The Future of Organ Labeling and Verification Linette Meyer Manager of Organ Preservation Services

HHS Innovation Project for Organ Labeling and Tracking Project Goals: Reduce incorrect transplantation Eliminate transcription errors Eliminate legibility errors Minimize complexity Minimize transport errors Accelerate organ information transfer Capture organ procurement/transport data

ETT Learning and Initial Field Testing Understanding variations in process OPO visits: LifeSource, California Transplant Donor Network, Gift of Hope, LifeLink of Georgia, LifeNet Health of Virginia Transplant Centers: University of Minnesota, ILNM, Piedmont Hospital of Georgia, John Hopkins and University of Maryland, VCU Medical Center of Richmond, University of California, San Francisco Field Testing: included training, proficiency testing, testing on donor cases, 24/7 support from ETT team LifeNet Health (VA) LifeSource (MN) California Transplant Donor Network LifeLink Living Legacy Foundation

Organ Validation, Labeling and Tracking System Donor Management Workflow Enhanced Validation Vessel Label Entry Print on Demand Operating Room Post OR Package Shipping Labels & Barcode Box Contents Ship – Scan When Ready to Ship Transport Email, Text Alerts Scan – Ready to Ship Scan – Receipt Transplant Center Print Recipient ID Band Receive Organ Match Organ to Recipient

LifeSource Participation LifeSource Visit – learning about the process Electronic Tracking and Transport-Phase I LifeSource Training: Sept 23/24 2013 Field Implementation /Support: October 2013 – April 1, 2014 Continued from April 1 -September 1, 2014 TransNet Beta Testing UNOS Training: September 10-11, 2014 LifeSource Training and Competency Training: September 17-22nd Implementation on September 29, 2014 Completion of Beta Testing: January 15, 2014

Comparison ETT TransNet Manual Entry Dual Verification Scanning was redundant DonorNet download Enhanced Validation Application Enhancements Improved guides Process flow Validations TransNet Triage Team

Required Equipment Tablet – currently android Zebra Printer 2 inch and 3 inch label rolls Blue ID band Process flow book Internet Wi-fi Connectivity Hospital security agreement Pairing with Tablet and printer

TransNet Database User ID link to DonorNet Id Unique Password Ability to create a case Create Case

TransNet Logon

Creating a Case DonorNet Import Validation fields Local Validation Remote Validation Connectivity with TransNet web based utility

TransNet Icon Case Initiation through OR completion

TransNet Website https://transnet.unos.org

2 Inch Labels Application prompt for current label size Utilized to print: Donor ID Band Lab Labels Miscellaneous labels Documentation labels

Donor ID Band

Labeled Tubes

Infectious Disease Results

Setting Procurement Plan

Move to the OR Connectivity Check Scan of Donor ID band Blood specimen draw Change to 3 inch labels

Preparation for labeling Preparation of Shipping Area Obtain specimens early

Final Packaging

 On this screen you will print labels for Specimens as they become available: Nodes & Spleen

Notice the option to Print Shipping and Organ Labels Notice the option to Print Shipping and Organ Labels. If you’ve misplaced or disfigured any of the previously printed labels, they can be reprinted at this time. Receive heart Move heart to shipping area and attach internal organ label - may not have everything else for the shipping box but need to keep the organ on ice.

Ensure Correct Box Contents are Checked- anything scanned and not put in the box is a fatal error. Package up box

Scan of Shipping Label 4

LifeSource Experience TransNet System More effective Less labor intensive More intuitive ~ 100% activation in ICU’s/OR’s Better deployment Future? Multiple platform application

Organ Validation, Labeling and Tracking System Donor Management Workflow Enhanced Validation Vessel Label Entry Print on Demand Operating Room Post OR Package Shipping Labels & Barcode Box Contents Ship – Scan When Ready to Ship Transport Email, Text Alerts Scan – Ready to Ship Scan – Receipt Transplant Center Print Recipient ID Band Receive Organ Match Organ to Recipient

Questions?