Okay, I think I get it now. David Harris44, you don't even need to respond. 😁
Here is what it says:
UNDER WHAT CONDITIONS CAN ORGANS AND TISSUES BE USED AFTER DEATH?
For organs to be donated, death has to occur in a hospital setting, because that’s the only place where organs can be kept in a suitable condition for transplantation. Most patients who could potentially provide organs for transplant are found exclusively in hospital intensive care units.
WHAT MUST BE DONE TO BECOME A DONOR?
When someone decides during their lifetime to donate their organs and tissues after death with the intent to save others, the most important thing is to communicate that decision to their family and closest friends. This is because they will be the first people doctors turn to when asking for permission to take organs after a person passes away. Families are expected to respect the wishes of the deceased. You can also fill out a donor card and carry it with you as proof of your decision.
HOW WILL THE WISHES OF ORGAN AND TISSUE DONORS BE RESPECTED IF DEATH OCCURS IN A HOSPITAL?
Once everything possible has been done to save the patient's life, and once doctors—who aren't involved in the actual transplant process—confirm the death and sign off on it according to medical and legal criteria.
Once death has been defined in this way, a team of transplant physicians will determine which organs or tissues can be used to treat or save other lives. If harvesting an organ is possible, the designated officials will verify the wishes expressed by the deceased during their lifetime, but above all, they will discuss it with the immediate family. That is how the deceased person's wishes will be honored.
http://www.mayoclinic.org/intro