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Organ Donation After Determination of Cardiac Death

Enrollment in this course is by invitation only
PLEASE NOTE: This course is currently undergoing testing and is not available to users.

This is a self-paced, open-enrollment course that may be started and completed at any time. Please note: This course requires an updated browser to function properly. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher). To check your current browser version, click here.

About This Course

This course addresses the practices in place for DCDD at Boston Children’s Hospital. With a more thorough understanding of the process, providers can feel more comfortable having the necessary discussions with families. The course places emphasis on preparing family members and includes clips of simulated scenarios using actors and a manikin. Provider effort to discuss end-of-life care and provide ongoing grief support would likely ease the decision-making process for families and has the potential to increase organ donation.

This course was developed by the OPENPediatrics program at Boston Children's Hospital, and provides Continuing Medical Education credit. To access the videos from this course for free, as well as hundreds of other resources on pediatric care, sign up for a free account on the OPENPediatrics site.

Cost

USD $25.00

Contributors

Sally Vitali, MD

Instructional Time

1 hours, 00 minutes

Course Format, Media and Technical Requirements

Self-paced, using text and video, with post-test assessments. Requires 80% or higher score to earn CME credit. Online course assessment. Requires Safari (v6 or higher), Chrome (v38 or higher), Internet Explorer (v11 or higher), or Firefox (v23 or higher).

Release/Review/Expiration Dates

  • Released: XX/XX/XXXX
  • Reviewed: XX/XX/XXXX
  • Expires: XX/XX/XXXX
  • Learning Objectives

  • Differentiate between circulatory determination of death and neurological determination of death
  • Identify the criteria that determine a patient's eligibility for organ donation after DCDD
  • Prepare to introduce and guide a patient's family through the organ donation process
  • List the criteria involved in determining a patient's eligibility for DCDD
  • Describe the different roles involved in patient management during the process of DCDD
  • Identify the necessary personnel, supplies, equipment, and medications for the process of DCDD in preparation of organ procurement
  • Describe the process of organ donation by DCDD
  • Develop an approach to speaking with the family during the DCDD process
  • Explain what to do if the patient does not reach pulselessness within 1 hour after withdrawal of life-sustaining therapies
  • Statement of Need/Target Audience

    Organ donation after circulatory determination of death (DCDD) is a vitally important process for transplant recipients and can provide a sense of comfort for the donor’s family. In the pediatric population, frequency of DCDD doubled from 2007 to 2013 and it now represents at least 14% of all deceased donation in pediatrics.1 There is an ongoing need for improved healthcare provider education in this field in order to optimize the process.2 This course addresses the practices in place for DCDD at Boston Children’s Hospital. With a more thorough understanding of the process, providers can feel more comfortable having the necessary discussions with families. The course places emphasis on preparing family members and includes clips of simulated scenarios using actors and a manikin. Provider effort to discuss end-of-life care and provide ongoing grief support would likely ease the decision-making process for families and has the potential to increase organ donation.3

    Statment and description of audiences

  • Primary Care Physicians
  • Specialty Physicians
  • Physician Assistants
  • Advanced Practice Nurses
  • Registered Nurses
  • Registered Nurses in Specialty Areas
  • Licensed Practical Nurses
  • Pharmacists
  • Pharmacy Technician
  • 1 Weiss MJ, Horby L, Witteman W, Shemie SD. Pediatric Donation after Circulatory Determination of Death: A Scoping Review. Pediatric Critical Care Medicine. 2016;17(3):e87-e108. doi: 10.1097/PCC.0000000000000602. 2 Nakagawa TA, Bratton SL. Pediatric Donation After Circulatory Determination of Death: Past, Present, and Hopeful Future Changes. Pediatric Critical Care Medicine. 2016;17(3):270-271. doi: 10.1097/PCC.0000000000000605 3 Hoover SM, Bratton SL, Roach E, Olson LM. Parental Experiences and Recommendations in Donation After Circulatory Determination of Death. Pediatric Critical Care Medicine. 2014;15(2):105-111. doi: 10.1097/PCC.0000000000000035

    Accreditation/Designation Statements

    Boston Children's Hospital designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. AAPA accepts AMA category 1 credit for the PRA from organizations accredited by ACCME

    Boston Children's Hospital designated this activity for 1 contact hours for nurses. Nurse should only claim credit commensurate with the extent of their participation in the activity

    This activty (CE department will provide a number to go here XXX) carries a maximum of 1 contact hours

    Boston Children's Hospital is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for the healthcare team.

    Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1 ABP MOC Part 2 points in the American Board of Pediatrics'(ABP), American Board of Internal Medicine (ABIM) and the American Board of Anesthesiology (ABA) Maintenance of Certification program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABP, ABIM and ABA MOC credit.

    Through an agreement between the American Medical Association and the European Union of Medical Specialists, physicians may convert AMA PRA Category 1 Credit™ to an equivalent number of European CME Credits® (ECMECs®). Information on the process of converting AMA PRA Category 1 Credits™ to ECMECs® can be found at:www.eaccme.eu.

    The following Enduring Material: Organ Donation After Determination of Cardiac Death meets the requirement for 1 Risk Management Credits proscribed by the Massachusetts Board of Registration in Medicine and defined in 243 CMR 2.06(5)(d) I.

    Instructors

    Dr. Sally Vitali, MD

    Associate in Critical Care Medicine, Boston Children's Hospital
    Assistant Professor in Anaesthesia, Harvard Medical School

    Disclosures

    In accordance with the disclosure policy of Boston Children's Hospital and the standards set forth by the Accreditation Council for Continuing Medical Education, course planners, speakers and content reviewers list below any relevant relationships they or their spouse/partner have to companies producing, marketing, re-selling or distributing health care goods or services consumed by or used on patients.

    Instructor Disclosures

    No disclosures to report:

    Dr. Sally Vitali, MD

    Content Reviewers

    No disclosures to report:

    Dr. Traci Wolbrink MD, MPH, Lisa DelSignore, MD, Lisa Pixley, RN, Lesley Niccolini

    Commercial and Financial Support Disclosure

    This program receives no commercial support.

    Privacy Policy

    Access the Boston Children's Hospital CME Privacy Policy here.

    1. Course Number

      BCH.AN010-OP
    2. Classes Start

      Sep 21, 2017
    3. Classes End

      Jan 01, 2031