National Deceased Donation Simulation Workshop organized by NOTTO in partnership with MOHAN Foundation, VMMC & Safdarjung Hospital and ISCCM

Updated on Monday, October 17, 2016
  • In the first of its kind, NOTTO in partnership with MOHAN Foundation, Vardhaman Mahavir Medical College & Safdarjung Hospital and Indian Society of Critical Care Medicine (ISCCM), Delhi, organized the National Deceased Donation Clinical Simulation Workshop on October 10, 2016. The venue for the workshop was the Auditorium, Ground Floor, NIOP (ICMR) Building, Safdarjung Hospital Campus.


    Doctors in the Intensive Care Units (ICUs) have a key role to play in the deceased donation programme. The Transplantation of Human Organs (Amendment) Act, 2011 and the Rules, 2014 have expanded the brain-stem death certification panel. It now includes anaesthetists / intensivists nominated by the head of the hospital and duly empanelled by the Appropriate Authority to certify brain death as a member of the Board of Medical Experts. In addition, ICU doctors are involved in "required request" and in donor optimization if the family consents to donate the organs of their brain dead relative. MOHAN Foundation over the years has conducted 10 such workshops in the country.


    The deceased donation simulation course was conducted under the aegis of NOTTO for all government and private hospitals. This one-day certificate course was in collaboration with NHS Blood and Transplant (NHSBT), UK as part of the MoU signed between MOHAN Foundation and NHSBT, UK, to work together to improve the organ donation rate in both countries.


    The rationale behind the course was:


    • Any opportunity for deceased donation occurs at times of significant family distress and it is often inappropriate to allow junior staff to take a lead in discussing donation with families.


    • It is usually not possible to ‘train’ during these periods, due to it being a time of sensitivity. Therefore, much of the learning occurs in a piecemeal fashion on the job and quite removed from the real world of the critical care environment.


    • Simulation allows staff training and development in a safe environment while enacting real-time events.


    The Chief guest at the inauguration was Shri. K.B. Aggarwal, Additional Secretary (Food and Drugs). Prof. Dr. Vimal Bhandari, Director NOTTO, proposed the idea of remuneration for the medical staff for every donation being done as to motivate them to facilitate the program of organ donation in their respective hospitals. Mr. Aggarwal ensured that the proposed matter would be definitely looked into.


    Intensivists, anesthetists, critical care nurses, medical social workers and ICU technicians attended the course. In all there were 117 participants from 25 hospitals. To name a few participating hospitals:  -Maharaja Agrasen Hospital, BLK Super Speciality Hospital, Balaji Action Hospital, AIIMS, PSRI, Artemis Hospital, Sir Ganga Ram Hospital, Lal Bhadur Shastri Hospital, Indian Spinal Injuries, ILBS, Moolchand Hospital, Jaipur Golden, Apollo Hospital, Safdarjung Hospital, Fortis Escorts Hospital, Lardy Hardinge Medical College, AIIMS Trauma Centre, Paras Hospital, Rockland Hospital, Sanjay Gandhi Memorial Hospital and five branches of Max Hospital.


    The topics covered in the workshop were:

    ◦     The role of NOTTO in National Organ Transplant Program in India by Prof. Dr. Vimal Bhandari, Director NOTTO

    ◦     Infrastructure requirement and capacity building for expanding deceased real donors pool by Prof. Aneesh Srivastava, SGPGI, Lucknow

    ◦     The diagnosis and confirmation of death by Dr. Dale Gardiner, NHSBT,UK

    ◦     Brain stem death testing - How to do it right - first time and every time by Col (Dr.) Ram Prasad, Army R&R,Delhi

    ◦     Quiz - One question - Is this patient brain dead or not brain dead?

         1. One question - Is this patient brain dead or not brain dead? (Real life scenarios)  by Dr. N. Sridhar, Kauvery Hospital, Chennai

    ◦     Donor Optimisation: Simulation based teaching session by Dr. N. Sridhar, Kauvery Hospital, Chennai.

    ◦     Breaking bad news and approaching the family for organ donation - Case based role-play session moderated by Ms. Pallavi Kumar and Dr. Sumana Navin.

    ◦     Panel discussion - Real life cases - What do you do?

    Source-Mareena Thomas
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