568 Audit of Laceration Management and Documentation

Abstract Aim Evaluate adherence of emergency department (ED) staff to NICE guidelines on laceration management. quality management documentation in ED. Re-evaluate the above following introduction a template for ED clerking. Method documentations 53 adult patients presented with November 2022 were analysed and evaluated based presence components: wound size, infection risk, tetanus vaccination status & appropriateness booster administration, cleaning, closure method, type dressing, antibiotic prescribing, care instructions (e.g., suture/ dressing removal time). Results 49% mentioned size. Only 9% commented making it impossible comment prescribing most cases; 6% cases prescribed antibiotics despite being closed, against guidelines. Most had cleaning (72%) appropriate method (77%) documented. Dressing was only documented 19% cases. Just over half history clarified administered appropriately (59%). 36% received detailed instructions. Conclusions The first audit cycle highlighted concerning gaps This may lead incorrectly applied, which turn presents significant risk patients. A clerking will be introduced 2023 compulsory elements that encourage more rounded taking. Therefore, re-audit performed February assess efficacy changes.