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OneLegacy: A Donate Life Organization. Objectives. At the end of the presentation the learner will be able to: Identify when to refer patients to OneLegacy for Organ and Tissue Donation Understand the Donation process . What are OPOs?. - PowerPoint PPT Presentation

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South/Metro Hospital Summary (Draft, initial idea,) Restart
Next
Objectives
At the end of the presentation the learner will be able to:
Identify when to refer patients to OneLegacy for Organ and Tissue Donation
Understand the Donation process
What are OPOs?
Not-for-profit Organ Procurement Organizations (OPOs) like OneLegacy are federally designated and funded by CMS to serve specific regions of the country and were established to:
Educate the public about benefits of organ donation and transplantation
Recover, preserve and distribute donated organs
Increase the availability of organs for transplantation
Support, promote and assist tissue donation
*
Our Mission
*
To Honor Donor Wishes
Not for Profit Founded in 1977
Federally funded and designated by Centers for Medicare and Medicaid Services (CMS) as an Organ Procurement Organization (OPO)
Licensed by California as a tissue bank
Accredited by the American Association of Tissue Banks (AATB) and Eye Bank Association of America (EBAA)
Serving 220 hospitals, 11 transplant centers & 19 million residents
*
*
17-18 on waiting list die each day
Another name is
CMS regulations require all deaths to be reported
OneLegacy monitors referral activity and to ensure compliance.
Imminent brain death: Report as soon as patient shows one or more clinical signs of cessation of brain and brain stem functions
Cardiac death: Report all deaths within 1 hour
Organs can become non-viable during the time the family considers the donation option. Proper donor management enables adequate hydration, ocular care, etc.
Early Referral is Critical – and Required
*
Cardiac death (call within 1 hour for tissue donation)
*
Pupils fixed and dilated
to noxious stimuli
Back
12.pdf
Clinical Trigger for Referral and Suitability Evaluation of Potential Organ and Tissue Donors
(800) 338-6112
Potential Organ Donation Potential Tissue Donation
Clinical Trigger Clinical Trigger Call within 1 Hour of patient meeting trigger
Save More Lives with Early Referral OL1546G Rev 05/23/08 a donate life organization
Cardiopulmonary Death
Patient Expired
Prior to initiation of DNR (with intent to extubate) or End-of Life conversation,
refer all ventilated patients that meet one or more of the following criteria:
- Neurological injury (traumatic or atraumatic) with loss of one or more brainstem reflexes (pupil, gag, cough, etc.) - Multi-trauma with hemodynamic instability - Glasgow Coma Scale 5
Please do not mention organ/tissue donation to the family until OneLegacy has determined the patient to be medically suitable for donation.
Your Hospital’s Key Role in the Organ/Tissue Donation Process TIM
ELY REFERRAL of ALL im m
inent brain and cardiac DEATHS for DONOR EVALUATION is im
portant because it:
uch tim e as possible to consider the
opportunity to donate - Preserves cell viability, w
hich im proves graft success
- Docum ents hospital com
- Perm its hospital staff to concentrate on their patients
REPORT ALL IM M
INENT DEATHS W ITHIN ONE HOUR,
regardless of m edical condition, age, advanced directive, or coroner’s
involvem ent.
m ission (form
S) and OneLegacy define “im
m inent death” as:
- Neurologically devastated (e.g. CVA/ICB, brain tum
or, cerebral anoxia, etc.) - Any absent cephalic reflexes (e.g. fixed pupils, no gag/cough, etc.) - Com
a is NOT due to CNS depressants or hypotherm ia exclusively
ADVANCE DIRECTIVES AND EXTUBATION: M any patients w
ill have a DNR status w
ith plans to discontinue pharm acological/
ventilator support. Please notify OneLegacy BEFORE the extubation of any patient w
ith an acute brain injury.
YOU ARE AUTHORIZED TO REFER. No fam ily release, physician’s
order or coroner’s consent is required to report any death to OneLegacy. This phone call is a CONSULTATION to determ
ine donor suitability-not a com
m itm
ent to donation. Providing patient inform
ation is necessary, perm itted by HIPAA, and required by The
Joint Com m
S/California Health & Safety Code. Let the attending physician know
of the notification.
CM S, only organ procurem
ent organizations m ay determ
ine donor suitability.
DO NOT APPROACH THE FAM ILY. M
ost deaths w ill NOT be eligible
for donation, so in the interest of serving the patient’s fam ily, please
DO NOT m ention organ/tissue donation to the fam
ily. Before the subject of organ &
tissue donation is introduced to the fam ily, a
pre-approach conference or “huddle” needs to be held betw een
OneLegacy and hospital staff in order to determ ine the best tim
e and m
anner to address the topic of donation. Usually OneLegacy w
ill approach the fam ily about donation. Occasionally hospital staff
m ay desire to participate in the offer of organ and tissue donation. If
this is the case, hospital staff should express their interest in joining OneLegacy in introducing donation to the fam
ily during this “huddle”. Som
etim es fam
ilies “volunteer” an interest in donation, w ithout being
approached. Contact us about this special request and w e w
ill provide them
ation they need. W hether or not a patent qualifies
for donation, all death notifications to OneLegacy w ill help the hospital
track its com pliance w
ith the law s and regulations governing organ/
tissue donation.
CORONER CASES: The hospital m ust contact the coroner on all reportable
deaths (e.g. hom icides, traffics accidents, etc). OneLegacy w
ill obtain a release for donation on cases being investigated by the coroner.
HELP M AINTAIN ORGAN VIABILITY: Use the “Rule of 100s” to help
ensure that organs rem ain viable for transplant:
- Systolic Pressure is greater than 100 m m
Hg - Urinary Output at 1-2 m
l / kg / hour - PO2 at 100 m
m Hg
Please report any changes to OneLegacy.
EYE CARE: Prior to recovery, the nursing staff at the hospital m ay be
rem inded by OneLegacy to provide eye care:
- Lubricate the eyes w ith artificial tears or a sim
ilar solution. Note:
com
atose/vent dependent patients should get eye care every 4-6 hrs - Tape the eye lids shut w
ith paper tape - Send the deceased to the hospital m
orgue. If body refrigeration
D o
n o
t “a
u t
o m
a t
ic a
lly ” g
iv e
e y
e c
a r
.E./ Coroner’s perm
ission before eye care can be initiated on deceased patients (e.g. ER expirations).
To m ake the m
ost efficient referral of a CARDIAC DEATH, please have the chart available and provide the follow
ing inform ation in order:
- Patient/Hospital ID - Acute/chronic dialysis
e, Title
Hospital Identification: Institution Nam e, City, County; Unit; Unit or Call
Back phone num ber
Patient Identification: - Last Nam
- Age, Sex, Race - M
edical Records Num ber
Procedures w hich m
dependency, transfusions/infusions
Too busy to call? Som e suggestions to expedite your referral:
- Ask a co-w orker to place the call
- Have the patient’s chart available - M
ake a quick call to request a brief delay - Know
ledge about the patient w ill result in the shortest call
Rem em
ber that ALL cardiac deaths m ust be reported for tissue
donor evaluation, INCLUDING previous notifications of im m
inent deaths that w
OneLegacy in the not-for-profit, federally designated organ procurem ent organization providing organ & tissue donor services for 220 hospitals in Kern, Los
Angeles, Orange, Riverside, San Bernardino, Santa Barbara and Ventura counties. For m ore inform
ation, please visit us at:
w w
w .onelegacy.org/prod/com
ponents/health/ideal.htm l
13.pdf
Clinical Trigger for Referral and Suitability Evaluation of Potential Organ and Tissue Donors
(800) 338-6112
Potential Organ Donation Potential Tissue Donation
Clinical Trigger Clinical Trigger Call within 1 Hour of patient meeting trigger
Save More Lives with Early Referral OL1546G Rev 05/23/08 a donate life organization
Cardiopulmonary Death
Patient Expired
Prior to initiation of DNR (with intent to extubate) or End-of Life conversation,
refer all ventilated patients that meet one or more of the following criteria:
- Neurological injury (traumatic or atraumatic) with loss of one or more brainstem reflexes (pupil, gag, cough, etc.) - Multi-trauma with hemodynamic instability - Glasgow Coma Scale 5
Please do not mention organ/tissue donation to the family until OneLegacy has determined the patient to be medically suitable for donation.
Your Hospital’s Key Role in the Organ/Tissue Donation Process TIM
ELY REFERRAL of ALL im m
inent brain and cardiac DEATHS for DONOR EVALUATION is im
portant because it:
uch tim e as possible to consider the
opportunity to donate - Preserves cell viability, w
hich im proves graft success
- Docum ents hospital com
- Perm its hospital staff to concentrate on their patients
REPORT ALL IM M
INENT DEATHS W ITHIN ONE HOUR,
regardless of m edical condition, age, advanced directive, or coroner’s
involvem ent.
m ission (form
S) and OneLegacy define “im
m inent death” as:
- Neurologically devastated (e.g. CVA/ICB, brain tum
or, cerebral anoxia, etc.) - Any absent cephalic reflexes (e.g. fixed pupils, no gag/cough, etc.) - Com
a is NOT due to CNS depressants or hypotherm ia exclusively
ADVANCE DIRECTIVES AND EXTUBATION: M any patients w
ill have a DNR status w
ith plans to discontinue pharm acological/
ventilator support. Please notify OneLegacy BEFORE the extubation of any patient w
ith an acute brain injury.
YOU ARE AUTHORIZED TO REFER. No fam ily release, physician’s
order or coroner’s consent is required to report any death to OneLegacy. This phone call is a CONSULTATION to determ
ine donor suitability-not a com
m itm
ent to donation. Providing patient inform
ation is necessary, perm itted by HIPAA, and required by The
Joint Com m
S/California Health & Safety Code. Let the attending physician know
of the notification.
CM S, only organ procurem
ent organizations m ay determ
ine donor suitability.
DO NOT APPROACH THE FAM ILY. M
ost deaths w ill NOT be eligible
for donation, so in the interest of serving the patient’s fam ily, please
DO NOT m ention organ/tissue donation to the fam
ily. Before the subject of organ &
tissue donation is introduced to the fam ily, a
pre-approach conference or “huddle” needs to be held betw een
OneLegacy and hospital staff in order to determ ine the best tim
e and m
anner to address the topic of donation. Usually OneLegacy w
ill approach the fam ily about donation. Occasionally hospital staff
m ay desire to participate in the offer of organ and tissue donation. If
this is the case, hospital staff should express their interest in joining OneLegacy in introducing donation to the fam
ily during this “huddle”. Som
etim es fam
ilies “volunteer” an interest in donation, w ithout being
approached. Contact us about this special request and w e w
ill provide them
ation they need. W hether or not a patent qualifies
for donation, all death notifications to OneLegacy w ill help the hospital
track its com pliance w
ith the law s and regulations governing organ/
tissue donation.
CORONER CASES: The hospital m ust contact the coroner on all reportable
deaths (e.g. hom icides, traffics accidents, etc). OneLegacy w
ill obtain a release for donation on cases being investigated by the coroner.
HELP M AINTAIN ORGAN VIABILITY: Use the “Rule of 100s” to help
ensure that organs rem ain viable for transplant:
- Systolic Pressure is greater than 100 m m
Hg - Urinary Output at 1-2 m
l / kg / hour - PO2 at 100 m
m Hg
Please report any changes to OneLegacy.
EYE CARE: Prior to recovery, the nursing staff at the hospital m ay be
rem inded by OneLegacy to provide eye care:
- Lubricate the eyes w ith artificial tears or a sim
ilar solution. Note:
com
atose/vent dependent patients should get eye care every 4-6 hrs - Tape the eye lids shut w
ith paper tape - Send the deceased to the hospital m
orgue. If body refrigeration
D o
n o
t “a
u t
o m
a t
ic a
lly ” g
iv e
e y
e c
a r
.E./ Coroner’s perm
ission before eye care can be initiated on deceased patients (e.g. ER expirations).
To m ake the m
ost efficient referral of a CARDIAC DEATH, please have the chart available and provide the follow
ing inform ation in order:
- Patient/Hospital ID - Acute/chronic dialysis
e, Title
Hospital Identification: Institution Nam e, City, County; Unit; Unit or Call
Back phone num ber
Patient Identification: - Last Nam
- Age, Sex, Race - M
edical Records Num ber
Procedures w hich m
dependency, transfusions/infusions
Too busy to call? Som e suggestions to expedite your referral:
- Ask a co-w orker to place the call
- Have the patient’s chart available - M
ake a quick call to request a brief delay - Know
ledge about the patient w ill result in the shortest call
Rem em
ber that ALL cardiac deaths m ust be reported for tissue
donor evaluation, INCLUDING previous notifications of im m
inent deaths that w
OneLegacy in the not-for-profit, federally designated organ procurem ent organization providing organ & tissue donor services for 220 hospitals in Kern, Los
Angeles, Orange, Riverside, San Bernardino, Santa Barbara and Ventura counties. For m ore inform
ation, please visit us at:
w w
w .onelegacy.org/prod/com
ponents/health/ideal.htm l
14.pdf
Clinical Trigger for Referral and Suitability Evaluation of Potential Organ and Tissue Donors
(800) 338-6112
Potential Organ Donation Potential Tissue Donation
Clinical Trigger Clinical Trigger Call within 1 Hour of patient meeting trigger
Save More Lives with Early Referral OL1546G Rev 05/23/08 a donate life organization
Cardiopulmonary Death
Patient Expired
Prior to initiation of DNR (with intent to extubate) or End-of Life conversation,
refer all ventilated patients that meet one or more of the following criteria:
- Neurological injury (traumatic or atraumatic) with loss of one or more brainstem reflexes (pupil, gag, cough, etc.) - Multi-trauma with hemodynamic instability - Glasgow Coma Scale 5
Please do not mention organ/tissue donation to the family until OneLegacy has determined the patient to be medically suitable for donation.
Your Hospital’s Key Role in the Organ/Tissue Donation Process TIM
ELY REFERRAL of ALL im m
inent brain and cardiac DEATHS for DONOR EVALUATION is im
portant because it:
uch tim e as possible to consider the
opportunity to donate - Preserves cell viability, w
hich im proves graft success
- Docum ents hospital com
- Perm its hospital staff to concentrate on their patients
REPORT ALL IM M
INENT DEATHS W ITHIN ONE HOUR,
regardless of m edical condition, age, advanced directive, or coroner’s
involvem ent.
m ission (form
S) and OneLegacy define “im
m inent death” as:
- Neurologically devastated (e.g. CVA/ICB, brain tum
or, cerebral anoxia, etc.) - Any absent cephalic reflexes (e.g. fixed pupils, no gag/cough, etc.) - Com
a is NOT due to CNS depressants or hypotherm ia exclusively
ADVANCE DIRECTIVES AND EXTUBATION: M any patients w
ill have a DNR status w
ith plans to discontinue pharm acological/
ventilator support. Please notify OneLegacy BEFORE the extubation of any patient w
ith an acute brain injury.
YOU ARE AUTHORIZED TO REFER. No fam ily release, physician’s
order or coroner’s consent is required to report any death to OneLegacy. This phone call is a CONSULTATION to determ
ine donor suitability-not a com
m itm
ent to donation. Providing patient inform
ation is necessary, perm itted by HIPAA, and required by The
Joint Com m
S/California Health & Safety Code. Let the attending physician know
of the notification.
CM S, only organ procurem
ent organizations m ay determ
ine donor suitability.
DO NOT APPROACH THE FAM ILY. M
ost deaths w ill NOT be eligible
for donation, so in the interest of serving the patient’s fam ily, please
DO NOT m ention organ/tissue donation to the fam
ily. Before the subject of organ &
tissue donation is introduced to the fam ily, a
pre-approach conference or “huddle” needs to be held betw een
OneLegacy and hospital staff in order to determ ine the best tim
e and m
anner to address the topic of donation. Usually OneLegacy w
ill approach the fam ily about donation. Occasionally hospital staff
m ay desire to participate in the offer of organ and tissue donation. If
this is the case, hospital staff should express their interest in joining OneLegacy in introducing donation to the fam
ily during this “huddle”. Som
etim es fam
ilies “volunteer” an interest in donation, w ithout being
approached. Contact us about this special request and w e w
ill provide them
ation they need. W hether or not a patent qualifies
for donation, all death notifications to OneLegacy w ill help the hospital
track its com pliance w
ith the law s and regulations governing organ/
tissue donation.
CORONER CASES: The hospital m ust contact the coroner on all reportable
deaths (e.g. hom icides, traffics accidents, etc). OneLegacy w
ill obtain a release for donation on cases being investigated by the coroner.
HELP M AINTAIN ORGAN VIABILITY: Use the “Rule of 100s” to help
ensure that organs rem ain viable for transplant:
- Systolic Pressure is greater than 100 m m
Hg - Urinary Output at 1-2 m
l / kg / hour - PO2 at 100 m
m Hg
Please report any changes to OneLegacy.
EYE CARE: Prior to recovery, the nursing staff at the hospital m ay be
rem inded by OneLegacy to provide eye care:
- Lubricate the eyes w ith artificial tears or a sim
ilar solution. Note:
com
atose/vent dependent patients should get eye care every 4-6 hrs - Tape the eye lids shut w
ith paper tape - Send the deceased to the hospital m
orgue. If body refrigeration
D o
n o
t “a
u t
o m
a t
ic a
lly ” g
iv e
e y
e c
a r
.E./ Coroner’s perm
ission before eye care can be initiated on deceased patients (e.g. ER expirations).
To m ake the m
ost efficient referral of a CARDIAC DEATH, please have the chart available and provide the follow
ing inform ation in order:
- Patient/Hospital ID - Acute/chronic dialysis
e, Title
Hospital Identification: Institution Nam e, City, County; Unit; Unit or Call
Back phone num ber
Patient Identification: - Last Nam
- Age, Sex, Race - M
edical Records Num ber
Procedures w hich m
dependency, transfusions/infusions
Too busy to call? Som e suggestions to expedite your referral:
- Ask a co-w orker to place the call
- Have the patient’s chart available - M
ake a quick call to request a brief delay - Know
ledge about the patient w ill result in the shortest call
Rem em
ber that ALL cardiac deaths m ust be reported for tissue
donor evaluation, INCLUDING previous notifications of im m
inent deaths that w
OneLegacy in the not-for-profit, federally designated organ procurem ent organization providing organ & tissue donor services for 220 hospitals in Kern, Los
Angeles, Orange, Riverside, San Bernardino, Santa Barbara and Ventura counties. For m ore inform
ation, please visit us at:
w w
w .onelegacy.org/prod/com
ponents/health/ideal.htm l
15.pdf
Clinical Trigger for Referral and Suitability Evaluation of Potential Organ and Tissue Donors
(800) 338-6112
Potential Organ Donation Potential Tissue Donation
Clinical Trigger Clinical Trigger Call within 1 Hour of patient meeting trigger
Save More Lives with Early Referral OL1546G Rev 05/23/08 a donate life organization
Cardiopulmonary Death
Patient Expired
Prior to initiation of DNR (with intent to extubate) or End-of Life conversation,
refer all ventilated patients that meet one or more of the following criteria:
- Neurological injury (traumatic or atraumatic) with loss of one or more brainstem reflexes (pupil, gag, cough, etc.) - Multi-trauma with hemodynamic instability - Glasgow Coma Scale 5
Please do…

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