For Hospitals

Learn More About Our Professional Partnerships

Hospitals, nurses and staff are a critical component of our ability to support our donor families and recipients. By working together to make donation an everyday conversation, we can begin to turn the tide of organ donation in favor of the people who so desperately need them. We all know the difference a single donation can make, both to the donor’s family and to that of the recipient. By working together with hospitals, transplant centers, tissue processors, funeral directors, and medical examiners, we can all save more lives.

    • FOR DOCTORS

      • Clinical Triggers for Organ Donation

        • Call We Are Sharing Hope SC at 800-269-9777 within one hour of:
          Every cardiac death
          or
          mechanically vented patients meeting any of the these conditions:

          • Absence of two or more brain stem reflexes
          • GlasgowComa < 5
          • Family discussion of withdrawal of life-sustaining therapies is anticipated

           

      • Clinical Triggers for Tissue or Cornea Donation

        • Call Sharing Hope SC at 800-269-9777 to report all cardiac deaths within 60 minutes—even if the patient was ruled out for organ donation.

          For care of a cornea donor: eyelids shuts, saline soaked gauze on eyelids, elevate head. For more information contact our Ocular recovery partner: Miracles in Sight

      • Three Ways Doctors Can Promote Positive Donation Outcomes

      • Preserving Your Patient’s Opportunity to Donate

          • Keep three things in mind to preserve your patient’s opportunity to donate:

            1. What is good for the patient is good for the donor. Doing everything you can to help your patient will also help preserve their opportunity to donate.
            2. Remind your care team about the Donor Management Goals: SBP (>90) or MAP (>60), PCWP (8-12), CVP (4-12), Pressors (≤1 pressor and Dopa<10, Neo<60, Norepi<10).  Sodium (≤155), Glucose (≤200), pH(7.30-7.50), pO2 (>100 on ≤40 FiO2), Urine output (0.5-7.0 cc/hr/kg), Platelets >50. Consider changing MIVF to ½ NS to maintain Sodium levels. Don’t make assumptions about who can be a donor. Many situations that might have ruled out donation in the past no longer apply. Let us help determine donor suitability
            3. Communicating with Families Clearly and Compassionately. Delivering a grave prognosis to a family is an extremely difficult task for anyone, including physicians. You are a professional devoted to saving lives, and giving this heartbreaking news can be overwhelming. We want you to know that we’re here to provide our support and experience in these situations—to help you treat your patient and their family with respect and compassion.
          • Here are four things to keep in mind that have been helpful to other doctors in these situations:

            • Don’t discuss donation before or during the delivery of a grave prognosis. Because delivering a grave prognosis is so difficult, it can be natural to want to say something positive as well, such as the potential of helping others through donation. However, this often isn’t the best time to begin this conversation, since families naturally hold onto any evidence of hope at this very difficult moment. For example, a family that is told “there is not much hope” hears “there is still some hope.” If all interventions have been tried and have not worked, and there is nothing else that can be done, the family needs time to understand that.
            • Take a timeout. The family must have time and space to absorb this tragic news before they receive additional end-of-life information. If donation is mentioned to a family prior to this “close-ended” news, they might conclude that the care team has quit trying—that they are more concerned about recovering organs and tissues. The family must have complete confidence that all medical interventions have been attempted to extend the patient’s life. Anything less plants seeds of doubt and mistrust.
            • Create a plan with Sharing Hope SC. We know that when families understand the good that can come from donation, they rarely say no. But donation information must be delivered in a respectful, time-sensitive manner—and with a unified approach and support from the care team and Sharing Hope SC. We all owe that to the grieving family and to the thousands of people currently waiting for an organ, eye, or tissue transplant. That’s why it’s so important to call Sharing Hope SC 800-269-9777 early, before beginning the donation conversation. Together, we can work to help your patient’s family find comfort in a difficult time.
              • Communicate with respect and clarity. When the time does come to discuss donation, many physicians have told us that it’s sometimes helpful to keep it simple. Below are some basic tips that have helped other physicians in these situations:
                • Recognize the sadness of the situation when telling a family their loved one is dead or dying:
                  • “I am very sorry to tell you this.”
                  • “I wish I could tell you something different.”
                  • “This is a horrible situation.”
                • Let the family know that it’s okay to feel like the news is unexpected or shocking:
                  • “I imagine when you woke up this morning you didn’t expect to be here today.”
                  • “This can be very overwhelming.”
                • Realize that a family in shock may not understand brain death or the need for comfort care, regardless of their level of education:
                  • “It can be hard to understand because she looks like she is sleeping, but her brain has lost all function.”
                  • “The time of her final brain death exam is her legal time of death.”
                  • “He is not in a coma.”
                  • “Sometimes even if it makes sense in our head it is hard to understand or believe in our heart.”
                • Make sure the family knows they have permission to slow down:
                  • “This is a lot to absorb.”
                  • “Talk to your friends and family about this.”
                  • “We have time.”
                  • “Take some time and get a cup of coffee.”
                  • “There are more things to talk about… why don’t you take a break and we can reconvene later.”
                    • Recognize that if donation comes up too soon and a family reacts negatively, they may be saying “no” to the death and not to donation—so it’s okay to leave the conversation open-ended:
                    • “The decision to donate is a very important one; someone will be in to talk to you in more depth about it soon.”
                    • “Now may not be the right time to decide whether or not donation is right for her, why don’t you take some time to be with your family and sit with her. Someone will check in with you in about an hour.”
      • Online Course: Death by Neurological Criteria

      • Donor Designation and the Law

    • GUIDANCE FOR NURSES

      • Clinical Triggers for Organ Donation

      • Clinical Triggers for Tissue or Cornea Donation

        • Call Sharing Hope SC at 800-269-9777 to report all cardiac deaths within 60 minutes—even if the patient was ruled out for organ donation.

          For care of a cornea donor: eyelids shuts, saline soaked gauze on eyelids, elevate head. For more information contact our Ocular recovery partner: Miracles in Sight

      • Preserving your patient’s opportunity to donate

      • Critical Pathway for Donation after Brain Death

      • Critical Pathway for Donation after Circulatory Death

      • Planning to Talk About Donation with Families

    • GUIDANCE FOR HOSPITAL ADMINISTRATION

      • Promoting a Culture of Donation

      • Compliance Checklist

      • Rapid Process Improvement Checklist

      • Donor Designation and the Law

      • Conditions of Participation for Organ and Tissue Donation

    • HOSPITAL DEVELOPMENT TEAM

      • Sharing Hope SC maintains a close, collaborative relationship with more than 60 hospitals throughout South Carolina to help define, shape and guide their roles in the donation process.

        An important part of this ongoing effort is Sharing Hope SC’s professional hospital development staff, known as Hospital Development Coordinators. Each works with more than 10 hospitals in their assigned area of the state to ensure that the hospital staffs understand the need for donation as well as the hospital’s legal compliance obligations and the best processes they should follow in order to honor someone’s wish to donate.

Share the hope for life by becoming an organ & tissue donor.

1.800.462.0755|3950 Faber Pl Dr Suite 400, North Charleston, SC 29405

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