CERTIFIED TRANSPLANT PRESERVATIONIST EXAM
QUESTIONS COMPLETE WITH VERIFIED ANSWERS
\Q\.During surgical removal of a heart, liver, pancreas, and kidneys, the recovery surgeon
indicates that dissection is nearly finished and cross-clamp will be in 10 minutes. The
preservationist should confirm which of the following with the recovering surgeon? -
ANSWERS✔-- The amount of heparin to be administered.
- Irrigation of the NG tube with povidone-iodine solution and Amphotericin solution (for
pancreas as the doudenum is transected just distal to pylorus).
\Q\.A potential organ donor should be transported to the OR when the - ANSWERS✔-
Recovering surgeon is present.
\Q\.What area of the heat-sealed pack is considered the line between sterile and non-sterile? -
ANSWERS✔-The inner edge of the pack.
\Q\.Shortly after the liver was recovered, a preservationist notices the surgeon packaging the
organ and stating they are ready to leave. The surgeon advises that his fellow will conduct the
vessel recovery and will bring them to the recipient OR later. What is the MOST important
process in this situation according to OPTN? - ANSWERS✔-Include an additional set of required
documentation to accompany vessels. * If extra vessels are not shipped in the same external
transport container as other organs, then the separate extra vessels external transport
container must include the same complete donor documentation, thus requiring an additional
set of documentation.
\Q\.When the donor arrives to the OR, the preservationist notes an absence of the TransNet ID
band, although the hospital ID band is in place. Which of the following should the
preservationists do NEXT? - ANSWERS✔-Print and attach the TransNet ID band after verifying
the donor. * The host OPO must complete labeling and packaging using the OPTN organ tracking
, system. It is important to have appropriate ID that can be seen, scanned, and tracked through
the donor process.
\Q\.Who is responsible for overseeing anesthesia support during the organ recovery process? -
ANSWERS✔-OPO staff *The OPO is responsible for coordinating anesthesia support for the
organ recovery process. The OPO shall document the provision of information/guidelines to
anesthesia for the intra-operative procedure.
\Q\.The surgeon has stepped outside the suite to view the biopsy slide in the lab. The surgeon
returns gowned and requests new gloves. The BEST response is to ask the surgeon: -
ANSWERS✔-To scrub and gown before re-gloving. *The surgeon has left the surgical suite and is
thus contaminated. The surgeon will need to scrub and gown again, in addition to re-gloving.
\Q\.A liver team would like to package their own organ since the preservationist is still scrubbed
in at the back table. The preservationist's response should be to: - ANSWERS✔-Step away from
the table to appropriately scan and package each item before boxing it. *The host OPO's
perfusionist is trained in the process and should step away from the table to assist with the
process as soon as possible.
\Q\.A preservationist notices that a 2 mm artery leading to the adrenal gland was not tied off at
the renal artery prior to packaging. Which of the following should the preservationist do FIRST?
- ANSWERS✔-Proceed with packaging. *Packaging and protecting as soon as possible is the first
step the preservationist should take. This information would not be noted on a TransNet Label.
During the recovery and packaging, the adrenal artery does not have to be tied, meaning there
is not an error to report nor is there any need to call the implanting surgeon.
\Q\.Deoxygenated blood enters the heart through the - ANSWERS✔-Right atrium.
*Deoxygenated blood enters the right atrium and passes through the right ventricle.
\Q\.The acronym HIPAA (1996) stands for the - ANSWERS✔-Health Insurance Portability and
Accountability Act. *HIPPA is the US legislation that provides data privacy and security
provisions for safeguarding medical information.
QUESTIONS COMPLETE WITH VERIFIED ANSWERS
\Q\.During surgical removal of a heart, liver, pancreas, and kidneys, the recovery surgeon
indicates that dissection is nearly finished and cross-clamp will be in 10 minutes. The
preservationist should confirm which of the following with the recovering surgeon? -
ANSWERS✔-- The amount of heparin to be administered.
- Irrigation of the NG tube with povidone-iodine solution and Amphotericin solution (for
pancreas as the doudenum is transected just distal to pylorus).
\Q\.A potential organ donor should be transported to the OR when the - ANSWERS✔-
Recovering surgeon is present.
\Q\.What area of the heat-sealed pack is considered the line between sterile and non-sterile? -
ANSWERS✔-The inner edge of the pack.
\Q\.Shortly after the liver was recovered, a preservationist notices the surgeon packaging the
organ and stating they are ready to leave. The surgeon advises that his fellow will conduct the
vessel recovery and will bring them to the recipient OR later. What is the MOST important
process in this situation according to OPTN? - ANSWERS✔-Include an additional set of required
documentation to accompany vessels. * If extra vessels are not shipped in the same external
transport container as other organs, then the separate extra vessels external transport
container must include the same complete donor documentation, thus requiring an additional
set of documentation.
\Q\.When the donor arrives to the OR, the preservationist notes an absence of the TransNet ID
band, although the hospital ID band is in place. Which of the following should the
preservationists do NEXT? - ANSWERS✔-Print and attach the TransNet ID band after verifying
the donor. * The host OPO must complete labeling and packaging using the OPTN organ tracking
, system. It is important to have appropriate ID that can be seen, scanned, and tracked through
the donor process.
\Q\.Who is responsible for overseeing anesthesia support during the organ recovery process? -
ANSWERS✔-OPO staff *The OPO is responsible for coordinating anesthesia support for the
organ recovery process. The OPO shall document the provision of information/guidelines to
anesthesia for the intra-operative procedure.
\Q\.The surgeon has stepped outside the suite to view the biopsy slide in the lab. The surgeon
returns gowned and requests new gloves. The BEST response is to ask the surgeon: -
ANSWERS✔-To scrub and gown before re-gloving. *The surgeon has left the surgical suite and is
thus contaminated. The surgeon will need to scrub and gown again, in addition to re-gloving.
\Q\.A liver team would like to package their own organ since the preservationist is still scrubbed
in at the back table. The preservationist's response should be to: - ANSWERS✔-Step away from
the table to appropriately scan and package each item before boxing it. *The host OPO's
perfusionist is trained in the process and should step away from the table to assist with the
process as soon as possible.
\Q\.A preservationist notices that a 2 mm artery leading to the adrenal gland was not tied off at
the renal artery prior to packaging. Which of the following should the preservationist do FIRST?
- ANSWERS✔-Proceed with packaging. *Packaging and protecting as soon as possible is the first
step the preservationist should take. This information would not be noted on a TransNet Label.
During the recovery and packaging, the adrenal artery does not have to be tied, meaning there
is not an error to report nor is there any need to call the implanting surgeon.
\Q\.Deoxygenated blood enters the heart through the - ANSWERS✔-Right atrium.
*Deoxygenated blood enters the right atrium and passes through the right ventricle.
\Q\.The acronym HIPAA (1996) stands for the - ANSWERS✔-Health Insurance Portability and
Accountability Act. *HIPPA is the US legislation that provides data privacy and security
provisions for safeguarding medical information.
