Acting on Every Donor’s Designated Decision: The Time is Now! Susan Stuart I Said Yes

How To Act on Every Donor’s Designated Decision: Hardwire Donor Designation in the OPO Create an Organizational Culture of Donor Designation Every Time Board Education Involve Legal Counsel –Availability 24/7 Training & Retraining of the Requestors Senior Requestor Availability After Action Reviews I Said Yes

How To Act on Every Donor’s Designated Decision: Hardwire Donor Designation in the Hospitals Proactive Measures: Meetings –CEOs –Risk Management –Nursing Administration –Medical Staff –Coroner/ME’s –End of Life Staff Write it into hospital donation policies Conduct staff education I Said Yes

How To Act on Every Donor’s Designated Decision: Hardwire Donor Designation in the Community Proactive Measures Community Outreach –Donors Rights Paramount Legislators Funeral Directors Media –All interviews first person consent is honored I Said Yes

How To Act on Every Donor’s Designated Decision: Without a Hardwire Donor Designation Process Respond with Affirmative Position –Notify Hospital CEO –Notify Legal (OPO & Hospital) –Notify Nursing Administration –Notify Media Relations Isolate the Direct Care team and OPC Gather all the Facts on Family Dynamics I Said Yes

Establish Reasons for Family Opposition Mistrust –Show the document Loss of control –Avoid mix message to the family Ask them about donation vs. informing them of the designation Community hospital case –DCD Give the family the opportunity to be present for withdraw of care Anger –Involve End of Life Care Experts I Said Yes

How To Act on Every Donor’s Designated Decision: Hardwire Donor Designation Process After Action: OPO Staff –Debrief and provide support Hospital Staff –Debrief and provide recipient follow up Donor Family Follow-up –Donor family letters –Bereavement care –Respect families decision I Said Yes

Why Act on Every Donor’s Designated Decision? 1.To Reduce OPO Variation in Practice 2.Meet Our Mission of Saving Lives