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Critical CareCritical CareOrgan Donation SymposiumOrgan Donation Symposium

April 12, 2010April 12, 2010

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Critical CareCritical CareOrgan Donation SymposiumOrgan Donation Symposium

April 12, 2010April 12, 2010

WELCOMEWELCOME

Calvin P. KwanCalvin P. KwanInterim Chief Operating OfficerInterim Chief Operating Officer

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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

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

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Symposium ObjectivesSymposium Objectives

Participants will gain an understanding of:Participants will gain an understanding of:

• Organ and tissue donation processOrgan and tissue donation process

• Different roles and responsibilities of healthcare Different roles and responsibilities of healthcare practitioners involvedpractitioners involved

• Pathophysiological and psychological effects Pathophysiological and psychological effects surrounding the donation processsurrounding the donation process

• Move towards achieving the national organ & Move towards achieving the national organ & transplant goals (close the gap)transplant goals (close the gap)

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•The U.S. Department of Health and Human Services - Health Resources and Services Administration (HRSA)

• The National Organ Donation and The National Organ Donation and Transplantation Breakthrough CollaborativesTransplantation Breakthrough Collaboratives

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The National Organ Donation and Transplantation The National Organ Donation and Transplantation Breakthrough CollaborativesBreakthrough Collaboratives

The 3 key stakeholders/estates:The 3 key stakeholders/estates:

• Transplant hospitalsTransplant hospitals

• Donor hospitalsDonor hospitals

• Organ Procurement Organization Organ Procurement Organization (OPO) - (OPO) - OnelegacyOnelegacy

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The National Organ Donation and Transplantation The National Organ Donation and Transplantation Breakthrough CollaborativesBreakthrough 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

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  NationaNational Targetl Target

Jan-OctJan-Oct 2009 2009 actualactual

VarianceVariance/Gap/Gap

Conversion Conversion RateRate 75%75% 60.7%60.7% -14.3%-14.3%

Organs Organs Transplanted/Transplanted/Donor (OTPD)Donor (OTPD) 3.753.75 3.013.01 -0.74-0.74

DCD RateDCD Rate 10%10% 6.2%6.2% -3.8%-3.8%

UNOS DONOR SERVICE AREAREGION 5

ONELEGACY

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UNOS National Organ Waiting List

15%

3%

2%

2%

1%

0%

0%

77%

Kidney 84,353

Liver 15,969

Heart 3,172

Kidney/Pancreas 2,198

Lung 1,840

Pancreas 1,469

Intestine 245

Heart/Lung 72

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

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Current StatisticsCurrent Statistics

• 106,967 patients need organ transplants (4/9/10)106,967 patients need organ transplants (4/9/10) • 77 organs transplanted each day in the U.S.77 organs transplanted each day in the U.S.

• >28,000 patients received organ transplants (2009)>28,000 patients received organ transplants (2009)

• Every 13 minutes, a new name is added to the Every 13 minutes, a new name is added to the national organ transplant wait listnational organ transplant wait list

• 18 patients die each day waiting for an organ18 patients die each day waiting for an organ

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So let’s get started…..So let’s get started…..

Nursing Management of Potential DonorsNursing Management of Potential DonorsDina Elias, RN, BSNDina Elias, RN, BSN

Critical Care EducatorCritical Care Educator

Donor Management of the Consented DonorDonor Management of the Consented DonorAdam Teller, CPTCAdam Teller, CPTC

In-House CoordinatorIn-House Coordinator

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