This regulation does not: Limit the right of an individual to make a gift under the Anatomical Gift Act, Estates and Trusts Article, Title 4, Subtitle 5, Annotated Code of Maryland; or Interfere with the duties of the office of the Chief Medical Examiner. A hospital shall develop and follow a protocol in accordance with this regulation for the procurement of organs and tissues. Requests for Donation on Death of Patient. In accordance with this regulation, whenever a patient of a hospital meets the following criteria, the administrator of the hospital shall designate a person to request that the representative of the patient consent to the donation of the organs and tissues of the patient: The patient may be pronounced dead in accordance with Health-General Article, §5-202, Annotated Code of Maryland; The patient has not given actual notice of an objection to the donation of his or her organs and tissues; and The patient has not made a gift of all or part of his or her body under the Anatomical Gift Act, Estates and Trusts Article, Title 4, Subtitle 5, Annotated Code of Maryland. A hospital may not make a request for consent to a donation if the use of all of the organs or tissues of the patient is medically contraindicated. In making a request required in §C(1), of this regulation, the hospital designee shall: Make a reasonable effort to locate and contact the appropriate person set forth in §D, of this regulation, as the representative of the deceased patient; and Request that the representative consent to a donation of any organ or tissue of the patient which is suitable for donation. Determination of Patient Representative for Consent to Donation. The representative of a deceased patient shall be: The spouse of the patient, but, if the spouse is not competent; then Any adult son or daughter of the patient, but, if no adult child of the patient is competent; then Either parent of the patient, but, if neither is competent; then Any adult brother or sister of the patient, but, if no adult sibling of the patient is competent; then Any guardian of the person of the patient, but, if the patient has no guardian of his or her person; then Any other person authorized or obligated by law to dispose of the body of the patient. If the death of a patient occurs suddenly and the patient was in apparent good health or unattended by a physician, the hospital shall notify and cooperate with the office of the Chief Medical Examiner before the removal of any organ or tissue. Discretion and Sensitivity in Making Requests. In making a request for donation, the hospital designee shall show reasonable discretion and sensitivity to the: Circumstances of the family of the patient; Religious beliefs of the patient; and Suitability of the organs or tissues for donation. Documentation. The designee shall document in the medical record of the patient: Any request made for donation of organs or tissues; Any consent to donate organs or tissues; Whether a donation is made and accepted; Any objection to the donation made by: The patient, or An appropriate representative of a patient as set forth in §D of this regulation; and The reason for electing not to make a request for organ or tissue donation.