• Patient information leaflet

• Consent for photography form (use drop down bar on EPIC for consents, then search for consent form for clinical photography and video. Should be signed by clinician electronically). Photograph should be taken by using Rover and will then be stored under media.

• Diphoterine® audit form

• Diphoterine® protocol (for your reference)

• Staff should ensure use of PPE throughout the process of Decontamination

• Use the de-contamination, shower area in green.

• Remove all clothing from surrounding areas.

• Photographs must be taken prior to decontamination with Diphoterine®

• Ensure consent has been achieved and recorded ASAP

• For cutaneous injuries decontaminate affected area using Mini dap, please see Appendix 2 for quantities required.

• Hold the Mini DAP one hands distance away from the affected area and spray.

• Take special care to ensure the solution does not run on to unaffected areas.

• Continue to spray affected area until canister is empty.

Ocular Burns

• Please ensure that if both eyes are affected to use a separate pouch for each eye

• Please record a post decontamination pH of the affected area using the pH testing instrument on the Diphoterine® audit form (in minors treatment room) pH testing strips can be found in the top drawer of the Slit-Lamp with spares in the Treatment Room in Green and Resus in ED at WPH. Litmus testing strips are located in the eye examination room at FPH.

• Following decontamination with Diphoterine® the affected areas should be dressed with Diphoterine® soaked gauze (see Appendix 3).

• Photographs must be taken prior to the application of Diphoterine® soaks.

• Apply a non-adherent dressing (Mepital) as the primary dressing.

• Apply soaks (Appendix 2). Fingers/toes should be wrapped individually to ensure direct contact with soaked gauze.

• Arrange follow-up with LSEBN (London South East Burns Network) www.trips.nhs.uk

• The soaks should be left on for 24 - 48 hours.

• You do not need to change the soaks or continually moisten the dressing.

• See Appendix 2 below for full details.

• Dress with generous amounts of dry gauze to prevent wound leakage.

• Do not allow the patient to drive themselves to Burns Unit and ensure they take a spare set of clothing for their appointment.

• Ensure adequate analgesia prescribed before leaving the department.

• Complete audit form, scan in ED notes then provide with patient for transfer to Burns Unit. Consent for photography will automatically be updated and kept in patient’s notes on Epic. (available in minors treatment room)

Amount required

Cutaneous burns

3% TBSA = 1 micro DAP (100ml) - this is not stocked in FHFT

9% TBSA = 1 Mini DAP (200ml)

Ocular burns

1 LPM (500ml)

For delayed decontamination, prolong the washing period. In case of a delayed ocular splash, it is not necessary to continue washing for more than 15 minutes.

For chemical burns >9% TBSA one Mini DAP (200ml) can be expressed on to gauze and applied as a soak over the affected area.

For chemical burns >18% TBSA two Mini DAP (200ml) can be expressed on to gauze and applied as a soak over the affected area.

For chemical burns >36% TBSA three Mini DAP (200ml) can be expressed on to gauze and applied as a soak over the affected area.

If taking a photograph of injury, then use a rover to take photo and will store in media.

Consent form then should be completed as per steps below.

Look for drop down arrow right top corner

Click to see options

Enter photo consent box, will generate correct consent form

Consent Form for Clinical photography/Video

Complete form and sign using mouse on the computer, then press accept.

This guideline has been registered with the Trust. However, clinical guidelines are guidelines only. The interpretation and application of clinical guidelines will remain the responsibility of the individual clinician. If in doubt, contact a senior colleague or expert. Caution is advised when using guidelines after the review date.

This guideline is for use in Frimley Health NHS Foundation Trust hospitals only. Any use outside this location will not be supported by the Trust and will be at the risk of the individual using it.

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