Staff training, No local or national clinical guidance should In policy and competency allow competency frameworks staff who have not been assessed as competent checklist. Staff and A National Patient Safety Agency audit of 166 to confirm nasogastric tube placement. training is annual supervision junior doctors identified that only 31% had as a minimum. are reviewed received training or formal guidance on the use HCAs are trained to ensure that of x-ray for checking nasogastric tube in CCN teams to all healthcare placements. manage and professionals The Review of incidents in this resource set check nasogastric involved with suggests that x-ray checks or pH testing appear tubes. nasogastric to have been carried out by staff who had not tube position received competency-based training, and checks have therefore did not follow the safety-critical been assessed requirements. as Elearning is available for some aspects of competent. confirming nasogastric tube placement, but Competency uptake of this via NHS elearning platforms is training should very low.11 include This requirement can be linked to the structured theoretical and documentation required above by including in practical that a requirement to note that competency has learning. been assesse
Staff training, competency frameworks and supervision are reviewed to ensure that all healthcare professionals involved with nasogastric tube position checks have been assessed as competent. Competency training should include theoretical and practical learning. A National Patient Safety Agency audit of 166 junior doctors identified that only 31% had received training or formal guidance on the use of x-ray for checking nasogastric tube placements. The Review of incidents in this resource set suggests that x-ray checks or pH testing appear to have been carried out by staff who had not received competency-based training, and therefore did not follow the safety-critical requirements. Elearning is available for some aspects of confirming nasogastric tube placement, but uptake of this via NHS elearning platforms is very low.11 This requirement can be linked to the structured documentation required above by including in that a requirement to note that competency has been assesse No local or national clinical guidance should allow staff who have not been assessed as competent to confirm nasogastric tube placement. In policy and competency checklist. Staff training is annual as a minimum. HCAs are trained in CCN teams to manage and check nasogastric tubes.
78i_BOD_Board-Report-May-2017-Patient-Safety-Alert-NG-tube-feeding-2.docx