P111 - IMPROVING OPERATIONAL EFFICIENCY AND PATIENT OUTCOMES: THE IMPACT OF A NUTRITION NURSE SATURDAY SERVICE

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P111

IMPROVING OPERATIONAL EFFICIENCY AND PATIENT OUTCOMES: THE IMPACT OF A NUTRITION NURSE SATURDAY SERVICE

E. Smyth1,*, I. Barbaso1, J. Wills1

1Guy's & St Thomas' NHS Foundation Trust, London, United Kingdom

 

Rationale: The Nutrition Nurse Specialist (NNS) Saturday service was commenced in January 2024 with the aim to reduce Parenteral Nutrition (PN) wastage, minimise delays in PN provision, focus on staff/patient training and improve patient outcomes.

Methods: The service evaluation was conducted by reviewing a weekly diary completed by the NNS during each Saturday shift over a one-year period, along with feedback forms submitted by staff nurses within the directorate. This assessed the impact of NNS presence on patient outcomes and the care provided by staff nurses caring for patients receiving PN.

Results: The service evaluation showed a cost saving of £4,418 on PN wastage from 29 incidents that were addressed early such as line unblocking and early repeat blood tests that demonstrated abnormal electrolytes. Delays in PN provision were minimised through timely blood cultures and proactive advice on line issues and abnormal bloods. Service productivity improved on Saturdays with limited distractions from usual week-day demands. 

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Conclusion: Patient outcomes were improved overall, with timely follow-up care, increased capacity for home parenteral nutrition (HPN) training, advice on line issues and ad-hoc reviews for HPN patients. This resulted in both operational efficiencies and enhanced patient outcomes.

Disclosure of Interest: None declared