WEEK 8

Question 1

What organization require for OPO?

Answer 1

The Organ Procurement and Transplantation Network

OPO = Organ Procurement Organization

Question 2

What organization is for tissue and eye banks?

Answer 2

FDA

Question 3

What organizations require a medical and social history interview to be conducted with the deceased donor’s next of kin or another knowledgeable person?

Answer 3

OPO, FDA, and The Organ Procurement and Transplantation Network

Question 4

An individual authorized to donate all part of the body of a decedent

Answer 4

Donor

Question 5

They are related to the recipient by blood within the fourth-degree of consanguinity

Answer 5

Living Related Donors (LRDs)

Question 6

Those who are not related by blood to the recipient but bear close emotional ties with him/her

Answer 6

Living Non Related Donors (LNRDs)

Question 7

A facility licensed, accredited or approved under the law for the storage of human bodies or parts

Answer 7

Organ Bank Storage Facility

Question 8

Also known as kidney vendors who offer their kidneys for sale

Answer 8

Commercial Donors

Question 9

They are not related to the recipient by blood but have the willingness and intention to donate

Answer 9

Voluntary Donors

Question 10

What are the laws that Department of Health is committed to abide by the WHO Guiding Principles on Organ Transplantation?

Answer 10

-Declaration of Istanbul on Organ Trafficking
-Transplant Tourism
-RA 9208 and its Implementing Rules and Regulations.

Question 11

T or F: Foreigners are not eligible to receive organs from Filipino living non-related donors.

Answer 11

True

Question 12

are permitted only when it is voluntary and truly altruistic, without any kind of compensation or gratuity package attached to it

Answer 12

DIRECTED LNRDs

Question 13

Directed LNRDs must be screened and
approved by the?

Answer 13

Hospital Ethics Committee

Question 14

What organizations shall enforce this Administrative Order and monitor these facilities through their licensing and accreditation rules and regulations to ensure
accessibility, quality and sustainability of the services?

Answer 14

DOH and Philippine Health Insurance Corporation (PHIC)

Question 15

It is hereby created for the purpose of overseeing the implementation of policies related to organ transplantation.

Answer 15

Philippine Board for Organ Donation and Transplantation (PBODT)

Question 16

• West Nile Virus
• Hepatitis C Virus
• Rabies Virus
• Lymphocytic Choriomeningitis Virus
• HIV
• Eastern Equine Encephalitis Virus

Answer 16

VIRAL TRANSMISSIONS

Question 17

• Streptococcus pyogenes
• Mycobacterium tuberculosis
• Multidrug- resistant Escherichia coli
• Elizabethkingia meningoseptica
• Mycoplasma hominis
• MRSA
• Clostridium spp.

Answer 17

BACTERIAL TRANSMISSION

Question 18

• Apophysomyces elegans
• Coccidioides immitis
• Cryptococcus neoformans
• Microsporidial species

Answer 18

FUNGAL TRANSMISSION

Question 19

• Trypanosoma cruzi
• Balamuthia mandrillaris
• Strongyloides stercoralis

Answer 19

PARASITE TRANSMISSION

Question 20

plays a pivotal role in the care of patients during all phases of the transplant process: pre-transplant evaluation, waitlist management, transplant admission, and discharge/posttransplant follow-up.

Answer 20

TRANSPLANT COORDINATOR

Question 21

Transplant coordinator is an integral part in assuring appropriate records are obtained and reviewed
prior to the patient’s first visit and throughout the evaluation process, as records become available.
Upon review of the records, utilizing critical thinking skills and protocols, the coordinator determines
if additional information is needed and requests as necessary.

Answer 21

PHASE 1: PRE-TRANSPLANT EVALUATION

Question 23

Once the patient is determined as an appropriate candidate, the coordinator manages the transplant
evaluation, similar to a project management. Upon receipt of the physician’s order for evaluation, the
coordinator works with various departments to schedule appointments and testing. This data is
reviewed and prioritized to determine immediate needs and follow-up versus long-term or ongoing
needs.

Answer 23

PHASE 1: PRE-TRANSPLANT EVALUATION

Question 24

As the evaluation process continues, the coordinator collects data in a systematic manner assuring
inclusion of the patient and family in this process. While scrutinizing the data, the coordinator
identifies patterns in the patient’s history and status providing for a comprehensive assessment of the
patient.

Answer 24

PHASE 1: PRE-TRANSPLANT EVALUATION

Question 25

one of the most important functions of the pre-transplant coordinator, focuses on disease processes; signs and symptoms of liver
disease, including those that should be reported to the transplant program; symptom management; and
specific information about the transplant process – from evaluation to long-term follow-up.

Answer 25

PATIENT EDUCATION - PHASE 1

Question 26

There are regulatory requirements mandated by the ____________ that must be addressed during the pre-transplant phase. Often, it is simpler and more efficient to address these during the educational sessions

Answer 26

Centers for Medicare and Medicaid (CMS) and/or UNOS (United Network for Organ Sharing) - PHASE 1

Question 27

The designation of a primary support and additional support persons is the most important part of patient education the transplant coordinator can discuss. Based upon programmatic considerations, the transplant coordinator has an in-depth educational session with the support person(s) to assure they

Answer 27

PHASE 1: PRE-TRANSPLANT EVALUATION

Question 28

This must be signed by the patient or designee and includes acknowledgement of receipt of information from the transplant team

Answer 28

Consent for evaluation - PHASE 1

Question 29

T or F: Multiple listing (wait-listing for transplant at more than one center) is acceptable according to UNOS policy (United Network for Organ Sharing 2008). However, UNOS allows each center to make the determination as to whether or not they will allow it. Therefore, documentation that multiple listing has been discussed with the patient is mandatory. This is the responsibility of the RN coordinator during the pre-transplant phase. Documentation that education has taken place is required as well and is completed during the pre-transplant phase.

Answer 29

True - PHASE 1

Question 30

The first requirement of Centers for Medicare and Medicaid (CMS) and/or UNOS is the?

Answer 30

Consent for evaluation - PHASE 1

Question 31

The pre-transplant coordinator lists the patient.

Answer 31

PHASE 1: PRE-TRANSPLANT EVALUATION

Question 32

Once the determination of the selection committee is complete, the waitlist management begins. ● This may be done by the same coordinator or some programs have separate waitlist managers. In either scenario, the main focus of the waitlist coordinator is to manage those patients who are awaiting transplant

Answer 32

PHASE 2: PRE-TRANSPLANT

Question 33

one of the most important functions the transplant coordinator is responsible for. The education process includes all medications the patient will take at discharge but focuses on immunosuppressive therapy, antibiotics, antifungals, antiviral agents, and diabetes medications.

Answer 33

Medication administration and side effect education

Question 34

includes how to clean the wound; change any dressings; inspection of the wound to assess for redness, swelling, drainage, and bleeding; and again reportable signs.

Answer 34

Wound care education

Question 35

. Due to the suppression of the immune system by medications, there is an increased incidence of infection, particularly in the first __ days after transplant

Answer 35

90 days

Question 36

is an extension of the education already provided by the nutritionist. This includes specific dietary requirements such as diabetic or low-sodium diets, foods to avoid and those that are encouraged, and appropriate supplements.

Answer 36

Nutrition education

Question 37

an integral part of this process and must be committed to performing oversight and administration of medications, wound/incision care, transportation to and from clinic appointments, blood draws, and other procedures as needed. This is typically one person but can be a combination of family and close friends who will all undergo training of these tasks.

Answer 37

Support person(s)

Question 38

These coordinators manage potential and actual donors in order to avoid any hint of coercion. The phases of transplantation are the same but are for potential donors instead. During phases one and two, the coordinator focuses on the needs of the donor only and assures that there is no coercion associated with donation.

Answer 38

Living Donation

Question 39

is obtaining and reviewing medical records, history and physical, to determine if the donor has any issues that would rule him/her out as a potential donor.

Answer 39

Living donor coordinator - PHASE 1

Question 40

is a bit different because it is maintenance of a healthy donor to the point of donation. This can be an anxiety-provoking time for the donor as he/she continues to contemplate a procedure that is not without risks. It is imperative that the donor coordinator be available to the donor to reassess mental and physical health issues and refer to other providers as necessary and again to provide an “out” if needed

Answer 40

Phase 2 of Living Donation

Question 41

the coordinator is responsible for discharge planning. The education for the donor and support person(s) includes wound care, pain management, medication administration, reportable signs and symptoms, and follow-up care.

Answer 41

Phase 3