Critical Care Organ Donation Symposium April 12 2010

Critical Care Organ Donation Symposium April 12, 2010 1

Critical Care Organ Donation Symposium April 12, 2010 WELCOME Calvin P. Kwan Interim Chief Operating Officer 2

Harbor-UCLA Medical Center • LA County acute care hospital • Licensed 538 inpatient beds • Teaching affiliation with Geffen School of Medicine at UCLA • Renal Transplant Center • Level I Trauma Center 3

“It is at the end of one life… …that there is the possibility of a renewed life. ” 4

Symposium Objectives Participants will gain an understanding of: • Organ and tissue donation process • Different roles and responsibilities of healthcare practitioners involved • Pathophysiological and psychological effects surrounding the donation process • Move towards achieving the national organ & transplant goals (close the gap) 5

• The U. S. Department of Health and Human Services - Health Resources and Services Administration (HRSA) • The National Organ Donation and Transplantation Breakthrough Collaboratives 6

The National Organ Donation and Transplantation Breakthrough Collaboratives The 3 key stakeholders/estates: • Transplant hospitals • Donor hospitals • Organ Procurement Organization (OPO) - Onelegacy 7

The National Organ Donation and Transplantation Breakthrough Collaboratives NATIONAL GOALS • Organ donation conversion rate of 75% • Organ transplant rate of 3. 75 organs per donor • 10% of all donors are procured from a donation after cardiac death (DCD) donor 8

UNOS DONOR SERVICE AREA REGION 5 ONELEGACY National Target Jan-Oct 2009 actual Variance/ Gap Conversion Rate 75% 60. 7% -14. 3% Organs Transplanted/ Donor (OTPD) 3. 75 3. 01 -0. 74 DCD Rate 10% 6. 2% -3. 8% 9

Source: United Network for Organ Sharing (UNOS) as of 4/9/10 10

Current Statistics • 106, 967 patients need organ transplants (4/9/10) • 77 organs transplanted each day in the U. S. • >28, 000 patients received organ transplants (2009) • Every 13 minutes, a new name is added to the national organ transplant wait list • 18 patients die each day waiting for an organ 11

So let’s get started…. . Nursing Management of Potential Donors Dina Elias, RN, BSN Critical Care Educator Donor Management of the Consented Donor Adam Teller, CPTC In-House Coordinator 12

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