ORC - Organ and Tissue Process Instructions, Forms and Tools

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	Organ Donation Following DCC	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	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	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-9-616	Pre-Operative and Intra-Operative Biopsies
CPI-9-617	Vitreous Fluid Retrieval

7. Donor Case Follow-up

CPI #	CPI Title	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
CPI-9-815	Health Canada Registration Process

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	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

Online Resource Centre

Frequently Used Sources

Core Donation Processes

Supporting Processes

Other Processes

Clinical Process Instructions and Forms

1. Donor Referral & Intake

2. Donor Assessment, Screening, Suitability and Testing

3. Donor Organ and Tissue Allocation and Waitlist Management

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

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

6. Donor Specimen Management

7. Donor Case Follow-up

8. Clinical Quality

9. Education

10. Adjunct Vessels

11. Donor and Family Aftercare

12. Living Donation

13. Corporate Donation

15. Health and Safety