P36 An audit of standardised (NEON) PN use in a tertiary NICU

The most vulnerable patients on NICU are our extreme preterm babies who require various mechanisms of support during the beginnings their lives. One method is provision parenteral nutrition (PN) to these patients. 1 NICE recommends use standardised PN for neonates, 2 choice at this Trust NEON, which was introduced in May 2018. Local guidelines have specific indications PN, and management electrolyte glucose disturbances. 3 Our NHS Foundation a tertiary with specialism neonates requiring surgical gastrointestinal issues uses both bespoke PN. aim audit discover if were receiving NEON right time, any changes followed recommendations local guidelines. This included assessment of; indication timeliness prescription administration suitability corrections, correct documentation discontinuation standard Data collected prospectively working days over weeks August 2019 ITU HDU using pro-forma that key demographic data, including gestational age birth starting time birth, along date prescribed administered. Patients up daily data collection period by pharmacist documented pro-forma. Any admitted outside pharmacy hours (Monday Friday 0900–1700) retrospectively pharmacist. During period, 21 onto 11 identified as suitable All received indications. Only 5 less than 31+0 time. other it required or corrected per switched stopped had reasons notes. results clinical showed whilst all initiated indications, not them particularly age; specify should within 6 life. also changed without following Reasons suggested team once fed back shortage staff night-time delaying insertion appropriate peripheral central venous catheters, lack experienced overnight confidence administer done so consultants well versed insisted change. References Lissauer T, Carroll W. Illustrated textbook paediatrics. 5th ed. London: Elsevier; p172 -173. National Institute Health Care Excellence. Neonatal [Internet]. [London]: NICE; 2020 [cited 2022 Jun 9]. (Clinical guideline [NG154]). Available from: https://www.nice.org.uk/guidance/ng154 North West London Operational Delivery Network. Guideline Standard Preterm Parenteral Nutrition Network 2018 [accessed June 2022]. intranet.