Helen Christensen RN MHA CPTC Living Donor Facilitator UCSF Transplants KIDNEY FY 15 annulaized FY 14 Volume var TRANSPLANTS 346 343 1 AGE GROUP ID: 740910
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Slide1
Changing Living Donation
Helen Christensen, RN MHA CPTCLiving Donor FacilitatorSlide2
UCSF Transplants
KIDNEY
FY 15
annulaized
FY 14
Volume
%
var
TRANSPLANTS
346
343
1%
AGE GROUP
Adult
329
328
0%
Pediatric
17
15
14%
DONOR TYPE
Living
132
127
4%
NKR Paired Exchange
21
17
21%
UCSF Exchange
7
9
--
Deceased
214
216
-1%Slide3
Staffing: Living
Donor team
PRE :4.4 Living Donor RNs3.4 dedicated to LD work up 1 ALL (LD) recipient work up and PKE/NKR3.5 AA
POST changes:6.4 RNS3.4 dedicated to LD work up1 RN ~ PKE/NKR/ABOi1 RN ~ recipient work up1 RN Intake for LD3.5 AA teamSlide4
Changes:
Dedicated RN for intake/donor history review-
>MD on front end to screen results->Allows donor coordinators to work with suitable donors only. Having a dedicated Exchange Coordinator->Allocates time to Internal Exchange program. Allows Team to provide better care to compatible pairs.
ITL changesXMs are more clearly reported and simplifiedhistocompatibility reviews via email XM at second stepSlide5
Process Flow:
Intake LD RN reviews ALL hhqTalk to all patients about PKE
Local lab testsBlood/urine etcBP readingsLabs reviewed with MD~ protocolsOnce clear first testsHand off to next RN ~ set up UCSF Donor Work UpSlide6
Living Donor Facilitator
Meet with new Evaluation patients during their initial eval clinic appointmentProvide information about Living Donation
Provide “languaging” to conduct THE askSlide7
Next steps:
Education/Training for MD teamEducation/Training for RN/SW/NPEffective Arts
Increase comfort the team to address pt. concernsSlide8
Interaction time
What is your Number One strategy/idea for increasing your Centers Living Donor Program?What is the Barrier that you most want to overcome?How are you overcoming the barrier?