P30 Improving the documentation of paediatric height/length for inpatients

Aim Pharmacists and dieticians are among the health care professionals who have identified a problem relating to inconsistent recording of heights in paediatric patient notes. The Trust’s guideline ‘Growth – Standard for measurement weight height/length children identifies that ‘all attending hospital must their measured’. 1 Height is required calculate number parameters, including renal function risk malnutrition. It necessary calculation adjusted prescribing weights overweight or obese patients. This project aimed improve percentage being recorded an appropriate place by introducing poster all wards within hospital. Method All were included audit. Baseline data was collected 8-9th February 2021. implemented from 2nd March 2021 safety alert circulated staff during week beginning 1st Data then recollected on 22nd As outlined trust guideline, from: front drug chart; ‘Core Screening Tools Children Young People inpatients’ document; World Health Organisation (WHO) Growth Chart our electronic record ‘Evolve’. Results patients with height chart at baseline 8.3%. increased 16% post-implementation. Core Tool 33.3%. 42.5% Evolve 22.2%. decreased 20.8% Conclusion post-implementation would suggest has had positive effect improving inpatients. There 93% increase charts 28% following implementation intervention. shows overall improvement core screening tools, although there decrease Evolve. use investigated collection it lack training how enter system this may explain low numbers using system. Further help correct issue after consultation nurse education team, been added programme new nurses starting Improvement shown over short period time, documented inpatients, we still long way target 100%. work carried out aim information consistently provided, thereby care. Reference Tucker I, Elson R. Clinical guideline: growth - standard (version 1). Trust name. 2019 Available request.