Aggressive alloocation/ politics/ ethics
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Aggressive alloocation/ politics/ ethics Expand / Collapse
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Posted 8/4/2009 5:03:31 PM


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At LifeBanc once we run lists on a donor I look at all of them and make notes and then we have an allocation huddle with AOC, Med Director and PTC. In the huddle I present a summary of my findings on the lists ( e.g. 1 KI must go for 0MM, there are status 1Bs on Nat'l portion  of Liver list, 5 local KPs @ 1 center none at the other, we double the #of potential IN recipients of appropriate size if we offer the PA with the IN...)

Often it causes consternation among local centers if we offer the PA/ IN in preference to the KP... is this an issue where you work and do you do that?

How do you all look at allocation?

We allocate thoracics 1st due to the paucity of thoracic surgeons vs ABD guys and the effect that has on OR timing + the desire to place KI or PA etc + "lifesaving" when possible.

so our usual order on a full donor is:

HL, LU, LI, IN vs KP, KP vs IN, isolated panc back-up, KI ( thousgh having 0MM offered early in case top clarify number of locall KIs is useful)

Adam Bell, CCEMT-P, CPTC
LifeBanc, Cleveland, Ohio, USA

Post #155
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