Sas0930

Get the patient's family involved, who should be able to request Urine toxicology to check for diversion. Also, as provider you should be able to order Utox.

Thanks for the feedback. However, I had not provided all the necessary details as this has been a struggle for the family, a busy unit and family dynamics, given that the patient has been declared for a few days...Just to clarify, my institution has organ donation coordinators, so providers do not approach families to initiate this sensitive topic. Organ donation is up to the individual's known request (desire) and NOK. We are happy if they chose to proceed and sad if they don't, but not judgmental in the process at all, because we have to respect choices and cultural differences. What was difficult for us 'back and forth' which while understandable meant significant delay. I am now happy to report that the family has re-visited their decision and (all) agreed to proceed with donation, without being coerced to do so by our coordinator/team.

Hi all my fellow NPs, I am new to this site.. so bear with me. Have a patient on my stepdown, who is declared brain dead, now on pressors etc, awaiting family's decision re :donation. As f/u, the liveOn coordinator obtained consents to proceed, only for spouse to pull back because he did not want her tested for infectious diseases and for him to disclose her substance use history, if any. This is sad, even though he was willing to donate just kidneys and liver. Albeit, she is still young and the situation is sad, but the lay public just doesn't get it. Any thoughts.....