Development of a cornea donation systematic in a São Paulo Cardiology Institution

Abstract

Purpose: This study aimed to develop a systematic for the in-hospital cornea donation, to promote an increase in the notifications of potential donors to benefit the society as a social asset. Methods: This is an experience report whose methodology was to make a punctual diagnosis on the amount of deaths, notifications, and effective cornea donors, training employees of critical areas in order to conduct the cornea donation process, establishing a notification schedule and to develop survey and measurement markers as well as analyzing the results. Result: The punctual diagnosis showed a low effective notification and cornea donation rate: among 438 (100%) deaths, 87 (20%) were reported to the OPO with only 14 (16%) effective donations. The implementation of a notification schedule for potential cornea donors was adopted, as well as the training of 76 (39.58%) professionals working in critical areas, with a 3.9% (30) after-class margin of error, showing that issues were minimized through the content exposed. In order to perform a monthly measurement, the amount of deaths, notifications and cornea donation was prepared as an instrument to the active search, which was shared by medical supervisors and the nursing staff involved in such process. Conclusion: The settlement of an internal flow, the involvement and effective contribution from the in-service nursing team and the training were reflected in an increase in the amount of notifications which attained 275 (86.2%), meaning a 49.4% (44) fall in the amount of non-notifications and a 50% increase in the cornea donation which made available 21 donated corneas.