On Admission or S/P Debridement

  • Nursing assessment of burn (severity, TBSA, etc.).
  • Position pt in burn position.
  • Order P.T./O.T., S.L.P. as needed.
  • P.T./O.T. assist with further positioning / splinting option / suggestions.
  • Begin PROM to all body parts through full range with patient sedated.
  • Progress to A/AAROM as LOC increases.
  • Issue A.E.
  • Issue self-exercise program.
  • Begin bed mobility for lung hygiene.
  • Begin ADLs.
  • Begin EOB/OOB sitting.
  • Begin amb when appropriate (when extubated).
  • SLP monitor swallow, voice, and cognition.
  • SLP follow for cognition if suspicion of hypoxia/anoxia.
  • Progress to OOB/ADLs.
  • Begin resistive therex.
  • Issue HEP.
  • Issue adaptive equipment, when appropriate, for home use.
  • Issue MPA as needed.
  • Patient should be independent with ADLs/HEP/amb >150 feet by D/C.
  • Refer to Rehab/O.P. Therapy/Burn Support Group.