Kidney offering for all deceased donor kidney offers
- The on-call renal recipient transplant coordinator will receive the offer of a kidney from the duty office of ODT.
- Transplant coordinator contacts transplant surgeon and asks for a decision as to whether the kidney should be accepted for the named patient.
- If the decision has been made to go ahead, then the transplant coordinator contacts the patientâ€™s own local Consultant Nephrologist and the RIE on call Consultant Nephrologist, to ensure that the patient is fit and should be called.
- If the offer is made of a standard criteria kidney for a named patient, the call to the patient's nephrologist is to check the recipient's fitness for surgery, and should not be a discussion about acceptance.
- If the offer is made of a standard criteria kidney for a named patient, and the surgeon plans to decline this offer, he/she should phone the secon on call surgeon to discuss this. The expectations is that these SCD kidneys will be accepted.
- Particular consideration must be given for offers for highly sensitised patients/long waiters, who will be flagged in the text from ODT.
Donation after circulatory death (DCD)
- DCD kidneys are allocated based on donor age:
- 5-59 years: these are allocated regionally using the same allocation scheme as for DBD kidneys. East of Scotland forms part of the northern region with 6 other centres.
- >59 years: these are allocated to Scotland and the kidneys offered to the centres for the top two patients on the matching run.
- Recipients should be warned when they are called that there is a chance that the transplant will not proceed.