Burn Center Team
Case Manager/Social Worker
The Case Manager and/or Social Worker for The Burn Center obtains a psychosocial assessment of the burn patient's support system and ability to cope with hospitalization and illness. Education and information are given to the patient to insure opportunities for the patient to understand his care. They collaborate with the patient and the medical team regarding appropriate discharge options. Assistance obtaining resources in order to make the transition from the hospital to the community at discharge is provided.
The chaplain residents in the Pastoral Care program respond to patients of all faiths, giving emotional and spiritual support through prayer, reading of scripture and sacramental ministries when requested. Because the whole family suffers when a burn injury occurs, the focus of pastoral care in The Burn Center is as much on the family as on the patient.
Community Outreach Coordinator
Outreach and educational programs are an integral part of the overall mission of The Burn Center. A nurse educator develops community based educational programs for burn prevention and provides educational programs to the health care facilities in the referring area. Advanced Burn Life Support courses are provided for area health care providers.
Appropriate nutritional care is essential in the recovery of a burn injury. Patients who have sustained a burn injury have increased calorie and protein needs due to the increase in metabolic rate and demands of wound healing.
Routine monitoring of these patients is required in order to provide optimal nutritional support and improve outcome. A dietitian monitors daily calorie and protein intake and weight maintenance, and recommends a dietary intervention to optimize nutritional intake to counteract hypermetabolic response of the burn patient. A nutrition protocol is also developed to standardize the assessment and monitoring of nutrition support to achieve quality nutritional care for the patient.
The Clinical Nurse Manager's job role and responsibilities in the Burn Center are to "operationalize" the Hospital's mission, the philosophy of the Department of Nursing and divisional objectives. To manage resources in a manner that results in the improvement of quality patient care. To ensure compliance with all internal and external professional and regulatory agency standards. Maintain that qualified and competent staff meet our patient care needs. The CNM will also ensure that customer service expectations of patients, families, and physicians are met or exceeded. Lastly, to ensure that capital, salary and non-salary budgets meet patient care needs.
Staff Nurses are dedicated professionals who are specially trained to meet the needs of the critically burned patient from admission through the rehabilitation period. Many of the nurses are certified in Advanced Burn Life Support (ABLS), Advanced Cardiac Life Support (ACLS), and Pediatric Advanced Life Support (PALS).
Nursing Assistants are an indispensable part of the burn team. They have special training in wound care techniques and provide assistance in all aspects of patient care.
Unit Secretaries keep the unit well organized with all supplies immediately available. They also provide extraordinary customer service to patients, families and other departments.
Occupational therapists are invaluable members of the burn team. Their responsibilities include early splinting and positioning, providing range of motion exercises and activities to restore the patient's level of independence, and scar management. Occupational therapists also work with burn victims on tasks that assist them in returning to their pre-injury activities. Some patients will continue to see occupational therapists after leaving the hospital.
The pharmacist for the Burn Center is considered the medication expert on the team and plays an integral role within the multi-disciplinary team to ensure that pharmaceutical care for each patient is optimized. Some areas of patient care that the pharmacist focuses on include: pain management, treatment and prevention of infections, ideal medication selection and use for a multitude of burn related needs, safe medication practices, staff and patient education, and dispensing of medications. In addition, the pharmacist assists with medication reconciliation both on admission and on discharge and is available for medication counseling or addressing any other medication concerns that the patient or family may have.
Physical therapists are an essential element of the burn team. The role of physical therapy includes (but is not limited to): therapeutic exercises (including aerobic conditioning), increasing muscle strength and endurance, decreasing pain, preventing contractures and deformity of limbs, alleviating gait problems, decreasing stress, instructing patients and family about their care, and assisting patients to return to their pre-injury independence.
After leaving The Burn Center, many patients continue to receive physical therapy service at home, at an outpatient clinic, or in rehab. Physical therapists communicate with other health care providers involved in treatment so that the patient receives comprehensive high-quality care. Physical therapy is committed to taking a personal and direct approach to meet each individual's needs and goals.
Dr. James H. Holmes, IV, FACS joined the Department of General Surgery in January 2006 as an Assistant Professor of Surgery/Trauma Services and as the Medical Director of the Burn Center.
Originally from Dallas, Texas, he graduated from Southern Methodist University in 1990 with a degree in Biology and subsequently earned a medical degree from the University of Texas Southwestern Medical School in 1996.
Dr. Holmes trained in General Surgery at Virginia Mason Medical Center in Seattle, Washington, from 1996-2002. He completed a basic science research fellowship in Immunology at the Virginia Mason Research Center/Benaroya Research Institute in 1999. Dr. Holmes completed a fellowship in Burn Surgery at the University of Washington Harborview Medical Center in 2003 and subsequently completed a Trauma/Surgical Critical Care fellowship at the University of Pennsylvania in 2005.
He is board certified in General Surgery and in Surgical Critical Care.
Dr. Joseph A. Molnar received his MD from Ohio State University in 1977 and began his general Surgery training at the Medical College of Wisconsin.
He was a Fellow at Harvard Medical School, Massachusetts General Hospital and the Shriner's Burns Institute while pursuing his PhD in Nutritional Biochemistry and Metabolism at the Massachusetts Institute of Technology, between 1979 and 1985.
He finished his general surgery training int 1989 at the University of Washington in Seattle.
After completing his Plastic Surgery training at the Medical College of Virginia in 1992, he went on to do both a Hand and Microsurgery Fellowships at the Medical College of Wisconsin.
He joined the faculty of Wake Forest University in 1994 and is currently Associate Professor of Plastic and Reconstructive Surgery as well as Associate Director of the Burn Center. He is board certified in both Plastic Surgery and Hand Surgery. He is active in the American Burn Association and the Advanced Burn Life Support Advisory Committee as well as the International Society of Burn Injury and is involved in numerous research projects related to burn injury and wound healing.
Recreation therapists provide opportunities for the burn patients to improve function and independence through various activities. Children's special needs are met through play therapy, and older children have bedside tutoring to help maintain their academics. After discharge, a burn support group meets monthly.
The Mission of Recreation Therapy
To provide quality treatment services and recreation opportunities for individuals with illnesses or disabling conditions. The primary purpose is to restore, remediate, or rehabilitate in order to improve functioning and independence.
Recreation opportunities are available to patient and/or residents needs for self-expression, independence, stimulation, control, security, and creativity. The provision of Recreation/Activity services can assist in meeting these needs as well as provide individuals with other positive outcomes such as adjustment to medical procedures, fitness, relaxation, changes in lifestyle, release from stress and satisfying social interaction.
We Want to Provide the Very Best
- Participation is available at bedside as well as group programs
- Your Recreational Therapist is a National and State Certified Therapeutic Recreation Specialist. Your therapist will provide activities to meet your needs and discuss any special needs you will have after discharge
- Our recreation therapy program believes in continuous education among our staff to meet your needs
Meet Our Family
We invite family and friends to our weekly social hour. Join us for coffee and meet the staff and other families in the unit.
An integral part of the Burn health care team, respiratory therapists provide and evaluate routine therapeutic procedures including ventilator and airway management.
Michelle (Moe) Edmonds, MSN, RN
Nurse Manager for Burn ICU and 10NT
Wound Care Coordinator/Unit-Based Educator
The WCC/CE works with burn patients in the unit as well as those burn patients located elsewhere in the facility. They provide coordination of wound care management of patients through collaboration with physicians, assess wound healing, make treatment recommendations and initiate treatment for the burn injury. The WCC/CE assists with patient teaching and discharge needs and participates in the multidisciplinary team conference.
The WCC/CE also coordinates and implements clinical educational activities based on unit specific needs. They collaborate with staff development to ensure educational resources for staff are available and assist with the orientation process of the burn center staff.