Certified Designated Requestor (CDR)
2012 Training and Recertification
Pre-Session Worksheet
This worksheet is designed to focus your review of the training materials so that our time together in the training and
recertification sessions can be spent on practical application and skill practice. In order for you to be fully prepared for
your session, you must dedicate time before the workshop to studying the materials and answering these questions.
Using the Study Guide and Fifth Edition Training Manual, complete this worksheet PRIOR to the scheduled training
and/or recertification session. Only those who have completed this worksheet prior to the session will be permitted
to participate in the training session.
Legislative Overview
1.
Describe Donor Designation and how it pertains to the work you do as a Certified Designated Requestor (CDR):
a. What does Donor Designation mean to the donor?
b. What does Donor Designation mean to the donor’s family?
c. Describe how you would work with the family of a patient who disagreed with the patient’s designation to
be a donor:
2. Which legislative act protects CDRs from liability associated with donation?
Frequently Asked Questions (FAQ) and Answers
3. Write your response to the following questions or statements:
a. “I’m too old to donate. You wouldn’t want what I’ve got.”
b. “Can we still have an open casket funeral?”
c. “My nephew needs a kidney. Can we donate to him?”
d. “My family has been through this before and we still received a very large hospital bill.”
Benefits of Organ, Tissue and Eye Donation
4. Describe the benefits of donation and transplantation as if you were a donor family?
5. One organ, tissue and eye donor can give life to approximately ____ people.
6. How would you describe the benefits of the following transplants to families (tip: use your personal experiences and
healthcare knowledge in your descriptions):
a. Liver
b. Heart Valves
c. Eyes
d. Vessels
e. Connective Tissues
The Donation Process
7. Place the following components of the donation process in order from beginning to end, with 1 being the first
component.
___ Family Outcome Huddle
___ Family mentions donation
___Family Support Huddle
___ Patient meets the trigger
___ Donation Assessment Huddle
___ Referral call to 1-800-24-SHARE
___ Family discussion
8. What do you consider the most important component of the donation process?
a. Why?
9.
Describe your hospital’s plan for notifying and utilizing CDRs for family approaches:
a. Where is this information located?
10. List the three components of an effective response for families when they mention donation:
a.
b.
c.
Brain Death and Cardiac Death
11. How do you explain brain death to a family? Write your script below:
What other resources would you use to support your explanation?
12. Where is your hospital brain death declaration policy located:
13. A family has expressed an interest in donation and wishes to speak with you about next steps. The hospital care
team has initiated brain death testing but has not formally declared brain dead yet. You have answered the family’s
questions and are preparing to connect them to LifeSource to complete the authorization when one family member
asks, “So they’re going to get better, right?” Describe your response and next steps:
14. Compare and contrast organ donation when brain death is present and organ donation after circulatory death
(DCD):
15. Describe your experiences with DCD:
16. Where is your hospital DCD policy located:
The Family Discussion
17. Write your introduction statement:
18. Write a description of LifeSource, i.e. how do you explain who LifeSource is to family members?
19. Convert the following sentences to value-positive statements:
a. “Some families choose the option to donate their loved one’s organs. I am here to help you make the
decision that is best for you and your family.”
b. “I’m here to talk with you about tissue and eye donation. Is that okay?”
c. “Did you and your loved one ever have a conversation about donation?”
d. “Before we can release your loved one to the funeral home, we need to talk about donation.”
20. List two scenarios that you would like to practice during the role play session:
a.
b.
Reflection and Commitment to the CDR Role
21. What is your personal authorization rate?
22. What steps have you taken to improve your authorization rate?
23. What is your organization’s CDR authorization rate?
24. How is organ, tissue and eye donation integrated into your hospital’s Quality Assurance and Performance
Improvement program?
a. What steps are taken to monitor CDR authorization rates?
b. What steps are taken to improve CDR authorization rates?
25. Describe how your hospital CDR team meets outside of the annual training and recertification sessions with
LifeSource:
26. Do you feel supported in the role of CDR?
a. Expand:
27. What can you do to feel more personally committed to donation and transplantation and the CDR role?
28. What resources can LifeSource offer to assist you in the role of CDR:
29. Learning opportunities for 2012. Check all in which you participated:
o
January 17, Get Connected Webinar - Cultural Traditions and Decision Making
o
February 14, Get Connected Webinar - Optimal Donor Management: Case Presentation and Discussion
o
February 29, Donation Service Area (DSA) Action Team Meeting
o
March 13, Get Connected Webinar - Tracking True Donor Potential
o
April 10, Region 7 Webinar - Physician Champions
o
April 10, Get Connected Webinar - Celebrating National Donate Life Month
o
April, Donate Life Month Activities
o
May 8, Get Connected Webinar - Bridging The Gap Part 1
o
May 30, DSA Action Team Meeting
o
June, Connect to Purpose, Jaxson Helps Others
o
July 17, Get Connected Webinar - Bridging The Gap Part 2
o
July 25, CDR Webinar – Authorization Rates and CDR Case Studies
o
August 14, Get Connected Webinar - Educational Strategies for the Emergency Department: Timely
Referral Process and CBIGs
o
August 29, DSA Action Team Meeting
o
September 11, Get Connected Webinar - Standardization of Neurological Determination of Death
o
October 4-5, National Learning Congress, Dallas, Texas
o
October 17, National BRA Day
o
November 28, DSA Action Team Meeting
o
November 29, BD Declaration Webinar
30. Comments or feedback you wish to share regarding the CDR program:
Bring your completed worksheet to your training session.
You will not be permitted to participate in the session without a completed document.