Implementing an Effective Referral Response Team and Donor Council Enlisting donor families as part of the donor council. Guest Speakers

Implementing an Effective Referral Response Team and Donor Council

• Enlisting donor families as part of the donor council. Guest Speakers

• Add a community member to the donor council

• Sit with or visit other hospital donor councils - Learn and share from others

• Help to implement tools -

• Brain Death Form
• Catastophic Brain Injury Guidelines
• Health Care Team Pocket Cards

Making the Call: Defining and improving the referral process

• Referral Guidance Document - “ Guideline of questions going to be asked when we make the call.”

• Expiration time vs pronouncement time – “It is important to know when the heart stopped

• Designate someone to make the call - Improve referral times

• Increase education for tissue donation

• Identify PI opportunities and test ideas for improvement

A Clinical Balancing Act: Honoring the DNR Decision While Preserving the Donation Option

• Implement Traumatic Brain Injury Guidelines to provide good critical care for the patient & preserve the option of donation

• Encourage Multidisciplinary approach to the DNR discussion

• Discuss “Allow Natural Death” (AND) in lieu of DNR

• Increase education for the entire hospital healthcare team on End-of-Life care, including donation

Journey To Transplant: How patients facing organ failure get on the waiting list

• Utilization and transplantation of extended criteria organs

• Ways to impact the waitlist - dual transplant, chain donation

• Education - Community, Dialysis Centers, Waiting room videos, Internet

• Engaging donor family members and reciepts for educational opportunities

Caring For The Potential Donor Family

• Having Families witness brain death testing – Apnea, EEG… showing the results

• Life support Terminolongy- Word” life” is confusing to families. Utilize Ventilator or Mech support

• Engage bedside nurse as part of end of life conversation with family.

• Timing of donation conversation - The importance of not mentioning donation, or pre mention.

Questions to Run On:

• I will commit to taking an active role in one or more of the following areas_________.

• One thing I have learned and plan to share when I return?

• The specific commitment (s) I will take in helping to decrease the gaps is: