ODNZ Annual Report 2010 PDF 1018Kb
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ORGAN DONATION NEW ZEALAND ANNUAL REPORT 2010 CONTENTS 00/01 Introduction Introduction from Stephen Streat and Janice Langlands 02 Organ Donation Staffing / Advisory Committee / Co-ordination of Organ and Tissue 03–07 New Zealand Donation / Donor Family Support / Education / ICU Death Audit / Public Awareness / Attendance at Conferences and Training Workshops Organ and Tissue Tables: Number of Deceased Organ Donors in New Zealand / Cause of 08–10 Donation Donor Death by Year / Age of Deceased Donors by Year / Ethnicity of Deceased Donors by Year / Organs and Tissues Donated and Transplanted / Organs from New Zealand Deceased Donors Transplanted in Australia / Organs from Australian Deceased Donors Transplanted in New Zealand Organ Kidney Transplantation / Heart and Lung Transplantation / Liver 11–12 Transplantation Transplantation / Pancreas Transplantation in New Zealand Tissue Donation Tissue Only Donation Facilitated by ODNZ / Total Tissue Donation for 13 and Transplantation Transplantation by Year Donation After What is DCD? / What happens in DCD? / References 14–17 Cardiac Death (DCD) INTRODUCTION Organ Donation New Zealand (ODNZ) would sincerely like to thank the families who agreed to organ and tissue donation which enabled many recipients to benefit from transplantation. We would also like to thank Starfish Pictures, donor families, recipients and the health professionals involved in the making of Situation Critical – the TV series about organ donation and transplantation that screened on TV ONE in October/November 2010. We acknowledge the time and emotion involved for those who agreed to be part of the series. ODNZ is grateful for the continued commitment of the Link Teams and the many other health professionals in hospitals throughout New Zealand. We would like to thank our colleagues at ODNZ who contributed to this report – Dr James Judson, Melanie Selby, Cecilia Westmacott, Rachel Josephson and Margaret Kent. For their input into this report we also gratefully acknowledge Lee Excell, editor of the Australia and New Zealand Organ Donation Registry; Rosalie Gow from the Department of Forensic Pathology, Auckland City Hospital; Louise Moffatt and Helen Twohill from the New Zealand National Eye Bank; Jill Faulkner and Lorraine Craighead from the New Zealand Heart Valve Laboratory; and Vladimir Slyshkov from the New Zealand Tissue Bank at the New Zealand Blood Service. We appreciate the support and encouragement we receive from the ODNZ Advisory Committee, our transplant colleagues, the Ministry of Health and the Australian and New Zealand Intensive Care Society. Stephen Streat FRACP Janice Langlands Clinical Director, ODNZ Team Leader, ODNZ ORGAN DONATION NEW ZEALAND 02/03 Organ Donation New Zealand (ODNZ) is the national service for deceased organ and tissue donation and its primary responsibility is to co-ordinate organ and tissue donation from deceased donors in New Zealand. The Donor Co-ordinators provide information and ongoing support for those families who have generously donated organs or tissues. ODNZ continues to work with health ODNZ is managed through the Auckland professionals throughout New Zealand District Health Board which is funded for to ensure there are nationally consistent ODNZ on behalf of all District Health Boards. processes for donation and all families of The offices of ODNZ are situated at the potential donors are offered the option of Greenlane Clinical Centre, in Auckland. organ and tissue donation. The service also provides education and training for health professionals as well as supplying information to the media and the public. Staffing The staff of ODNZ remained unchanged in Link Teams: 2010. There are three Donor Co-ordinators: The Link Teams consist of health professionals Janice Langlands (Team Leader), Cecilia who are the local experts on organ donation Westmacott and Rachel Josephson; and matters for their hospital. All donor hospitals two Medical Specialists: Dr Stephen Streat in New Zealand have Link Teams consisting (Clinical Director) and Dr James Judson. of Intensive Care Unit Link Nurse(s), Operating Melanie Selby is the Communications Theatre Link Nurse(s) and an ICU Link Doctor. Advisor and Margaret Kent is the Team ODNZ is grateful for their commitment and Administrator. ongoing support. Advisory The Advisory Committee is comprised of In 2010 Wellington Nephrologist Dr Phillip Committee representatives from intensive care medicine Matheson replaced Christchurch Nephrologist and nursing, organ and tissue transplantation, Prof. Richard Robson as the renal transplant representatives of Maori health and Pacific representative and Wellington ICU Nurse health, and a consumer representative. Christine Southerwood replaced Dunedin ICU Nurse Elly Campbell. ODNZ met with its Advisory Committee in March and December 2010. ORGAN DONATION NEW ZEALAND Co-ordination The Donor Co-ordinators provide a 24-hour When families volunteer donation from of Organ service for referrals from ICUs for organ deceased relatives whose organs (heart, and Tissue donation, tissue donation and for referrals lungs, liver, kidney and pancreas) cannot Donation of livers and cardiothoracic organs from be donated, ODNZ facilitates tissue (eyes, Australia. A Medical Specialist is increasingly heart valves and skin) donation where possible. involved in all potential organ donors to In 2010 the Donor Co-ordinators worked assist the health professionals in the ICUs with health professionals to increase with any issues relating to donation, awareness of tissue donation and to provide including medical suitability, physiological the option of tissue donation for patients support, requirements for the determination and/or their families. of brain death and consent. Donor The Donor Co-ordinators meet with the family In 2010 ODNZ updated the Donor Family Family before the organ retrieval operation if they Booklet which is given to families a week Support are present in the ICU. At that time the Donor after the donation. The booklet offers a Co-ordinator explains the follow up and message of support to donor families and support that can be provided for families if also provides them with information about they wish to receive it. They also offer hand donation, as well as donor family and prints and locks of hair of their loved ones. recipient stories. The continued support for families includes ODNZ organises annual Thanksgiving phone calls, letters and emails for as many Services. These services respectfully years as they wish to receive it. Anonymous acknowledge the generosity of families who communication between donor families and have donated organs and tissues following recipients is also facilitated by the Donor the death of a family member. Families of Co-ordinators and the Recipient Co-ordinators. donors, recipients and their families, and Guidelines are being written to help donor health professionals involved in both organ families who would like to write anonymously donation and transplantation are invited to to the recipients. The guidelines for recipients these services. Services were held in who wish to write to donor families are also Auckland, Wellington and, for the first time, being updated. Dunedin in 2010 with approximately 500 attendees at the Auckland service, 300 at the Wellington service and 200 at Dunedin. 04/05 Education Study Days and Health ODNZ News Professional Education A quarterly newsletter produced by ODNZ ODNZ facilitates organ donation study days and featuring information about organ throughout New Zealand for nursing staff donation and transplantation was distributed from ICUs and Operating Theatres (OT), and throughout donor hospitals in New Zealand other health professionals involved in the by the Link Nurses. Each newsletter also donation process. In 2010 study days were features a story from a donor family and a held in the following hospitals: Auckland, transplant recipient. The purpose of the Waikato, Rotorua, Wellington, Wairau, Nelson newsletter is to provide hospital staff with a and Dunedin. better understanding of organ donation and transplantation. Other educational sessions were provided for postgraduate nurses, nursing students Donation After Cardiac Death (DCD) and other health professionals throughout ODNZ continued to implement DCD in the country. donor hospitals throughout New Zealand Australasian Donor Awareness Program during 2010. A detailed education Training (ADAPT) programme for DCD was completed in Middlemore and Nelson Hospitals and A Medical ADAPT workshop was held in is soon to be completed in Hawke’s Bay Auckland in 2010. This workshop provided hospital. The programme has commenced ICU doctors with expertise in the organ in Dunedin Hospital. and tissue donation process, including communication with families. Dr Stephen Educational Brain Death DVD Streat continues to be a member of the Filming for the new educational DVD on working party who is currently revising the brain death for health professionals has content of the Medical ADAPT workshop. commenced. This will be consistent with Link Workshop the determination of brain death outlined in the updated Australian and New Zealand The Link Nurses attended a two-day Intensive Care Society statement. ODNZ workshop in Auckland in November 2010. would like to acknowledge ScreenTime The workshop included a day-long session Media for their assistance. with bereavement counsellor Mal McKissock, visits to the tissue banks and an update on Bereavement Course organ donation processes and the activities Bereavement