Laws of New York (Last Updated: November 21, 2014) |
PBH Public Health |
Article 43-A. REQUEST FOR CONSENT TO AN ANATOMICAL GIFT |
Section 4351. Duties of hospital administrators, organ procurement organizations, eye banks and tissue banks
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1. (a) When the death of a person in a hospital has occurred or is imminent, the hospital shall contact the federally designated organ procurement organization in order to make a preliminary determination of the suitability of the person for organ donation, except where not required by paragraph (c) of this subdivision. (b) Where contact with the federally designated organ procurement organization is not required under criteria developed regionally by the federally designated organ procurement organization subject to the approval of such criteria by the department, the hospital shall contact the appropriate eye bank or tissue bank, except where not required by paragraph (c) of this subdivision. (c) The federally designated organ procurement organization, in consultation with the tissue procurement providers, may issue criteria under which a hospital shall not be required to make the contact under this subdivision. (d) All hospitals shall select at least one eye bank or tissue bank for the procurement of tissue, as defined in section forty-three hundred sixty of this chapter. A hospital shall notify the federally designated organ procurement organization of its choice of tissue procurement providers. If a hospital selects more than one eye bank or tissue bank as a procurement provider, it may specify a rotation of referrals for purposes of tissue procurement. 2. Where the federally designated organ procurement organization, eye bank or tissue bank is contacted, it shall, in consultation with the hospital, after appropriate medical screening (which may include serological testing if applicable) determine suitability for organ, eye and tissue donation, as appropriate. Where a federally designated organ procurement organization is contacted, it shall contact the appropriate eye bank or tissue bank with respect to suitability for eye or tissue donation. 3. If the federally designated organ procurement organization, eye bank or tissue bank determines that organ, eye or tissue donation, respectively, is not appropriate based on established medical criteria, this shall be noted by hospital personnel on the patient's record, and no further action with respect to organ, eye or tissue donation, respectively, is necessary. 4. Where a patient is a suitable candidate for organ, eye or tissue donation and where the patient has not properly executed an organ donor card, driver's license authorization to make an anatomical gift, pursuant to paragraph (a) of subdivision one of section five hundred four of the vehicle and traffic law, registered in the New York state organ and tissue registry under section forty-three hundred ten of this article, or otherwise given written authorization for organ, eye or tissue donation, the hospital or its designee shall cause a timely request to be made to any of the following persons, in order of priority stated, when persons in prior classes are not available and in the absence of actual notice of contrary intentions by the decedent, or actual notice of opposition by a person or persons in the highest priority available of the classes specified in paragraph (a), (b), (c), (d), or (e) of this subdivision, or other reason to believe that an anatomic gift is contrary to the decedent's religious beliefs, to consent to the gift of all or any part of the decedent's body for any purpose specified in article forty-three of this chapter: (a) the spouse; (b) a son or daughter eighteen years of age or older; (c) either parent; (d) a brother or sister eighteen years of age or older; (e) a guardian of the person of the decedent at the time of his or her death. 5. The person initiating the request shall be designated by a hospital and shall be a representative of a federally designated organ procurement organization, eye bank, tissue bank, or a designated requestor. As used in this section a "designated requestor" shall mean a person who has completed a course provided by a federally designated organ procurement organization, eye bank or tissue bank, whichever is applicable, on how to approach potential donor families and request organ, eye, or tissue donation. 6. Any employee or agent of a federally designated organ procurement organization, eye bank or tissue bank acting pursuant to this section shall be held to the same standard of confidentiality as that imposed on employees of the hospital. 7. The provisions of subdivision three of section forty-three hundred six of this chapter shall apply to this section. To the extent permissible under such subdivision, any person or organization acting pursuant to this section, shall be legally responsible for any negligent or intentional act or omission committed by such entity or its employees or agents. 8. A gift made pursuant to the request required by this section shall be executed pursuant to applicable provisions of article forty-three of this chapter. 9. The commissioner shall establish regulations concerning the training of persons who may be designated to perform the request, and the procedures to be employed in making it. 10. The commissioner shall establish such additional regulations as are necessary for the implementation of this section. * NB Effective until October 25, 2009