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CMS SOM App. A, Tag A-0889

§482.45(a)(3) - (Continued)

activein force · 2026-07-22 – presentas-observed

The individual designated by the hospital to initiate the request to the family must be an

organ procurement representative or a designated requestor. A designated requestor is an

individual who has completed a course offered or approved by the OPO and designed in

conjunction with the tissue and eye bank community in the methodology for approaching

potential donor families and requesting organ or tissue donation;

Interpretive Guidelines §482.45(a)(3)

The individual designated by the hospital to initiate the request to a family must be an organ

procurement representative, an organizational representative of a tissue or eye bank, or a

designated requestor. Any individuals involved in a request for organ, tissue, and eye donation

must be formally trained in the donation request process.

The individual designated by the hospital to initiate the request to the family must be an OPO,

tissue bank, or eye bank representative or a designated requestor. A “designated requestor” is

defined as a hospital-designated individual who has completed a course offered or approved by

the OPO and designed in conjunction with the tissue and eye bank community.

Ideally, the OPO and the hospital will decide together how and by whom the family will be

approached. If possible, the OPO representative and a designated requestor should approach the

family together.

The hospital must ensure that any “designated requestor” for organs, tissues or eyes has

completed a training course either offered or approved by the OPO, which addresses

methodology for approaching potential donor families.

Survey Procedures §482.45(a)(3)

• Review training schedules and personnel files to verify that all designated requestors

have completed the required training.

• How does the hospital ensure that only OPO, tissue bank, or eye bank staff or designated

requestors are approaching families to ask them to donate?

History

Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08

Provenance

Source
cms.gov
Retrieved
2026-07-22
Edition
som-2026-07-22
Content hash
80b7e7686d6bfcf99a789d455e3062269e0afb6e9bddaa47a4d9fa29fdf4f392
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