micola75

Is there any burns or plastic trained nurses out here in this forum who can share with me where you were trained? Any nurses from Australia? Is plastic and burns nursing a combine course or they are separate course?:icon_roll

Thanks Sharrie. BTW, do you have any idea which hospitals or universities in UK actually offered this course as part of their degree program?

I am searching for oversea countries such as UK, USA, Australia and NZ. Unfortunately, my country don't has a year course that lead to a certification.

Hey folks I am searching for a hospital or tertiary education institution(nursing school) that offered 1 year structured course for burns & plastics surgery nursing for international student. I am currently an qualified RN and been working in this field for 12 years. I hope to pursue my interest in this field . I want to know more in-depth & be trained in burns & plastics surgery nursing. I am lucky to work for my hospital that agreed to sponsor me to pursue my interest. :redpinkhe I need to search for a hospital or school that offer me this course. I have been searching in the internet but unable to find. I am writting to hope that someone can guide me or share with me if you know where I can pursue my further education in this field. Thank You :loveya:

Hey dear fellow nurses.. I need some advices.I have heard about early ambulation for patients underwent skin grafting over the legs. How many post op day (POD) do you consider safe to start early ambulation for this group of patients. In my unit, we practice rest in bed for 5 days after surgery. My surgeon usually will immobilised the legs with backslab followed by wound inspection on 5th POD.We will check skin take then the surgeon will decide for ambulation or hold on. I am thinking that it's neccessary to immobilise the leg for 5 days. Can we shorten the length of stay:uhoh3:? Sometimes, even the grafted area is about 1% over the calf, we still follow the protocol:o. Can share with me how your unit practice? Do you start ambulate patient on 1st POD? Is there any researchs or EBN studies shows to support early ambulation? Or we have to stick to the conventional way to immobilise our poor patient for 5 days? Your input will be greatly appreciate .. Thank You

Hey thanks for replying.. Been using either IV Morphine or IM Pethidine when removing staples.. Never though that Ativan works too...Do you give it orally or IV n how long does it take effect before the procedure???Thanks for the suggestion. Can try it out as long as to achieve painless procedure:saint: We've been using entonox for a trial but i felt that it's very subjectively. After the trial, the researcher (an anesthetist) returned the gas n i nv see it again..Maybe can do a EBN on it and convinced my manager to use it if it really proven effective. Gwenith, do you hv any protocol on administering of entonox?? Do a doctor need to be around when the gas is given?? Still looking forwards for help on dissolvable staples .. Anyone used or saw or read it before.. My surgeon told us tat he used it before n dont know is he bluffing us.. it'll be so good to know if there's really dissolvable staples. Really thanks for replying n looking forward for all your wonderful replies.. I love burn nursing:cool:

Thanks Erin for replying my posting.. Your suggestion is useful for small grafted area.. it'll be quite difficult to count surgical staples for huge, extensive burn patient. They have too many staples in them and it'll be very difficult for the surgeons to count the staples for a 60-90%. Sometimes it's really a "nursemare " to see the surgeons putting the hundreds staples on the grafted areas in the OT and imagine you are the nurse who is going to remove it at ward level We did think about doing x-ray to prevent having embedded staples but it's not cost effective. It'll be a extra charge to the patient and so many part of the body need to do.. We are now practising "buddy checking" .. After i removed the staple, i'll get my colleague to check again. We are still hoping find a better way to prevent it. Have anyone been encounter using dissolvable staples in their burns unit?? Can share with me? It sounds so miracle.. I tried to search google for information but so limited. Of course, there's fibrin glue but it's expensive .. Well..to Erin's question- We'll have our graft inspection on the 5th POD, we did use NS to cleanse the wound and if the dressing is too dry, we'll soak the dressing with NS before removing it. Have to be very very gentle when doing it to prevent shifting or pulling the very precious graft. If the graft is well taken, we'll remove alternate staples or all staples and hv another graft inspection on the 8th POD. Eva

Dear burn nurses, I like to know what is the most effective way to remove surgical staples and prevent having embedded staples in the patient's skin. I believed that most of us who work in the burn unit experienced removing hundreds & hundreds of staples for patient that undergoing skin grafting. The procedure is frustrating and patient is normally in pain & sometimes yelling. I think the worst is having staples embedded and overlooked. What is the best method to prevent having embedded staples? Do anyone have any suggestion or good idea to prevent it. Can share with me? Thank you.