TMCA DonorAmbassador Training 2015

Statistics of Timely Organ ReferralsTMCA

• 2015 – 84% through September

• 2014 – 93%• 2013 – 88%• 2012 – 90%• 2011 – 77%

All HCA• 2015 – 86% through

September

• 2014 – 84%• 2013 – 78%• 2012 – 85%• 2011 – 83%

Donor Resource AmbassadorTraining Planning Team

What we do…• Collaborate with Donor Alliance for the 2014

TMCA Donation Summit– Assist Donor Alliance with planning and content

of the summit• Work as liaisons between Donor Alliance and

The Medical Center of Aurora– Bi-monthly meetings with Donor Alliance team

What we do…• An in house resource for the doctors and nurses

caring for the donor patient– Make sure the nurses and doctors understand the

process– What is required for efficient management of the

donor patient to optimize organ function to increase transplant success

• Debrief meetings to discuss donor cases– What went well, what didn’t– Process improvements needed– Follow up with staff involved in donation process

2015 Donor Ambassador TrainingGoal:• To develop a clinically based training program

and curriculum for clinical staff (RN’s/RT’s) to become more knowledgeable of what is required to support the organ donation process

20 people attended this training

2015 Donor Ambassador TrainingAgenda

● Toll Gate: Donor Family Member Introduction with Judy Thompson 9:00am

● Bridge Design: Transplantation Need

● Building Engineers: The Donation Framework

− Regulatory Requirements

− Coroner/Funeral Home Considerations

● Construction Plans: The Referral Process

● Deck, Segment 1: Processes, Uses and Benefits of Tissue Donation

● The Abutments: Consistent Messaging Regarding Donation

● The Cable Stays: Family Conversations

● Roadmaps: Dr. Katherine Fitting CME/Lunch

● Tension/Compression Loads: Brain Death Declaration

● The Girders: Donor Management Strategies

● The Piers: Case Processes for Brain Dead and DCD Donors

● Deck, Segment 6: Donor Family Aftercare

● Ribbon Cutting Ceremony: Commitments

What we learned…• Best practices in organ donation process

– History of organ donation• Process of recovery

– Layout of operating room– Coordination of recovery (behind the scenes)

• Importance of documentation– Brain death documentation– DCD documentation– Differences between DCD and Brain Death Donation

• Need for order sets to manage the donor patient– Placement of order sets into CPOE– Optimization of organs for potential transplant

What we learned…• Organ Recovery Coordinators– Role in donor management– Collaboration with bedside RN/RT/MD in optimizing

organ function– Placement of organs and coordination of recovery

• Moment of silence– In Operating suite– At bedside prior to transfer

• Nurse participation that cared for patient and family• Family participation

What’s next…• Development of order sets to be placed in

CPOE for all donor management• TMCA Organ Donation Summit April 2016– Donate Life Month

• Additional Donor Ambassador Training expanded to all hospitals in Donor Alliance Service Area