Abstract Aims To assess the understanding and confidence in the management of acute kidney injury (AKI) in all members of the general surgical multidisciplinary team (MDT) Method A 20-question questionnaire was dispersed to all members of the team to collect data on the respondent's job title, self-reported confidence in the management of AKI rated, and perceptions of the current management of AKIs on a 5-point Likert scale, where a higher score indicated greater confidence. The questionnaire was performed in July 2024. Data was analysed in Microsoft Excel. Results 26 responses were received (Doctors of all grades 10/26, health care support workers 1/26, registered nurses 4/26, pharmacists 10/26 and nutrition team 1/26). 19/26 (73%) of respondents reported that they felt confident or very confident in managing AKI, with 16/26 (61.6%) and 20/26 (76.9%) having reported feeling confident or very confident in completing a fluid balance and medication review respectively. 17/26 (65.4%) reported they knew how to reduce the risk of an AKI in the peri-operative phase. 6/26 (23.1%) of respondents reported that they felt that all patients diagnosed with an AKI get a senior review within 12 hours. 1/26 (4%) reported that they felt patients get urine dipstick testing within 24 hours. Conclusions The majority of respondents felt confident in managing an AKI. A low number of respondents felt that these reviews and assessments were happening on the wards. This suggests that further work needs to be done to ensure that effective communication is delivered throughout the general surgical team.
Britton et al. (Fri,) studied this question.
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