Organ Donation Update GICU South East Organ Donation

Organ Donation Update - GICU South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Progress at St Georges 2013 – 2014 27 donors DBD 23 DCD 4 101 organs retrieved and 80 transplants 2014 – 2015 43 Donors DBD 33 DCD 10 136 organs retrieved and transplanted. So far this year we have 38 donors South. East Organ Donation : 07659 590 529529 South Donation. Team. Pager: 07659 590 NHS Blood and Transplant

Dashboard GICU Data Source Apr Referrals PDA 100% n/a 100% Timely referrals PDA 100% n/a 100% Planned Approach with SNOD PDA 100% n/a n/a BSD Testing Rates PDA 100% n/a n/a 0 1 DB D 2 DC D Totals - Potential DBD/DCDs 1 DBD 3 DCD May Jun Jul Aug Sept Oct Nov Dec 0% 100% 100% 100% 0% 50% 0% 0 DCD South East Organ Donation Team. Pager : 07659 590 529 N/A n/a 100% n/a 0 DCD 1 DB D 1 DC D 2 DB D 1 DCD Jan Feb Mar NHS Blood and Transplant

Achievements so far, April 2015 December 2015 NICU- 33 Consents, 26 proceeded = 95 organs retrieved GICU- 3 Consents, 3 proceeded, 12 organs retrieved CTICU- 7 Consents, 7 Proceeded, 18 organs retrieved For DBD 100% referral rate overall (96. 4%- National) For DCD 94. 1% referral rate overall (82. 5%-National) South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Achievements 2014 -2015 NICU 35 consents. 29 proceeded. = 110 organs retrieved. GICU 14 consents. 11 proceeded = 35 organs retrieved. CTICU 8 consents. 3 proceeded = 9 organs retrieved. For DBD 100% referral rate overall For DCD 94. 6% referral rate overall South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Year to date GICU • 3 proceeding donors • 12 organs being transplanted • 7 Kidneys • 2 Livers • 2 Lungs • 1 Pancreas South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Non proceeding consents Factors affecting conversion rates: v. All centres decline v. PTA v. Uncontrolled South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Why bother? Renal Costs per patient per annum Savings after transplant Dialysis £ 28, 967 Cost over 10 years - £ 289, 677 Transplantation costs per patient Assessment & transplant £ 52, 443 After 1 st year £ 35, 430 Costs per year £ 7, 274 Cost over 10 years - £ 102, 716 Over a 100% cost saving (X 17 kidneys = £ 3 179 000!) Benefit to the patient Benefit to the economy South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Challenges GICU ü Coroner ü Variations in approach ü Clarity on consenting before BSDT ü Telephone approaches ü Telephone consents South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Requesting Donation Families need to understand the patient has died (ie BSD) or that death is inevitable before they are approached to think about donation Brain Stem Death Tests/withdrawal of treatment and Organ Donation are separate issues Collaborative approach is key South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Approaching a Family for Consent for Organ Donation - 3 Key Stages Planning Confirming understanding & acceptance of loss Discussing donation South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Integral Part of End of Life Care – Nursing Guidance Wherever possible, assess the dying person’s wishes regarding organ, tissue and body donation. Whole body donation can only be agreed by individuals themselves & not by anybody else on their behalf after death. If an individuals wishes regarding organ & tissue donation were not formally recorded before death, consent can be sought from a nominated representative or someone else in a qualifying relationship. South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

You know, We know. Do they know? South. East Organ Donation : 07659 590 529529 South Donation. Team. Pager: 07659 590 NHS Blood and Transplant

Who Should Be Asked? No Religions oppose donation No Ethnic Groups opposed to donation Each family is individual – no assumptions should be made on the basis of ethnicity, culture or religion Every Family Should Be Given The Choice – even if they are not present and planning to not return to the unit South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Key Aspects ü Donation is not a tick box exercise ü Donation is a flexible process to meet the needs of families ü Telephone approach/consent is common ü Families can bring up donation prior to BSDT ü Drs decision on when to test & if pre conditions met. South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

Kirstie Tancock Cystic Fibrosis 6 months to live Double lung transplant 2011 as a 21 yr old while in ICU. Love on the Transplant Waiting List Chronic rejection 2 years post op. Received 2 nd lung transplant Autumn 2013 http: //kirstie 2 ndchanceatlife. blogspot. co. uk/ South. East Organ Donation : 07659 590 529529 South Donation. Team. Pager: 07659 590 NHS Blood and Transplant

Tree of Life memory day. South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant

South East Organ Donation Team. Pager : 07659 590 529 NHS Blood and Transplant