{"id":71696,"date":"2023-09-14T08:00:15","date_gmt":"2023-09-14T14:00:15","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=71696"},"modified":"2023-09-14T08:00:36","modified_gmt":"2023-09-14T14:00:36","slug":"jill-rozynski-and-laura-madsen","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/jill-rozynski-and-laura-madsen\/","title":{"rendered":"Jill Rozynski and Laura Madsen"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_71697\" aria-describedby=\"caption-attachment-71697\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-71697\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/09\/11155257\/Jill-Rozynski-and-Laura-Madsen-web.webp\" alt=\"A photo of Jill Rozynski and Laura Madsen.\" width=\"640\" height=\"416\" \/><figcaption id=\"caption-attachment-71697\" class=\"wp-caption-text\">Jill Rozynski and Laura Madsen<\/figcaption><\/figure>\n<p><strong>Improving pain treatment for burn unit patients<\/strong><\/p>\n<p>For patients hospitalized with severe burns, treatment often requires daily visits to the tub room for wounds to be cleaned and debrided. The pain can be extreme.<\/p>\n<p>\u201cIt\u2019s a pretty intense time of the day for the patient,\u201d said Laura Madsen, a nurse with the UCHealth University of Colorado Hospital Burn Center. \u201cPain, but a lot of anxiety as well.\u201d<\/p>\n<p>The opioids and benzodiazepines traditionally used to treat pain can lead to over-sedation, physical dependence and breathing problems. Madsen and fellow burn center nurse Jill Rozynski both led projects introducing alternatives as safe and effective solutions to pain and anxiety during wound care.<\/p>\n<p>Rozynski\u2019s project researched oral ketamine. It is safer to administer, relieves pain, calms patients, and they\u2019re able to remain conscious enough to participate in their care. She worked with a multidisciplinary group of colleagues to implement this alternative at the burn center. The outcome was a 33% reduction in opioids used, 38.8% improvement in mean pain scores, 36.6% reduction in patient anxiety and 37.5% improvement in overall patient experience.<\/p>\n<p>\u201cIt helps them relax overall, and they feel in control, comfortable and a part of their care,\u201d she said.<\/p>\n<p>For some patients, ketamine can cause strange hallucinations and dreams, as well as high blood pressure. Madsen\u2019s project examined the use of sublingual dexmedetomidine, which has similar sedative effects to ketamine but is more likely to lower blood pressure. And hallucinations are less likely.<\/p>\n<p>For the patients who received dexmedetomidine, average pain scores decreased by 32%, and the maximum pain score on average fell 39%. The intravenous use of fentanyl decreased 23% and midazolam decreased 38%.<\/p>\n<p>\u201cWe are excited for these outcomes and continue to evaluate the medications, having added them to our playbook of options for our patients\u2019 wound care medication regimen,\u201d said Jenn Wilson, nurse manager with the burn center. \u201cBoth Laura and Jill exemplify patient-centered care and epitomize what it means to be a burn nurse through their exceptional work and advocacy for our patients.\u201d<\/p>\n<p>Rozynski presented her work to a national audience last year at the annual American Burn Association meeting, and her project\u2019s findings were published in the ensuing edition of the <em>Journal of Burn Care and Research<\/em>. Rozynski became a Nightingale Luminary award recipient and was awarded the UCH Magnet Nurse of the Year award.<\/p>\n<p>Madsen, now in an ICU RN role, previously served as the burn center\u2019s outreach program manager, partnering with fire department professionals to lead community education events; provide clinical education to other hospitals, providers and EMS; and fundraise to provide resources to burn survivors and families. A Survivors Offering Assistance in Recovery (SOAR) trainer and coordinator, Madsen also organized a trip to Crested Butte for survivors, families and staff in partnership with the Washington, D.C. Firefighter\u2019s Charitable Foundation.<\/p>\n<p style=\"text-align: center\" align=\"center\"><span style=\"font-family: 'Arial',sans-serif\"><div class=\"su-row\">\n<div class=\"su-column su-column-size-2-3 su-column-centered\"><div class=\"su-column-inner su-u-clearfix su-u-trim\"><\/span><\/p>\n<p style=\"text-align: center\" align=\"center\"><strong><span style=\"font-family: 'Arial',sans-serif;color: #930718\">You Make Extraordinary Possible<\/span><\/strong><\/p>\n<p style=\"text-align: center\" align=\"center\"><span style=\"font-family: 'Arial',sans-serif\">Together, we recognize and honor the qualities within ourselves by shining a spotlight on how each and every one of us improve lives in big ways and small.<\/span><\/p>\n<p style=\"text-align: center\" align=\"center\"><span style=\"font-family: 'Arial',sans-serif\"><a href=\"https:\/\/uchealthpoints.isrewards.com\/Recognition\/Award\/FormFlex.aspx?pr=JAwX5qZPSOA=&#038;m=N\" class=\"su-button su-button-style-flat\" style=\"color:#FFFFFF;background-color:#A22343;border-color:#821c36;border-radius:56px\" target=\"_self\"><span style=\"color:#FFFFFF;padding:0px 26px;font-size:20px;line-height:40px;border-color:#be657c;border-radius:56px;text-shadow:none\"> Share a story<\/span><\/a><\/span><\/p>\n<p style=\"text-align: center\" align=\"center\"><span style=\"font-family: 'Arial',sans-serif\"><\/div><\/div>\n<\/div><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Improving pain treatment for burn unit patients For patients hospitalized with severe burns, treatment often requires daily visits to the tub room for wounds to be cleaned and debrided. The pain can be extreme. \u201cIt\u2019s a pretty intense time of the day for the patient,\u201d said Laura Madsen, a nurse with the UCHealth University of [&hellip;]<\/p>\n","protected":false},"author":2242,"featured_media":71697,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"on","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"Relevanssi image attachment filter Relevanssi index exclude","footnotes":""},"categories":[1],"tags":[4826],"class_list":["post-71696","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-you-make-extraordinary-possible"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Jill Rozynski and Laura Madsen - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Improving pain treatment for burn unit patients For patients hospitalized with severe burns, treatment often requires daily visits to the tub room for wounds to be cleaned and debrided. The pain can be extreme. \u201cIt\u2019s a pretty intense time of the day for the patient,\u201d said L...\" \/>\n<meta name=\"robots\" content=\"noindex, nofollow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Jill Rozynski and Laura Madsen\" \/>\n<meta property=\"og:description\" content=\"Improving pain treatment for burn unit patients For patients hospitalized with severe burns, treatment often requires daily visits to the tub room for wounds to be cleaned and debrided. The pain can be extreme. \u201cIt\u2019s a pretty intense time of the day for the patient,\u201d said Laura Madsen, a nurse with the UCHealth University of [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.uchealth.org\/today\/jill-rozynski-and-laura-madsen\/\" \/>\n<meta property=\"og:site_name\" content=\"UCHealth Today\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/uchealthorg\/\" \/>\n<meta property=\"article:published_time\" content=\"2023-09-14T14:00:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-09-14T14:00:36+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2023\/09\/11155257\/Jill-Rozynski-and-Laura-Madsen-web.jpg\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Robert Allen, UCHealth\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@uchealth\" \/>\n<meta name=\"twitter:site\" content=\"@uchealth\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Robert Allen, UCHealth\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/jill-rozynski-and-laura-madsen\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/jill-rozynski-and-laura-madsen\\\/\"},\"author\":{\"name\":\"Robert Allen, UCHealth\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#\\\/schema\\\/person\\\/ea66df10f5e7370a1fc268118426ade1\"},\"headline\":\"Jill Rozynski and Laura Madsen\",\"datePublished\":\"2023-09-14T14:00:15+00:00\",\"dateModified\":\"2023-09-14T14:00:36+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/jill-rozynski-and-laura-madsen\\\/\"},\"wordCount\":559,\"publisher\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/jill-rozynski-and-laura-madsen\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/uchealth-wp-uploads.s3.amazonaws.com\\\/wp-content\\\/uploads\\\/sites\\\/6\\\/2023\\\/09\\\/11155257\\\/Jill-Rozynski-and-Laura-Madsen-web.webp\",\"keywords\":[\"You make extraordinary possible\"],\"articleSection\":[\"UCHealth\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/jill-rozynski-and-laura-madsen\\\/\",\"url\":\"https:\\\/\\\/www.uchealth.org\\\/today\\\/jill-rozynski-and-laura-madsen\\\/\",\"name\":\"Jill Rozynski and Laura Madsen - 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