910 The Value of a Compressive Base Layer Bandaging in Post-Surgical Plaster Application: Reductions in Early Face-To-Face Times and Early Dressing Changes. Improved Patient and Plaster Technician Satisfaction

Abstract

Abstract Aim Plaster immobilisation alongside wound compression after surgery is often required but not easy to balance. If a plaster is too loose then it may not produce sufficient wound compression but if the cast is too restrictive it may be uncomfortable and lead to complications. Our aim is to provide a technique that addresses these imbalances. Method Compressive base layer banding technique involves tightly wrapping the wound dressing with wool and crepe then applying a well-padded plaster on top. The technique was prospectively audited and compared to other practice within our centre. The aims were to show that the technique was safe and to look for potential benefits for patients and healthcare staff. Both groups included trauma and elective patients treated by a similar set of foot and ankle operations. We audited patients on their experiences, concerns and time spent having their cast changed. Results Primarily, the results showed that the technique was safe with no severe complications. The time for a plaster change reduced by a third, from 24 minutes (control group n = 28) to 16 minutes (intervention group n = 27). Dressing changes at the same time were reduced by 80%. The intervention group were happier with their casts, had lower levels of concerns regarding their attendance and their risk of infection. Conclusions Our audit has shown that the compressive bandaging technique is safe (non-inferior) compared to current practices at our hospital. The technique has the benefit of reducing the time patients spend being face-to-face during plaster change and reduces both their discomfort and concern.