a living legacy

A Living Legacy

NameTitle Company

VideoYour Stories & Questions

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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

Objectives

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Who is impacted by the organ and tissue donation process?

Thought Question

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Our Mission

Insert

Organ Procurement Mission Statement

Here

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Founded in _____

Not for profit

Federally funded and designated by CMS as an Organ Procurement Organization (OPO)

Organ Procurement Name

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Serving ____ hospitals, __ transplant centers & ____ million residents

Describe geographic area (Donation Service Area)

Organ Procurement Name

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Donation Service Area

Include a map of the Donation Service Area

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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 BanksProvides tissue banking standards to promote quality and safety in tissue transplantation

Association of Organ Procurement OrganizationsRecognized as the national representative of organ procurement organizations (OPOs)

EBAA National accrediting body for eye banks

Umbrella Organizations

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What do these Numbers mean?

>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

annually10

Liver Tumor Food Poisoning

Cardio-myopathy

Diabetes – End Stage Renal Disease

Cystic Fibrosis11

Waiting & Donating: A Widening Gap

0

20000

40000

60000

80000

100000

120000

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Waiting Organs Tx

Source: UNOS/OPTN 6/2010 12

UNOS Organ Allocation Policy

Potential recipients are ranked by these criteria:

Urgency of Need The very sickest rank at the top of the list Time Waiting Points accrued according to time on

waiting listBlood Type ABO must be compatibleSize Height and weight must be

compatibleTissue Typing For kidneys & pancreas

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Referral

Identification & Early Referral Based on Clinical Triggers

HospitalDevelopment

Community Outreach

Development

The Donation Process

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Clinical Trigger for Referral

Insert the trigger card established with the hospital.

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Evaluate

Suitability

Donor Mgmt

Brain Death Declared

Donation After Cardiac Death Assessment

Identification & Early Referral Based on Clinical Triggers

HospitalDevelopment

Community Outreach

Development Referral

The Donation Process

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Potential DonorsDonation After Brain Death:

Lost one or more brainstem reflexes & ventilationE.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 discussionsE.g. Anoxic Injury, Brain Hemorrhage, Neurological InjuryWill not progress to Brain Death

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Approach

Suitability

Donor Mgmt

Brain Death Declared

Donation After Cardiac Death Assessment

Identification & Early Referral Based on Clinical Triggers

Family Support

Huddle

EffectiveRequesting

Medical/SocHistory

HospitalDevelopment

Community Outreach

Development Referral Evaluate

The Donation Process

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The Request

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!

There is no one right answer: Donation is a GIFT19

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

EffectiveRequesting

Medical/SocHistory

HospitalDevelopment

Community Outreach

Development Referral Evaluate Approach

The Donation Process

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Following-Up & Honoring Donors

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

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Transplantable Organs & Tissues

Cornea/EyesHeart Valves

SkinBone

TendonsCartilage

Veins

TISSUES◄

◄

◄◄

◄

◄

◄

◄

◄

◄

◄◄◄◄ ◄ ◄ ◄

◄◄

◄

●●

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● Kidneys● Liver● Heart ● Lungs● Pancreas● Sm. Intestine

ORGANS

●

●●

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3donors…

… save 10 lives on average

through organ transplants…

…and help up to 150 others through donated tissues

The Results Are Exponential

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TISSUE DONATION EXAMPLES

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Heart Valves/Pericardium

Replace defective heart valves

Donated valves preferred - no need

for anti-coagulation drugs

Treatment of choice for pediatrics

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Vascular Grafts

Coronary bypass surgery

Limb salvage

Restores blood flow

Prevents amputation

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Connective Tissue

Tendons and Ligaments

Replace or strengthen damaged tissues in knees and other joints

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Bone

Examples:Cancellous bone graft (for hip surgery)Femoral cross sectionFibula shaft (back surgery)Dental PowderEngineered grafts

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Spinal curvature

After abone graft…

Bone Graft

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Skin

Increases burn survival from 17 to 77% Promotes healing Temporary coverageProtects against:

fluid lossInfection

Decreases pain

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A world of darkness

A precious gift…

…transplanted

The Gift of Sight

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We are inspired by donor families who are so

giving at a time when when they have suffered

such a great loss

Our Inspiration: Donors and Their Families

Cathy Perez, mother of Louis Silva, organ donor

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“She runs, jumps and plays everyday instead of sitting in the stroller.”

– Yehong & Frost,Tong Tong’s parents

Tong Tong Hao (Recipient)

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If You Choose to Be a DonorShare your decision with your family1Sign up on the _____________________Organ & Tissue Donor Registry

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Live a long, healthy life!3Insert Registry website

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Who is impacted by the organ and tissue donation process?

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Thought Question

Lily at six:The joy of kindergarten!

Lily

Matthew BemisLily’s donor

Liver tumor, awaiting transplant

1984

1985 36

THANK YOU!2008

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