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Designated Requestor Policy (1.11)

Designated Requestor Policy (1.11) - Policies, Administrative, UWHC, Department Specific, UW Organ and Tissue Donation

1.11


POLICY
Established Date: May 2008
Effective Date: January 2018
Title: Designated Requestor Policy Policy Number: 1.11

Electronically Approved By: Michael E. Anderson, PA-C Anthony M. D’Alessandro, M.D.
Executive Director Medical Director


Page 1 of 2
PURPOSE

The purpose of this policy is to outline the process for training and using designated requestors in the
University of Wisconsin Organ and Tissue Donation (UW OTD) donation service area (DSA). UW OTD will
train designated requestors using national best practices. The training and use of designated requestors will
comply with all applicable regulations and requirements.

DEFINITION

“Designated Requestor” or “Certified Designated Requestor”: An individual who has completed training in
the methodology of offering the legal next of kin (LNOK) of a patient the opportunity of donation or
informing families of a patient’s first person authorization for donation during the donation consent
process.

POLICY

UW OTD Staff Training
A. UW OTD staff will provide 24/7 designated requestor coverage for all hospitals in the DSA.
B. UW OTD staff will either attend the same designated requestor training sessions offered to
hospital staff or may receive staff-specific training offered only to UW OTD staff.
C. Not all UW OTD staff members are required to complete designated requestor training (i.e.,
administrative support staff). This determination will be made on an individual basis by UW
OTD leadership.
D. UW OTD staff that are required or elect to be a designated requestor will complete training.
1. The training content and delivery method will be determined by UW OTD leadership
annually.
2. Initial training may be completed through new employee orientation.
3. Completion of training will be documented in each staff member’s training record.

Hospital Staff Training
E. Hospital staff may complete designated requestor training.
F. Tissue and eye banks in the UW OTD DSA will be offered an opportunity to collaborate with UW
OTD to create training materials and deliver training sessions.
G. Hospital staff who would like to be a certified designated requestor will attend an initial training
session offered by UW OTD.


POLICY
Established Date: May 2008
Effective Date: January 2018
Title: Designated Requestor Policy Policy Number: 1.11

Electronically Approved By: Michael E. Anderson, PA-C Anthony M. D’Alessandro, M.D.
Executive Director Medical Director


Page 2 of 2
1. The initial training session will be attended in person.
i. In the event of an imminent donation consent conversation and no certified
designated requestor is available at the hospital and the decision is made that
UW OTD staff having the conversation over the phone would not be in the best
interest of the family, UW OTD staff will provide emergency real time training for
hospital staff that will include at a minimum: the donation process, the patient’s
eligibility and FPA status, and speaking with the family in a culturally sensitive
way that is respectful of the decision that is best for that family.
2. Regional training sessions will be offered twice a year; additional hospital specific
training sessions may be offered.
H. Certified designated requestors will complete annual recertification training.
1. Recertification training will be provided electronically through the UW OTD learning
management system or through the hospital’s learning management system or in person
as appropriate.
2. Certified designated requestors who fail to complete the annual recertification will lose
his/her certified status.
3. Decertified designated requestors will need to attend another initial training session in
person to become certified again.
4. Extensions to the annual recertification deadline will be granted by UW OTD on a case by
case basis.
I. UW OTD will maintain a database of certified designated requestors for the UW OTD DSA.

Role of Designated Requestors
J. For patients that are eligible for donation as determined per UW OTD policy 2.03, designated
requestors will request consent for donation from the LNOK per UW OTD policy 2.06 or will
inform families of a patient’s first person authorization status per UW OTD policy 2.15 and may
provide information about donation.
K. When obtaining consent or sharing first person authorization, the designated requestor will
work in collaboration with hospital staff, UW OTD staff, and the patient’s family.

REFERENCES

UW OTD Policies 2.03, 2.06, and 2.15