Journal Article

464 A Community Outreach Effort: Making a Big Difference with Small Burn Injuries

K M Conlon, M A Marano, R Lee, R Burgos, M Dimler, E Crann, P Alem, M Roberts and O Okwindo

in Journal of Burn Care & Research

Volume 39, issue suppl_1, pages S204-S205
Published in print April 2018 | ISSN: 1559-047X
Published online April 2018 | e-ISSN: 1559-0488 | DOI: http://dx.doi.org/10.1093/jbcr/iry006.386
464 A Community Outreach Effort: Making a Big Difference with Small Burn Injuries

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Abstract

Introduction

With an increase in urgicenters and walk-in clinics, our burn center (BC) has seen a significant increase in small burns receiving inappropriate or delayed wound care. Although burns may not meet American Burn Association Referral Criteria, improper management or failure to anticipate common risk factors such as infection, scarring or functional impairment often leads to eventual transfer. To address the BC partnered with a university nursing program to develop educational outreach that simultaneously targets ambulatory facilities and supports a student nurse research project.

Methods

A literature search for small burns and minor wound care was conducted by the student to gain an understanding of the scope of this problem, and to help develop appropriate educational content. Key target areas identified included: A) estimating burn depth and size, B) applying American Burn Association referral criteria, C) comprehensive wound care and D) additional risk factors potentially impacting recovery. A mass mailing to 1862 urgicenters within a 100 mile radius of our BC was completed. Each site received five copies of a wall chart with a cover letter outlining the purpose of the program, with contact information for consultation or educational follow-up.

Results

Guidelines of Care for Small Burns wall chart, with an accompanying educational outreach program was developed. The chart is designed to be posted and serve as a quick reference. Content includes photographs and definitions of burn depth and estimation, debridement and dressing options. Additional risk factors such the progressive nature of burns, a potential for carbon monoxide poisoning from fire exposure and common complications are also highlighted. The guide features a mechanism to utilize telemedicine and/ or consult with a burn physician directly, or arrange on-site education.

Conclusions

The goal is to provide these sites with a reference tool that benefits patient management, improves patient care and reduce admissions. Telephone follow-up confirms this guide provides comprehensive management, not just wound care. Healthcare providers state the guide helps identify multiple risk factors in a format readily accessible and easy to understand. For our BC this outreach effort offers another opportunity to educate providers regarding optimal care even when patients may not need to be seen at a burn center.

Applicability of Research to Practice

Comprehensive patient care, improved resource utilization and enhanced community relationships between a local burn center, non-burn healthcare providers and a university nursing program.

Journal Article.  0 words. 

Subjects: Medicine and Health ; Acute Medicine ; Emergency Medicine ; Critical Care ; Surgery

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