ACI Statewide Burn Injury ServiceTransfer Guidelines

ACI Statewide Burn Injury Service

Better Healthcare: Better Outcomes

The ACI works with clinicians consumers and managers to design and promote better healthcare for NSW.

Our Networks

Our health system

Our Structure

Burn Units & Rehab

Statewide Burn Service

Three tertiary referral burn units Adults Royal North Shore Hospital 9 beds + ICU Concord Repatriation General Hospital 10 beds +

ICU Paediatrics The Childrens Hospital at Westmead 8 beds

Burn Unit activity

2015 3082 burn cases treated at the 3 units 999 acute admissions 2976 treated in OP (includes post and pre

admissions) Average 73 per year >20%Total Body Surface Area

burned

ACI Statewide Burn Injury Service

Guidelines, Models of Care Education Data Clinical Support Prevention Disaster planning Clinical practice review Partnerships Trauma App with burn calculators

Resources online

Transfer Guidelines Allied Health

Physio/Occ Therapy Speech Path Nutrition Play therapy Social Work

Burn Management Minor burn management Escharotomy

Skin Laboratory

Clinical Practice Review Committee

Reviews: Submissions from clinicians across the Severe Burn

Units All deaths Clinical issues leading to adverse outcomes Clinical trends Transfers to the Service

Transfer Feedback Form The ACI Statewide Burn Injury Service endeavours to continually improve the clinical care and service to our burn patients and to optimise patient health outcomes. The patient transfer process has been identified as a focus for improvement activities. To this end, the NSW Statewide Burn Injury Service Clinical Practice Committee has developed a two-way feedback form in order to provide feedback to the referring hospital/facility following a patient transfer to one of our constituent burn units i.e. Royal North Shore Hospital, Concord Repatriation General Hospital and the Childrens Hospital at Westmead. The NSW Statewide Burn Injury Service Burn Transfer Guidelines 3rd Edition; can be accessed at www.aci.health.nsw.gov.au/resources/burn-injury The Patient Emergency Assessment and Management Chart should be used when assessing, managing and transferring a patient to the burn units and can be found also at the above link as an appendix to the Transfer Guidelines. The NSW Trauma App is now available for both android and iOS platforms. This app includes interactive Burn assessment calculators for paediatrics and adults as well as guidelines, checklists and useful links to burn specific resources. Each patient transfer will have a form, based on the transfer guidelines, returned to the referring hospital /facility in a timely manner. Please discuss this feedback with all relevant staff from your facility.

Please give us your feedback on this form about the transfer process for this patient from your perspective. Could we improve the process? Could communication be improved? Could your hospital/ facility benefit from further education regarding the transfer process or other burns related issues? Fax no: 9463 2006 Email Consult is available at the three burn units and digital photos can be attached to the email. CHW: kidsburns@chw.edu.au RNSH: NSLHD-BurnsConsult@health.nsw.gov.au CRGH: CRGH.BurnsUnit@sswahs.nsw.gov.au The NSW Statewide Burn Injury Service can arrange for staff education. We can be contacted at the Severe Burns Unit, Level 6 Clinical Services Building, Royal North Shore Hospital Reserve Rd St Leonards NSW 2065 Tel: 02 9463 2105 or email the Network Manager Anne Darton anne.darton@health.nsw.gov.au. Web address: www.aci.health.nsw.gov.au the website now has burn care presentations on the Education and 'Resources' tabs

Print Name & Designation: Signature:

Transfer Feedback Form

The ACI Statewide Burn Injury Service endeavours to continually improve the clinical care and service to our burn patients and to optimise patient health outcomes.

The patient transfer process has been identified as a focus for improvement activities. To this end, the NSW Statewide Burn Injury Service Clinical Practice Committee has developed a two-way feedback form in order to provide feedback to the referring hospital/facility following a patient transfer to one of our constituent burn units i.e. Royal North Shore Hospital, Concord Repatriation General Hospital and the Childrens Hospital at Westmead.

The NSW Statewide Burn Injury Service Burn Transfer Guidelines 3rd Edition; can be accessed at www.aci.health.nsw.gov.au/resources/burn-injury

The Patient Emergency Assessment and Management Chart should be used when assessing, managing and transferring a patient to the burn units and can be found also at the above link as an appendix to the Transfer Guidelines.

The NSW Trauma App is now available for both android and iOS platforms.

This app includes interactive Burn assessment calculators for paediatrics and adults as well as

guidelines, checklists and useful links to burn specific resources.

Each patient transfer will have a form, based on the transfer guidelines, returned to the referring

hospital /facility in a timely manner.

Please discuss this feedback with all relevant staff from your facility.

Please give us your feedback on this form about the transfer process for this patient from your perspective. Could we improve the process? Could communication be improved? Could your hospital/ facility benefit from further education regarding the transfer process or other burns related issues? Fax no: 9463 2006

Email Consult is available at the three burn units and digital photos can be attached to the email. CHW: kidsburns@chw.edu.au RNSH: NSLHD-BurnsConsult@health.nsw.gov.au CRGH: CRGH.BurnsUnit@sswahs.nsw.gov.au

The NSW Statewide Burn Injury Service can arrange for staff education. We can be contacted at the Severe Burns Unit, Level 6 Clinical Services Building, Royal North Shore Hospital Reserve Rd St Leonards NSW 2065 Tel: 02 9463 2105 or email the Network Manager Anne Darton anne.darton@health.nsw.gov.au. Web address: www.aci.health.nsw.gov.au the website now has burn care presentations on the Education and 'Resources' tabs

Print Name & Designation: Signature:

NSW Statewide Burn Injury Service Clinical Practice Review Committee Transfer Feedback Form 20161

Top issues with transfers

Other issues included: temp control, circ care, analgesia, dressing choice, tetanus prophylaxis, resp care, escharotomy, transfer mode

0 50 100 150 200 250 300 350

TBSA/depthassessment

Documentation

Fluids

Transfermethod/communic

Delayed transfer

First Aid

Issues identified by category

Chart5

342

137

135

81

66

41

TBSA/depth assessment Documentation Fluids Transfer method/communication Delayed transfer First Aid

Issues identified by category

Sheet4

%TBSA referring%TBSA SBU

2265-43

2260-38

4064-25

3.525-22

5270-19

4055-15

5063-14

1528-13

818-10

2435-10

2030-10

2030-10

2.510-8

915-6

814-6

712-5

712-5

6064-5

5055-5

4045-5

4045-5

4045-5

3540-5

3338-5

2025-5

1015-5

1015-5

1015-5

59-4

4549.5-4

4.58-4

48-4

3035-4

3035-4

1418-4

1317-4

1317-4

710-3

69-3

69-3

47-3

2730-3

2023-3

2.55-3

25-3

1518-3

1518-3

1215-3

1013-3

1013-3

1.54-3

3135-3

9093-2

810-2

68-2

68-2

57-2

4345-2

46-2

46-2

3840-2

3.55-2

35-2

35-2

1416-2

1315-2

1012-2

1012-2

1012-2

1012-2

1820-2

1214-2

1012-2

810-2

810-2

1.53-2

9092-1

910-1

910-1

89-1

78-1

67-1

56-1

56-1

4.55.5-1

45-1

45-1

45-1

3.54.5-1

3.54.5-1

3.54-1

3.54-1

34-1

2627-1

2627-1

2526-1

23-1

23-1

1718-1

1718.5-1

1718-1

1415-1

1112-1

1011-1

89-1

94940

990

990

990

990

80800

880

880

880

880

880

70700

770

770

770

6.56.50

660

660

660

660

660

660

660

55550

51510

50500

550

550

550

550

550

550

550

550

550

550

550

550

550

550

550

550

4.540

440

440

440

440

440

440

440

440

440

440

440

440

440

440

440

38380

37370

36360

35350

30300

3.530

3.53.50

3.530

330

330

330

330

330

330

330

330

330

2.520

2.520

22220

20.5200

20200

20200

20200

2.52.50

220

220

220

220

220

220

220

220

220

220

220

220

220

220

220

220

22.50

220

220

220