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PubMed · 16885683

Educational opportunities for experienced staff: do they make a difference?

Eric Wolak·Karen Klish·Elaine Smith·Bruce A Cairns
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Abstract

This study evaluates the impact of educational programs, such as Advanced Burn Life Support (ABLS), on the knowledge base of experienced burn nurses. A convenience sample of six clinical experts within a 21-bed southeastern burn center who had never taken ABLS participated. The quantitative findings display a high level of value and an increase in knowledge base. The results of this study suggest that nurses with high levels of experience will have an increase in knowledge and express value in continuing education curricula. Consequently, this study supports the necessity of educational programs for nurses with significant specialized experience.

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BurnsEducation, Nursing, ContinuingHealth Knowledge, Attitudes, PracticeHumansLife Support CareNorth CarolinaProgram EvaluationSpecialties, NursingJournal Article

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Eric Wolak, Karen Klish, Elaine Smith, Bruce A Cairns. Educational opportunities for experienced staff: do they make a difference?. https://doi.org/10.1097/00124645-200607000-00005

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PubMed2007

Blood transfusions are associated with increased risk for development of sepsis in severely burned pediatric patients.

OBJECTIVE: To determine the risk of developing sepsis following transfusion of blood products in severely burned pediatric patients. DESIGN: Retrospective, cohort study. SETTING: Shriners Hospital for Children and University Hospital. PATIENTS: Severely burned pediatric patients with >30% total body surface area (TBSA) burn. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Two hundred seventy-seven pediatric burn patients over a period of 7 yrs (1997-2004) were included in the study, with 25 patients being septic at admission and therefore excluded. Patients were stratified according to TBSA burn and presence or absence of inhalation injury. The amounts of packed red blood cells (RBCs) and fresh frozen plasma (FFP) were recorded during hospital stay before the development of sepsis. Blood product administration was normalized for the number of surgeries and divided into two groups: high (RBCs>20/FFP>5) or low (RBCs<20/FFP<5) amount of blood products. Sepsis was diagnosed based on the criteria set by the Society of Critical Care Medicine in conjunction with positive blood culture or presence of organisms in the organs at autopsy. By stratifying the groups into low and high blood transfusion, we found that patients with >60% TBSA burn with inhalation injury have an 8% risk of developing sepsis in the low RBC group, which increases to 58% in the high RBC group (p<.05). Similar results were found for RBCs per operation, FFP, and FFP per operation (p<.05). There were no differences in age and gender between groups. CONCLUSIONS: Pediatric burn suffering from a 60% TBSA burn with concomitant inhalation injury are more likely to develop sepsis if they are given high amounts of blood products, indicating an immunocompromised state following blood transfusion.

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