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Case length

kelton avatar
kelton
11 diapositives · 296 Views · Feb 22, 2013

This document outlines the critical phases of organ donation, focusing on the Evaluation, Allocation, and Recovery phases. It emphasizes the importance of serology testing, declaration and consent processes, and the new national organ offer procedures. The text discusses recruitment strategies, including serial echo protocols for lung recruitment, and highlights the significance of matching runs, tissue typing, and transportation processes. By exploring case length reduction strategies, it provides insights into managing expectations for families and hospital staff involved in organ donation.

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  1. Case length Matthew Bock

  2. 23% 18% 43%

  3. Evaluation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase Organ offers Match runs, tissue typing, more diagnostics Recovery phase Transportation and surgical recovery

  4. Evaluation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recovery phase Transportation and surgical recovery

  5. Evaluation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recruitment: Serial echo protocol Lung recruitment Recovery phase Transportation and surgical recovery

  6. Evaluation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recruitment: Serial echo protocol Lung recruitment Recovery phase New national organ offer procedure Transportation and surgical recovery

  7. Evaluation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recruitment: Serial echo protocol Lung recruitment Recovery phase New national organ offer procedure Transportation and surgical recovery Increased emphasis on thoracic organs

  8. Evaluation phase Serology testing Three phases of an organ donation Declaration, consent, med-soc, diagnostic testing Allocation phase New serology process Organ offers Match runs, tissue typing, more diagnostics Recruitment: Serial echo protocol Lung recruitment Recovery phase New national organ offer procedure Transportation and surgical recovery Increased emphasis on thoracic organs New HLA testing for kidney match

  9. Serial progression One stage follows the other Evaluation phase Allocation phase Recovery phase

  10. Three phases in parallel (overlap) Evaluation phase Allocation phase Recovery phase

  11. The big picture for organ donation case length Evaluation phase Serology testing Declaration, consent, med-soc, diagnostic testing Allocation phase Organ offers Case moves from referral to active Match runs, tissue typing, more diagnostics Recovery phase 1st match run Set-up, transportation and recovery 3 major themes in case length reduction Set the OR time Pt goes to the OR First: The duration of each phase should be limited by it’s longest unalterable factor. Second: Phases should be overlapped as much as possible rather than strung together. Third: Pt families and hospital staff should have expectations that match the reality of case length.