Did anyone else see this article on CNN.com? Very sad. Of course, as a former burn nurse, I was a bit irritated when they wrote that teams of doctors do the 4-hour dressing changes on this patient. No matter how severe the burn was, unless it was in the OR, nurses did the dressing changes. Now, I could be wrong, considering I only put in 1 year on a burn unit before leaving for psych nursing, but I thought nurses or wound care specialists did the dressing changes.
This article may not be that inaccurate. Jackson Memorial is a large teaching hospital and this is a pediatric patient. I do know in other teaching facilities the residents may be required to have more hands on experience especially in pediatrics. As a learning experience the attending may have the residents do the dressing changes and discuss each area for treatment differences. I have seen them save a complicated patient for last on rounds and will then spend hours on that one patient. Even if the residents themselves may not do the actual dressing changes some may spend the entire time at bedside with the RNs so they will be prepared for rounds the next day with their attending. They can pick up a lot of information from the experienced RNs.
This patient may also have been unstable where there may have been a resident and a fellow present. On a few occasions we have also asked for assistance in the Peds ICU from the Burn Unit for a debridement case and got at least 2 physicians (resident/fellow) to assist and they also helped to do most of the dressing changes. Also, when we had a pedi burn patient that had more complex medical issues in the peds ICU rather than the Burn Unit, the Burn Residents came in to do the dresssing changes with the peds RNs.
Last edit by GreyGull on May 14, '11