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Peer Visits
Tools for sharing best practices
Becky AmesGOH In-House Coordinator,
Champaign County
Getting started
• What is a best practice?– Demonstrate evidence of success
– Affects something important and contributes to the organizations mission and goals
– Have the ability to be replicated or adapted in other settings
• Benefits of sharing best practices– Raise quality of practice and donation rates
– Avoids duplication of effort “re-inventing the wheel”
– Save time and money through increased productivity and efficiency
Suggested topics for review
• Hospital atmosphere regarding donation– GOH Presence & collaboration on referrals
– Overall environment / buy-in
– Donor Family support
• Staff Donation Champions– Hospital CEO
– Nursing Directors / Unit Managers
– Staff roles in donation process
Suggested topics cont’d…
• Case review / debriefing– M&M reviews
– After action reviews
• Life Team Committees– Starting committee
– Mission
– Staff needed to be involved
– Hospital liason to serve as internal champion
Suggested topics cont’d…• Organ Referrals
– Early referral opportunities◦ ER referrals prior to transfer to ICU
◦ Development of hospital specific triggers
◦ Charge RN involvement in identifying referrals
– PCC (Patient care conferences)◦ Staff involved
◦ Documentation
– Requesting◦ Collaboration of hospital / GOH
◦ RN, MD, Pastoral care, SW involvement
◦ Protocols for approach
Suggested topics cont’d…
• DCD Process– Timing
– OR◦ Staff involved◦ APN’s / RN’s declaring and initiating comfort care meds
• EMR– Tracking referrals /documentation
– Automated processes / pop-ups
– Donor management reports / HIM
Suggested topics cont’d…
• Coroner Involvement / relationship – Collaboration to release on organ referrals
– Utilizing a forensic pathologist to evaluate organs during recovery
– Process for notification of death
– Involvement in committees / case debriefings
– Pathologist involved with hospital and GOH to help determine if a patient can be released
– Transporting patients after autopsy for tissue recovery
Suggested topics cont’d…
• Tissue donation– Hospital or GOH requesting processes
– PDSA’s / process improvements
– Increasing donation activity
Documenting best practices
• Write a description of the best practice:– Title and description
– Context
– Tools & techniques used
– Resources
– Lessons learned
– Links to resources
Next Steps
• Contact your hospital development coordinator to help evaluate what areas you are interested in pursuing for a peer visit.
• Identify best practices in your hospital and discuss them with your HD Coordinator.
• Go, Do, Learn
