128 THE USE OF THE IRISH NATIONAL EARLY WARNING SCORE TO DOCUMENT NEW CONFUSION

Abstract Background The Irish National Early Warning System (INEWS) V2 has added ‘new confusion/altered mental status/delirium’ as a sign of early deterioration. It is captured ‘C’ in ACVPU. A score’ should prompt concern regarding possible serious causes and requires urgent clinical review. objective this study to identify the extent which INEWS score used appropriately by healthcare professionals an hospital. Methods This cross-sectional inpatients over 65 years. Medical records, nursing notes charts were reviewed for documentation confusion’ during admission. 4AT, rapid delirium screening tool, was completed on day audit further confirmation. Descriptive statistics are presented. Results 20 patients included, 65% male, mean age 80 95% had been >10 days. No documented their chart ‘New 45% patients’ 15% medical notes. Delirium patients. On data collection, 4AT greater or equal 1, 4. Conclusion Over half records admission, however, never chart. Furthermore, than one audit. highlights need ongoing training, behavioural change cultural shift health care organisations ensure adherence with related escalation protocols.