{"id":22086,"date":"2020-03-23T23:38:21","date_gmt":"2020-03-23T23:38:21","guid":{"rendered":"https:\/\/www.process.st\/templates\/covid-19-procedure-lung-transplantation-pre-transplantation-assessment\/"},"modified":"2024-05-16T06:30:56","modified_gmt":"2024-05-16T06:30:56","slug":"covid-19-procedure-lung-transplantation-pre-transplantation-assessment","status":"publish","type":"post","link":"https:\/\/www.process.st\/templates\/covid-19-procedure-lung-transplantation-pre-transplantation-assessment\/","title":{"rendered":"COVID-19 Procedure: Lung Transplantation Pre-Transplantation Assessment"},"content":{"rendered":"\n<section id=\"covid19-procedure-lung-transplantation-pretransplantation-assessment\">\n <h2>COVID-19 Procedure: Lung Transplantation Pre-Transplantation Assessment:<\/h2>\n <div class=\"image-content\">\n  <figure>\n   <a href=\"https:\/\/ps-attachments.s3.amazonaws.com\/f07878ea-6eb5-4f87-a0e6-096ee152f2a9\/uFAsf3V3w-XbSZqGI6tF-g.png\" alt=\"COVID-19 Procedure: Lung Transplantation Pre-Transplantation Assessment:\" target=\"_blank\" rel=\"noopener\"> <img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/ps-attachments.s3.amazonaws.com\/f07878ea-6eb5-4f87-a0e6-096ee152f2a9\/uFAsf3V3w-XbSZqGI6tF-g.png\"> <\/a><!-- No caption -->\n  <\/figure>\n <\/div>\n <div class=\"text-content\">\n  <p>This process template is part of our <a href=\"http:\/\/process.st\/covid-19-procedures\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedures<\/a> pack.&nbsp;<\/p>\n  <p>It is built as a reproduction of the procedures outlined in the&nbsp;<em><a href=\"https:\/\/video-intl.alicdn.com\/Handbook%20of%20COVID-19%20Prevention%20and%20Treatment.pdf\" rel=\"nofollow noopener\" target=\"_blank\">Handbook of COVID-19 Prevention and Treatment<\/a>&nbsp;<\/em>(2020) produced by The First Affiliated Hospital, Zhejiang University School of Medicine (FAHZU).&nbsp;<\/p>\n  <p>FAHZU had great success in combatting the novel Coronavirus COVID-19 and this handbook outlines best-practices, procedures, and useful charts for hospitals and medical centers to practically employ.&nbsp;<\/p>\n  <p>The items contained within the handbook were compiled according to clinical experience.&nbsp;<\/p>\n  <p>You can edit this process template to adapt it to the specific needs of your institution. When you come to follow the procedure, you can run this template as a checklist. You can add form fields throughout the checklist to gather information. You can connect your Process Street account with other platforms via automation to automatically store or utilize any data entered into your checklists.&nbsp;<\/p>\n  <p>If you need support setting up automations you can visit our <a href=\"https:\/\/www.process.st\/help\/\" rel=\"nofollow noopener\" target=\"_blank\">Help Site<\/a> or contact our customer success team directly.<\/p>\n  <p>You can find the full handbook embedded below.<\/p>\n <\/div>\n <div class=\"text-content\">\n  <p><em>Process Street is not a medical institution and the items contained in this process template are illustrative and not intended to be understood as medical advice. Please refer to the attached PDF document for any and all medical or operational recommendations.&nbsp;<\/em><\/p>\n <\/div>\n<\/section>\n<section id=\"enter-checklist-details\">\n <h2>Enter checklist details<\/h2>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Who is responsible for implementation? <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Who is responsible for review? <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n <div class=\"date-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> This process is due to be completed by <\/label>\n   <div class=\"date-container\">\n    <button type=\"button\" disabled class=\"btn btn-default\"> <i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here <\/button>\n   <\/div>\n  <\/div>\n <\/div>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Patient <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n<\/section>\n<section id=\"check-the-patients-age\">\n <h2>Check the patient's age<\/h2>\n <div class=\"text-content\">\n  <p>It is recommended that the recipients are not older than 70. Patients over 70 years old are subject to careful evaluation of other organ functions and postoperative recovery capability.<\/p>\n <\/div>\n<\/section>\n<section id=\"check-the-course-of-the-disease\">\n <h2>Check the course of the disease<\/h2>\n <div class=\"text-content\">\n  <p>There is no direct correlation between the length of the disease course and the severity of the disease. However, for patients with short disease courses (fewer than 4-6 weeks), a full medical assessment is recommended to evaluate whether adequate medication, ventilator assistance, and ECMO support have been provided.<\/p>\n <\/div>\n<\/section>\n<section id=\"check-lung-function-status\">\n <h2>Check lung function status<\/h2>\n <div class=\"text-content\">\n  <p>Based on the parameters collected from lung CT, ventilator, and ECMO, it is necessary to evaluate whether there is any chance of recovery.<\/p>\n <\/div>\n<\/section>\n<section id=\"perform-a-functional-assessment-of-other-major-organs\">\n <h2>Perform a functional assessment of other major organs<\/h2>\n <div class=\"multi-select-content form-field-content\">\n  <div class=\"form-group\">\n   <label> (Subtasks) <\/label>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Evaluation of the consciousness status of patients in critical condition using brain CT scan and electroencephalography is crucial, as most of them would have been sedated for an extended period;\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Cardiac assessments, including electrocardiogram and echocardiography that focus on right heart size, pulmonary artery pressure and left heart function, are highly recommended;\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      3\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     The levels of serum creatinine and bilirubin should also be monitored; for patients with liver failure and renal failure, they should not be subjected to lung transplantation until the functions of the liver and kidney are recovered\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"perform-the-nucleic-acid-test-of-covid19\">\n <h2>Perform the nucleic acid test of COVID-19<\/h2>\n <div class=\"text-content\">\n  <p>The patient should be tested negative for at least two consecutive nucleic acid tests with a time interval longer than 24 hours. Given the increased incidents of COVID-19 test result returning from negative to positive after treatment, it is recommended to revise the standard to three consecutive negative results. Ideally, negative results should be observed in all body fluid samples, including blood, sputum, nasopharynx, broncho-alveolar lavage, urine, and feces. Considering the difficulty in operation, however, at least the testing of sputum and broncho-alveolar lavage samples should be negative.<\/p>\n <\/div>\n<\/section>\n<section id=\"perform-an-assessment-of-infection-status\">\n <h2>Perform an assessment of infection status<\/h2>\n <div class=\"text-content\">\n  <p>With the extended in-patient treatment, some COVID-19 patients may have multiple bacterial infections, and thus a full medical assessment is recommended to evaluate the situation of infection control, especially for multidrug-resistant bacterial infection. Moreover, post-procedure antibacterial treatment plans should be formed to estimate the risk of post-procedure infections.<\/p>\n <\/div>\n<\/section>\n<section id=\"undertake-the-preoperative-medical-assessment-process\">\n <h2>Undertake the preoperative medical assessment process<\/h2>\n <div class=\"text-content\">\n  <p>The preoperative medical assessment process for lung transplantation in COVID-19<br>\n   patients is:<\/p>\n  <ul>\n   <li>a treatment plan proposed by the ICU team<\/li>\n   <li>multidisciplinary discussion&nbsp;<\/li>\n   <li>comprehensive medical evaluation<\/li>\n   <li>analysis and treatment of relative contraindications<\/li>\n   <li>pre-habilitation before lung transplantation.<\/li>\n  <\/ul>\n <\/div>\n <div class=\"text-content\">\n  <p class=\"style-info\"><strong>Contraindications<\/strong><br><br>\n   Please refer to The 2014 ISHLT Consensus: A consensus document for the selection of lung transplantation candidates issued by the International Society for Heart and Lung Transplantation (updated in 2014).<\/p>\n <\/div>\n<\/section>\n<section id=\"do-you-recommend-the-transplant\">\n <h2>Do you recommend the transplant?<\/h2>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Patient <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Practitioner <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n <div class=\"select-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Do you recommend the transplant? <\/label> <select disabled class=\"form-control\"> <option value=\"An option will be selected here\">An option will be selected here<\/option> <\/select>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Yes\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     No\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n <div class=\"textarea-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Notes and reasons <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled class=\"form-control\"><\/textarea>\n  <\/div>\n <\/div>\n<\/section>\n<section id=\"approval-authorize-the-transplant\">\n <h2>Approval: Authorize the transplant<\/h2>\n <div class=\"approval-content\">\n  <div class=\"header\">\n   <div class=\"list-title\">\n    Will be submitted for approval:\n   <\/div>\n  <\/div>\n  <div class=\"approval-rule-subject-tasks-list\">\n   <ul class=\"list\">\n    <li>\n     <div class=\"approval-rule-subject-tasks-list-item\">\n      <div class=\"item\">\n       <div class=\"container\">\n        <span class=\"title\">Do you recommend the transplant?<\/span>\n        <div class=\"body\">\n         Will be submitted\n        <\/div>\n       <\/div>\n      <\/div>\n     <\/div><\/li>\n   <\/ul>\n  <\/div>\n <\/div>\n<\/section>\n<section id=\"sources\">\n <h2>Sources:<\/h2>\n <div class=\"text-content\">\n  <ul>\n   <li><em><a href=\"https:\/\/video-intl.alicdn.com\/Handbook%20of%20COVID-19%20Prevention%20and%20Treatment.pdf\" rel=\"nofollow noopener\" target=\"_blank\">Handbook of COVID-19 Prevention and Treatment<\/a>&nbsp;<\/em>(2020) produced by The First Affiliated Hospital, Zhejiang University School of Medicine (FAHZU)<\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"related-checklists\">\n <h2>Related Checklists:<\/h2>\n <div class=\"text-content\">\n  <ul>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-isolation-area-management\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Isolation Area Management<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-disinfection-procedures-for-covid-19-isolation-ward-area\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disinfection Procedures for COVID-19 Isolation Ward Area<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-lung-transplantation-pre-transplantation-assessment\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Lung Transplantation Pre-Transplantation Assessment<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-nursing-care-during-treatment-alss\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Nursing Care During Treatment (ALSS)<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-protocol-for-donning-and-removing-ppe\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Protocol for Donning and Removing PPE<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-staff-management-workflow-and-health\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Staff Management (Workflow and Health)<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-daily-management-and-monitoring-of-ecmo-audit\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Daily Management and Monitoring of ECMO Audit<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-digital-support-for-epidemic-prevention-and-control\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Digital Support for Epidemic Prevention and Control<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-discharge-standards-and-follow-up-plan-for-covid-19-patients\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Discharge Standards and Follow-up Plan for COVID-19 Patients<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-disinfection-of-covid-19-related-reusable-medical-devices\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disinfection of COVID-19 Related Reusable Medical Devices<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-disinfection-procedures-for-infectious-fabrics-of-suspected-or-confirmed-patients\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disinfection Procedures for Infectious Fabrics of Suspected or Confirmed Patients<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-disposal-procedures-for-covid-19-related-medical-waste\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disposal Procedures for COVID-19 Related Medical Waste<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-disposal-procedures-for-spills-of-covid-19-patient-blood-fluids\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Disposal Procedures for Spills of COVID-19 Patient Blood\/Fluids<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-procedures-for-handling-bodies-of-deceased-suspected-or-confirmed-patients\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Procedures for Handling Bodies of Deceased Suspected or Confirmed Patients<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-procedures-for-taking-remedial-actions-against-occupational-exposure-to-covid-19\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Procedures for Taking Remedial Actions against Occupational Exposure to COVID-19<\/a><\/li>\n   <li><a href=\"https:\/\/www.process.st\/checklist\/covid-19-procedure-surgical-operations-for-suspected-or-confirmed-patients\/\" rel=\"nofollow noopener\" target=\"_blank\">COVID-19 Procedure: Surgical Operations for Suspected or Confirmed Patients<\/a><\/li>\n  <\/ul>\n <\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>COVID-19 Procedure: Lung Transplantation Pre-Transplantation Assessment: This process template is part of our COVID-19 Procedures pack.&nbsp; It is built as a reproduction of the procedures outlined in the&nbsp;Handbook of COVID-19 Prevention and Treatment&nbsp;(2020) produced by The First Affiliated Hospital, Zhejiang University School of Medicine (FAHZU).&nbsp; FAHZU had great success in combatting the novel Coronavirus COVID-19 [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":22087,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"ep_exclude_from_search":false,"cover_icon_emoji":"","cover_icon_url":"","tasks_count":"13","template_description":"Follow this COVID-19 procedure to determine whether a patient is an appropriate candidate to undergo a lung transplantation. This can be used as either an outline of the procedure or as a process to be run as a checklist each assessment. 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