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Clinical Process Instructions and Forms



1. Donor Referral & Intake

CPI # CPI Title Donor Type

Form
  #   
                         
Form Names
CPI-9-100
Ontario Organ or Combined Organ and Tissue Donation



CPI-9-101
Non-Ontario Organ Donation

CSF-9-1
Triage Form
CPI-9-102
Obtaining Registered Donation Information - Ontario Organ and Tissue Donor

CSF-9-101
Ontario Photo Health Card Donation Codes
CPI-9-103
Donation Support



CPI-9-104
Deceased Donor Case Closure



CPI-9-140
DCC Referral Intake & On-Site Support
DCD


CPI-9-160
Ontario Tissue Exclusive Referral Donation
Tissue
CSF-9-4


CSF-9-188

Hold Body Form (English) - Tissue Donation Consideration

Hold Body Form (French) - Tissue Donation Consideration

2. Donor Assessment, Screening, Suitability and Testing


CPI # CPI Title Donor Type

Form
  #   
                         
Form Names
CPI-9-201
Team Huddle Planning Session

CSF-9-208
TGLN Team Huddles - Moderator Checklist



CSF-9-251
TC OTDC Huddle Checklist
CPI-9-202
Donation after Death Determination by Neurologic Criteria

CSF-9-5



CSF-9-6



CSF-9-109

CSF-9-110
Confirmation of Death Determination by Neurologic Criteria (DNC): ADULT

Confirmation of Death Determination by Neurologic Criteria (DNC): PEDIATRIC

Understanding Neurological Death (ENG)

Understanding Neurological Death (FR)
CPI-9-203
Coroner's Case

CSF-9-7

CSF-9-8

CSF-9-9

CSF-9-10
Coroner Permission Form

Coroner Case Notice

Human Organ For Coroner's Case Label

Contact Coroner Notice
CPI-9-204
Discussing Donation Opportunities and Obtaining Consent

CSF-9-11

CSF-9-12

CSF-9-187

CSF-9-193

Consent Form to Donate: Organs and/or Tissues

Consent Form to Donate: Organs and/or Tissues (French)

First Person Consent to Donate Organs and/or Tissues

First Person Consent to Donate Organs and/or Tissues (French)
CPI-9-207
Donor Medical and Social History – Organ or Combined Organ & Tissue Process Instruction
CSF-9-13

CSF-9-14

CSF-9-259

Donor Medical and Social History Description and
Rationale

Donor Medical and Social History Questionnaire

Donor Medical and Social History Questionnaire - French


CPI-9-208
Donor Assessment - Combined Organ and Tissue

CSF-9-15

CSF-9-16

CSF-9-17

CSF-9-18

CSF-9-246
Assessment Form: Organ/Combined Organ and Tissue Donor

Assessment Form: Tissue Donor

HSC Toxicology Requisition

Limb Physical Assessment

Modified Allen's Test with Doppler - Worksheet

CPI-9-209
Physical Examination - Organ or Combined Organ and Tissue Donors



CPI-9-210
Hemodilution Calculation



CPI-9-211
Infectious Disease Testing - STAT (Serology)

CSF-9-20



Laboratory Services Requisition - STAT/NON-STAT (TML/London/Ottawa Serology Req)


CPI-9-212
Reporting Positive Communicable Disease Testing Results



CPI-9-213
Infectious Disease Testing - Non-STAT (Serology)



CPI-9-214
Microbiology and Cultures Testing



CPI-9-215
Organ and Composite Tissue Specific Data Collection

CSF-9-95

CSF-9-191


CSF-9-98

CSF-9-190


Bronchoscopy Worksheet (English)

Bronchoscopy Worksheet (French)

Echocardiogram Worksheet (English)

Echocardiogram Worksheet (French)



CPI-9-216
Histocompatibility Testing (HLA)

CSF-9-23

CSF-9-128
HLA (NCR) Lab Requisition

Donor HLA Typing Change - Decision Tree
CPI-9-217
Exceptional Distribution (ExD)

CSF-9-24 Notice of Exceptional Distribution (ExD)
CPI-9-218
Deceased Donor Exclusion Criteria and Suitability Screening

CSF-9-25

CSF-9-99

CSF-9-235
 

CSF-9-236

Program Specific Change Request Form

Guidelines Related to Organ Donation and Influenza

Emerging Infectious Disease Screening Tool (COVID-19)

First Person Emerging Infectious Disease Screening Tool (COVID-19)
CPI-9-219
Expedited Recovery



CPI-9-220
Independent Double Check and Electronic Sign Off - ABO and Serology Process



CPI-9-221
Documentation and Transcription of Donor Evaluation Data



CPI-9-222
Packaging and Offering for Transport: Blood Specimens

CSF-9-131

CSF-9-132

CSF-9-133

CSF-9-134
MARSYS Manufacturer's Instructions

Itemized List of Contents - Blood Specimens

Marking and Labelling Checklist - Blood Specimens

Shipping Label - Blood Specimens
CPI-9-223
Medical Assistance in Dying and Donation (MAID)

CSF-9-196

CSF-9-197

CSF-9-198

CSF-9-207

CSF-9-232
Overview of Donation Following MAID Process Flowchart

MAID Checklist for SOTDs - Inpatient

MAID Physician Communication Suitability Screening Tool

MAID PRC Team Huddle Checklist

MAID Checklist for SOTDs - Outpatient
CPI-9-224
Electronic Access to Electronic Health Records, TGLN Clinical Staff



CPI-9-225
Donation after Removal of Invasive Physiologic Support in Death Determination by Neurologic Criteria Donors

CSF-9-218 Loss of Pulse Pressure Following Death by Neurological Criteria Form
CPI-9-226
Non-Perfused Organ Donation (NPOD) After DCC Attempt

CSF-9-223


CSF-9-224
Pronouncement of Death: Non-Perfused Organ Donation (NPOD)

NPOD Following DCC Attempt - Process Flow
CPI-9-240
DCC Consent
DCD CSF-9-26


CSF-9-27

Consent to Interventions for the Purpose of Organ Donation after Death Determination by Circulatory Criteria  (DCC Consent)

Consent to Interventions for the Purpose of Organ Donation after Death Determination by Circulatory Criteria (DCC Consent) (French)
CPI-9-242
Non-Perfused Organ Donation (NPOD)
DCD
CSF-9-119

CSF-9-192
NPOD Lung Inventory List

NPOD-Lung Only Flowchart
CPI-9-261
Medical & Social History - Tissue
Tissue
CSF-9-214


CSF-9-215


CSF-9-216

CSF-9-264

CSF-9-261

CSF-9-262


CSF-9-263
Eye-Only Donor Risk Assessment Interview (Donor > 10 years old)

Eye-Only Donor Risk Assessment Interview (Child Donor ≤ 10 years old)

Eye-Only Donor Risk Assessment Interview Birth Mother

Eye-Only TB Addendum

Donor Risk Assessment Interview (DRAI) - (Donor > 10 years old)

Donor Risk Assessment Interview (DRAI) - (Donor
≤ 10 years old)

Donor Risk Assessment Interview (DRAI) - (Birth Mother)
CPI-9-262
General Tissue Donation Criteria and Contraindications
Tissue


CPI-9-263
On-Site Medical Records Review for Multi-Tissue Recovery
Tissue


CPI-9-264
Reporting of Positive Laboratory Results and Determination of Donor Unsuitability



CPI-9-265
Donor Assessment - Tissue - Exclusive



CPI-9-266
Maternal Serology - Sickkids

CSF-9-220

CSF-9-226

CSF-9-227
TGLN Lab Requisition (Maternal Serology)

Community Lab Cover Letter

SickKids Outpatient Lab Cover Letter

3. Donor Organ and Tissue Allocation and Waitlist Management

CPI # CPI Title Donor Type

Form
  #   
                         
Form Names
CPI-9-300
ABO Compatibility



CPI-9-302
Coordination of Organ Placement - All Organs



CPI-9-304 Listing Patients on the TGLN Waiting List


CSF-9-31



CSF-9-32


CSF-9-225



Na MELD Score Exception Application Form



Status Changes/Listings After Hours Form


ALD Pilot Program - Patient Listing Checklist



CPI-9-305 Allocation Verification



CPI-9-307 Offering and Allocation of Composite Tissue Upper Limb



CPI-9-308 Listing and Status Changes of Composite Tissue Candidates on the Ontario Provincial Waiting List

CSF-9-114


CSF-9-115
VCA Patient Registration and Status Change Form

VCA Waitlist Registration
CPI-9-310 Organ Donor Allocation - Highly Sensitized Program (HSP)



CPI-9-312 Listing, Offering and Allocation of Pancreas for Islets to Ontario Recipients



CPI-9-313 Organ Allocation



CPI-9-314
Listing and Status Changes of Parathyroid Candidates on the Ontario Provincial Wait List

CSF-9-243


CSF-9-244
Parathyroid Patient Registration and Status Change Form

Parathyroid Wait List Registration
CPI-9-315
Offering and Allocation of Parathyroid

CSF-9-240


CSF-9-242

Donor OR Instrument Requirements_Parathyroid Pick List

TGLN Parathyroid Just-in-Time Huddle Checklist
CPI-9-316
Organ Donor Allocation - Interprovincial Organ Sharing (IPOS) Hearts



CPI-9-317 Organ Allocation System (OAS) Downtime



CPI-9-318
PRC Surge Identification and Escalation Process

CSF-9-265

CSF-9-266
Surge SBAR Form

Surge Preparedness Checklist
CPI-9-360 Tissue Offering
DCD



4. Donor OR Planning, Perfusion, Packaging & Labelling - Organ


CPI # CPI Title Donor Type
Form
  #   
                         
Form Names
 CPI-9-400
Donor Transfer for Organ Recovery

CSF-9-103
Patient Transfer Notification Form (All Hospitals)
CPI-9-402
Operating Room - Ontario Donation (OR)

CSF-9-102
OTDC Organ Recovery Reporting Tool
CPI-9-403 Operating Room - Non-Ontario Donation (OR)



CPI-9-404 Transportation Coordination of Teams, Bloods and Organs

CSF-9-34

CSF-9-108
Request for ORNGE Flights

Transportation Incident Report
CPI-9-405 Organ Delivery

CSF-9-35
Shipping Document
CPI-9-406 Clinical Services Coordinator to Surgical Recovery Coordinator Communication



CPI-9-407 Organ and Tissue Donation Coordinator to Surgical Recovery Coordinator Communication



CPI-9-408 Perfusion & Packaging: Heart

CSF-9-37

CSF-9-38
OR Data - Heart (Cooler Sheet)

Retrieval Operative Note - Heart
CPI-9-409 Perfusion & Packaging: Liver
CSF-9-39

CSF-9-40

CSF-9-41

CSF-9-181
DCD Retrieval Operative Note - Liver

OR Data Liver (Cooler Sheet)

Retrieval Operative Note - Liver

OR Data - Liver Kidney (Cooler Sheet)
CPI-9-410 Perfusion & Packaging: Lung
CSF-9-42

CSF-9-43

CSF-9-44
DCD Retrieval Operative Note - Lung

OR Data - Lung (Cooler Sheet)

Retrieval Operative Note - Lung
CPI-9-411 Perfusion & Packaging: Small Bowel and Abdominal Cluster
CSF-9-45

CSF-9-46
OR Data - Liver Bowel

OR Data - Small Bowel
CPI-9-412 Perfusion & Packaging: Whole Pancreas, Kidney-Pancreas and/or Pancreas for Islets
CSF-9-47


CSF-9-48

CSF-9-49

CSF-9-50

CSF-9-113
DCD Retrieval Operative Note - Liver/Kidney/ Pancreas Retrieval

OR Data - Kidney Pancreas (Cooler Sheet)

OR Data - Pancreas (Cooler Sheet)

Retrieval Operative Note - Liver Pancreas

OR Data - Pancreas for Islets (Cooler Sheet)
CPI-9-413 Perfusion & Packaging: Kidney without LifePort Pump


CPI-9-414 Perfusion & Packaging: Kidney Perfusion with LifePort Pump
CSF-9-51

CSF-9-52

CSF-9-53

CSF-9-61
DCD Retrieval Operative Note - Kidney

OR Data - Kidney (Cooler Sheet)

Retrieval Operative Note - Kidney

Label - Disinfection
CPI-9-415 Perfusion & Packaging: Heart-Lung
CSF-9-54

CSF-9-55
OR Data - Heart Lung (Cooler Sheet)

Retrieval Operative Note - Heart-Lung
CPI-9-416 Documentation: Donor Operating Room

CSF-9-57

CSF-9-58
Organ Donor Surgery Information (ODSIF)

Surgical Supply & Reagent Log
CPI-9-417 Organ and Composite Tissue Labelling and Re-Labelling

CSF-9-59

CSF-9-60

CSF-9-65

CSF-9-66

Label - Exterior

Label - Interior

SRC Composite Tissue Recovery Bag Inventory List - Adult

SRC Composite Tissue Recovery Bag Inventory List - Pediatric
CPI-9-420 Facility Management



CPI-9-421 Fridge/Freezer Monitoring



CPI-9-422 Surgical Recovery Support



CPI-9-423 Organ Recovery Supplies Inventory

CSF-9-62

CSF-9-63

CSF-9-64

CSF-9-67

CSF-9-68

CSF-9-69

CSF-9-70

CSF-9-71

CSF-9-205

CSF-9-210

CSF-9-217

CSF-9-231
Damaged/Expired Supply Log

Organ Inventory Deferral Form

SRC Abdominal Recovery Bag Inventory List

SRC Heart Recovery Bag Inventory List

SRC Lung Recovery Bag Inventory List

SRC Pump Bag Inventory List

SRC Quarterly Inventory Checklist

SRC Monthly Recovery Bag Inventory Checklist

SRC Lung Injectables Bag Inventory List

SRC Weekly Inventory/Expiry Check

Lung Packaging Aid Sheet

SRC All Organ Recovery Bag Inventory List
CPI-9-424 Organ Recovery Materials Qualification

CSF-9-73 Recovery Materials Qualification List
CPI-9-425 Organ Cooler Usage and Validation

CSF-9-61 Label - Disinfection
CPI-9-426 Equipment Maintenance

CSF-9-74 Equipment Repair/Annual Equipment Service Log
CPI-9-427 Organ Splitting Support



CPI-9-428 Perfusion & Packaging: Composite Tissue Allograft

CSF-9-75

CSF-9-76
OR Data - Composite Tissue (Cooler Sheet)

Retrieval Operative Note - Composite Tissue
CPI-9-429 Perfusion & Packaging: Kidney Perfusion with LifePort - Eastern


CPI-9-430 Perfusion & Packaging: Heart - Eastern Ontario
CSF-9-230 SRC Heart Recovery Bag Inventory List - Eastern Region
CPI-9-432 Recovery Staff Credentials

CSF-9-116

CSF-9-117

Recovery Personnel Certification Form

Organ Recovery Personnel Certification Form
CPI-9-433 Organ Recovery Supplies Inventory (Eastern Region)

CSF-9-199


CSF-9-200

CSF-9-250
Monthly SRC Kidney Recovery Bag Inventory Checklist (Eastern Region)

All Organ Recovery Bag Inventory List (Eastern Region)

Kidney Pump Recovery Bag Inventory List (Eastern Region)
CPI-9-434 Re-allocation, Re-packaging and Re-labelling Organs

CSF-9-209 Re-packaging and Re-labelling Instructions for Liver, Pancreas and Kidneys
CPI-9-435
PRC Coordination of the OCS Heart Equipment (DCD Heart)



CPI-9-436
Perfusion & Packaging: Parathyroid

CSF-9-241

CSF-9-245

Retrieval Operative Note - Parathyroid

OR Data - Parathyroid (Cooler Sheet)
CPI-9-440 DCC On-Site Coordination
DCD


CPI-9-442 DCC Transfer of Patient & Withdrawal of Life Sustaining Measures
DCD
CSF-9-78


CSF-9-137

Confirmation of Death Determination by Circulatory Criteria (DCC) for the Purposes of Organ Donation

Donation after Death by Circulatory Criteria: OTDC Checklist
CPI-9-443 DCC Surgical Recovery Coordinator
DCD



5. Donor OR Planning, Recovery, Packaging & Labelling – Tissue

CPI # CPI Title Donor Type
Form
  #   
                         
Form Names
CPI-9-503
Tissue Pre-Recovery



CPI-9-505 Eye Recovery Documentation - Supplies and Equipment



CPI-9-506 Transfer of Body for Recovery



CPI-9-507 Tissue Recovery Team Transportation

CSF-9-106
TGLN Vehicle Sign Out Sheet
CPI-9-508 Eye Tissue Recovery Preparation and Responsibilities



CPI-9-509 Donor Identification



CPI-9-510 Physical Assessment for Tissue



CPI-9-511 Blood Collection

CSF-9-185 TGLN Blood Tube Label
CPI-9-512
Eye Enucleation
CSF-9-80 Eye Recovery Form
CPI-9-513 Heart Valves - Combined Organ/Tissue Case
CSF-9-81

CSF-9-82
Heart Valve Recovery Note

Heart Valve Retrieval Form
CPI-9-514 Ocular Recovery Documentation
CSF-9-80

CSF-9-83

CSF-9-233

CSF-9-234
Eye Recovery Form

Eye Recovery Note

Recovered Ocular Tissue Package Insert

Recovered Ocular Tissue Label
CPI-9-515 Sterilization of Equipment - Tissue
CSF-9-84 Equipment Sterilization Log
CPI-9-517 Tissue Recovery Supplies Inventory

CSF-9-62

Damaged/Expired Supply Log
CPI-9-518 Ocular Recovery Preparation



CPI-9-519 Gowning and Surgical Scrub



CPI-9-520 In Situ



CPI-9-521 Tissue Refrigerators and Freezers

CSF-9-123
Refrigerator/Freezer Temperature Log
CPI-9-522 Tissue Critical Supply Inspection and Storage

CSF-9-124 Critical Supply Receipt and Inspection Log
CPI-9-523 Surgical Attire and Conduct During Multi-Tissue Recovery



CPI-9-524 Tissue Recovery Sequencing and Zoning



CPI-9-526 Circulator Responsibilities During Multi-Tissue Recovery



CPI-9-527 Cardiovascular Tissue Recovery



CPI-9-528 Skin Recovery



CPI-9-529 Musculoskeletal Tissue Recovery



CPI-9-530 Osteochondral Recovery



CPI-9-531
Donor Reconstruction After Multi-Tissue Recovery


CPI-9-532 Multi-Tissue Post-Recovery Procedures
CSF-9-143

CSF-9-229
Deceased Donor Culture Tube Label

Deceased Donor Skin Culture Tube Label
CPI-9-533 Tissue Labelling and Re-Labelling - General


CPI-9-534 Tissue and Transport Labelling Information
CSF-9-149

CSF-9-150


CSF-9-151


CSF-9-152


CSF-9-153


CSF-9-154


CSF-9-156


CSF-9-161


CSF-9-183

CSF-9-194

CSF-9-195

CSF-9-228

Recovered Bone Tissue and Package Insert

Recovered Cardiovascular Tissue Package Insert

Recovered Cardiovascular Tissue Transplant Label - SickKids

Recovered Musculoskeletal Tissue Transplant Label - MSAT

Recovered Musculoskeletal Tissue Transplant Label - RegenMed

Recovered Skin Tissue Transplant Label - Sunnybrook

Recovered Skin Tissue Package Insert - Sunnybrook

Recovered Skin Tissue Package Insert - RegenMed

Recovered Skin Tissue Labels

Recovered Bone Tissue Labels

Recovered Heart Value Tissue Label

Recovered Skin Tissue
Transplant Label - RegenMed

CPI-9-535 Tissue Labelling Controls
CSF-9-238 Master Label Log Contents List
CPI-9-536 Tissue Cooler Usage and Validation



CPI-9-537 Transferring Tissue or Refrigerated Supplies in Response to a Refrigerator Malfunction



CPI-9-538 General Equipment


CSF-9-144
CSF-9-145
Tissue Equipment Maintenance Log
Equipment Profile
CPI-9-539 Surgical Equipment and Instrument Handling



CPI-9-540 Ice Machine Best Practices



CPI-9-541 Tissue Transportation and Drop Off Post Recovery



CPI-9-542 Multi-Tissue Recovery Environment and Preparation

CSF-9-186 Tissue Supply List
CPI-9-543 Multi-Tissue Recovery Records

CSF-9-146

CSF-9-147
Tissue Recovery Form

Multi-Tissue Recovery Note
CPI-9-544 Environmental Monitoring at the Forensic Services & Coroner's Complex



CPI-9-545 Quality Control Records Maintenance



CPI-9-547 Tissue Recovery Office Facilities Management

CSF-9-140


CSF-9-184

Cleaning Log Quarantine Storage and Receiving Area

Temperature Humidity Log for Recovery Supply Storage Rooms
CPI-9-548 Routine Cleaning and Quality Control Tasks

CSF-9-126

CSF-9-140


CSF-9-141

CSF-9-142

CSF-9-249
Monthly Cleaning Log

Cleaning Log Quarantine Storage and Receiving Area

Cleaning Log Sterile Supply Room

Cleaning Log Utility Room

Cleaning Log Meeting Rooms
CPI-9-550 Multi-Tissue Donor Prepping and Draping



CPI-9-551 Security - Bay Street Location



CPI-9-553 Cleaning of Tissue Recovery Suite at Forensic Services & Coroner's Complex

CSF-9-247


CSF-9-248

OCC-OFPS Tissue Recovery Suite Cleaning Log

OCC-OFPS Tissue Recovery Suite Terminal Cleaning Log
CPI-9-554 Tissue Recovery Materials Qualification



CPI-9-556 Forensic Services & Coroner's Complex Facilities Management


CPI-9-557 Sending Pictures and Donor Medical Chart Information for Medical Consult and Determining Tissue Donor Suitability



CPI-9-558 Obtaining Pictures and/or Videos for Training Purposes

CSF-9-206 Consent and Release Form - Film and Photography of Organ and Tissue Recovery
CPI-9-559 Recovery Cultures



CPI-9-560 Tissue Purchase Order



CPI-9-561 Keratolimbal Allograft (KLAL) Whole Globe



CPI-9-562 Keratolimbal Allograft (KLAL) In Situ




6. Donor Specimen Management

CPI # CPI Title Donor Type
Form
  #   
                         
Form Names
CPI-9-610 Archival Blood Samples



CPI-9-611 Storage and Disposal of Organs



CPI-9-612 Communication of Abnormal Findings During Organ Retrieval



CPI-9-613 Obtaining Blood Specimens from Outside Sources



CPI-9-614 Intermediate Tissue Storage

CSF-9-148 Temporary Quarantine Inventory Tissue Blood and Culture Cultures
CPI-9-615 Disposal of Tissues



CPI-9-617 Vitreous Fluid Retrieval




7. Donor Case Follow-up

CPI # CPI Title Donor Type Form #
Form Names
CPI-9-708 Sterilization of Equipment - Organ



CPI-9-709 Post-Operative Information



CPI-9-710 Next of Kin Reporting for Medical Unsuitability

                      
                                                                                     
CPI-9-712 Donation Contributor Acknowledgement



CPI-9-713 Tissue Bank Requests for Follow-up



CPI-9-714 Donor Care Follow-up/Case Debrief

CSF-9-135 Case Debrief Form

8. Clinical Quality

CPI # CPI Title Donor Type
Form
  #   
                         
Form Names
CPI-9-804 Error/Accident

CSF-9-88


CSF-9-90

Error or Accident Investigation Preliminary Report Form

Suspected Error/Accident or Serious Adverse Reaction Report
CPI-9-805 Unexpected Serious Adverse Reaction

CSF-9-91 Mandatory Adverse Reaction Reporting Log
CPI-9-806 Making Error and Information Corrections



CPI-9-807 Telephone Consent and Medical Social History Questionnaire Audit - Tissue

CSF-9-92 Tissue Donor Telephone Audit Worksheet
CPI-9-808 Organ and Tissue Case Closure and Chart Locking



CPI-9-809 Transplant Program - Suspected Donor Related Adverse Reaction

CSF-9-219
Transplant Program – Suspected Donor Related Adverse Reaction
CPI-9-810 Determination of Organ Safety for Transplantation



CPI-9-811 Error and Information Corrections - Electronic Donor Management System



CPI-9-812 Preparing for Health Canada Inspection



CPI-9-813 Tissue Error/Accident or Adverse Outcome



CPI-9-814
Emerging Diseases, Endemics and Pandemics




9. Education

CPI # CPI Title Donor Type
Form
  #   
                         
Form Names
CPI-9-901 Orientation - Clinical Staff

CSF-9-212

CSF-9-211

CSF-9-213

Clinical Services Coordinator Orientation

Referral Triage Coordinator Orientation

Surgical Recovery Coordinator – Clinical Orientation Practicum Record
CPI-9-902 Continuing Education - Clinical Staff


CPI-9-903 Employee Training Files - Clinical Staff



CPI-9-904 Annual Competency Assessment - Clinical Staff



CPI-9-905 Documentation of Clinical Notes



CPI-9-960 Tissue Clinical Staff Qualifications and Responsibilities
Tissue


CPI-9-961 On-the-job Training Tissue-Clinical Staff
Tissue CSF-9-165

CSF-9-172

CSF-9-175

CSF-9-177


CSF-9-237
Preceptor Evaluation Form

Tissue Coordinator Training Form

Tissue Recovery Team Lead Training Form

Tissue Recovery Coordinator Training Log - Clinical Experience Tracking

Tissue Staff Signature Records
CPI-9-962 Tissue Competency and Continuing Education Tissue CSF-9-157

CSF-9-158

CSF-9-159

CSF-9-160


CSF-9-162

CSF-9-164


CSF-9-169

CSF-9-171

CSF-9-176

CSF-9-180

CSF-9-221


CSF-9-222

CSF-9-256

CSF-9-257

CSF-9-258
Competency Assessment-Circulator in Recovery

Competency Assessment - In Situ

Competency Assessment - Enucleation

Competency Assessment-HV Pericardium Descending Aorta

Competency Assessment–Musculoskeletal Recovery

Competency Assessment-Pre-Recovery/Post-Recovery and Safety

Competency Assessment - Skin Recovery

Tissue Coordinator Competencies Assessment

Training Attendance Form

Training Qualification and Exemption Form

Competency Assessment–Osteochondral (En bloc) Recovery

Competency Assessment-Pre-Recovery/Post-Recovery and Safety - Ocular

Multi-Tissue Recovery Coordinator Competencies Record

Tissue Coordinator Competencies Record

Tissue Recovery Coordinator Competencies Record
CPI-9-963 Tissue Program Clinical Training
Tissue









CPI-9-964 Quality Staff – Tissue Training and Continuing Education Tissue


10. Adjunct Vessels

CPI # CPI Title Donor Type
Form
  #   
                         
Form Names
CPI-9-1007 Coordination and Recovery of Adjunct Vessels for use in Solid Organ Transplants




11. Donor and Family Aftercare

CPI # CPI Title Donor Type
Form
  #   
                         
Form Names
CPI-9-1102 Written Communication



CPI-9-1103 Forwarding Organ and Tissue Donor/Recipient Correspondence



CPI-9-1104 Preparation of the Organ Recipient Well-Being Letter


CPI-9-1106 Preparation of Correspondence for the Aftercare Program



12. Living Donation

CPI # CPI Title Donor Type (if applicable)
Form
  #   
                         
Form Names
CPI-9-1203 Kidney and/or Kidney-Pancreas List Exchange
and Anonymous Donation Program   

CSF-9-94
Living Donor Allocation Checklist
CPI-9-1204 Transportation Coordination of Out of Province
Living Donor Kidney Imports

CSF-9-239
Request for ORNGE Flights - Living
Kidney Donation (Ontario Recipients)


13. Corporate Donation

CPI # CPI Title Donor Type (if applicable) Form # Form Names
CPI-9-1304 Patient Safety Disclosure



CPI-9-1305 Directed Donation 


CPI-9-1306 Disclosure of Donor and Recipient Personal Information to External Stakeholders During Offering, Acceptance and Recovery

CSF-9-138
Sharing of Personal Information with Stakeholders:_Organ and Tissue Offering, Acceptance & Recovery
CPI-9-1307 Donor Information Inquiry Disclosure Policy and Process





15. Health and Safety

CPI # CPI Title Donor Type
Form
  #   
                         
Form Name
CPI-9-1500 Hazardous Materials Training, Handling and Storage



CPI-9-1501 Safety Practices and Emergency Procedures



CPI-9-1502 Worker Injury and Exposure



CPI-9-1503 Biohazard and Chemical Spill Clean-up



CPI-9-1504 Routine Practices and Personal Protective Equipment



CPI-9-1505 Immunization



CPI-9-1506 Hazardous Waste Disposal



CPI-9-1507 Manual Material Handling



CPI-9-1508 Safe Donor Handling



CPI-9-1509
Safe Handling, Use, and Disposal of Sharps