donation_after_cardiac_death_2006_09

donation_after_cardiac_death_2006_09 - Not for reproduction...

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Donation after Cardiac Death A report from the Subcommittee on Donation after Cardiac Death Of the Bioethics Committee Contra Costa Regional Medical Center & Clinics Submitted to the Medical Executive Committee and the Executive Director of the Hospital and Clinics September 2006 Not for reproduction or publication. PLEASE NOTE: This report is for discussion purposes only. The matter of organ donation after cardiac death is currently under consideration at CCRMC. No decision on policy has been made. The Bioethics Committee and its subcommittees are advisory only. -- January 2007
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i This document reports the findings and recommendations of the ad hoc Subcommittee only. This Subcommittee is strictly advisory. The content of this document does not represent the opinions or policy of Contra Costa Regional Medical Center, its Medical Staff, Administration, or governing Board. Not for reproduction or publication.
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ii Members of the ad hoc Subcommittee on Donation after Cardiac Death Jon Stanger, MD, MDiv, MHS ( Chair ), Chairperson, Bioethics Committee Mitch Applegate, MD, Medical Director, Critical Care Services Roger Barrow, MD, Family Physician and Internal Medicine Registrar Beth Bautista, RN, Nurse Program Manager, Critical Care Services Carolyn Billings, RN, Nurse Program Manager, Operating Room and Post-Anesthesia Vickie Dawes,* JD, Deputy County Counsel Julie Kelley, MSW, MPH, Director of Medical Social Services, Hospital & Clinics Cynthia Miller, Community Representative, Bioethics Committee Mary Murphy, RN, Bed Control, CCRMC William Serbin, MD, Department of Psychiatry Mark Vukalcik, MD, Department of Anesthesia Mark Wille, MD, Department of Internal Medicine * Ms. Dawes was unable to participate in the later stages of our process, including final deliberations.
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iii Contents EXECUTIVE SUMMARY ………………………………………………………………………1 INTRODUCTION ………………………………………………………………………………5 Subcommittee Membership, 6 Subcommittee Process, 6 DISCOVERY ……………………………………………………………………………………8 The History of DCD, 8 The DCD Procedure, 12 Ethical Arguments in Support of DCD, 14 Ethical Arguments in Opposition to DCD, 16 DELIBERATIONS ………………………………………………………………………………24 Exploring a Permissive Policy, 24 Exploring a Policy of Non-Participation, 25 CONCLUSIONS …………………………………………………………………………………27 RECOMMENDATIONS ………………………………………………………………………30 APPENDICES A Acronyms, I B Glossary, II
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1 Executive Summary A little more than one year ago, CCRMC performed its first case of organ donation after cardiac death (DCD). A disturbed young man tried to hang himself in his jail cell. He did not die, but was admitted to the ICU with severe anoxic brain injury. Ten days later, and with the consent of his
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donation_after_cardiac_death_2006_09 - Not for reproduction...

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