Tracey Perrett National Burn Service Coordinator

1. Predicting Therapist Time to Treat Acute Adult Burn Inpatients Tracey Perrett National Burn Service Coordinator Sharlene Bingham Section Head Occupational Therapy and Physiotherapy The National Burn Centre, Middlemore Hospital, Auckland, New Zealand

2. Why is this important? Using stats to quantify/objectify what you already know/your gut feeling How do you predict therapy time to meet patient need Objectives of this session

3. There are limited/conflicting current models for allied health prediction You can’t manage what you can’t measure If you don’t someone else will! May be mandated Disaster planning and workforce planning Why this is important?

4. Disaster Plan /Work force planning Existing plans: Rely on burn bed numbers Do not predict ‘how much help is needed’ Do not take into account existing workload Do not document Allied Health requirements National Burn Service

5. Best educated guess Your own historical stats data can be used to predict future requirements Quantifies what you already know Allied health statistics

6. De-identified statistical data was pooled from four different adult burn units Adult inpatient physiotherapy and occupational therapy direct contact time collected Identified and collated objective measurements to quantify complexity Development of Burn Algorithm

7. Total Burn Surface Area (TBSA) • Rule of ‘one’s’ • patient’s palm= 1% TBSA Rule of nine’s’

8. Total Care requirements over time Total care requirements of burn patients: Implications for a disaster management plan Dr Y Phua, Mr J Miller, Mr R Wong She, Ms K Jiang

9. Burn example

10. Sample size Consider differences in models of care in multicentre comparisons Accurate stats = accurate measurements Consider unique variables ie direct vs indirect contact time Consider limitations….

11. Stats can be used to justify the therapy time for individual patients Therapy time will change during an admission Variables will differ between services Bed numbers do not equal complexity! Stats do matter – they can be useful. You need to define how they are used for your patient group Future considerations

12. National Health Emergency: Multiple Complex Burn Action Plan Draft. NZ Ministry of Health, 2008 AUSBURNPLAN: Australian Mass Casualty Burn Disaster Plan. Australian National Burns Planning and Coordination Committee, 2008 Implications of current burn disaster protocols on burn unit work-load. Could we cope in the event of a major disaster? Mackie IP, Kavanagh S, Greenwood JE. Royal Adelaide Hospital Total care requirements of burn patients: Implications for a disaster management plan Dr Y Phua, Mr J Miller, Mr R Wong She, Ms K Jiang Tracey Perrett 1, Anita Plaza 2, Alicia Lane1, Alison Kolmus 3,Sharlene Bingham1, Dale W Edgar 41. National Burn Centre, Counties Manukau District Health Board New Zealand. 2. Burn Unit, Royal Brisbane and Women’s Hospital.3. The Victorian Adult Burn Service, The Alfred, MelbourneBurn Injury Research Unit (UWA); . 4.; McComb Foundation of Burn Service of WA References and Acknowledgements