In this study, highly carbapenem-resistant Pseudomonas aeruginosa (h-CRPA) 18102011 (the MIC value of IP for h-CRPA is 4,096 μg/mL) was isolated from the bile of an intensive care unit (ICU) burn patient in China. The genome’s molecular characteristics were analyzed to assess the genetic environment of bla KPC-2 and bla VIM-2 . ANI comparisons were used for precise species-level identification, while serotyping, multi-locus sequence typing, and the identification of acquired resistance genes, and virulence genes were also carried out. The h-CRPA 18102011 strain carrying bla KPC-2 and bla VIM-2 was identified as strain ST2374 and the O4 serotype. Virulence genes ( plcH , exoST ) and resistance genes ( aph(3’)-IIb , aac(6’)-Ib-cr , ant(2’’)-Ia , bla OXA-396 , bla PAO , bla KPC-2 , bla VIM-2 , bla PER-1 , sul1 , catB7 , qnrVC6 , fosA ) were both identified in the genome. In addition, the Inc pRBL16 type mega-plasmid pP2011-1 carrying bla VIM-2 and the IncP6 type plasmid pP2011-2 carrying bla KPC-2 were identified in the strain. The genetic environment of bla VIM-2 and bla KPC-2 was specifically evaluated to assess their origins. bla VIM-2 was located in the region of In2075 that was inserted into plasmid pP2011-1, this plasmid contained 3 novel recombination sites, as well as the typical recombination site 2 ( umuC ) observed for Inc pRBL16 type plasmids. However, the core module Tn 3 -IS Kpn27 - bla KPC -ΔIS Kpn6 was identified as the bla KPC-2 platform in plasmid pP2011-2. Conjugation experiments revealed that the plasmids pP2011-1 and pP2011-2 of the h-CRPA 18102011 strain could be transferred into Escherichia coli with a conjugation transfer efficiency of 10 -6 .