Description of Unit
The Burn Center is verified by the American Burn Association and the American College of Surgeons. Coordinated inpatient and outpatient services are provided. The Burn Center, Burn OR, and Burn Outpatient Clinic are located on the seventh floor between the PSB and the MSB buildings. Intubated/critical pediatric patients are accommodated in the PICU located on the 10th floor. Step down for adult burn patients is accommodated on 10-5 located on the tenth floor of the PSB building. Step down for pediatric burn patients is accommodated at UF Health Shands Children’s Hospital located on the fourth of the PSB building. Inpatient and outpatient surgical procedures are scheduled Monday, Wednesday, Thursday, or Friday, but may be scheduled at alternate times as needed. Evaluation and wound care for outpatients in the acute phase of a minor burn, rehabilitation phase of a major burn are scheduled on Tuesday, Wednesday, or Thursday, but may be seen at alternate times as needed. The Burn Center is an eight-bed inpatient unit with four isolation rooms and a four-bed pod. All bed spaces are directly visible from the nursing station, with monitoring systems located at each bedside and remote alarm capability via a central monitoring system located at the nurse’s station. Within the confines of the unit, treatment areas for hydrotherapy, operative procedures, rehabilitative therapy, and outpatient clinics are provided. The average length of stay is 9.1 days and the average daily census is 7.2. Nursing staff working in the Burn Center provide quality patient care to the patient populations on the unit through utilization of the nursing process 24 hours per day, seven days per week.
Description of Patient Populations
The Burn Center unit/role specific job description identifies the patient populations/common diagnoses served, the equipment utilized, the skills required to perform treatments and procedures, the clinical parameters monitored, the safety precautions initiated, and the emergency events encountered. (See attached)
The nursing management structure consists of a Nurse Manager, a Clinical Leader, and a Financial Coordinator. Department of Nursing staff is provided training experiences to attain and maintain competence as defined by the unit/role specific job description and the Departmental Education Plan. Registered nurses who have received specialized training circulate in the Burn Center Operating Room to assist with surgical procedures performed on pediatric, young adult, middle adult, and older adult patients in collaboration with surgeons, anesthesiologists, and major surgery scrub techs. Registered nurses who have received specialized training provide care for patients during the Pediatric Surgery Outpatient Clinic and the Adult Outpatient Burn and Wound Clinics. Collaboration with physicians, occupational therapy and/or physical therapy, and consult services also occurs during clinic times. The nurse is responsible for guiding care of the patient based upon an individualized plan. Registered Nurses provide nursing care. Unit Clerks provide clerical support for the direct patient caregivers.
Health Care Team
The Medical Director is a Burn surgery attending, and a professor of the Department of Surgery at UF. The Medical Director and attending physicians on the Burn, Trauma, Plastics, and Pediatric Surgery services may admit patients to the Burn Center. ARNPs serve as liaisons between the medical staff and the multidiscipline team, providing continuity of care for adult and pediatric patients from admission through clinic follow-up. Surgical and anesthesia fellows, residents, and medical students rotate through the Burn Center on the Burn, Trauma, Anesthesia Critical Care Medicine, Plastic and Pediatric Surgery services. The services consist of attending physicians, fellows/chief residents, residents, interns. This interdisciplinary team provides medical care 24 hours per day, seven days per week. Scheduling of rotations is maintained through the Department of Surgery. Attendings, fellows, and residents on the Anesthesia Critical Care Medicine service collaborate on the care of those patients requiring ventilator management and stabilization. Multidiscipline collaboration is ongoing, but also takes place on daily rounds and weekly grand rounds. Available support services for the Burn Center include: Respiratory Therapy, Physical Therapy, Occupational Therapy, Nutrition Services, and Patient and Family Services. The nurses also work closely with pharmacy, pastoral services, and consult services to meet patient care needs.