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Innovative Processes to Increase Donation

Innovative Processes to Increase Donation. Clint Burns, RN In House Coordinator The Johns Hopkins Hospital & Living Legacy Foundation ~ S. Richard Goldman, M.D. Medical Director, Palliative Care Services St. Joseph’s Medical Center Stockton, California. Dream Team. Creating champions

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Innovative Processes to Increase Donation

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  1. Innovative Processes to Increase Donation Clint Burns, RN In House Coordinator The Johns Hopkins Hospital & Living Legacy Foundation ~ S. Richard Goldman, M.D. Medical Director, Palliative Care Services St. Joseph’s Medical Center Stockton, California

  2. Dream Team • Creating champions • Starting at first • Covering all your bases • Finding champions • Designated hitter • The compassionate “First Pitch”

  3. End of Life Care Organ Donation Simulation Clint Burns, RN In House Coordinator The Johns Hopkins Hospital & Living Legacy Foundation

  4. Goals • Utilizing multidisciplinary simulation training for OPO and medical staff (physicians and RNs) to facilitate end of life meetings is an effective tool for improving family care, effective requests and OPO/unit staff relationships • Execute effective simulation trainings in the hospital setting • Anticipate and address obstacles to implementing end-of-life simulation training in collaboration with hospital staff

  5. Education Options • On line training • Lectures • Real time/just in time education • Other EOL consultant trainings for OPO • Simulation

  6. Simulation Objectives: • Enhance hospital staff and organ procurement organization (OPO) EOL skills in discussing the options with families whose loved ones have been declared brain dead • Discuss brain death with families in an adequate manner • Make a plan with OPO to discuss the specific process of organ donation after brain death

  7. Simulation Encounter • 20 minute overview (all teams oriented to day) • 2-3 groups (lecture included) • 5 minute huddle with OPO (Huddle simulation) • 20 minute family meeting with standardized patients (actors) • 20 minute debrief • 20 minute replay of family meeting so staff can correct issues during initial family encounter • 15 minute final debrief

  8. Simulation Skills/Competencies Assessed: • Family education and counseling skills • Negotiation and shared decision making skills • Relationship development skills • Conflict resolution skills • Global satisfaction

  9. Facilitators • Faculty • Consistency with debrief • Debrief tool • S/P feedback

  10. Obstacles • Buy in • Funding • OPO resources • Facilitators

  11. Simulations Offered • Huddle simulation (internal for OPO) • BD Simulation • DCD Simulation (PEDS boot camp and Adults) • Simulation for JHH School of Nursing and Notre Dame School of Nursing

  12. Process Measures:Effective Request Process Effective Request JHH

  13. Process Measures:Effective Request Process Effective Request LLF

  14. Follow Up • All videos are viewed by OPO to improve internal processes • Learners complete evaluation • Learners are offered opportunity to repeat SIM up to 4 times in 1 year period

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