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Explanation of donation form
Why is it important to fill out this form? By completing the donation form, the medical professional becomes more aware of the possibility of donation for every deceased person. In addition, this gives the NTS better insight into the donor potential.
How do you fill out the donation form?
- Identification / patient sticker: serves to identify the deceased and potential donor. Is the requested information not on it? Then use an addressograph plate or patient sticker.
- Donor recognition by the physician.
- The cause of death may be a contraindication to donation. If the cause of death is unknown, consult the organ center of the NTS (071 5 795 795).
- In your opinion, is the deceased medically suitable for organ donation? Only the preprinted options are absolute contraindications for organ donation. If there are no absolute contraindications and circulation is still intact, consult the organ center of the NTS (071 5 795 795) or the on-duty organ donation coordinator.
- In your opinion, is the deceased medically suitable for tissue donation? The preprinted options are the most common absolute contraindications for tissue donation. In case of doubt, consult the organ center of the NTS (071 579 57 95).
Wishes of the deceased regarding donation
- The Organ Donation Act obligates the medical professional in the hospital to always consult the Donor Register in the event of a poor prognosis or after death, if the patient is potentially suitable as a donor.
- If there is a 'personal declaration' such as a donor card or other expression of will, these declarations must be compared. The new Wod (Articles 20, paragraphs 3 and 4) stipulates that • if the outcome in the Donor Register is 'consent or no objection', the personal declaration always applies (instead of the registration in the Donor Register). • for all other outcomes from the Donor Register, the most recent declaration applies. For this, we ask you to note the date of the other declaration.
Donation conversation
The will of the potential donor is always leading. Depending on the will registered in the Donor Register, follow-up steps must be taken. If the Donor Register outcome for a competent patient is:
- Consent or no objection → inform next of kin that donation is taking place. Note: in the case of a 'consent' or 'no objection' registration, relatives1 have the opportunity to make it plausible that the registration or donation was against the patient's wishes.
- Partner or family decides or designated person decides → ask for consent from partner, family (next of kin up to the 2nd degree) or designated person.
- No → inform next of kin that no donation will take place. If a departure from the patient's will occurs, note the reason for this. NB: one cannot depart from a 'no consent' registration. If the patient is incompetent, go to www.donatiegesprek.nl for more information about the meaning of the will and with whom you should conduct the donation conversation.
Registering a donor with the NTS
If the deceased has not been registered as a donor with the Organ Center of the NTS (071 5 795 795), please state the reason why. In the event of an unnatural death, the body must first be released before procurement can take place. You can coordinate this with the organ center of the NTS (071 5 795 795).
Signature
Sign the form and send it with the deceased to the mortuary so that it reaches the donation coordinator. Filling out the donation form is mandatory for every deceased person within a hospital pursuant to the Organ Donation Act (WOD) Article 20, paragraph 5.