Non-Heart-Beating Organ Transplantation Practice and Protocols (2000) / Chapter Skim
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5 Protocol Development and Implementation
5 Protocol Development and Implementation
Pages 56-64
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From page 56... ...
Adequate funding for education and outreach is needed to develop professional and public understanding of non-heart-beating donation and to prepare patient care providers and organ donation personnel to participate in non-heart-beating donation. Adequate data and reimbursement mechanisms are needed to cover the costs of patient care and organ recovery.
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From page 57... ...
They arise also when staff members have unresolved ethical, legal or patient care concerns about the non-heart-beating donation process. In many cases, practitioner concerns can be addressed through early participation in the protocol development process and through education that explains the process of non-heart-beating donation and identifies practitioner responsibilities.
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From page 58... ...
These comments point to the need for patient care and transplant professionals to be involved in non-heart-beating protocol development at both the national and the local level. At the local level, transplant coordinators and health care practitioners have the ultimate responsibility for implementing the protocols.
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From page 59... ...
EDUCATION, TRAINING AND SUPPORT Development The protocol needs the partnership of hospitals, health care professionals, and OPOs. It is not enough to go out and say, "Now we have a protocol." Now you have to go out and educate, educate, educate within the health care system and you cannot overlook any one group.
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From page 60... ...
Health care personnel have a difficult time understanding policies and protocols that surround organ donation in general, whether it is non-heart-beating or not. About 35% of the nurses in our area have two years of training or less, and the vast majority have been in their position for only one to five years.
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From page 61... ...
Their experiences, and their reactions to the non-heart-beating donation process constitute the strongest measure of public acceptance. Implementation We have started talking with our rural health care providers about organ donation.
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From page 62... ...
with the health care system or with organ and tissue donation. Active non-heart-beating donation programs point to family request as a primary reason for protocol development.
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From page 63... ...
We have to think about the health care dollar. What is the discard rate that we are looking at?
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From page 64... ...
The costs of the education, outreach, and staff time required for the more complex donation process must be assessed. In addition, the costs of higher rates of organ discard and delayed organ function following transplantation must be factored in (Elwell et al., 1997~.
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