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Published byEmery Hines Modified over 9 years ago
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Jennifer Muriett, MSN, RN, CPTC Director of Organ Recovery Donor Network of Arizona
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Review indications for rapid organ recovery Define different levels of expedited cases Identify resources needed Describe challenges and solutions
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Family time constraints Exhaustion UNOS rules on approach Critically unstable donor Hospital/Medical examiner requirements Surgeon availability
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DNA definition: <8hrs from authorization to withdraw Levels of expedition < 5hrs = Between 5-8 hrs
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Required: Authorization, UNOS ID, death, surgeon, OR Useful: Additional ORC Hospital development support Family services support Supplies Kidney pumps
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Establish what’s possible Hospital location and capabilities ▪ OR availability Surgeon availability Staff availability Remote EMR Discuss with family Call in the troops!
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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
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Authorization MSHQ Family support Planning for withdrawal process Negotiation
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Notify hospital administration Coordinate OR Identify & coordinate declaring physician
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Assist EMR entry Remind Establish priority Final check before withdraw Respond?
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Serology on referral Donor designation Any patient suitable Dedicated procurement surgeon
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