Aims The importance of early recognition and antimicrobial intervention in paediatric patients developing clinical evidence of sepsis is now well-established. While the concept of a 'golden hour' is a subject of current debate, protocols for patients at risk of sepsis focus upon the administration of antibiotics within 60 min of presentation to an emergency department. The aim of this study was to review the antibiotic administration for children presenting to a specialist paediatric emergency department with one or more age-appropriate observational parameters matching SIRS criteria and an additional risk factor for sepsis, defined as; current oncological chemotherapy, aplastic anaemia, post-stem cell/bone marrow therapy, or home parental nutrition via a central venous catheter.Methods A search of all the patients presenting to a specialist paediatric emergency department over a 1 year period between 2017-2018 with one or more age-appropriate initial observational parameters matching SIRS criteria was performed. The search was performed using PatientFirst software and identified a cohort of 945 patients. This population was searched for criteria identifying them as meeting the high risk criteria above. These identifiers included high risk coding within the software and subsequently coded diagnoses which matched the high risk criteria. This yielded a population of 59 patients (n=59). The scanned and physical hospital records for this population were reviewed with respect to the choice prescription time, and administration time of sepsis-protocolised antibiotics to assess performance according to a 'golden hour' target. Results The notes of 59 patients were reviewed. All 59 patients received an appropriate IV antibiotic as per the hospital protocol (Tazocin or Meropenem). The mean time from prescription of antibiotics to administration was 29.7 min (range À5-80). The mean time from ED booking to antibiotic administration was 59.66 min(range 21-152). 58% of the patients received antibiotics within the golden hour. Conclusion In conclusion, our study demonstrated surprising findings in a population receiving protocolised antibiotic therapy for high risk of sepsis. Clinician perception of this differed significantly and this is worthy of further open discussion. G461(P) ANTIBIOTIC THERAPY IN HIGH RISK OF SEPSIS EMERGENCY DEPARTMENT PATIENTS -THE DEBATE ABOUT WHO SHOULD DELIVER THE CARE 1 NC Richens, 2 C Clay.Aims The importance of early recognition and antimicrobial intervention in paediatric patients developing clinical evidence of sepsis is now well-established. In centres with patients under specialist teams there is a debate about how initial treatment should be delivered and with ever-increasing pressure on emergency services this grows more pertinent. The aim of this study was to review the antibiotic administration for children presenting to a specialist paediatric emergency department with one or more age-appropriate observational parameters matching SIRS criteria and an additional risk factor for sepsis, def...

As a simple design the poster is easy reproducible and using web based analysis tools, monitoring the use is simple, providing useful data on patient engagement, and what information is being accessed. Clinical notes were re-audited over a 6 month period to observe sustained improvement. Results Since implementation there has been an overall increase of patients receiving documented written and verbal discharge advice to 85%, with an average of 11 clicks of electronic discharge information leaflets a day (as of 19th October 2019). There was a 22% reduction in unplanned attendances to the paediatric emergency department over the same time period. There has been multiple positive feedback, including via social media from both clinicians and patients about the ease of use and quality of information provided. Other benefits include a rapid way of providing information with a potential reduction in physical leaflets needed, with resource and cost savings to services. Conclusions The QR poster provides an innovate method of providing relevant and accessible patient information leaflets to patients with patient service experience and potential resource reduction benefits.

Aims The importance of early recognition and antimicrobial intervention in paediatric patients developing clinical evidence of sepsis is now well-established. While the concept of a 'golden hour' is a subject of current debate, protocols for patients at risk of sepsis focus upon the administration of antibiotics within 60 min of presentation to an emergency department. The aim of this study was to review the antibiotic administration for children presenting to a specialist paediatric emergency department with one or more age-appropriate observational parameters matching SIRS criteria and an additional risk factor for sepsis, defined as; current oncological chemotherapy, aplastic anaemia, post-stem cell/bone marrow therapy, or home parental nutrition via a central venous catheter.Methods A search of all the patients presenting to a specialist paediatric emergency department over a 1 year period between 2017-2018 with one or more age-appropriate initial observational parameters matching SIRS criteria was performed. The search was performed using PatientFirst software and identified a cohort of 945 patients. This population was searched for criteria identifying them as meeting the high risk criteria above. These identifiers included high risk coding within the software and subsequently coded diagnoses which matched the high risk criteria. This yielded a population of 59 patients (n=59). The scanned and physical hospital records for this population were reviewed with respect to the choice prescription time, and administration time of sepsis-protocolised antibiotics to assess performance according to a 'golden hour' target. Results The notes of 59 patients were reviewed. All 59 patients received an appropriate IV antibiotic as per the hospital protocol (Tazocin or Meropenem). The mean time from prescription of antibiotics to administration was 29.7 min (range À5-80). The mean time from ED booking to antibiotic administration was 59.66 min(range 21-152). 58% of the patients received antibiotics within the golden hour. Conclusion In conclusion, our study demonstrated surprising findings in a population receiving protocolised antibiotic therapy for high risk of sepsis. Clinician perception of this differed significantly and this is worthy of further open discussion. G461(P) ANTIBIOTIC THERAPY IN HIGH RISK OF SEPSIS EMERGENCY DEPARTMENT PATIENTS -THE DEBATE ABOUT WHO SHOULD DELIVER THE CARE 1 NC Richens, 2 C Clay.Aims The importance of early recognition and antimicrobial intervention in paediatric patients developing clinical evidence of sepsis is now well-established. In centres with patients under specialist teams there is a debate about how initial treatment should be delivered and with ever-increasing pressure on emergency services this grows more pertinent. The aim of this study was to review the antibiotic administration for children presenting to a specialist paediatric emergency department with one or more age-appropriate observational parameters matching SIRS criteria and an additional risk factor for sepsis, def...