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Donor Alliance Recovery CenterLorrie Linquist RN, MBA, CPTCDirector, Special Projects

What is the Recovery Center?16,000 SF state-of-the-art surgical recovery facility in Lowry3 OR Suites: 600 SF each! 1 Tissue Recovery OR 1 Organ Recovery OR 1 Shared Recovery ORDonor Care UnitConference SpaceShared Admin area for staff

Why Did We Build the Recovery Center?Tissue Recovery had occurred in leased space for 10 yrsTissue Recovery operations had completely outgrowntheir space and capacity: 1200 cases/yearGiven the volume, more sensible financially to build acustom space than to continue to leaseNeeded conference space for 100 staff

Why Did We Build the Recovery Center?New direction in organ procurement to build non-hospital-baseddonor recovery suitesDecreases resource burden on donor hospitals: Frees up critical care bedFrees up nursing and ancillary staffNo juggling of OR timesNo disruption to electively-scheduled casesNo getting “bumped” when traumas come inNo need to call in OR staff and anesthesiaMore expeditious management of back-to-back organ recoveries

Recovery Center: Our Journey We started from scratch with this vacantbuilding in Lowry .

Recovery Center: Research & PlanningConstruction needsRegulatory requirementsEquipmentProcess and Protocol definitionsTrainingCompetency Assessments

Recovery Center: Our Journey And 18 months later ended with this!

Recovery Center Opened June, 2011First TissueRecovery Case:June, 2011 1300 Tissuecases since

Virtual Tour Entry Lobby

Virtual Tour Conference SpaceAccommodates all staffMulti-media AV equipmentCamera transmits recoveriesfrom Shared OR for observationin conference room Coroners appreciate thisfeature

Virtual Tour Admin SpaceTissue Recovery staff is based in this location 24/7Other staff on site prn

Virtual Tour Sleeping SpaceOrgan staff Monitoring kidney pumpparameters Waiting for kidneydispositionSurgeons waiting fordonors to arrive

Virtual Tour Flyout RoomRecoveryteams keepjump kitsready forlongdistancecases

Which Organ Donors Will Be Transferred?Only BRAIN DEAD donors. No DCDNo unstable donorsNo pediatrics at this timeLocal Denver and northern CO casesWill add southern CO in 2013

What’s The Transfer Process?Huddle withhospital staffre: plan RN’s RRT Chaplain Social Worker MD’s And .?FSC explainstransfer tofamily duringAuthorizationprocessDonorAlliance ORCvia CCTambulancew/equipmentfromRecoveryCenterAllow familyample timew/donor, give& receivereport, transfer

First Organ Recovery Case

Transfers From . LittletonAdventist DenverHealth St. AnthonyNorth NorthSuburban UniversityHospital

What’s The Transfer Process?Enroute, ORC has primaryresponsibility for donor care Ventilator, monitor, all routine meds/pumpsShould donor arrest, EMT-Pmanages airway and ACLS drugs To salvage organs for transplant, transfercontinues to Recovery Center wheresurgeons can be accessed quickly for organrecovery

Virtual Tour Donor ArrivalTransportBay: CCTambulanceordecedenttransportpulls in totransferdonor

A Virtual Tour Donor Care UnitORC’s perform all care/interventionsRecovery Center time will be up to 20 hrs

Virtual Tour Donor Care UnitState-of-the-art equipmentFull donor lab capability onsite

Virtual Tour Donor Care UnitPortable x-raycapabilityBloodadministration

Virtual Tour Family RoomNot anticipatedthat family will bepresentBut we have aspace for them ifthey are

Virtual Tour ORAbility to handle 2 simultaneous OR recoveriesHigh-volume Neptune suction, slush machine, Skytron lights,German surgical instruments, Draeger anesthesia machine

Virtual Tour ORDonor Alliance staff circulate case andprovide ventilation/hemodynamic support

Virtual Tour ORUtilize per diem scrub assistanceSurgeons enjoy doing cases in the RC

Virtual Tour SterilizationIn-house sterilization system

In Closing We’re off to a great start in theRecovery CenterDonor hospitals tell us it’s been a benefit forthem to transfer donors, and the process goessmoothlyThank you to all involved for yourparticipation and support of this innovativenew practice!

Donor Alliance Recovery Center Lorrie Linquist RN, MBA, CPTC Director, Special Projects . What is the Recovery Center? 16,000 SF state-of-the-art surgical recovery facility in Lowry 3 OR Suites: 600 SF each! 1 Tissue Recovery OR 1 Organ Recovery OR 1 Shared Recovery OR