The University of San Francisco USF Scholarship: a digital repository @ Gleeson Library | Geschke Center DNP Qualifying Manuscripts School of Nursing and Health Professions Spring 5-18-2020 Care After Burn Trauma: A Burn Toolkit for Providers Whitney Weyhing [email protected] Follow this and additional works at: https://repository.usfca.edu/dnp_qualifying Part of the Family Practice Nursing Commons, and the Public Health and Community Nursing Commons Recommended Citation Weyhing, Whitney, "Care After Burn Trauma: A Burn Toolkit for Providers" (2020). DNP Qualifying Manuscripts. 38. https://repository.usfca.edu/dnp_qualifying/38 This Manuscript is brought to you for free and open access by the School of Nursing and Health Professions at USF Scholarship: a digital repository @ Gleeson Library | Geschke Center. It has been accepted for inclusion in DNP Qualifying Manuscripts by an authorized administrator of USF Scholarship: a digital repository @ Gleeson Library | Geschke Center. For more information, please contact [email protected]. Running head: CARE AFTER BURN TRAUMA: A BURN TOOLKIT FOR PROVIDERS 1 Care After Burn Trauma: A Burn Toolkit for Providers Whitney Weyhing DNP, FNP-C, CWCN University of San Francisco First Chair: Dr. Loomis DNP, FNP-C, CHSE, NCMP, CNL Second Chair: Dr. Fraino DNP, PMHNP-BC, FNP-BC, NP-C, CNL CARE AFTER BURN TRAUMA: A BURN TOOLKIT FOR PROVIDERS 2 Section I: Abstract Problem: A burn injury can occur in a matter of seconds. Despite advances in medical innovations and scientific progress, accidental burns continue to represent a devastating major public health burden today. Burn traumas represent a great expense to the healthcare system, affect every age and demographic, and continue to possess significant morbidity and mortality. Context: Due to the current knowledge deficit of basic burn treatment, this Toolkit will provide current best-practice guidelines with evidence-based wound care instruction. Interventions: An interactive educational instruction, including a pre-test and post-test of overall comprehension, from initial assessment to management of burns. Included will be resources for providers and patients summarizing critical instruction and referral criteria. Measures: Implementing a professional practice Burn Toolkit to enrich overall awareness and understanding of burns as demonstrated by increased post-test competency. Informed providers will be able to better address health care disparities unique to burn patients, as well as teach and promote burn injury prevention. Results: After the Provider Toolkit Presentation, data analysis demonstrated improved post-test burn comprehension and overall understanding. Future indications include publication to reach a wider audience and workshops to decrease the overall incidence and societal cost of burns. Conclusions: This Burn Toolkit will create an essential change in practice resulting in better assessment and burn care, resulting in improved physical and psychological outcomes. Keywords: Burns, burn assessment, burn trauma, burn prevention, provider burn toolkit, burn referral CARE AFTER BURN TRAUMA: A BURN TOOLKIT FOR PROVIDERS 3 Table of Contents SECTION I: Title and Abstract ......................................................................................................... 1 Title ............................................................................................................................................ 1 Abstract ...................................................................................................................................... 2 Table of Contents ....................................................................................................................... 3 SECTION II: Introduction .................................................................................................................. 5 Problem Description .................................................................................................................. 5 Situation ..................................................................................................................................... 6 Current Knowledge .................................................................................................................... 6 Initial Burn Management ........................................................................................................... 7 Severe Burns .............................................................................................................................. 9 Modalities of Burns .................................................................................................................. 10 Thermal ........................................................................................................................ 10 Chemical ...................................................................................................................... 11 Electrical ...................................................................................................................... 11 Cold ............................................................................................................................. 12 Radiation ...................................................................................................................... 12 Friction ......................................................................................................................... 13 Burn Pathophysiology .............................................................................................................. 14 Burn Classification by DeptH ................................................................................................... 14 First degree .................................................................................................................. 14 Second degree .............................................................................................................. 15 Third degree ................................................................................................................. 15 Fourth degree ............................................................................................................... 16 Burn Dressings ......................................................................................................................... 16 Burn Complications ................................................................................................................. 17 Accidental Versus Non-Accidental Trauma ............................................................................ 18 Special Populations .................................................................................................................. 19 SECTION III: Methods ..................................................................................................................... 20 Narrative of Evidence .............................................................................................................. 20 PICOT ...................................................................................................................................... 21 Review of Evidence ................................................................................................................. 21 Theoretical Framework ............................................................................................................ 24 Specific Aims ........................................................................................................................... 24 AIM Statement ......................................................................................................................... 25 SMART Goals .......................................................................................................................... 25 Gap Analysis ............................................................................................................................ 26 CARE AFTER BURN TRAUMA: A BURN TOOLKIT FOR PROVIDERS 4 Work Breakdown Structure ..................................................................................................... 26 SWOT Analysis ....................................................................................................................... 27 Proposed Budget ...................................................................................................................... 28 Educational Intervention .......................................................................................................... 28 Outcome Measures ................................................................................................................... 29 Analysis .................................................................................................................................... 29 Ethical Considerations ............................................................................................................. 29 SECTION IV: Results ........................................................................................................................ 30 Pre and Post-Test Results ......................................................................................................... 30 SECTION V: Discussion .................................................................................................................... 30 Summary .................................................................................................................................