1026 Good Prescribing Laxatives Practice for Trauma Admissions in Orthopaedic Wards at Altnagelvin Hospital

Abstract Aim The aim of this QIP is to firstly increase percentage T&O admissions Orthopaedic Wards 23+25 prescribed laxatives by 25% 1st December over 1 month and awareness among healthcare staff. Background Constipation in elderly during inpatient stay common, 50% pts>65years will develop due multifactorial reasons. Correct are very important curb predicament. Method These data were assessed the following criteria, on admission, administered prescription, monitoring bowel output, suppositories after admission. Following each week QI cycles, appropriate interventions made improve adherence was re-measured again. Results From Baseline data, only 45% patient 20% patients received medication initially. Of group, pts had Lastly, 40% Bowel Opened (BO)>3days ago. First intervention educating all SHOs ensure prescription this, mainly laxative increased 40%, their 2% respectively PDSA 1. In 2, we actively ensured nursing staff encourage prescriptions inform doctors for with Last BO>3days ago prescribing. 80% while 65% prescription. Only 15% too. Conclusion Regular superior PRN & Recommended regime Senna+Lactulose adherence. Additionally, should be given as STAT rather than Prn well.