Stages of organ donation after brain death

Identification stage

Identification methods include:

A: Transplant communicators: In each hospital, a person, usually the head nurse or one of the ICU staff, who is selected in coordination with the hospital director, notifies the unit if the patient has brain death.

B: Continuous contact made by the coordinator in the form of telephone calls to all hospitals covered every two days

C: Intermittent rebellion by coordinators in the form of intrusive visits to covered hospitals is usually performed every 2 weeks.

Initial visit stage:

After being informed of the presence of brain death patient, the coordinator of the provision unit will be dispatched to the hospital of origin. In the relevant hospital, the initial visit is made (some patients are removed in the initial examination) if the brain death is confirmed in the initial examination, then the initial E-tape is taken from the patient and the forms are filled out by the coordinator.

Transfer consent:

If the family consents to organ donation, the transfer consent form is signed by the patient's companions and the patient is discharged by his family.

 Find recipient step:

After this stage, while contacting the ministry, the recipient will be able to find work based on blood type and size, the general condition of the recipients and their turn in the waiting list and tissue matching.

Transfer stage:

After completing the consent form and carrying out the discharge process and after the necessary coordination, the equipped ambulance will be sent to the hospital of origin along with the anesthesiologist and unit coordinator and the donor will be transferred to Dr. Masih Daneshvari Hospital.

Maintenance stage:

After being transferred to Dr. Masih Daneshvari Hospital, the donor is transferred to the ICU and the patient's condition is stabilized by anesthesiologists and the care process begins. During the maintenance phase, an anesthesiologist and one of the coordinators and a highly qualified nurse constantly control the patient's condition.

Confirmation of brain death:

At this stage, neurosurgery, neurologists, internal medicine and anesthesiologists are invited separately to visit the patient and confirm or deny brain death in the donor. These specialists are chosen directly from the ministry without single intervention.

The stage of obtaining Harvest's consent:

After confirmation of brain death by all four persons of the brain death confirmation group, forensic specialists visit the patient and after final confirmation of brain death, a briefing will be held at the site of the transplant unit in the presence of organ donor, aid worker, psychologist, forensic representative, coordinators and donor family, and while justifying the family, final consent for organ donation will be obtained from them.

Coordination stage:

In this stage, coordination with different teams across the country and operating room officials and personnel about the time of operation and the next steps is done.

Harvest Stage:

At this stage, the patient will be taken to the operating room and delivered to the present team in the operating room. Members are removed. And at the end of the operation, the site of the operation is well restored by one of the surgeons and the patient delivers the morgue.

The transfer stage of the deceased:

At this stage, after the discharge process by the provision unit, the forensic ambulance will be notified by the unit for transfer to the forensics or burial place.

Appreciation stage and participation in the funeral:

At this stage, the coordinator of the collection unit with a special appreciation letter and a large bouquet of flowers attends the donor's funeral and, while appreciating the family, if the conditions allow him to read the text of the commendation behind the speaker.

The Writing Stage of the Harvest Report

After each harvest, the report of how to do it in all details is written by the organ donor.

Thank you for trying to save a human life

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Translator : Javad Eynaki Maleki