Advanced H&I – Solid Organ Transplantation and Transfusion —
Training activity: 6

Details

Complete a deceased donor HLA report form for submission to NHSBT-ODT

Type

Developmental training activity (DTA)

Evidence requirements

Evidence the activity has been undertaken by the trainee​.

Reflection on the activity at one or more time points after the event including learning from the activity and/or areas of the trainees practice for development.

An action plan to implement learning and/or to address skills or knowledge gaps identified.

Considerations

• HLA nomenclature
• Requirements for ODT reporting of HLA typing results

Reflective practice guidance

The guidance below is provided to support reflection at different time points, providing you with questions to aid you to reflect for this training activity. They are provided for guidance and should not be considered as a mandatory checklist. Trainees should not be expected to provide answers to each of the guidance questions listed.

Before action

• What is the purpose of completing this form?
• How does it contribute to the organ donation and transplantation process?
• What do you already know about HLA typing of deceased donors and the information required by NHSBT-ODT?
• Are you familiar with the specific fields and requirements of the HLA report form?
• What are the key HLA loci and their significance in transplantation?
• What specific aspects of the deceased donor HLA reporting process do you hope to understand better through this activity?
• What challenges do you anticipate and what might you learn from overcoming them?
• How will this experience enhance your understanding of national protocols?
• What resources will you consult before completing the form (e.g., local protocols, NHSBT-ODT guidelines, previous examples)?
• Will you discuss this activity with your training officer or a senior colleague beforehand to clarify any uncertainties?
• How will you ensure accuracy and completeness of the information?
• How do you feel about the responsibility of accurately completing this form?

In action

• What specific steps are you taking to complete the deceased donor HLA report form? Why are you inputting the data in the order you are?
• What information are you prioritising as you extract it for the form?
• Which aspects of the form require more careful attention or cross-referencing? Are you double-checking any specific data fields? Why?
• Does completing this form feel intuitive, or does it require conscious effort?
• Are you encountering any difficulties in locating or interpreting the necessary information?
• How effective are your current methods for extracting and inputting the data?
• What challenges are you facing while completing the different sections of the form?
• What are you learning about the deceased donor HLA reporting process as you go?
• How does this task relate to your understanding of HLA typing and its importance in transplantation?
• If you are unsure about a particular data point, what are your immediate actions? Are there alternative ways you could be approaching the form completion?
• Do you need to seek clarification from a colleague or supervisor at any point?
• Are you ensuring you are adhering to local protocols and national guidelines (if known)?

On action

• What were the key fields and data required on the HLA report form?
  • What challenges did you encounter while completing the form?
  • How did the information provided for the deceased donor relate to the requirements of the form?
  • Were there any specific guidelines or protocols you had to follow?
• What is the importance of accurately completing each section of the HLA report form?
  • How does this report contribute to the organ matching and allocation process?
  • Did you gain a better understanding of the HLA typing information required for deceased donors?
  • Were there any aspects of the form or the process that were unclear or surprising?
• What actions will you take to ensure accuracy when completing similar forms in the future?
  • How will you use your understanding of this report in other aspects of your work, such as interpreting matching runs?
  • Do you need to seek further clarification on any parts of the process or the form?

Beyond action

• Have you had the opportunity to review deceased donor HLA report forms you have previously completed?
• Have you compared your approach to completing these forms over time as you have gained more experience with other training activities?
• Considering any feedback you received on these reports, have you revisited similar cases and evaluated your learning?
• Have you discussed the nuances of completing these forms with colleagues, and has this changed your understanding or approach?
• How has the experience of accurately documenting deceased donor HLA information influenced your attention to detail in other laboratory tasks or reporting?
• Has this activity contributed to your understanding of the national requirements for organ donation and transplantation?
• How has this broader understanding affected your work?
• Can you identify specific instances in subsequent training activities or routine work where the skills developed in completing these forms (e.g., data accuracy, adherence to protocols) have been beneficial?
• How has completing these reports developed transferable skills such as meticulous record-keeping or understanding of national guidelines that will be valuable in future roles or responsibilities?
• What further development of skills related to HLA reporting or donor matching has been identified through this activity that you might focus on in the future?

Relevant learning outcomes

#	Outcome
# 1	Outcome Perform appropriate testing for potential deceased solid organ donors.
# 2	Outcome Interpret and report tests across the range of techniques applied and provide appropriate clinical advice for solid organ transplant.
# 7	Outcome Practice in accordance with quality management and accreditation standards.
# 8	Outcome Practice effectively in partnership with service users, other clinical specialisms and the wider multidisciplinary team in the investigation of solid organ transplantation and platelet transfusion.