The Organ Donation Coordinator (ODC) supports the mission, goals, and strategic plan of LifeCenter Northwest by evaluating organ donor referrals, conducting medical evaluation on potential organ donors, and developing a plan with the healthcare team to maintain the option of donation. The ODC supports the Organ Recovery Coordinators with organ donor cases, with oversight facilitates donation after circulatory arrest donation (DCD) process, communicates and documents Medical Examiner or Coroner conversations and release for donation. The ODC works closely with the Donation and Family Advocates (DFA) and ORC with compassionate family conversations and conducts Uniform Donor Risk Assessment Interview (UDRAI) with potential donor families. The ODC also supports in the operating room by performing organ perfusion and packaging and labeling of recovered organs. All these above actions are done pursuant to LifeCenter Northwest standard operating procedures (SOPs), CMS regulations, UNOS policy, and AOPO standards.
Response to ventilated referrals
- Outcome: All ventilated referral calls will receive a timely and appropriate response.
- Assessment: The ODC uses training, experience, and knowledge to evaluate suitability for organ donation, as well as communicating with partnering agencies to determine tissue and eye donation for all ventilated referrals. The ODC responds onsite to hospitals in a timely manner when deployed and collaborates with appropriate healthcare team members.
- Intervention: The ODC successfully completes all components in response to ventilated referrals as outlined in the SOPs and Work Instructions.
Organ donor suitability
- Outcome: The ODC independently completes a thorough chart review and onsite evaluation and communicates with the Administrator on Call (AOC) to evaluate donor suitability.
- Assessment: The ODC uses training, experience, decision trees and knowledge in the identification of suitable organ donors with the guidance of the AOC.
- Intervention: The ODC successfully completes all components to identify organ donor suitability and documents the plan made with AOC.
Family Interactions and authorization/disclosure
- Outcome: The ODC ensures that the utmost care and support is being given to potential donor families and that the legal decision-maker is communicated within an optimal manner to make the donation decision based on complete information provided.
- Assessment: The ODC works in conjunction with the DFA and hospital staff to evaluate family dynamics. The ODC identifies the legal decision-maker and assesses their understanding of the potential donor’s medical status, terminal condition, and impending neurological or circulatory death. The authorization/disclosure documents are completed in congruence with LCNW policy.
- Intervention: The ODC successfully completes all components to family interactions and the authorization/disclosure independently and utilizes resources appropriately.
Uniform Donor Risk Assessment Interview (UDRAI)
- Outcome: The ODC completes an accurate UDRAI with the appropriate surrogate of the potential organ donor.
- Assessment: The ODC works closely with the ORC and DFA to identify the appropriate surrogate(s) to complete the UDRAI. The ODC communicates with the ORC and AOC for review of documentation and completes necessary corrections.
- Intervention: The ODC successfully follows the necessary steps for UDRAI completion in congruence with the appropriate SOP.
Clinical and regulatory requirements and documentation
- Outcome: All medical and legal requirements will be met prior to organ recovery.
- Assessment: The ODC demonstrates an understanding of the legal and hospital requirements for death declaration, verifies death has been declared with all requirements for organ donation and obtains Medical Examiner/Coroner release for donation.
- Interventions: The ODC successfully completes all components of clinical and regulatory requirements and documentation as outlined in the SOPs and WIs.
- Outcome: ME/Coroner has been contacted for release for donation and proper documentation in LifeCenter’s electronic medical record is complete
- Assessment: The ODC follows SOP’s and WI’s to contact the ME/Coroner about release for donation and effectively communicates in ITX the outcome of conversation. The ODC updates the ORC/AOC appropriately.
- Intervention: The ODC successfully contacts and provides all medically relevant information to the ME/Coroner on all cases for release for donation and documents properly in LifeCenter’s electronic medical record.
Blood and Ancillary Test Collection
- Outcome: Blood samples and ancillary tests during the organ donor case (e.g. HLA, Serology, ABO, COVID-19) are properly packaged, labeled, and shipped. All necessary notifications are made and documented.
- Assessment: The ODC follows relevant SOPs and WIs and collaborates with the ORC and healthcare providers in collection of samples to be tested.
- Intervention: The ODC successfully labels, packages, and sends blood for HLA, Serology, ABO and other ancillary tests, if required, at the start of the case and additional blood samples prior to the organ recovery to be packaged with each organ, donation partners and/or the ME/coroner.
Organ Preservation and Packaging
- Outcome: Organs will be preserved for optimal transplantation outcomes.
- Assessment: The ODC ensures the preservation and packaging process meets all LifeCenter Northwest policies and procedures and relevant OPTN policy.
- Interventions: The ODC successfully completes all components of organ preservation and packaging per policy in compliance with all related industry requirements.
Donation After Circulatory Death (DCD) Case Support
- Outcome: The ODC assists the ORC on DCD donor cases.
- Assessment: The ODC assists with multiple aspects of DCD cases as appropriate based on ODC experience and staffing needs. The ODC follows all requirements per LCNW and UNOS policies.
- Interventions: The ODC assists with DCD cases with close collaboration and guidance from the ORC.
- Outcome: Cohesion exists between departments to positively impact the donation community.
- Assessment: The ODC maintains the highest standards of professional conduct and interpersonal relationship development; promoting a positive and collaborative work environment. The ODC will assist HD with collaborative rounding on units and clinical support on presentations/meetings with hospital partners.
- Interventions: The ODC successfully completes all components of interdepartmental collaboration by living by the LCNW values. The ODC is proactive in multidisciplinary efforts within their region.
Independent Study for Professional Development
- Outcome: The ODC acquires additional skillsets through self-study and identified course work.
- Assessment: Review of coursework and appropriate core competencies
- Interventions: The ODC works with their manager and training department to identify areas of growth and complete appropriate coursework. Areas of focus may include donor suitability, critical care management, organ allocation and organ recovery.