Ethics Exam 2 organ donation

What is the dead donor rule?

vital organs should only be transplanted from dead pts and they must be declared dead before organs are retrieved

What is the uniform anatomical gift act?

protect pt wishes to be donors even if family wishes not to, OPO notified of imminent death and eligibility for donation

What is the united network for organ sharing?

established by US congress in 1984, non-profit that administers organ procurement and transplantation network, national computer system ensuring ethical and fair distribution

How are candidates picked for organs?

computer system generates a list based upon blood type, tissue type, geography and other medical criteria

How do we determine brain death?

etiology of injury to the brain must be known, any reversible condition should be ruled out and hemodynamically normal and stable with neuro/brain stem reflex testing and apnea testing

What is the cardiac death imminent way to donate organs?

they refuse care separately from wanting to donate organs (must pass within on hour and cessation of activity for 5 minutes to be declared dead)

What is paired exchange donation?

living donor is a good Samaritan and donates a kidney, next person is a friend but not compatible with pt and donates to someone compatible to get a kidney for infected pt

What is micro rationing?

talks about individual level care treatment rather then broad spectrum

What is macro rationing?

broad policy decision about care like vaccines