at Christiana Care Health System in Newark, Delaware, United States
To promote the interests of the live donor, including informed decisions, while balancing external/family pressures to donate. Serve as the living donor's advocate to help determine suitability to serve as a donor and to provide him/her with the education needed to make an informed decision regarding proceeding with evaluation and donation.
The donor advocate should receive no financial or personal incentives to approve the donor's participation.
The living donor advocate should:
Not be involved in the recipient's care, and should focus solely on the interests of the donor.
Recuse him/herself if the advocate believes that he or she has a conflict of interest in the evaluation of a case.
Protect and promote the interests and well-being of the potential living donor.
Be assigned to and interview the potential living donor prior to the initiation of an evaluation and continue to and through the discharge phase, per CMS regulations.
Structure the process of informed choice and emphasize that the decision to donate is not a foregone conclusion.
Provide information regarding the medical, psychosocial, and financial implications of the live donation
Evaluate potential living donors during the course of the pre-donation testing as requested by the transplant physician, transplant coordinator or transplant social worker.
Discuss with the donor the formal conclusion regarding his/her medical and psychosocial suitability for the surgery
Disclose the advocate's institutional affiliations and member involvement in the care of the recipient, if any to the potential donor
Determine that the benefits to both the donor and recipient outweigh the risks associated with the donation and transplantation of the living donor organ
Provide the donor surgeon and transplant team with a written statement of the advocate's decision regarding the donor's suitability and be available for further discussion.
Explain to the donor that the donor advocate will make a formal recommendation regarding donor suitability, and assist the transplant program in making the decision whether or not to proceed with the donation.
Decide whether to impose a time out period before final approval for the donation.
Safeguard the confidentiality of the donor throughout the process.
Respect the donor's decision and ensure that the decision is informed and free from coercion.
EDUCATION AND EXPERIENCE REQUIREMENTS:
A licensed health care provider MSW required.
Knowledge of living organ donation, transplantation, medical ethics, informed consent, and the potential impact of family or other eternal pressure on the living donor's decision about whether to donate.
UPDATE: ChristianaCare is committed to prioritizing the health and safety of our patients and caregivers. As we continue to meet the needs of our caregivers and our community through the COVID-19 pandemic, our commitment to health and safety requires that we take new steps to ensure a safe environment for medical care for our patients and a workplace that avoids preventable harm for our caregivers. For this reason, vaccination for COVID-19 is required for all caregivers at ChristianaCare and is considered a safety standard that is job-related and consistent with business necessity for all caregivers.
Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.