Jennifer Muriett, MSN, RN, CPTC Director of Organ Recovery Donor Network of Arizona
Review indications for rapid organ recovery Define different levels of expedited cases Identify resources needed Describe challenges and solutions
Family time constraints Exhaustion UNOS rules on approach Critically unstable donor Hospital/Medical examiner requirements Surgeon availability
DNA definition: <8hrs from authorization to withdraw Levels of expedition < 5hrs = Between 5-8 hrs
Required: Authorization, UNOS ID, death, surgeon, OR Useful: Additional ORC Hospital development support Family services support Supplies Kidney pumps
Establish what’s possible Hospital location and capabilities ▪ OR availability Surgeon availability Staff availability Remote EMR Discuss with family Call in the troops!
Draw blood Serologies HLA Organ/tissue requirements Medical examiner requirements Send labs CMP, UA, PT/PTT, CBC, cultures Donor assessment OME clearance Photos? Huddles ICU OR
Authorization MSHQ Family support Planning for withdrawal process Negotiation
Notify hospital administration Coordinate OR Identify & coordinate declaring physician
Assist EMR entry Remind Establish priority Final check before withdraw Respond?
Serology on referral Donor designation Any patient suitable Dedicated procurement surgeon