Code of Maine Rules
10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES
144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL
Chapter 52 - REGULATIONS GOVERNING THE RESPONSIBILITIES OF HOSPITALS AND PHYSICIANS IN IMPLEMENTING AN ACT CONCERNING REQUIRED REQUEST FOR ORGAN DONATION
Appendix 144-52-C

Universal Citation: 10 ME Code Rules ยง 144-52-C

Current through 2024-38, September 18, 2024

MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES

REQUESTS FOR ANATOMICAL GIFTS - ANNUAL REPORT*

Completion of the following questions fulfills your facilities requirement to report data on the number of requests for organ donations made by your facility annually under Public Law, Chapter 574.

1. Please report the number of requests and the number of consents obtained by your facility for anatomical donations during your reporting period pursuant to Public Law, Chapter 574.

a. ________ # of requests.

b. ________ # of patients for whom consent was granted.

IF YOUR FACILITY DID NOT PROCURE ORGANS DURING THE PAST YEAR, YOU HAVE COMPLETED THE REPORTING REQUIREMENTS UNDER PUBLIC LAW, CHAPTER 574. IF YOUR FACILITY PROCURED ORGANS DURING THE PAST YEAR, PLEASE CONTINUE.

2. As a result of the requests made for anatomical gifts:

a. how many donors provided an anatomical gift"___________

b. how many organs and what type of organs were procured"

Type of OrgansNumber of Organs Type of Organ Number of Organs Type of Organs Number of Organs
_ kidney ______ _ heart _____ _ heart/lung _____
_ liver ______ _ cornea _____ _ pancreas _____
_ bone marrow_____ _ skin _____ _ blood _____
_ bone _____ _ other (specify)__________ _____

THANK YOU FOR YOUR COOPERATION

If you have any questions concerning this survey, please contact: Deborah Smiley at 287-3001

*These questions will be added to the Department's annual American Hospital Association Survey Supplement.

Disclaimer: These regulations may not be the most recent version. Maine may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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