The Gift of Life
Published on Nov 19, 2015
Organ & Tissue Donation Process
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PRESENTATION OUTLINE
The Gift of Life
Paula A. Gutierrez, MHA, CPTC - Hospital Services Manager - NJ Sharing Network
Objectives
- Role of NJ Sharing Network (NJSN)
- Laws & Regulations
- Organ Donor Referral and Evaluation
- Brain Death
- Approach for Organ Donation
- Clinical Management of the Donor
- Procurement to Transplant
Photo by seanmcgrath
Role of NJ Sharing Network
Introduce who NJ Sharing Network is:
Organ Procurement Organization (OPO)
Private, Non-profit Service Organization
Federally Designated
Available 24 hours/7 days a week
Arrange for the recovery of all organs and tissue for transplantation.
Other details: located in New Providence, NJ – covering the 14 northern counties of NJ – each state has a designated OPO and some states have more then one (i.e. NJSN and Gift of Life)
Organ Procurement Organization (OPO)
Private, Non-profit Service Organization
Federally Designated
Available 24 hours/7 days a week
Arrange for the recovery of all organs and tissue for transplantation.
Other details: located in New Providence, NJ – covering the 14 northern counties of NJ – each state has a designated OPO and some states have more then one (i.e. NJSN and Gift of Life)
Photo by Shannonsong
Why Donation Matters
Over 125k people waiting for a tx
One organ donor can save up to 8 lives
One tissue donor can enhance 50-75 lives
One organ donor can save up to 8 lives
One tissue donor can enhance 50-75 lives
Photo by eeskaatt
CMS Conditions of Participation
- Organ Donation: All imminent deaths are referred within 1-hour
- Tissue Donation: All deaths are referred within 1-hour
- Any approach for donation MUST be done in collaboration with NJSN
- NJSN determines medical suitability
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Referral Process
- Tissue Donors: Call within 1-hour of cardio-respiratory death
- Organ Donors: (Vented Patients) Call within 1-hour of GCS
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The Rare Opportunity for Organ Donation
Less than 1% of the population can be an organ donor
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Organ Donation Evaluation
- Determine medical suitability
- Assess family understanding of grave prognosis and death
- Discuss plans for donation conversation
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NJ Brain Death Regulations
- Clinical Exam with an Apnea Test (2 exams, 6-hours apart for patients >12-months)
- Confirmatory Exam (Nuclear Brain Flow Scan)
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Maximizing the Gift
saving up to 8 lives
Paradigm shift from saving the life of one person who has now died (brain death) to caring for up to 8-lives
Maintaining organ viability (perfusion, electrolyte balance, etc.)
Maintaining organ viability (perfusion, electrolyte balance, etc.)
Procurement to Transplant
- Moment of Silence
- Thoracic Organs (2-6 hours)
- Abdominal Organs (up to 48-hours)
- Medical Examiner and Funeral Home Arrangements
Use of the word procurement vs. harvest
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Things to Remember
- Refer patients who meet clinical triggers
- Donation conversation is collaborative
- Share your wishes with your loved ones
Photo by 3oheme
