974 Improving Safety for Tracheostomy and Laryngectomy Patients Within A Regional Head and Neck Unit

Abstract Aim To improve the safety of tracheostomy and laryngectomy patients within a UK-based regional head neck unit. Method This audit was conducted against standards taken from National Tracheostomy Safety Project (NTSP). Inclusion criteria were all with or on ward, there no exclusion criteria. Data collected per inpatient episode for one month period pre- post- implementation each intervention (1st March to 31st May 2020). Results Pre-intervention results showed that none 19 neck-breathing inpatients during 2020 had bedhead sign emergency algorithm displayed, however required bedside equipment only unavailable ward capnography. Laminated signs algorithms implemented 33% displayed April 2020. Further in educate staff led 90% having 80% an displayed. Conclusions Overall, our unit has very high care patients. The use airway is integral part providing safe members are responsible their use. COVID-19 crisis impacted number elective procedures being performed which upon numbers post-intervention arms audit. Reduced staffing due sickness pandemic may have contributed substandard results.