Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 52 - REGULATIONS GOVERNING THE RESPONSIBILITIES OF HOSPITALS AND PHYSICIANS IN IMPLEMENTING AN ACT CONCERNING REQUIRED REQUEST FOR ORGAN DONATION › Chapter 1 - DEFINITIONS

Current through 2024-29, July 17, 2024
1.
Brain Death
- Brain death, as
				noted in 22 MRSA52812, refers to the condition of an individual who has
				sustained irreversible cessation of all functions of the entire brain,
				including the brain stem. The determination of brain death shall be made In
				accordance with accepted medical standards.
2.
Community Hospital
- For the
				purpose of these regulations, a community hospital Is a Maine general hospital
				whose role In Maine's organ procurement system Is to Identify patients who meet
				medical criteria to qualify as potential organ donors, request permission of
				appropriate Individuals (as defined In 22 MRSA §2902(2) ) for the donation
				of organs, and arrange for the transfer of these patients to regional hospitals
				where the organ procurement attempt will be made.
3.
Community Hospital Agreement
- A community hospital agreement is a written document developed between
				community and regional hospitals and the Maine transplantation center. The
				purpose of the agreement Is to describe the roles and responsibilities of the
				community and regional hospitals and the Maine transplantation center in
				Maine's organ procurement system.
4.
Donor Organ and Tissue
- A donor organ is a solid body part such
				as a heart, heart-lung, bone, kidney, liver or pancreas that can be surgically
				removed from a patient- donor and subsequently transplanted Into the body of a
				recipient. A donor tissue is another body part such as skin, eye/cornea, bone
				and blood that can also be removed from a patient donor and be donated to a
				patient who is a potential tissue recipient. It Is anticipated that requests
				for the gift of donor organ(s) from brain dead patients will also result In the
				procurement of donor tissues suitable for transplant.
5.
General Hospital
- Is an
				acute health care facility with permanent Inpatient beds planned, organized,
				operated and maintained to offer, for a continuing period of time, facilities
				and services for the diagnosis of treatment, illness and deformity.
				Specifically excluded are state mental health institutes or non state mental
				health institutions as defined by 34-B MRSA §3801.
6.
Inter-Hospital Agreement
- An
				Inter-hospital agreement Is a written document made by two or more Maine
				hospitals which establishes protocols for the retrieval and transportation of
				all or any part of a body found suitable for transplantation and for the costs
				associated with transplantation.
7.
Maine Transplantation Center
- The Maine transplantation center Is
				a general hospital located In Maine that performs one or more of the following
				transplant procedures: kidney, heart, heart-lung, liver or pancreas. At this
				time, the Maine Medical Center is the Maine transplantation center. This
				facility will have several responsibilities n Maine's organ procurement system.
				It will have major responsibilities In assisting regional and community
				hospitals In the training of persons making the request for organ donation.
				This facility will also assist community hospitals In Identifying potential
				organ donors. It will serve as a facility where both organ procurement attempts
				are made and where organ transplantation procedures are performed. This
				hospital shall also have the responsibilities of Identifying patients in its
				own facility who meet medical criteria to qualify as potential organ donors and
				requesting permission of appropriate Individuals (as defined In 22 MRSA
				§2902(2) ) for the donation of organs of these patients so that organ
				procurement attempts can be made.
8.
Potential Organ Donor
- A
				potential organ donor is a hospital patient, aged neonate - 60, who meets the
				medical criteria for brain death and does not have contraindications for organ
				donation.
9.
Potential Organ
				or Tissue Donor
- A potential organ or tissue donor is a hospital
				patient, aged neonate -60, who meets the medical criteria for brain death and
				is a suitable candidate for organ or tissue donation based upon accepted
				medical standards. A patient who Is not a potential organ donor need not be
				considered a potential tissue donor. The need for an organ or tissue may be
				considered In determining whether a patient Is suitable as a potential organ or
				tissue donor.
10.
Regional
				Hospitals
- For the purpose of these regulations, a regional hospital Is
				a Maine general hospital whose major role In Maine's organ procurement system
				is to serve as a facility where organ procurement attempts will be made. These
				hospitals shall also have the responsibilities of identifying those patients in
				their facility who meet medical criteria to qualify as potential organ donors
				and requesting permission of appropriate individuals (as defined in 22 MRSA
				§2902(2) ) for the donation of organs of these patients, so that organ
				procurement attempts can be made.
11.
Regional Hospital Agreement
- A regional hospital agreement Is a written document developed by regional
				hospitals and transplantation centers. The purpose of the agreement shall be to
				describe the respective roles and responsibilities of the regional hospitals
				and transplantation centers In Maine's organ procurement system.