1. Kidney Allocation Scenario: – 20 y.o. female, type I diabetic, anoxic head injury – Normal kidney lab values, KDPI 25% – Kidney Allocation for Donors with KDPI 21- 34% Sequence #1-3: national 100% CPRA, National Sequence #4 : 98% CPRA, Local Sequence 5-142: Local Allocation Scenario

2. Offers to Sequence # 1-3 – Sequence #1: Provisional yes Preliminary Blood sent for crossmatch – Sequence #2: Decline – Sequence #3: Provisional yes Preliminary Blood sent for crossmatch Allocation Plan

3. Sequence #1: Decline while in the OR for donor quality Sequence #3: Decline while organ being boarded on plane for positive crossmatch Sequence #4: Placement of left kidney Reallocation of right kidney: – Sequence #13 Final Allocation

4. How has the new KAS impacted your program? Have you experienced greater need to request or send blood for preliminary crossmatch. – If so, what are the impacts on your program and what is involved in your decision making process? Questions