EP.TU.55Increased Communication within hospitals enhances Catheter Care for Colorectal patients

Audit Aims 1. To quantify staff compliance in documenting catheter insertion using newest (2019) vs older (2011) Catheter Care Plans (CCPs) in our hospital. 2. To assess completion of CCPs against NICE Quality Guidelines on Infection Prevention and Control1. 3. To action (and measure the impact of) interventions to improve CCP completion. Methods CCPs for all emergency and elective colorectal surgery patients with a urinary catheter inserted in our hospital, over a three-week period, were analysed. Interventions (including distributing new CCPs and placing posters) were implemented to raise awareness of desired documentation standards. Post-intervention, the audit loop was closed via a two-week analysis of a similar cohort. Results Pre-intervention, 25% of the 20 CCPs were new. The average completion rate of new and old CCPs, respectively, was 63.48% ±9.53% and 49.28% ±7.65%. Post-intervention, 66.6% of the 18 CCPs were new. The average completion rate of new and old CCPs, respectively, was 49.28% ±18.48% and 42.75% ±3.27%. Aside from one uncompleted, new CCP post-intervention, which skewed the results, we were 100% compliant with overall guidance on NICE1. Conclusions Increased communication between the wards and theatre teams is pivotal to ensure optimal catheter care for patients. Improvement points include: replacement of residual old forms with new CCPs, and more education to ensure correct completion of new CCPs. Further progress requires both awareness and availability of patient advice leaflets and catheter passports, as well as reminding staff of NICE Quality Guidelines1.