EP-343 Compliance of Prescription of Intravenous Maintenance Fluids in Acute Surgical Patients According to NICE Guidelines

Abstract Aim Assess compliance of prescription for intravenous maintenance fluids in accordance with NICE Guidelines the acute surgical admissions population. Method Total 158 patients were included. We collected data prospectively admitted between 25/02/21–18/03/21 (first cycle) & 12/09/2021–4/10/2021 (2nd cycle). Maximum 5 daily randomly selected. Data wards after clerking on Day 1 admission. Surgical Proforma was used to identify feeding plan patients. Drug charts assess volume and types prescribed. Admissions by audit authors excluded prevent selection bias. Intervention Posters Emergency Assessment Unit Wards, Teaching junior doctors, Regular reminder messages on-call teams. Results Prescription Intravenous Maintenance Fluids Acute Patients guidelines IV Fluid rose from 6% 22% cycle 2, respectively. In non-compliant prescriptions, issue due excess (73%), sodium chloride (88%) as well inadequate potassium (75%) glucose (40%). Conclusions Most require fluids. Some did not have their weight recorded which is necessary correct calculation fluid requirements. prescribed although they indicated. received an excessive volume, chloride. glucose. Ward based nursing staff are reluctant give containing potassium. More teaching awareness needed.