1. Preservation of organ donation (pod) team
NYU Langone Transplant Institute
Preservation of organ donation (pod) team
Christina A. Dugan MS, MPH, CPNP
Associate Director, Organ Donor Programs

2. Background—Organ Donation
In its 2006 report, "Organ Donation: Opportunities for Action” the Institute of Medicine suggested devoting research efforts to identify new ways to improve the organ donation system and increase donation rates.
Organ Donation

3. Background—Organ Donation
Based on findings from the Deceased Donor Potential Study (DDPS) by the Organ Procurement and Transplantation Network, there are approximately 35,000-40,000 potential donors each year meeting basic criteria for donation in the U.S.
Organ Donation

4. Background—Organ Donation
2017 Data
10,286 deceased donors nationally
444 deceased donors in NYS
Organ Donation

5. Organ Donation

6. Organ Donation

7. Organ Donation

8. Organ Donation

9. Background—The Spanish Model
Spain has been known as the world-leading country of organ transplantation.
In 2017, Spain broke its own world record by reaching 46.9 donors per million population
Organ Donation

10. Background—The Spanish Model
Key features of the Spanish Model include having intensivists, who are staff members of the donor hospital, be in charge of:
the critical care management of the potential organ donor to preserve the option of organ donation
the consent for organ donation
Organ Donation

11. Preservation of Organ Donation (POD) Team
Two teams have been created at NYU Langone and NYU Brooklyn
Teams consist of intesivists, social workers, nurses/nurse practitioners
Organ Donation

12. POD Team
Collaborate with the primary healthcare team to medically manage the patient to preserve the option of organ donation
Hemodynamics/fluid management
Ventilator Management
Pneumonia prevention and early antibiotics
Organ Donation

13. POD Team Also take on the role of Designated Requestor
Required designated requestor training by LiveOnNY
Request consent for organ donation from families/authorized person
Organ Donation

14. POD Team OBJECTIVE OUTCOMES
To assist in the management and consent process of ICU patients with imminent neurological death and who are eligible for organ donation.
OUTCOMES
Consents obtained for donation by POD Team
Number of organs procured
Organ Donation

15. PROCESS
Patient referred to LiveOnNY with imminent neurological death and meets inclusion/exclusion criteria.
LiveOnNY alerts POD Team leadership that a referral has been made
POD team member collaborates with primary care team to medically manage patient and optimize organ function to preserve option of organ donation.
Patient progresses to brain death or family decided to withdrawal life sustaining therapies. Authorized party approached by POD team member for consent for organ donation or notification of patient as registered organ donor.
Patient donates organs or authorized party declines consent.
Organ Donation

16. Organ Donation

17. Lessons Learned Collaboration is Key
Primary Health Care Team
LiveOnNY
Importance of the Pre-Consent and Post-Consent Huddle
Organ Donation

18. Organ Donation