Designated Tissue Requestor Workshop - PowerPoint Presentation

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Designated Tissue Requestor Workshop

2017Slide2

Why Organ and Tissue Donation?Slide3

Who is Donor Alliance?Federally designated Organ Procurement Organization (OPO) for Colorado & WyomingFacilitate the recovery of organs and tissues for transplantation for Colorado & most of WyomingMission: Donor Alliance saves lives through organ and tissue donation and transplantation.

Organization website:

www.donoralliance.orgSlide4

Transplant Centers University of Colorado HospitalPresby/St. Luke’s Porter AdventistChildren’s HospitalDonor Alliance Service

Area

&

Partners

63

Counties

81

Hospitals

Donor Hospitals

20

Counties

24

Hospitals

Tissue Processors

Allosource

Cytonet

Cryolife

LifeNet

LifecellSlide5

Rocky Mountain Lions Eye BankRecovery agency for eye tissueIndependent organization sponsored by Lions clubs of CO & WYMission: to fulfill the wishes of eye donors and their families help another overcome blindness through transplantation and researchOrganization website: www.corneas.orgSlide6

Facilitates the donation from recovery to transplantDistribution is local first, then domestic and, finally, world wide. RMLEB Service Area

& Distribution

63

Counties

81

Hospitals

Donor Hospitals

20

Counties

24

HospitalsSlide7

Kacey’s StorySlide8
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What is the Donor Information Line?Donation referral screening service used by Donor Alliance and RMLEBCall in ALL deaths: 303-321-0060 or 1-800-448-4644Also known as StatlineCall screeners work for Statline, not DA or RMLEB.Slide10

HARVEST

Words to use instead:

Recover

RecoverySlide11

Referral Process After Cardiac DeathReferral must take place within one hour of cardiac death for Joint Commission/CMS compliance even if:patient is a “John Doe”homicide or coroner’s case

patient’s family has not been located

Anyone can make the initial call to “stop the clock”

2-step

referral call processSlide12

Patient DeathCall the Donor Information Line 1-800-448-4644 or 1-303-321-0060Pre-screening for donor eligibility

Report the death to the Coroner if reportable by state law or hospital policy. Donation need not be discussed with the coroner. The recovery agencies will interact with the coroner if the patient becomes a donor.

Donor eligible following pre-screening

YES

Eye donation options are given after the first phone call. A tissue coordinator from Donor Alliance will call for further screening for bone, heart valve and skin options. Donor eligible for tissue donation following in-depth screening

YES

Listed in Donor Registry

No- check registry and/or approach for eye donation only

Donation Process - Eligibility

NO

Proceed with Death Care PolicySlide13

Tissue DonationSlide14

What can be Transplanted? Slide15

Bone What is recovered:Femur, tibia and fibula (Long bones in the leg)Iliac crests (portions of hip bone)*Humerus (long bone in upper arm)*

Soft tissues include tendons, veins and fascia.

*

Funeral preferences will be discussed with the familySlide16

Joint RestorationFemoral Grafts

Femoral

Tibial

Humeral

Hunter – Femoral GraftSlide17

Bone TransplantsApplicationsSpinalTraumaTumor ReconstructionDegenerative ReconstructionTorn

Tendons

Kenneth – bone tissue recipientSlide18

Bone TransplantsTumor ReconstructionSlide19

Bone Transplants Degenerative ReconstructionFusionsJointSpinalSlide20

Heart for Valves (and associated tissues)ApplicationsCardiac ValvesPatch GraftsVascular Bypass

Vascular AccessSlide21

Heart for ValvesMatthewSlide22

SkinLayer recovered from the back and the legsDoes not affect funeral plansSlide23

SkinSplit thickness skin is used as a protective dressing while burn victims healThe skin recovered is used for all ages

Richard – Skin RecipientSlide24

SkinApplicationsTraumaCongenitalDisease ProcessSlide25
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Eye TissuesCorneasFirst transplanted in 1905Cures 100% of corneal blindness98% success rate

Good eyesight is not a requirement

Sclera

Reconstruction & OculoplasticsSlide27

Penetrating Keratoplasty = Cornea Transplant

Among the 6 types of cornea transplants,

this is the original and most traditionalSlide28

Penetrating KeratoplastySlide29

Scleral GraftsSlide30

The ResultSlide31

Eye Donors Need TLCTilt the head up (pillow or headblock)Lavage

both eyes with saline

C

lose &

C

over the eyes with saline-soaked gauze.Slide32

Time Frames for RecoveryEye tissue – Goal is 8 hours from time of death, but may be extended to 12 hours on a case-by case basis.

Other tissues

—

24 hours if body is refrigerated in the first 12 hours. If not refrigerated, then 15 hours. Slide33

Three Common QuestionsSlide34

Take a break!Slide35

Before Speaking With Family…Slide36

Registered vs. Non-RegisteredSlide37

Confidential

What is the donor registry?

A confidential, electronic database listing everyone who has elected to be an organ and tissue donor after death.

Centralized

1

st

person consent

Opt-in

Established by law

Well established since 2001Slide38

Goal: Present InformationSlide39

Working with Families of Registered Donors

Ask, don’t tell.

“Were you aware that John had registered himself to be an eye and tissue donor?”

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If the reaction is favorable...

Let them know that someone

from the recovery agency will be

calling them.

Two telephone numbersSlide41

If the initial reaction is unfavorable…Slide42

Scenarios in Small GroupsPractice talking to a family of a registered donorSlide43

Take a break!Slide44

Registered vs. Non-RegisteredSlide45

Goal: Present InformationSlide46

Verify the correct authorizing personMedical Power of Attorney/AgentSpouse (includes common law in CO)Adult Child

Parent

Adult Sibling

Adult Grandchild

Grandparent

Adult exhibiting special care and concern

Court appointed guardian

Person authorized to arrange final disposition of the bodySlide47

Suggestions to start“I’m here to help you make a few end-of-life decisions and I’m going to give you information that will help you decide what’s best for you and your family.”“At this difficult time, you’ll have some choices to make and I have information that will help you make some of them.”Any others?Slide48

Provide informationSlide49

Your (husband,/wife/dad/mom, etc) is eligible to be a donor. For example he/she can donate ____.Explain what it is (the clear front part of the eye, a layer of skin from the back, the long bones in the leg)Explain the benefit to others (help someone see again, save a burn victim, prevent an amputation)

Donation will not affect your funeral plans. You can still have a viewing or an open casket.

Donation will not add any additional cost to funeral expenses.Slide50

Giving the choiceSlide51
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Scenarios in Small GroupsPractice talking to a family of a non-registered donor.Slide54

Setting ExpectationsSlide55

The Authorization for Tissue Donation FormSlide56

Legibility is

essential!Slide57

The right form...

Do not use if the patient is a registered donor.

Seek guidance from Donor Information Line before proceeding if authorizing party is not physically present to sign!Slide58

The correct Authorizing PersonVerify they are the highest priority authorizing party. Select only one.Reconfirm the full, legal name of donor which should be handwrittenSlide59

Making choicesWhen the tissue is NOT an ELIGIBLE option per the Donor Information Line, mark as Not Eligible.For each eligible item mark “YES” or “NO.” Everything should have a mark in ONE box.Always mark the RESEARCH question. Family must undergo a recorded conversation if the authorization form is not completed correctly.Slide60

“Other” BoxOur tissue donor coordinators will provide these options to the family.Check the “other” boxes as Not EligibleSlide61

DisclosuresMust be read with the authorizing person.Family will need to fully understand the donation decision. The disclosures are not choices. Slide62

SignaturesAuthorizing Person signs, dates and indicates time the form. It is important to circle am/pm.Authorizing Person’s contact information.If the family/authorizing person is not present at the hospital, please contact DA/RMLEB for guidance.

Sign as the designated requestor.

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Everyone gets oneGive the family a legible copy. Put everything else on the chart.The recovery agencies will share the yellow copy.Slide64

Authorization Form QuizSlide65
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Aftercare… ImmediateSlide70

Aftercare… First year

To Our Donor Families

Remembering you and wishing you memories that bring comfort and peace to your heart during the holiday season.

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Aftercare… Long TermSlide72

Volunteer AmbassadorsSlide73
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Questions?

See you next year for recertification!