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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
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