Donor Alliance Recovery Center. Jennifer Prinz RN, BSN, MPH, CPTC, CTBS Chief Operating Officer
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1 Donor Alliance Recovery Center Jennifer Prinz RN, BSN, MPH, CPTC, CTBS Chief Operating Officer
2 What is the Recovery Center? 16,000 SF state-of-the-art surgical recovery facility in Lowry 3 OR Suites: 600 SF each! Donor Care Unit Conference Space Shared Admin area for staff
3 Why Did Donor Alliance Build the Recovery Center? Tissue Recovery had occurred in leased space for 10 + yrs Tissue Recovery operations had completely outgrown existing space and capacity: ~1200 cases/year Given the volume, more sensible financially to build a custom space than to continue to lease for tissue recovery Needed conference space for 100+ staff
4 Why Did Donor Alliance Build the Recovery Center? New direction in organ procurement to build non-hospital-based donor recovery suites Increase proficiency and quality of organ recovery process Decreases resource burden on donor hospitals: Frees up critical care bed Frees up nursing and ancillary staff No juggling of OR times No disruption to electively-scheduled cases No getting bumped when traumas come in No need to call in OR staff and anesthesia More expeditious management of back-to-back organ recoveries
5 Recovery Center: Our Journey We started with this vacant building in Lowry.
6 Recovery Center: Research & Planning Construction needs Regulatory requirements Equipment Process and Protocol definitions Training Competency Assessments
7 Recovery Center: Our Journey And 18 months later ended with this!
8 Recovery Center Opened June, 2011 First Tissue Recovery Case: June, 2011 >2000 Tissue cases to date
9 Virtual Tour Entry Lobby
10 Virtual Tour Conference Space Accommodates all staff Multi-media AV equipment Camera transmits recoveries from Shared OR for observation in conference room
11 Virtual Tour Admin Space Tissue Recovery staff based in this location 24/7 Other staff on site prn
12 Virtual Tour Flyout Room Recover y teams keep jump kits ready for long distance cases
13 Which Organ Donors Will Be Transferred? Only BRAIN DEAD donors. No DCD No unstable donors No pediatrics at this time Denver, northern and southern Colorado cases Planning to add western Colorado and Wyoming capability in 2014
14 What s The Transfer Process? Huddle with hospital staff re: plan Physicians Nurses RRT Chaplain Social Worker Administratio n And.? FSC explains transfer to family during authorization process A Donor Alliance ORC comes in CCT ambulance &/or plane w/equipment from Recovery Center Allow family ample time w/donor, give and receive report, transfer
15 First Organ Recovery Case
16 Transfers From University of CO Hospital Lutheran Medical Center Denver Health Medical Center Swedish Medical Center Memorial Hospital Rose Medical Center St. Anthony North The Medical Center of Aurora Poudre Valley Hospital Longmont United Hospital St. Joseph Hospital Littleton Adventist Hospital Parkview Medical Center Northern CO Medical Center Medical Center of the Rockies St. Francis Medical Center North Suburban Medical Center
17 What s The Transfer Process? Enroute, ORC has primary responsibility for donor care Ventilator, monitor, all routine meds/pumps Should donor arrest, EMT-P manages airway and ACLS drugs To salvage organs for transplant, transfer continues to Recovery Center where surgeons can be accessed quickly for organ recovery
18 Virtual Tour Donor Arrival Transport Bay: CCT ambulance or decedent transport pulls in to transfer donor
19 A Virtual Tour Donor Care Unit ORC s perform all care/interventions Recovery Center time may be up to 24 hrs
20 Virtual Tour Donor Care Unit State-of-the-art equipment Full donor lab capability onsite
21 Virtual Tour Donor Care Unit Portable x-ray capability Blood administration
22 Virtual Tour OR Ability to handle 2 simultaneous organ recoveries Or 3 simultaneous tissue recoveries
23 Virtual Tour OR Donor Alliance staff circulate case and provide hemodynamic support
24 Virtual Tour OR Utilize per diem scrub assistance
25 Virtual Tour Sterilization In-house sterilization system
26 In Conclusion Tissue and organ recoveries are going well at the Recovery Center Positive feedback from donor hospital staff Thank you, in advance, for your support of this new process!
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