gift of hope local collaborative october 22, 2009 anna scaccia, mj, bsn, rn trauma nurse coordinator...

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Page 1: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard
Page 2: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard
Page 3: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

Gift of Hope Local Collaborative Gift of Hope Local Collaborative October 22, 2009October 22, 2009

Anna Scaccia, MJ, BSN, RNAnna Scaccia, MJ, BSN, RNTrauma Nurse CoordinatorTrauma Nurse Coordinator

Advocate Illinois Masonic Medical CenterAdvocate Illinois Masonic Medical Center

Richard J. Fantus, MD, FACSRichard J. Fantus, MD, FACSDirector, Trauma ServicesDirector, Trauma Services

Advocate Illinois Masonic Medical CenterAdvocate Illinois Masonic Medical Center

Page 4: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

Organ DonationOrgan Donation Advocate Illinois Masonic Medical Advocate Illinois Masonic Medical

CenterCenter

Strong institutional interest dating back over 2 Strong institutional interest dating back over 2 decadesdecades

Trauma Surgeons take an active roleTrauma Surgeons take an active role

Brain Death work up put into placeBrain Death work up put into place

Internal process for family communicationInternal process for family communication

Trauma Coordinator as ROBI liaisonTrauma Coordinator as ROBI liaison

Excellent working relationship with our OPO Excellent working relationship with our OPO ROBI/GOHROBI/GOH

Page 5: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

19981998

Page 6: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

Organ DonationOrgan Donation Advocate Illinois Masonic Medical Advocate Illinois Masonic Medical

CenterCenter

But then in 1998 the “But then in 1998 the “LAWLAW” changed” changed

Federal Government entered the picture to Federal Government entered the picture to promote organ donation nationally and restricted promote organ donation nationally and restricted conversations regarding organ donation to an conversations regarding organ donation to an OPO representative or “designated requestor”OPO representative or “designated requestor”

Page 7: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

Organ DonationOrgan Donation Advocate Illinois Masonic Medical Advocate Illinois Masonic Medical

CenterCenter

Working with ROBI - several of the trauma Working with ROBI - several of the trauma surgeons became designated requestorssurgeons became designated requestors

Trained by ROBI staff during a dedicated educational Trained by ROBI staff during a dedicated educational activity activity

Retooled our processRetooled our process

AIMMC remained near the top of list for AIMMC remained near the top of list for ROBI/GOH hospitalsROBI/GOH hospitals

Page 8: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

20062006

Page 9: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

Organ DonationOrgan Donation Advocate Illinois Masonic Medical Advocate Illinois Masonic Medical

CenterCenter

Then on January 1st 2006 Illinois becomes 43rd Then on January 1st 2006 Illinois becomes 43rd state to pass first person consent “state to pass first person consent “LAWLAW” ”

not as straight forward approaching a family without not as straight forward approaching a family without knowing if they are in the registryknowing if they are in the registry

Numerous meetings, collaborations and review Numerous meetings, collaborations and review of internal guidelines to account for this new of internal guidelines to account for this new change.change.

Page 10: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

20082008

Page 11: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

Organ DonationOrgan Donation Advocate Illinois Masonic Medical Advocate Illinois Masonic Medical

CenterCenter

Increased efforts with Donation after Cardiac Increased efforts with Donation after Cardiac DeathDeath

Started to explore ways to incorporate organ Started to explore ways to incorporate organ donation in a patient care conference model donation in a patient care conference model

Page 12: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

Organ DonationOrgan Donation Advocate Illinois Masonic Medical Advocate Illinois Masonic Medical

CenterCenter

AIMMC is having its most successful year with AIMMC is having its most successful year with organ donation under the current collaborative organ donation under the current collaborative modelmodel

What if the “What if the “LAWLAW” changes again?” changes again?

We will be readyWe will be ready

Page 13: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

20092009

Anna Scaccia, MJ, BSN, RNAnna Scaccia, MJ, BSN, RNTrauma Nurse CoordinatorTrauma Nurse Coordinator

Advocate Illinois Masonic Medical CenterAdvocate Illinois Masonic Medical Center

Page 14: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

Organ DonationOrgan Donation Advocate Illinois Masonic Medical Advocate Illinois Masonic Medical

CenterCenter

Organ and Tissue Donation Policy - update Organ and Tissue Donation Policy - update 20092009

includes a more proactive approachincludes a more proactive approach

PhysiciansPhysicians

NursesNurses

Mission and Spiritual CareMission and Spiritual Care

Page 15: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

38%38%

55%55%

83%83%

Page 16: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard

Organ DonationOrgan Donation Advocate Illinois Masonic Medical Advocate Illinois Masonic Medical

CenterCenter

Challenges and discussions for the futureChallenges and discussions for the future

Addition of a “Patient Care Conference” to the Addition of a “Patient Care Conference” to the Organ and Tissue Donation PolicyOrgan and Tissue Donation Policy

Update John/Jane Doe PolicyUpdate John/Jane Doe Policy

1999 - Policy created1999 - Policy created

2001 - Health Care Surrogate Act is amended to add the 2001 - Health Care Surrogate Act is amended to add the Next of Kin “Next of Kin “LAWLAW””

2010 goal - to create a more detailed checklist2010 goal - to create a more detailed checklist

Page 17: Gift of Hope Local Collaborative October 22, 2009 Anna Scaccia, MJ, BSN, RN Trauma Nurse Coordinator Advocate Illinois Masonic Medical Center Richard