Burns Unit Admission Form Template

This form is used for patients with burn injuries. It documents the cause, severity, circumstances, associated trauma, and initial evaluation. It is essential for accurate triage and treatment planning in burn management.

Key Features

  • Burn cause (flame, scald, chemical, electrical)

  • Date/time & location of incident

  • Injury circumstances (accidental, suicidal, etc.)

  • Associated trauma assessment

  • Admission notes & clinician signature

Who Should Use It

Burns units, emergency departments, trauma centers.

burns unit admission form template for flame, scald, or chemical burns evaluation
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