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AOPO
provides education, research, information sharing, and technical assistance
CMS
offers financial coverage to individuals with end stage renal disease and reimburses for
organ transplant, as well as holds hospitals accountable for referring potential donors
HRSA
Part of the US Dept of Health and Human services, improves access the healthcare for
uninsured, isolated, or medically vulnerable Americans
NOTA
outlaws the sale of human organs and established OPTN, task force and SRTR.
USDRS
collects, analyzes, and distributes data about end-stage, renal disease, which helps one
understand the demand for kidney transplantation.
UAGA
,provides legal right to uphold a registered donor's wishes and advocate for their intent to
be a donor, even if the family doesn't support
OPO incurs cost, reimbursed by transplant center, reimbursed by Medicare
reimbursement r/t renal organs
UDDA
provided medically sound base for determining death
NOTA
created OPTN, established federal grants for OPO, and created SRTR
Omnibus Budget Reconciliation Act
requires that all hospitals participating in Medicare or Medicaid have protocols for
encouraging organ and tissue donation
62%
what % of bd donors will experience cardiac arrest within 24 hrs
87%
what % of bd donors will experience cardiac arrest within 72 hrs
66% in 24hrs
Once WDLS begins, how long on average before family decision is made to withdraw
care
TB, Gangrene of bowel, perforated bowel, and abdominal sepsis
, bacterial rule outs - 4
aplastic anemia, agranulocytosis, extreme immaturity, msof due to overwhelming
sepsis
general rule outs - uncommmon
<500 grams or gestational age <32 weeks
extreme immaturity
<70, documented BD
criteria for eligible donor
< 70, absence of 3 or more BSR
criteria for imminent
>70, or meets exclusionary criteria
criteria for neither
True
donor can be classified as neither even if declared bd and organs recovered - T or F
cross clamp must occur to be converted
what is the difference in conversion and consent rate
<30 days 48 hrs, >30 days 12-24hrs
recommended time of b/w Bd testing in pediatrics
O