Organ Allocation

Kidney

100

These recipients will print first on a Kidney Match Run

What is 0 AMM Mismatch recipients with Identical ABO to donor from local Tx Center (0 ABDR Mismatch: OPO KI-ABO Identical)

200

This is the total amount of paybacks an OPO can accumulate

What is 9 *Bonus Question

300

When allocating one kidney to our local center for a KP and the other kidney to an outside center for a 0AMM, this center has first pick of kidney

What is our local Center * Bonus Question

400

What are the five conditions that can qualify kidneys for "Double Kidney Allocation"

What is -Donor age over 60 -Creatinine of 2.5 or higher at time of recovery -Hx of HTN or DM -Moderate to severe glomerulosclerosis (greater than 15% and less than 50% -Estimated Creat Clearance of 65 or less based on admit serum Creatinine *Bonus Question

500

This is the number of 0AMM offers must be made when multiple 0AMM candidates print on a kidney match run on a SCD

What is 10 *Bonus Question

Liver

100

This is the score by which adult recipient's are listed on a Liver Match run

What is a MELD score

200

This is when the liver is able to be allocated from a list other than the Liver Match Run

What is When the liver list has been exhausted through the National 1A and 1B offers

300

These are the situations where it would be necessary to re-run a Liver Match Run

What is -When a positive serology is reported after match run has been generated -When 8 hours has elapsed since the match run was generated but no offers have been made

400

These are the first three tiers of the Liver Allocation Algorithm

What is 1) Combined Local and Regional Status 1A and 1B 2) Local and Regional with MELd/PELD scores >= 35 3) Local candidates with MELD/PELD scores 29-34

500

These are two of the four criteria that create a "potential splittable liver"

What is 1) donor less than 40 years of age 2) on a single vasopressor or less 3) transaminases no greater than 3 times normal 4) BMI of 28 or less

Pancreas/Intestine

100

These are two labs that must be entered into UNET prior to making a Pancreas offer

What is Glucose and Amylase

200

The pancreas is unable to be allocated to OHOU for Pancreas Islet recovery if we do obtain this type of authorization

What is Research Authorization

300

This statement is important to place in "Donor Highlights" when allocating from the Intestine match run when the Liver and/or the Pancreas has already been placed

What is "Intestine offers are isolated organ offers only" or "No offer is primary until you are contacted by a OHLP coordinator"

400

***Picture Question*** Please identifiy this person

What is Walter Brimley

500

this is the Ranking System used in the Intestinal Organ Allocation Algorithm

What is Status 7, Status 1 and Status 2

Heart/Lung

100

This is the only lab needed in order to run a Heart (Heart/Lung) Match run

What is a Troponin *Bonus Question

200

These two items are necessary to send electronic Lung offers to Tx Centers

What is a Chest Xray and an O2 Challenge *Bonus Question

300

A recipient listed on the Heart list is also listed for bilateral lungs; this is when the lungs can be offered to that patient

What is when they become primary for the heart

400

A patient on the Lung list is also listed for a heart; when can the heart be offered to this recipient?

What is when the heart has been declined by all Status A1 recipient's through the National Level

500

Thoracic allocation algorithm is done through "Zones" These are those Zones and the Miles they represent

What is -Zone A - Tx centers within 500miles -Zone B- Tx Centers within 1,000 miles -Zone C- Tx Centers within 1,500 miles -Zone D- Tx Centers within 2,500 miles -Zone E- Tx Centers over 2,500 miles away *Bonus Question x2

Potent Potables

100

In these donor scenarios an OPO has the option to defer offering kidneys as Paybacks

What is when 1) Donor defined as an ECD 2) donor meets criteria for a Donation after Cardiac Death 3) Donor is less than six years old and 60 years old or older

200

Scenario Question with Picture: You have just ran your Kidney Match run on a Blood type O, SCD, who is a 24yo male who was pronounced BD after suffering a GSW to the head. This donor was previously healthy and has all negative serologies except for CMV+. -SEE SLIDE

What is Review all your information entered into the DonorNet chart because something is wrong; there should be more local recipients printing

300

Scenario Questions: You have just began liver allocation on a pediatric donor. A surgeon from a nearby Transplant Centers calls and states that he has just listed a very sick patient as a status 1B and he needs you to Re-Run the liver list so that this patient shows up. What do you do next?

What is You must inform this surgeon that it is against UNOS policy to re-run a list to accomodate his patient. You must keep offering the liver to the patients who are already listed on the match run.

400

How long is a patient able to be listed as a Status 1A for a Thoracic organ?

What is 14 days *Bonus Question

500

Scenario and Demonstration Question: Your local heart surgeon calls after hearing that none of his patients have come up on the Heart match run for a local donor; he is adamant that he has a patients that should have printed and he wants to know why they did not show on the match run. How do you find this information for him?

Must show correct demonstration on UNET Match Run