Utilisation of an embedded specialist nurse and collaborative care pathway increases potential organ donor referrals in the emergency department
- 1Norfolk and Norwich University Hospital NHS Trust, Norwich, Norfolk, UK
- 2NHS Blood and Transplant, Addenbrookes Hospital, Cambridge, UK
- Correspondence to Dr Julian Garside, Emergency Medicine Registrar, Norfolk and Norwich University Hospital NHS Trust, 48 Pightle Way, Lyng, Norwich, Norfolk NR9 5RL, UK;
- Accepted 10 February 2011
- Published Online First 17 March 2011
Objective To review the impact of an embedded specialist nurse in organ donation (SN:OD) and the utilisation of a collaborative care pathway on potential solid organ donor referrals in an emergency department (ED) over a 24-month period.
Methods A retrospective cohort study of adult patient deaths within the department, (n=311) during a 24-month period. Referral rates to the organ donation team (ODT) were compared before and after the introduction of a SN:OD and collaborative care pathway.
Results Referrals to the ODT significantly increased from three of 151 eligible patients (2%) to 26 of 160 patients (16%; χ2 test p<0.0001) following the introduction of a SN:OD into the trust. The number of patients proceeding to organ donation increased from none to two (Fisher's exact test p=1.0).
Conclusions The presence of an embedded SN:OD in the ED and the adoption of a collaborative care pathway to establish clinical triggers for referral to the ODT have significantly increased the rate of referral of adult potential organ donors to organ donation services.
- Clinical management
- collaborative care
- emergency department
- organ donation
- prehospital care
- specialist nurse
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.