357 A Novel Protocol for Post-Operative Bloods Following Elective Colorectal Cancer Resections - a Re-Audit of a Closed Loop

Abstract Aim Indications for blood tests are often poorly considered. Appropriate requests reduce trauma patients, improve laboratory workflow and costs. We therefore created a novel protocol bloods requested in the post-operative period patients undergoing elective colorectal cancer resections. performed two audit cycle loops to assess adherence evaluate financial savings. Method The was agreed locally by consultant consensus, presented February 2021, displayed on surgical wards May 2021. Bloods were reviewed retrospectively colonic resection with an uncomplicated course. Data collected prior local meeting between September-November 2020 (audit 1, 1), after March-April 2021 2, then distribution of July-August (cycle 2). Results post-op day 1,5,7 FBC, U&E, CRP; 3 CRP, LFT; 2,4,6 no bloods. In 1 1) 100% would have saved £15.96 per patient (n = 20). 2 followed 21.4% days further savings £14.21 23) had there been adherence. 40.74% £6.62 potential 15). Conclusions Following post-elective may save our hospital £1700 annum. Protocol improved when wards. With these exciting results, we working Medway EPR create order set containing this protocol.