PWE-414 A designated eras nurse consistently achieves eras goals with significant cost reductions for the nhs

Abstract

<h3>Introduction</h3> Enhanced recovery after surgery (ERAS) optimises patient outcomes after elective surgery. The role of designated ERAS nurse has rarely been assessed with limited information on any potential cost savings. <h3>Method</h3> 3 separate time periods were compared: n = 36, group 1 (ERAS established, no designated nurse, 3 months duration); n = 64, group 2 (5 month introductory period for ERAS Nurse) and group 3, n = 204 (12 months following introductory period) Total numbers of patients; length of hospital stay (LOS); re-admission rates were calculated with daily patient costs estimated using £541 / surgical ward. <h3>Results</h3> LOS reduced in group 2 and further reduced in group 3: 9 (3–36) vs. 8 (3–15) vs. 7 (3–68) [Groups 1, 2 and 3 respectively]. The re-admission rate reduced: 8% vs. 4.7% vs. 5.4%; length of re-admission stay shorter: 4.5 days vs. 1.7 vs. 1.7. The two day LOS reduction saved 408 bed days: potential cost reduction of £1082/patient/ hospital stay or alternatively, allowed extra 58 patients to have surgery. <h3>Conclusion</h3> A designated ERAS Nurse has substantially increased the number of patients undergoing surgery, with further reductions in hospital stay and re-admission rates; a designated ERAS Nurse has vital and cost-effective role in current surgical practice. <h3>Disclosure of interest</h3> None Declared.