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Exam (elaborations)

CPTC

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Exam of 14 pages for the course AACN PCCN at AACN PCCN (CPTC)

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CPTC

AOPO -

provides education, research, information sharing, and technical assistance



CMS -

offers financial coverage to individuals with end stage renal disease and reimburses for organ
transplant, as well as holds hospitals accountable for referring potential donors



HRSA -

Part of the US Dept of Health and Human services, improves access the healthcare for
uninsured, isolated, or medically vulnerable Americans



NOTA -

outlaws the sale of human organs and established OPTN, task force and SRTR.



USDRS -

collects, analyzes, and distributes data about end-stage, renal disease, which helps one
understand the demand for kidney transplantation.



UAGA -

provides legal right to uphold a registered donor's wishes and advocate for their intent to be a
donor, even if the family doesn't support



OPO incurs cost, reimbursed by transplant center, reimbursed by Medicare -

reimbursement r/t renal organs



UDDA -

provided medically sound base for determining death



NOTA -

, created OPTN, established federal grants for OPO, and created SRTR



Omnibus Budget Reconciliation Act -

requires that all hospitals participating in Medicare or Medicaid have protocols for
encouraging organ and tissue donation



62% -

what % of bd donors will experience cardiac arrest within 24 hrs



87% -

what % of bd donors will experience cardiac arrest within 72 hrs



66% in 24hrs -

Once WDLS begins, how long on average before family decision is made to withdraw care



TB, Gangrene of bowel, perforated bowel, and abdominal sepsis -

bacterial rule outs - 4



aplastic anemia, agranulocytosis, extreme immaturity, msof due to overwhelming sepsis -

general rule outs - uncommmon



<500 grams or gestational age <32 weeks -

extreme immaturity



<70, documented BD -

criteria for eligible donor



< 70, absence of 3 or more BSR -

criteria for imminent



>70, or meets exclusionary criteria -

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