Policies,Administrative,UWHC,Department Specific,Transplant,Transplant - Solid Organ

Removal of Patients from the UNOS National Waitlist (3.05)

Removal of Patients from the UNOS National Waitlist (3.05) - Policies, Administrative, UWHC, Department Specific, Transplant, Transplant - Solid Organ


Effective Date: May 2011
Revised Date: June 2015
Title: Removal of Patients from the UNOS National
Waitlist Policy Number: 3.05

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The purpose of this policy is to establish guidelines for a uniform and systematic method for
removing transplant patients from the United Network of Organ Sharing (UNOS) national waitlist for
transplantation and to ensure that all regulatory requirements are met in the process.


A. All staff is responsible for complying with the Organ Procurement & Transplantation Network
(OPTN) Policy 3.8 and bylaws.
B. It is the policy of the UW Transplant program to adhere to the University of Wisconsin
Hospital and Clinics (UWHC) standards of patient care, as well as the standards determined by
regulatory and accrediting agencies, such as The Joint Commission, the Organ Procurement and
Transplantation Network (“OPTN”) and the United Network of Organ Sharing (“UNOS”) and the
Centers for Medicare and Medicaid Services (“CMS”), and any State and Federal laws.


A. Patients may be removed from the UNOS national waitlist for the following reasons:
1. Patient has received a transplant
2. Patient has died while awaiting transplant
3. Patient has decided they no longer wish to pursue transplantation at our center and has
requested removal
4. Patients condition improved, transplant no longer needed
5. Patients condition deteriorated, too sick for transplant
6. We are unable to contact the patient
7. Patient no longer meets our selection criteria

B. All patients being removed because their condition improved, their condition deteriorated or
they no longer meet our selection criteria must first be discussed with the organ specific
multidisciplinary team.

C. Patients will be removed from the national waitlist UNOS database (UNET) within 24 hours of
death or transplant at our center, or notification of death or transplant if outside our center.

D. Upon the decision to remove the patient from the waitlist, the following will occur:

Effective Date: May 2011
Revised Date: June 2015
Title: Removal of Patients from the UNOS National
Waitlist Policy Number: 3.05

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1. Removal from the UNOS database (UNet). The patient must be removed from the national
waiting list in UNet within 24 hours of final determination by the multidisciplinary
team. When this occurs, the staff person receiving notification of the event is responsible
for ensuring removal of the patient from the waiting list.
2. Required Notification to Patient. For all patients being removed from the UNOS waitlist for
reasons other than death or transplant, written correspondence will be sent to the patient,
referring physician and the dialysis unit (if applicable) within 10 days of removal from the
waitlist. This correspondence will include the date the patient was removed from the list,
reason for removal, and any required documentation outlined in OPTN policy 3.8. A copy of
the correspondence will be in the patient’s electronic medical record.


University of Wisconsin Transplant Program


Kidney Transplant Manager
Liver Transplant Manager
Heart and Lung Transplant Manager
Operations Director


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