Donor Transplant Co-ordinator - North West Region, Specialist Nurse - Donor Care.
Nurs Crit Care. 2010 Jul-Aug;15(4):185-91. doi: 10.1111/j.1478-5153.2009.00385.x.
To increase the number of donated organs through an effective donor identification and referral scheme in a large acute hospital's critical care units.
The barrier to successful organ transplantation is a serious shortage of donated organs. In January 2008, the Department of Health officially endorsed all 14 recommendations presented by the Organ Donation Taskforce. Recommendation 5 from the Taskforce is that minimum notification criteria for potential organ donation should be introduced on a UK-wide basis.
A hospital policy entitled Required Referral was implemented into a large hospital trust consisting of four critical care units. Support from the trust board was sought and it was agreed that the policy would be implemented as a 'pilot policy' in the first instance, then a formal review after a 6-month period. A rolling education programme was instituted to incorporate 170 clinical staff to ensure the policy was activated with the following criteria: If the plan is to perform brain stem death tests on a patient or a clinical decision is made to withdraw treatment, the on-call donor transplant co-ordinator is contacted for an assessment of suitability.
A significant increase in potential donor referrals and a 200% increase in donated organs has been achieved with the policy in place. A retrospective audit for the 6-month period prior to the policy launch had shown four referrals from the pilot sites. The following 12 months as the policy was implemented revealed an impressive 121 referrals to the transplant co-ordinator. This has resulted in nine successful multi-organ donors.
The required referral scheme has clearly shown an impressive increase in donation activity within the trust. Donation has been embraced as a normal part of end of life care.
通过在大型急症医院的重症监护病房中实施有效的供体识别和转介计划，增加捐赠器官的数量。
成功进行器官移植的障碍是捐赠器官严重短缺。2008 年 1 月，卫生部正式认可了器官捐赠特遣部队提出的 14 项建议中的全部建议。该特遣部队的建议 5 是，应在英国范围内推出潜在器官捐赠的最低通知标准。
一项名为“必需转介”的医院政策被纳入一家由四个重症监护病房组成的大型医院信托。寻求了信托董事会的支持，并同意该政策将首先作为“试点政策”实施，然后在 6 个月后进行正式审查。实施了滚动教育计划，将 170 名临床工作人员纳入其中，以确保该政策符合以下标准：如果计划对患者进行脑干死亡测试或临床决定停止治疗，则应联系值班供体移植协调员进行适宜性评估。
实施该政策后，潜在供体转介数量显著增加，捐赠器官数量增加了 200%。在政策推出前的 6 个月进行的回顾性审核显示，从试点地点转介了 4 例。在实施该政策的 12 个月中，令人印象深刻的是，有 121 例转介给了移植协调员。这导致了 9 例成功的多器官捐献者。
必需转介计划清楚地表明，在信托内的捐赠活动明显增加。捐赠已被视为生命末期护理的正常组成部分。
