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Organ Donation Pps

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  • 1. The Nurses Role in the Organ Donation Process Presented By: Shannon Milanek Christie Rigney

2. A Case Study.

  • 35 year old Greg Jones is on his way home from work when he is involved in a high speed head on collision.
  • Paramedics arrive and find Mr. Jones unconscious and unresponsive to verbal and painful stimuli.
  • Mr. Jones is intubated in an attempt to stabilize him and transported to the nearest Level One Trauma Center.

3. Arriving at The ER..

  • The top notch trauma team receives report from EMS and springs into action.
  • Numerous X-rays are obtained to evaluate injury.
  • CT of head and abdomen is completed.
  • Mr. Jones is stabilized and transferred to the Surgical Trauma Intensive Care Unit for care.

4. STICU Clinical Evaluation

  • Glasgow Coma Scale 3
  • Mr. Jones is unresponsive to painful stimuli
  • No cough or gag response
  • Blood Pressure 80/40
  • CT shows brain herniation
  • Family informed of prognosis

5. What Does the Nurse Do?

  • Regardless of age or diagnosis, refer intubated patients with a cerebral injury and meeting clinical trigger criteria to the organ procurement organization designated by your facility.
  • Do not mention donation to Mr. Joness family. If the family mentions donation, provide information and support.
  • The organ procurement agency will screen Mr. Jones and review the chart to determine medical suitability for donation.
  • Familiarize yourself with and follow your facilitys protocol.
  • Continue to provide quality care to Mr. Jones and his family.

6. When Should I call the Donor Referral Hotline? Organ Donation Clinical Triggers Your patient is intubated and shows evidence of the following:

      • Coma
      • Stroke
      • Hypoxia
      • Brain Tumor
      • Cerebral Injury
      • Near-Drowning
      • Cerebral Edema
      • Cerebral Hemorrhage
  • AND
  • Two or more of the following criteria are met:
  • No cough or gag
  • Unresponsive or posturing
  • No spontaneous respiration
  • No pupillary or corneal reflex
  • Discussion of DNR or withdrawal of support
  • Glasgow Coma Scale Rating of less than 5 without sedation

7. Does Mr. Jones Meet Criteria?

  • The Nurse calls the referral line, which is staffed by the Organ Procurement Agency in that state.
  • The Medical Screener on the referral line conducts a preliminary screening of Mr. Jones.
  • The Medical Screener contacts a Transplant Coordinator and relays the referral information obtained from the hospital.
  • The Transplant Coordinator calls or arrives at the hospital toto obtain additional information about Mr. Jones.

YES! 8. What is an OPO?

  • Organ Procurement Organization. Each state has one or more depending on population.
  • A not-for-profit organization responsible for identification and care of organ donors, organ retrieval, organ preservation, transportation, and data follow up regarding organ donors.
  • OPO staff work with donor families, and educate medical staff and the general public about organ donation.

9. Ok! My job is over now.

  • Not so fast!The nurse must still:
  • Monitor Vital Signs
  • Monitor Intake and Output
  • Administer and manage medication administration to maintain perfusion and blood glucose levels
  • Manage ventilator to maintain ABGs
  • Obtain labs to monitor kidney, liver and pancreas function
  • Work with the transplant coordinator to obtain significant medical and social history
  • Coordinate with local physicians for any special procedures that may be required by the OPO
  • Offer support and coordinate resources for Mr. Jones family

10. How many nurses does it take.

  • Emergency Room Nurse
  • STICU Nurse
  • Transplant Coordinator
  • Operating Room Nurse for Organ Procurement
  • Organ Placement Nurse
  • Flight Nurse (in some situations)
  • Operating Room Nurse for Transplant Recipient
  • ICU Nurse for Transplant Recipient
  • Medical Surgical Nurse
  • Home Health Nurse

11. So, why should you bother???

  • Mandated by Federal Law to refer any patient who meets criteria to the states Organ Procurement Organization
  • Opportunity to be involved with making the best of a tragic situation

12. Mr. Jones saved many lives

  • Heart: A 58 year old man lived to see his first grandchild born.

13. Mr. Jones saved many lives.

  • Lungs:An 13year old girl with cystic fibrosis will breathe easier.

14. Mr. Jones saved many lives.

  • Kidney: A 40 year old mother of two will have many more years with her children.

15. Just so you know.

  • The average organ donor saves 8 lives by donating organs.
  • Heart, Lungs, Liver, Kidneys, Pancreas, Small Intestine
  • Quality of life for many recipients can be improved by organ and tissue donation
  • Eyes, Corneas, Skin, Bone, Heart Valves, Tendons and Veins

16. Did You Pay Attention?????

  • The Nurse should always ask if the patient is an organ donor before beginning any type of treatment.

17.

  • FALSE

18. Did You Pay Attention?????

  • The Nurse must possess good assessment skills when determining if a patient could be a potential organ donor.

19.

  • TRUE

20. Did You Pay Attention?????

  • The Nurses only role in the organ donation process is to make the referral to the Organ Procurement Organization

21.

  • FALSE

22. Did You Pay Attention?????

  • The Nurse should always follow the facilitys protocol for organ donation referral

23.

  • TRUE

24.

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