PWE-106 ‘Documenting the drain’: introduction of a proforma to improve the documentation of abdominal paracentesis

IntroductionAbdominal paracentesis is a common procedure in the inpatient and Ambulatory Care setting. It is ‘desirable’ to attain competence during Core Medical training (CMT), but mandatory in Gastroenterology and General Internal Medicine training.– Trainees performing this procedure must be capable in both its practicalities and documentation. However, in the absence of a standardised approach there can be significant variability in the extent of procedural documentation.– We therefore aimed to evaluate the quality of abdominal paracentesis documentation as well as trainees’ confidence in this, before introducing a proforma to improve both aspects.MethodsWe determined 16 key elements for ‘gold standard’ documentation, informed by guidelines and consultant consensus. These formed the basis of the proposed ‘Abdominal Paracentesis Proforma’ [figure 1].Abstract PWE-106 Figure 1We collected baseline documentation data on 15 procedures, scored out of 16 points based on how many ‘key elements’ were included. Qualitative data was collected from trainees (