GUIDANCE
PROACTIVE DETECTION OF DECEASED
ORGAN DONOR
ONLINE APPLICATION
Prepared and revised by :
Date approved:
Date released:
PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Guidance for online application
Proactive Detection of Deceased Organ Donor
Mission
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Implement an effective system for the early detection and follow up of all possible deceased donors
admitted to donor hospitals that may eventually become eligible deceased donors or even utilized
deceased donors.
Development of an effective mechanism for application of that proactive detection and management of
deceased organ donors based on directory of regulation of organ donation & transplantation in kingdom
of Saudi Arabia & Saudi national protocol for diagnosis of death by neurological criteria
Application of quality assurance system and ensuring quality assessment and performance improvement
of the proactive detection of deceased organ donors program in kingdom of Saudi Arabia through
regular assessment of the benchmark or level of acceptable performance.
About the Application
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Crucial tool for online proactive detection and management of deceased organ donors which allow
considerable data base collection for each deceased donor detected from each Donor Hospital
concerned by the program.
This data base will be recorded, archived and analyzed retrospectively under complete security and
confidentiality creating a data base registry which allows auditing and detecting areas of improvement.
This data base registry can be used to provide an online dashboard of 3 levels for the executive Users,
regional Users and hospital users.
The application consists of 4 stages representing the critical pathway for deceased organ donation
Possible DBD →potential DBD →Eligible DBD →Actual DBD →Utilized DBD
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Proceeding throughout the whole cascade of the critical pathway by completing these stages will figure
out areas for improvement where each stage has a defined target or benchmark through measurable
objectives.
Reasons of not proceeding throughout the cascade of critical pathway has to be mentioned honestly for
establishing quality assessment and performance improvement of the proactive detection of deceased
organ donor application
PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
The application work flow
Proactive detection of deceased organ donor online application consists of 6 main pages:
Log in
Potential deceased donor
Home
Eligible deceased donor
Possible deceased donor
Actual deceased donor
LOG IN PAGE
General Guidance:
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Proactive detection of deceased organ donor online application provides 3 levels of users (national,
regional, hospital). Each will have a User name and Password to access the online application.
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The national level users will have access to all possible deceased organ donors detected through the
application in the whole kingdom.
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The national level users will include SCOT General Director, Medical Director, Head of medical
coordination, All SCOT Medical & Administrative Coordinators. Each will have a User name and Password
to access the online application.
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The regional level users will have access only to all possible deceased organ donors detected through the
application only in their region.
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The regional level users will include RCO Director, Head of medical coordination, All RCO Medical &
Administrative Coordinators. Each will have a User name and Password to access the online application.
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The hospital level users will have access only to all possible deceased organ donors detected through the
application only in their hospitals.
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The hospital level users will include Head of ICU, H-DMC or any other delegated ICU staff.
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Each hospital will be provided with single private user name & Password for accessing the application
ensuring complete security and confidentiality of the data recorded by the hospital user
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Specific Guidance:
The log in page include
1.
2.
3.
4.
5.
6.
The user name box
Password box
Link for can’t access account
Link for the online application guidance
Link for critical pathways for deceased organ donation
Contact information
You can enter this page by visiting www……………..com.sa\.........
You can access the application from your desktop, laptop or any smart device (I pad, tablet, smart
phone)
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
HOME PAGE
General Guidance:
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The Home page for Proactive detection of deceased organ donor online application will give you 3 choices
(New case, Active case, previous case).
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New case defined as new Record of proactively detected possible deceased organ donor.
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Active case defined as currently existing deceased organ donor who is still on mechanical ventilation. (No
matter which stage in the application workflow).
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Previous case defined as deceased organ donor (No matter which stage in the application workflow) who
is either
 Recovered for purpose of organ transplantation or
 Failed resuscitation after cardiopulmonary arrest.
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By taking the choice of new case, you will be directed to the 1st stage in the Proactive detection of
deceased organ donor online application (possible deceased organ donor).
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By taking the choice of active or previous case, you will be directed to search screen which allow you to
customize your search according to the search tools available with options for combined search (you can
search by two or more search tools) e.g. search for possible donors with age 47 and Saudi nationality
named Mohamed.
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The search tool will allow to search according to your user level e.g. hospital level user will search possible
donors only in his hospital.
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The search results contain information about Donor’s informations (name - age – nationality - medical
record number - date of reporting), Hospital Name as well as 4 stages of the online application.
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This search results can also be more sorted or filtered by using the tools in the search result tables.
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You can access the specified donor record and you will be directed to the specified stage to show the data.
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You can log out from the online application by choosing the log out option at right top of the home page
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Specific guidance
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The Home page for Proactive detection of deceased organ donor online application will give you 3 choices:
1. New case :
 Take this choice when you want to report and notify about a new possible deceased organ
donor in your hospital.
 By taking this choice, you will be directed to the 1st stage in the Proactive detection of deceased
organ donor online application (possible deceased organ donor).
2. Active case:
 Take this choice when you want to access already existing possible deceased organ donors who
are still on mechanical ventilation according to your user level e.g. hospital level users can only
access possible donors in their hospital.
 By taking this choice, you will be directed to search screen which allow you to customize your
search according to the search tools available with options for combined search.
 Once the search result appears, you can access the specified donor record and you will be
directed to the specified stage to follow and complete the data.
3. Previous case :
 Take this choice when you want to access deceased organ donors as mentioned above and
according to your user level e.g. hospital level users can only access deceased donors in their
hospital.
 By taking this choice, you will be directed to search screen which allow you to customize your
search according to the search tools available with options for combined search.
 Once the search result appears, you can access the specified donor record and you will be
directed to the specified stage to show the data.
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Search Tools
The search screen contains search tools which allow you to customize your search according to the search tools
available with options for combined search (you can search by two or more search tools) e.g. search for possible
donors with age 47 and Saudi nationality named Mohamed.
The search tool will allow to search according to your user level e.g. hospital level users can only search possible
donors in their hospital.
Search Result table
The search results contain information about Donor’s information (Name - Age – Nationality - Medical Record
Number - date of reporting), Hospital Name as well as 4 stages of the online application.
This search results can also be more sorted or filtered by using the tools in each tab of the search result table.
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Possible Deceased organ Donor page
General Guidance:
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This page represents the initial step in application of the critical pathway for deceased donation
Possible Deceased organ Donor: A patient with a devastating brain injury or lesion or patient with
circulatory failure and apparently medically suitable for organ donation.
This page includes the following data:
 Hospital information
 Possible deceased organ donor information
 Possible deceased organ donor recognition criteria
 Cause of death
 Past medical history
 Sudden cardiac arrest
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It is the responsibility of the Hospital Donor Medical Coordinator (H-DMC) or any delegated ICU
staff to complete this page within the appropriate time frame i.e. as soon as a possible deceased
donor is detected and this can be done during routine daily rounds or any other time during the
day.
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Completion of this page means fulfilling the definition of possible deceased organ donor
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Possible deceased organ donor recognition criteria and field with asterisks (*) has to be fulfilled in
order to proceed to next step
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Proceeding to next page will trigger the 1st notification sms alert
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The 1ST notification sms alert means fulfilling possible deceased donor definition and transition to
potential deceased donor with consequent responsibilities to the concerned parties.
The 1st notification sms alert will be sent to:
1. Regional Coordination Office Medical and Administrative Coordinator (RCO- DMC/ DAC):
to head over to the hospital and follow up the donor with the H-DMC & ICU Staff then
relying information to SCOT Medical and Administrative coordinators ( SCOT-DMC / DAC ).
2. SCOT-DMC/DAC: to follow up with RCO –DMC & H-DMC.
3. Application auditing committee.
Reasons of not proceeding throughout steps of this page has to be mentioned honestly for establishing
quality assessment and performance improvement of the proactive detection of deceased organ donor
application
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Specific Guidance:
The possible deceased organ donor
page will show 6 tabs:
1. The hospital information:
 Hospital name and reporting date will be automatically generated by the system according to
the user level and the default date of entry
 Hospital Department will be down list with capability to choose others if not in options listed
then to specify which department
 Other information such as ICU Bed, Treating Physician and telephone numbers will be manually
entered by the user.
2. Possible deceased organ donor information:
 Nationality will be down list with capability to choose others if not in options listed then to
specify which nationality.
 Blood group and Gender will be down list
 Dates like birth date, date of admission and date of ventilation will be down listed calendar box
which will allow you to choose the requested date.
 Other information such as Name, ID, Age in months or years, weight and height will be manually
entered by the user
.
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
3. Cause of death
 Cause, mechanism and circumstances of death will be down list with capability to choose others if not
in options listed then to specify the exact Cause, mechanism and circumstances of death
consecutively.
4. Possible Deceased Organ Donor Recognition Criteria
 All the criteria has to be entered by user
 The status will be automatically generated by the system (no Entry from the user)
5. Past medical history
 All fields has to be entered by the user
6. Sudden cardiac arrest
 All fields has to be entered by the user
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Potential donor after brain death (Potential DBD)
General Guidance:
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This page represents the 2nd step in application of the critical pathway for deceased donation
Potential DBD Donor: A person whose clinical condition is suspected to fulfill brain death criteria.
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This page includes the following data:
 First clinical examination for diagnosis of death by neurological criteria.
 Confirmatory tests for diagnosis of death by neurological criteria.
 Second clinical examination for diagnosis of death by neurological criteria.
 SCOT flow chart.
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It is the responsibility of the H-DMC or any delegated ICU staff to complete this page within the
appropriate time frame and this can be done during routine daily rounds or any other time during
the day (completing diagnosis of death by neurological criteria according to Saudi national
protocol) with optional choice to complete SCOT flow chart and shared responsibility with RCODMC to complete this chart.
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Completion of this page means fulfilling the definition of potential DBD donor.
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First clinical examination step has to be completed in order to proceed to the confirmatory tests
then positive result of any of the confirmatory ( consistent with brain death diagnosis ) has to be in
order to proceed to the 2nd clinical examination then completed 2nd clinical examination is
mandatory to proceed to Apnea test.
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Finally, Positive Apnea test (consistent with brain death diagnosis) is mandatory in order to proceed
to next step
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Proceeding to next page will trigger the 2st notification sms alert
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The 2nd notification sms alert means fulfilling potential deceased donor definition and transition to
eligible deceased donor with consequent responsibilities to the concerned parties.
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The 2nd notification sms alert will be sent to:
1. RCO- DMC/ DAC: to head over to the hospital and follow up the donor with the H-DMC
& ICU Staff then relying information to SCOT-DMC / DAC
2. SCOT- DMC / DAC : to follow up with RCO-DMC/DAC & H-DMC
3. Application auditing committee.
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Reasons of not proceeding throughout steps of this page has to be mentioned honestly for
establishing quality assessment and performance improvement of the proactive detection of
deceased organ donor application
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Specific Guidance:
The potential deceased organ donor
page will show 4 tabs:
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1. First clinical examination:
 The user will define if the first clinical examination is done or not done.
 If done 1st clinical exam then user has to fill date and time when it was performed
 Signed by box (A) has to be filled by typing the name of physicians who perform the 1st clinical exam.
 Specialty box (B) be down list with capability to choose others if not in options listed then to specify
the exact specialty.
 Option to upload and download (C) the 1st exam picture captured or file saved on your device is
available.
 Link to 1st clinical exam PDF form is also available (D) for reference and download if needed.
 IF 1ST Exam not done then user has to mention honestly the reason for not performing the 1 st clinical
exam for establishing quality assessment and performance improvement.
D
A
B
C
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2. Confirmatory test :
 The user will choose which confirmatory test then define if done or not done.
 If done any of the confirmatory test
- User has to fill Date and time when it was performed.
- User has to fill Read by box (E) by typing name of the physician who made the result report
- User has to define the confirmatory test result (F) which is down list.
 IF any of the confirmatory tests not done then user has to mention honestly the reason for not
performing the confirmatory tests for establishing quality assessment and performance
improvement.
 Option to upload and download (G) the confirmatory test result picture captured or file saved on
your device is available.
 Link to EEG Guidelines (PDF) is also available (H) for reference and download if needed.
PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
H
E
F
G
3. Second clinical examination:
 The user will define if the 2nd clinical examination is done or not done.
 If done 2nd clinical exam then user has to fill date and time when it was performed
 IF 2nd Exam was not done then user has to mention honestly the reason for not performing the
2nd clinical exam for establishing quality assessment and performance improvement.
 The user will define if the Apnea test is done or not done.
 If done Apnea test then user has to define the Apnea test result (I) which is down list with either
positive result (consistent with brain death) or Negative result (inconsistent with brain death).
 If positive apnea test, the user has to fill date and time when it was performed.
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IF 2nd Exam or Apnea test not done then user has to mention honestly the reason for not
performing the 2nd clinical exam for establishing quality assessment and performance
improvement.
Option to upload and download (J) the 2nd exam picture captured or file saved on your device is
available.
Link to 2nd clinical exam PDF form is also available (K) for reference and download if needed.
J
I
K
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
4. SCOT flowchart:
 This includes data on vital signs, laboratory, serology and IV Fluid.
 The user will fill up data on admission and follow up data.
 Follow up date will be filled every time you enter the SCOT flow chart and
all the record will be saved in the system data base as long as donor still in
this stage.
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Eligible donor after brain death ( Eligible DBD )
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This page represents the 3rd step in application of the critical pathway for deceased donation
Eligible DBD Donor: A medically suitable person who has been declared dead based on the
neurologic criteria as stipulated by the law of the relevant jurisdiction.
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This page includes the following data:
 Medical suitability for the donor.
 Breaking bad news.
 Notification to RCO.
 SCOT flow chart.
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It is the responsibility of the H-DMC or any delegated ICU staff to complete this page within the
appropriate time frame and this can be done during routine daily rounds or any other time during
the day (ensure breaking bad news to family members and complete understanding of the concept
of brain death) with optional choice to complete SCOT flow chart and shared responsibility with
RCO-DMC to complete this chart. With Regards to Medical suitability, it will be determined after
consultation with SCOT – DMC.
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Completion of this page means fulfilling the definition of Eligible DBD.
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Breaking bad news to family members is mandatory in order to proceed to next step.
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Proceeding to next page will trigger the 3rd notification sms alert.
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The 3rd notification sms alert means fulfilling eligible deceased donor definition and transition to
Actual deceased donor with consequent responsibilities to the concerned parties.
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The 3rd notification sms alert will be sent to:
1. RCO- DMC/ DAC: to head over to the hospital and follow up the donor with the H-DMC
& ICU Staff then relying information to SCOT-DMC / DAC.
2. SCOT- DMC / DAC: to follow up with RCO-DMC/DAC & H-DMC.
3. Application auditing committee.
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Reasons of not proceeding throughout steps of this page has to be mentioned honestly for
establishing quality assessment and performance improvement of the proactive detection of
deceased organ donor application
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Specific Guidance:
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The Eligible deceased organ donor
page will show 4 tabs:
The declaration of death and date of
declaration will be automatically
generated by system.
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4
2
3
1. Medical suitability for the donor :
 The user will optionally define if the donor is suitable or not suitable after consultation with
SCOT-DMC
 If not suitable then user has to fill reason for non suitability for donation.
2. Breaking Bad News :
 The user will define if the family of deceased is informed about death of their relative or not.
 If yes ( family informed about death of their relative) then
- User has to fill date and time when informed.
- User has to fill the Conveyed by box (A) by typing name of the physician who conveyed
the message to the family.
 If No (family not informed about death of their relative) then user has to mention honestly the
reason for not informing the family for establishing quality assessment and performance
improvement.
A
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3. Notification to RCO/SCOT :
 The user will define if notification to RCO/SCOT DMC done or not.
 If yes (RCO/SCOT-DMC notified about deceased donor status) then
- User has to fill date and time when notified.
- User has to fill the Name of RCO/SCOT-DMC who has been notified.
 If No (RCO/SCOT-DMC not notified about deceased donor status) then user has to mention
honestly the reason for not notifying for establishing quality assessment and performance
improvement.
PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
4. SCOT flowchart:
 This includes data on vital signs, laboratory, serology and IV Fluid.
 The user will fill follow up data.
 Follow up data will be filled every time you enter the SCOT flow chart and
all the record will be saved in the system data base as long as donor still in
this stage.
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Actual donor after brain death ( Actual DBD )
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This page represents the 4th step in application of the critical pathway for deceased donation
Actual DBD Donor: A consented eligible DBD or DCD donor
• In whom an operative incision was made with the intent of organ recovery for the
purpose of transplantation or
• From whom at least one organ was recovered for the purpose of transplantation
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This page includes the following data:
 Family Approach.
 Recovery procedure.
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It is the responsibility of the H-DMC or any delegated ICU staff to complete this page within the
appropriate time frame and this can be done during routine daily rounds or any other time during
the day with shared responsibility with RCO-DMC and SCOT-DMC to complete the Recovery
procedure step.
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Completion of this page means fulfilling the definition of Actual DBD.
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Family Approach step has to be completed with presence of written consent in order to proceed to
Recovery procedure step.
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Presence of written consent will trigger the 4th notification sms alert.
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The 4th notification sms alert means presence of consented eligible donor with consequent
responsibilities to the concerned parties to facilitate the recovery procedure of organs for purpose
of organ donation.
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The 4th notification sms alert will be sent to:
1. RCO- DMC/ DAC: to head over to the hospital and follow up the donor with the H-DMC &
ICU Staff in addition to coordination with SCOT-DMC to facilitate for the recovery
procedure of organs for purpose of organ donation.
2. SCOT - DMC: to follow up with RCO-DMC & H-DMC as well as coordinate with transplant
centers for allocation of donated organs and follow the organ allocation plan.
3. SCOT - DAC: to follow up with RCO-DAC & SCOT-DMC to facilitate all logistics and
administrative issues which may hinder recovery procedure of donated organs.
4. Application auditing committee.
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Reasons of not proceeding throughout steps of this page has to be mentioned honestly for
establishing quality assessment and performance improvement of the proactive detection of
deceased organ donor application
PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Specific Guidance:
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The Actual deceased organ
donor page will show 2 tabs:
1
2
1. Family Approach :
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The user will define if the family is approached for organ donation or not.
If done ( family approached for organ donation) then
- User has to fill date and time when informed.
- User has to fill the Name of RCO/SCOT-DAC who has approached the family.
- User has to fill the family approach result box (A) which will be down list with either
consent ( family agree for donation) or Refusal ( family disagree with donation)
If the family approach result is consent then user has to define whether a written consent is
available or not
Option to upload and download (B) the consent captured or file saved on your device is
available.
Link to Family Approach PDF form is also available (C) for reference and download if needed.
If neither done family approach nor written consent obtained then user has to mention honestly
the reason for that in order to establish quality assessment and performance improvement.
C
A
B
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
2. Recovery Procedure : (this step will be determined after consultation with SCOT)
 The user will define if the operation room is booked or not.
 If done ( OR Booked) then
- User has to fill date and time when booked.
- Define from the two options provided either operative incision was made with the intent
of organ recovery for the purpose of transplantation or at least one organ was recovered
for the purpose of transplantation
- If Yes any of the two the above mentioned options then details has to be filled
consecutively
- If neither OR booked nor any of the two options selected then user has to mention
honestly the reason for that in order to establish quality assessment and performance
improvement.
Once this step has fulfilled the case will be closed ????????????
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Glossary
Critical Pathways for deceased organ donation*:
A Systematic approach to the organ donation process, considering both donations after cardiac death
than donation after brain death. The pathway provides a tool for assessing the potential of deceased
donation and for the prospective identification and referral of possible deceased donors. “Directory of
regulation of organ transplantation in Saudi Arabia 2014: page 123”.
* Transplant International?2011 European Society for Organ Transplantation 24 (2011) 373?378
New Case:
New Record of proactively detected possible deceased organ donor
Active Case:
A Currently existing deceased organ donor who is still on mechanical ventilation. (No matter which
stage in the application workflow)
Previous Case:
A Deceased organ donor (No matter which stage in the application workflow) either
 Recovered for purpose of organ transplantation or
 Failed resuscitation after cardiopulmonary arrest.
Possible Deceased Organ Donor:
A patient with a devastating brain injury or lesion or patient with circulatory failure and apparently
medically suitable for organ donation
Potential Donation after Brain Death Donor (Potential DBD Donor):
A person whose clinical condition is suspected to fulfill brain death criteria
Eligible Donation after Brain Death Donor (Eligible DBD Donor):
A medically suitable person who has been declared dead based on the neurologic criteria as stipulated
by the law of the relevant jurisdiction.
Actual Donation after Brain Death Donor (Actual DBD Donor):
A consented eligible DBD or DCD donor
• In whom an operative incision was made with the intent of organ recovery for the purpose of
transplantation or
• From whom at least one organ was recovered for the purpose of transplantation
Utilized Donation after Brain Death Donor (Utilized DBD Donor):
An actual donor from whom at least one organ was transplanted
DBD: Donation after brain death
DCD: Donation after circulatory death
SCOT: Saudi Center for Organ Transplantation
(For roles & responsibilities please refer to. “Directory of regulation of organ transplantation in Saudi Arabia 2014: page ???”.
SCOT-DMC: SCOT Donor Medical Coordinator
(For roles & responsibilities please refer to. “Directory of regulation of organ transplantation in Saudi Arabia 2014: page ???”.
SCOT-DAC: SCOT Donor Administrative Coordinator
(For roles & responsibilities please refer to. “Directory of regulation of organ transplantation in Saudi Arabia 2014: page ???”.
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
RCO: Regional Coordinating Office
(For roles & responsibilities please refer to. “Directory of regulation of organ transplantation in Saudi Arabia 2014: page ???”.
RCO-DMC: RCO Donor Medical Coordinator
(For roles & responsibilities please refer to. “Directory of regulation of organ transplantation in Saudi Arabia 2014: page ???”.
RCO-DAC: RCO Donor Administrative Coordinator
(For roles & responsibilities please refer to. “Directory of regulation of organ transplantation in Saudi Arabia 2014: page ???”.
H-DMC: Hospital Donor Medical Coordinator
(For roles & responsibilities please refer to. “Directory of regulation of organ transplantation in Saudi Arabia 2014: page ???”.
And standards of practice for hospital donor medical coordinator (H-DMC)
H-DAC: Hospital Donor Administrative Coordinator
(For roles & responsibilities please refer to. “Directory of regulation of organ transplantation in Saudi Arabia 2014: page ???”.
ICU: Intensive Care Unit
A Special department of a hospital or health care facility that provides intensive care medicine.
DELEGATED ICU STAFF:
1ST Notification SMS Alert:
A short message that will be triggered by fulfilled possible donor recognition criteria indicating fulfilling
possible deceased donor definition and transition to potential deceased donor with consequent
responsibilities to the concerned parties.
nd
2 Notification SMS Alert:
A short message that will be triggered by positive Apnea test (consistent with brain death diagnosis)
indicating fulfilling potential deceased donor definition and transition to Eligible deceased donor with
consequent responsibilities to the concerned parties.
rd
3 Notification SMS Alert:
A short message that will be triggered by breaking bad news to family members indicating fulfilling
Eligible deceased donor definition and transition to Actual deceased donor with consequent
responsibilities to the concerned parties.
th
4 Notification SMS Alert:
A short message that will be triggered by presence of a written consent for organ donation from next of
kin indicating consequent responsibilities to the concerned parties to facilitate the recovery procedure
of organs for purpose of organ donation.
MRN: Medical Record Number
A unique number for each hospital admission that identifies all medical records of that admitted person.
It represents a critical link between a donor and the donor’s medical records
EEG: Electroencephalography
Electrophysiological monitoring method to record electrical activity of the brain. It is typically
noninvasive, with the electrodes placed along the scalp, although invasive electrodes are sometimes
used in specific applications. it refers to the recording of the brain's spontaneous electrical activity over
a period of time as recorded from multiple electrodes placed on the scalp
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
C.Angi: Computed Tamography Angiography of the cerebral circulation
Computed tomography technique used to visualize arterial and venous vessels throughout the brain.
SCOT Flow Chart:
Family Approach:
Request for organ/tissue donation from donor‘s decision maker (next of kin) after ascertaining clear
understanding of the concept of brain death ,the issue of organ donation and transplantation,
implications, and future consequences of their decision.
Consent:
Legal Permission given by a donor‘s decision maker (next of kin) who has a clear appreciation and
understanding of the issue of organ donation and transplantation, implications, and future
consequences of giving this permission.
Written Consent:
Legal Permission given by a donor‘s decision maker ( next of kin ) who has a clear appreciation and
understanding of the issue of organ donation and transplantation, implications, and future
consequences of giving this permission in addition to providing written evidence of their agreement by
signing a legally approved consent form.
Recovery Procedure:
The procedure of removing organs, tissues, or cells from a consented eligible donor for purpose of
transplantation.
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
ROLES & RESPONSIBILITIES
Saudi Center for Organ Transplantation (SCOT):
SCOT-DMC: SCOT Donor Medical Coordinator
SCOT-DAC: SCOT Donor Administrative Coordinator
Regional Coordinating Office (RCO):
Hospital Donor Medical Coordinator (H-DMC):
Hospital Donor Administrative Coordinator (H-DAC):
RCO: Regional Coordinating Office
RCO-DMC: RCO Donor Medical Coordinator
RCO-DAC: RCO Donor Administrative Coordinator
H-DMC: Hospital Donor Medical Coordinator
H-DAC: Hospital Donor Administrative Coordinator
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PROACTIVE DETECTION OF DECEASED ORGAN DONOR
MAXIMIZING COOPERATION BETWEEN SAUDI CENTER FOR ORGAN TRANSPLANTATION AND INTENSIVE CARE UNITS (MCIS)
Follow-up registry: A repository of data collected from organ donors and/or transplant recipients for the
purpose of outcome assessment, quality assurance, healthcare organization, research and monitoring
ICU: Hospital area with personnel specialized in the management of life-threatening conditions, where patients
may be mechanically ventilated and the nurse/patient ratio is at least 1:3.
Informed (explicit) consent: Legally valid permission for the removal of organs for transplantation based on a
person's voluntary agreement. Otherwise known as “opting in”
Institutional documentation: Set of written documents on policies, procedures and protocols governing hospital
operation.
Donation Medical Coordinator (DMC): ICU Physician responsible for donation process at a hospital level
Medical record: Documentation of a single patient's medical history and care over time. It includes anamnesis,
physical examination, therapies, diagnostic test results, evolution and reports
Organ Allocation: Assignment of an organ to a transplant candidate based on a set of rules
IBD-Four: A patient with a devastating brain injury or lesion with GCS of 4 or less on off sedation
Procedure: Specific sequence of steps to be followed in establishing a certain course of action in order to always
obtain the same result under the same circumstances
Procurement: The process that includes donor identification, donor evaluation, obtaining consent for donation,
donor maintenance and retrieval of organs
Protocol: Document based on scientific evidence aiming at guiding decisions and criteria on diagnosis,
management, and treatment in specific healthcare areas. Otherwise known as Guideline
Recipient: The human being into whom an allogeneic organ is transplanted
Retrieval team: Surgical team in charge of the retrieval of a specific organ from a donor
Traceability : The ability of an authorized organization to identify and locate all organs from all specific donors at
any given time after donation, linked to all specific recipients, and vice versa from recipients to donors
1.0
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