Becky Ames,In-House Coordinator Gift of HopePhone: (217) 390-7418Email: firstname.lastname@example.org
*A good way to improve performance is to replicate successes from other units / organizations.
A best practice can be identified by asking 3 questions. It should have an all teach all learn mentalityeveryone brings information to share.*Donor family support: Pastoral care, SW involved to support the familyrecognizing needs
Hospital CEO communication w/ new staff orientation lettersMedical director buy-in and support for hospital physicians ivolved in declaration / ER careVP NursingStaff roles in donation processAccountability in employment reviewsServing on life teamBeing donation champion on unit
*After action reviews are conducted as a structured way to discuss what happened during a referral / case. 2 key questions: What went well? What could have gone better?This is a useful way of identifying successes, champions, key players obstacles, mistakes and areas of needed improvement.
Case review / debriefingM&M reviewsIdentifying opportunities for improvement / referral timingAfter action reviews Developing structure to review all organ cases post recoveryLife Team CommitteesStarting committeeMissionStaff needed to be involvedHospital liason to serve as internal championEMRTracking referrals /documentationHard stops in withdraw process to remind staff to refer to GOH.
*Early referral opportunitiesER reffering prior to transfer to ICU, development of hospital specific triggers (Intubating without sedating)Charge Rn involvement in identifying referralsPPC (Patient care conferences)Staff involvedDocumentationRequestingCollaboration of hospital / GOHRn, MD, Pastoral care, SW involvementProtocols for approachDo we approach in ER?Giving families time to absorb prognosis
*DCD ProcessTiming (Giving families enough time to make decision to w/d before presenting option of donation)ORStaff involvedAPNs declaring and initiating comfort care meds
*Coroner Involvement / relationshipCollaboration with GOH & Hospital to release on organ referralsUtilizing a forensic pathologist to evaluate organs during recovery ( Blessing has one in-house)Coroner notification processInvolvement in committees / case debriefingsPathologist involved with hospital and goh to help determine if a patient can be released.if coroner releases have criminal pathologist go to OR and evaluate organs prior to recovery. (blessing has one in house)Transporting patients after autopsy for tissue recovery
*Tissue donationHospital or GOH requesting processesPDSAs / process improvementsIncreasing donation activityGOH approaching family prior to leaving hospital
*Title: What is the practice and who developed it?Context: Where is the practice applicable, and what problems does it address?Tools & techniques used:Resources: What skills or other resources are needed to implement the best practice?Lessons learned: What has proved to be difficult? What suggestions do experienced practitioners have about appying the practice?Links to resources: What people or documents can a potential user consult fo rmore info? Contact info.*Contact your hospital development coordinator to help evaluate what areas you would like to pursue in a peer review and they will find out what hospital processes best match your topic of interest