Allocation Flashcards
The host OPO must make the initial liver offer using only a match run that is less than ________
eight hours
old.
The host OPO may only re-execute the match run for use in allocation sooner than eight hours if either occurs: - and -
A previously accepted liver is later refused because there is a change in specific medical
information related to the deceased liver donor
The deceased donor liver has not been allocated within two hours of procurement
If no transplant program on the initial match run accepts the organ, the host OPO may give
transplant programs the opportunity to update
their candidates’ data with the OPTN
Contractor. The host OPO may run an updated match run and allocate the organ according
to the updated candidate data.
The match system eliminates candidates who cannot accept the deceased donor based on ______ or _________.
size or blood type.
If they transplant hospitals cannot agree on a start time for the procurement,
the host OPO may
withdraw the offer from the transplant hospitals that accepted the organs.
When multi-organ candidates other than heart-lung candidates are eligible to receive a heart, lung, or
liver, the second required organ will be allocated to the multi-organ candidate from the same donor if the
donor’s
DSA is the same DSA where the multi-organ candidate is registered.
To assign a candidate adult status 1A, the candidate’s transplant program must submit a Heart Status 1A
Justification Form to the OPTN Contractor. A candidate is not assigned adult status 1A
until this form is submitted.
A pediatric status 1A listing criteria includes: Having a life expectancy without a heart transplant of less than ____ days.
14 days
A candidate meeting the requirement for pediatric status 1A due to a life expectancy without
transplant of less than 14 days will be reviewed retrospectively by the regional review board
(RRB) if any additional 14 days periods are received,
- Requires infusion of low dose single inotropes. The OPTN Contractor will maintain a list of
the OPTN-approved specific qualifying inotropes and doses. - Is less than six months old and does not meet the criteria for pediatric status 1A.
- Is in the less than 5th
percentile for the candidate’s expected height or weight according to the
most recent Centers for Disease Control and Prevention’s (CDC) National Center for Health
Statistics pediatric clinical growth chart. - Is 1.5 or more standard deviations below the candidate’s expected height growth or weight
growth according to the
Criteria for pediatric status 1B listing
If an adult or pediatric candidate is temporarily unsuitable for transplant, then the candidate’s
transplant program may assign the candidate
inactive status and the candidate will not receive any heart offers.
Waiting time for heart candidates begins when __________________
and
Is calculated within ____________.
the candidate is first registered as an active heart candidate on the waiting list.
Each heart status
Waiting time accrued at a higher status will be added to__________________________.
But
Waiting time accumulated at a lower status
status.
Any time accumulated at a
lower status.
Will not be added to any higher
After hearts are allocated to primary blood type candidates, they are allocated to any
_____________________
and then to any
_____________________
secondary
blood type compatible candidates, then to any eligible incompatible blood type candidates.
Allocation to in utero candidates eligible for any blood type deceased donors is initiated after all ___________________________
eligible born candidates have received offers
Heart Primary Blood Type Matching Requirements
Blood Type O goes to
Blood type O or blood type B
