10-144 C.M.R. ch. 52, ch. 2 - INTER-HOSPITAL AGREEMENTS

A. Types of Inter-Hospital Agreements: Two separate types of organ donation request inter-hospital agreements shall be developed by Maine's hospitals.

1. Community Hospital Agreement - This agreement shall be developed between community and regional hospitals and the Maine transplantation center(s). The purpose of the agreement shall be to describe the respective roles and responsibilities of the community and regional hospitals and the Maine transplantation center(s) in Maine's organ procurement system.

2. Regional Hospital Agreement - This agreement shall be developed between regional hospitals and the Maine transplantation center(s). The purpose of the agreement shall be to describe the respective roles and responsibilities of the regional hospitals and the Maine transplantation center(s) In Maine's organ procurement system.

B. Community Hospital Agreements: - The Community hospital agreement shall include, but not be limited to the following Items:

1. Statement of purpose;

2. Description of the types of patients covered by the agreement:

a. Individuals who are under treatment at the community hospital and who subsequently are found to meet medical criteria for brain death and to be potential organ donors; and

b. Patients who are received at community hospitals and In the judgment of the attending physician are brain dead, but remain potentially viable organ donors. These patients shall be stabilized for transfer to an appropriate hospital for the organ donations to be performed.

3. Detailing the types of personnel having responsibilities In Implementing -the procedural aspects of the agreement.

4. Description of procedural steps entailed In Implementing the agreement:

a. Identification of potential donor;

b. request permission of donation of organ(s);

c. documentation of request for consent for the gift of the donor organs;

d. notification of regional center of Impending potential donor transfer by community hospital representatives;

e. community hospital transfer arrangements made;

f. patient transfer;

g. responsibilities of regional hospitals after transfer of patient; and

h. responsibilities of regional hospitals regarding medical examiner cases.

5. Protocol for reimbursement of organ procurement costs

C. Regional Hospital Agreement

The regional hospital agreement shall Include, but not be limited to, the following Items:

1. Statement of purpose;

2. Description of the types of patients covered by the agreement:

a. Individuals who are under treatment at the regional hospital and who subsequently are found to meet medical criteria for brain death and to be potential organ donors;

b. Patients who are received at the regional hospital and In the Judgment of the attending physician are brain dead, but remain potentially viable organ donors; and

c. Patients who are transferred from community hospitals for the purpose of organ donation.

3. Detailing of the types of personnel having responsibilities In Implementing the procedural aspects of the agreement.

4. Description of the procedural steps entailed In Implementing the agreement:

a. Identification of potential donor Including determination of brain death;

b. request permission for donation of organs;

c. documentation of request for consent for the gift of donor organ(s);

d. continuing care protocols of the patient-donor In preparation of procurement attempt;

e. detailing of hospital's responsibilities regarding medical examiner cases;

f. medical protocols relating to procurement of organs; and

g. notification of appropriate Individuals after completion.

5. Protocol for reimbursement of organ procurement costs

Notes

10-144 C.M.R. ch. 52, ch. 2