A Living Legacy

1. A Living Legacy Name Title Company

2. VideoYour Stories & Questions 2

3. Objectives • At the end of the presentation the learner will: • Have an understanding of the donation process • Be able to verbalize which organs and tissues can be donated • Be able to verbalize how to become a donor 3

4. Thought Question Who is impacted by the organ and tissue donation process? 4

5. Our Mission Insert Organ Procurement Mission Statement Here 5

6. Organ Procurement Name • Founded in _____ • Not for profit • Federally funded and designated by CMS as an Organ Procurement Organization (OPO) 6

7. Organ Procurement Name • Serving ____ hospitals, __ transplant centers & ____ million residents • Describe geographic area (Donation Service Area) 7

8. Donation Service Area Include a map of the Donation Service Area 8

9. Umbrella Organizations • United Network for Organ Sharing Maintains National Organ Transplant Waiting List under contract with the U.S. Department of Health and Human Services • American Association of Tissue Banks Provides tissue banking standards to promote quality and safety in tissue transplantation • Association of Organ Procurement Organizations Recognized as the national representative of organ procurement organizations (OPOs) • EBAA National accrediting body for eye banks 9

10. What do these Numbers mean? >110,997 (update by checking UNOS.org) • National number of people waiting for organ transplants >1,500,000 (update as needed) • Number of tissue transplants occurring annually 10

11. Diabetes – End Stage Renal Disease Cardio-myopathy Cystic Fibrosis 11 Food Poisoning Liver Tumor

12. Waiting & Donating: A Widening Gap 12 Source: UNOS/OPTN 6/2010

13. UNOS Organ Allocation Policy Potential recipients are ranked by these criteria: Urgency of NeedThe very sickest rank at the top of the list Time WaitingPoints accrued according to time on waiting list Blood TypeABO must be compatible SizeHeight and weight must be compatible Tissue TypingFor kidneys & pancreas 13

14. Referral The Donation Process Development Identification & Early Referral Based on Clinical Triggers HospitalDevelopment Community Outreach 14

15. Clinical Trigger for Referral Insert the trigger card established with the hospital. 15

16. Evaluate The Donation Process Development Referral Identification & Early Referral Based on Clinical Triggers HospitalDevelopment Community Outreach Suitability Donor Mgmt Brain Death Declared Donation After Cardiac Death Assessment 16

17. Donation After Brain Death: Lost one or more brainstem reflexes & ventilation E.g. Anoxic Injury, Brain Hemorrhage, GSW, MVA, etc. Progression to Brain Death & declaration Tissue Donation: After every death Potential Donors • Donation After Cardiac Death: • Withdrawal of Life Support discussions • E.g. Anoxic Injury, Brain Hemorrhage, Neurological Injury • Will not progress to Brain Death 17

18. Approach The Donation Process Development Referral Evaluate Identification & Early Referral Based on Clinical Triggers HospitalDevelopment Community Outreach Suitability Donor Mgmt Brain Death Declared Donation After Cardiac Death Assessment Family Support Huddle EffectiveRequesting Medical/SocHistory 18

19. Families are best served when hospitals & OPO’s work together to offer the option of donation The Request Communication and Establishing Trust is Vital in End-of-Life Care! There is no one right answer: Donation is a GIFT 19

20. Recovery The Donation Process Development Referral Evaluate Approach Identification & Early Referral Based on Clinical Triggers HospitalDevelopment Community Outreach Suitability Donor Mgmt Brain Death Declared Donation After Cardiac Death Assessment Family Support Huddle EffectiveRequesting Medical/SocHistory Coroner Clearance Organ Placement Organ/Tissue Recovery After Action Review 20

21. Following-Up & Honoring Donors Add the type of donor ceremonies your OPO conducts – provide one or more pictures. 21

22. Transplantable Organs & Tissues ORGANS TISSUES ◄ ◄ ●Kidneys ●Liver ●Heart ●Lungs ●Pancreas ●Sm. Intestine Cornea/Eyes Heart Valves Skin Bone Tendons Cartilage Veins ◄ ◄ ◄ ◄ ◄ ◄ ◄ ◄ ◄ ● ● ◄ ● ● ◄ ● ◄ ● ◄ ◄ ◄ ◄ ◄ ◄ 22

23. The Results Are Exponential 3donors… … save10liveson averagethrough organ transplants… …and help up to150others through donated tissues 23

24. TISSUE DONATION EXAMPLES 24

25. Heart Valves/Pericardium • Replace defective heart valves • Donated valves preferred - no need for anti-coagulation drugs • Treatment of choice for pediatrics 25

26. Vascular Grafts • Coronary bypass surgery • Limb salvage • Restores blood flow • Prevents amputation 26

27. Connective Tissue • Tendons and Ligaments • Replace or strengthen damaged tissues in knees and other joints 27

28. Examples: Cancellous bone graft (for hip surgery) Femoral cross section Fibula shaft (back surgery) Dental Powder Engineered grafts Bone 28

29. Bone Graft Spinal curvature After abone graft… 29

30. Skin • Increases burn survival from 17 to 77% • Promotes healing • Temporary coverage • Protects against: • fluid loss • Infection • Decreases pain 30

31. The Gift of Sight A precious gift… A world of darkness …transplanted 31

32. Our Inspiration: Donors and Their Families • We are inspired by donor families who are so giving at a time when when they have suffered such a great loss Cathy Perez, mother of Louis Silva, organ donor 32

33. Tong Tong Hao (Recipient) “She runs, jumps and plays everyday instead of sitting in the stroller.” – Yehong & Frost,Tong Tong’s parents 33

34. If You Choose to Be a Donor 1 Share your decision with your family 2 Sign up on the _____________________Organ & Tissue Donor Registry 3 Live a long, healthy life! Insert Registry website 34

35. Thought Question Who is impacted by the organ and tissue donation process? 35

36. Lily 1984 Liver tumor, awaiting transplant Matthew BemisLily’s donor 1985 Lily at six:The joy of kindergarten! 36

37. 2008 THANK YOU! 37