Organ Donation Pps


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Organ Donation Pps

  1. 1. The Nurse’s Role in the Organ Donation Process Presented By: Shannon Milanek Christie Rigney
  2. 2. A Case Study…. <ul><li>35 year old Greg Jones is on his way home from work when he is involved in a high speed head on collision. </li></ul><ul><li>Paramedics arrive and find Mr. Jones unconscious and unresponsive to verbal and painful stimuli. </li></ul><ul><li>Mr. Jones is intubated in an attempt to stabilize him and transported to the nearest Level One Trauma Center. </li></ul>
  3. 3. Arriving at The ER….. <ul><li>The top notch trauma team receives report from EMS and springs into action. </li></ul><ul><li>Numerous X-rays are obtained to evaluate injury. </li></ul><ul><li>CT of head and abdomen is completed. </li></ul><ul><li>Mr. Jones is stabilized and transferred to the Surgical Trauma Intensive Care Unit for care. </li></ul>
  4. 4. STICU Clinical Evaluation <ul><li>Glasgow Coma Scale – 3 </li></ul><ul><li>Mr. Jones is unresponsive to painful stimuli </li></ul><ul><li>No cough or gag response </li></ul><ul><li>Blood Pressure 80/40 </li></ul><ul><li>CT shows brain herniation </li></ul><ul><li>Family informed of prognosis </li></ul>
  5. 5. What Does the Nurse Do? <ul><li>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. </li></ul><ul><li>Do not mention donation to Mr. Jones’s family. If the family mentions donation, provide information and support. </li></ul><ul><li>The organ procurement agency will screen Mr. Jones and review the chart to determine medical suitability for donation. </li></ul><ul><li>Familiarize yourself with and follow your facility’s protocol. </li></ul><ul><li>Continue to provide quality care to Mr. Jones and his family. </li></ul>
  6. 6. When Should I call the Donor Referral Hotline? Organ Donation Clinical Triggers Your patient is intubated and shows evidence of the following: <ul><ul><ul><li>Coma </li></ul></ul></ul><ul><ul><ul><li>Stroke </li></ul></ul></ul><ul><ul><ul><li>Hypoxia </li></ul></ul></ul><ul><ul><ul><li>Brain Tumor </li></ul></ul></ul><ul><ul><ul><li>Cerebral Injury </li></ul></ul></ul><ul><ul><ul><li>Near-Drowning </li></ul></ul></ul><ul><ul><ul><li>Cerebral Edema </li></ul></ul></ul><ul><ul><ul><li>Cerebral Hemorrhage </li></ul></ul></ul><ul><li>AND </li></ul><ul><li>Two or more of the following criteria are met: </li></ul><ul><li>No cough or gag </li></ul><ul><li>Unresponsive or posturing </li></ul><ul><li>No spontaneous respiration </li></ul><ul><li>No pupillary or corneal reflex </li></ul><ul><li>Discussion of DNR or withdrawal of support </li></ul><ul><li>Glasgow Coma Scale Rating of less than 5 without sedation </li></ul>
  7. 7. Does Mr. Jones Meet Criteria? <ul><li>The Nurse calls the referral line, which is staffed by the Organ Procurement Agency in that state. </li></ul><ul><li>The Medical Screener on the referral line conducts a preliminary screening of Mr. Jones. </li></ul><ul><li>The Medical Screener contacts a Transplant Coordinator and relays the referral information obtained from the hospital. </li></ul><ul><li>The Transplant Coordinator calls or arrives at the hospital to to obtain additional information about Mr. Jones. </li></ul>YES!
  8. 8. What is an OPO? <ul><li>Organ Procurement Organization. Each state has one or more depending on population. </li></ul><ul><li>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. </li></ul><ul><li>OPO staff work with donor families, and educate medical staff and the general public about organ donation. </li></ul>
  9. 9. Ok! My job is over now…. <ul><li>Not so fast! The nurse must still: </li></ul><ul><li>Monitor Vital Signs </li></ul><ul><li>Monitor Intake and Output </li></ul><ul><li>Administer and manage medication administration to maintain perfusion and blood glucose levels </li></ul><ul><li>Manage ventilator to maintain ABG’s </li></ul><ul><li>Obtain labs to monitor kidney, liver and pancreas function </li></ul><ul><li>Work with the transplant coordinator to obtain significant medical and social history </li></ul><ul><li>Coordinate with local physicians for any special procedures that may be required by the OPO </li></ul><ul><li>Offer support and coordinate resources for Mr. Jones family </li></ul>
  10. 10. How many nurses does it take…. <ul><li>Emergency Room Nurse </li></ul><ul><li>STICU Nurse </li></ul><ul><li>Transplant Coordinator </li></ul><ul><li>Operating Room Nurse for Organ Procurement </li></ul><ul><li>Organ Placement Nurse </li></ul><ul><li>Flight Nurse (in some situations) </li></ul><ul><li>Operating Room Nurse for Transplant Recipient </li></ul><ul><li>ICU Nurse for Transplant Recipient </li></ul><ul><li>Medical Surgical Nurse </li></ul><ul><li>Home Health Nurse </li></ul>
  11. 11. So, why should you bother??? <ul><li>Mandated by Federal Law to refer any patient who meets criteria to the states Organ Procurement Organization </li></ul><ul><li>Opportunity to be involved with making the best of a tragic situation </li></ul>
  12. 12. Mr. Jones saved many lives… <ul><li>Heart: A 58 year old man lived to see his first grandchild born. </li></ul>
  13. 13. Mr. Jones saved many lives…. <ul><li>Lungs: An 13 year old girl with cystic fibrosis will breathe easier. </li></ul>
  14. 14. Mr. Jones saved many lives…. <ul><li>Kidney: A 40 year old mother of two will have many more years with her children. </li></ul>
  15. 15. Just so you know…. <ul><li>The average organ donor saves 8 lives by donating organs. </li></ul><ul><li>Heart, Lungs, Liver, Kidneys, Pancreas, Small Intestine </li></ul><ul><li>Quality of life for many recipients can be improved by organ and tissue donation </li></ul><ul><li>Eyes, Corneas, Skin, Bone, Heart Valves, Tendons and Veins </li></ul>
  16. 16. Did You Pay Attention????? <ul><li>The Nurse should always ask if the patient is an organ donor before beginning any type of treatment. </li></ul>
  17. 17. <ul><li>FALSE </li></ul>
  18. 18. Did You Pay Attention????? <ul><li>The Nurse must possess good assessment skills when determining if a patient could be a potential organ donor. </li></ul>
  19. 19. <ul><li>TRUE </li></ul>
  20. 20. Did You Pay Attention????? <ul><li>The Nurse’s only role in the organ donation process is to make the referral to the Organ Procurement Organization </li></ul>
  21. 21. <ul><li>FALSE </li></ul>
  22. 22. Did You Pay Attention????? <ul><li>The Nurse should always follow the facility’s protocol for organ donation referral </li></ul>
  23. 23. <ul><li>TRUE </li></ul>
  24. 24. <ul><li>Questions? </li></ul><ul><li>Comments </li></ul><ul><li>Feedback </li></ul>