WEEK 8 Flashcards
What organization require for OPO?
The Organ Procurement and Transplantation Network
OPO = Organ Procurement Organization
What organization is for tissue and eye banks?
FDA
What organizations require a medical and social history interview to be conducted with the deceased donor’s next of kin or another knowledgeable person?
OPO, FDA, and The Organ Procurement and Transplantation Network
An individual authorized to donate all part of the body of a decedent
Donor
They are related to the recipient by blood within the fourth-degree of consanguinity
Living Related Donors (LRDs)
Those who are not related by blood to the recipient but bear close emotional ties with him/her
Living Non Related Donors (LNRDs)
A facility licensed, accredited or approved under the law for the storage of human bodies or parts
Organ Bank Storage Facility
Also known as kidney vendors who offer their kidneys for sale
Commercial Donors
They are not related to the recipient by blood but have the willingness and intention to donate
Voluntary Donors
What are the laws that Department of Health is committed to abide by the WHO Guiding Principles on Organ Transplantation?
-Declaration of Istanbul on Organ Trafficking
-Transplant Tourism
-RA 9208 and its Implementing Rules and Regulations.
T or F: Foreigners are not eligible to receive organs from Filipino living non-related donors.
True
are permitted only when it is voluntary and truly altruistic, without any kind of compensation or gratuity package attached to it
DIRECTED LNRDs
Directed LNRDs must be screened and
approved by the?
Hospital Ethics Committee
What organizations shall enforce this Administrative Order and monitor these facilities through their licensing and accreditation rules and regulations to ensure
accessibility, quality and sustainability of the services?
DOH and Philippine Health Insurance Corporation (PHIC)
It is hereby created for the purpose of overseeing the implementation of policies related to organ transplantation.
Philippine Board for Organ Donation and Transplantation (PBODT)
• West Nile Virus
• Hepatitis C Virus
• Rabies Virus
• Lymphocytic Choriomeningitis Virus
• HIV
• Eastern Equine Encephalitis Virus
VIRAL TRANSMISSIONS
• Streptococcus pyogenes
• Mycobacterium tuberculosis
• Multidrug- resistant Escherichia coli
• Elizabethkingia meningoseptica
• Mycoplasma hominis
• MRSA
• Clostridium spp.
BACTERIAL TRANSMISSION
• Apophysomyces elegans
• Coccidioides immitis
• Cryptococcus neoformans
• Microsporidial species
FUNGAL TRANSMISSION
• Trypanosoma cruzi
• Balamuthia mandrillaris
• Strongyloides stercoralis
PARASITE TRANSMISSION
plays a pivotal role in the care of patients during all phases of the transplant process: pre-transplant evaluation, waitlist management, transplant admission, and discharge/posttransplant follow-up.
TRANSPLANT COORDINATOR
Transplant coordinator is an integral part in assuring appropriate records are obtained and reviewed
prior to the patient’s first visit and throughout the evaluation process, as records become available.
Upon review of the records, utilizing critical thinking skills and protocols, the coordinator determines
if additional information is needed and requests as necessary.
PHASE 1: PRE-TRANSPLANT EVALUATION
Once the patient is determined as an appropriate candidate, the coordinator manages the transplant
evaluation, similar to a project management. Upon receipt of the physician’s order for evaluation, the
coordinator works with various departments to schedule appointments and testing. This data is
reviewed and prioritized to determine immediate needs and follow-up versus long-term or ongoing
needs.
PHASE 1: PRE-TRANSPLANT EVALUATION
As the evaluation process continues, the coordinator collects data in a systematic manner assuring
inclusion of the patient and family in this process. While scrutinizing the data, the coordinator
identifies patterns in the patient’s history and status providing for a comprehensive assessment of the
patient.
PHASE 1: PRE-TRANSPLANT EVALUATION
one of the most important functions of the pre-transplant coordinator, focuses on disease processes; signs and symptoms of liver
disease, including those that should be reported to the transplant program; symptom management; and
specific information about the transplant process – from evaluation to long-term follow-up.
PATIENT EDUCATION - PHASE 1
There are regulatory requirements mandated by the ____________ that must be addressed during the pre-transplant phase. Often, it is simpler and more efficient to address these during the educational sessions
Centers for Medicare and Medicaid (CMS) and/or
UNOS (United Network for Organ Sharing) - PHASE 1
The designation of a primary support and additional support persons is the most important part of
patient education the transplant coordinator can discuss. Based upon programmatic considerations, the
transplant coordinator has an in-depth educational session with the support person(s) to assure they
PHASE 1: PRE-TRANSPLANT EVALUATION
This must be signed by the patient or designee and includes acknowledgement of receipt of information from the transplant team
Consent for evaluation - PHASE 1
T or F: Multiple listing (wait-listing for transplant at more than one center) is acceptable according to UNOS
policy (United Network for Organ Sharing 2008). However, UNOS allows each center to make the
determination as to whether or not they will allow it. Therefore, documentation that multiple listing
has been discussed with the patient is mandatory. This is the responsibility of the RN coordinator
during the pre-transplant phase. Documentation that education has taken place is required as well and
is completed during the pre-transplant phase.
True - PHASE 1
The first requirement of Centers for Medicare and Medicaid (CMS) and/or UNOS is the?
Consent for evaluation - PHASE 1
The pre-transplant coordinator lists the patient.
PHASE 1: PRE-TRANSPLANT EVALUATION
Once the determination of the selection committee is complete, the waitlist management begins.
● This may be done by the same coordinator or some programs have separate waitlist
managers. In either scenario, the main focus of the waitlist coordinator is to manage
those patients who are awaiting transplant
PHASE 2: PRE-TRANSPLANT
one of the most important functions the
transplant coordinator is responsible for. The education process includes all medications the patient will take at discharge but focuses on immunosuppressive therapy, antibiotics, antifungals, antiviral agents, and diabetes medications.
Medication administration and side effect education
includes how to clean the wound; change any dressings; inspection of the wound to assess for redness, swelling, drainage, and bleeding; and again reportable signs.
Wound care education
. Due to the suppression of the immune system by medications, there is an increased incidence of
infection, particularly in the first __ days after transplant
90 days
is an extension of the education already provided by the nutritionist. This includes specific dietary requirements such as diabetic or low-sodium diets,
foods to avoid and those that are encouraged, and appropriate supplements.
Nutrition education
an integral part of this process and must be committed to performing oversight and administration of medications, wound/incision care, transportation to and from clinic appointments, blood draws, and other procedures as needed. This is typically one person
but can be a combination of family and close friends who will all undergo training of these
tasks.
Support person(s)
These coordinators manage potential and actual donors in order to avoid any hint of coercion. The phases of
transplantation are the same but are for potential donors instead. During phases one and two, the coordinator focuses on the needs of the donor only and assures that there is no coercion associated with donation.
Living Donation
is obtaining and reviewing medical records,
history and physical, to determine if the donor has any issues that would rule him/her out as a potential
donor.
Living donor coordinator - PHASE 1
is a bit different because it is maintenance of a healthy donor to the point of donation. This can
be an anxiety-provoking time for the donor as he/she continues to contemplate a procedure that is not
without risks. It is imperative that the donor coordinator be available to the donor to reassess mental and
physical health issues and refer to other providers as necessary and again to provide an “out” if needed
Phase 2 of Living Donation
the coordinator is responsible for discharge planning. The education for the donor and
support person(s) includes wound care, pain management, medication administration, reportable signs and symptoms, and follow-up care.
Phase 3
