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The Future of Organ Labeling and Verification Linette Meyer Manager of Organ Preservation Services

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Project Goals: Reduce incorrect transplantation Eliminate transcription errors Eliminate legibility errors Minimize complexity Minimize transport errors Accelerate organ information transfer Capture organ procurement/transport data HHS Innovation Project for Organ Labeling and Tracking

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Understanding variations in process OPO visits: LifeSource, California Transplant Donor Network, Gift of Hope, LifeLink of Georgia, LifeNet Health of Virginia Transplant Centers: University of Minnesota, ILNM, Piedmont Hospital of Georgia, John Hopkins and University of Maryland, VCU Medical Center of Richmond, University of California, San Francisco Field Testing: included training, proficiency testing, testing on donor cases, 24/7 support from ETT team LifeNet Health (VA) LifeSource (MN) California Transplant Donor Network LifeLink Living Legacy Foundation ETT Learning and Initial Field Testing

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Donor Management Workflow Enhanced Validation Vessel Label Entry Print on Demand Operating Room Workflow Print on Demand Post OR Package Shipping Labels & Barcode Box Contents Ship Scan When Ready to Ship Transport Email, Text Alerts Scan Ready to Ship Scan Receipt Transplant Center Print Recipient ID Band Receive Organ Match Organ to Recipient Organ Validation, Labeling and Tracking System

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LifeSource Visit learning about the process Electronic Tracking and Transport-Phase I LifeSource Training: Sept 23/24 2013 Field Implementation /Support: October 2013 April 1, 2014 Continued from April 1 -September 1, 2014 TransNet Beta Testing UNOS Training: September 10-11, 2014 LifeSource Training and Competency Training: September 17-22 nd Implementation on September 29, 2014 Completion of Beta Testing: January 15, 2014 LifeSource Participation

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ETT Manual Entry Dual Verification Scanning was redundant TransNet DonorNet download Enhanced Validation Application Enhancements Improved guides Process flow Validations TransNet Triage Team Comparison

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Required Equipment Tablet currently android Zebra Printer 2 inch and 3 inch label rolls Blue ID band Process flow book Internet Wi-fi Connectivity Hospital security agreement Pairing with Tablet and printer

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User ID link to DonorNet Id Unique Password Ability to create a case TransNet Database Create Case

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TransNet Logon

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DonorNet Import Validation fields Local Validation Remote Validation Connectivity with TransNet web based utility Creating a Case

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Case Initiation through OR completion TransNet Icon

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TransNet Website https://transnet.unos.org

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2 Inch Labels Application prompt for current label size Utilized to print: Donor ID Band Lab Labels Miscellaneous labels Documentation labels

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Donor ID Band

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Labeled Tubes

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Infectious Disease Results

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Setting Procurement Plan

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Connectivity Check Scan of Donor ID band Blood specimen draw Change to 3 inch labels Move to the OR

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Preparation of Shipping Area Obtain specimens early Preparation for labeling

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Final Packaging

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Scan of Shipping Label 4

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TransNet System More effective Less labor intensive More intuitive ~ 100% activation in ICUs/ORs Better deployment Future? Multiple platform application LifeSource Experience

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Donor Management Workflow Enhanced Validation Vessel Label Entry Print on Demand Operating Room Workflow Print on Demand Post OR Package Shipping Labels & Barcode Box Contents Ship Scan When Ready to Ship Transport Email, Text Alerts Scan Ready to Ship Scan Receipt Transplant Center Print Recipient ID Band Receive Organ Match Organ to Recipient Organ Validation, Labeling and Tracking System

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Questions?