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 What We Do

The Ajmera Transplant Centre offers Canada's largest transplant unit and performs over 500 organ transplants each year.

Our transplant patients include new organ transplant recipients, living organ donors, pre-transplant liver patients and transplant recipients who have been readmitted for transplant-related health issues. We also admit urgent surgical patients who have been called in for immediate organ transplant surgery.

The Acute Care Unit (ACU) provides care to patients who require more intensive treatments and monitoring. Nurses in this unit look after 2 patients at a time.

The Transplant Day Unit provides care to ambulatory patients who require procedures such as blood transfusions, intravenous medications, paracentesis and specialized blood work.

You need to be seen and admitted by a doctor at UHN to become a patient in our units.

Resources from the Patient & Family Education Program PDF Icon

* These material(s) are also available in other languages.

Visit our Health Information section to find dedicated resources to help you understand your condition. Find the information you're looking for.

Patient & Families Services

The Transplant Outpatient Pharmacy is located on the 12th floor and is available to all transplant patients. A number of specialized services are also available.

You can also find other services throughout UHN. Learn more about patient and family services available throughout UHN.​​

 Your Inpatient Stay


What to Bring

For your stay, bring the following items. If you forget to bring anything with you or if you arrive in our inpatient unit after visiting our emergency department or transferring from another hospital, a friend or family member can bring the items after you have been admitted.

Documents and Information

  • Health card (OHIP card).
  • Information about private health insurance or other health benefits. If you have private health insurance or receive other health benefits, this may help to cover the cost of preferred accommodation if you request to stay in a semi-private or private room
  • A copy of any advance directive (power of attorney or living will) you may have. Learn more about advance care planning and decision making.
  • Contact details for other healthcare providers who have been involved in your care to help us ensure continuity in your care.
  • The names, addresses and telephone numbers of your family members, friends or other emergency contacts and your family doctor.
  • Your transplant manual

Medications

  • All your medications in their original bottles.
  • A complete list of medications you are currently taking, including prescription medications, non-prescription medications, vitamin or mineral supplements and herbal remedies.

Clothing and Personal Items

  • Loose, comfortable clothes to wear during the day that are easy to put on.
  • Clothes to sleep in, such as a nightgown or pajamas and a robe.
  • Socks and comfortable shoes with non-skid rubber soles, such as running shoes. If you have limited movement in your arms or hands, we recommend bringing shoes with Velcro straps.
  • Slippers (rubber soles and closed backs are preferred).
  • Toiletries, such as a toothbrush, tissues or lip and skin moisturizer. Please do not bring any scented products.
  • Electrical supplies such as a razor or blow dryer. Please show your nurse any electrical items you bring, as items need to be checked to make sure they can be used safely in the inpatient service.
  • Hearing aids and batteries, dentures and eyeglasses.
  • Walker, wheelchair or other mobility aids, labelled with your name and phone number.

You may also want to bring:

  • A cell phone and/or a phone card for local and long-distance calls.
  • Small personal items, such as books or magazines.
  • A personal device for music or entertainment, and headphones or earplugs so you do not disturb other patients. Free UHN guest wi-fi is available throughout the hospital.
  • A small amount of money for newspapers, coffee or other small purchases in the hospital.
  • Anything else that will make your stay more comfortable.

We do not take responsibility for your money or valuables. If you choose to bring them into the hospital, you are doing so at your own risk.

When You Arrive

An admitting clerk, intake coordinator or nurse will meet with you shortly after you arrive. They will welcome you and:

  • Tell you about the services available while you are at UHN
  • Get your health card (OHIP card) number
  • Get information about any private insurance you may have or other health benefits you may receive
  • Get any other relevant information, such as advance directives
  • Help you get settled and comfortable as quickly as possible
  • Answer any questions you may have

During Your Stay

Your Treatment

Monitoring Your Health
Your healthcare team will see you every day. We will talk with you about how you are doing and answer any questions you may have. If you want to speak with a member of your healthcare team at any other time, ask the nurse looking after you.

In order to allow our team to spend more time caring for you, we ask that you choose one (1) person to act as a spokesperson or contact person for your whole family. This person should be the one who will phone the Unit for updates and share this information with all the other family members and friends. Our staff will call this person if they need to talk about your condition or care. We ask that your family spokesperson avoids calling from 7:00 am – 9:30 am, and from 7:00 pm – 9:30 pm since this is a very busy time for the patients and staff.

Our nurses work 12-hour shifts, from 7:15 to 7:15. Nurses are available 24 hours a day but are generally busy from 7:00 to 8:00 during the change of shift. At the change of shift, you will be asked to participate in a bedside shift report, where one nurse is handing over your care to another nurse.

The nurses look after 4 or 5 patients at a time. They frequently check on patients throughout the day and night. If you need immediate assistance, please use the call bell available in your room.
You may have blood tests, x-rays, ultrasounds, CT scans or other tests performed during your stay. If we recommend that you receive any of these tests, we will discuss them with you in advance, and we will meet with you afterward to discuss the results.

Visitors

We encourage you to have family members, friends and other supportive visitors during your stay. You are welcome to meet with visitors in your room, in the common lounge areas and in the visiting areas outdoors.
Visitors may be asked to leave the room during certain procedures.

Visitors are not permitted to stay overnight in patient rooms. Visitors who are feeling sick or unwell should not come to the hospital. All visitors must wash their hands when entering or leaving a patient room. Signs are posted on the patient's door if any special isolation precautions are needed.
UHN hospitals offer flexible visiting hours. Learn more about visiting patients at UHN.

Amenities

Throughout our hospital, you and your family and other visitors can find a range of amenities to make your stay more enjoyable and comfortable. Learn more about amenities at UHN hospitals.

Eating and Drinking

You will have a chance to tell us about your food preferences and allergies when you are admitted to the hospital. This information will be entered into our computer system, and your meals will take into account your preferences and allergies, as well as the diet plan specified by your doctor.

Family and friends can bring you food while in the hospital. Please check with your nurse to ensure that you are not on a restricted diet. Food can be stored in the fridge located in the pantries on the 7th and 10th floors. All food items left in the fridge should be labelled with your name and date. The ward clerk can provide you with labels upon request.

Medications

If you are taking any medications before you enter the hospital or if our healthcare professionals order new medications during your stay, we will provide your medications at the required times. For each medication, you should know:

  • The name of the medication
  • Why you need it
  • How much to take
  • When to take it
  • Any side effects it may cause

If you want to know more about your medications, you can ask your pharmacist, doctor or nurse at any time. Before your discharge from the hospital, the pharmacist will provide you with a medication list that lists all of your medications, the reasons for taking them, and their schedule.

If you are a new transplant recipient, you and a family member will attend a self-medication class before your discharge. These classes are held every Monday, Wednesday and Friday from 2:00 pm – 3:00 pm, in the Patient Education Room on the 7th floor. One of the transplant pharmacists leads the class and teaches you about your new transplant medications. After you have attended the class, you will be responsible for taking these medications yourself (with the assistance of your nurse), so that you can practice in a safe environment.

Pain Management

As your body heals, you may experience some pain and discomfort. Our goal is to make sure that you have as little pain as possible.

Managing your pain can help your recovery. Pain management can:

  • Decrease the amount of stress on your body
  • Promote healing
  • Decrease complications
  • Prevent the development of chronic or long-term pain

To manage your pain, we need to know what you are feeling. You can describe your pain on a number scale, where "0" means "no pain" and "10" means "the worst pain you can imagine." You can also describe your pain with words like:

  • Mild
  • Moderate
  • Severe
  • Sharp
  • Achy
  • Throbbing

These words can help us understand and treat your pain.

Hand Washing

It is important to wash your hands well and often while you are in the hospital. Washing your hands will reduce the chances that you will become sick or get an infection. Visitors must wash their hands when entering and leaving a patient room to prevent the spread of harmful infections. Signs will be posted on the patient's door if special precautions (such as gloves, gowns, masks, or goggles) are needed.

It's okay to ask your doctor, nurse and other healthcare providers to wash or sanitize their hands using a gel hand sanitizer before examining you.

You can learn more about infection control at UHN.

How Long Will Your Stay Be?

The length of your stay will be based on your healthcare team's assessment of your condition. Soon after you arrive on the unit, we will discuss with you and your family how long you will be staying.

Preparing for Your Discharge

We will work with you and your family to start planning early for your discharge to help you make a safe and successful transition.

Depending on the complexity of your discharge, you may or may not see the discharge coordinator. If you don't, your nurse will provide you with discharge instructions. The pharmacist will let you know if you need to get any new medications and provide you with an updated medication list.

If you need to learn how to check your blood sugar and/or give insulin, you will be taught by the Diabetes Educator before discharge. You will be given a blood glucose meter and insulin pen to practice while in the hospital. Upon discharge, prescriptions will be written for your supplies.

Discharge for Newly Transplanted Patients

Our discharge coordinators will organize your discharge and teach you how to take care of your new transplant. They review the signs and symptoms of infection and rejection and can answer any questions you may have.

You will need an oral digital thermometer after discharge. You must check your temperature twice a day, when you wake up and before you go to sleep.

You will watch the following 4 teaching videos before discharge:

These videos review important information that you will need to know, in order to look after your transplant. You can watch these videos from the TV in your room, on the free education channel.

A secretary from the Ambulatory Transplant Centre will visit you and give you the following information:

  • Your transplant coordinator's name
  • Your first clinic appointment – between 2 – 10 days after discharge
  • Easy Call information, including your PIN number. This is your voicemail system to stay in contact with your transplant coordinator
  • UHN's Telehealth contact number
  • Medic-Alert order form
  • Schedule for blood work and a requisition for MDS/Life Labs

Before you leave, you will be given prescriptions to take to the Transplant Outpatient Pharmacy on the 12th floor. You will have many prescriptions at discharge so it is important to drop off your prescriptions as soon as possible, to give the pharmacy enough time to safely process and prepare your medications. The pharmacist will notify you when your medications are ready to be picked up. You must bring a credit or debit card to the pharmacy to cover any prescription costs such as co-pays or deductibles.

Let your nurse know once you have picked up your medications. He or she will arrange for the unit pharmacist to review your medications and give you a medication list. It is important that you do not leave without your medication list.

If you have any questions about your discharge or your care needs before you leave the hospital, don't be afraid to ask a member of your team. We are here to help you.​

 Meet Our Team

Nurse Manager: Susan Kiernan

Patient Care Coordinator: Tatiana Pires

Many people will take part in your care. The following are those who you will meet most often.

Physicians & Surgeons

Consultants
Doctors may be contacted, as needed, to make sure the best possible care is given.

Staff Physician
This doctor provides your daily medical care.

Surgeon
This is the doctor who operates on you.

Medical Students, Interns, Residents or Fellows

UHN is a teaching hospital.  Medical students have not completed their medical degrees.  Interns, Residents and Fellows have all completed their degrees and are training in a specialized area of medicine. All medical students, interns, residents and fellows in the unit are under the supervision of staff physicians. They will introduce themselves to you so that you know who they are.

Nursing

Discharge Coordinator
This nurse organizes your discharge and teaches you about your new transplant or other items you need to learn about before leaving the hospital.

Nursing Students
UHN is a teaching hospital. All nursing students in the unit get close supervision from teachers and staff. Students will introduce themselves to you so that you know who they are.

Nurse Manager
Nurse Managers are in charge of the unit and may be contacted by patients and their families, about any concerns not addressed by the bedside nurse or medical team.

Patient Care Coordinator (PCC)
The PCC helps the manager with patient care. The PCC can also be contacted with any concerns not addressed by the bedside nurse or medical team.

Health Professions

Physiotherapists
Physiotherapists provide an exercise program to maintain and improve strength.

Occupational Therapists
Occupational therapists help you to be more independent. They help you with everyday activities like eating, dressing and bathing.

Pharmacists
Pharmacists give information about the medicine you're taking. They also help to make sure you have the best medicine for your needs.

Social Workers
Social workers can provide family counseling, assistance and support, coordinate family conferences and talk about discharge-planning options.

Speech Language Pathologists

This person works with you to improve your swallowing and speech.

Registered Dietitians
A dietician will make sure that you receive the best possible nutrition, either through the food you eat or through a feeding tube, if you are experiencing swallowing problems.

Support

Patient Care Assistants (PCA)
Patient care assistants help you with your personal care needs, such as bathing, feeding and mobility. They are staff members trained by the hospital.

Volunteers
Volunteers manage the waiting area and help to organize visits to the CVICU. They direct your family to other areas and services within the hospital.

Learn more about health care professional trainees at UHN.​

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