Home
Forms Library
Burn Injury Reporting Form - the State of Connecticut Website

Burn Injury Reporting Form - the State of Connecticut Website 2025

Burn Injury Reporting Form - the State of Connecticut Website Preview on Page 1

Show details

4.8 out of 5

211 votes

The document is a Burn Injury Reporting Form from the State of Connecticut's Department of Administrative Services, Division of Construction Services. It outlines the procedure for reporting burn injuries, including necessary information to provide to the Local Fire Marshal and instructions for completing and submitting the form electronically or by mail within 48 hours of the incident.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to rapidly redact Burn Injury Reporting Form - the State of Connecticut Website online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is a perfect editor for modifying your documents online. Adhere to this simple guideline edit Burn Injury Reporting Form - the State of Connecticut Website in PDF format online at no cost:

Sign up and log in. Register for a free account, set a strong password, and go through email verification to start managing your templates.
Upload a document. Click on New Document and choose the file importing option: upload Burn Injury Reporting Form - the State of Connecticut Website from your device, the cloud, or a secure link.
Make adjustments to the template. Use the upper and left-side panel tools to redact Burn Injury Reporting Form - the State of Connecticut Website. Add and customize text, images, and fillable areas, whiteout unneeded details, highlight the important ones, and comment on your updates.
Get your documentation accomplished. Send the form to other people via email, generate a link for quicker document sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail added.

Discover all the benefits of our editor right now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to assess a patient with a burn?

Burn assessment. Assess airway, breathing, circulation, disability, exposure (prevent hypothermia) and the need for fluid resuscitation. Also, assess severity of burns and conscious level 4 5 . Establish the cause: consider non-accidental injury.

What is a burns priority finding to report?

The American Burn Association recommends burn center referrals for patients with: partial thickness burns greater than 10% total body surface area. full-thickness burns. burns of the face, hands, feet, genitalia, or major joints.

What are the 4 Cs of burns?

Minor burns are generally considered to be first degree and superficial second degree (aka superficial partial thickness) burns. Use The Four Cs to remember the management of minor burns: cooling, cleaning, covering, and comfort.

How to do a burns test?

Burns Test: Turn off all your gas appliances and your heating. Take a meter reading. Then turn on one gas device, say a single gas ring on your hob, and wait 10 minutes. Take a second meter reading.

How to do a burn assessment?

The following sections explore key considerations when evaluating a patient with a burn injury. Risk factors. Inhalation Injury. Total Body Surface Area (TBSA) Burn Type and Depth. Burn Site and Impact. History of Presenting Complaint. Medical and Surgical History. Past Medical History.

Should I report a burn at work?

Report the injury or illness to your employer Reporting promptly helps avoid problems and delays in receiving benefits, including medical care. If you dont report your injury within 30 days, you could lose your right to receive workers compensation benefits.

What is the chief complaint of burn injury?

Dehydration and shock from fluid and blood loss. Compartment syndrome from swelling that cuts off blood circulation. Trouble breathing from burn-related damage or complications. Hypothermia because damaged skin affects how your body regulates its temperature.

What are the four ways you assess a burn?

Outline General considerations. Superficial. Partial-thickness. Full-thickness. Extension to deep tissues.

Burn Injury Reporting Form - the State of Connecticut Website 2025

Here's how it works