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Donation Best Practice: “HUDDLES” Pat McCabe, RN Clinical Specialist Washington Hospital Center & Inova Fairfax Hospital Presentation Questions?

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Presentation on theme: "Donation Best Practice: “HUDDLES” Pat McCabe, RN Clinical Specialist Washington Hospital Center & Inova Fairfax Hospital Presentation Questions?"— Presentation transcript:

1 Donation Best Practice: “HUDDLES” Pat McCabe, RN Clinical Specialist Washington Hospital Center & Inova Fairfax Hospital Presentation Questions? Elizabeth Spencer Washington Regional Transplant Consortium

2 Discussion Plan Why “Huddle”? Benefits to:  Hospital  OPO  Families Steps for Implementation

3 Why “Huddle?” To coordinate processes for best possible donation outcomes every time To build OPO-hospital partnerships To develop & utilize hospital-based champions to create a better donation process To reach the goals of the Collaboratives  Increase Authorization/Conversion Rates & OTPD

4 Benefits of Huddling to the Hospital… Sharing OPO assessment of potential options, & developing a joint game plan, increases hospital staff comfort level with donation approach  Helps guide medical preservation of those potential options  Provides staff with tools (i.e. resources, language, etc.) Results in increased comfort with OPO Coordinators & OPO good intentions  Further solidifies OPO access & OPO-hospital staff partnership Leadership roles within institution as “Donation Champion” Hospital partners become participants in the donation process  Witness & assist in something positive from something otherwise only negative

5 Benefits of Huddling to OPO… Fostering vested interest in outcome/ joint accountability with hospital partners. Joint accountability for better outcomes. OPO team in the loop on hospital’s care plan Better ability to “follow” patient & anticipate needs More focused pre- brain death care Putting donation on the radar of caregivers  Medical “preservation of the donation option” (reduce # of NMS/PC)  Grave prognosis preparation (reduce # of times OPO coordinator approaches families who don’t really “get” brain death) Internal help in problem-solving Identification of appropriate staff to accompany OPO requestors Assistance from an “insider” in more effectively addressing barriers (Timeliness of testing, suitability info, OR scheduling, etc.)

6 Benefits of Huddling to the Family… The Old Days: Hospital to OPO “Pass Off”  Did the family really benefit from this strict separation?  Donation could have been seen as a scary thing from which the hospital caregivers must be disassociated Huddles → Unified Game Plan → Continuity of Care for the grieving family  Donation as a positive part of the care continuum  Consistency in information discussed OPO knows what the hospital knows & can reinforce message

7 Getting Started. First Steps: Identify potential Huddle participants Preparation & maintenance Make “user friendly” for OPO Coordinators & hospital participants

8 Identify Huddle Participants  Core Hospital Key Players: Attending Physician and/or Intensivist Resident Bedside Nurse Charge Nurse  Add’l Hospital Staff based on structure & needs: Soc Work, Pastoral Care, Case Management Donation Cmte members: PI, OR administration, Clin Spec, etc.  OPO: On-site Coordinator Medical Director Hospital Development/Services and/or Administrator-On-Call

9 Preparation & Maintenance  Educate key players beforehand & in real-time Purpose Process Benefits  Mock Huddle Scenarios  Keep huddles brief & to-the-point with manageable # of participants  Maintain consistency: Expectation of a Huddle every time & response from all planned participants.

10 Make “User friendly” This is yet another process in the hectic lives of the OPO Coordinators & hospital staff  “Marketing:” Ease & Benefits  Opportunity for process feedback & improvements OPO: Develop & distribute hospital-specific contact plans for Coordinators/HD  Remove ambiguity about hospital-specific process differences  Clear outline of agreed-upon expectations (timing, participants) & participant contact information  WRTC: Organ Recovery Staff HD Resource Utilize a template as a guide for Huddle discussion topics

11 Why You Should Huddle… Increase the ability of the approach team to work effectively with families. Create an atmosphere of teamwork to fix problems/dissolve barriers. Foster partnership between hospital & OPO colleagues. Develop sense of joint accountability for donation outcomes. Creating an “All-About-the-Ones” attitude! Some cases, that wouldn’t have converted, will. Some organs, that wouldn’t have been transplanted, will be.

12 Questions?


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