Donor Referral and Notification -
How to reach us

If you are a designated hospital calling TGLN with a patient who meets Donor Referral Indicators,
or have a patient who you believe is a potential donor call:

Toll free (1-877-363-8456)
GTA (416-363-4438)

Resources for Health Care
Professionals

 
Trillium Gift of Life Network
(TGLN) has created and collected resources to support transplant and donation health care professionals.

Transplant Resources

Wait List, Organ Offers and Allocation Policies
Transplantation Referral and Listing Criteria
Forms
Clinical Guidelines

Donation Resources

Routine Notification for Donation Eligibility
Worksheets for Routine Notification
Determination of Death
Continuing Education
eLearning


For research related requests click HERE
For all other data requests click HERE

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Routine Notification for
Donation Eligibility

Hospitals that are designated facilities under the TGLN Act must meet the referral provisions detailed under Part II.1 - Notice and Consent. These hospitals have, or will have ‘Routine Notification’ mandated throughout their centre. This means hospitals are responsible for calling and notifying TGLN when a patient has died, or prior to death according to their established referral indicators.

Notifying TGLN ensures donation eligibility can be established. Donation consent decisions can be accessed in the Ontario Health Insurance Plan database before families of eligible patients are approached by TGLN about donation opportunities. Since 2005, this practice has helped maximize organ and tissue donation for transplantation in Ontario.

Learn more about routine notification for donation eligibility.

Designated Facilities

Ontario Regulation 179/05 has identified six classes of facilities for the purposes of the Trillium Gift of Life Network Act. They are:

  • Any hospital that provides neuro-surgical or trauma services.

  • Any hospital that does not meet the requirements set out in Section 1 and that is able to make a neurologically determined death (NDD) in accordance with the medically accepted standards for NDD in Ontario.

  • Any hospital that does not meet the requirements set in Sections 1 or 2.

  • Any hospital, health facility or university that participates in the collection, screening, processing, storage or distribution of tissue for transplantation.

  • Any hospital that transplants organs for the direct clinical benefit of patients.

  • Laboratories (Laboratory Licensing Act) performing screening tests for infectious diseases and/or histocompatibility testing.

Determination of Death

Organ and tissue donation is possible following the pronouncement of death using neurologically determined death (NDD) criteria or in planned situations of withdrawal of life sustaining therapy followed by pronouncement of death by circulatory determination (DCD).

Neurologically Determined Death

Neurologically determined death is defined as the “irreversible loss of the capacity for consciousness combined with the irreversible loss of all brainstem functions, including the capacity to breathe” (Canadian Neurocritical Care Group 1999). Previously, the terms “brain death”, “neurological death” and “death by neurological criteria” were used interchangeably.

Donation After Death by Circulatory Determination

In Ontario, organ and tissue donation after death by circulatory death (DCD) is now a possibility for patients who do not meet the strict criteria for neurologically determined death or brain death. Patients who meet the criteria for DCD are critically ill and dependent on mechanical ventilation. DCD is a possibility for families who have decided to withdraw life sustaining therapy after a physician has determined that there is no long-term prognosis for recovery.

Neurological Death Book

Continuing Education

Trillium Gift of Life Network (TGLN) is committed to supporting the learning opportunities for healthcare professionals across Ontario. By using these education materials, you can enhance your knowledge of the merits of donation which ultimately leads to saving and enriching lives.

eLearning

This eLearning module has been created for independent self study. It takes approximately 20-30 minutes to complete and at the end of the module you are invited to take a quiz which offers a printed certificate for a mark of 80% or more. Note: You must view this e-module in its entirety to receive the certificate.

Click on one of the following choices to enter the module:

I care for patients and families in a critical care unit/emergency department setting
I care for patients and families in a ward setting

*** Please note that the TGLN eLearning platform has been optimized to run on Google Chrome and Internet Explorer 9 (or later). TGLN has endeavored to ensure maximum compatibility on other browsers, and appreciates your understanding should the functions of the module not be fully compatible with systems outside the recommended browsers. Please note that the TGLN eLearning module may not be fully compatible behind certain firewalls.

eBook

Organ Donation in Ontario: A Guide for Critical Care Residents

This interactive e-book was developed by TGLN in collaboration with the Royal College of Physicians as a tool to provide education to physicians. The following link contains chapters on Neurological Determination of Death and Donor Management.



Learning Scenarios

The purpose of these education modules are to provide clinicians with the opportunity to consider the implications of caring for potential organ donors while working through virtual patient scenarios.

The following links contain learning scenarios on Neurological Determination of Death and Donor Managment.

Manuals

title Description
Donation Resource Manual

The Donation Resource Manual was developed by TGLN as a tool to support healthcare professionals in hospitals across Ontario. Download pdf to print.

 
Paediatric Donation Resource Manual

The Paediatric Donation Resource Manual was developed by TGLN as a tool to support healthcare professionals in hospitals across Ontario. Download pdf to print.

 
Tissue Donation Resource Manual

The Tissue Donation Resource Manual was developed by TGLN as a tool to support healthcare professionals in hospitals across Ontario. Download pdf to print.

 
Organ and Tissue Donation Following Medical Assistance in Dying: Program Development Toolkit

The Organ and Tissue Donation Following Medical Assistance in Dying: Program Development Toolkit was developed by TGLN as a tool to support healthcare professionals in hospitals across Ontario. Download pdf to print.

Critical Care Canada Forum - Deceased Donation Symposium Videos

Pro-con Debate: Death of the Dead Donor Rule? from Trillium Gift of Life Network on Vimeo.

Presentation: Death of the Dead Donor Rule?
Presenter: Dr. Robert Truog and Dr. Sam Shemie

Presentation: Canadian and Provincial Deceased Donation Data Update from Trillium Gift of Life Network on Vimeo.

Presentation: Canadian and Provincial Deceased Donation Data Update
Presenter: Dr. Damon Scales



See All Videos

Videos

Coroner Education (5:26 min)

See All Videos

 

Wait List, Organ Offers and Allocation Policies

This document provides the provincial policies relating to wait listing, wait times, organ offers and allocation to the deceased donor waiting list. These policies apply to all transplant candidates and recipients of organs from deceased donors.
This document is updated regularly to reflect new or amended policies.

Wait List, Organ Offers and Allocation Policies

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