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Organ Donation “The Gift of Life”. University of Wisconsin Hospital and Clinics Organ Procurement Organization. Organ Procurement Organizations University of Wisconsin Hospital and Clinics OPO (Madison) – Red Wisconsin Donor Network (Milwaukee) – Green LifeSource (Minneapolis) - Blue.

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Organ donation the gift of life

Organ Donation“The Gift of Life”

University of Wisconsin Hospital and Clinics

Organ Procurement Organization


Organ Procurement OrganizationsUniversity of Wisconsin Hospital and Clinics OPO (Madison) – RedWisconsin Donor Network (Milwaukee) – GreenLifeSource (Minneapolis) - Blue


Recovery agencies
Recovery Agencies

  • Organ Recovery Agencies:

    UW Health OPO – most of WI, UP of MI, Rockford, IL

    Wisconsin Donor Network – Milwaukee & SE Wisconsin

    LifeSource OPO – Minnesota, N. & S. Dakota, NW WI

  • Tissue Agencies: Have contracts with individual hospitals

    MTF

    Wisconsin Tissue Bank

    RTI Donor Services

    ATSF

  • Lions Eye Bank of Wisconsin


National transplant waiting list
National Transplant Waiting List

Type of TransplantWaiting Transplanted in ‘08 Kidney 79,252 16,514

Liver 15,845 6,318

Lung 1,954 1,478

Heart 2,782 2,163

Heart-lung 85 27

Kidney-pancreas 2,269 836

Pancreas 1,535 437

Intestines 220 185

Totals 101,524 27,958

Source: Organ Procurement and Transplant Network - As of 4/14/2009


Wisconsin transplant waiting list

Type of TransplantWaiting Transplanted in ‘08

Kidney 1,071 445

Liver 218 155

Lung 66 40

Heart 82 29

Heart-lung 0 1

Kidney-pancreas 57 49

Pancreas 11 15

Intestines 2 0

Total 1,470734

Source: Organ Procurement and Transplant Network, As of 4/14/2009

Wisconsin Transplant Waiting List


Illinois transplant waiting list
Illinois Transplant Waiting List

Type of TransplantWaiting Transplanted in ‘08

Kidney 3,707 726

Liver 637 251

Lung 65 60

Heart 109 92

Heart-lung 4 0

Kidney-pancreas 155 41

Pancreas 83 34

Intestines 8 4

Total 4,6181,208

Source: Organ Procurement and Transplant Network, As of 4/13/2009


Michigan transplant waiting list
Michigan Transplant Waiting List

Type of TransplantWaiting Transplanted in ‘08

Kidney 2,502 578

Liver 307 209

Lung 45 43

Heart 84 52

Heart-lung 0 0

Kidney-pancreas 48 19

Pancreas 25 7

Intestines 0 0

Total 2.959 908

Source: Organ Procurement and Transplant Network, As of 4/14/2009


Organ donation statistics
ORGAN DONATION STATISTICS

  • There are more than 101,000 people currently waiting for an organ transplant in the United States, more than 2,500 are children.

  • The list is growing at the rate of one person every 13 minutes, or more than 3,000 patients each month.

  • Nearly 200 children and 6,300 adults died while waiting for an organ transplant last year.

  • 17 people die every day waiting for transplants.

  • More than 90% of Americans support organ donation, yet less than half say “yes” when approached at the time of donation.


  • Heart

    • Cardiomyopathy, Coronary Artery Disease, Congenital Heart Disease, Valvular Heart Diseases

  • Lungs

    • Emphysema/COPD, Cystic Fibrosis, Pulmonary Fibrosis, Primary Pulmonary Hypertension, Congenital Pulmonary Defects

  • Liver

    • Hepatitis A,B,C, Cirrhosis, Biliary Disease, Metabolic, Neoplasms

  • Pancreas

    • Diabetes Type I without Renal Disease, Hypoglycemic Unawareness, Pancreas after Kidney Transplant

  • Kidneys

    • End Stage Renal Disease, Diabetes with Renal Disease

  • Small Intestines

    • Short Gut Syndrome, Severe Vascular Disease


Tissue eye donation
Tissue & Eye Donation Need For Transplant

  • Skin

  • Bone

  • Connective tissue (ligaments & tendons)

  • Heart valves

  • Veins

  • Corneas


The gift of tissue eye donation
The Gift of Tissue & Eye Donation Need For Transplant

  • Skin is used for burn victims, and in reconstructive and cosmetic surgeries

  • Bone and connective tissue are often used for sports injuries or trauma repair

  • Veins are used for vascular surgeries

  • Corneas are used for certain types of blindness


The differences
The Differences…. Need For Transplant

  • Organ Donation

  • The patient must be maintained by a mechanical ventilator

  • Organs must be properly preserved and transplanted quickly

  • Life-saving procedure

  • Tissue/Eye Donation

  • Occurs in the first 24 hours after the heart has stopped beating

  • The tissues can be preserved and used at a later date

  • Life-enhancing procedure


Organ preservation time limits
Organ Preservation Need For TransplantTimeLimits

  • Heart: 4 to 6 hours

  • Lungs: 4 to 6 hours

  • Liver: 12 hours

  • Pancreas: 12 to 18 hours

  • Kidneys: up to 72 hours

  • Small Intestines: 4 to 6 hours


Current Criteria for Organ Donation Need For Transplant

  • Patients who have been declared brain dead

    OR

  • Patients with severe neurological injury and family and MD are discussing withdrawing ventilator support

  • Up to age 75 – flexible – there was a 96 y.o. donor last summer

  • HIV – (at this time)

  • No active malignancy

    • Exception: Primary CNS tumors

      Note: Only the OPO can determine

      donor suitability


If i want to be a donor
If I want to be a donor…. Need For Transplant


Say yes to donation
Say “Yes” to Donation: Need For Transplant

  • In Wisconsin you can legally consent to donation by signing the Anatomical Gift Statement on the back of your driver’s license or state issued ID card.

  • You can indicate your support of donation by attaching an orange “donor dot” to the front of your license or ID card.

  • You can also include your donation decision in writing in your living will or healthcare POA documents.

    ~BUT~


The most important step
The Most Important Step Need For Transplant

Tell your family or legal next of kin your wishes. Hospital staff will ask them about your wishes as they relate to donation.


Who is my legal next of kin
Who is my Legal Next of Kin ? Need For Transplant

  • Healthcare Agent/POA

    (if enabled to do so)

  • Spouse

  • Adult Child

  • Parent

  • Adult Sibling

  • Grandparent

  • Grandchildren

  • Legal Guardian

  • Coroner or ME


Can your family go against your wishes
Can Your Family Go Against Your Wishes ? Need For Transplant

  • If you haven’t legally documented your decision in writing, your legal next of kin has the right to make the decision, even if it’s not the decision that you wanted.

  • It’s important to make sure that you have properly documented your decision and that they know your wishes about donation.


Through organ tissue donation
Through Organ & Tissue Donation… Need For Transplant

One donor can…

  • Save up to eight lives through organ donation

  • Give sight to up to two people

  • Enhance the lives of 40 or more people through tissue donation


State donation data dmv
State Donation Data - DMV Need For Transplant

Wisconsin Organ & Tissue Donor Program:

https://apps.dhfs.state.wi.us/OrganDonor/public/Home

  • Website query capabilities on organ donation according to:

  • Age range, ethnicity, county, dates, etc.

  • Allows you to view/print intent map


Organ donation websites
Organ Donation Websites Need For Transplant

  • United Network of Organ Sharing - UNOSwww.unos.org

  • US Dept. Of Health and Human Services - HHSwww.organdonor.gov

  • Donate Life America

    www.shareyourlife.org or www.donatelife.net

  • Wisconsin Dept. of Health Services dhs.wisconsin.gov/health/donatelife/index.htm

  • University of Wisconsin OPOwww.uwhcopo.org

  • Donate Life Wisconsin

    www.donatelifewisconsin.org


Volunteer opportunities
Volunteer Opportunities Need For Transplant

  • Sharing your personal story:

    Churches, civic groups, media, hospital

    staff who work with donors/recipients, etc.

  • Staffing a booth on organ donation

  • Educating others: Driver’s ed classes, friends, community at large

  • Be a Dottie the Dot mascot/escort


Tips for staffing a booth
Tips for Staffing a Booth Need For Transplant

Display or Table Set Up:

  • Keep it simple. Group materials neatly.

  • Stand or sit at different ends of the table.

    Talking Points:

  • Phrases to break the ice:

    “Hello – would you like a donor dot?”

    “Hi – have you made a decision about organ

    donation?”


Tips for staffing a booth1
Tips for Staffing a Booth Need For Transplant

If they answer YES to either question:

  • Offer a giveaway item (if available)

  • Ask if they have discussed their decision with their family.

    If they answer NO:

  • Offer the one-page info sheet

  • You can say “This is a good reference with information and common questions about donation.”


Tips for staffing a booth2
Tips for Staffing a Booth Need For Transplant

If you are asked questions & you don’t know the answers:

  • Be honest. Say you don’t know but would be happy to have someone from the OPO follow up with them. Offer the websites on the one page info sheet.

    If they would like OPO follow up:

  • Forward their contact info & question to Trey Schwab


Tips for staffing a booth3
Tips for Staffing a Booth Need For Transplant

If someone is “on the fence” about donation – you may say something like: “If you aren’t sure about donation, ask yourself this: If you or one of your loved ones needed a transplant to live, would you accept it? If so, I would certainly hope that you would be willing to give that opportunity to another person.”

Offer them a Got Your Dot flyer to take with them. Show them the web site on the back, where they can go to learn more.


Tips for staffing a booth4
Tips for Staffing a Booth Need For Transplant

Please Remember….

  • A certain percentage of people will say “No”.

  • Organ donation is a very personal decision.

  • Our goal is to ask everyone to make an educated decision about donation and to share their decision with their family.

  • We aren’t trying to coerce people into being donors and we must respect personal decisions.

  • You are representing UW Health OPO.


Tips for working with the media
Tips For Working With The Media Need For Transplant

Per UW Policies – UW Health Public Affairs needs to be notified of ANY media request for an interview or data.

  • Contact Kathy Schultz in Public Affairs:

    [email protected]

    608.262.9374 or 719-9086 or pager 4016


Tips for working with the media1
Tips For Working With The Need For TransplantMedia

Before the Interview:

  • Kathy will follow-up with the reporter to get a feel for the type of story they are interested in. She will educate the reporter and/or share current data and facts, and will determine who to ask to do the interview.

  • She will then follow-up with the appropriate person and help them prepare for the interview.

  • Once she does that – please respond to reporters quickly.

  • Ask Kathy or the reporter for a list of questions or topics.

  • Make sure you have consent before discussing any patient information.

    CHECK WITH KATHY IF YOU ARE UNSURE OF ANYTHING !


Tips for working with the media2
Tips For Working With The Media Need For Transplant

During an Interview:

  • Message, Message, Message!

  • Speak clearly and use regular language (Avoid abbreviations and acronyms that are unfamiliar to people who haven’t experienced donation or transplantation.)

  • Don’t lie or try to fudge the truth. If you don’t know the answer, just say so. A good reporter will follow-up to find the answer elsewhere, and/or the question will not be included in the edited interview.

  • Stay “on the record.” There is no “off the record” with the media. If you say it, they can use it.

  • Use brief examples. Think “quotable sound bite” >20 seconds.

  • Use good posture and retain eye contact with the reporter.

  • Mind your facial expressions and gestures. Body language speaks loudly.

  • Dress appropriately. Look professional, tidy and prepared. This raised the audiences perception that you are important and know what you’re talking about.


Sensitive terminology
Sensitive Terminology Need For Transplant

Please Use

“Harvest or harvesting” of organs

“Recover or recovery” of organs

Instead of

“Deceased” donor or“Deceased” donation

“Cadaver” or“Caderveric” donor

Instead of



Will the doctors do everything they can to try and save me if they know my wishes to be a donor
“ Will the doctors do everything they can to try and save me if they know my wishes to be a donor?”

Absolutely

  • The OPO team is separate from the medical team treating the patient. This ensures that there is no conflict of interest.

  • Donation is only considered after all efforts to save a patient’s life have been pursued by the medical team.


How does religion relate to organ donation
“How does religion relate to organ donation?” me if they know my wishes to be a donor?”

  • The majority of religions support organ donation.

  • Most religions view organ and tissue donation as a charitable act.

  • Talk to your religious leader about donation.


Will donation disfigure the body
“Will donation disfigure the body me if they know my wishes to be a donor?”?”

No

  • Organs are removed through surgical incisions.

  • Areas affected by tissue donation are reconstructed and concealed by clothing.

  • A family is able to have an open casket funeral.


Does donation cost a family money
“Does donation cost a family money?” me if they know my wishes to be a donor?”

No

  • Individual recovering agencies pay for all expenses associated with the recovery.

  • Those costs are passed on to the recipients and their insurance companies.

  • The donor’s family is responsible for the typical funeral expenses.


Will donation cause any delays with funeral arrangements
me if they know my wishes to be a donor?”Will donation cause any delays with funeral arrangements?”

No

  • The recovering agency will make certain the body is released to the funeral home on time.

  • No extra planning is required by families of organ and tissue donors.


Can you pay to get an organ
“Can you pay to get an organ?” me if they know my wishes to be a donor?”

No

Allocation Criteria

  • Blood type

  • Medical urgency

  • Tissue match

  • Waiting time

  • Organ size

  • Immune status

  • Geographic distance


Will the organs be transplanted locally
“Will the organs be transplanted locally?” me if they know my wishes to be a donor?”

Yes, If….

  • There are local recipients for the organ.

  • There are no status-one patients in our region.

    (livers only)

  • There are no recipients in the U.S. who are a perfect tissue-typing match.

    (kidneys only)

  • Approximately 85-90% of all organs donated here are

    used for transplants here.


Introducing Dottie the Dot! me if they know my wishes to be a donor?”

  • Dottie is Wisconsin’s very own organ donation mascot.

  • She is designed to look like the orange “donor dot” (organ donation sticker) that Wisconsin residents place on their driver’s license if they wish to be listed as a donor.

  • She was made possible by a generous donation from WPS Insurance. The Dottie program is managed by UW Health.


Dottie s mission
Dottie’s Mission: me if they know my wishes to be a donor?”

To increase the number of Wisconsin residents who declare their wish to be a donor.


Dottie s goals
Dottie’s Goals: me if they know my wishes to be a donor?”

  • Currently, 2.2 million (52 percent) of Wisconsin residents have already declared their intent to donate.

  • The Dottie program, along with several other state-wide initiatives, is working to raise that figure to over three million people, (75 percent) of Wisconsin residents.

  • That figure would put Wisconsin at the top of donation rates throughout the nation.


Understanding the job and the rules
Understanding the Job me if they know my wishes to be a donor?”and the Rules


Doing your job as a dottie mascot and or escort
Doing your job as a Dottie mascot and/or escort: me if they know my wishes to be a donor?”

  • You will appear at public and private events in communities throughout Wisconsin to promote organ, eye and tissue donation.

  • You will promote the “Got your Dot?” campaign encouraging residents to place an orange donor dot on their driver’s license or state ID.

  • You will ask people if they’ve “Got their dot?” and answer their questions about how to be listed as an organ, eye and tissue donor.

  • You will direct people to donatelifewisconsin.org to learn more and share their wishes.


Dottie s escorts are
Dottie’s escorts are… me if they know my wishes to be a donor?”

  • Champions for the cause.

  • Able to answer basic questions about organ donation.

  • Always directing people to the Donate Life Wisconsin’s Web site to learn more.

  • Responsible for ensuring Dottie’s safety and comfort level at all times.

  • Clean, neat, respectful and appropriate.


How do i become a mascot escort
How Do I Become a Mascot/Escort? me if they know my wishes to be a donor?”

  • Email: [email protected] or complete a volunteer form today.

  • Anyone can be a Dottie escort, however mascots must meet specific height, size and physical requirements towear the costume.

  • Join the team of more than 75 people who are volunteering their time and energy to the Dottie the Dot program.

  • Dottie will be a big part of the Transplant Games in 2010, so don’t miss your chance to join the fun!


An overview madison 2010

An Overview – Madison 2010 me if they know my wishes to be a donor?”


What are the u s transplant games
What are the U.S. Transplant Games? me if they know my wishes to be a donor?”

  • Olympic-style competition that is held every two years.

  • Competitors have all received organ transplants.

  • 12 sports with 41 different events.

  • Ages - 18 months to 80+ years.

  • Programs, ceremonies and workshops.

  • Organized by the National Kidney Foundation and the Wisconsin Local Organizing Committee


Competitions

Badminton me if they know my wishes to be a donor?”

Basketball

Bowling

Cycling

Golf

Racquetball

Road Race

Swimming

Table Tennis

Tennis

Track & Field

Volleyball

Competitions


Additional activities
Additional Activities me if they know my wishes to be a donor?”

  • Games Expo/Athlete Village

  • Opening & Closing Ceremonies

  • Kids Time Activities

  • 5K Public Road Race

  • Nightly Social Lounge

  • Donor/Recipient Golf Outing

  • Professional Conference

  • Giving, Grieving, Growing – Workshop for Donor Families

  • Donor Recognition Ceremony

  • Living Donor Recognition Event

  • Workshops for Living Donors

  • Donor Quilt Pinning Ceremony

  • Coffee House

  • Family Fun Night


Program objectives
Program Objectives me if they know my wishes to be a donor?”

  • Demonstrate success of transplantation.

  • Call public attention to need for more donors.

  • Rehabilitation of transplant recipients.

  • Honor both living and non-living donors.

  • Involve the transplant community and the local community as a whole.


Who attends
Who Attends? me if they know my wishes to be a donor?”

  • Transplant recipients

  • Donor families

  • Living donors

  • Transplant professionals

  • Family and friends

  • Local community


Games growth
Games Growth me if they know my wishes to be a donor?”


Games locations
Games Locations me if they know my wishes to be a donor?”

  • 1990 – IUPUI (Indianapolis, IN)

  • 1992 – UCLA (Los Angeles, CA)

  • 1994 – Emory (Atlanta, GA)

  • 1996 – U of Utah (Salt Lake City, UT)

  • 1998 – Ohio State (Columbus, OH)

  • 2000/2 – Disney World (Orlando, FL)

  • 2004 – U of Minn. (Minneapolis, MN)

  • 2006 – Conv. Ctr./U of L (Louisville, KY)

  • 2008 – UPMC/Pittsburgh, PA

  • 2010 – Madison, WI (Statewide LOC)


Coming soon
Coming Soon: me if they know my wishes to be a donor?”

  • Complete information will be released to the public and the media. This communication will include the following areas:

  • Volunteering Opportunities and How to sign-up.

  • Participation information for transplant recipients who want to compete for Team Wisconsin.

  • Participation information for donor families and/or living donors who wish to attend and take part in the 2010 Games.

  • Information for companies and corporations that would like to get involved.

  • A list of contacts for people who are looking for more information, someone to speak to their group, etc.


How can you help
How Can You Help? me if they know my wishes to be a donor?”

  • Let your employer, community groups, etc. know that the Transplant Games are coming and see if they would like to get involved.

  • We will need donations – both cash and in-kind (printing services, professional assistance, etc.)

  • Spread the word to your friends and families.

  • Identify any contacts that you have that would be of assistance to Trey Schwab.

  • VOLUNTEER – we will need approximately 3,000 volunteer days to make the Games a success.


To get involved
To Get Involved me if they know my wishes to be a donor?”

  • Contact Trey Schwab at the UW Health OPO - (608) 890-9451 or via e-mail at: [email protected]


http://www.dot.wisconsin.gov/drivers/vehicles/personal/special/donatelife.htmhttp://www.dot.wisconsin.gov/drivers/vehicles/personal/special/donatelife.htm

Proceeds go to Donate Life WI to help support a WI State Donor Registry


Questions
Questions?http://www.dot.wisconsin.gov/drivers/vehicles/personal/special/donatelife.htm


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