organ donation, understanding the facts

Transplant… The Journey For a CureTransplant… The Journey For a Cure

Christina Bryant, RN, PTCChristina Bryant, RN, PTCProcurement Transplant CoordinatorProcurement Transplant Coordinator

Alabama Organ CenterAlabama Organ Center

Today over 100,000 people are Today over 100,000 people are waiting for a lifesaving transplant…waiting for a lifesaving transplant…

More than 75,000 are waiting for a kidney.More than 75,000 are waiting for a kidney.

(Approximately 75% of the transplant (Approximately 75% of the transplant candidate population.)candidate population.)

How do we fix it???How do we fix it???

LIVING DONORS…LIVING DONORS…

Living, Non-Traditional Donors…Living, Non-Traditional Donors…

The journey began eighteen The journey began eighteen years ago…years ago…

KayLynn JensenKayLynn JensenDecember 24, 1958 – August 1, 1989December 24, 1958 – August 1, 1989

And ended on January 15And ended on January 15thth, 2007, 2007

One family’s tragedy…One family’s tragedy…

Became another family’s miracle…Became another family’s miracle…

Living related donors…Living related donors…

Deceased Donors…Deceased Donors…

Alabama organ bank???Alabama organ bank???

Alabama Organ CenterAlabama Organ Center

Federally designated OPOFederally designated OPO Main office in Birmingham with regional Main office in Birmingham with regional

offices in Huntsville, Muscle Shoals, offices in Huntsville, Muscle Shoals, Montgomery, Dothan and MobileMontgomery, Dothan and Mobile

Contracted with all acute care hospitalsContracted with all acute care hospitals

What is the role of the AOC?What is the role of the AOC?

Community Education, Donor Management, Community Education, Donor Management, & Organ / tissue Procurement& Organ / tissue Procurement

Three Types of DonorsThree Types of Donors

Brain Death - Organs, Brain Death - Organs,

Tissues and EyesTissues and Eyes

Cardiac Death - Cardiac Death - Tissues and Eyes and Tissues and Eyes and occasionallyoccasionally Organs Organs

Living Donation Living Donation

Corneas Lungs Liver Heart / Heart Valves Pancreas/Islet Cells Kidneys Bone Tendons

What Can be Donated?What Can be Donated?

Organ placement and distribution…Organ placement and distribution…

The donor’s information is The donor’s information is entered in the national entered in the national sharing system (UNOS)sharing system (UNOS)

Organs are matched by Organs are matched by blood type, body size, blood type, body size, waiting time and patient’s waiting time and patient’s medical statusmedical status

Most organs are shared first Most organs are shared first locally in Alabama…then locally in Alabama…then regionally and finally regionally and finally nationallynationally

What is your role?What is your role?

Cadaveric Donors & Common Misconceptions Cadaveric Donors & Common Misconceptions Among Medical ProfessionalsAmong Medical Professionals

Fact or Fiction…Fact or Fiction…

Fact or Fiction?Fact or Fiction?

Individuals with a history of Individuals with a history of cancer are ineligible for organ cancer are ineligible for organ

donation.donation.

FictionFiction

GOLDEN GUIDELINES…GOLDEN GUIDELINES…

1.1. SAVE LIVESSAVE LIVES

3.3. TRANSPLANT HEALTHY ORGANSTRANSPLANT HEALTHY ORGANS

5.5. NEVER COMPROMISE THE WELL NEVER COMPROMISE THE WELL BEING OF THE RECIPIENTBEING OF THE RECIPIENT

Fact or Fiction?Fact or Fiction?

The cut-off for eligible donors is The cut-off for eligible donors is 70 years of age.70 years of age.

FictionFiction

Fact or Fiction?Fact or Fiction?

Hepatitis is a rule-out for Hepatitis is a rule-out for

organ donation.organ donation.

FictionFiction

Fact or Fiction?Fact or Fiction?

The leading cause of brain death The leading cause of brain death is head trauma.is head trauma.

FactFact

Causes of Brain Death…Causes of Brain Death…

ICH / CVAICH / CVA

CNS TumorCNS Tumor

Head TraumaHead Trauma

Anoxic InjuriesAnoxic Injuries

Infection (meningitis)Infection (meningitis)

Fact or Fiction?Fact or Fiction?

MRSA is an automatic rule-out MRSA is an automatic rule-out for organ donation.for organ donation.

FictionFiction

Fact or Fiction?Fact or Fiction?

Patients with autoimmune Patients with autoimmune disorders such as systemic disorders such as systemic

lupus and asthma are ineligible lupus and asthma are ineligible for organ donation.for organ donation.

FictionFiction

Fact or Fiction?Fact or Fiction?

Patients who are HIV positive Patients who are HIV positive cannot be organ donors.cannot be organ donors.

FactFact

Fact or Fiction?Fact or Fiction?

The diseases/conditions a donor The diseases/conditions a donor carries are passed along to the carries are passed along to the

recipient, post-transplant.recipient, post-transplant.

PotentiallyPotentially

Fact or Fiction?Fact or Fiction?

The best time to contact the The best time to contact the organ center isorgan center is

after the first brain-death note after the first brain-death note has been written.has been written.

FictionFiction

Clinical Triggers…Clinical Triggers…

Unresponsive to verbal & noxious stimuliUnresponsive to verbal & noxious stimuli Pupils non-reactive to lightPupils non-reactive to light Absence of cough / gagAbsence of cough / gag Absence of spontaneous respiration on ventAbsence of spontaneous respiration on vent

NOTIFY WITH 3 OUT OF 4NOTIFY WITH 3 OUT OF 4

Fact or Fiction?Fact or Fiction?

Designated requestors are meant Designated requestors are meant to be used as a “last resort” in to be used as a “last resort” in

approach for consent.approach for consent.

FactFact

Fact or Fiction?Fact or Fiction?

YOU play a “key” role in the YOU play a “key” role in the medical outcome of those medical outcome of those

waiting for life-saving waiting for life-saving transplants. transplants.

FactFact

The difference between someone who dies The difference between someone who dies waiting on the transplant list…waiting on the transplant list…

And someone who gets a second chance And someone who gets a second chance at life…at life…

Is the call that YOU make…Is the call that YOU make…

You can bring a donor & You can bring a donor & a recipient together.a recipient together.