Title
Amendment to DOH AO on Brain Death Certification
Law
Administrative Order No. 2010-0019-a
Decision Date
Jun 14, 2018
The amendment to the Department of Health's guidelines standardizes the certification process for brain death to enhance organ donation procedures, incorporating the 2017 Philippine Neurological Association's criteria and extending the evaluation interval to four hours.

Q&A (ADMINISTRATIVE ORDER NO. 2010-0019-A)

The purpose of the amendment is to provide uniformity in hospital policies and physician practice regarding brain death diagnosis and management for the purpose of organ donation.

Section VII.5 - Certification of Brain Death is amended by Administrative Order No. 2010-0019-A.

The 2017 Revised Philippine Neurological Association (PNA) Brain Death Criteria must be used for the determination of brain death for deceased organ donation.

Two physicians, who should preferably be a neurologist, neurosurgeon, internist, or anesthesiologist, are authorized to determine and establish brain death.

No, the 2017 PNA Revised Brain Death Criteria are specifically used only for determining eligibility for deceased organ donation and not for neurological prognostication.

At least four (4) hours is required between the two brain death evaluations according to the amended AO.

The time of death recorded is the time when the second declaration of brain death is made.

The Attending Physician (AP) signs the Death Certificate.

The amendment takes effect fifteen (15) days after its publication in the Official Gazette or a newspaper of general circulation.

Yes, all other provisions of DOH Administrative Order No. 2010-0019 dated June 23, 2010 remain effective except the amended parts.


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