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Comprehensive Transplant Center
 

Kidney Donor Workup

Kidney Donor Workup 

This overview is meant to give you general information regarding kidney donor workup (the testing needed to evaluate your ability to donate).  This workup is done in a step by step process enabling the transplant team to review the results from each step before proceeding to the next.  The process was developed to prevent unnescessary testing.  When you meet with surgeon and nephrologist you will be given detailed information on the surgery, the risks and the recovery.  It is our priority to protect you as the donor from any potential harm now or in the future related to your donation.

Several potential donors may be tested.

STEP 1

Testing:

Bloodwork-tissue typing for antigen match and crossmatch.  Blood type confirmation (A,B,O,AB).

Where:

Can be done at Johns Hopkins or at the local facility and Federal Expressed to Johns Hopkins.

Results:

10 days to 2 weeks.  A coordinator will call with your results. They are not given to the recipient.

Only one donor moves forward to Step 2; the best candidate who is willing to move on and be a donor.
 
STEP  2

Testing:  

24 hour urine collection, urinalysis and bloodwork stool for occult blood.

Where:

Can be done at Johns Hopkins or a local facility.

 

Results:

From JHH 3-5 days.  At an outside facility 2 weeks or longer.  The results need to be faxed or sent to our office.  Please call us with lab name and number so we can follow up on results.

We will need current Pap smear results on all female donors, current mammogram results on females age 40 and older and colonoscopy on all donors greater than 50 years old.

Appointment to see a transplant nephrologist, surgeon, psychologist, and coordinator. 

STEP 3

Testing:

3 dimensional abdominal CT scan, EKG, chest x-ray, additional blood work on individual basis as needed.

Where:

Johns Hopkins Hospital Out Patient Center.

Results:

1 week, further testing may be required by our team after seeing you.

One all testing is completed our transplant team will meet to clear the donor for surgery.  A date will then be scheduled when the recipient and donor are cleared and ready.

Pre-Operative visit - 2 weeks prior to surgery.

STEP 4

Testing:

Seen by Anesthesia, blood work-flow cytometric crossmatch if needed, urinalysis.

Where:

John Hopkins Hospital Out Patient Center. Ground floor, pre-op registration.

Results:

3-5 days.

STEP 5

Testing:

Blood work-Final crossmatch - within 7 days of surgery.

Where:

JHH or a local facility and federal expressed to JHH.

STEP 6

Surgery:

Report to Osler building 7th floor to same day surgery check in at scheduled time. The kidney is removed by laproscopic surgery unless contraindicated.

STEP 7

Recovery:

2 days in the hospital, 4-6 weeks or full recovery and return to work.

TRANSPLANT COORDINATORS:

Sherrie Klunk, RN, BSN
Pamela Walker, RN, BSN

Please feel free to contact a coordinator with any questions at 1-888-304-5069, Option 4 and then Option 2, or 410-614-5869, Option 2 on our automated phone line.



 
 
 
 
 

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