There is a duty of care to the donor and/or donor’s family. For donors who on confirmatory testing have positive or indeterminate results, there should be protocols in place for contacting, counselling and referring the donor, or relevant contacts of the deceased donor, for further investigation and treatment as appropriate.
For living donors this should be at a local level where the donor was recruited. Confidentiality must be ensured and the donor’s permission sought prior to referral for further medical follow-up and assessment.
In the case of a deceased donor, the initial contact should be by the medical team who provided clinical care at the time of death, or if death occurred outside a healthcare facility by the Specialist Nurse Organ Donation or the Tissue Establishment. They should ensure that those close contacts of the deceased donor for whom results may have health implications are appropriately informed and counselled. Appropriate specialist referral should be offered.