The Transplant Team Received the Liver from the Procurement Team

The transplant team received the liver from the procurement team moments after it arrived by medical air lift.The OR was ready with a scrubbed team of a circulating nurse,scrub person,transplant surgeon,and surgical resident and with a sterile back table set up and counted to prepare the liver for transplant.As the surgeon began to dissect out the liver vessels,he realized that the liver could reasonably serve two recipient patients and he had another suitable donor candidate.The surgeon was aware that all of the available OR rooms were blocked and running until midnight,and the second patient could not be scheduled until this case was finished.As he carefully segmented and split the liver,the second patient was contacted to come to the medical center.The anesthesia provider transported the original intended recipient patient into the room and proceeded to prepare and induce the patient with a general anesthetic.The circulating nurse suddenly realized the sterile technique violation dilemma after the patient was asleep.Which option best reflects appropriate sterile technique and the best care for both patients?

A) The patient should have been taken to a second available OR,not the room with the liver dissection underway,since it was being split for two patients.
B) The patient should have been held in preoperative holding until the liver was split and the second segment placed back into the cooler.
C) The back table should have been covered with sterile drapes and moved to a second available room.
D) The surgeon should proceed with splitting the liver,replacing the segment for the second patient back into the cooler,and storing the cooler in the back of the OR for the second transplant patient,whose procedure will follow in the same OR.