Care for and support the patient before transplant surgery

SFHRenAT15
Care for and support the patient before transplant
surgery
Overview
This standard is about preparing the patient medically, therapeutically and psychologically for the transplant operation, and combining these different aspects of preparation with sensitivity. Users of this standard will need to ensure that practice reflects up to date information and policies. SFHRenAT15 Care for and support the patient before transplant surgery SFHRenAT15
Care for and support the patient before transplant surgery
Performance
criteria
evaluate and monitor regularly the patient's emotional and psychological state and their physical needs, and decide on the best response to them ensure that the patient has someone with them while they wait before going up to theatre (e.g. friend, supporter chosen by the patient, member of staff) provide dialysis if needed, depending on blood results complete any necessary further or continuing tests identify and provide pre-operative medication appropriate to the patient and the donated organ (e.g. anti-rejection drugs, anti-hypertensives, antibiotics - augmentin, septrin -, antacids, aspirin, anticoagulants according to local protocols) complete necessary paperwork according to local procedures (e.g. identification labels confirm valid consent) provide clothing and interventions to minimise risk (e.g. gown, stockings) provide information on what will happen and regular updates on timing (e.g. when tissue typing results will be received, that operation is imminent) prepare patient for immediate transfer to theatre (e.g. syringe pump driver, IV fluid infuser for dopamine, x-rays, notes) SFHRenAT15 Care for and support the patient before transplant surgery SFHRenAT15
Care for and support the patient before transplant surgery
Knowledge and
understanding
anatomy and physiology of the human body anatomy and physiology of the renal system procedures for dialysing patients and monitoring them during dialysis effects of renal replacement therapy on mood and motivation patterns of patients' psychological response to the prospect of transplantation and being on the Register and techniques for responding to them (e.g. waiting for a long time, uncertainty) patterns of relationship between prospective living donors and recipients clinical, physiological and psychological characteristics of the patient pathway before and after transplantation – what happens, when, why and how (e.g. how a transplant operation is performed) K10 how organs are obtained (e.g. living donation, deceased heart beating K11 how organs are selected and matched (living and deceased donors) K12 risks and benefits of transplantation (e.g. enhanced life prospects and lifestyle, side effects of immunosuppression, rejection, psychological issues) K13 objections to transplantation and how to probe underlying thinking and K14 pre-operative medication appropriate to the patient and the donated organ (eganti-rejection drugs, anti-hypertensives, antibiotics - augmentin, septrin -,antacids, aspirin, anticoagulants according to local protocols) K15 policies on prescribing K16 methods of administering and self administering various kinds of K17 procedures for obtaining valid consent K18 pre-operative procedures (e.g. syringe pump driver, IV fluid infuser for K19 roles of other members of the multidisciplinary team K20 how to adapt communication styles in ways which are appropriate to different people (e.g. culture, language or special needs) K21 the importance of establishing rapport and how to do so K22 how to ask questions, listen carefully and summarise back K23 the importance of encouraging individuals to ask questions and how to K24 the religious beliefs of different cultures K25 the effects of different cultures and religions on care management and K26 the principle of confidentiality and what information may be given to SFHRenAT15 Care for and support the patient before transplant surgery SFHRenAT15
Care for and support the patient before transplant surgery
K27 the importance of involving individuals in discussions, and how to do so K28 how to negotiate effectively with individuals, families and other K29 the principles of evidence-based practice, and how to apply them SFHRenAT15 Care for and support the patient before transplant surgery SFHRenAT15
Care for and support the patient before transplant surgery

Additional Information

External links
This standard has indicative links with the following dimension within the NHS Knowledge and Skills Framework (October 2004): Dimension: HWB7 Interventions and treatments SFHRenAT15 Care for and support the patient before transplant surgery SFHRenAT15
Care for and support the patient before transplant surgery
Developed by
Version number
Date approved
Indicative review

Validity
Originating
organisation

Original URN
Relevant
Health, Public Services and Care; Healthcare and Related Personal Services occupations
Key words
kidney, kidneys, donation, diabetes, donor, renal, transplant SFHRenAT15 Care for and support the patient before transplant surgery

Source: http://nos.ukces.org.uk/NOS%20Directory/NOS%20PDF%20%20Skills%20For%20Health/Conversion13/SFHRenAT15.pdf