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Post Donation Monitoring of Live Liver Donors (5.18)

Post Donation Monitoring of Live Liver Donors (5.18) - Policies, Administrative, UWHC, Department Specific, Transplant, Living Donor

5.18



POLICY & PROCEDURE
Effective Date: October 2007
Revised Date: August 2013
Title: Post Donation Monitoring of Live Liver
Donors
Policy Number: 5.18

Page 1 of 2
I. PURPOSE

The purpose of this policy is to provide guidance for post-hepatic resection monitoring of live liver
donors. Hepatic resection for liver donation is a major undertaking and is justified if morbidity is
low and hepatic regeneration occurs. Live liver donors should be monitored for wound healing,
maintenance of liver function, and psychosocial impact of live donation.

II. POLICY

It is the policy of the UW Transplant program to adhere to the University of Wisconsin Hospital &
Clinics (UWHC) standards of patient care, as well as the standards determined by regulatory and
accrediting agencies, such as The Joint Commission (TJC), the Organ Procurement and
Transplantation Network (OPTN)/ United Network for Organ Sharing (UNOS), and the Centers for
Medicare & Medicaid Services (CMS).

III. PROCEDURE

A. Post-Discharge
1. For urgent issues: Initial patient contact is transplant coordinator and then, if indicated,
the transplant surgical team involved in the donor liver resection.

B. Post-Operative Follow-up
1. Transplant clinic approximately 2-3 weeks post donation and approximately 1 year and 2
years post donation, where the patient will be seen by a surgeon and transplant
coordinator or clinic nurse and other members of the multidisciplinary team as clinically
indicated.
a. Exam by staff surgeon
b. Labs - Smart sets for lab panels built in HealthLink (see attached)
c. Results provided to the patient along with written instructions for future follow
up.
d. Correspondence sent to patients primary care physician
e. If the patient is unable to return to UWHC for the 1 year and 2 year follow up,
they may:
1. See primary care provider
2. Have protocol lab drawn locally 1 year and 2 years post donation
3. Labs and correspondence will be scanned in to the patient electronic
medical record



POLICY & PROCEDURE
Effective Date: October 2007
Revised Date: August 2013
Title: Post Donation Monitoring of Live Liver
Donors
Policy Number: 5.18

Page 2 of 2
f. Patient may revisit UW provider between appointments with any donation-
related complications.
2. Coordinator to forward complications (if any) to data coordinators for
documentation. Coordinators must notify data coordinators immediately upon
notification of a living donor death (regardless of cause) or native organ failure so that
this information can be reported to UNOS within the 72 hour timeframe (See policy 3.20)

C. Recommended annual follow up with primary care provider:
1. History and exam
2. Labs per discretion of primary care provider

IV. COORDINATION

University of Wisconsin Transplant Program


V. REVIEWED BY

Transplant Service Line Policy and Procedure Committee 8/2013

VI. SIGNED BY


________________________________ _________________________________
Jill Ellefson, MBA Dixon Kaufman, M.D., PhD
Organ Donation and Transplant Service Line Chair, UW Transplant Program