Organ Donation Opportunities for Action (2006) / Chapter Skim
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Appendix F Washington Hospital Center: Protocol for the Rapid Organ Recovery Program, Transplantation Services
Appendix F Washington Hospital Center: Protocol for the Rapid Organ Recovery Program, Transplantation Services
Pages 305-316
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The number of patients awaiting renal transplantation today is greater than ever, but the size of the donor pool has failed to increase to meet this demand. We have proven that kidneys can be recovered from the non-heart-beating donor (NHBD)
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. The potential donors will have the following acceptability criteria: · Patients should generally not be over 60 years of age or younger than 18 years of age (<18 with next-of-kin consent)
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If organs seem acceptable a member of the primary or critical care team will introduce the family to the OPO coordinator who is generally the individual who will discuss the option of organ donation along with the ODA Family Advocate. The family member or other person responsible for the patient's healthcare decisions may then elect to have organs donated.
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Based on recommendations made by the attendees of the Consensus Conference on Trauma Victims and Organ Donation (WHC, MRI, WRTC, 1993) , numerous steps have been taken to educate the community about this program.
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If deemed necessary, the team member will draw 10 ccs of blood and run a STAT HIV screening. Should the potential donor test positive, organ preservation will be discontinued.
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310 ORGAN DONATION: OPPORTUNITIES FOR ACTION for the transport of the samples to that lab for tissue typing serological testing. Line Placement Technique A cooling blanket is placed under the donor as soon as possible and set at the lowest possible setting, as an adjunct to core cooling the donor.
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APPENDIX F 311 When the effluent is clear, the infusion rate is slowed to a steady drip of about 2cc/minute.
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312 ORGAN DONATION: OPPORTUNITIES FOR ACTION extensions through the skin, subcutaneous layer, fascia, and muscle to maximize exposure of abdominal organs.
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APPENDIX F 313 parameters and interventions will be recorded. The OPO on site coordinator will observe the surgical recovery and record the anatomy of the kidneys.
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In addition, more patients and bereaved families will now have the unique opportunity to gain solace from organ donation. We have, in the past year, shown that kidneys recovered using this technique can be successfully transplanted by our program.
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. Consensus Conference on Trauma Victims and Organ Donation.
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