221 A Ward-Based Intervention to Improve Understanding of ‘Enhanced Recovery After Surgery’, and Improve Compliance with Early Post-Operative Mobilisation: A Prospective Audit

Abstract Aim Enhanced recovery after surgery (ERAS) improves short-term post-operative outcomes by maintaining pre-operative function and reducing the stress response associated with surgery. Early post-operative mobilisation is a key component. This study sought to assess achievement of early mobilisation goals, identify barriers to mobilisation, and improve awareness of ERAS. Method Eye-catching posters were placed within view of each surgical bedspace and on the door of each bathroom. These emphasised the benefits of early mobilisation and simple steps a patient may take to improve their post-operative outcomes. Between May to July 2023 (Baseline; n=47), and August to September 2023, (Post-intervention; n=46) data were prospectively collected on adult patients who were day one post-elective or emergency general surgery. Results Unfamiliarity with the concept of ERAS, as well as inadequate post-operative analgesia were identified as barriers to early post-operative mobilisation. Following the implementation of ward-based educational posters, there was a 36% increase in the number of patients who were aware of the concept of ERAS (10% to 46%). 31% of patients were able to recall at least two benefits of early mobilisation as highlighted by the posters. Requests for analgesia increased by 29%. There was a 24% increase in the number of patients sitting out of bed for meals. Furthermore, completion of the recommended 4 x 60m walks also improved (77% to 87%). Conclusions A simple ward-based intervention resulted in heightened awareness of Enhanced Recovery and the importance of early post-operative mobilisation as well as improved compliance to the local post-operative mobility goals.