THIS ALERT IS BEING RE-ISSUED DUE TO A TECHNICAL PROBLEM WHICH HAS RESULTED IN A HIGH NUMBER OF RECIPIENTS NOT RECEIVING THE EMAIL NOTIFICATION TO THE ORIGINAL ALERT ISSUED AT 14:00 ON 5TH DECEMBER 2013.
NO CHANGES HAVE BEEN MADE TO THE ORIGINAL ALERT
Please see attached for the full alert.
Action by: All hospitals and community services that insert nasogastric tubes, as soon as possible but no later than 8 January 2014
1. Establish if placement devices are used within your organisation to aid nasogastric tube placement, and if similar incidents have occurred.
2. Consider if any action needs to be taken locally to reduce the risk of a similar incident occurring, including ensuring earlier NPSA advice is fully and consistently implemented.
3. If your organisation uses placement devices for nasogastric tube placement, share this Alert with all nursing, medical and therapy staff (Organisations that do not use placement devices do not need to distribute this Alert to frontline staff, but should share it with all staff likely to be involved in decisions to introduce nasogastric tube placement devices).
4. Share any learning from local investigations or locally developed good practice resources with the national Patient Safety Team via patientsafety.enquiries@nhs.net.