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Local Audit Actions

Audit of Paediatric Difficult The audit is due for presentation as a poster at the Association of Paediatric
Airway Equipment Availability Anaesthetists Annual Scientific Meeting in May 2018.
Action/Recommendation:
• Networking with the airway and paediatric anaesthetic leads in each hospital
in the region is required to understand the barriers to adopting a standardised
paediatric airway equipment list and a standardised airway trolley layout.

• Recommend the adoption of a standardised paediatric airway trolley with a
standardised layout and contents list in every hospital in the region.
• Re-audit in 12 months.

An audit to assess provision The audit was presented at the Alder Hey Anaesthetic department update meeting
of information provided to in September 2017.
patients prior to regional
Action/Recommendation:
anaesthesia.
• Improve the availability of current information leaflets.
• Develop new information leaflet for peripheral nerve block.

• Re-audit in 12 months.

Parents feedback of The project was presented at the Alder Hey LiA (Listening into Action) meeting in
experience of breastfeeding July 2017.
support whilst in Alder Hey
Action/Recommendation:
• Trust policy has been updated with clear guidelines for staff on process to follow
when feeding breastfeeding mums. Policy is awaiting ratification.

• Also the parents information leaflet has been updated to include this information.
• Re-audit in 12 months.
Audit of annual screening The audit was discussed in July 2017 and findings presented in the Alder Hey
tests performed in children Surgery departmental audit meeting in October 2017.
with complex nephrotic
Action/Recommendation:
syndrome.
• Improvement could be made in measuring a number of markers, including Vitamin
D, Parathyroid hormone (PTH) and measles serology.
• Rationalising blood tests and placing a robust system to ensure they are
measured.
• Develop Nephrotic syndrome guidance for annual screening.
• Re-audit in 2 years.

Audit of MRI (Magnetic The audit was presented at the Alder Hey Community Paediatrics Departmental
Resonance Imaging) Brain meeting in October 2017.
investigation ordering and
Action/Recommendation:
results within the community
paediatrics department. • Update existing guideline.
• Re-audit once new guidelines are in place.
Audit of renal biopsy in the The audit was written up in July 2017 with a discussion and presentation at the
renal transplant patient. Alder Hey Renal Unit meeting to be arranged.
Action/Recommendation:
• To continue current practice.

• Audit confirmed that biopsy was performed for good clinical indication.
• Re-audit in 4 years.

Alder Hey Children’s NHS Foundation Trust 89 Annual Report & Accounts 2017/18