title: Australian emergency clinicians' perceptions and use of the GIVE Clinical Trigger for identification of potential organ and tissue donors.
abstract: OBJECTIVE
  In 2010 the Australian Organ and Tissue Authority introduced a nationally consistent indicator, the GIVE Clinical Trigger, for early identification of potential organ and tissue donors in EDs and intensive care units. This national survey of emergency clinicians aimed to assess emergency clinicians' perceptions and use of the Trigger.
  
  
  METHODS
  National cross-sectional survey of Australasian College for Emergency Medicine (ACEM) fellows and trainees and members of the College of Emergency Nursing Australia (CENA); online questionnaire; 12 items addressing implementation of the GIVE Trigger; graded and free-text responses.
  
  
  RESULTS
  Five hundred and ninety-nine (20.2%) of 2969 ACEM members and 212 (20.7%) of 1026 CENA members responded. Four hundred and seventy-four respondents (62.7%) were familiar with the Trigger; 472 (63.8%) agreed it was easy to recognise patients who activated the Trigger; 490 (64.9%) had sufficient time to use the Trigger; 511 (67.7%) felt they had the necessary competence and knowledge to identify a potential donor; 464 (61.5%) felt competent and 501 (66.4%) felt comfortable referring a potential donor when identified. Overall 587 (77.7%) ED clinicians supported the use of the Trigger, but most (587 [77.7%]) perceived barriers to its use; 628 (80%) had never activated the Trigger and 557 (71%) had never referred a potential donor to relevant authorities.
  
  
  CONCLUSIONS
  Most Australian emergency clinicians are familiar with and support the GIVE Clinical Trigger, and feel they have the necessary skills to use the Trigger; however, most perceive barriers to its use and have not yet used the Trigger.
authors.affiliation: Emergency Medicine, St Vincent's Hospital, Fitzroy, Vic. 3065, Australia. sandra.neate@svhm.org.au
authors.forename: Sandra
authors.initials: S
authors.lastname: Neate
authors.forename: Claudia H
authors.initials: CH
authors.lastname: Marck
authors.forename: Tracey J
authors.initials: TJ
authors.lastname: Weiland
authors.forename: Nicola
authors.initials: N
authors.lastname: Cunningham
authors.forename: Bernadette B
authors.initials: BB
authors.lastname: Hickey
authors.forename: Bernadine M
authors.initials: BM
authors.lastname: Dwyer
authors.forename: George A
authors.initials: GA
authors.lastname: Jelinek
mesh_terms: D001291:Attitude of Health Personnel; D001315:Australia; D016009:Chi-Square Distribution; D002983:Clinical Competence; D016001:Confidence Intervals; D003659:Decision Making, Organizational; D033001:Directed Tissue Donation; D004635:Emergency Medicine / Q000193:education; D004636:Emergency Service, Hospital; D019538:Health Care Surveys; D006801:Humans; D010465:Perception; D010820:Physicians / Q000523:psychology*; D015397:Program Evaluation; D013727:Terminal Care; D014019:Tissue Donors / Q000600:supply & distribution*