InstantForum.NET / Clinical Transplant / Transplant / Liver/Intestine

number of patients/NP or coordinator

Lori Rosenthal — Tue, 27 Jul 2010 20:32:37 GMT

Can anyone tell me how many patients a nurse practitioner in programs caps at for liver transplant? I need to know when you consider adding another NP to your team. For instance once an NP has 300 patients would you add another?

hospitalization following liver biopsy for pediatric patients

Deborah Andersen — Thu, 10 Dec 2009 10:05:49 GMT

Our hospital requires the pediatric patients to stay in the hospital overnight for liver biopsy. We are concerned regarding reimbursement for these overnight admissions. Wondering what the standard of care across the country is regarding this.

Liver Transplant Protocols

Mahmoud Saleh — Sun, 05 Jul 2009 16:52:48 GMT

We are developing a new protocol that includes all aspects related to liver transplantation ( evaluation , listing , follow up....).
Anybody would like to share with me some protocols.

evaluation and activation of low/high MELD liver patients

Lori Coleman — Fri, 08 May 2009 12:39:55 GMT

My liver program has a process that i would like to streamline. I have both evaluation and high MELD coordinators. Our low MELD patients are managed mostly by NP's in our outreach clinics with the support from our hepatologists.

My eval coordinators do about 300 evals annually. They do not do any waitlist management. Patients are added to the UNOS list with MELDs of 8 or above. They are made Status 7 until there MELD scores reach 16 or above or their condition deteriorates. The high MELD coordinator spends her time making sure any testing to "CLEAR" them for txp is either completed (if missed) or redone if outdated.

This seems to be a burden on my high MELD coordinator as she is often told to URGENTLY clear someone.

My question is really: how do other centers do this? Do you make sure all evals are TOTALLY done and activate and manage? I am looking for any suggestions!! thanks all. LC

:w00t:

seroquel in liver transplant recipients

Denise Morin — Tue, 21 Apr 2009 18:46:33 GMT

Does anyone have experience with the use of seroquel in liver transplant recipients? By case report, we have a few cases with transaminitis most likely related to seroquel. One case seems very straight forward without confounding variables, but the other 2 cases have concomitant conditions including Hepatitis C and a question of recurrent autoimmune idsease. We do have histologic data on these 2 latter patients, but it is difficult to discern drug effect from these concomitant diagnoses.

CDC high risk patient consent for organ transplant

Maureen Burke-Davis — Thu, 09 Oct 2008 10:02:52 GMT

We are trying to streamline our various organ transplant departments to use the same consent form. Interested to know how other hospitals with multiorgan programs are dealing with this issue. I would welcome any suggestions from multiorgan centers.

Forms Question: ABO verification at the donor hospital

Ursula Hobbs — Mon, 16 Mar 2009 09:05:30 GMT

I am interested in hearing from centers regarding ABO verification in the field. I would like to develop a form for our surgeons to take to the donor hospital to document that ABO verification has taken place. Is anybody already using a form they would be willing to share? Where do you keep your documentation once the surgeon has filled out the form?

How are other centers meeting the CMS requirement that on-site ABO verification be documented? Is your process the same for all organs? I am a liver transplant coordinator but would like to use something for all abdominal organs.

Post-Operative Constipation

Laurel Williams — Wed, 11 Mar 2009 16:46:01 GMT

Our request:

We are performing an evidence-based project focused on post-operative constipation. Our ultimate goal would be to have a constipation management protocol that the doctors/midlevels could initiate and staff nurses could use to manage post-operative constipation. Does your institution have any practice guidelines, protocols, or order sets that deal with management of this problem? We would appreciate any information you would be willing to share with us.

williamsl@unmc.edu

Instructions - How to Use Instant Forum

Janene Dawson — Mon, 14 Jul 2008 16:52:13 GMT

Welcome - attached are a set of instructions on how to get started with the NATCO Instant Forum. Enjoy.