Organ Offers, Acceptance, and Verification (OPTN Policy 5)

Question 1

Initial Liver Offers must happen in what time frame?

Answer 1

OPO must make the initial liver offer using only a match run that is less than eight hours old.

Question 2

Backup offers

Answer 2

Transplant programs must treat backup offers the same as actual organ offers and must respond within one hour of receiving the required deceased donor information for an organ. If a transplant program refuses to consider or does not respond to a backup offer, the offer will be considered refused.

Question 3

New IDT results must be reported to primary accepted organ recipients in what time frame?

Answer 3

ASAP but within 1 hr of result

Question 4

Do you need to re-execute match list if PTR is aware of new positive ITD result and still wants the offer?

Answer 4

No-
Re-execute the match run for use as follows:
i. For re-allocation of the organ if the offer to the primary potential transplant recipient is declined after receipt of the positive infectious disease test
ii. For back-up organ offers based upon the new positive test result

Question 5

What do you do if If a donor is found to be positive for HIV after any match run has been executed? (4)

Answer 5

1. Stop allocation on the original match run for this donor
2. Re-execute the kidney and liver match runs in order to include only HIV-positive candidates participating in research protocol
3. Withdraw any pending offers to candidates who are not HIV positive
4. Allocate only kidneys and livers from HIV positive donors

Question 6

How long does a transplant center have to either accept or refuse the organ offer?

Answer 6

A transplant hospital must access donor information in the match system within 1 HR of receiving the initial offer.
If the transplant hospital does not respond within this time, the offer expires and the organ may be offered to the transplant hospital for the candidate that appears next on the match run.