2. TMCA Donor Ambassador Training 2015

3. Statistics of Timely Organ Referrals TMCA 2015 – 84% through September 2014 – 93% 2013 – 88% 2012 – 90% 2011 – 77% All HCA 2015 – 86% through September 2014 – 84% 2013 – 78% 2012 – 85% 2011 – 83%

4. Donor Resource Ambassador Training Planning Team

5. What we do… Collaborate with Donor Alliance for the 2014 TMCA Donation Summit – Assist Donor Alliance with planning and content of the summit Work as liaisons between Donor Alliance and The Medical Center of Aurora – Bi-monthly meetings with Donor Alliance team

6. What we do… An in house resource for the doctors and nurses caring for the donor patient – Make sure the nurses and doctors understand the process – What is required for efficient management of the donor patient to optimize organ function to increase transplant success Debrief meetings to discuss donor cases – What went well, what didn’t – Process improvements needed – Follow up with staff involved in donation process

7. 2015 Donor Ambassador Training Goal: To develop a clinically based training program and curriculum for clinical staff (RN’s/RT’s) to become more knowledgeable of what is required to support the organ donation process 20 people attended this training

8. 2015 Donor Ambassador Training Agenda ●Toll Gate: Donor Family Member Introduction with Judy Thompson 9:00am ●Bridge Design: Transplantation Need ●Building Engineers: The Donation Framework −Regulatory Requirements −Coroner/Funeral Home Considerations ●Construction Plans: The Referral Process ●Deck, Segment 1: Processes, Uses and Benefits of Tissue Donation ●The Abutments: Consistent Messaging Regarding Donation ●The Cable Stays: Family Conversations ●Roadmaps: Dr. Katherine Fitting CME/Lunch ●Tension/Compression Loads: Brain Death Declaration ●The Girders: Donor Management Strategies ●The Piers: Case Processes for Brain Dead and DCD Donors ●Deck, Segment 6: Donor Family Aftercare ●Ribbon Cutting Ceremony: Commitments

9. What we learned… Best practices in organ donation process – History of organ donation Process of recovery – Layout of operating room – Coordination of recovery (behind the scenes) Importance of documentation – Brain death documentation – DCD documentation – Differences between DCD and Brain Death Donation Need for order sets to manage the donor patient – Placement of order sets into CPOE – Optimization of organs for potential transplant

10. What we learned… Organ Recovery Coordinators – Role in donor management – Collaboration with bedside RN/RT/MD in optimizing organ function – Placement of organs and coordination of recovery Moment of silence – In Operating suite – At bedside prior to transfer Nurse participation that cared for patient and family Family participation

11. What’s next… Development of order sets to be placed in CPOE for all donor management TMCA Organ Donation Summit April 2016 – Donate Life Month Additional Donor Ambassador Training expanded to all hospitals in Donor Alliance Service Area