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A Living Legacy. Name Title Company. Video Your Stories & Questions. 2. Objectives. At the end of the presentation the learner will: Have an understanding of the donation process Be able to v erbalize which organs and tissues can be donated Be able to verbalize how to become a donor. - PowerPoint PPT Presentation
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A Living Legacy
NameTitle Company
VideoYour Stories & Questions
2
At the end of the presentation the learner will:
Have an understanding of the donation process
Be able to verbalize which organs and tissues can be donated
Be able to verbalize how to become a donor
Objectives
3
Who is impacted by the organ and tissue donation process?
Thought Question
4
Our Mission
Insert
Organ Procurement Mission Statement
Here
5
Founded in _____
Not for profit
Federally funded and designated by CMS as an Organ Procurement Organization (OPO)
Organ Procurement Name
6
Serving ____ hospitals, __ transplant centers & ____ million residents
Describe geographic area (Donation Service Area)
Organ Procurement Name
7
Donation Service Area
Include a map of the Donation Service Area
8
United Network for Organ Sharing Maintains National Organ Transplant Waiting List under contract with the U.S. Department of Health and Human Services
American Association of Tissue BanksProvides tissue banking standards to promote quality and safety in tissue transplantation
Association of Organ Procurement OrganizationsRecognized as the national representative of organ procurement organizations (OPOs)
EBAA National accrediting body for eye banks
Umbrella Organizations
9
What do these Numbers mean?
>110,997 (update by checking UNOS.org)
National number of people waiting for
organ transplants
>1,500,000 (update as needed)
Number of tissue transplants occurring
annually10
Liver Tumor Food Poisoning
Cardio-myopathy
Diabetes – End Stage Renal Disease
Cystic Fibrosis11
Waiting & Donating: A Widening Gap
0
20000
40000
60000
80000
100000
120000
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Waiting Organs Tx
Source: UNOS/OPTN 6/2010 12
UNOS Organ Allocation Policy
Potential recipients are ranked by these criteria:
Urgency of Need The very sickest rank at the top of the list Time Waiting Points accrued according to time on
waiting listBlood Type ABO must be compatibleSize Height and weight must be
compatibleTissue Typing For kidneys & pancreas
13
Referral
Identification & Early Referral Based on Clinical Triggers
HospitalDevelopment
Community Outreach
Development
The Donation Process
14
Clinical Trigger for Referral
Insert the trigger card established with the hospital.
15
Evaluate
Suitability
Donor Mgmt
Brain Death Declared
Donation After Cardiac Death Assessment
Identification & Early Referral Based on Clinical Triggers
HospitalDevelopment
Community Outreach
Development Referral
The Donation Process
16
Potential DonorsDonation After Brain Death:
Lost one or more brainstem reflexes & ventilationE.g. Anoxic Injury, Brain Hemorrhage, GSW, MVA, etc.Progression to Brain Death & declaration
Tissue Donation:
After every death
Donation After Cardiac Death:
Withdrawal of Life Support discussionsE.g. Anoxic Injury, Brain Hemorrhage, Neurological InjuryWill not progress to Brain Death
17
Approach
Suitability
Donor Mgmt
Brain Death Declared
Donation After Cardiac Death Assessment
Identification & Early Referral Based on Clinical Triggers
Family Support
Huddle
EffectiveRequesting
Medical/SocHistory
HospitalDevelopment
Community Outreach
Development Referral Evaluate
The Donation Process
18
The Request
Families are best served when hospitals & OPO’s work together to offer the option of donation
Communication and Establishing Trust is Vital in End-of-Life Care!
There is no one right answer: Donation is a GIFT19
Recovery
Coroner Clearance
Organ Placement
Organ/Tissue Recovery
After Action Review
Suitability
Donor Mgmt
Brain Death Declared
Donation After Cardiac Death Assessment
Identification & Early Referral Based on Clinical Triggers
Family Support
Huddle
EffectiveRequesting
Medical/SocHistory
HospitalDevelopment
Community Outreach
Development Referral Evaluate Approach
The Donation Process
20
Following-Up & Honoring Donors
Add the type of donor ceremonies your OPO conducts – provide one or more pictures.
21
Transplantable Organs & Tissues
Cornea/EyesHeart Valves
SkinBone
TendonsCartilage
Veins
TISSUES◄
◄
◄◄
◄
◄
◄
◄
◄
◄
◄◄◄◄ ◄ ◄ ◄
◄◄
◄
●●
●
● Kidneys● Liver● Heart ● Lungs● Pancreas● Sm. Intestine
ORGANS
●
●●
22
3donors…
… save 10 lives on average
through organ transplants…
…and help up to 150 others through donated tissues
The Results Are Exponential
23
TISSUE DONATION EXAMPLES
24
Heart Valves/Pericardium
Replace defective heart valves
Donated valves preferred - no need
for anti-coagulation drugs
Treatment of choice for pediatrics
25
Vascular Grafts
Coronary bypass surgery
Limb salvage
Restores blood flow
Prevents amputation
26
Connective Tissue
Tendons and Ligaments
Replace or strengthen damaged tissues in knees and other joints
27
Bone
Examples:Cancellous bone graft (for hip surgery)Femoral cross sectionFibula shaft (back surgery)Dental PowderEngineered grafts
28
Spinal curvature
After abone graft…
Bone Graft
29
Skin
Increases burn survival from 17 to 77% Promotes healing Temporary coverageProtects against:
fluid lossInfection
Decreases pain
30
A world of darkness
A precious gift…
…transplanted
The Gift of Sight
31
We are inspired by donor families who are so
giving at a time when when they have suffered
such a great loss
Our Inspiration: Donors and Their Families
Cathy Perez, mother of Louis Silva, organ donor
32
“She runs, jumps and plays everyday instead of sitting in the stroller.”
– Yehong & Frost,Tong Tong’s parents
Tong Tong Hao (Recipient)
33
If You Choose to Be a DonorShare your decision with your family1Sign up on the _____________________Organ & Tissue Donor Registry
2
Live a long, healthy life!3Insert Registry website
34
Who is impacted by the organ and tissue donation process?
35
Thought Question
Lily at six:The joy of kindergarten!
Lily
Matthew BemisLily’s donor
Liver tumor, awaiting transplant
1984
1985 36
THANK YOU!2008
37