9. Uluslararası Hasta ve Çalışan Hakları Kongresi, Turkey, 8 - 11 November 2017
Donor care is management of the brain dead cadaver, with a focus on optimizing the preservation of donor organs and the transfer of those organs to transplant candidates in other care facilities.
Managing the organ donor following determination of brain death is multifaceted and involves a comprehensive system for medical care of the donor, which may include administering appropriate medications to maintain basic body and organ functions and monitoring physiologic values like oxygen, hormone, and electrolyte levels in the blood. After confirmation of brain death, the donor is declared by the organ transplant coordinator and intensive care physicians after approval from the family. In this process, the nursing team gives care to the donation and the family in the respect and human rights approach, especially since it is the group close to the patient's family. So, The 100 s rule that involves partial arterial oxygen pressure (PaO2 : 100 mmHg), Blood Pressure (100 mmHg), urinary output (100 ml/hr) and Hemoglobin level (100 g/L) is very important for donor care. Proper management of the organ donor is extremely important to ensure that organs are preserved and protected prior to harvesting and to optimize the number and quality of organs and tissues available for transplantation. Therefore, nursing care includes maintaining body temperature on 36°C, preventing infection and pulmonary complications, protecting the integrity of skin and to provide nutrition. Also, nurse plays an important role in communicating with donorfamily.
As a result of, standardized and systematic nursing care improves the quality of donor organs and transplanted organs.