Honoring Donor Families Through Collaboration Sharon Elliott, BSN, RN, Nurse Supervisor Paula Marbach, RN, Charge Nurse Donor Council Breakout

Providence Saint Joseph Medical Center A community based hospital Licensed for 431 beds 28 ICU beds 10 SICU beds Neuro Receiving Averaging 4 potential donors annually Donor Council meets bimonthly

A Team Approach Early referral GCS of 5 Multi-disciplinary Huddles Donor Management –Donor Management for The Bedside Nurse 4 CEs offered twice a year Debrief all cases –Identify process improvement opportunities for both hospital and OPO Medical Record Review on a monthly basis –Review for missed potential both organ and tissue –Review for tissue compliance (all deaths referred and referred within one hour of death) Collaborate on the Donation Development Plan – strategic plan to guide the donation process within the hospital to ensure that we meet our donation metrics –100% referrals –75% Conversion Rate –10% Donation After Cardiac Death –3.75 Organs Transplanted per Donor

What were our goals? Live our mission Support the family Save lives

What Challenges Do We Face? We are a community based hospital which doesn’t see trauma Our physicians are less acquainted with organ donation process Weekends and evenings are resource poor

Process Improvement Initiatives: Arranged for a Peer to Peer discussion with the Neuro Science Committee to discuss Best Practices for determining brain death and working with families for the best outcomes Introduced the Donor Management Class for the Nursing Staff Rewrote policy Housewide education on Clinical Triggers OR in-services for both BD and DCD donation cases

Historical Overview: 4 donors – (5) 1 donor – (3) 2 donors – (4) 7 donors – (8) Year

2009 data in review 8 Potential Organ Donors 7 Organ Donors 1 Donor was a DCD case 17 organs transplanted (2.43 OTPD) 1 Administrative Consent 88% Conversion Rate 14% DCD Rate 0 Coroner Denials

Donor Council Duties: Rose Dedication Ceremony in December –Commemorating all donors Flag Raising Ceremony in April –National Donate Life Month National Nurses Week –Recognizing all Nurses “Go to People” for each case –Supply the needed resources: MDs, rooms, chart information, lab results