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

Organ Donation, Understanding the Facts