gift of hope local collaborative october 22, 2009 anna scaccia, mj, bsn, rn trauma nurse coordinator...
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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
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
19981998
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”
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
20062006
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.
20082008
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
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
20092009
Anna Scaccia, MJ, BSN, RNAnna Scaccia, MJ, BSN, RNTrauma Nurse CoordinatorTrauma Nurse Coordinator
Advocate Illinois Masonic Medical CenterAdvocate Illinois Masonic Medical Center
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
38%38%
55%55%
83%83%
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