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Reference in transplantation in Rio de Janeiro

​​​​​​​​​​​​​​​​​​​​​CHN stands out as a reference in transplants in the state, being the only quaternary private hospital in the North-East Fluminense Region to lead the ranking as the unit that performs most transplants in all of the state of Rio de Janeiro. Today, more than 70% of bone marrow transplants in the state are performed in the hospital. 

Types of transplants performed

We are accredited by the National Transplant System (SNT), of the Ministry of Health, to carry out the following types of transplants:

  • Kidney transplantation since 1998;
  • Autologous and allogeneic bone marrow transplantation since 2007; related allogeneic, unrelated and haploidentical since 2016;
  • Skeletal muscle transplantation since 2015;
  • Heart transplantation since 2018;
  • Liver transplantation since 2019;
  • Pediatric kidney transplantation since 2020;
  • Pediatric liver transplantation since 2020.​

Access our pediatric booklet for patients undergoing cancer treatment or bone marrow transplantation​, here 
Learn about our guidelines for patients undergoing cancer treatment or after bone marrow transplantation during the pandemic, here

Equipment and Infrastructure

In April 2018, the Transplant Unit was inaugurated in Units IV and V. There are 26 beds – 11 of which are VIP suites with an anteroom and a glass-reinforced hermetic balcony to keep the area isolated and avoid contamination. To improve the patient experience, the hospital invested in the very best in technology, such as positive pressure air filters (HEPA) in the rooms and hallway and a water deionization system, which performs the purification process to minimize the risk of contamination. The rooms also have a voice recognition system, central monitoring of beds by 24/7 cameras and online monitoring to control temperature, air humidity and positive pressure.

In addition, 15 beds work as an exclusive Infusion Therapy Center for pre- and post-transplant patients and onco-hematology patients. With this, we guarantee full attention to patients and their families, as well as safety and comfort for specialists involved in transplants.

The CHN Integrated Medical Solutions Center also supports the transplant staff with several specialties in the field, such as a nephrologist specialized in kidney transplant; hepatologist specialized in liver transplantation and liver diseases; adult and pediatric oncological surgery; adult and pediatric oncologist; and adult and pediatric hematology specialized in transplantation.

Organ and tissue donation process

To be an organ and tissue donor, the patient, adult or child, must have a confirmed diagnosis of brain death. The patient can express his/her desire to be a donor while still alive, he/she just needs to talk to his/her family openly about it. After confirmation of brain death, a single person can donate kidneys, liver, heart or heart valves, pancreas, lungs, intestines, corneas, bones, and even skin. However, patients diagnosed with cancer, acute serious infectious disease – such as HIV, hepatitis B and C and Chagas disease, cannot be donors, as well as those diagnosed with multiple organ failure. 

Humanization Actions

Thinking about the quality of life of patients during hospitalization, a screen in the hallway of the floor transmits images of landscapes and is connected to Kinect, motion sensors that allow interaction with virtual games. In the hallways there are also “virtual windows”, which simulate windows with landscapes to ease periods of hospitalization. At the Unit V reception, the Tree of Life was inaugurated, a cherry tree symbolizing the renewal of life, where patients and family members post photos and messages of resilience and gratitude. As a hospital that promotes humanized care, patients and families participate in an “Afternoon Tea” with psychologists and a multidisciplinary team, where they exchange life experiences and specific treatments. In addition, once a month there is a movie session to promote the entertainment of inpatients.

Family Welcome

The “Family Space" works as a multidisciplinary center for family members of transplant and hematology-oncology patients, being an exclusive environment to provide more comfort and provide information and recommendations on hospital admission and discharge. In addition, the space offers complementary services to treatment, such as nursing, hemotherapy, physiotherapy, psychology and specialized medicine.​

Pre-hospitalization guidelines for Cancer Patients and Transplantation

  • Come to Complexo Hospitalar de Niterói (CHN) at the scheduled time
  • Follow the instructions of your doctor and the nurse of the Transplant and Oncology Unit
  • Properly follow the guidelines related to drug use protocols, as instructed by your treating physician (for bone marrow transplant patients) 
  • The patient must NOT use any anticoagulant until 10 days before hospital admission 
  • During the transplant, visits will be restricted, with only 1 (one) companion being allowed at a time. Inform the nurse who your companions will be 
  • It is not advisable to be unaccompanied during hospitalization 

 What can the patient bring to the hospital 

  • Personal hygiene material (toothbrush with soft bristles) 
  • Pajamas or nightgown (preferably with buttons) 
  •  Books, portable audio devices and laptop 

 What the patient should NOT bring to the hospital 

  • Bed and bath linen 
  • Medicine for personal use inside the room 
  • Cigarettes and cigars 
  • Newspapers 
  • Food brought in from outside the hospital 
  • Plants and flowers, both in the area of the transplant unit and inside the room 
  • Microwave ovens, sandwich toasters, coffee machines, home popcorn makers, irons, room humidifiers and other similar appliances - Stuffed animals.

Specific guidelines for the companion

  • When you arrive to accompany your family member, identify yourself at the reception and at the nursing station
  • When leaving and entering the room, always wash your hands
  • Wash your hands before and after going to the bathroom using hands sanitizer (available in the room)
  • Whenever using the toilet, flush with the lid closed
  • If the companion has a cold, runny nose, cough, diarrhea, skin lesions and other symptoms, do not come to the hospital
  • During hospitalization, record everything that is ingested and eliminated by the patient. Nurses will provide guidance and help

​​​​​​Meals served to patients

Breakfast (6:30 am to 7:30 am)
Snack (9:30 am to 10 am)
Lunch (11:30 am to 12:30 pm)
Afternoon snack (3 pm to 4 pm)
Dinner (6:30 pm to 7:30 pm)
Supper (9:30 pm to 10:00 pm)

​​​​​​Meals served to the companion

Breakfast (6:30 am to 7:30 am)
Lunch (1:00 pm to 2:00 pm) 
Dinner (7:30 pm to 8:30 pm)
The companion's meal requests are made through the Nutrition Technician's visit to the patient's room or through extension 7117 (lunch can be requested until 10:30 am, and dinner until 4 pm)

The companion's meals will be served during the hospital stay at no additional cost, according to the healthcare provider service table (bone marrow transplant); for other reasons for hospitalization, the cost of meals will depend on the coverage of the patient's health insurance plan;
The patient will NOT be able to eat any food that is not offered by the hospital's nutrition service. Meals will be served based on dietary prescription, in order to meet the nutritional needs of the patient, to assist in their recovery and prevent treatment complications

The patient will be evaluated by the Nutritionist at the Transplants Unit and, based on that assessment, their nutritional plan will be designed. There is no cost for the patient's meals, regardless of the type of hospitalization
Important: aiming at food safety (RDC 216 of ANVISA), after served, meals, both for the patient and for the companion, must be consumed within 1 (one) hour. After this period, the trays will be collected to avoid risks to the patient; - The companion's clothing will be provided and collected daily at 5 pm

​​​​​​Corpo Clínico

​Érica Paiva Cardoso Madeira - Transplant Maneger
Alan Castro – Technician Responsible for the Kidney Transplant Program 
Ana Luísa Sales – Technician Responsible for the Cardiac Transplant Program 
Maria Cláudia Rodrigues Moreira – Technician Responsible for the Bone Marrow Transplant Program 
Jacques Kaufman – Technician Responsible for the Autologous Bone Marrow Transplant Program
Rodrigo Goes – Technician Responsible for the Musculoskeletal Transplant Program