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No, ER personnel don't know if you are an organ donor or not when you come in. As a former EMT, I know that we never had time to check a drivers license or ask family members before transporting to the hospital. Honestly, even if the family did tell us ahead of time, we told them that it was their job to discuss it with the ER staff because they have to grant permission.
On that note, I'm not sure about every other state but where I live, even if you put down that you want to be an organ donor, your family has the final say. If you truly want to be an organ donor, make sure you tell your family of your wishes and ask that they follow through should the situation arise.
Back on topic...most ER personnel don't know if someone needs an organ you have, using the same blood type and everything else that needs to match when you come in. This is only checked when the person dies and the issue of organ donation can be addressed with the family.
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A little rudeness and disrespect can elevate a meaningless interaction to a battle of wills and add drama to an otherwise dull day. Calvin
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