Vendor to Center in 0-60: A Safe and Effective Blueprint for Creating an In-House On-Call System for Organ Offers.
Transplant, Medical University of South Carolina, Charleston, SC
Meeting: 2017 American Transplant Congress
Abstract number: 287
Keywords: Donation, Ischemia, Kidney transplantation, Liver transplantation
Session Information
Session Name: Concurrent Session: Transplant Regulation and Management: Allocation, Access and Other Transplant Management Topics
Session Type: Concurrent Session
Date: Monday, May 1, 2017
Session Time: 2:30pm-4:00pm
Presentation Time: 3:30pm-3:42pm
Location: E451b
Introduction: Our center returned to an in-house nurse coordinator on-call program 7/2016 after using a vendor from 11/2012 to 7/2016 for organ allocation. It was determined that 7 FTEs were required to meet the needs of on-call responsibilities. RNs would take call from home during a 24 hour shift (7AM -7AM) weekly and provide services for 12 hrs weekly in the transplant unit based infusion room where they would provide back-up services for the person taking home call as well as facilitate new transplant work-ups along with other infusion services. Transition planning began in 4/2016 and our in-house on-call team assumed full responsibility of organ allocation, patient calls, and treatment room responsibilities 7/2016. The aim of this study was to evaluate the safety and effectiveness of transitioning organ allocation on-call services for an abdominal transplant program from a vendor to in-house on-call.
Methods: Organ offer volumes and organ transplants performed were assessed. Organ offers were evaluated to determine if UNOS and center specific policies/workflows were followed. These data were collated and evaluated monthly at QAPI meetings. Average cold ischemia times pre-implementation and post implementation were evaluated.
Results: A total of 1171 organ offers were fielded by the in house on-call group yielding 115 transplants. We improved communication with HD centers to 100% notification within 24 hours. Overall compliance with established workflows was 100%. Average cold ischemia time for deceased donor kidney and liver transplants was decreased post-implementation however this was not statistically significant.
| 2015 | 2016 | P-Value | |
| Number of deceased donor kidneys | 48 | 41 | 0.12 |
| CIT (avg ±stdev) | 20.19±6.99 | 17.99±6.8 | |
| Number of deceased donor livers | 22 | 24 | 0.08 |
| CIT (abg ±stdev) | 5.8±1.14 | 5.13±1.4 |
Cold Ischemia Time Comparison July Through October 2015 vs 2016
Conclusion: We were able to successfully implement an in-house on-call system over a 2 month period of time that is safe and effective and demonstrates a trend towards improved cold ischemia times. Further follow-up needed to validate early findings.
CITATION INFORMATION: Driggers K, Davenport J, Cassidy D, Curry L, Milling A, Hauser A, Crego H, Baliga P, Pilch N, Dubay D, Anderson J. Vendor to Center in 0-60: A Safe and Effective Blueprint for Creating an In-House On-Call System for Organ Offers. Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:
Driggers K, Davenport J, Cassidy D, Curry L, Milling A, Hauser A, Crego H, Baliga P, Pilch N, Dubay D, Anderson J. Vendor to Center in 0-60: A Safe and Effective Blueprint for Creating an In-House On-Call System for Organ Offers. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/vendor-to-center-in-0-60-a-safe-and-effective-blueprint-for-creating-an-in-house-on-call-system-for-organ-offers/. Accessed November 22, 2024.« Back to 2017 American Transplant Congress