Ms Kim Kuan Coreen Low1, Ms Indra Devi D/O Kasinathan1
1KK Women’s and Children’s Hospital
At the Children Emergency in Children Hospital the burns are rinse with cool water for 15 minutes. The blisters are lanced and debridement of devitalized tissue are done only when blister has burst before transparent film is applied. Patient is then given an early appointment within the next 36 hours to the Plastic outpatient clinic.
Report on return visits for dressing reapplication over previous film dressing due to leakage and too much exudates/blisters, film dressing loosen including degree of difficulty to remove the transparent films were noted. Exposed burns areas with dried exudate over trunk, degree of maceration due to collection of exudates under film dressing especially of hands and feet were photodocumented before and after debridement.
Plastic team and Children Emergency collaborated to reduce reattendance, improve patient satisfaction and reduce procedural distress as an integral part of burns procedural management.
Trial use of foam dressing was initiated. Criterias called for minimal maceration and leakage, superior absorption and exudate retention, easy to apply, comfort and removal without causing pain to the child and more importantly, meet the need in our local humidity context.
Formal lecture followed by demonstration/training session on the use of foam dressing were provided to all the nurses in Children Emergency.
Degree of maceration, exposed wounds from active toddlers were reduced. No further return visits to Children Emergency within 24 hrs.
Patient were comfortable, less pain wass observed when foam dressing is removed . Use of foam dressing following tissue cooling is adopted .
Coreen Low ,MN, ACNsg (WOCN) and member of WCET .
currently works in the Dept for Plastic, Reconstructive and Aesthetic surgery. She coauthored three papers for World Union of Wound Healing Societies Congress in Florence, 2016 . “Case study on Epidermolysis Bulosa” Poster was given Best Poster award
“Comparing the use of medical grade honey and conventional wound dressings in the management of ulcerated haemangiomas”
“Case study on paediatric burns using adjuvant therapy WMCS”
She has broad interest in wound healing and is currently involved in the SingHealth Wound Management Workgroup as co chairperson. She was with the committee for Singhealth inaugural “Stop Ulcer Day” Committee for Nov 2016 and for 2017
She also initiate Pressure injuries prevention focus group for the women patients in KKH .
Outside her institution role, she actively volunteers her time as a clinical coordinator for Smile asia missions overseas.
She represents Singapore Nurses Association as Hon.Treasurer, Board Of Directors and is member of Association of Burns Injuries Singapore as well as Wound Healing Society of Singapore