US · guidance
CMS SOM App. A, Tag A-0889
§482.45(a)(3) - (Continued)
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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