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Placement
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Introduction to
Placement area
REGIONAL PAEDIATRIC BURNS SERVICE 0161 701 8123/4
The Burn Service is a Regional Paediatric Burns Service
receiving patients from 0 to 16 years from as far as Barrow-InFurness, Crewe, Sheffield, North Wales and Newcastle. We
are part of the National Burns Bed Bureau, if we have the only
burn beds in Britain, we will accept transfers from any part of
the British Isles. We will also accept referrals from abroad. The
Adult Burns Service is at Wythenshawe Hospital in South
Manchester. We work in partnership with the adult services in
order to share best practice and evidence based care, you will
hear this referred to as the ‘Pan Manchester Burns Service’.
The Unit has 12 beds; this includes two intensive care beds
that accommodate thermally injured children with severe, life
threatening thermal injuries or those requiring advanced
respiratory support / ventilation. These 2 beds are located
within the Paediatric Intensive Care Unit, where the child
would be nursed by a Burns Sister in collaboration with PICU
Doctors and Nurses. We also have two high dependency beds
for children requiring close observation and management of
acute illness following thermal injury of 10% and over. We
have eight general beds used for burn care, burns
reconstruction and comprehensive rehabilitation.
The Burns Service has four Consultant Burns and Plastics
Surgeons and their ward rounds are conducted daily at 08.30
hrs. A Consultant, Senior Registrar and the remainder of the
team along with the Senior Nurse / Clinical Nurse Specialist
undertake the ward round. We share care with other medical
colleagues to ensure that there is always robust paediatrician
input.
The service sees over 500 new patients every year. These
include patients admitted to the service and subsequently
discharged to be followed up on an Out Patient basis in the
Burns & Plastics After Care Clinic (BAPAC). 75% of
admissions are under 5 years of age, of which, approximately
60% are related to scald injuries. All of our admissions are
emergencies and arrive in a variety of ways: a) Transfer from other Emergency Departments.
b) Transfer from our own Emergency Department.
c) G. P. referrals.
d) Direct Ambulance / Air Referral (notified by Ambulance
Control).
No-one can anticipate an accident. Consequently neither the
child nor the family are prepared for hospitalisation. Both are
often in need of a great deal of care and support. Many
parents feel guilty about the accident and this can manifest
itself in different ways.
A great deal of tolerance and understanding is often required
of the nurse. A team of Clinical Psychologists and Family
Counsellors are also available to provide support for the child,
family and nursing staff.
Parents or main carers are encouraged to stay with their child
and accommodation is available either in the child’s room, in
our dedicated parents accommodation located on the 2 nd floor,
or at the Ronald McDonald House facility which many of our
families qualify for due to the length admission required for
some Burns patients.
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Placement
Philosophy
The service philosophy aims to provide a holistic approach to
the thermally injured child and their family – not only during
hospitalisation, but also after discharge, giving respect to their
individuality, beliefs and cultures.
We aim to offer support, supervision and counselling to all
parents so they will be able to participate in their child's care,
thus maintaining as normal a routine as possible. By reducing
the number of nurses delivering care we aim to establish a
good relationship with the family enabling us to create an
environment of trust and security. Following discharge this
philosophy is continued through to the Burns & Plastics After
Care. The model used to implement our aims is the “Health
Career Model” (Hodges,1997). By using this model we are
able to examine the child in relation to his/her past, present
and future needs relating to the child's physical, social and
psychological requirements.
It is the responsibility of individual members of staff to keep up
to date with current nursing practices and their own
educational requirements. Through a system of mentors and
sign-off mentors, we aim to provide appropriate support for
continuing students or those who are about to register as fully
qualified practitioners.
At the Burns Service we aim to provide all students with a
varied and challenging environment in order for them to
develop their knowledge and understanding of caring for a
thermally injured child.
We seek to ensure that each student is allocated a mentor or
sign-off mentor as appropriate to the student’s point of
training. Students will work with their mentor at least 3 out of 5
shifts; however, these can be tailored to accommodate their
individual learning in line with action plans and needs.
Students should expect to work with their mentor on their 1 st
day.
All staff recognise the importance of teaching and we aim to
provide an atmosphere conducive to learning by utilising all
available opportunities and resources.
Students will be encouraged to develop their knowledge and
understanding of caring for a thermally injured child through
asking
questions
and
reflection;
by
observation
and
undertaking of new skills; by contributing to individual care
plans and by following the patient from admission to
discharge. In addition, the opportunity to work with members
of the MDT will be provided.
We endeavour to provide regular feedback, along with support
and guidance, on their performance, with progress against
action plans being reviewed.
Throughout the student’s allocation at the Burns Service we
aim to make them feel part of the team.
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Staff Facilities
and Break
Allocation
We believe in flexibility to accommodate students learning
needs and personal life / work balance. If you wish to start a
shift early or finish late, then your hours can be amended in
subsequent shifts. You should be able to demonstrate an
appropriate reason for doing so and this must be authorised
by the Education Development Practitioner, Clinical Educator,
Clinical Team Leader or Modern Matron. If Off Duty changes
are necessary they must be approved by a member of the
Student Liaison Team.
Students are not actively encouraged to work long days, but
may do so following discussion with their University Tutor. As
a service we permit the working of ONE long day. As a
student, you are expected to work a full range of shifts,
including nights and weekends, in line with your University
Policies. This allows you to experience the full range of care
pathways and skills development.
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Handover / Shift
Patterns
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Specialities
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Commonly used
terms /
Abbreviations
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Learning and
teaching
opportunities
specific to
clinical area /
Spoke
Placements
Early shift = 07.30 - 15.00 = 71/2 hours (excludes lunch
break)
Late shift = 12.30 - 20.00 = 71/2 hours (excludes break)
Night shift = 19.30 - 08.00 = 111/2 hours (includes 1 hour
break)
Pathol
ogy
Tissue
Viabili
ty
Physio
thera
py
Occup
ationa
l
Thera
py
Burn
s
Servi
ce
Infecti
on
Contr
ol
Pain
Team
Dietet
ics
Child
Main
Theatr
es
Play
Specia
list
Discha
rge
Coordina
tor
Clinica
l
Psych
ology
Protec
tion
Emergency admission of a child with thermal injuries.
- Fluid resuscitation of a child with major thermal injuries.
- Wound care techniques and dressing products.
- Preparation of the child and family for surgery.
- Care of the child undergoing surgery.
- Rehabilitation of the child with thermal injuries.
- Psychological care of the thermally injured child and
their family.
- After care of the child and family with thermal injuries.
- High Dependency and Intensive Care of the child
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Teaching /
Competency
Packs
Student ‘competency pack’ linked to HEI Learning outcomes
and care delivery skills.