http://allnurses.com Nurses discussing Burn Unit, Immediate Fluid Resuscitation, overwhelming sepsis and other Critical Care Nursing Issues. Also note, we have Burn Nursing forum as well that non critical care discussions regarding burn nursing. en Mon, 23 Nov 2009 11:42:59 GMT vBulletin 60 http://img.an-file.info/misc/rss.jpg http://allnurses.com http://allnurses.com/burn-icu-burn/new-grads-burn-439157-new.html Sun, 15 Nov 2009 04:35:33 GMT (This is in reponse to an e-mail from mytwosons) Getting prepared to start working as a nurse... (This is in reponse to an e-mail from mytwosons)

Getting prepared to start working as a nurse on a Burn Center includes being up to date in your skills. Review what you learned in nursing school. I have been a burn nurse for 34 years- experience has always been the best teacher. You can review some of the main topics in burn care- fluid resuscutation, partial and full thickness burns, escharatomies, contracture prevention, the different dressings, the most common organisms you will be treating with antibiotics. Also what is the routine of the unit- vital sign routines, when do physicians view the burns. Review prevention of skin breakdown - what is the practice ( turning q2 hours) etc.

Resources-
American Burn Association web site has alot of information- they also have a journal.
Search the web - some burn centers have great power points on basic burn care
Books-
There are some older books written by nurses that are very good.
"Burn Care" by Dr. Herndon is very good

Remember you will be providing spiritual, emotional and physical care. The burn patient needs extensive support to survive their injury. Burn Nurses are special. So good luck. ]]> Burn ICU - Burn Unit Critical Care LCAY RN http://allnurses.com/burn-icu-burn/new-grads-burn-439157.html http://allnurses.com/burn-icu-burn/staffing-436420-new.html Tue, 03 Nov 2009 13:42:15 GMT Hi. I'm new here and I find this site very useful for nurses. I'm presently working in a Burn Center located in the Central California. I work night shifts and we don't have our own unit yet. Meaning, we are occupying 3 rooms from the MICU. Our unit is a 3-bed capacity but we can admit more in the med- Surg floor if needed and we have to check them Q shift and change their dressings as ordered. I work as the Shift Leader of the unit and I go down in the E.R and evaluate burns. I understand that the ratio is 1:2 for ICU level and 1:4 for Med Surg level but my question is does a shift leader takes a patient assignment.? know they are easy patients at night time because there are no change of dressings but the problem is when I have to rounds other patients in the floor and when I go to the E. R. I normally have 1 patient and usually their easy that's why my supervisors and the director want me to handle another patient from the MICU because of the low census in the BICU. My other concern is I'm not a heart nurse and I'm not comfortable taking care of their patient. Another is, I'm sometimes off from the unit and what if I get a major burn? One time, I had to admit 70% 3rd degree burn by myself alone. That was hard because patient was hypothermic. I had to be fast putting the dressings on. ICU nurses came finally to help me..but what if they're coding and busy?

I really love burn nursing because i've been doing it for a long time but sometimes I wanted to quit. Can somebody give me the proper staffing for the Burn Center? I need something that is a fact not just an opinion like for example what does the State or Federal require? I've been surfing the internet about this and I couldn't find the answer for this. I hope that somebody could help me with this because if I need to voice out, I want rational reasons and facts.

Thank you and More power to all of you!

Lani:spin: ]]> Burn ICU - Burn Unit Critical Care allanismarcus http://allnurses.com/burn-icu-burn/staffing-436420.html