2.50
Hdl Handle:
http://hdl.handle.net/10755/163022
Type:
Presentation
Title:
Organ Donation: Permeating the Vision!
Abstract:
Organ Donation: Permeating the Vision!
Conference Sponsor:Emergency Nurses Association
Conference Year:2006
Author:Ross, Mary J., RN, BSN, CEN
P.I. Institution Name:Clarian Health Partners/Methodist Hospital of Indiana
Title:Clinical Nurse and Charge Nurse
Contact Address:1701 N. Senate Blvd., Indianapolis, IN, 46202, USA
Contact Telephone:(317) 962-8880
Purpose: A national collaborative brought the hospital together with the local Organ-Procurement-Organization (OPO) with a purpose of increasing the hospital's conversion rate to a minimum 75% (organ conversion rate = eligible donors ÷ actual donors). Nationwide, seventeen people waiting for organs die each day. This identifies a desperate need for organ donors. Design: The design was based upon the quality improvement process utilized by the hospital, Plan-Do-Study-Act model. Four outcomes were measured and reviewed monthly: organ conversion rate, referral rate, timely referral rate, and rate of appropriate requestor. Appropriate requestor as defined by the OPO is someone who is working for them and has gone through extensive training. These were standard outcomes set by the OPO. Setting: The setting is a Level 1 Trauma Center and teaching facility located in central Indiana. Subjects: Participants included the entire emergency department (ED) staff (160 nurses, 26 physicians, 26 secretaries, 42 ED technicians). The multi-disciplinary team was comprised of a chaplain, social worker, and one nurse from each of the seven critical care areas (coronary care, cardiovascular care, adult critical care, neurological critical care, pediatric critical care, emergency department, and operating room services). Methods: The primary method of intervention was staff education. An informal ED staff survey identified a knowledge deficit of when and how to make referrals to the OPO. Staff was educated on the clinical triggers for OPO notification: patients with a Glasgow-Coma-Scale of < 5 and terminal patients prior to being terminally weaned. A variety educational and awareness raising strategies readied staff: departmental meeting presentations, e-mails updates for staff, bulletin board postings, trauma chart stamp, one on one correspondence and a banner representing how ED co-worker's lives were personally touched, by receiving or giving the gift of life through organ donation. Results: The collaborative began in September of 2004. Clinical trigger use education began January 2005. Prior to the collaborative the emergency department referral rate was 12%, as of September 2005, the referral rate is 33%. The conversion rate went from 53% in 2004, to 69% by September 2005. The total number of organ donors in 2004 was 39 and by September 2005 the number year-to-date is 38. As of September 2005 referral rate was 97%, timely referral rate 97%, and appropriate requestor was 100%. Recommendations: There is a need to measure and evaluate the effectiveness of each component used in the project implementation. A future revision will identify and include the appropriate tools to achieve and maintain the minimum 75% conversion rate. The reality is that this is a primary hospital entrance for potential organ donors. The option of organ donation, despite it coinciding with a time of great sorrow and grief, should be an option for every family.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleOrgan Donation: Permeating the Vision!en_GB
dc.identifier.urihttp://hdl.handle.net/10755/163022-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Organ Donation: Permeating the Vision!</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ross, Mary J., RN, BSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Clarian Health Partners/Methodist Hospital of Indiana</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse and Charge Nurse</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1701 N. Senate Blvd., Indianapolis, IN, 46202, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(317) 962-8880</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mjross@clarian.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: A national collaborative brought the hospital together with the local Organ-Procurement-Organization (OPO) with a purpose of increasing the hospital's conversion rate to a minimum 75% (organ conversion rate = eligible donors &divide; actual donors). Nationwide, seventeen people waiting for organs die each day. This identifies a desperate need for organ donors. Design: The design was based upon the quality improvement process utilized by the hospital, Plan-Do-Study-Act model. Four outcomes were measured and reviewed monthly: organ conversion rate, referral rate, timely referral rate, and rate of appropriate requestor. Appropriate requestor as defined by the OPO is someone who is working for them and has gone through extensive training. These were standard outcomes set by the OPO. Setting: The setting is a Level 1 Trauma Center and teaching facility located in central Indiana. Subjects: Participants included the entire emergency department (ED) staff (160 nurses, 26 physicians, 26 secretaries, 42 ED technicians). The multi-disciplinary team was comprised of a chaplain, social worker, and one nurse from each of the seven critical care areas (coronary care, cardiovascular care, adult critical care, neurological critical care, pediatric critical care, emergency department, and operating room services). Methods: The primary method of intervention was staff education. An informal ED staff survey identified a knowledge deficit of when and how to make referrals to the OPO. Staff was educated on the clinical triggers for OPO notification: patients with a Glasgow-Coma-Scale of &lt; 5 and terminal patients prior to being terminally weaned. A variety educational and awareness raising strategies readied staff: departmental meeting presentations, e-mails updates for staff, bulletin board postings, trauma chart stamp, one on one correspondence and a banner representing how ED co-worker's lives were personally touched, by receiving or giving the gift of life through organ donation. Results: The collaborative began in September of 2004. Clinical trigger use education began January 2005. Prior to the collaborative the emergency department referral rate was 12%, as of September 2005, the referral rate is 33%. The conversion rate went from 53% in 2004, to 69% by September 2005. The total number of organ donors in 2004 was 39 and by September 2005 the number year-to-date is 38. As of September 2005 referral rate was 97%, timely referral rate 97%, and appropriate requestor was 100%. Recommendations: There is a need to measure and evaluate the effectiveness of each component used in the project implementation. A future revision will identify and include the appropriate tools to achieve and maintain the minimum 75% conversion rate. The reality is that this is a primary hospital entrance for potential organ donors. The option of organ donation, despite it coinciding with a time of great sorrow and grief, should be an option for every family.</td></tr></table>en_GB
dc.date.available2011-10-27T10:38:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:38:12Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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