Michael McManus, MD, MA Munson Medical Center Bioethics Coordinator Institutional Review Chair.

Slides:

Advertisements

Similar presentations

1 POST FORM How does this affect me?. 2 Tennessees Health Care Decision Act In 2004, the Health Care Decision Act was passed thus revising Tennessee law.

Advertisements

A method for addressing any large problem. Carefully consider the problem. Define the problem. Ask yourself the following questions: What is it that I.

OPTN OPO Committee Spring 2012 Regional Meeting Update.

Revised: March 21, 2011 Click anywhere on the screen to advance.

Copyright Eastern PA EMS Council February 2003 Health Information Portability and Accountability Act It’s the law.

Interprofessional Students Seek and Find Safety Hazards at the Bedside Gretchen Gregory, MSN, RN, Carla Dyer, MD, Sue Boren, PhD; Doug Wakefield, PhD Sinclair.

Skilled Nursing Facility Rules and How “The Rules” Impact Patients

Jeff Reece, RN, MSN, MBA Chief Executive Office Chesterfield General Hospital.

Care Coordination Program for Heart Failure Susan Levine RN Director Clinical Resource Management Carolyn Timmons BSN,RN Lead Clinical Care Coordinator.

 At 1 st difficult sell  Concept now catching on  Still local Responsibility  Major Event – Regional Shelters  Presently Region 5 Shelters – Bethel-Danbury-

Nevada Donor Network The Donation Process. Who is Nevada Donor Network (NDN)? Federally designated, not-for-profit organ, tissue, and eye procurement.

St John’s Community Hospital Administration of IV Antibiotics Administration of Intravenous Antibiotics in St. John’s Community Hospital Melissa Kelly.

Challenges in Conducting Multi-Center Clinical Studies: Results from the Rapid Empiric Treatment with Oseltamivir Study (RETOS) Kendra Thompson, Kelly.

Membership and Personnel Requirements for VCA Programs (Resolution 27) Vascularized Composite Allograft (VCA)Transplantation Committee Sue V. McDiarmid,

1 Code Team Members Roles and Responsibilities Jamileh Mokhtari nori, MSN, PhD candidate Nursing Faculty, Nursing Management Dept., Baqiyatallah Medical.

Preparation for postural drainage

Patient/Community Education Process.  April United Regional joined the Global Trach Collaborative  Purpose: To ensure tracheostomy care is coordinated.

Involving Senior Leadership To Get Results. The Key to Success Hospital Leadership Philosophy Aligns With Organ Donation Initiatives.

How to IMPLEMENT responses. Who and when ? IMMEDIATEPERIODICLONG TERM Region National Woreda Facility Comm’ty Level and timing of action.

North West Department of Education Presentation to the Select Committee on Appropriation Parliament of the Republic of South Africa Wednesday 21 April.

The Role of Coordinators Throughout the European Union Carl-Ludwig Fischer-Fröhlich, Stuttgart, Germany Thank you to the support of support of all coordinators.

PNEUMONIA Team Membership Salma Mohsin, MD Mary E. Altier, MSN, RN Clinical Departments: Emergency Medical Services, General Medicine Hospital Departments:

The West Midlands Children and Young People’s Palliative Care Toolkit Lynette Thacker Clinical Nurse Specialist Paediatric Palliative Care ABMU Health.

Pre-operative Assessment and Intra operative Nursing Role

UW Hospital and Clinics Organ Procurement Organization (OPO) Tony D’Alessandro, MD Medical Director, UWHC OPO November 4, 2009.

DUCS and RATS INTEGRIS Health.

SCHEN SCC-CSI MUSC Walter Limehouse MD MA MUSC Emergency Medicine.

1 Utilizing Advanced Practice Paramedics to Reduce Hospital Readmissions Presented by: Kevin Yarrow Senior General Manager VITAS Innovative Hospice Care.

Lighthouse Development Team

No One Dies Alone. Origins of NODA Sandra Clark, RN at Sacred Heart Medical Center in Eugene, Oregon Formal program started in 2001.

Lou Ann Bruno, MD Chief of Infectious Diseases and Medical Director Of Infection Prevention NHSN Benchmark Med-Surg ICU:

Standard 4: Medication Safety Advice Centre Network Meeting Margaret Duguid Pharmaceutical Advisor February 2013.

Ambulance Operations. Ambulance Supplies and Equipments  Patient infection control, comfort and protection supplies  Initial and focused assessment.

A Stroke is a Stroke No Matter How Small  Bleeds and Clots Risk Factors for All  Enhancing Patient Awareness through Staff Education and Mentoring A.

Building Clinical Infrastructure and Expert Support Michael Steinberg, MD, FACR ULAAC Disparity Project Centinela/Freeman Health System.

UAGA Calif. Health & Safety CMS Collaborative Joint Commission 400.

Australian Health Ethics Committee Professor Colin Thomson address to International Dialogue on Ethics European Commission Bureau of European Policy Advisers.

Honoring Donor Families Through Collaboration Sharon Elliott, BSN, RN, Nurse Supervisor Paula Marbach, RN, Charge Nurse Donor Council Breakout.

Addressing the Requirements Outlined in the HIV Organ Policy Equity Act Organ Procurement Organization Committee Fall 2014.

Copyright © 2011 Delmar, Cengage Learning. ALL RIGHTS RESERVED. Chapter 32 Oxygenation.

Reading Labels, Cups, Syringes, and IV Bags. Example Label.

On the basis of data Collection of life saving patient transfer to higher center, we found that about 53.19% of patient were transferred more than one.

Introduction In 2005, comparisons were made internally by word of mouth and externally with other Tenet Healthcare Corporation hospitals, Georgia Hospitals.

TMCA Donor Ambassador Training 2015 Statistics of Timely Organ Referrals TMCA 2015 – 84% through September 2014 – 93% 2013 – 88% 2012 – 90% 2011 – 77%

Peer Visits Tools for sharing best practices Becky Ames GOH In-House Coordinator, Champaign County.

1 Quality Initiatives in the Convenient Care Setting Sandra F. Ryan, MSN, CPNP Co-Chair, Convenient Care Association Clinical Advisory Board Chief Nurse.

Donation After Cardiac Death Margie Whittaker RN, MSN, CCRN, CNRN April 12, 2010.

Practicum Health Science I  Outline Chapter 4: Communicating with the Health Team – Mosby’s Textbook for Nursing Assistants  Complete Worksheet:

NPASS and the journey to improved documentation Team Members: Elaine Trulis, RN, BSN – NICU Manager NICU Nursing Staff Patricia Hummel, RNC, MS, APN-NNP/PNP.

By: Alisa and Courtney Fourth Intro.  A respiratory therapist treats people with disorders affecting the cardiopulmonary system.  The RRT will diagnose.

Nevada Donor Network Donation After Circulatory Death.

Precooling: You can put the cooling elements in the transport box when you leave the main hospital, and store them in the transport box approx. 0-4 hours.

External Examiners Workshop

White Paper: Ethical Considerations of Imminent Death Donation

Pediatric Topics in Trauma

Revisions to Pediatric Emergency Membership Exception

UW Hospital and Clinics Organ Procurement Organization (OPO)

Presented by Katie Dillon, BSN, RN, CPN & Kelsi Kliment, BSN, RN, CPN

Tell the World Pediatric Nursing

OPIOID SAFETY. Indiana Statistics In Summary… About 100 Hoosiers die from drug overdoses every month, many from opioids such as heroin and prescription.

Guidance on Optimizing VCA Recovery from Deceased Donors

OPO Committee Spring 2018.

TEAM PATIENT Pre-arrival Trauma Checklist IV DRUGS MONITORS EQUIPMENT

Faking the Friendly Skies: A Simulated In-Flight Emergency

1. Evaluation 2. Allocation 3. Organ Recovery Coordinator Name:

Be Part of Governing your Community Hospital

Expedited Placement of Livers

Operations and Safety Committee

Be Part of Governing your Community Hospital

Withholding, Withdrawing Therapy The Project to Educate Physicians on End-of-life Care Supported by the American Medical Association and the Robert.

Presentation transcript:

Michael McManus, MD, MA Munson Medical Center Bioethics Coordinator Institutional Review Chair

Due Diligence Before implementing a DCD policy, meetings were held with: ICUSocial Work CCUOperating Room CardiologistsHospitalists IntensivistsRespiratory Therapy Neurologists

Due Diligence After listening to departmental concerns, revisions were made in the policy and it was approved by: –Medical Executive Committee –Hospital Board Conscientious opt-out was part of the policy.

Mock DCD A mock DCD drill was held in February 2007 and a follow-up in March All of the above participated as a 'donor' was taken to the OR area, life support was withdrawn, death was declared and organs were recovered.

Follow Up on Mock DCD As a result of this, modifications were made in addressing family concerns, OR comfort with withdrawl A 'kit' was made up of all medications, supplies needed by the treating team.

DCD “Kit” - Nursing Death certificate Sign on to electronic chart in OR prior to going to OR Transport monitor Rhythm strip sheet IV fluids – including narcotics and other IV fluids to last t2 hours Extra drugs, syringes needed for comfort care Washcloths/towels for extubation Tissue boxes available for family if they are to be present for extubation Heparin 30,000 units (300 units per kilo)

DCD “Kit” – Respiratory Therapy Ambu Bag for transport Suction supplies Adhesive remover/Scissors Oxygen tank for transport Portable ventilator