01 Evaluation for Transplantation Flashcards
The evaluation process is important to…
determine whether to proceed with transplant
Informed consent is a process a patient goes through to…
gather information or education in order to be prepared for decision making for medical care and treatment
A Donation after Circulatory Death (DCD) Donor requires that the patient is informed and …
documented in the EMR.
Informed Consent under the 2020 PHS rules includes a requirement to document that you have informed the recipient of the presence of…
Risk Criteria
For KDPI > 85%, the transplant program must obtain…
written, informed consent.
The Role of the Transplant Coordinator in the Evaluation Process includes these 3 practices…
- Education regarding evaluation process
- Education regarding listing process
- Answer patient and family questions
The Role of the Financial Coordinator in the evaluation process is to…
determine if the candidate has sufficient access to financial resources to ensure a positive outcome following transplantation
The Role of the Nutritionist in the evaluation process is to…
help the candidate follow a healthy diet: malnutrition can affect post-transplant outcomes
The Role of the Pharmacist in the evaluation process is to…
assure the candidate understands complex post-transplant medication regimen including common side effects
3 Purposes of the Psychosocial Evaluation is to…
- assess a candidate’s appropriateness for transplant
- ability to comply with complex post-operative regimen
- current or past history of substance abuse
2 Roles of the Social Worker in the evaluation process is to…
- assess patient and family support system
- identify need for potential resources
3 Purposes of the Surgical Evaluation is to…
- determine if transplantation is the appropriate procedure for the candidate
- determine if the surgery is feasible
- determine if the surgery can be done safely
Potential additional consultations may include…
cardiac, pulmonary, infection disease, etc. based on examinations and medical history
3 General Absolute Contraindications to Transplant include:
- Active or recent malignancy
- Active Substance use or abuse
- ACTIVE infection
3 Relative Contraindications to Transplant may include:
- Lack of financial resources
- Lack of psychosocial support
- History of non-adherence with medical regimens
3 Requirements of CMS Conditions of Participation include…
- Each recipient receives care from an experienced multi-disciplinary team
- Each transplant center is providing quality care with expected outcomes
- Each patient receives education and provides informed consent
The Scientific Registry of Transplant Recipients (SRTR) provides…
data on transplant center’s graft survival by organ
3 types potential donors include…
- Living Donors
- Deceased Donors including: PHS increased risk donors
- Donation after Circulatory Death (DCD) Donors
2 factors with respect to communication of donor information to the recipient…
- do not share donor information
- communication is via OPO and Transplant Center
Medicare Insurance part ____ for immunosuppression medications covers _____%
- Medicare Part B
- Covers 80% of cost
A History and Physical (H&P) includes these 4 elements…
- complete medical history of all organ systems
- surgical history
- infectious history
- family history
General Laboratory Testing includes these 7 elements…
- Basic metabolic panel
- Hepatic panel
- Lipid profile
- Complete blood count
- Thyroid panel
- Urinalysis
- ABO Coagulation
PRA is determined by…
testing the serum of prospective recipient against a panel of lymphocytes for the presence of circulating antibodies reactive against HLA antigens
PRA is expressed as a…
percentage between 0 and 100%
