4. Clinical Guidelines for Liver Transplantation (PDF) - British ...

Guidebook for the Solid Organ Transplant Programme Chapter 4
4.1.4 ACTIVATION CONT.
Indication for liver transplantation shall be documented in the physician and surgeon consult
notes and in the coordinator’s progress notes. Patients are supplied with educational material
including Living with Liver Transplant Manual which includes risk factors relevant to
successful transplantation.
The date of activation is documented on the Recipients Activation Sheet and on the active list.
Patients accepted for transplantation will be placed on the active list and will be given a pager
and instructions to communicate any change in their location or health status to the transplant
coordinator. A letter is also sent to the referring physicians by the coordinator. While on the
active list, they will be followed closely by the transplant team. Patients living outside the
Lower Mainland have urgent transportation to Vancouver arranged by the transplant
coordinator when a donor organ is available. Air Ambulance costs are not covered by Medical
Services Plan, however, they may be covered by extended health benefits.
Patients in whom a contraindication for transplantation exists or those who are felt not to be
candidates for other reasons are returned to their referring physicians for ongoing care. Some
patients may not require transplantation at the time of assessment. These patients will be
periodically reviewed by the transplant team, with follow-up clinical and laboratory
investigations. These are done at three to twelve month intervals and will vary from individual
to individual.
When a patient is activated, the Program Assistant copies the following information as well as
any other pertinent information and places it in a brown envelope in the patient's BCT chart.
These copied reports are transported to the hospital by the Clinical Coordinator and the
information from the envelope becomes part of the in-hospital chart at the time of transplant.
Copies of:
Patient demographics
Social work consult
Psychologist consult
Anaesthesia consult
Initial and most recent Dietician consult
All recent physician's consults
Summary blood sheet
Most recent virology results
VGH ABO report
Imaging Reports
Alcohol and Drug Contract and Consult (See Appendix O: Contract For Abstinence)
Original surgical consent form signed by both surgeon and patient. (cc: BCT patient chart)
(See Appendix M: Consent for Surgical care and Transfusion of Blood Products)
Chapter 4 – Clinical Guidelines for Liver Transplantation – July, 2010 Page 6
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