Saving 8 by Jacklyn Stone https://padlet.com/jacklynstone39/2xxh8fcs21bw Made with passion en-us 2018-04-25 15:20:42 UTC 2024-11-03 11:01:00 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Hearts.png What are the issues? jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255285872 In the health care field, there is a lack of education regarding the nurse's role in organ and tissue donation (OTD). Nurses do not realize they are responsible for identifying possible organ and tissue donors and referring them to their facilities designated Organ Procurement Organization (OPO).  
Another issue that occurs withing the nursing population involves negative personal feelings towards OTD, preventing the nurse from promoting and advocating for donation. ]]> 2018-04-25 15:25:20 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255285872 Who is directly affected? jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255286156 Everyone in need of an organ for life saving measures or a tissue graft for health improving purposes.  ]]> 2018-04-25 15:25:52 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255286156 Why & how do these affect the community? jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255288134 With brain death, early identification of a possible organ donor is paramount in maintaining organ viability. With cardiac death, time is of the essence because procurement must be complete within 24 hours of death for tissue to be variable for transplant. When nurses do not understand their role in early identification and immediate referral distribution, donors are missed, declined, or timed out. 
The attitudes of health care employees, especially that of nurses, are important because they are the ones who often guide the community behavior and perspective on health care concerns (Bener, El-Shoubaki, & Al-Maslamani, 2008). 
Both of these concerns have a direct correlation with how many donors are procured each year. This can increase or decrease the amount of available organs and tissue for transplantation.]]> 2018-04-25 15:29:37 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255288134 Why the nurse's involvement is so important? jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255291204 Without the nurses involvement, identification of donors does not occur, organ maintenance and viability suffer, and cardiac deaths go unreported to the OPO. All of these result in less or no available organs &tissue grafts for transplant recipients. 

]]> 2018-04-25 15:34:52 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255291204 Challenges and Barriers jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255292613
  • Late identification of possible organ donors due to insufficient staff-patient ratios
  • Valuable nursing time required for OPO referral and screening
  • Myths: Fear one will not receive lie saving measures if designated as an organ donor 
  • Religious beliefs 
  • Uncertainties about financial responsibilities for choosing to donate
  • Fear of body mutilation and funeral home interference   
    • ]]>     2018-04-25 15:37:37 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255292613     Education Deficits jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255294250 Nurse's have exhibited concerns about their lack of knowledge of organ donation and transplantation and suggest implementing organ & tissue donation lessons it into the nursing school curriculum (McGlade & Pierscionek, 2013).  ]]> 2018-04-25 15:40:23 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255294250 jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255374619 In 2007, researchers conducted face to face interviews with 253 nurses to assess their knowledge level and personal feelings regarding OTD. The result showed there is a significant need for better understanding of organ and tissue donation within the health care field(Bener, El-Shoubaki, & Al-Maslamani, 2008). Please refer to the next shelf for results. ]]> 2018-04-25 18:04:45 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/255374619 The nurses role and participation in organ donation: jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256185483
  • Provide the public with accurate and objective information concerning donation
  • Early identification of possible donors
  • Work closely with the healthcare facility, the organ procurement organization and/or the tissue banks,to seek consideration for donation
  • Provide clinical expertise, emotional support, and objective and accurate information to families who are considering organ and tissue donation
  • Maintain adequate care of possible donor to ensure the viability of the organs and tissue
  • Advocate for patients and families in the informed choice process, recognizing and respecting their personal, ethical, cultural and religious beliefs
  • Advocate and reinforce the nurse and patients individual rights supported in the American Nurses Association (ANA) Code of Ethics for Nurses (ANA, 2001). 
    • (NYSNA, 2010)
    ]]>     2018-04-28 01:13:05 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256185483     jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256186578 2018-04-28 01:28:52 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256186578 jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256228859 The majority of nurses express positive attitudes towards both end-of-life care and organ donation, but there is ambiguity as to whether referring patients and families, to the OPO, for these services is within nursing scope of practice (Crymble, Fabian, Etheredge, & Gaylard, 2017). This is a troubling discovery because involving the OPO is extremely time sensitive and imperative for donation to occur.  ]]> 2018-04-28 14:54:36 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256228859 Make the Commitment jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256230004
  • Refer all potential donors to local OPO in a timely manner
  • Be familiar with the hospital’s
    criteria for clinical triggers, and call the OPO promptly.
    • Get to know your OPO team members by ntroducing yourself to OPO coordinators when they are evaluating a potential donor in
    your unit. Be a part of their team.  
  • Ask the OPO to share information and resources to implement changes in your unit.
    • Become a donor “champion”, speak with your colleagues
    about the importance of supporting organ donation. 
  • Sign a donor card
    or join a registry, and tell your family about your decision
    to donate. 
    • (Tamburri, 2006)
    ]]>     2018-04-28 15:11:05 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256230004     Introduction jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256238581 2018-04-28 17:06:05 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256238581 Results: jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256241776
  • Only 12% knew that someone who died of cardiac arrest is able to donate. 
  • Only 20.6% knew that the hospitals involvement in donation is monitored according to the state and federal laws. 
  • Only 15.4% knew that people who are brain dead are legally dead. 
  • Though 71.5% knew that brain dead persons are eligible for organ donation, only 15.7% knew it was the RNs responsibility to report the possible organ donor to their hospital's designated organ procurement organization. 
  • 62.8% were concerned that designating oneself as an organ donor would lead to insufficient medical care. 
  • 41.5% had personal conflicts or moral objections to organ donation when considering themselves. However 79.8& supported organ donation when it pertained to others.
    • (Bener, El-Shoubaki, & Al-Maslamani, 2008).

    ]]>     2018-04-28 17:49:10 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256241776     Promote early discussion jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256246437 The nurse should emphasize the most critical element in organ and tissue donation to all coworker and community members alike; expressed consent. ]]> 2018-04-28 19:08:01 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256246437 Promote Education jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256248472
  • Advocate for organ and tissue donation education within the nursing school curriculum. 
  • Attend learning sessions that represent all aspects of the organ donation community. These are frequently held in large hospitals and they can help staff learn how to rapidly improve donation rates.    

    • ]]>     2018-04-28 19:45:01 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256248472     jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256249094 2018-04-28 19:56:59 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256249094 jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256249536 2018-04-28 20:04:55 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256249536 When are others affected by these issues? jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256250058 This particular problem affects others every single day. Per United Network for Organ Sharing (UNOS), one donor can save 8 lives (UNOS, 2018).]]> 2018-04-28 20:15:48 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256250058 Initiate & Manage Change jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256253958 The second concept I will apply is initiating and managing change by becoming a change agent. Organizational change is essential or adaptation, and creative change is mandatory for growth. I will initiate change on my unit developing a set of guidelines at which nurses follow to promote organ donation within our facility.  Nurses will be challenged to report referrals within 1 hour of cardiac death and attend two organ donation education sessions a year.  

    ]]>     2018-04-28 21:37:43 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256253958     Time Management jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256253978 The first concept I will apply is effective time management. Though we have only recently studied it in our Leadership course, we have been practicing and implementing it into our role as a nursing student since the first day of the program. Time management is essential for the nurse when referring patients to the OPO. I will concentrate on planning and scheduling tasks appropriately to ensure all donors are considered and promptly reported. 

    ]]>     2018-04-28 21:38:19 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256253978     Leadership Role jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256253994 Once I have transitioned to my professional practice and have taken on a leadership role, I will be responsible for setting goals, determining priorities, managing time, and implementing change. SCOHS has helped me develop effective time management skills and the confidence required to become a change agent. These learned skills and concepts will serve as my foundation as a leader.  ]]> 2018-04-28 21:38:41 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256253994 SCOHS Experience jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256254052 During my education experience at Sentara College of Health Sciences (SCOHS), I have learned two curricular concepts that will help me promote organ and tissue donation as a Registered Nurse. Both of these concepts have prepared me to take on a leadership role once I have transitioned into my professional practice.

    ]]>     2018-04-28 21:39:54 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256254052     jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256255012 2018-04-28 22:01:46 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256255012 jacklynstone39 https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256256439 2018-04-28 22:35:44 UTC https://padlet.com/jacklynstone39/2xxh8fcs21bw/wish/256256439