482.90—Condition of participation: Patient and living donor selection.
The transplant center must use written patient selection criteria in determining a patient's suitability for placement on the waiting list or a patient's suitability for transplantation. If a center performs living donor transplants, the center also must use written donor selection criteria in determining the suitability of candidates for donation.
(a) Standard: Patient selection.
Patient selection criteria must ensure fair and non-discriminatory distribution of organs.
(1)
Prior to placement on the center's waiting list, a prospective transplant candidate must receive a psychosocial evaluation, if possible.
(2)
Before a transplant center places a transplant candidate on its waiting list, the candidate's medical record must contain documentation that the candidate's blood type has been determined.
(3)
When a patient is placed on a center's waiting list or is selected to receive a transplant, the center must document in the patient's medical record the patient selection criteria used.
(4)
A transplant center must provide a copy of its patient selection criteria to a transplant patient, or a dialysis facility, as requested by a patient or a dialysis facility.
(b) Standard: Living donor selection.
The living donor selection criteria must be consistent with the general principles of medical ethics. Transplant centers must:
(1)
Ensure that a prospective living donor receives a medical and psychosocial evaluation prior to donation,