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Deceased Donor Organ Imports (3.03)

Deceased Donor Organ Imports (3.03) - Policies, Clinical, UWHC Clinical, Department Specific, UW Organ and Tissue Donation

3.03



POLICY
Established Date: May 2010
Effective Date: January 2018
Title: Deceased Donor Organ Imports Policy Number: 3.03

Electronically Approved By: Michael E. Anderson, PA-C Anthony M. D’Alessandro, M.D.
Executive Director Medical Director


Page 1 of 3

PURPOSE

The purpose of this policy is to define the process by which deceased donor organs are imported into the
UW Health Transplant Center. It is the policy of University of Wisconsin Organ and Tissue Donation (UW
OTD) to facilitate deceased donor organs imports for the UW Health Transplant Program.

FORMS

UW OTD Import/Flyout Checklist
Lab Requisition form for ABO Verification Form
Organ Check-in Form

POLICY

Organ Offers
A. UW OTD contracts organ offer screening service with Gift of Life in Philadelphia. Gift of Life will
be contacted by an organ procurement organization (OPO) to exchange pertinent information
on the specific organ being offered to the UW Health Transplant Program.
B. Gift of Life will evaluate the organ being offered by utilizing the organ specific rule-out
guidelines defined by the UW Health Transplant Program and provided by UW OTD. If the offer
is ruled-out, Gift of Life will notify the offering OPO of the decline and reason.
C. If the organ being offered meets the minimum criteria set for acceptance, Gift of Life will
provide a provisional yes response to the offering OPO on behalf of the UW Health Transplant
Program.
D. When the UW Health Transplant Program becomes the primary center for the organ offer, the
offering OPO will notify the UW OTD organ procurement coordinator (OPC) on call and will
create an organ offer record.
E. The OPC will communicate pertinent donor information and organ function specific details to
the appropriate UW Health Transplant Program surgeon on call.
F. The UW Health Transplant Program will follow the United Network for Organ Sharing (UNOS)
policies which set time limitations to acknowledge the organ offer and to evaluate the offer for
acceptance.



POLICY
Established Date: May 2010
Effective Date: January 2018
Title: Deceased Donor Organ Imports Policy Number: 3.03

Electronically Approved By: Michael E. Anderson, PA-C Anthony M. D’Alessandro, M.D.
Executive Director Medical Director


Page 2 of 3
1. If the UW Health Transplant Program intends to pursue accepting the offered organ for
transplant, coordination efforts will commence.
2. If the organ offer is declined, a reason code will be provided to document why the UW
Transplant Program declined the offered organ.
3. The OPC will notify the offering OPO of the decision in regards to the organ offer.

Recovery Preparation
G. If the organ offer is accepted:
1. The OPC will notify the SRC of the organ acceptance within 3 hours of the organs arrival.
2. The OPC will compose an email with the completed Import/Fly out template to the SRC.
3. The OPC will attach the match run to the email to the SRC with the intended recipient
highlighted.
4. The SRC will prepare the necessary recovery chart base on the organ to be recovered
5. The OPC will complete the internal notification checklist as appropriate for each import
or fly out.
6. For Fly outs, the UW Health recovery team will verify for the UW Transplant Program
that the intended recipient’s ABO compatibility with the donor’s ABO at the donor
hospital. This will be documented by the host OPO. For imports, the OR circulating
nurse in the transplant room will do this process.
H. If the offering OPO grants the UW Health Transplant Program local back up, a match run will be
generated by the OPC to identify the UW Health Transplant Program recipients.
I. The OPC will make all transportation arrangements for the organ. This could include commercial
flights, private charter flights, and/or ground transportation. Coordination of transportation of
the UWHC recovery team will be completed if needed.
J. The OPC may seek assistance from the UNOS Organ Center to expedite transportation
arrangements for kidneys and pancreas if needed.



Receipt of an Imported Organ
K. After returning from the organ recovery or after receiving a shipped organ, a UW OTD surgical
recovery coordinator (SRC) will confirm the donor identification and organ type (including
laterality if applicable) are correct on the external organ label before opening the external
transport container.



POLICY
Established Date: May 2010
Effective Date: January 2018
Title: Deceased Donor Organ Imports Policy Number: 3.03

Electronically Approved By: Michael E. Anderson, PA-C Anthony M. D’Alessandro, M.D.
Executive Director Medical Director


Page 3 of 3
1. This verification will be documented on the appropriate organ check-in form.
2. If the label contains incorrect information, the SRC will call the offering OPO within one
hour of identifying the information. This will be documented on the organ check-in
form.
3. The form will be completed and stored in the UW OTD laboratory until a member of the
UW Transplant Program or designee pick up the form. The UW Transplant Program will
maintain all forms.
L. The SRC will unpack the imported organ to confirm that all necessary contents, paperwork, and
specimens have been included and properly labeled.
M. If applicable, The SRC will place the triple sterile barriered organ in a cooler with wet ice and
place in the walk in cooler for the surgeon to pick up.
N. The SRC will complete a Lab Requisition form for ABO Verification and will send the form and
the blood tube provided with the organ to the UWHC Clinical Lab.
O. The UW Health Clinical Lab will enter the request for ABO testing and will provide the UW
Health Blood Bank with the request information and blood sample.
P. UW Health Blood Bank will determine the ABO of the blood sample and will contact the
appropriate UW Health Transplant Program staff or designee to verbally report the results
Q. The SRC will send all tissue typing material and paperwork to UW Health Clinical Lab for HLA lab
to retrieve.
R. For imported kidney(s), the SRC will contact the attending transplant surgeon to determine
whether the kidney(s) should be machine perfused or cold stored.
S. For all organs, the SRC will notify the attending surgeon or their designee of the organ arrival
and ready for pick up.
T. Extra vessels and appropriate forms will be delivered to UW Health Blood bank for processing,
storing and issuing to the Transplant Program
U. The SRC will complete an import organ record.