AOC presentation Fact or Fiction

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Illustrates the facts, as well as misconceptions, about organ donation eligibility.

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AOC presentation Fact or Fiction

  1. 1. Transplant… The Journey For a Cure Christina Bryant, RN, CPTC Certified Procurement Transplant Coordinator Alabama Organ Center
  2. 2. Today over 100,000 people are waiting for a lifesaving transplant… <ul><li>More than 75,000 are waiting for a kidney. </li></ul><ul><li>(Approximately 75% of the transplant candidate population.) </li></ul>
  3. 3. How do we fix it???
  4. 4. LIVING DONORS…
  5. 5. Living, Non-Traditional Donors…
  6. 6. The journey began eighteen years ago… <ul><li>KayLynn Jensen </li></ul><ul><li>December 24, 1958 – August 1, 1989 </li></ul>
  7. 7. And ended on January 15 th , 2007
  8. 8. One family’s tragedy…
  9. 9. Became another family’s miracle…
  10. 10. Living related donors…
  11. 11. Deceased Donors…
  12. 12. Alabama organ bank???
  13. 13. Alabama Organ Center <ul><li>Federally designated OPO </li></ul><ul><li>Main office in Birmingham with regional offices in Huntsville, Muscle Shoals, Montgomery, Dothan and Mobile </li></ul><ul><li>Contracted with all acute care hospitals </li></ul>
  14. 14. What is the role of the AOC?
  15. 15. Community Education, Donor Management, & Organ / tissue Procurement
  16. 16. Three Types of Donors <ul><li>Brain Death - Organs, Tissues and Eyes </li></ul><ul><li>Cardiac Death - Tissues and Eyes and occasionally Organs </li></ul><ul><li>Living Donation </li></ul>
  17. 17. What Can be Donated? Corneas Lungs Liver Heart / Heart Valves Pancreas/Islet Cells Kidneys Bone Tendons
  18. 18. Organ placement and distribution… <ul><li>The donor’s information is entered in the national sharing system (UNOS) </li></ul><ul><li>Organs are matched by blood type, body size, waiting time and patient’s medical status </li></ul><ul><li>Most organs are shared first locally in Alabama…then regionally and finally nationally </li></ul>
  19. 19. What is your role?
  20. 20. Cadaveric Donors & Common Misconceptions Among Medical Professionals
  21. 21. Fact or Fiction…
  22. 22. GOLDEN GUIDELINES… <ul><li>SAVE LIVES </li></ul><ul><li>TRANSPLANT HEALTHY ORGANS </li></ul><ul><li>NEVER COMPROMISE THE WELL BEING OF THE RECIPIENT </li></ul>
  23. 23. Fact or Fiction? <ul><li>Individuals with a history of cancer are ineligible for organ donation. </li></ul>
  24. 24. <ul><li>Fiction </li></ul>
  25. 25. Fact or Fiction? <ul><li>The cut-off for eligible donors is 70 years of age. </li></ul>
  26. 26. <ul><li>Fiction </li></ul>
  27. 27. Fact or Fiction? <ul><li>Hepatitis is a rule-out for </li></ul><ul><li>organ donation. </li></ul>
  28. 28. <ul><li>Fiction </li></ul>
  29. 29. Fact or Fiction? <ul><li>The leading cause of brain death is head trauma. </li></ul>
  30. 30. <ul><li>Fact </li></ul>
  31. 31. Causes of Brain Death… <ul><li>ICH / CVA </li></ul><ul><li>CNS Tumor </li></ul><ul><li>Head Trauma </li></ul><ul><li>Anoxic Injuries </li></ul><ul><li>Infection (meningitis) </li></ul>
  32. 32. Fact or Fiction? <ul><li>MRSA is an automatic rule-out for organ donation. </li></ul>
  33. 33. Fiction
  34. 34. Fact or Fiction? <ul><li>Patients with autoimmune disorders such as systemic lupus and asthma are ineligible for organ donation. </li></ul>
  35. 35. <ul><li>Fiction </li></ul>
  36. 36. Fact or Fiction? <ul><li>Patients who are HIV positive cannot be organ donors. </li></ul>
  37. 37. <ul><li>Fact </li></ul>
  38. 38. Fact or Fiction? <ul><li>The diseases/conditions a donor carries are passed along to the recipient, post-transplant. </li></ul>
  39. 39. <ul><li>Potentially </li></ul>
  40. 40. Fact or Fiction? <ul><li>The best time to contact the organ center is </li></ul><ul><li>after the first brain-death note has been written. </li></ul>
  41. 41. <ul><li>Fiction </li></ul>
  42. 42. Clinical Triggers… <ul><li>Unresponsive to verbal & noxious stimuli </li></ul><ul><li>Pupils non-reactive to light </li></ul><ul><li>Absence of cough / gag </li></ul><ul><li>Absence of spontaneous respiration on vent </li></ul><ul><li> NOTIFY WITH 3 OUT OF 4 </li></ul>
  43. 43. Fact or Fiction? <ul><li>Designated requestors are meant to be used as a “last resort” in approach for consent. </li></ul>
  44. 44. <ul><li>Fact </li></ul>
  45. 45. Fact or Fiction? <ul><li>YOU play a “key” role in the medical outcome of those waiting for life-saving transplants. </li></ul>
  46. 46. Fact
  47. 47. The difference between someone who dies waiting on the transplant list…
  48. 48. And someone who gets a second chance at life…
  49. 49. Is the call that YOU make…
  50. 50. You can bring a donor & a recipient together.

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