ITNS Insider
Aug. 28, 2014

Proposed revision of the ITNS Transplant Nursing: Scope & Standards available for review and comment
ITNS
Prior to its final approval, the ITNS Board of Directors requests your review and comment on the current draft of the Transplant Nursing: Scope and Standards of Practice. Please send your comments to info@itns.org by Friday, September 5. More

Register for the Annual ITNS Symposium
ITNS
Register for the Annual ITNS Symposium and join us in Houston, TX, USA for:

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ITNS invites you to submit an abstract!
ITNS
The International Transplant Nurses Society (ITNS) Annual Symposium Planning Committee (ASPC) invites you to submit abstract applications to present at the 2015 Summer Symposia, June 13 -14, 2015 at the Hyatt Regency O'Hare in Rosemont, Illinois. The general abstract submission deadline is Monday, November 3, 2014 at 11:59 p.m. (Midnight) Central Time (CT) Chicago, Illinois, USA. Questions about abstract submission? Contact Jennifer Wahl, ITNS Education Manager, at jwahl@itns.org.More

New hydrogel drug delivery helps prevents transplant rejection
By Lynn Hetzler
Clinicians currently use systemic immunosuppression in vascularized composite allotransplantation, or VCA. While VCA can be a superior method of restoring the function and aesthetics of transplants, it can also cause significant side effects and negatively affect the quality of life for transplant patients. Scientists have now developed a means to administer immunosuppressant drugs locally. Furthermore, the researchers found a way to package the immunosuppressant drugs to release medication only when prompted by inflammation.More

First successful post-cardiac death kidney transplant performed in Israel
HAARETZ
For the first time in Israel, doctors successfully transplanted the kidneys of a donor after cardiac death, Israel's National Transplant Center announced. Health officials hope that the methodology used for the transplant will substantially increase the number of kidneys available for transplant in the country. Most organs for transplant are currently retrieved after the donor has been certified as brain dead but before the heart stops beating — the state known as cardiac death. More

Remove disincentives to organ donation
The New York Times (opinion)
A financial incentive for organ donation elicits strong feelings because it touches on practices that could have a direct impact on organ donor and patient lives. We take this seriously but note that the history of medicine is written by those with the courage to challenge convention and embrace innovation. More

Paying organ donors would set us back
The New York Times (opinion)
We don't need to test the effect of increasing incentives for becoming a living organ donor. The harm that would cause, and the ethical problems it would create are obvious. Even in countries with apparently reliable regulatory systems, living organ donor systems would not be safe from exploitation.More

Proceedings from an international consensus meeting on post-transplantation diabetes mellitus: Recommendations and future directions
American Journal of Transplantation
A consensus meeting was held in Vienna on Sept. 8–9, 2013, to discuss diagnostic and therapeutic challenges surrounding development of diabetes mellitus after transplantation. The International Expert Panel comprised 24 transplant nephrologists, surgeons, diabetologists and clinical scientists, which met with the aim to review previous guidelines in light of emerging clinical data and research. Recommendations from the consensus discussions are provided in this article. Although the meeting was kidney-centric, reflecting the expertise present, these recommendations are likely to be relevant to other solid organ transplant recipients. More

Long-term effect of childhood liver transplantation on body cell mass
Liver Transplantation
Malnutrition is common in end-stage liver disease, but a correction after transplantation is expected. Body cell mass (BCM) assessment using total body potassium measurements is considered the gold standard for assessing nutritional status. The aim of this study was to examine the BCM and, therefore, nutritional status of long-term survivors after childhood liver transplantation. More

Avoiding stay in the intensive care unit after liver transplantation: A score to assign location of care
American Journal of Transplantation
Select liver transplantation (LT) recipients in this program are transferred from operating room to postanesthesia care unit for recovery and extubation with transfer to the ward, completely eliminating an intensive care unit stay. Developing a reliable method to determine patients suitable for fast-tracking would be of practical benefit to centers considering this practice. The aim of this study was to create a fast-tracking probability score that could be used to predict successful assignment of care location after LT.More

When good intentions go wrong in nursing
By Joan Spitrey
Each day, every minute, nurses make countless decisions. Rigorous training, education and experience are supposed to prepare the nurse to respond appropriately when faced with decisions regarding patient care. Although safety nets are put in place and procedures are developed, they often do not cover every situation nurses face in their shifts caring for patients. Often these decisions are made with the best intentions, but may not follow established protocols, policies or just good practice. Herein lies the question: If the patient is not harmed, is there a foul? A case in Connecticut is attempting to answer that very question.More