Course Aim
Nasogastric Care Insertion and Feeding
Duration: 3 hours
Accreditation: 3 CPD
Costs for in-house courses
Face to face Maximum 12 - Two sessions in one day £1200 plus vat
The aim of this training and care management plan is to ensure the aims of the 2016 Patient Safety Alert are met and all healthcare professionals are educated and trained to a high standard. This will ensure the safety of enterally fed patients via nasogastric feeding tubes and improve post insertion care.
In 2005, The National Patient Safety Agency (NPSA) published a Patient Safety Alert – ‘Reducing the harm caused by misplaced nasogastric tubes’. The report provided guidance for health professionals on checking and confirming that a nasogastric tube had been inserted into the correct place i.e. the stomach.
In 2011, there were a further 21 deaths and 79 cases of harm, due to feeding into the lungs through misplaced nasogastric tubes, reported to the National Reporting and Learning System (NRLS).
In July 2016, a further Patient Safety Alert was issued Nasogastric tube misplacement: continuing risk of death and severe harm The key aim of the updated alert was to ensure that all patients requiring nasogastric feeding receive explicit quality of service and that all risks are minimised. This needs to be reflected in all organisation policies, protocols and documentation.
This is an Attendance course and following the course, delegates must obtain appropriate mentor supervision to support their learning and its practical workplace application. We recommend that following the course delegates are supervised and assessed for competency a minimum of 5 times on tube insertion by a doctor.
Objectives
By the end of this training material the learner will be able to:
1. Understand the principles of safe tube insertion
2. Select correct length and size for individual patients
3. Understand how to insert a nasogastric feeding tube through the nasopharyngeal tract
4. Confirm initial placement and perform continual checks to confirm tube position post initial placement 5. Identify potential reasons for tube dislodgement.
6. Identify patients at high risk of misplaced tubes
7. Identify misplaced tube complications
9. Understand the contraindications of nasogastric tube placement
10. Have knowledge of nasogastric tubes used within the healthcare service.