Waitlist Management and Allocation Flashcards
7 cards from real CCTC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Waitlist Management and Allocation flashcards as text
A patient listed for liver transplant has a MELD score of 25. After a hospitalization for hepatic encephalopathy, which action is most appropriate?
Answer: Recalculate MELD using current labs and update the listing
MELD scores must be updated whenever a patient's clinical status changes, using current laboratory values to reflect true disease severity.
Which UNOS policy governs how transplant programs must document patient contact attempts to maintain active waitlist status?
Answer: OPTN Policy 18.1 requiring documented patient contact every 6 months
OPTN Policy 18.1 requires transplant programs to document attempts to contact active waitlisted candidates at least every 6 months.
A kidney waitlist candidate moves from New York to Los Angeles permanently. What is the transplant coordinator's primary responsibility?
Answer: Transfer the listing to an appropriate program in Los Angeles
When a candidate relocates permanently, the coordinator should facilitate transfer to a program where the patient can realistically receive a transplant and comply with follow-up.
Under the Kidney Allocation System (KAS), what does the Estimated Post-Transplant Survival (EPTS) score primarily reflect?
Answer: The recipient's predicted long-term graft survival
EPTS predicts how long a recipient is expected to benefit from a transplanted kidney, helping match longer-surviving kidneys to candidates expected to live longest.
A heart transplant candidate deteriorates and is admitted to the ICU requiring intravenous inotropes. Which status designation applies?
Answer: Status 1A
Status 1A includes patients hospitalized with life-threatening hemodynamic compromise requiring mechanical circulatory support or continuous IV inotropes with hemodynamic monitoring.
When a deceased donor organ is offered and the transplant coordinator determines the intended recipient is temporarily unavailable (e.g., active infection), what should the coordinator do?
Answer: Decline the organ and document the reason in the waitlist record
If a candidate has a temporary contraindication to transplant, the organ should be declined and the reason documented; the candidate may be placed on hold/inactive status.
Which factor is NOT directly used to calculate the Lung Allocation Score (LAS)?
Answer: Recipient's geographic proximity to donor hospital
The LAS is calculated from waitlist urgency and transplant benefit measures including diagnosis group, but geographic proximity is a separate matching criterion, not an LAS component.