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Medical University of South Carolina Transplant Center
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Presenters
Rebekkah Wolfe, BSN, RNDr. Carlos Zayas, MD Jodi Schwartz, LISW-CP, CCTSW
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Transplant Center Contact Information
MUSC Transplant Center 843-792-5097
MUSC Main Number843-792-2300
MUSC Transplant Fax Number843-876-2968
Clinic Information: 35 Rutledge Ave Charleston SC 29425 9th floor • Valet parking $10, garage
parking $3 and handicap is free
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Overview
Introduction: Dr. Carlos Zayas, MD 01
Steps of Transplant Referral/ Evaluation: Rebekkah Wolfe, BSN, RN02
Transplant Social Work Assessment: Jodi Schwartz, LISW-CP, CCTSW03
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Why do we Perform Kidney Transplants?
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With Transplant Without Transplant
Kidney Transplant Saves Lives
One Year Later…100 Patients with End-Stage Renal Disease
20%will notsurvive
3%will notsurvive
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Kidney Transplant Saves Lives
With Transplant Without Transplant
Five Years Later…100 Patients with End-Stage Renal Disease
65%will notsurvive
25%will notsurvive
On average, ESRD patients undergoing renal transplantation live 5+ years longer than ESRD patients who remain on dialysis
Greatest survival advantage seen in PRE-EMPTIVE Transplant recipientsand Living Donor Transplant recipients
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Kidney Transplantation: Referral to Transplant
Medical tests Health
Maintenance Homework list
Chart review Contraindications Financial/social
Blood work HLA/PRAs 1093 WL
patients
285 WL patients Transplanted
In South Carolina
“The Darwinian Process” | “The Process”
2 months 4 months5 years
Nationally
Referral
100 pts
Evaluation
55 pts
Selection Committee
32 pts
Waitlist
22 pts
Transplant
12 pts
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Overview
Introduction: Dr. Carlos Zayas, MD 01
Steps of Transplant Referral/ Evaluation: Rebekkah Wolfe, BSN, RN02
Transplant Social Work Assessment: Jodi Schwartz, LISW-CP, CCTSW03
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Referral to Evaluation: Your Impact!
Present State
Insurance card — front and back
CMS 2728 Form
MUSC Referral Form
What is needed for referral?
Future State
T-Rex: Go- Live 02/2020
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Evaluation — 1 Day at MUSCKidney transplant education (video/brief overview with providers)
Multidisciplinary team evaluation
Transplant Surgeon
Transplant Nephrologist
Social Worker
Pharmacist
Dietician
Testing completed at evaluation
Transplant evaluation-specific labs
Chest x-ray
EKG
Echocardiogram
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Evaluation to Selection Committee: Homework List
ALL PATIENTS ARE DISCHARGED FROM
CLINIC WITH A HOMEWORK LIST
PATIENTS SHOULD COMPLETE
HOMEWORK LIST IN 90 DAYS
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Evaluation to Selection Committee: Your Impact
• Mammogram• PSA• PAP Smear• Others
Health Maintenance
• Stress Test• Echo• Others
Cardiac
• Consults • Patient specific
Everything Else
SELECTION COMMITTEE
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Contraindications to Transplant: OBJECTIVE CRITERIA
Age < 64
BMI must be <40
Age > 65
BMI must be <35
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Contraindications to Transplant: OBJECTIVE CRITERIA
CDC recommended functional
status testing
Get up and go
Up downs
Functional Status
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Transplant Referrals with Potential for Halt
Pre-Screen Process
BMI > 5 points higher
Compromised ambulatory status
Age >75
Mission: Objective, patient centric, and regional patient assessments
SELECTION COMMITTEE
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Our Regional Teams
Midlands Region
Misty Chastain, NPKarim Soliman, MD
Kristen, RN and Octavia, TPA
Kaitlin, RN and Todd, TPA
Out of State
Carols Zayas, MD
Lowcountry Region
Aurora Posadas Salas, MD
Tykida, TPA and Michelle, RN
Upstate Region
Zachary Sutton, PAVinaya Rao, MD Sarah, TPA and Rebekkah, RN
Veronica, RN andCrystal, TPA
Florence/ Myrtle Beach Region
Tiffany Tindal, NPMichael Casey, MD
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Selection Committee to Waitlist
Chart review
Multidisciplinary Review• Transplant Nephrologist
• Transplant Surgeon
• Transplant Coordinator
• Transplant Social Work
• Behavioral Medicine
• Transplant Financial Coordinator
• Transplant Pharmacist
• Transplant Dietician
Approval to add to UNOS Waitlist
WAITLIST
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Overview
Introduction: Dr. Carlos Zayas, MD 01
Steps of Transplant Referral/ Evaluation: Rebekkah Wolfe, BSN, RN02
Transplant Social Work Assessment: Jodi Schwartz, LISW-CP, CCTSW03
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Social Work Minimum Criteria
Minimum social work criteria for wait listing
Transportation
Primary Caregiver
Health Literacy
Communication: pick up your phone – We want to reach our patients
Finances: minimum $1000 in savings
Resourcefulness Index
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Useful Information from Dialysis Units
Adherence
Mental Health
Substance Abuse
Social Support
Finances
Transportation
Notify transplant team if the psychosocial concerns you have worsen or improve, after transplant evaluation and while patient is on transplant waitlist
*You know your patients best*
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How We Can Help You
If patients need assistance or resources, before or after their transplant, with the following, call us!
Mental health resources; brief counseling
Substance abuse treatment resources
Assistance with finances/paying household bills
Health insurance
Job assistance
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How You Can Help Us
• Refer the patients (social worker, dietician)
• Encourage referred patients to show up
• Encourage patients to complete their homework
• Provide us your assessment!
• Contact our coordinators
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Financial Considerations Transplant benefits: may vary from standard medical/surgical coverage
Rules & regulations of transplant center in relation to finances
• Money set aside for each patient: Deposits, if necessary; Post transplant medications; Travel and lodging
• Patients must inform the transplant financial coordinator of any changes to their insurance status
• Patients need to stay insured
Charities/ Fundraising
• Help, Hope, Live
• National Foundation for Transplants
• Children’s Organ Transplant Association
• National Kidney Foundation
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