Guidelines, Regulations & Laws Governing the Organ & Tissue Donation Process – Collaboration with Funeral Home Colleagues

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1. The National Organ Transplant Act (NOTA), approved in 1984 and amended in 1988 and 1990, prohibited the sale of human organs for transplant.

A. True

B. False

2. The following federal agencies are involved to ensure oversight of the donation process:

A. Centers for Medicare and Medicaid Services (CMS) which provides oversight for organ donation.

B. Food and Drug Administration (FDA) which provides oversight for tissue donation.

C. Both A & B

D. None of the above

3. The HOPE Act is also referred to as the HIV Organ Policy Equity Act.

A. True

B. False

4. The HOPE Act does not allow for transplants from HIV+ donors.

A. True

B. False

5. The Joint Commission does not require that hospitals have a written agreement with their Organ Procurement Organization (OPO) as part of their Transplant Safety Standard.

A. True

B. False

6. In 1968, the Uniform Law Commission (ULC) drafted model donation-related legislation known as the Uniform Anatomical Gift Act for state legislatures to pass.

A. True

B. False

7. Maryland’s donation statutes, while they were revised over time, were initially created from the draft model legislation developed by the Uniform Law Commission (ULC).

A. True

B. False

8. Maryland’s Revised Uniform Anatomical Gift Act (RUAGA) provides the following:

A. Reaffirms autonomy of donor designation.

B. Establishes a hierarchy for legal next of kin who can authorize donation.

C. Outlines collaborative relationship for the Office of the Chief Medical Examiner and the Living Legacy Foundation.

D. Includes provisions whereby medical examiners can authorize permission for organs and tissues for donation.

E. Requires that the hospital continues measures necessary to ensure the medical suitability of a prospective donor.

F. Establishes that the Organ Procurement Organization (OPO) be allowed the opportunity to conduct a reasonable medical examination and conduct a reasonable search for next of kin.

G. All of the above

H. None of the above

9. The American Association of Organ Procurement Organizations (AOPO):

A. Administers accreditation program via stands encompassing all aspects of operations and practices.

B. Assesses compliance with AOPO stands and federal regulations.

C. Upholds tenets of maintaining public trust in donation and honoring every Gift of Life and every donor to the fullest.

D. All of the above

E. A and C only

10. The American Association of Tissue Banks (AATB) is dedicated to the leadership, education, service, research, and integrity involving tissue donation and transplantation practices.

A. True

B. False

11. The AATB accreditation program:

A. Provides assurance that member tissue banks comply with AATB standards.

B. Addresses all areas of tissue banking process, including evaluation and recovery, through their extensive standards.

C. Collaborates with the Food & Drug Administration (FDA) and other regulatory entities to develop their comprehensive standards.

D. All of the above

E. Only A and B

12. Best practices for cooperation in organ and tissue donation include such things as:

A. Notification

B. Disclosure

C. Recovery Procedures

D. Reimbursement

E. Support and Communication

F. All of the above are part of the best practices for cooperation in organ and tissue donation.

13. Notification is a key aspect of the donation process and recovery agencies should provide timely notification to funeral homes.

A. True

B. False

14. Disclosure to families regarding the donation process should include:

A. Confirmation that the program utilized trained professional staff.

B. Information regarding recovery programs and processors For Profit vs. Not for Profit status.

C. The organ and tissue gifts that can be donated to help others.

D. Disclosure to families is not a key aspect of the donation process.

E. A, B, and C are all part of the necessary disclosure to families regarding the donation process.

15. During the recovery process, Organ Procurement Organizations (OPO) commit to the following:

A. Provide an estimated time for completion of the surgical recovery or organs and give timely updates

B. Logistics

C. Ligation of vessels

D. Respectfully reconstruction of donor

E. All of the above

16. Each Organ Procurement Organization (OPO) should establish a policy regarding compensation of funeral directors should additional time and materials be required.

A. True

B. False

17. Support and communication are also key in best practices in the donation process and one factor related to this practice is that recovery agencies have an obligation to be mindful of the manner in which donation and its effect on the decedent are discussed with families.

A. True

B. False

18. The laws and best practices associated with the organ and tissue donation process support funeral directors by:

A. Providing greater insight into the organ and tissue donation process.

B. Creating collaborative relationships among OPOs, tissue banks, and the funeral home community.

C. Ensuring an awareness of the importance of donation.

D. Developing a non-communicative environment for all parties involved.

E. All of the above

F. A, B, and C

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