Changing Living Donation

Helen Christensen, RN MHA CPTCLiving Donor Facilitator

UCSF TransplantsKIDNEY

FY 15 annulaized

FY 14Volume %var

TRANSPLANTS 346 343 1%

AGE GROUP Adult 329 328 0%

  Pediatric 17 15 14%

DONOR TYPE Living 132 127 4%

 NKR Paired Exchange 21 17 21%

 UCSF Exchange 7 9 --

Deceased 214 216 -1%

Staffing: Living Donor teamPRE :4.4 Living Donor RNs

3.4 dedicated to LD work up 1 ALL (LD) recipient work up and PKE/NKR

3.5 AA

POST changes:6.4 RNS

3.4 dedicated to LD work up1 RN ~ PKE/NKR/ABOi1 RN ~ recipient work up1 RN Intake for LD3.5 AA team

Changes:Dedicated RN for intake/donor history review->MD on front end to screen results->

Allows donor coordinators to work with suitable donors only.

Having a dedicated Exchange Coordinator->Allocates time to Internal Exchange program.  Allows Team to provide better  care to  compatible

pairs. ITL changes

XMs are more clearly reported and simplifiedhistocompatibility reviews via email

XM at second step

Process Flow:Intake LD RN reviews ALL hhq

Talk to all patients about PKELocal lab tests

Blood/urine etcBP readings

Labs reviewed with MD~ protocols

Once clear first testsHand off to next RN ~ set up UCSF Donor

Work Up

Living Donor FacilitatorMeet with new Evaluation patients during

their initial eval clinic appointmentProvide information about Living DonationProvide “languaging” to conduct THE ask

Next steps:Education/Training for MD teamEducation/Training for RN/SW/NP

Effective ArtsIncrease comfort the team to address pt.

concerns

Interaction timeWhat is your Number One strategy/idea for

increasing your Centers Living Donor Program?

What is the Barrier that you most want to overcome?How are you overcoming the barrier?