All families of clients who are nearing death, or who have died, must be asked about organ and tissue donation.-rationale: the federal omnibus reconciliation act of 1986 mandates that all hospitals establish written protocols for identifying potential organ and tissue donors. the act sets standards organ procurement agencies must meet. the medical examiner should be notified of a potential organ or tissue donor only if the medical examiner is involved in the case. although a facility must have the familys permission to release the donors name and information, this stipulation isnt part of the omnibus reconciliation act of 1986. requesters for donation are health care professionals who have received special training on properly approaching family members regarding organ or tissue donation.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: comprehensionreference: omnibus reconciliation act of 1986, u.s. code 42 sec. 1320b-8 (1986).