Clinical Triggers
OPO
CMS
Referrals
Brain Death/DCD
100
Gag, cough, corneal, pupils, response to pain,
What are brain stem reflexes
100
Organ Procurement Organization
What is an OPO?
100
Center for medicare and medicaid services
What is CMS?
100
Patient has a GCS <5
What is make a referral?
100
Terminal wean
What is withdrawal of lifesustaining therapies
200
Patient is on a ventilator
What is one of the determining factors for a referral?
200
Lifeline of Ohio
What is our OPO?
200
Determine response time for referral criteria
Who is CMS?
200
One Hour!
What is a timely referral?
200
Patient arrested within one hour of withdrawal?
What is patient is an eligible donor?
300
Patient is on hypothermic protocal
What is patient does not meet clinical triggers?
300
OPO Staff comes on site after referral
What is an initial evaluation?
300
Regulatory body for Organ donation
Who is CMS?
300
Patient is on heavy sedation and neuromuscular blockades
What is too soon to call?
300
Must use two of these: APNEA, CLINICAL or NUCLEAR FLOW
What is Brain Death Testing?
400
Patient has a severe neurologic injury or insult
What is a clinical trigger?
400
Patient is a potential donor, Lifeline staff rounds daily
What is following the patient?
400
Levy fines and or remove funding for late referral
Who is CMS?
400
Brain death testing scheduled
What is call referral center?
400
Patient: *pupils are non reactive, *corneal, oculocephalic, oculovestibular & gag reflexes are absent *no facial movement to noxious stimuli *cough reflexes absent tracheal suctioning *absence of motor responses (all 4 limbs)
What is a clinical exam?
500
Glascow coma scale <5 (RASS -4), on ventilator and not on sedation
What are clinical triggers?
500
121,000
What is the number of people nationally waiting for an organ transplant?
500
They provide medicare and medicaid funding
What are CMS regulatory guidelines?
500
Lifeline staff comes to the unit after referral made
What is an initial evaluation?
500
Disconnect ventilator; spontaneous respirationgs absent ABG drawn at 8-10 minutes, patient reconnected to ventilator pCO2>60mm Hg or 20 mm Hg rise from normal baseline value.
What is APNEA Test
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