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International Traveling Scholarship Report from Down Under


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Kevin Carney, MSN, CRNP, CCTC
NHSAH Council Vice Chair
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, USA
Kevin.Carney@uphs.upenn.edu



The impetus for my trip to The Alfred started in 2007 while researching the clinical management of a potential lung donor. During my literature search, three names kept on repeating; Snell, Levvey and Oto, from The Alfred Hospital. At the 2008 ISHLT meeting in Boston, I attended a symposium on donor management that was chaired by Greg Snell. At the conclusion, I introduced myself to Greg, and was subsequently introduced to Bronwyn Levvey. Both Greg and Bronwyn took the time to answer my questions and offered their clinical expertise, both on donor management and on recipient selection.

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Over the years I have had multiple opportunities to interact with Bronwyn during our work with the ISHLT Nursing, Health Science, and Allied Health Council (NHSAH). During the 2011 ISHLT meeting in San Diego, there was an announcement that the ISHLT would be awarding travel scholarships to members that were interested in expanding their knowledge base. While myself and several other NHSAH members discussed potential international visits, I didn't formally apply until the August 2012 submission period, and was notified in October 2012 of my acceptance.

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The purpose of my trip was to work closely with Greg and Bronwyn to learn their donor management strategy, recipient selection, postoperative recipient management and outpatient recipient follow-up. Also, because The Alfred has been at the forefront in the use of lung donors after cardiac death (DCD), I wanted to obtain the national and regional policies towards DCD management to develop a policy at my local hospital. Finally, I hoped to meet with the local organ procurement organization, Donate Life, to understand local and national organ donation protocols and policies, and to follow how they interact with The Alfred Lung Transplant Service.

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After spending three weeks with the Lung Transplant Team at The Alfred, I believe the key to their success to be their multi-disciplinary collaboration, their commitment to clinical research and evidence based practices. Detailed algorithms for hemodynamic, respiratory and pain management were developed by the Intensivists with feedback from the bedside nurses and AIR1 consultants, with clear instructions when to call for Senior help, while outcomes research demonstrating the ideal route of calcineurin Inhibitor administration or the ideal length of outpatient physiotherapy after lung transplant is the norm.

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I would like to thank everyone who made my visit to The Alfred so successful. Without the support from Greg, Bronwyn and the rest of the Alfred Lung Transplant team, my wife and children, and The Hospital of The University of Pennsylvania's Lung Transplant team, this trip would not have been possible. Lastly, I would like to thank the ISHLT Board of Directors for encouraging their members to pursue the exchange of knowledge not only in spirit, but by financially supporting these endeavors. Thanks again! ■

Disclosure Statement: the author has no conflicts of interest to report.




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