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UNMH Health Source
                          VOLUME 1, ISSUE 2                          DECEMBER 2011


                          UNMH Burn Unit One of a Kind in NM
  Special points
  of interest:            More than one million burn         also tries to decrease burn
                          injuries occur every year          injury prevalence by providing
   UNMH Burn Unit        throughout the U.S. More           public education through
                          than 450,000 of those burns        community outreach.
    Unique in NM
                          receive medical treatment.
                                                             Burn treatment requires a
   Types of Burn         The UNM Hospitals Burn
                                                             multidisciplinary approach
                          Unit is the only one of its kind
    Injuries                                                 involving various healthcare
                          in the state of New Mexico.
                                                             professionals, including
   Burn Classification   The nearest burn resource
                                                             physicians, surgeons,
                          centers are hundreds of miles
                                                             physician assistants, nurse
   Burn Prevention       away (Lubbock, TX; Phoenix,
                                                             practitioners, registered            UNMH Adult Burn Unit
                          AZ; Denver, CO).
    Education                                                nurses, burn techs, physical
                          The UNMH Burn Unit has             and occupational therapists,
   UNMH Burn Unit                                                                             Burn care is an ongoing
                          six private, adult rooms within    case management services,
                                                                                               process and is continued after
    Contact               the trauma surgical burn ICU       pharmacists, respiratory
                                                                                               hospital discharge. Patients
                          that provides care for all burn    therapists and nutritionists.
    Information                                                                                are seen one to two weeks
                          injuries from admission to         All burn unit nurses are
                                                                                               after discharge and return
                          discharge. Pediatric patients      trained to meet the complex
                                                                                               based on medical team
                          are treated in various units       needs of the specialized burn
                                                                                               recommendations. The clinic
                          (Pediatric ICU and Carrie          patient population, and their
                                                                                               staff is available for concerns
                          Tingley Rehab Hospital)            families and friends
                                                                                               about infection, fever and
                          based on injury severity and       participating in patient care.
                                                                                               medication refills.
                          current needs. The Burn Unit



                          Types of Burn Injuries
                          Burn injuries can be quite         (explosions), flame, scalds and   DC (direct current). The
                          serious and vary in levels of      contact.                          current follows the path of
                          severity. The four basic types                                       least resistance, causing injury
                                                             Chemical burns are caused
                          of burns include thermal,                                            in areas other than the contact
                                                             by strong acids or alkali
                          chemical, electrical and                                             site.
                                                             substances and continue to
                          radiological.
 Example of a first                                          cause damage until the agent      Radiological burns are caused
degree, thermal burn      Thermal burns are the most         is inactivated.                   by alpha, beta or gamma
                          common type of burn injury                                           radiation and sometimes need
                                                             Electrical burns are caused by
                          and can be caused in various                                         decontamination to stop the
                                                             AC (alternating current) and
                          ways including flash                                                 injury.
PAGE 2                                                                                            UNMH HEALTH SOURCE



 Burn Classification: First, Second, Third and Fourth
 First degree burns include only the                                                   painful and wet in appearance. They
 outer layer of skin (epidermis). Areas                                                heal in 10-21 days usually without
 are usually very red and painful                                                      grafting. Deep partial thickness burns
 making them equivalent to superficial                                                 involve the destruction of the entire
 sunburn without blisters. They look                                                   epidermis and most of the dermis.
 dry healing occurs in three to five                                                   They are red or white and look dry.
 days. Hospitalization may be needed                                                   They typically require excision and
 for pain control and fluid imbalance.                                                 skin grafting to heal.
                                                                                           continued, next page
                                            Second degree burns are classified as
                                            either superficial or deep in thickness.
                                            Partial thickness burns involve the
                                            entire epidermis and upper layers of
                                            the dermis. Blisters can be present and
                                            wounds are pink or red in color,



IAFF Local 244 Partners with UNMH Burn Unit
On August 25, 2011, the International      The Albuquerque area fire fighters
Association of Fire Fighter Local 244      also plan to help the Burn Unit obtain
formed a partnership with the UNMH         American Burn Association Burn
Burn Unit. Albuquerque area fire           Center Verification. This certification
fighters presented the Burn Unit with      requires organizational structure,
a $15,000 donation to help focus on        specialized data bases, community
providing expanded treatment for           education, pre-hospital care and
burned children, adolescents and fire      special burn treatment equipment.
fighters in New Mexico. The
                                           The partnership will also allow for
partnership involves plans to facilitate
                                           other hospitals and fire departments
education and community outreach,
                                           to build awareness of the triage,                  IAFF Local 244 member
summer camps and follow-up care for                                                        presents Dr. Christopher Lentz,
                                           treatment and transfer guidelines for
patients and families.                                                                       Burn Unit Medical Director,
                                           patients throughout New Mexico.
                                                                                               with a $15,000 check.




 Burn Prevention Education
 One of the Burn Unit’s goals is to            Coil appliance cords                       Keep a fire extinguisher available
 decrease burn injuries by educating the                                                    and in proper working order
 community about prevention. Simple            Create a safe “no zone” in the
 household items can trigger unwanted           kitchen for children while                 Contain grease fires with baking
 injuries. Following these                      cooking                                     soda or flour, not water
 recommendations can help families             Never let children remove food             Never use an extension
 stay safe and prevent serious injuries.        or drinks from the microwave                cord with kitchen
 In the kitchen:                                                                            appliances
                                               Do not use tablecloths around
    Keep pot handles turned away               small children as they can pull on         continued, next page
     from edges of the stove                    them and hot food can spill
VOLUME 1, ISSUE 2                                                                                                 PAGE 3


Burn Education and Prevention
   continued from page 2


In the bathroom:                               educate your child about their       Flammable liquids:
                                               hazards
   Set hot water heater thermostat to                                                     Gasoline is only to be used for
    less than 120 degrees when                Place floor heaters at least four            combustible engines
    bathing children                           feet away from any object and
                                                                                           Do not clean with gasoline
                                               never place anything on top of
   Stir the bath water with your
                                               them                                        Do not use gasoline to start
    hand to avoid hot spots
                                              Test smoke detectors monthly                 fires, woodstoves or barbeques
   Stay with your child at all times
                                               and change the batteries every six
    during a bath (it only takes a             months. Change smoke detectors
    second for a child to turn on the          every eight to 10 years
    hot water)
                                              Develop an evacuation plan and
Around the house:
                                               practice monthly with your family
   Matches and lighters should be
    kept in a high, locked cabinet;


Burn Classification: First, Second, Third and Fourth
   continued from page 2


In third degree burns, all layers of the   Fourth degree burns are full thickness
skin are destroyed. The injury is          and extend into the muscle and
extended into the subcutaneous             bone.
tissues (see skin graph below). The
                                           Determining burn depth is very
burned area can appear black or white,
                                           important. Things to consider are
leathery in texture and is very dry.
                                           temperature, mechanism, duration
                                           of contact, blood flow to skin and
                                           injury location. Epidermal depth
                                           varies with body surface, which can
                                           offer varying degrees of thermal
                                           protection. Keep in mind that older
                                           adults and younger children have
                                           thinner skin.



UNMH Burn Unit Staff

                                                  Medical Director:                     RN Supervisor/Burn Program
                                                  Christopher Lentz, MD, FACS           Coordinator:
                                                                                        Jennifer Ramon RN, BSN, CCRN
                                                  Physician’s Assistant:
                                                  Dixie Reid, PA-C                      Adult ICU Nurses:
                                                                                                David Basilio, RN
                                                  Unit Director:
                                                                                                Andrea Gallegos, RN
                                                  Catherine Beckmann, RN, MS/
                                                                                                Janeya Padilla, RN
                                                  MBA
                                                                                                Sonia Ortega, RN
                                                                                                Annie Vallejos, RN
                                                                                             continued, next page
PAGE 4




                                                              h t t p : / / h o s p i t a l s. u n m . e d u



                                                                        Burn Center Admission
UNM Hospital Burn Unit                                                   Statistics 2000-2009
2211 Lomas Blvd. NE
                                                              Survival Rate: 94.8%
Albuquerque, NM 87106
Phone: 505-272-2721                                           Gender: 70% Male, 30% Female

If you would like further information or                      Ethnicity: 63% Caucasian,
are interested in community outreach                          17% African American, 14% Hispanic,
or educational opportunities, please
                                                              6% Other
contact Jennifer Ramon at 462-5087 or
jenramon@salud.unm.edu.                                       Admission Cause: 42% Fire/Flame,
The UNMH Burn Clinic Surgical Specialty                       31% Scald, 9% Contact,
Area is on the second floor of the main                       4% Electrical, 3% Chemical, 11% Other
hospital and is for adult and pediatric
appointments and nursing concerns                             Place of Occurrence: 66% Home,
about fever and/or pain. Call 272-2337                        10% Occupational, 8% Street/Highway,
for more information.                                         16% Other




  Burn Center Staff
     Continued from page 3



                                       Kathy Trujillo RN III, BSN, ACM,
                                       Certified Nurse Case Manager
                                       Rehabilitation Services:
                                       Sunflower Chirieleison, MPT- primary
                                       burn physical therapist
                                       Kerry Trautwein, OT/L-primary burn
                                       occupational therapist
                                       Nutritional Support:
  Adult Burn Techs:                    Jennifer Martinez RD, LD, CNSC
                                       Paula West RD, LD
  Diana Sena & Tiffany Anchando
                                       Pharmacists, Residents, Intensivists,
  Database Registrar:                  Respiratory Therapists, Conscious
  Mercedes Syers, CHUC                 Sedation & Wound Care
  Care Management Services:
  Peggy Hoffman LMSW, CCM, LSAS

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UNMH Health Source December 2011

  • 1. UNMH Health Source VOLUME 1, ISSUE 2 DECEMBER 2011 UNMH Burn Unit One of a Kind in NM Special points of interest: More than one million burn also tries to decrease burn injuries occur every year injury prevalence by providing  UNMH Burn Unit throughout the U.S. More public education through than 450,000 of those burns community outreach. Unique in NM receive medical treatment. Burn treatment requires a  Types of Burn The UNM Hospitals Burn multidisciplinary approach Unit is the only one of its kind Injuries involving various healthcare in the state of New Mexico. professionals, including  Burn Classification The nearest burn resource physicians, surgeons, centers are hundreds of miles physician assistants, nurse  Burn Prevention away (Lubbock, TX; Phoenix, practitioners, registered UNMH Adult Burn Unit AZ; Denver, CO). Education nurses, burn techs, physical The UNMH Burn Unit has and occupational therapists,  UNMH Burn Unit Burn care is an ongoing six private, adult rooms within case management services, process and is continued after Contact the trauma surgical burn ICU pharmacists, respiratory hospital discharge. Patients that provides care for all burn therapists and nutritionists. Information are seen one to two weeks injuries from admission to All burn unit nurses are after discharge and return discharge. Pediatric patients trained to meet the complex based on medical team are treated in various units needs of the specialized burn recommendations. The clinic (Pediatric ICU and Carrie patient population, and their staff is available for concerns Tingley Rehab Hospital) families and friends about infection, fever and based on injury severity and participating in patient care. medication refills. current needs. The Burn Unit Types of Burn Injuries Burn injuries can be quite (explosions), flame, scalds and DC (direct current). The serious and vary in levels of contact. current follows the path of severity. The four basic types least resistance, causing injury Chemical burns are caused of burns include thermal, in areas other than the contact by strong acids or alkali chemical, electrical and site. substances and continue to radiological. Example of a first cause damage until the agent Radiological burns are caused degree, thermal burn Thermal burns are the most is inactivated. by alpha, beta or gamma common type of burn injury radiation and sometimes need Electrical burns are caused by and can be caused in various decontamination to stop the AC (alternating current) and ways including flash injury.
  • 2. PAGE 2 UNMH HEALTH SOURCE Burn Classification: First, Second, Third and Fourth First degree burns include only the painful and wet in appearance. They outer layer of skin (epidermis). Areas heal in 10-21 days usually without are usually very red and painful grafting. Deep partial thickness burns making them equivalent to superficial involve the destruction of the entire sunburn without blisters. They look epidermis and most of the dermis. dry healing occurs in three to five They are red or white and look dry. days. Hospitalization may be needed They typically require excision and for pain control and fluid imbalance. skin grafting to heal.  continued, next page Second degree burns are classified as either superficial or deep in thickness. Partial thickness burns involve the entire epidermis and upper layers of the dermis. Blisters can be present and wounds are pink or red in color, IAFF Local 244 Partners with UNMH Burn Unit On August 25, 2011, the International The Albuquerque area fire fighters Association of Fire Fighter Local 244 also plan to help the Burn Unit obtain formed a partnership with the UNMH American Burn Association Burn Burn Unit. Albuquerque area fire Center Verification. This certification fighters presented the Burn Unit with requires organizational structure, a $15,000 donation to help focus on specialized data bases, community providing expanded treatment for education, pre-hospital care and burned children, adolescents and fire special burn treatment equipment. fighters in New Mexico. The The partnership will also allow for partnership involves plans to facilitate other hospitals and fire departments education and community outreach, to build awareness of the triage, IAFF Local 244 member summer camps and follow-up care for presents Dr. Christopher Lentz, treatment and transfer guidelines for patients and families. Burn Unit Medical Director, patients throughout New Mexico. with a $15,000 check. Burn Prevention Education One of the Burn Unit’s goals is to  Coil appliance cords  Keep a fire extinguisher available decrease burn injuries by educating the and in proper working order community about prevention. Simple  Create a safe “no zone” in the household items can trigger unwanted kitchen for children while  Contain grease fires with baking injuries. Following these cooking soda or flour, not water recommendations can help families  Never let children remove food  Never use an extension stay safe and prevent serious injuries. or drinks from the microwave cord with kitchen In the kitchen: appliances  Do not use tablecloths around  Keep pot handles turned away small children as they can pull on  continued, next page from edges of the stove them and hot food can spill
  • 3. VOLUME 1, ISSUE 2 PAGE 3 Burn Education and Prevention  continued from page 2 In the bathroom: educate your child about their Flammable liquids: hazards  Set hot water heater thermostat to  Gasoline is only to be used for less than 120 degrees when  Place floor heaters at least four combustible engines bathing children feet away from any object and  Do not clean with gasoline never place anything on top of  Stir the bath water with your them  Do not use gasoline to start hand to avoid hot spots  Test smoke detectors monthly fires, woodstoves or barbeques  Stay with your child at all times and change the batteries every six during a bath (it only takes a months. Change smoke detectors second for a child to turn on the every eight to 10 years hot water)  Develop an evacuation plan and Around the house: practice monthly with your family  Matches and lighters should be kept in a high, locked cabinet; Burn Classification: First, Second, Third and Fourth  continued from page 2 In third degree burns, all layers of the Fourth degree burns are full thickness skin are destroyed. The injury is and extend into the muscle and extended into the subcutaneous bone. tissues (see skin graph below). The Determining burn depth is very burned area can appear black or white, important. Things to consider are leathery in texture and is very dry. temperature, mechanism, duration of contact, blood flow to skin and injury location. Epidermal depth varies with body surface, which can offer varying degrees of thermal protection. Keep in mind that older adults and younger children have thinner skin. UNMH Burn Unit Staff Medical Director: RN Supervisor/Burn Program Christopher Lentz, MD, FACS Coordinator: Jennifer Ramon RN, BSN, CCRN Physician’s Assistant: Dixie Reid, PA-C Adult ICU Nurses: David Basilio, RN Unit Director: Andrea Gallegos, RN Catherine Beckmann, RN, MS/ Janeya Padilla, RN MBA Sonia Ortega, RN Annie Vallejos, RN  continued, next page
  • 4. PAGE 4 h t t p : / / h o s p i t a l s. u n m . e d u Burn Center Admission UNM Hospital Burn Unit Statistics 2000-2009 2211 Lomas Blvd. NE Survival Rate: 94.8% Albuquerque, NM 87106 Phone: 505-272-2721 Gender: 70% Male, 30% Female If you would like further information or Ethnicity: 63% Caucasian, are interested in community outreach 17% African American, 14% Hispanic, or educational opportunities, please 6% Other contact Jennifer Ramon at 462-5087 or jenramon@salud.unm.edu. Admission Cause: 42% Fire/Flame, The UNMH Burn Clinic Surgical Specialty 31% Scald, 9% Contact, Area is on the second floor of the main 4% Electrical, 3% Chemical, 11% Other hospital and is for adult and pediatric appointments and nursing concerns Place of Occurrence: 66% Home, about fever and/or pain. Call 272-2337 10% Occupational, 8% Street/Highway, for more information. 16% Other Burn Center Staff  Continued from page 3 Kathy Trujillo RN III, BSN, ACM, Certified Nurse Case Manager Rehabilitation Services: Sunflower Chirieleison, MPT- primary burn physical therapist Kerry Trautwein, OT/L-primary burn occupational therapist Nutritional Support: Adult Burn Techs: Jennifer Martinez RD, LD, CNSC Paula West RD, LD Diana Sena & Tiffany Anchando Pharmacists, Residents, Intensivists, Database Registrar: Respiratory Therapists, Conscious Mercedes Syers, CHUC Sedation & Wound Care Care Management Services: Peggy Hoffman LMSW, CCM, LSAS