The nurse is caring for a patient who has been declared brain dead. The patient is considered a potential organ donor. In order to proceed with donation, the nurse understands that:
a. a signed donor card mandates that organs be retrieved in the event of brain death.
b. after brain death has been determined, perfusion and oxygenation of organs is maintained until organs can be removed in the operating room.
c. the healthcare proxy does not need to give consent for the retrieval of organs.
d. once a patient has been established as brain dead, life support is withdrawn and organs are retrieved.
B
After brain death has been determined, the organs must be perfused to maintain viability. Therefore, the patient remains on life support even though he or she is legally dead. A signed donor card indicates the individual's wishes; however, most organ procurement agencies require family consent even if a donor card has been signed. In most states, the healthcare surrogate or proxy is required to give consent for organ donation. After brain death has been determined, perfusion and oxygenation of organs are maintained until organs can be removed in the operating room.
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