420 ResPect Forms for ENT Inpatients: An Audit (Complete Cycle)

Abstract

Abstract Aim To ascertain the percentage of ReSPECT forms completed by the time of consultant review for ENT patients (section 4, resuscitation decision). Method Complete cycle, retrospective audit of ENT inpatient. Data was collected for three weeks. During first cycle there was total 42 patients included. In second phase there was 37 patients. Data was collected from patients' notes. We excluded patients whose ResPect form was not counter signed by the consultant within 24 hours of admission. Also, we excluded patients whose ResPect was signed after 72 hours of admission. Results We identified 42 patients between three weeks period from 18th of November-08th of December 2020. Out of which 40.47 % (n = 17) in patients had section 4, resuscitation decision completed. In second phase, we identified 37 patients between three weeks period from 12th of December 2020–1st of January 2021. Out of which 64.86 % (n = 17) in patients had section 4, resuscitation decision completed (Figure 1). After the first phase, we added some recommendations, everyone needs to complete their RESPECT training (via ESR), check Respect form on ward round and SHO’s to complete Respect form when clerking new patient. We added flow chart as well in our second phase to make sure, we adhere with the policy. Conclusions Add ReSPECT introduction in induction, especially when new SHO's are rotating. In additon, ReSPECT should be part of plan.