863 Improving the Outcomes of Inpatient Admissions and Optimising Referrals to a Regional Burns Unit Through Introduction of a Specialist Nurse-Led Burns Clinic

Abstract Aim We aimed to measure the effect of a specialist nurse-led clinic and referral pathway on admission rate, patient length stay (LOS), total bed days. hypothesised that this intervention would contribute optimisation in regional burn's unit. Method Retrospective analysis inpatient records six-month period over three years at unit (June-November 2018,2019,2020). Analysis demographics, TBSA, admissions, before after introduction. Statistical included one-way ANOVA. Results A reduction admissions was observed 2020 compared 2019 2018 (7.3% 6.7%) for group with equivalent median TBSA (2%) comparable age (41 vs. 43.5 42.5). Median LOS significantly shortened (42.9%, F=4.07, p=0.046) F=6.59, p=0.011). Minor burns showed reduced rates (8.5%), (42.9% 33.3%), days (29.4% 27.1%) respectively. Referrals as percentage A&E presentations increased (16% 14.4% 12.1%). Conclusions The results suggest introduction has in-patient significant minor burns, against backdrop referrals. continuity between care by nursing team helped optimise