Changes in the brain-death statute were made relatively...

Changes in the brain-death statute were made relatively recently by the governor; there is now more reliance on clinical evaluations and trancranial Doppler tests. Doppler ultrasound assesses measurements of blood flow. Used noninvasively, an ultrasonic signal transmission is carried through the body. The echo signal returns from red blood cells – the return signal yields a Doppler shift signal (Bay, 1999). Ambiguity and lack of regulatory control is echoed in David Powner’s article published in the Lancet Journal: â€Å"Clinicians do not always follow an established policy or provide appropriate documentation. Surveys or chart reviews showed that doctors sometimes failed to document specifics of clinical examinations, omitted criteria demanded†¦show more content†¦Ã¢â‚¬Å"One of the obligations for nursing staff and everyone is to take care of the dead body whose perfused organs are being maintained by machines†, a panelist interjected. Many hospitals have policies whereby if one is hired by the hospital and has a personal, moral, or religious objection to certain things, then every effort will be made for someone else to participate – termination of pregnancy serves as an example, he continued. Furthermore, he emphasized that there does not have to be a conscientious objection on the part of the doctors or nurses based on spiritual, philosophical, or rel igious grounds; it’s solely based on not being required to give treatments that one believes are futile. As another member put it succinctly, â€Å"You can recuse yourself from performing such duties†. Moreover, the idea of futility is a vague idea, mentioned a panelist; he stressed that in this particular instance, regarding the woman’s brain-death state, this is totally futile. The whole idea behind a religious exemption is, as he put it: â€Å"You are not dead based on spiritual grounds. 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