ARTICLE JOURNAL(ICT NURSING)

TAJUK ARTICLE

NURSING IN CRITICAL CARE



NAMA JOURNAL

IMPROVING ORGAN DONATION RATES.SO WHAT CAN BE DONE?



VOLUME JOURNAL

VOLUME 13 ISSUE 5 SEPTEMBER & OCTOBER 2008

BY KATHY DALLEY



PENILAIAN DAN RINGKASAN JOURNAL



- Transplants saves lives

-The endotracheal tube is removed by ct scan,neurosurgical and also explainations

-There should be notification of the co-ordinator and a discussion with family about the donation and if agreement is reached,treatment withdrawal delayed until the retrieval teams and on site.

-At ICU unit patients with cardiac arrest who has sustained hypoxic brain injury,they are notified and the option of donation discussed through ict

-There are difficult issues around delaying the withdrawal of treatment,test that are have to be performed at that time

-Continuing treatment and test cannot be argued because it's based on patients interest.

-Patients no longer have the interest of transplanting because some proses that occurs in the brain stem dead( or heart beating) donor ,the patient is considered as legally dead as for law.

-Donation of solid organs is only possible if asystole occur within a matter of hours.

-The body will be taken to the theatre for organ retrieval after the period of minutes for following asystole.

-This process can only be done with the support of emergency department.

-A few ICU unit have been practising donation or organs and tissues after cardiac death.


-The one way of improving the supply of solid organ is addressing notification rates by staffs and the refusal rates with donation of hearts ,lungs and liver which only transplanable from the brain
dead donor

-As part of critical care team the role is to identify and notify every opportunity