Current through Register Vol. 39, No. 6, September 16, 2024
(a) Pre-Donation.
At the time of evaluation by the IDAT, a discussion shall be held between the
IDAT social worker and the potential donor and his or her family or next of kin
to address the following areas:
(1) Living
arrangements after discharge from the surgery or while the donor recuperates
until able to travel;
(2)
Transportation arrangements from the hospital to the donor's accommodations or
back to follow up appointments;
(3)
Caregivers to provide assistance or support upon discharge; if the donor has
children or other dependents, a plan for the children's or dependent's care
while the donor recuperates;
(4)
Financial considerations: Encourage donor to discuss with employer about
medical leave or disability. This discussion shall include checking with health
or life insurance carriers about future "pre-existing conditions" or
"exclusions" that may result from donation;
(5) Provided consent is first obtained,
referrals to other living organ donors from that particular facility and
suggestions from other resources such as publications and websites;
and
(6) Emotional issues
surrounding the organ donation process.
(b) Day of Discharge
(1) A written discharge plan shall be
provided to the donor with the following instructions:
(A) Restrictions on activities;
(B) Permitted activities (i.e. return to
work);
(C) Diet;
(D) Pain medication with
prescription;
(E) Follow up
appointments with surgeon;
(F)
Contact numbers for the Independent Donor Advocate Team should the donor have
questions, concerns or problems; and
(G) Additional instructions for caregivers,
if any.
(2) The
discharge plan shall be reviewed with the donor by the facility discharge
planner or primary care nurse.
(c) Post Discharge medical follow-up, social,
psychological and financial support
(1)
Post-operative visits shall be scheduled by the donor with the surgeon to
assess the following:
(A) Wound
healing;
(B) Signs and symptoms of
infections; and
(C) Laboratory
results as appropriate to the organ type, as well as any imaging or other
diagnostic findings.
(2)
Dictated summaries of surgery and follow-up visits shall be sent to the donor's
primary care physician by the facility to ensure appropriate medical
care.
(3) Referrals shall be made
to community agencies to address the donor's emotional and psychological issues
if needed or requested by the donor, his or her designee, family, next of kin
or the IDAT to;
(A) Provide the donor the
opportunity to participate in a support group; and
(B) Provide the donor recognition as
determined by the facility.
(d) Any questions or concerns regarding the
discharge plan or discharge planning process by the donor, the donor's
designee, the donor's next of kin or legally responsible party shall be
addressed by facility staff.
Authority
G.S.
131E-75;
131E-79;
143B-165;
Eff. April
1, 2006;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. July 22,
2017.
