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By Rainich G. Y.

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Nine percent had no policy.

Transplant coordination at the recipient center The transplant coordinator at the recipient center organizes the retrieval team (who will travel to the donor center usually with a member of the local donor procurement agency), and the necessary equipment (Table 2). The most expedient transportation (road transport for short range, helicopter for medium range, and private jet for longer distances) is organized. If the potential recipient is not an inpatient he (or she) is notified, arrangements are made to transport him to the hospital, and he is prepared for surgery, which will include any necessary preoperative laboratory tests.

Various personnel may be involved in the request for donation. At some centers it is a member of the nursing staff, at others a physician, a hospital chaplain, or an organ donor coordinator. The success of this policy of required request varies greatly from center to center. The system of family consent for donation from brain-dead, heart-beating cadavers does not result in donation of all of the organs that are medically acceptable for transplantation. It is likely that more hearts and lungs could be retrieved if the need for family consent were modified or even eliminated.

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