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| title | General Questions |
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🤔 Question: A question came up about the new co-management of care definition. Would this be appropriate for use when the Burn Service team is consulted and managing a frostbite injury while the hospital medicine team is managing the rest of the patient's medical needs?
🌱 Answer: Co-management means that the burn team is doing the actual care, writing orders for the patient related to the wound care, and writing notes related to the care. They may also be doing operative wound procedures on the patient if that is required. If they are only consulting, they may be advising on the wound care but are not actually doing the care or writing the orders for the patient.
🤔 Question: There was a 30yo who presented to a burn center emergency department. They were involved in a motor vehicle crash/car fire. They sustained 35% TBSA burns and were treated at another burn center. They had multiple surgeries at that center and were supposed to be discharged to rehab in about a week. Unfortunately, they were unhappy with their care at that facility and left. They presented to our emergency department. Should this patient be included in our Registry?
🌱 Answer: The decision about whether to enter this patient in your registry is dependent on if they still have open acute burn injury wounds. If yes and you admit them to your inpatient unit, then enter them. If no, then they are no longer an acute patient and should not be entered. It doesn't matter if they were treated at another burn center before they arrived at your facility.
🤔 Question: I have a current patient that’s being seen by our Burn Service since 2011 and has Hidradenitis. They are not in our registry prior to ABA full Live Registry. I was wondering since I will be adding him into the registry starting today, should I be entering everything this patient has encountered such as OR trips, etc. into his registry from the very start?
🌱 Answer: The patient with Hidradenitis that has been seen since 2011 but only entered into the registry now - It is up to your center how far back you would like to go in entering data on this patient. The Data Dictionary states that "Additionally, some facilities treat patients with acute dermatologic conditions or other injuries that affect the integrity of the skin. Data on these patients may be included in the ABA registry."
🤔 Question: A Burn Center is currently seeing skin rash/infection cases that are input into the registry (example: SJS, Calciphylaxis, etc.) If a Wound team takes over seeing these patients and not the Burn team, is the Burn Service still required to input these patients into the registry?
🌱 Answer: For patients now cared for by the Wound Service and not the Burn Service, you should not continue to enter these patients in the registry. The Data Dictionary states "The Burn Service should be responsible for or co-managing the care of the patient for the case to be included in the registry."
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