Show:
Donor Information
Serologies & Labs
Medications
LifeStyle/Management
Procurement & Disposition
100
The cause of death, the mechanism of death and the circumstances of death for a donor that died as a result of a self-inflicted hanging?
What is: Anoxia Asphyxiation Suicide
100
This is what UNOS considers to be the value of the laboratory test performed closest to the time of recovery.
What is terminal lab data. Results may be located on our flowsheet/Lab data or Anesthesia record.
100
The most commonly missed medication administered within 24 hours prior to crossclamp for LifeSource donors on the DDR.
What is "steroids" (solumedrol) When T3 is administered this is nearly always given, but is not documented on the LifeSource medication sheet about 30% of the time.
100
Signs of clinical infection; (list at least 3 areas that can be found in a donor)
What is: Bacteria in Urinalysis Bacteria in Sputum Gram Stain Comment of infection in progress notes Any Drainage Unexplained elevated temp & WBC (beyond neuro injury response) Consolidation on chest x-ray Positive culture results, etc.
100
A DCD type of donor whose lifesupport will be withdrawn and whose family gave written consent for organ donation in the controlled environment of the operating room.
What is controlled DCD donation.
200
"Yes" is entered in the Medical Examiner Section of the DDR.
What is any organ donor. This question on the DDR asks if the ME was contacted and did they consent to donation. Since we call the ME with every organ donation, this should always be marked yes regardless if the case becomes an ME case or not.
200
The result of EBNA testing for organ donors at LifeSource
What is Not Done. This result is often mistakenly documented as negative on the DDR.
200
This is the section and location where antibiotics are documented on the DDR.
What is Medications given 24 hours before cross-clamp: "Other/Specify" category. This area isn't just for antibiotics, feel free to add any/all medications that aren't accounted for above. You can limit to those most pertinent. Should always include antibiotics.
200
Cigarette use (>20pack years)
What is # of packs smoked per day X # of years smoked = pack years UNOS wants documentation of Cigarette use only if >20 pack years. If the donor was a smoker, but not >20 pack year, you do not need to mark Yes.
200
In the process of non-heart beating organ donation, some centers place large intravascular cannulae into the femoral vessels and infuse cold preservation solution.
What is core cooling.
300
This recorded date and time is considered the time of "Consent" for a DCD case that also happens to have designated donor.
What is time of authorization. This is a DCD case so the family authorized for donation. UNOS wants to know if consent is based solely on documentation. In the case of DCD we currently also obtain authorization from the family.
300
This may be the location of terminal labs such as Hbg, Bun, Creat, ABGs, K+.
What is the anesthesia record.
300
Dosage at time of cross clamp of intropic medications.
What is the last dose titrated, and the duration the donor was at that dose. Often this information is on the anesthesia record as the CRNA/MDA often makes final adjustments. The recorded length should be only how long the donor was at that terminal dose--not how long the donor was on the medication.
300
The number of drinks a day that UNOS considers heavy alcohol use.
What is 2+drinks/ day
300
We document the time of abdominal aorta cannulation on this form.
What is no. We do not currently document this time. In the DDR we should respond with "unknown".
400
When is the date and time of pronouncement of death?
It is determined by hospital protocol. It may be the first exam or second exam if BD, or may be cardiac time of death if DCD case.
400
Two labs required for pancreas donors.
What are Lipase and Amylase results.
400
Medications given 24 hours before donor management are documented in this area of the DDR
What is no where. The DDR does not ask for medications before donor management.
400
Three methods of hypertension control on the DDR.
What is diet, diuretics (water pills), other medications
400
Cardiac arrest since neurological event is checked if the donor experienced a cardiac arrest during the terminal event.
What is no. In the case of every donor who has had a cardiac arrest, you need to determine if the brain injury occurred because of the arrest, or did the arrest occur after the incident that caused the brain injury. UNOS is looking for the "Yes" only if the arrest occurred after the primary event causing the brain injury. In the case of a donor who suffers brain injury as a result of an arrest, this should be checked no.
500
This is the time of "consent" in the case of a brain dead donor with donor designation.
What is time of brain death. Because this person had donor designation, the time of "consent" is the time of death.
500
UNOS considers this the number of transfusions during this (terminal) hospitalization included 2 units of packed red blood cells, four FFP.
What are 2 transfusions. UNOS considers transfusions to include only packed red blood cells or whole blood transfusions.
500
Heparin is given prior to procurement and is documented in this location on the DDR
What is the Any medication administered within 24 hours of cross-clamp section of the DDR. This is if the patient is on any type of heparin, either push or IV.
500
Considered an abnormal angiogram finding by UNOS
What is greater than 50% stenosis on more than one or more coronary artery.
500
Often confused and documented as a liver biopsy for LifeSource, this is actually a transplant center protocol and not considered a biopsy that was requested during donor evaluation.
What is Mayo Liver biopsy We do not check yes to biopsy unless we obtain a biopsy with results received prior to transplant. (You fill out the biopsy request form, then you check yes to biopsy).