Hla lub ntsiab ntsiab lus
Donor Care Units nyob upper Midwest
Donor care units (DCU) yog nplooj siab rau tej chaw teem rau kev muab optimal thiab npaum li cas ntawm organ hloov ua ntej organ donation thiab raws li qhov tshaj plaws organ rov qab txheej txheem, uas yuav ua kom lub caij nyoog rau organs yuav ntse transplanted rau hauv tos cov neeg tau txais kev pab.
Thov koj tsis hesitate hu rau koj LifeSource Donation Liaison rau cov lus qhia los yog hu xov tooj LifeSource Thaum 1-800-247-4273 rau kev pab real-time. Koj lub luag hauj lwm yog los qhia koj tus kheej rau cov cai thiab cov txheej txheem ntawm koj lub tsev kho mob, specifically.
LifeSourceMayo Clinic and M Health Fairview los tsim kom muaj "Donor Care Units"
Nyob rau hauv lub Xya hli ntuj 2023, LifeSourceMayo Clinic thiab M Health Fairview tshaj tawm ib lub tswv yim los tsim ib lub cev ntawm "Donor Care Units" kom cov neej rua ntawm organ donation hauv lub midwest.
DCUs ua hauj lwm:
- Cov neeg uas tau tso cai pub dawb donation (los ntawm registering rau lawv tsav tsheb daim ntawv tso cai los yog hauv internet donor registry; los yog lawv tsev neeg tso cai rau lawv behalf thaum lub sij hawm uas tuag) thiab raws li donation criteria (lub hlwb tuag los yog tsis-survivable raug mob) yog kis los ntawm ib lub tsev kho mob intensive zov (ICU) rau ib tug nplooj siab hloov tsev kho mob nyob Mayo Clinic los yog M Health Fairview University of Mayo Clinic los yog M Health Fairview University of Minnesota chaw kho mob.
- Tsev kho mob yuav tseem muaj kev ceremonies los honor hloov – xws li ib tug yawm saub los yog chij raising – ua ib feem ntawm qhov hloov mus rau ib DCU.
- Donor care, organ health management, matching/allocation thiab rov qab yuav tshwm sim rau lub DCU.
Cov nyiaj tau los ntawm DCUs muaj xws li:
- Muaj peev xwm nyob tom tsev kho mob: Transferring rau ib DCU txhim kho rau kev kho mob tseem ceeb heev beds thiab kev khiav hauj lwm chav tsev nyob rau hauv lub tsev kho mob referring. Hloov yuav tseem yog attributed rau lub tsev kho mob uas tus donor xa mus cuag yog ua, tsis yog qhov twg rov qab tshwm sim.
- Ntau organs zoo tu qab tso; ntau lub neej rua: DCUs yuav muaj nplooj siab hloov cov neeg ua hauj lwm thiab cov chaw xws li sophisticated imaging thiab diagnostic khoom (xws li X-ray, bronchoscopy, CT scanner, cardiac catheterization labs thiab taw tes-ntawm-care laboratory services). Li – xws li cov kev tu tej khoom muaj kabmob – tej zaum kuj yuav tsis muaj tsev nyob.
- Tsev neeg kev them nyiaj yug: DCUs kuj pub rau ib lub txiv kab ntxwv sai sai, uas cov kev pab cuam hloov tsev neeg: lub sij hawm yuav tsum tau ua kom tiav cov txheej txheem – nrog rau kev ruaj ntseg los sis qhov chaw phais – feem ntau yog vim li cas tsev neeg poob donation.
Hloov chav tsev piav
Nyob rau tebchaws Asmesliskas (United States, 24 ntawm lub koom haum 56 Organ Procurement Organizations (OPOs) muaj active DCUs, raws li hlis ntuj nqeg 2022. Feem ntau cov seem OPOs qhia tam sim no los yog thaum pending txoj kev loj hlob ntawm Donor Care Units.
Tsev kho mob nyob rau hauv qhov kev pab cuam no muab lub xeev-ntawm-tus-daim duab tu neeg mob thiab tau tsim cov kev pab cuam pub dawb. Qhov kev hloov no yuav tsuas tsim raws li cov lus rau organ, qhov muag thiab cov ntaub so ntswg donation uas tsev kho mob tau pom hais tias nws, thiab tus pub thiab tsev neeg uas koj twb muab.
DCUs kuj yog tus txheem rau kev saib xyuas thiab tswj, raws li kev tshawb fawb uas qhia dramatic txhim kho rau cov neeg tau txais kev pab. Qhov kev tshawb fawb no qhia tau hais tias cov kev ua tau no tsis vim failures ntawm kev tswj kev tswj, tiam sis xwb txheeb rau intensive, nplooj siab siv sij hawm, cov neeg ua hauj lwm thiab cov chaw muab kev pab uas tsis tau los yog feasible nyob rau hauv txhua lub tsev kho mob. Piv txwv li, ib RT ua tau zoo ntsws recruitment teev tej zaum yuav tau hloov cov-transplantable ntsws rau hauv lub neej-txuag khoom plig.
Kev ua tau ntawm kev hloov chav nyob lub teb chaws tau pom donation feem ntau optimized ntawm transplant tsev kho mob uas muaj ob yam mob plab thiab cardiothoracic transplant programs.
"DCUs relieve lub hom phiaj rau tsev kho mob cov chaw muab kev pab yuav tsum tau rau txoj kev kuaj xyuas, tswj, thiab organ rov qab. Centralizing OPO nplooj siab muab cov kev pab cuam nyob rau hauv ib qhov chaw uas tsis lwv rau tsev kho mob cov chaw muab kev pab, tso cai rau txoj kev txav ceev, uas txhais tau tias lub neej-txuag organs yuav muab khaws cia rau lawv txoj kev mus rau ib qhov chaw transplant sai thiab thaum kawg, zoo tej yam neeg tau txais kev pab."
Tau qhov twg los: Maximizing tus khoom plig nrog ib chav tsev zov: tus OPO kuas kev. Lub txiv kab ntxwv Donation thiab Transplantation Alliance. (n.d.).
Lub neej-txuag donation tshwm sim vim tsev kho mob pab ua ke ntseeg tias nyob rau hauv nws, muab exceptional zov, txhawb donation txuj, thiab ceeb toom LifeSource hloov. Cov hais qhib lub qhov rooj rau generous cov neeg thiab tsev neeg txuag lub neej thaum tsim ib txojsia ntawm generosity, vam cia thiab healing.
Tsev kho mob pab muab tias nws yog ib tug yawm los tu cov neeg mob thiab lawv tsev neeg nyob pivotal moments nyob rau hauv lawv lub neej. Uas yuav tsis hloov.
Tam sim no xyaum los tsim lub donor, tsev neeg, thiab txojsia yuav mus ntxiv. Cov no tej zaum yuav muaj xws li tsim lub caij ntawm Silence yuav nyeem thaum OR, chij raisings, honor mus taug kev yuav tsum nyob rau thaum txoj kev hloov mus helipad los yog tsheb tos neeg mob bay.
Hloov teg num ntawm txhua lub tsev kho mob yuav tau attributed rau tsev kho mob donation program, thiab pib tsev kho mob qhov chaw yuav siv rau allocation qhov chaw.
Kev Kawm Txog Tej Kev Kawm
Regions cov kws tu mob muaj tau koom rau hauv txoj kev hloov txij li lub Cuaj hlis 2022. Lawv muaj expressed zoo nrog txoj kev no rau lawv cov neeg mob thiab tsev neeg. Lawv muaj emphasized lub zog txuas ntxiv mus rau lawv lub tsev kho mob donation qhov kev pab cuam, highlighting meaningful qhov kev pab cuam uas tsis hloov:
- Exceptional tus neeg mob yog muab rau peb lub tsev kho mob.
- Peb LifeSource xa mus rau lwm qhov xa mus rau lwm qhov.
- Lub hlwb tuag yog ua los ntawm peb cov neeg zov me nyuam.
- Peb txuas nrog tsev neeg nrog LifeSource pub dawb sib tham.
- Peb tseem muaj chij raisings rau peb tsev neeg.
- Honor mus taug kev yog tseem incredibly meaningful thiab muaj ntau predictable. (Lawv tshwm sim rau txoj kev rau lub tsheb tos neeg mob bay rau hloov mus tsis txhob mus rau lub OR.)
- Peb tseem xav tias txuas nrog lub donor thiab pub tsev neeg.
- Ib xyoos twg phij cuam ntawm lub neej Memorial Ceremony.
- Peb tseem tau Txais Donor Outcome Emails sib koom dab tsi khoom plig tau zoo tu qab tso.
Transfers rau M Health Fairview hauv Minneapolis: Tag nrho cov tsev kho mob nyob rau hauv 7 lub nroog ntxaib ntxaib xov thiab St Cloud.
Transfers rau Mayo Clinic hauv Rochester: Tsev kho mob sab nraum ntxaib ntxaib xov, thiab tag nrho north Dakota thiab South Dakota tsev kho mob.
LifeSource yuav koom tes nrog lub tsev kho mob DCU. Cov DCUs tau ua phem rau txais cov neeg mob. Ib pab neeg pab tu neeg txuas nrog yuav npaj los ntawm kev txheej txheem ntawm LifeSource thiab tej zaum yuav muaj xws li APP sib txuas, RN mus rau RN qhia, thiab yog tsim nyog, MD mus MD txuas.
Donor tseem ceeb heev thauj yuav tau txheej txheem thiab tswj los ntawm kev hloov chav tsev. Rau mayo Clinic, thauj yuav feem ntau yog los ntawm Mayo ib davhlau. Rau lub tsev kawm ntawv ntawm lub tsev kawm ntawv ntawm MinnesotaThauj, thauj yuav ua los ntawm Fairview EMS av. LifeSource Yuav nrog koj lub tsev kho mob los xyuas kom koj lub zos EMS paab paub qhov no yog zoj zis.
Tej lub stability criteria xam tau tias yog thauj mus rau DCU:
- Chest xoo hluav taws xob ua ntej thauj cov ntaub ntawv uas ETT txoj hauj lwm yog tsim nyog (2-6 cm saum carina)
- Kev txhaj tshuaj spine stabilization yog traumatically raug mob
- Oxygenation thiab ventilation – optimization ntawm cov roj ntshav qhov tseem ceeb
- PaO2/FiO2 piv ≥ 150 rau FiO2 ≤ 70% thiab PEEP ≤ 12
- PaCO2 ≤ 60 nrog Tidal ntim ≤ 8 mL/kg thiab RR ≤ 30
- pH ntawm 7.3-7.5
- Yog pneumothorax tam sim no, hauv siab yuav tsum tau inserted thiab tso rau 20 cm H2O suction thoob plaws hauv thauj txheej txheem
- Tsawg kawg yog 2 vascular access ntsiab lus. Piv txwv li, loj bore Peripheral IVs thiab/los yog hab txhawb
- Yuav tsum tau txhaj cov tshuaj inopressor yuav tsum tau txhaj
- ≤ 3 tag nrho inopressors kom muaj MAP > 65
- Raj:
- Epinephrine thiab/los yog norepinephrine ≤ 0.2 mcg/kg/min
- Vasopressin ≤ 0.04 U/min
- Phenylephrine ≤ 2 mcg/kg/min
- Ntim resuscitation
- Puag ntau tshaj ≥-10
- Bicarbinate theem ≥ 14
- Lwm sab nraud los yog internal hemorrhage yuav tsum tau tswj
- Yog hais tias muaj Ventricular Drain tam sim no, yuav tsum tau ntaub ntawv ntawm nws txoj kev sib tham. Yog hais tias qhov no tsis tau, nws tseem tsim nyog tshem no ntaus ntawv.
Lub teb chaws overwhelming kev nrog DCUs lawm tias tsev neeg ntawm tej hloov mus hloov ua ib feem ntawm cov txheej txheem donation txheej txheem thiab qhia txog tej yaam puab paub nrog donation txhua yam.
Nyob rau hauv cov kev tshwm sim uas ib tsev neeg khoom rau lawv hlub ib tug hloov mus los yog ib tug neeg mob yog unstable hloov mus rau ib DCU, LifeSource Yuav nrog lub tsev kho mob rau accommodating ib lub zos rov qab.
Nationally, feem ntau tsev neeg tau hais goodbye rau lawv hlub ib lub tsev kho mob ua ntej lawv hlub ib hloov mus rau lub Donor Care Unit. Ntxiv thiab, tsev neeg tau muab ib tug paub nyem thaum lawv muab cov kev taw qhia uas lawv yuav hais goodbyes thiab xa rov qab mus rau lawv tsev. Yog li ntawd, mus txawv tebchaws yuav tsis kam muab rau tsev neeg raws li txheem.
Thaum kos, rau cov tsev neeg uas thov mus nrog lawv hlub ib tug, txhua DCU tsev kho mob tau ua phem rau cov chaw muab kev pab thiab txhawb rau tsev neeg. Cov chaw muab kev pab no muaj xws li kev pab mus txawv tebchaws thiab kev pab.
LifeSource Yuav tau them rov qab rau lub tsev kho mob pib tsub uas yog hais txog donation.LifeSource' Tus hais txog nyiaj txiag pab neeg ua haujlwm zoo nrog tsev kho mob Billing hu mus saib tsub. Tag nrho cov nqi yuav muab rov los xyuas dua thiab them raws li CMS cov txheej txheem rau tsev kho mob rau donation, uas yog npaj los them cov nqi thiab tsis txhob undue burden rau tsev kho mob. Tsev kho mob yuav tsis poob reimbursement caij nyoog los ntawm transferring hloov.
LifeSource Hais txog nyiaj txiag pab neeg no muaj los tham txog cov lus nug ntxiv: ap@life-source.org.
LifeSource txheej txheem thauj mus rau pam tuag tsev uas tsev neeg tau xaiv. Tag nrho cov nqi donation hais txog cov nqi yog them los ntawm LifeSource. Tsis muaj donation hais txog cov kev siv nyiaj yog them los ntawm tsev neeg.
Transfers rau Mayo Clinic Donor Unit: Nthuav qhia thiab sib tham nrog tsev kho mob
*Faj seeb: Qhov kev nthuav qhia teem rau kev kawm lwm tus transfers rau Mayo Clinic.
Cov Chaw Muab Kev Pab Ntxiv
Yog xav paub ntxiv txog lub Donor Care Units, xyuas seb cov chaw muab kev pab no.
Ncav cuag koj LifeSource liaison.
Peb lub tsev kho mob liaisons yog ib qhov chaw muab kev pab rau ntau tshaj 270 tsev kho mob nyob rau hauv peb thaj av ntawd. Lawv pab tsev kho mob tswj lawv donation programs los pab nrog txoj cai thiab kev loj hlob, analyzing cov ntaub ntawv, npaj rau ntxawg kev sojntsuam ntxawg thiab muab kev kawm ntawv rau cov txheej txheem donation.