CBAHI Burn Care (BC) Standards PDF

Burn Care (BC) Introduction Burn care is a high risk service that requires strict adherence to certain requirements to be safe, efficient, and effective. When the hospital provides burn care, the unit should be staffed with qualified individuals. Additionally, policies and procedures should gui...

Burn Care (BC) Introduction Burn care is a high risk service that requires strict adherence to certain requirements to be safe, efficient, and effective. When the hospital provides burn care, the unit should be staffed with qualified individuals. Additionally, policies and procedures should guide staff for appropriate burn care. This chapter addresses the following: Staff qualifications and plans Admission and discharge criteria Policies and procedures in burn units Collaboration with different disciplines Infection control STANDARDS Burn Care (BC) 151 Licensed by CBAHI to:SAAD ([email protected]), Not for email, distribution or reproduction.  STANDARDS BC.1 Qualified director is responsible for managing the clinical services in the burn care unit. BC.1.1 The clinical services in the burn care unit are led by a qualified plastic surgeon with interest/ experience in burn care. BC.2 The burn unit is covered by qualified medical staff. BC.2.1 The care is provided by consultant burn care five days a week during working hours. BC.2.2 The care is supplemented by sufficient qualified surgeons twenty four hours a day, seven days a week (plastic surgeon or general surgeon who has completed initial stage training in plastic surgery). BC.2.3 The unit has access to consultant burn care twenty four hours a day, seven days a week. BC.3 Clinical staff members have appropriate qualifications. BC.3.1 Clinical staff members in the burn care unit are qualified in the care of burn patients. BC.3.2 Clinical staff who participate in providing care for burn patients are certified in advanced life support for the different age groups. BC.3.3 On every shift, clinical staff are present on site or at least one certified professional is assigned for the burn unit. BC.4 Qualified nurse manager is responsible for supervising nursing services in the burn unit. BC.4.1 The nurse manager in charge of the burn unit is a qualified registered nurse with training, STANDARDS education, or experience in burn care. Burn Care (BC) BC.5 The burn unit has adequate nursing coverage. BC.5.1 Nursing staffing plan is based on patient volume and patient acuity and ensures adequate coverage twenty four hours a day, seven days a week. BC.6 The burn unit has admission and discharge criteria. BC.6.1 The burn unit has admission and discharge criteria consistent with evidence-based practice. BC.6.2 The criteria are collaboratively developed by the unit medical and nursing staff. BC.6.3 The admission and discharge criteria are implemented. BC.7 Services provided in the burn unit are coordinated with other services to meet the needs of patients. BC.7.1 Medical services are readily available and accessible including, but are not limited to: BC.7.1.1 Critical care services. BC.7.1.2 Anesthesia services. BC.7.1.3 Social services. BC.7.1.4 Pharmaceutical care. 152 Licensed by CBAHI to:SAAD ([email protected]), Not for email, distribution or reproduction.  BC.7.1.5 Physiotherapy services. BC.7.2 Care is coordinated with the different disciplines participating in the plan of care. BC.8 Policies, procedures, guidelines, and protocols guide the care in the burn unit. BC.8.1 There are policies, procedures, protocols and guidelines covering, but are not limited to: BC.8.1.1 Inhalation injury. BC.8.1.2 Varying degrees/types of burns. BC.8.1.3 Infections. BC.8.1.4 Use of skin or synthetic grafts. BC.9 Policies and procedures guide all practices relating to infection control in the burn unit. BC.9.1 There are policies and procedures to guide all practices relating to infection control and this includes, but is not limited to: BC.9.1.1 Separation of cases. BC.9.1.2 Use of masks, gowns and gloves. BC.9.1.3 Cleaning and disinfecting all equipment and tools. BC.9.1.4 Visitor restrictions. BC.9.1.5 Aseptic dressing change. BC.9.1.6 Care of skin graft. BC.9.1.7 Transport of patients into and out of the unit. BC.9.1.8 Burn bath management. BC.9.2 The burn care unit is under positive pressure with High Efficiency Particulate Air (HEPA) filters. STANDARDS Burn Care (BC) BC.9.3 Policies and procedures relating to infection control are implemented as evidenced in the daily practice and the patient’s medical record. BC.10 The burn care unit has all necessary equipment and supplies for the provision of safe care. BC.10.1 The burn care unit has the necessary equipment, supplies, and medications including, but are not limited to: BC.10.1.1 Crash Cart. BC.10.1.2 Automated blood pressure monitoring machines. BC.10.1.3 Cardiac monitors. BC.10.1.4 Suction machines. BC.10.1.5 Pulse oximeters. BC.10.1.6 Intravenous infusion pumps and syringes. BC.10.1.7 Ventilators. BC.10.1.8 Blood warmers. BC.10.1.9 Glucometers. 153 Licensed by CBAHI to:SAAD ([email protected]), Not for email, distribution or reproduction.  BC.11 Nursing staff in the burn care unit receive continuous training with competency assessment. BC.11.1 Nursing staff in the burn care unit receive training and education that include , but is not limited to the following: BC.11.1.1 Use of pulse oximetry. BC.11.1.2 Principles of infection control. BC.11.1.3 Use of the defibrillator. BC.11.1.4 Knowledge of the dosage, side effects, and complications of commonly used high alert medications. BC.11.2 There is ongoing competency assessment for the nursing staff (e.g., written test, return demonstration). BC.11.3 The competency assessment of the nursing staff is documented. STANDARDS Burn Care (BC) 154 Licensed by CBAHI to:SAAD ([email protected]), Not for email, distribution or reproduction.