Table 3.

Challenges in organ procurement

Travel/transportation factors	Personnel factors	Donor site factors
Travel restrictions complicating or limiting the team’s ability to procure organs interprovincially and internationally	“Sidelining” of team members owing to quarantine requirements after travel	Local hospital restrictions limiting entry and access to donor facilities
Limited space on flights and ground transportation for teams owing to distancing requirements	Staff shortage owing to reassignment, quarantine, illness, and fatigue	Diminished ICU and OR capacity
Availability of timely travel/transportation and lack of streamlined air flight/airport processes	Unpredictable “last-minute” changes in staffing	Variable OR pandemic protocols leading to delays and inefficiencies before and during the retrieval surgeries

ICU, intensive care unit; OR, operating room.