640 Improving Junior Doctors’ Knowledge and Confidence in Assessment, Management and Referral of Burns Patients in the Emergency Department, Royal Oldham Hospital

Abstract

Abstract Aim There are currently no online trust guidelines for adult burn injuries. We aim to improve ED trainee knowledge and confidence in managing burns patients by delivering focused teaching and developing accessible online resources. Method A survey circulated to junior doctors assessed their confidence in managing minor and major burns injuries. Focused teaching on burns depth, management of burns wounds and when to refer was delivered to ED trainees after completion of the survey. Online tools and resources for assessment, management and referral of burns were developed using NICE and British Burns Association Guidelines. Resources were circulated to trainees and a survey repeated to assess confidence. Results Initial surveys demonstrated 71% felt confident in assessing minor burns and 46% for major burns. When managing minor burns 68% of juniors felt confident and 43% for major burns. Only 25% were aware of referral criteria to a burns centre for major burns and 32% for minor burns. Following focused teaching sessions, clinician confidence in assessment and management of all burns improved to 100%. Awareness of referral criteria rose to 85-92% for all burn injuries. Qualitative feedback was positive amongst different levels of health care professionals for the new resources. Conclusions Burns injuries are common, yet confidence is low amongst junior doctors in their management. This was compounded by a lack of local guidance. Focused teaching and implementation of accessible online departmental guidance has improved clinician confidence and helped ensure that patients presenting with burns are managed by confident clinicians according to national guidelines.