Evaluation for Transplant, Waitlist Management, and Deceased Donor Selection Flashcards
What 3 things are included in the role of the Transplant Coordinator in the evaluation process?
- Education of Evaluation Process
- Education of Listing Process
- Answering Patient/Family Questions
What are the 3 primary absolute contraindications to transplant?
- Active or recent malignancy
- Active substance use/abuse
- Active infection
What are the 3 primary relative contraindications to transplant?
- Lack of financial resources
- Lack of psychosocial support
- History of non-adherence with medical regimens
What are the 3 CMS Conditions of Participation for a transplant program?
- Each recipient receives care from an experienced multi-disciplinary team.
- Each transplant center is providing quality care with expected outcomes.
- Each patient receives education and provides informed consent.
Medicare insurance coverage for immunosuppresion medication is covered by Medicare Part __ and at what percent?
- A, 50%
- B, 80%
- A, 80%
- B, 50%
2
Organ allocation is partly determined by a listing score or status. What is that score/status for liver transplant called?
PELD (patients under 12 years old)
MELD (patients 12 and older)
Organ allocation is partly determined by a listing score or status. What is that score/status for lung transplant called?
CAS
Organ allocation is partly determined by a listing score or status. What is that score/status for kidney transplant called?
Will the scores be high or low to indicate best chance of graft survival?
KDPI, EPTS, cPRA
Low
Listing documentation required by UNOS includes:
- Patient selection criteria
- Patient medical history summary
- ABO documentation
- Multiple Listing/Wait Time Transfer
- Patient diagnosis
- Status justification
- 1, 2, 4, and 5 only
- 2, 4, 5, and 6 only
- 1, 3, 4, and 6 only
- All of the above
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Listing documentation required by OPTN includes: Patient Selection Criteria, ABO Documentation, Multiple Listing/Wait Time Transfer, and Status Justification. The SRTR data review documentation is done in the Patient Selection Criteria documentation.
For Multiple Listing, transplant programs must inform the patients of what during the evaluation process?
Transplant centers must inform the patient if they do not accept candidates with multiple registrations.
Within what timeframe must a letter be sent to a candidate after being listed for transplant?
1. 3 business days
2. 5 business days
3. 7 business days
4. 10 business days
4
Additionally, if a candidate is not placed on the wait list, a letter must be sent within 10 business days.
When a candidate is placed on the waitlist for transplant, what must the letter sent by the transplant program include?
1. The date of listing
2. The time of listing
3. The OPTN Contractor’s Patient Information Letter
4. The hospital’s physician/surgery availability coverage plan (staffing plan)
5. How to contact the team after business hours
6. The name of the coordinator that listed the patient
7. 1, 3, 4, and 5 only
8. 1, 2, 3, and 5 only
9. 1, 2, 5, and 6 only
10. All of the above
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Per OPTN policy, changes to the waitlist must be communicated by __ and must include __?
1. Writing, the OPTN Contractor’s Patient Information Letter
2. Phone, the updated copy of the SRTR Report
3. Email, the transplant center’s staffing plan
1
What specific demographic information is required on the TIEDI Form?
6 items
- name
- race
- state
- zip code
- citizenship
- education/academic level
What specific medical information is required on the TIEDI Form?
9 items
- Cognitive and motor development
- Previous transplants
- Previous surgeries
- Mechnical ventilation
- History of cancer
- History of cardiovascular disease
- History of diabetes
- Lab values/test results
- Cigarette use
If a candidate’s medical condition changes and the criteria to justify status/priority is no longer accurate, the transplant program must update the status/priority in UNET within:
1. 12 hours of the change of medical condition
2. 18 hours of the change of medical condition
3. 24 hours of the change of medical condition
4. 72 hours of the change of medical condition
3
Who determines donor exclusion criteria?
1. UNOS
2. CMS
3. The OPO
4. The transplant center
4
Donor Risk Criteria applies to events that have occurred within…
1. 14 days before organ procurement
2. 30 days before organ procurement
3. 45 days before organ procurement
4. 90 days before organ procurement
2
The Transplant Coordinator must obtain consent from the recipient for a KDPI greater than…
1. 50%
2. 60%
3. 75%
4. 85%
4
What 3 items must be documented following information that has been communicated to a patient for an organ offer?
1. The location of the organ
2. If the donor is a BD donor
3. If the donor is a DCD donor
4. Research protocols
5. Any donor risk criteria
6. Lab values of donor
7. 1, 2, and 8 only
8. 4, 6, and 7 only
9. 3, 4, and 5 only
10. All of the above
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