Certified Transplant Preservationist
Exam Complete Questions With 100%
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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?
-The amount of heparin to be administered
-Irrigation of the NG tube with povidone-iodine solution and amphotericin solution (for
pancreas as the duodenum is transected just distal to pylorus)
A potential organ donor should be transported to the OR when the
Recovering surgeons are present
What area of the heat sealed pack is considered the line between sterile and non-sterile
The inner edge of the pack
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.
Include an addition 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 documents
,When the donor arrives in 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
preservationist do NEXT?
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, and tracked through the donor process.
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 to the surgeon is:
to scrub and gown before re-gloving. The surgeon has left the surgical suite and is thus
contaminated. The surgeon will need to scrub
A liver team would like to package their own organ since the preservationist is still scrubbed
at the back table. The preservationist's response should be to:
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.
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?
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
nay need to call the implanting surgeon.
Deoxygenated blood enters the heart through the
right atrium (and then passes through the right ventricle)
The acronym HIPAA (1996) stands for:
Health Insurance Portability and Accountability Act
*HIPAA is the US legislation that provides data privacy and security provisions for safeguarding
medical information
,Which of the following organizations oversees policies for placement of solid organs
OPTN
*OPTN policies and bylaws govern the procedural aspects of policy development, allocation of
donated organs, and the collection of transplant data.
To facilitate the embalming procedures, which of the following should a preservationist
ensure?
The major vessels are ligated. The body is closed with a heavy running suture.
*Ligating major interrupted vessels aids the funeral home in locating vessels that may retract. A
heavy running suture makes it easier to open and reconstruction.
According to OPTN policy, which of the following sets of blood is required to send with a
kidney?
1 red top
2 yellow top
*all 10 mL tubes
It is the responsibility of the host OPO to ensure proper laterality of organs, even if recovered
and packaged by the transplant surgeons. In the operating room, the lungs are being
separated and being sent to 2 different transplant centers. What is the easiest way to tell the
right lung from the left lung?
The right lungs has 3 lobes, while the left lung has 2 lobes.
The surgical gown is considered sterile from the sterile field to the ...
Chest line in front and 2 inches above the elbows on the sleeve
Which of the following MUST be included in the paperwork sent with each liver?
ABO typing and infectious disease panels.
An 18 year old patient has been declared brain dead and organ recovery has been scheduled
for heart, lungs, pancreases, and kidneys. The host OPO is required to have 2 individuals
complete a pre-recovery verification for each organ recovered. Which of the following items
are included in this verification.
, Donor ID, blood type, and organ to be recovered.
Time of brain death is NOT required in the pre-recovery verification
A surgeon is recovering the liver from a 34 year old female who was in a MVA and notes a
grade 2 liver laceration. The BEST place to document this information would be on the
Organ specific page in the deceased donor record. Per OPTN policy, it is required to document
organ anatomy, laboratory testing, radiologic results and any injury to the organ in the deceased
donor record.
During the surgical recovery of the pancreas, lungs, liver, and kidneys on a 65 kg 19 year old
male, the anesthesiologist reports the following measurements
BP 95/40 mmHg
HR 102/min
CVP 10 mmHg
Urine output 15 mL/hr
The preservationist should notify the recovery teams of the donor's:
Urine output should be greater than 1 ml/kg/hr.
Because the output in the table is less than 1 ml/kg/hr
A local transplant team utilizes coolers to transport accepted organs. Per OPTN policy, the
OPO coordinator must ensure which of the following?
The UNOS ID is on the cooler. Per OPTN policy, a UNOS ID is required on all labeled items that
are transported.
In efforts to keep infusate from circulating through the lower extremities, an inferior silk
suture is tied around the:
abdominal aorta.
*Ligation of abdominal aorta inferior to the site of cannulation is the proper preventative
measure to ensure perfusate does not circulate to the lower extremities.
A preservationist must ensure that the OPO donor organ anatomy record is completed prior
to:
Exam Complete Questions With 100%
Verified Answers
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?
-The amount of heparin to be administered
-Irrigation of the NG tube with povidone-iodine solution and amphotericin solution (for
pancreas as the duodenum is transected just distal to pylorus)
A potential organ donor should be transported to the OR when the
Recovering surgeons are present
What area of the heat sealed pack is considered the line between sterile and non-sterile
The inner edge of the pack
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.
Include an addition 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 documents
,When the donor arrives in 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
preservationist do NEXT?
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, and tracked through the donor process.
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 to the surgeon is:
to scrub and gown before re-gloving. The surgeon has left the surgical suite and is thus
contaminated. The surgeon will need to scrub
A liver team would like to package their own organ since the preservationist is still scrubbed
at the back table. The preservationist's response should be to:
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.
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?
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
nay need to call the implanting surgeon.
Deoxygenated blood enters the heart through the
right atrium (and then passes through the right ventricle)
The acronym HIPAA (1996) stands for:
Health Insurance Portability and Accountability Act
*HIPAA is the US legislation that provides data privacy and security provisions for safeguarding
medical information
,Which of the following organizations oversees policies for placement of solid organs
OPTN
*OPTN policies and bylaws govern the procedural aspects of policy development, allocation of
donated organs, and the collection of transplant data.
To facilitate the embalming procedures, which of the following should a preservationist
ensure?
The major vessels are ligated. The body is closed with a heavy running suture.
*Ligating major interrupted vessels aids the funeral home in locating vessels that may retract. A
heavy running suture makes it easier to open and reconstruction.
According to OPTN policy, which of the following sets of blood is required to send with a
kidney?
1 red top
2 yellow top
*all 10 mL tubes
It is the responsibility of the host OPO to ensure proper laterality of organs, even if recovered
and packaged by the transplant surgeons. In the operating room, the lungs are being
separated and being sent to 2 different transplant centers. What is the easiest way to tell the
right lung from the left lung?
The right lungs has 3 lobes, while the left lung has 2 lobes.
The surgical gown is considered sterile from the sterile field to the ...
Chest line in front and 2 inches above the elbows on the sleeve
Which of the following MUST be included in the paperwork sent with each liver?
ABO typing and infectious disease panels.
An 18 year old patient has been declared brain dead and organ recovery has been scheduled
for heart, lungs, pancreases, and kidneys. The host OPO is required to have 2 individuals
complete a pre-recovery verification for each organ recovered. Which of the following items
are included in this verification.
, Donor ID, blood type, and organ to be recovered.
Time of brain death is NOT required in the pre-recovery verification
A surgeon is recovering the liver from a 34 year old female who was in a MVA and notes a
grade 2 liver laceration. The BEST place to document this information would be on the
Organ specific page in the deceased donor record. Per OPTN policy, it is required to document
organ anatomy, laboratory testing, radiologic results and any injury to the organ in the deceased
donor record.
During the surgical recovery of the pancreas, lungs, liver, and kidneys on a 65 kg 19 year old
male, the anesthesiologist reports the following measurements
BP 95/40 mmHg
HR 102/min
CVP 10 mmHg
Urine output 15 mL/hr
The preservationist should notify the recovery teams of the donor's:
Urine output should be greater than 1 ml/kg/hr.
Because the output in the table is less than 1 ml/kg/hr
A local transplant team utilizes coolers to transport accepted organs. Per OPTN policy, the
OPO coordinator must ensure which of the following?
The UNOS ID is on the cooler. Per OPTN policy, a UNOS ID is required on all labeled items that
are transported.
In efforts to keep infusate from circulating through the lower extremities, an inferior silk
suture is tied around the:
abdominal aorta.
*Ligation of abdominal aorta inferior to the site of cannulation is the proper preventative
measure to ensure perfusate does not circulate to the lower extremities.
A preservationist must ensure that the OPO donor organ anatomy record is completed prior
to:
