1. Name Title Company

2. 2

3. At the end of the presentation the learner will: Have an understanding of the donation process Be able to verbalize which organs and tissues can be donated Be able to verbalize how to become a donor 3

4. Who is impacted by the organ and tissue donation process? 4

5. Insert Organ Procurement Mission Statement Here 5

6. Founded in _____ Not for profit Federally funded and designated by CMS as an Organ Procurement Organization (OPO) 6

7. Serving ____ hospitals, __ transplant centers & ____ million residents Describe geographic area (Donation Service Area) 7

8. Include a map of the Donation Service Area 8

9. United Network for Organ Sharing Maintains National Organ Transplant Waiting List under contract with the U.S. Department of Health and Human Services American Association of Tissue Banks Provides tissue banking standards to promote quality and safety in tissue transplantation Association of Organ Procurement Organizations Recognized as the national representative of organ procurement organizations (OPOs) EBAA National accrediting body for eye banks 9

10. >110,997 (update by checking UNOS.org) National number of people waiting for organ transplants >1,500,000 (update as needed) Number of tissue transplants occurring annually 10

11. Liver Tumor Food Poisoning Cardio- myopathy Diabetes – End Stage Renal Disease Cystic Fibrosis 11

12. Source: UNOS/OPTN 6/2010 12

13. 13

14. Referral Identification & Early Referral Based on Clinical Triggers Hospital Development Community Outreach Development 14

15. Insert the trigger card established with the hospital. 15

16. Evaluate Suitability Donor Mgmt Brain Death Declared Donation After Cardiac Death Assessment Identification & Early Referral Based on Clinical Triggers Hospital Development Community Outreach DevelopmentReferral 16

17. Donation After Brain Death: Lost one or more brainstem reflexes & ventilation E.g. Anoxic Injury, Brain Hemorrhage, GSW, MVA, etc. Progression to Brain Death & declaration Tissue Donation: After every death Donation After Cardiac Death: Withdrawal of Life Support discussions E.g. Anoxic Injury, Brain Hemorrhage, Neurological Injury Will not progress to Brain Death 17

18. Approach Suitability Donor Mgmt Brain Death Declared Donation After Cardiac Death Assessment Identification & Early Referral Based on Clinical Triggers Family Support Huddle Effective Requesting Medical/Soc History Hospital Development Community Outreach DevelopmentReferral Evaluate 18

19. Families are best served when hospitals & OPO’s work together to offer the option of donation Communication and Establishing Trust is Vital in End-of-Life Care! Donation is a GIFT There is no one right answer: Donation is a GIFT 19

20. Recovery Coroner Clearance Organ Placement Organ/Tissue Recovery After Action Review Suitability Donor Mgmt Brain Death Declared Donation After Cardiac Death Assessment Identification & Early Referral Based on Clinical Triggers Family Support Huddle Effective Requesting Medical/Soc History Hospital Development Community Outreach DevelopmentReferral Evaluate Approach 20

21. Add the type of donor ceremonies your OPO conducts – provide one or more pictures. 21

22. Cornea/Eyes Heart Valves Skin Bone Tendons Cartilage Veins TISSUES ◄ ◄ ◄ ◄ ◄ ◄ ◄ ◄ ◄ ◄ ◄◄◄◄◄◄◄◄◄◄◄◄◄◄ ◄ ◄ ◄ ● ● ● ● Kidneys ● Liver ● Heart ● Lungs ● Pancreas ● Sm. Intestine ORGANS ● ● ● 22

23. 3 donors… … save 10 lives on average through organ transplants… …and help up to 150 others through donated tissues 23

24. TISSUE DONATION EXAMPLES 24

25. Replace defective heart valves Donated valves preferred - no need for anti-coagulation drugs Treatment of choice for pediatrics 25

26. Coronary bypass surgery Limb salvage Restores blood flow Prevents amputation 26

27. Tendons and Ligaments Replace or strengthen damaged tissues in knees and other joints 27

28. Examples: Cancellous bone graft (for hip surgery) Femoral cross section Fibula shaft (back surgery) Dental Powder Engineered grafts 28

29. Spinal curvature After a bone graft… 29

30. Increases burn survival from 17 to 77% Promotes healing Temporary coverage Protects against: fluid loss Infection Decreases pain 30

31. A world of darkness A precious gift… …transplanted 31

32. We are inspired by donor families who are so giving at a time when when they have suffered such a great loss Cathy Perez, mother of Louis Silva, organ donor 32

33. “She runs, jumps and plays everyday instead of sitting in the stroller.” –Yehong & Frost, Tong Tong’s parents 33

34. Share your decision with your family 1 Sign up on the _____________________ Organ & Tissue Donor Registry 2 Live a long, healthy life! 3 Insert Registry website 34

35. Who is impacted by the organ and tissue donation process? 35

36. Lily at six: The joy of kindergarten! Matthew Bemis Lily’s donor Liver tumor, awaiting transplant 1984 1985 36

37. 2008 37