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TransNet

TransNetSM

Beginning June 1, 2017, OPOs must use TransNet to complete required OPTN labeling and packaging requirements for all deceased donors. Read policy notice.

TransNet will automate the organ packaging and labeling process to ensure that donated organs are matched correctly and efficiently with the identified recipient. Staff from all 58 OPOs have attended Train the Trainer sessions at UNOS. Over time you will lose trainers who attended our onsite training. We expect you to develop your own super users who will be able to train new employees and serve as a TransNet resource for your staff. You should also have a plan for training new employees and maintaining the skills of those who have already been trained.  

Based on community feedback, we are offering one more Train the Trainer session at UNOS on Mon. March 27 – Wed. March 29. To enroll, send an email to Barbara Friend by March 10, 2017.

We are in the process of updating the current external and internal organ transport labels to indicate where to affix the TransNet label. Learn more. 

We have also begun testing TransNet technology with 17 transplant centers. Find additional information below about transplant center participation, required equipment, the latest enhancements to the mobile app, and more.

Questions?

Send an email to Transnettriage@unos.org

There are no upcoming events at this time.

New mobile app features/enhancements

As of January 31, 2016: We support the latest Apple Operating System (iPS version) 10.2.1. You should update your iPad at your convenience. 

As of October 26, 2016: The new mobile app version allows any user with permissions for multiple facilities in UNet to have permissions for multiple facilities in TransNet. If you need additional permissions in TransNet, contact your system administrator. 

As of July 25, 2016: Policy 16.6 requires  two individuals to verify that your OPO has packaged and labeled your shipped organs properly. You will now see a new label verification page in the TransNet mobile application.

From the label verification page, you will be able to enter the names of the two individuals who verified the packaging and labeling. Those names will then populate a document that’s accessible in the View Donor Info report on the TransNet website.

Implemented March 15, 2016: Based on your feedback, the TransNet team added the following features and enhancements to the mobile application:

  • A pop up when the donor hospital time zone and tablet’s time zone don’t align
  • Improved donor information validation
  • Ability to print kidney pump labels

Make sure you are using the most up-to-date versions by visiting the Play or App stores and checking for updates. 

 

 

Training details

TransNet involves using an application developed for an Android tablet or iPad and a portable barcode printer, that interacts with DonorNet to supplement the current UNOS labeling system. During the organ recovery process, OPO procurement coordinators can use the system in the operating room to print on-demand labels and scan the information on all organs and materials to be transported. Clinical coordinators also can use it in the ICU, before organs are even recovered, to label blood tubes and other samples. In order to participate, interested OPOs must send limited staff to UNOS for onsite intensive training. Those staff members can then return to their OPO and train fellow staff.

Train-the-Trainer Sessions

Each participating OPO will need to send three people to a three-day Train-the-Trainer session and all participants will need to bring their own equipment (see equipment list below). All three attendees should be extremely familiar with the labeling and packaging process at your OPO in both the ICU and the OR. In addition:

  • At least one of the participants must be a front-line coordinator who labels and packages organs in the OR. The coordinator should be experienced, open minded, respected member of your team.
  • At least one of the three people should be a management leader of that group of coordinators. (This may be a supervisor, manager or other title, but he or she must have the organizational authority to implement and effect change).
  • The third can be anyone you choose, as long as they understand the process.
  • All three participants will be trained, tested and certified by successfully completing a three organ, timed simulation at the end of the course.
  • In addition to learning the TransNet system, participants will receive training on how to train their staff as well as materials that can be used in when they return to their OPO.
  • All three participants must come to training with their own equipment (see the Equipment section below)
  • Participants will be responsible for their travel and expenses.

Equipment needed for Train-the-Trainer Sessions

Before coming to the train-the-trainer sessions, your OPO will need to purchase equipment for your staff. While it would be best if each of your staff that does any labeling or packaging in the ICU or OR has their own equipment, that may not be necessary in all cases. If each of your staff does not have their own equipment, you must plan how the equipment will be shared to make sure it is available for donor cases.

OPOs should have enough equipment to initially use the system on at least half of their donor cases until they ramp up to using the system on all of their donors. TransNet staff at UNOS can help you think through what would work best for your OPO.

Equipment needed for one coordinator includes:

    • Zebra QLn320 Portable Barcode Printer ($600 – national pricing)
    • Zebra QLn320 Charger ($75)
    • Spare Zebra Battery ($60)
    • An approved Tablet ($175 – $400). While other options are currently in testing, current models include:
  • Google Nexus 7
  • Google Nexus 10
  • Samsung Galaxy E 9.6 inch
  • Samsung Galaxy S 8.4 inch
  • Samsung Galaxy Tab A 7 inch
  • iPad4
  • iPad Air 1
  • iPad Air 2
  • iPad Mini 2
  • iPad Mini 4

In addition, you will need the following labels for the Zebra QLn320 Portable Barcode Printer:

  • 2” x 1” labels ($114 per case – a case is good for approximately 75 donors)
  • 3” x 1 ¾ “ labels ($195 per case – a case is good for approximately 100 donors)

OPO Training

After completing the training, your trainers will use the system on at least one case before training the rest of your staff. The trained trainers who do not do this as part of their job should observe the system being used by the trained coordinator. In addition:

  • After the TransNet service has been used on at least one case successfully, the trained and certified trainers will be responsible for not only training, but certifying their staff in the classroom and in the field.
    • We anticipate that training for anyone using TransNet in the OR will take at least 1 full day to complete. Additional days will most likely be needed to get everyone classroom certified.
    • We anticipate training for anyone who will only use TransNet in the ICU to take at least a half day.
  • Your trained and certified trainers will initially act as your OPO’s first line of support for the coordinators they train. They will troubleshoot issues that come up in the field and determine which issues need to be escalated to the UNOS TransNet Team.
  • Anyone using the TransNet service in actual donor cases must be trained and certified by your certified trainer(s) prior to using the system.
  • The certified coordinators will need to be classroom-certified and field-certified by one of the trained trainers prior to using the TransNet service on their own in actual donor cases.
  • Your OPO must retain the following records of the training and certification:
    • The detailed proficiency certification with simulation time and notes signed by the coordinator and the certifier.
    • A signoff sheet from management that states that the coordinator has been classroom certified and field-certified and is proficient with the system.

You must supply your staff with the following materials for internal training:

Classroom setup
  • Internet (WIFI) access for all participants and instructors
  • Space for participants to label and package items for one organ
  • Power strips
  • Tablets
  • Zebra printers
  • Zebra chargers
  • Labels (2” x 1” and 3” x 1 ¾”) – available from the UNOS store
Materials per pair of coordinators being trained
  • Organ box
  • UNOS Shipping Label (colored shipping label)
  • UNOS Organ Label (colored internal organ label)
  • Vessel Label
  • Documentation for one organ
  • Envelop or zip lock bag for the documentation
  • Node and Spleen container
  • Blood tubes (1 red and 2 yellow tops) for one organ
  • Biohazard bag – small
  • Donor identification band
Setup for simulation and testing
  • Areas to simulate ICU and OR. The two areas should be approximately a 15-foot walk apart
  • Internet (WIFI) access
  • Box/Cooler and UNOS labels (shipping and organ) for heart
  • Some bagged object that could represent a heart
  • Box/cooler and UNOS labels (shipping and organ) for liver
  • Some bagged object that could represent a liver
  • Vessel labels and container (bagged)
  • Box and UNOS labels (shipping and organ) for a right kidney
  • Rigid container for kidney
  • Biopsy materials for right kidney
  • Enough containers for spleen and nodes for the three organs
  • Enough blood tubes (red top and yellow top) to accompany the three organs
  • Documentation for the three organs
  • Envelopes or zip lock bags for the documentation
  • Biohazard bags – small
  • Donor identification band
Required equipment for OPOs and Transplant Centers

OPO Equipment

Important note: Several OPO staff have experienced issues dealing with our Nexus 7 and Nexus 10 line of supported tablets. They’ve seen a significant decline in their wi-fi and bluetooth connectivity, as well as battery life. Because of the unreliable connectivity, OPO staff have been unable to create or transfer cases or pair with their printers. Consequently, we encourage you to update your tables to one of the supported models in the list below.

Equipment needed for one coordinator includes:

  • Zebra QLn320 Portable Barcode Printer ($600 – national pricing)
  • You can order your printers at Barcodes Inc. Contact John Calkins at jcalkins@barcodesinc.com or call 312-765-6874. Be sure to mention UNOS and the labeling project.
  • Zebra QLn320 Charger ($75)
  • Spare Zebra Battery ($60)
  • An approved Tablet ($175 – $400).
  • Current recommended tablet models include:
    • Samsung Galaxy E 9.6 inch
    • Samsung Galaxy S 8.4 inch
    • Samsung Galaxy Tab A 7 inch
    • iPad4
    • iPad Air 1
    • iPad Air 2
    • iPad Mini 2
    • iPad Mini 4

You will also need the following labels for the Zebra QLn320 Portable Barcode Printer:

  • 2” x 1” labels ($114 per case – a case is good for approximately 75 donors)
  • 3” x 1 ¾ “ labels ($195 per case – a case is good for approximately 100 donors)
  • You may purchase two and three inch labels through the UNOS store.

You must supply your staff with the following materials for internal training:

  • Internet (WIFI) access for all participants and instructors
  • Space for participants to label and package items for one organ
  • Power strips
  • Tablets
  • Zebra printers
  • Zebra chargers
  • Labels (2” x 1” and 3” x 1 ¾”) – available from the UNOS store
  • Materials per pair of coordinators being trained
  • Organ box
  • UNOS Shipping Label (colored shipping label)
  • UNOS Organ Label (colored internal organ label)
  • Vessel Label
  • Documentation for one organ
  • Envelope or zip lock bag for the documentation
  • Node and Spleen container
  • Blood tubes (1 red and 2 yellow tops) for one organ
  • Biohazard bag – small
  • Donor identification band
  • Setup for simulation and testing
  • Areas to simulate ICU and OR. The two areas should be approximately a 15-foot walk apart
  • Internet (WIFI) access
  • Box/Cooler and UNOS labels (shipping and organ) for heart
  • Some bagged object that could represent a heart
  • Box/cooler and UNOS labels (shipping and organ) for liver
  • Some bagged object that could represent a liver
  • Vessel labels and container (bagged)
  • Box and UNOS labels (shipping and organ) for a right kidney
  • Rigid container for kidney
  • Biopsy materials for right kidney
  • Enough containers for spleen and nodes for the three organs
  • Enough blood tubes (red top and yellow top) to accompany the three organs
  • Documentation for the three organs
  • Envelopes or zip lock bags for the documentation
  • Biohazard bags – small
  • Donor identification band. You can purchase your bands from the Precision Dynamics Corporation website or call 800-847-0670. ID bands are WB Confident W-0 Poly Snap Adult (blue) (WBVWRA-2 and cost $58 for a case of 500.

Transplant Center Equipment

Technical needs to print recipient ID band:

  • Label printer Zebra LP 2824 (UNOS approved model)
  • Wristbands to place on recipient (recommend a color you are not currently using-UNOS will provide blue or gray for beta test)
  • Access to DonorNet (if user is not physically present, you need Citrix or VPN to connect)
  • Labels for printer (2,340 labels per roll)

Technical needs to scan organ box for organ check-in and to scan organ match in OR suite:

  • Computer with access to web browser
  • 2D data matrix scanner (wireless scanners can be helpful)
Transplant Center Details

Transplant centers who are interested in serving as a tester for the TransNet technology may now enroll by sending an email to TransNetTXC@unos.org

. The transplant center functionality includes:

 

  • Organ check-in
  • Organ match to intended recipient upon organ arrival

These functions will help your center comply with OPTN/UNOS policies 5.7 and 5.8.B. We currently have 13 centers testing TransNet with live organs. Until June 1, 2017, when OPOs are required to use TransNet for packaging and labeling all deceased donor organs, we ask that you remain prepared to receive both TransNet and manually labeled organs packages.

Watch this presentationfor more information.

(Video | Duration: 1:40)

Email the TransNet team at TransnetTriage@unos.org

I encourage other OPOs to participate in this extremely well thought out process. The industrial engineering and human factors elements behind this project are amazing. The entire process was created, then recreated, and continuously refined with front-line folks like us in mind. Once we get all 58 OPOs involved, that’s when the system will really get rocking.

Justin Johnson

LifeGift, Houston


Using TransNet has reduced our lead time for recovery preparation, as staff are able to efficiently print the labels as they are needed. We found the system to be a tremendous improvement in our overall system of packaging and labeling.

David Marshman

LifeNet Health

About TransNetSM

TransNet will automate the current practice of packaging and labeling organs, which is done entirely by hand. Automating this process will greatly reduce the chances of transcription errors or mistakes due to illegible handwriting and will help us ensure that donated organs are matched correctly and efficiently with the identified recipient. UNOS began a voluntary national deployment of the TransNet service in March 2015.


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