US · guidance
CMS SOM App. A, Tag A-0893
§482.45(a)(5) - (Continued)
[Ensure that the hospital works cooperatively with the designated OPO, tissue bank and
eye bank in educating staff on…] maintaining potential donors while necessary testing and
placement of potential donated organs, tissues, and eyes take place.
Interpretive Guidelines §482.45(a)(5)
The hospital must have policies and procedures, developed in cooperation with the OPO, that
ensure that potential donors are maintained in a manner that maintains the viability of their
organs. The hospital must have policies in place to ensure that potential donors are identified
and declared dead within an acceptable time frame by an appropriate practitioner.
Survey Procedures §482.45(a)(5)
• Determine by review, what policies and procedures are in place to ensure that potential
donors are identified and declared dead by an appropriate practitioner within an
acceptable timeframe.
• Verify that there are policies and procedures in place to ensure the coordination between
facility staff and OPO staff in maintaining the potential donor.
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
c367eab70a033edfb1ac1da8741a3a0b21b946c00da301fc6dc072e8f03e8358
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