to
emancipated minors.
6.8.
For Directed Donation, if the LNOK requests that a specific organ/tissue/eye be donated to a
specific recipient, information including the specific organ/tissue/eye to be donated and the
name of the intended recipient will be documented in the ‘Family Wishes’ area of the
Designation of Gift Form.
6.9.
Form-0124 Supplemental Authorization:
6.9.1. The Supplemental Authorization Form is not needed in the presence of Donor
Designation.
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