Burn Injury Nursing Care Case Study

This assignment presents a nursing case study where the student describes their experience caring for a child with a burn injury. The focus is on conducting a thorough wound assessment according to clinical guidelines, gathering information about the burn from the child, family, and first responders, and ensuring the child receives appropriate tetanus immunization. The student reflects on their learning and how this experience will inform their future practice.

Running head: NURSING ASSIGNMENT
Nursing Assignment
Name of the Student:
Name of the University:
Author Note:

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NURSING ASSIGNMENT
Assessment 1: Clinical Reflection Practice
Week 2
Learning Objective To learn about
Rhythm interpretation,
Cardiopulmonary
Resuscitation (CPR),
Peripheral Vascular
disease
Apply critical
reflection and ethical
principles to guide
intervention for
disease condition
Nurses practise nursing
reflectively and ethically
(Nursingmidwiferyboard.gov.au,
2017).
Blog
Situation For this week, I was to learn about correctly identifying and interpreting
the normal rhythms and arrhythmias. Accurately locating and recording
pulses is essential to get the cardinal symptoms of any adverse
physiological functioning. Brachial artery is the choicest anatomical
location for detecting the pulse.
Action I was busy locating the pulse in another nurse’s brachial artery from her
right hand in standing posture. However, the Registered Nurse on her
arrival pointed that it is ideal to record the pulse from the left hand and
preferably in supine position. Heart being situated on the left side of the
body, pulse recording will be accurate from left side due to closer
proximity (Naka & Ikonomidis, 2015).
Outcome I will try to follow the conventional practices in recording the pulse and
get it crosschecked by other healthcare personnel to avoid error in pulse

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NURSING ASSIGNMENT
recording.
Week 4
Learning Objective To learn about Acute
Exacerbations of
Chronic Respiratory
Conditions
assessment and
management
Apply critical
reflection and guiding
ethical considerations
for treating
respiratory disease
condition
Nurses practise nursing
reflectively and ethically
(Nursingmidwiferyboard.gov.au,
2017).
Blog
Situation As part of my CPU for this week, administration of oxygen therapy
through Venturi mask was one of the skills applicable. Venturi masks are
considered as high-flow oxygen therapy devices that provide precise
oxygen concentration and are utilized in case of patients suffering from
COPD (Maggiore et al., 2014).
Action In my clinical encounter with a patient having asthma, I applied the
Venturi mask on the patent to relive his respiratory distress symptoms. I
switched the oxygen concentration to 50% with a flow rate of 8L/min.
My tutor upon arrival asked me to regulate the oxygen concentration to
24% instead of the usual 50% as high oxygen concentration might cause
respiratory depression (García et al., 2017). She pointed out of noting the
skin irritations if any have occurred in the patient, as it is common
disadvantage of Venturi mask to better the clinical outcomes.
Outcome I gained a vital understanding about following the accepted and

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NURSING ASSIGNMENT
conventional procedures in caring for patients with COPD alongside
critical reflection, and hope to apply these practices for ensuring safety.
Week 10
Learning Objective To learn assessment
and management of
persons receiving
Blood Products,
Electrolytes and
Fluids
Apply the evidence-
based and
conventional
approaches for
persons receiving
blood products,
electrolytes and fluids
Nurses practise in a safe and
competent manner
(Nursingmidwiferyboard.gov.au,
2017).
Blog
Situation While arranging for intravenous potassium for the attending nurse, I
reviewed the prescription from the medical officer and found that the
infusion rate was missing, although the number of millimoles and the
volume of diluent were clearly stated (Barras et al., 2014).
Action I approached the tutor to guide me through the situation and she quickly
understood the circumstances and sent for revising the prescription by
the authorized medical personnel. After rectification of the prescription
from the medical officer, potassium was administered via an infusion
pump so that infusion rate and volume may be controlled effectively
(DeCarolis et al., 2016).
Outcome Nurses are obliged to perform their duties in a safe and competent

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NURSING ASSIGNMENT
manner. Reflecting on this experience, I realize that we were able to
detect the anomaly and intervened promptly thereby allaying the
possibility of potential threats to the situation.
Week 11
Learning Objective To understand the
nursing assessment of
pediatric patients
with burn injury on
admission to burn
ward
Apply evidence
based practices to
care for children with
burn injuries
Nurses practise in a safe and
competent manner
(Nursingmidwiferyboard.gov.au,
2017).
Blog
Situation I was in my clinical placement at the Burn Ward of the Westmead
Children Hospital. Wound assessment is a vital necessity in nursing
practice to care for patients with burn injuries right from the beginning
of admission until the discharge (Hyland et al., 2015).
Action I observed that wound assessment must be done on a regular basis and
much frequently to evaluate the condition specific to the person. Burnt
assessment with respect to total body surface area must be done through
Lund Browder Chart alongside assessing the depth of burn injury and
wound healing. The timely recording and documentation of wound
assessment will allow for framing further measures of care that will
allow for speedy recovery and wound healing. A child who suffered a

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major comprised of more than 10% total body surface area (TBSA) was
brought to the ward. The attending nurses made proactive efforts to
perform the wound assessments in line with the wound care clinical
guidelines as applicable for the hospital context. History of the child was
also noted for proceeding further with other nursing interventions.
Specific information pertaining to the burn injury was procured from the
patient, his family and other first responders. Information about the time
and mechanism of injury was also noted. Further, information related to
type of fist aid performed and duration involved in performing fist aid
was also collected for facilitating the subsequent steps in data recording.
Moreover, the nurse checked upon the tetanus status of the child and
upon inspection found that the child was not immunized. Hence, prompt
arrangement was made to up to date the immunization of the child.
Tetanus injection is helpful in preventing the chances of bacterial
infection due to Clostridium tetani that might enter through burn sites
(Solanki et al., 2014).
Outcome This experience enriched me as I got to have an insight on how things
are carried out in burn wards and the importance of carrying out nursing
assessments especially concerning wound assessments in case of such
patients. In my future professional practice, I will abide by safe and
competent procedures.