What is the priority nursing action for a patient who has suffered a burn injury while working on an electrical power line?

In the case of a burn injury sustained while working on an electrical power line, the priority nursing action is to stabilize the cervical spine. This is crucial because patients who suffer electrical burns may have associated injuries, including potential trauma to the spine or head, especially if they fell from a height or were thrown due to the electrical shock. Stabilizing the cervical spine helps to prevent further injury, particularly in cases of fracture or dislocation.

Additionally, electrical burns can cause significant internal injuries that may not be immediately apparent, and the stability of the spine is essential in any assessment or intervention to ensure the patient's safety. This action is in alignment with trauma protocols where maintaining spinal alignment is critical in a potentially unstable patient.

While obtaining blood pressure, assessing for contact points, and checking alertness and orientation are important actions in the overall management of burn injuries, they do not take precedence over ensuring the integrity of the spinal column in a situation that may involve significant traumatic risk. Addressing potential spinal injury first helps to guide subsequent care and assessments safely.