636 Optimising Operative Capacity for Hand Trauma - An audit

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 Overall BSSH Compliance rates 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.