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Tag No.: A0886
A. Based on review of Hospital policy, and staff interview, it was determined that the Hospital failed to ensure an agreement was place with an Organ Procurement Organization for organ donation.
Findings include:
1. The Hospital policy reviewed on 11/19/08 at 1:30 PM, titled "Organ Donation" required, "1. ...unexpected deaths may occur and ...reported to ...ROBI....2. The organ Procurement Organization will obtain the donation consent...."
2. A request for the OPO agreement was made during an interview with the Chief Nursing Officer (CNO), on 11/19/08 at 1:30 PM. The CNO was unable to provide the OPO agreement.
3. The above findings were conveyed to the CNO during interview on 11/19/08 at 1:45 PM.