This is a comprehensive list of kidney transplant best practices that over 400 dialysis facilities in Georgia, North Carolina and South Carolina have shared with  the ESRD Network of the South Atlantic. Some of the best practices are supported with resources and tools to help you initiate them at your facility.


Refer every patient interested and let the transplant centers evaluate and take the decision, do not limit the patient's chances. Network 6 Transplant Referral Guide 

Annual education about transplantation as an option.

Education for caregiver or family members about kidney transplant in addition to the patient's education.

Assist patients with the appointment to the transplant center and other related appointments. 

Follow up with patients when need reminders, re-scheduling, etc.)

Provide social and financial resources about transplant to patients. (check out SSocial and Financial Support Resources).

Discuss transplant status monthly with nephrologist during rounds. 

Assist patient with paperwork related to kidney transplant (eg: referral, documents requested by transplant center, etc.)

Assess interest on kidney transplant with Care Plan Assessment at a minimum (Check the Transplant Interest Form Tool).

Link patient interested in kidney transplant with a former patient who got a successful transplant as a mentor.

Include the interdisciplinary team in the education and assessment of interest of kidney transplant, it takes a team! 

Assess barriers to transplant and help patient overcome them. 

On-going communication with transplant centers (Check out the Transplant Outreach Coordinator Webinar for Contacts).

Education on possibility of multi-listing. 

Education aboutliving donation in addition to diseased transplant as an option

Education about the work up process and the evaluation process. 

Education about immunosuppressant medications. 

Education about theKidney Allocation System

Invite transplant center to host a lobby day at the facility.

Provide encouragement to patients. 

Educate other staff members about the transplant process. 

Celebrate success transplant stories.

Encourage patients to be persistent, especially when stumbling with barriers. 

Provide transplant resources and helping patients schedule it when needed (Check Transportation Resources GA, NC, SC). 

Dismissing myths about transplant through education. 

Sharing personal experiences, even if it is from online stories or social media. 

Assist patients with being their own advocate through the process. 

address fears of surgery. 

Continue working with patients who were previously denied by referring to other centers or working working with their relative contraindication to make them eligible. 

Assist with the establishment of patient of patient support groups at the facility. 

Share information about local conference or other patient focused activities about transplant. 

Use of bulletin board to post transplant education. 

Track patient referral and status report at QAPI meeting. (Check the Transplant Tracker under Tools for Facility). 

Show enthusiasm during patient education and when discussing the steps they are taking towards transplant. 

Invite the transplant coordinator to the facility to educate and do lobby days. 

Provide education in video format

Do you have a best practice that you wish to share? Contact Alexandra Cruz at to be added to the website! 

Alexandra Cruz
Quality Improvement Coordinator