1143 Treating big people- reflections from a paediatric and anaesthetic registrar working together to look after adult COVID ITU patients on a converted PICU

Background The world has been turned upside down by COVID19. For so many, working lives have changed, roles have been adapted or learnt at lightning speed and working outside your 'comfort zone' has become part of the 'new normal'. Conversion of a PICU to an adult COVID ITU allowed both adult teams and paediatricians to work closely together and provide a chance to see how each other functions. And invaluably, an opportunity to learn from each other. This reflective piece looks at the key learning points taken from each team. Objectives To highlight the main learning points that were gained from both paediatric and adult teams during conversion of a PICU to an adult COVID ITU. Learning points applicable not only to working during the COVID-19 pandemic but that transcend to other aspects of paediatric and adult medical practice. Methods Reflection from both paediatric and adult medical staff who worked together during the COVID-19 pandemic in a PICU turned adult ITU. Results Key themes were found after discussion. Handover, communication with patients and relatives, attachment to patients and teamwork were the main areas where the largest learning points were seen. Upon reflection there were ways in which both the adult and paediatric doctors' practice had changed and influenced their future practice. Conclusions There is vast amounts of learning that can be taken from joint adult and paediatric working. Not just whilst managing adult COVID ITU patients during a pandemic but practices that can be translated into every day working lives. Perhaps more cross covering and working more closely with our adult colleagues, especially during the teenage transition years can improve not only patient care but working lives of future paediatricians. With ideals for future practice suggesting paediatricians may be looking after young adults very much over the age of 18 perhaps this is the time to be learning from experiences like these and introduce more parallel working between adult and paediatric colleagues.