314 Communication With Parents and Post-Operative Clinical Review by Operating Team in Paediatric Trauma

Aim Communication is one of the key GMC principles and is particularly important when discussing perioperative plans in paediatric trauma. Parents often have consented to multiple procedures for their child, and it is imperative they are informed post operatively on the procedure performed in theatre. The aim is to identify our compliance with parental post operative communication and clinical review of paediatric trauma patients, and the documentation of this. Method Retrospective analysis of all patients ≤18 years old operated in trauma theatres at the Grange University Hospital between August-September and October- November 2023. Data was obtained from online operations systems ORMIS, clinical workstation and telephone calls to parents. Interventions were implemented at local audit meetings to encourage changes in clinical practice. Results Post operative clinical reviews and communication with parents improved from 34% in Cycle 1 to 66% in Cycle 2. Excluding patients who were not contactable, 77% of patients were reviewed post operatively during Cycle 2. Despite this improvement, there was overall poor documentation of clinical reviews and parental updates. In Cycle 1, 30% of reviews were documented followed by 57% documented in Cycle 2. Conclusions Clinical review of children post operatively is essential, providing an opportunity to explain intraoperative findings, procedure performed and confirm follow up to parents. There is room for improvement in our post operative clinical reviews, and the respective documentation of this. We will aim for 100% compliance of post operative reviews, providing an opportunity to answer questions and reduce parental anxieties, therefore optimising patient care.