CCTC Regulatory and Quality Compliance 3

Question 1

A transplant coordinator discovers a labeling error on a kidney that has already been shipped to the accepting center. The FIRST priority action is to:

Accepted Answer

Notify the receiving center immediately to place the organ on hold

Answer

File an internal incident report within 24 hours

Answer

Contact UNOS DonorNet to update the record

Answer

Inform the transplant surgeon and wait for guidance

Question 2

The OPTN Policy requiring informed consent for living donors is intended to ensure that donors:

Accepted Answer

Are informed of risks, benefits, and alternatives before any evaluation begins

Answer

Understand only the surgical risks of donation

Answer

Receive a comprehensive evaluation by an Independent Living Donor Advocate (ILDA)

Answer

Are approved by the UNOS Living Donor Committee

Question 3

Under HIPAA, sharing a transplant recipient's protected health information (PHI) with the donor family requires:

Accepted Answer

Written authorization from the recipient or their legal representative

Answer

Only verbal consent from the attending transplant physician

Answer

No authorization because it is a covered entity-to-covered entity transfer

Answer

Approval from the hospital's HIPAA compliance officer

Question 4

A quality improvement review reveals that 3 of the last 20 kidney transplants had delayed graft function exceeding program benchmarks. This finding should FIRST be:

Accepted Answer

Presented to the transplant program's QI committee for root cause analysis

Answer

Reported to the MPSC as a patient safety event

Answer

Disclosed to waiting patients as a material change in program performance

Answer

Forwarded to CMS as a mandatory adverse event report

Question 5

Which OPTN policy governs the minimum number of transplants a program must perform annually to maintain active status?

Accepted Answer

OPTN Bylaws on Program Requirements

Answer

OPTN Membership Policy

Answer

CMS 36-month lookback rule

Answer

Joint Commission volume standards

Question 6

An OPO coordinator is reviewing a potential donor and notes the medical examiner has not yet released the case. The coordinator should:

Accepted Answer

Contact the medical examiner to obtain release or permission to proceed

Answer

Proceed with procurement as long as brain death is declared

Answer

Request a waiver from UNOS to bypass medical examiner involvement

Answer

Document the issue and defer the decision to the transplant surgeon

Question 7

The primary purpose of sentinel event reporting in transplant programs is to:

Accepted Answer

Identify systemic failures and prevent recurrence through root cause analysis

Answer

Meet CMS adverse event reporting requirements

Answer

Establish liability protections for the transplant team

Answer

Generate data for national transplant outcome databases