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§327C-1 Determination of death. (a) Except as provided
in subsection (b), a person shall be considered dead if, in the announced
opinion of a physician licensed under part I of chapter 453, physician
and surgeon licensed under chapter 460, physician excepted from licensure
by section 453-2(b)(3), or registered nurse licensed under chapter 457,
based on ordinary standards of current medical practice, the person has
experienced irreversible cessation of spontaneous respiratory and circulatory
functions. Death will have occurred at the time when the irreversible
cessation of the functions first coincided. (b) In the event that artificial
means of support preclude a determination that respiratory and circulatory
functions have ceased, a person shall be considered dead if, in the opinion
of an attending physician licensed under part I of chapter 453, attending
physician and surgeon licensed under chapter 460, or attending physician
excepted from licensure by section 453-2(b)(3), and of a consulting physician
licensed under part I of chapter 453, consulting physician and surgeon
licensed under chapter 460, or consulting physician excepted from licensure
by section 453-2(b)(3), based on ordinary standards of current medical
practice, the person has experienced irreversible cessation of all functions
of the entire brain, including the brain stem. The opinions of the physicians
shall be evidenced by signed statements. Death will have occurred at the
time when the irreversible cessation of all functions of the entire brain,
including the brain stem, first occurred. Death shall be pronounced before
artificial means of support are withdrawn and before any vital organ is
removed for purposes of transplantation. (c) When a part of a donor is
used for direct organ transplantation under chapter 327, and the donor's
death is established by determining that the donor experienced irreversible
cessation of all functions of the entire brain, including the brain stem,
the determination shall only be made under subsection (b). The determination
of death in all other cases shall be made under subsection (a). The physicians
making the determination of death shall not participate in the procedures
for removing or transplanting a part, or in the care of any recipient.
(d) All death determinations in the State shall be made pursuant to this
section and shall apply to all purposes, including but not limited to
civil and criminal actions, any laws to the contrary notwithstanding;
provided that presumptive deaths under the Uniform Probate Code shall
not be affected by this section. (e) The director of health may convene
in every odd-numbered year, a committee which shall be composed of representatives
of appropriate general and specialized medical professional organizations,
licensed attorneys, and members of the public. The committee shall review
medical practice, legal developments, and other appropriate matters to
determine the continuing viability of this section, and shall submit a
report of its findings and recommendations to the legislature, prior to
the convening of the regular session held in each even-numbered year.
[L 1978, c 248, §1; am L 1979, c 193, §1; am L 1982, c 112, §1; am L 1983,
c 216, §1; am L 1984, c 189, §1; am L 1985, c 197, §1; am L 1997, c 70,
§1; am L 1998, c 277, §1]
Copyright 2000 by the State of Hawaii
Disclaimer: This information is unverified.
Please contact a liscensed attorney or the State of Hawaii for current
verified information.
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