656 Making an Effective Ward Round Model in the Department of Trauma and Orthopaedic Surgery for University Hospitals of Birmingham Trust

Abstract Background Ward rounds in hospitals are crucial for decision-making the context of patient treatment processes. Objectives Improve standard ward with a review care and planning. Method 6 key elements were established using Modern report by Royal College Physicians Nursing. This includes daily which will be multidisciplinary, documented clearly handed over to relevant staff; consisting board, bedside round debrief; Prompts form REMIND mnemonic : R = Respect form, E Electronic Prescribing, M Mental Capacity, mobility status, I Investigations, N Nutrition Hydration, NBM D=DVT assessment Thromboprophylaxis; practices being audited. Results After running successful pilot Respiratory August 2021 quality improvement project (QIP) was introduced Trauma Orthopaedic surgery. 88 patients included initial audit prior implementation 91 re-audit. There 85% seen completion respect dementia forms 90% electronic prescribing. an 75% documentation investigations performed status. Fluid prescription, DVT LMWH prescription also improved 85%. Conclusions A Pilot Surgery shows feasibility QIP other departments. However, Education should include Consultant nurses. We overcoming this but establishing virtual module that can made mandatory induction junior doctors, consultants,