Gift of Hope Flashcards
What regulatory bodies support organ donation?
CMS
HIPAA
Donor registries
What is the sequence in the Donation and Transplantation System?
Donor hospital > Gift of Hope > UNOS > Transplant Hospital
What are traumatic injuries that can lead to organ donation?
Head trauma from fall
MVA
Gunshot wound
What are non-traumatic injuries that can lead to organ donation?
Prolonged anoxia following cardiopulmonary arrest
Intracranial bleed
Aneurysm
Vent-dependent illness (ALS, MS, CF, etc.)
What is DBD in organ donation?
Donation after Brain Death
Neuro exam consistent with brain death
Brain death declared by hospital physician
Organs tested/placed for transplant
Patient transferred to hospital OR and remains on ventilator with intact HR and BP until organs are recovered
What is DCD in organ donation?
Donation after Circulatory Death
Neuro exam not consistent with brain death; withdrawal of life-sustaining therapies planned
Organs tested/placed for transplant
Life-sustaining therapies withdrawn and comfort care ordered by hospital physician
Organs recovered in hospital OR after circulatory death declared by hospital physician
What is the RN responsibility in organ donation?
Maintain hemodynamic stability to ensure that donation remains an option
How much time do you have to Gift of Hope for a vent-dependent on-survivable illness, neurological injury?
1 hour
When should you call Gift of Hope immediately?
When a patient looses neurological reflexes
if the removal of life-sustaining therapy, including pressor support, is being considered and death is likely to occur
What are the steps in the organ donation process?
Maintaining donation opportunity
Referral and evaluation
Dispatch to hospital
Family discussion/donor authorization
Donor management and organ placement
Organ recovery
