Acronyms
DCD
Donation after Circulatory Death (DCD) describes the organ recovery process that may occur following death by irreversible cessation of circulatory and respiratory functions. A DCD donor may also be called a non-heart beating, asystolic, or donation after cardiac death donor.
A patient is a registered organ donor and is declared BD. Their LNOK does not wish for them to donate. This patient does not become an organ donor
FALSE
*First Person Auth
LifeNet Health OPO has three dedicated offices
Richmond
Virginia Beach
Roanoke
OPO
Organ Procurement Organization
An organization authorized by the Centers for Medicare and Medicaid Services, under Section 1138(b) of the Social Security Act, to procure organs for transplantation.
While on-site for a new patient the physician tells you "this patient is so sick, you won't want them!" So you log them out.
FALSE
CMS definition of Potential Organ Donors
The location and purpose of the QC Lab
Virginia Beach
where serologies are run
*important to factor in location and time of sero runs
DSA
Donation Service Area
The geographic area designated by the Centers for Medicare and Medicaid Services (CMS) that is served by one organ procurement organization (OPO), one or more transplant hospitals, and one or more donor hospitals
COVID + Patients can be organ donors
True
HLA labs
VAUV (University of Virginia Hospital) if West of Richmond
VANG (Sentara Norfolk General Hospital) Richmond & East
HLA= Human Leukocyte Antigen (HLA) typing
KDPI
Kidney Donor Risk Index (KDRI)
combines a variety of donor factors to summarize the risk of graft failure after kidney transplant into a single number. The KDRI expresses the relative risk of kidney graft failure for a given donor compared to the median kidney donor; values exceeding 1 have higher expected risk than the median donor, and vice versa.
Which Medical Examiner do you call when you are at VAMC (VCU Hospital)?
Central
There are 4 Medical Examiner Districts within VA (East, Central, West, and North)
(and the WV OCME when at those facilities)
CPRA
Calculated Panel Reactive Antibody (CPRA)
The percentage of deceased donors expected to have one or more of the unacceptable antigens indicated on the waiting list for the candidate. The CPRA is derived from HLA antigen, allele, and epitope genotype frequencies for the different populations in proportion to their representation in the national deceased donor population.
HLA typing must be completed prior to organ offers sent
FALSE!
Only the kidney list requires HLA typing to be resulted prior to running lists. All other organ lists can be run and allocation can begin.
Where to find Brain Death Testing Policy for VANG?
in True North:
click the hospital's name on the grid
file upload tab
"disable" time frame
scroll