A 45-year-old male patient with a severe brain injury is evaluated in the emergency department. The patient has previously registered as an organ donor. As his condition deteriorates and he is deemed neurologically deceased, what is the most appropriate next step for the nurse to take regarding organ donation?
Prepare the patient for organ retrieval procedures without any further consultations.
Contact the organ donation coordinator or the designated hospital authority to handle organ donations.
Discuss organ donation options directly with the patient's family to seek their consent.
Contact various organ transplant centers directly to inform them of the potential organ availability.
After a patient is deemed neurologically deceased and confirmed as a registered organ donor, the emergency nurse should contact the hospital's organ donation coordinator or a similar authority immediately. This action ensures that potential organ donation proceeds in a legally and ethically appropriate manner, respecting the patient's wishes and providing an opportunity for life-saving transplants to others. Contacting the family first to inquire about organ donation could introduce unnecessary confusion or conflict, especially if they are unaware of the patient's registered intent or are dealing with emotional distress from the patient's condition. Contacting organ transplant centers directly by the nurse is typically not protocol, as specific coordination activities and legality checks need to be conducted by specialized coordinators.
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