Organ Labeling and Packaging_Instructions

Data System for Organ Procurement and Transplantation Network

Organ Labeling and Packaging_Instructions

OMB: 0915-0157

Document [docx]
Download: docx | pdf

Organ Labeling and Packaging Field Descriptions



Enter donor data into organ labeling and packing system to generate labels

A logged in user has the ability to enter donor data into the organ labeling and packing system to print labels for organs and other donor items related to transplantation (i.e. blood, spleen, nodes, extra vessels…).


Donor Setup-Donor Hospital

Hospital Name: Donor hospital name. This field is required.

City: Donor hospital city.

State: Donor hospital state.

Zip: Donor hospital zip code.

Time Zone: Donor hospital time zone (Values: Eastern, Central, Mountain, Pacific, Alaska, Hawaii, Atlantic).

DST Observed: Donor hospital time zone observes daylight savings time.


Donor Setup-Donor Info

Donor ID: OPTN assigned donor identification. This field is required.

ABO: Donor blood type and subtype. This field is required (Values: O, A, A1, A2, B, AB, A1B, A2B).

Date of Birth: Donor’s date of birth. Format: mm/dd/yyyy. This field is required.

Donor Initials: Donor’s initials. This field is required.

Local ID: Organ procurement organization assigned donor identification.

Verified Donor ID: Verified OPTN assigned donor identification. This field is required.

Verified ABO: Verified donor blood type and subtype. This field is required.

Verified Date of Birth: Verified donor date of birth. Format mm/dd/yyyy. This field is required.

Verified Donor Initials: Verified donor’s initials. This field is required.

Verified Local ID: Verified organ procurement organization assigned donor identification.


Blood & Culture Labels- Blood Tubes With ABO

Draw Date: Donor blood draw date for labels with ABO. Format: mm/dd/yyyy. This field is required.

Draw Time: Donor blood draw time for labels with ABO. Format: hh:mm. This field is required.

Initials: Initials of personnel drawing donor blood for labels with ABO. This field is required.

Comments: Optional comments for labels with ABO.





Blood & Culture Labels- Blood Tubes Without ABO

Draw Date: Donor blood draw date for labels without ABO. Format: mm/dd/yyyy.

Draw Time: Donor blood draw time for labels without ABO. Format: hh:mm.

Initials: Initials of personnel drawing donor blood for labels without ABO.

Comments: Optional comments for labels without ABO.



Blood & Culture Labels-Cultures

Draw Date: Donor culture draw date. Format: mm/dd/yyyy.

Draw Time: Donor culture draw time. Format: hh:mm.

Initials: Initials of personnel drawing culture.

Type: Type of culture drawn.

Site: Location of culture drawn.



Infectious Disease Results

Anti-HBc: Infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Anti-HIV I/II: Infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

HIV Ag/Ab Combo: Infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

HIV NAT: Infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

HBsAg: Infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

HBV NAT: Infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Anti-HCV: Infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

HCV NAT: Infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

PHS Increased Risk Donor?: Predetermined set of conditions that put a donor at an increased risk for disease transmission status (Values: Yes, No).

Verified Anti-HBc: Verified infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Verified Anti-HIV I/II: Verified infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Verified HIV Ag/Ab Combo: Infectious disease result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Verified HIV NAT: Verified infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Verified HBsAg: Verified infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Verified HBV NAT: Verified infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Verified Anti-HCV: Verified infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Verified HCV NAT: Verified infectious disease test result (Values: Positive, Negative, Not done, Indeterminate, Pending).

Verified PHS Increased Risk Donor?: Predetermined set of conditions that put a donor at an increased risk for disease transmission status (Values: Yes, No).



Procurement Plan

Heart: Organ type selected for donation.

Left Lung: Organ type selected for donation.

Right Lung: Organ type selected for donation.

Lungs Enbloc: Organ type selected for donation.

Liver: Organ type selected for donation.

Liver Split Left: Organ type selected for donation.

Liver Split Right: Organ type selected for donation.

Pancreas: Organ type selected for donation.

Left Kidney: Organ type selected for donation.

Right Kidney: Organ type selected for donation.

Kidneys Enbloc: Organ type selected for donation.

Intestine: Organ type selected for donation.


Procurement

Date: Date donor aorta was cross clamped. Format: mm/dd/yyyy. This field is required.

Time: Time donor aorta was cross clamped. Format: hh:mm. This field is required.



Procurement – Organ Detail

­Ice Date: Date the donor organ was put on ice. Format: mm/dd/yyyy. This field is required.

Ice Time: Time the donor organ was put on ice. Format: hh:mm. This field is required.

Initials: User initials who entered the ice date/time. This field is required.

Ice Date 2: Second date the donor organ was put on ice. Format: mm/dd/yyyy.

Ice Time 2: Second time the donor organ was put on ice. Format: hh:mm.

Initials 2: User initials who entered the second ice date/time.

Tissue/Extra Vessel Labels

Ice Date: Date the donor organ was put on ice. Format: mm/dd/yyyy.

Ice Time: Time the donor organ was put on ice. Format: hh:mm.

Initials: User initials who entered the ice date/time.

Ice Date 2: Second date the donor organ was put on ice. Format: mm/dd/yyyy.

Ice Time 2: Second time the donor organ was put on ice. Format: hh:mm.

Initials 2: User initials who entered the second ice date/time.



VCA Packaging

­Excision Date (Right): Date the VCA organ was excised. Format: mm/dd/yyyy.

Excision Time (Right): Time the VCA organ was excised. Format: hh:mm.

Excision Date (Left): Date the VCA organ was excised. Format: mm/dd/yyyy.

Excision Time (Left): Time the VCA organ was excised. Format: hh:mm.

Ice Date: Date the donor VCA organ was put on ice. Format: mm/dd/yyyy.

Ice Time: Time the donor VCA organ was put on ice. Format: hh:mm.

Initials: User initials who entered the ice date/time.

Ice Date 2: Second date the donor VCA organ was put on ice. Format: mm/dd/yyyy.

Ice Time 2: Second time the donor VCA organ was put on ice. Format: hh:mm.

Initials 2: User initials who entered the second ice date/time.



6


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleOrgan Labeling and Packaging_Instructions
File Modified0000-00-00
File Created2022-03-28

© 2024 OMB.report | Privacy Policy