S.P.A.N.C.

This blog is meant to be a place for Sunnybrook Peri-Anesthesia Nurses (Pre-Admission Centre, Same Day Surgery, Post Anesthetic Are Unit and Surgical Short Stay Unit) to stay in communication with each other and to be up-to-date with concerns regarding the Peri-Anesthesia Department. The Purpose of S.P.A.N.C is •To re-implement a unit based council •to identify the unique role of the Peri-anesthesia nurse and to help staff from other areas understand what it is that we do •to create a collegial atmosphere for sharing our professional experiences within the subgroups of Peri-anesthesia •to facilitate open discussion and priority of issues relating to professional practice, education and research that impact on the quality of our work life and thereby affect positive outcomes for our patients and their families.

Thursday, June 3, 2010

SAQ #48

DOES THE TEAM DISCUSS ORGAN DONATION WITH THE CLIENT? RED, HIGH


SUMMARY OF RELATED STANDARD(S)
8.5 Prior to a procedure, the team discusses organ donation with the client, and provides an opportunity for the client to consent to organ donation


Process Currently in Place - Evidence of Current Status
Unless Sunnybrook has a policy outside the ICU-ER that states otherwise, TGLN would only expect a call at end-of-life from the other units when it is family initiated, as we have not designated these units to report all deaths or to approach families.
You can order hard copies of these FAQs through Woodlands to place on the units. The PDF file can be used on the hospital intranet if available.
Below is the information that we have provided to other hospitals who have asked us about surgical accreditation standards of consenting patients.
What is the TGLN policy about discussion organ and tissue donation?
We only approach families in end of life situations and so our policies and procedures are related to this work in hospitals. None of our procedures or guidelines contemplate the situation the surgical standard is proposing. Where we do have a position in speaking with ‘healthy’ Ontarians’ is through our communication strategy that is targeted to Ontario Citizens and promotes registration of consent at OHIP offices.
What are other hospitals in the province doing?
In checking with our coordinators across the province we have identified that three hospitals are currently asking a question about donation at the point of admission. An additional three hospitals have discussed whether they would ask a question about donation preference but have not implemented one as yet. They are questioning the appropriateness of asking this question to patients coming for care. They are concerned about untrained staff asking this question and perceptions of the public that they will not be treated or questioning the hospitals standard of care. *See also PDF sent from GTL


Improvement Strategy / Action Plan
Reassess in June

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