5.1. Basic requirements of coordinator

4. to confirm whether necessary inspections have been given to the donors and recipients

Composition: Includes the brain death or DCD identification of neurological and surgical

Composition: Includes professional transplantation medical staff and related staff.

1. receive DCD-related information and DCD authentication written information;

4. being responsible for the acquisition, preservation and transshipment of organs.

Department, logistics department, coordinators and Red Cross staff, and so on.

2. coordinate with the relevant departments and arrange the cremation;

tion of the cemetery and the memory activities;

4. cooperate with the Red Cross in publicity; and 5. deal with other left-over issues after DCD work.

3. assess the recipient indications, contraindications, general condition and timing of

Composition: Formed by the Medical Department, the vehicle team, the Propaganda

3. communicate and coordinate with relevant departments and arrange the implementa-

DCD work in Hunan Province has always been in a leading position in the country. The success of DCD work in Hunan Province is mainly attributed to the strong support and cooperation of the Provincial Health and Family Planning Commission, the Red Cross Society and the transplant hospitals. Figure 1 shows DCD in eight hospitals in Hunan Province for 2010–2016 and Figure 2 shows implementation of DCD in China. The work of organ transplantation in China is also known as the "Hospital president project" and all the transplant centers that have better development are fully supported by their presi-

1. experts in determination group at least are associated experts and

2. experts must undergo a specific brain death and DCD training.

to ensure clinical efficacy.

120 Organ Donation and Transplantation - Current Status and Future Challenges

4. DCD determination group

experts. Requirements:

5. OPO procurement group

surgery; and

6. DCD post-processing group

1. body maintenance;

Responsibilities:

dents [29].

2. evaluation of donor quality;

Responsibilities:

"There is no organ transplant without organ donation, no organ donation without coordinator" [30]. This fully demonstrates the importance of coordinators in organ donation and transplantation. At present, there are two main types of coordinators in China: Red Cross Coordinator and OPO Coordinator.

Based on relevant regulations "Management of human organ donation coordinator" promulgated on June 1, 2013, the coordinator shall meet the following conditions [31]:


According to the "Regulation on Procurement and Distribution of Human Donated Organs (Provisional)" issued by the National Health and Family Planning Commission, the OPO coordinator should meet one of the following conditions:


In addition, the coordinator should also have a serious working attitude, a certain degree of communication skills and language skills as well as good psychological quality and psychological endurance. Only in this way can we properly handle the relationship with donors and their families, do a good job in organ donation coordination and push forward the donation of human organs [32].

#### 5.2. Coordinator training in China at the current stage

From 2010 to 2012, the Chinese Red Cross is mainly responsible for the training of coordinators. After the establishment of China Organs Donation Administration Center after 2013, it specially undertook the training of coordinators and organized 4–5 training courses each year. It invited experts in medicine, law, ethics and psychology from all over the country to give lectures and organized domestic relevant experts who compiled the "Training Materials on Human Organ Donation Coordinator in China" (the first and second volumes) [33]. The coordinators were required to attend relevant studies and pass the qualification examination. At present, a management system of coordinators with rigorous management, impartial examination and scientific training has been formed, which has delivered a large number of high-quality coordinators for the DCD work in China and, at this stage, and has made great contributions to the successful development and promotion of DCD work in China.

5. donor comprehensive evaluation table

9. brain death determination form

11. DCD organ transplant ethics form

13. organ procurement record form

18. donor medical death certificate

20. organ donation process record form

Figure 8. Flow chart of organ transplant file management system [33].

19. cremation certificate

12. donor management form

15. the HLA matching report 16. the recipient information

6. potential organ donor's family informed consent

8. brain death determination family's informed consent

10. the donor electroencephalogram inspection report

14. the donor discharge diagnosis/patient history information

17. recording video or photo material throughout the process of organ donation

However, there are also some problems. For example, the standard norms are not uniform, and the paper materials are not conducive to long-term preservation; inspection and data statistics are inefficient. Through continuous discussion and exploration and the cooperation of various field experts, we have made use of information technology and Internet technology to develop an organ transplant file management system that is suitable for China. The

Current Situation of Organ Donation in China http://dx.doi.org/10.5772/intechopen.74711 123

7. brain death determination family member's application form

#### 5.3. Organ donation coordinator working procedures in current China

