636 Optimising Operative Capacity for Hand Trauma - An audit. (12th October 2021)

• Record Type: Journal Article
• Authors: Shahid, S
• Is Part Of: British journal of surgery. Volume 108:Supplement 6(2021)
• Publication Date: 2021-10-12
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1093/bjs/znab259.077
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract: Aim: Assess compliance with departmental and BSSH guidelines for hand trauma. Optimise operative capacity within the department. Promote minor ops experience among the junior doctors. Method: Retrospective review of the overbooked patients seen in the Hand trauma Unit (HTU) in August 2020 using the eTrauma system and time to operation using the Lorenzo patient record system. Results: Overall Local Compliance rates: Time to theatre 88.3% Overall BSSH Compliance rates: Time to theatre 90.6% Main area of non-compliance was waiting time for tendon operations, with a 30% breech rate (>5 days waiting time). Conclusions: Interventions before re-audit: On call junior doctor to be based in HTU for the whole day- will allow for minor procedures (nail beds and skin lacerations) to be done at bedside. The above will free up capacity in the minor ops theatre for tendons.