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NGPOD Global Ltd
©NGPOD Global Ltd 2017
“ The work we are doing with NGPOD Global will revolutionise the way we
look after patients with nasogastric tubes ”
-Tracey Early Consultant Nutrition Nurse, Royal Preston Hospital.
Patient Safety
Use of misplaced nasogastric tubes was first recognised as a patient safety issue bythe National Patient Safety Agency (NPSA) in 2005.
Further alerts issued by the NPSA and NHS Improvement in 2011, 2013 & 2016
In the UK, between April 2017 and October 2017, 13 incidents were reported tothe National Reporting and Learning System (NRLS)
Guidelines require that clinicians confirm the correct position of the tube
before each feed commences.
In the UK and US, between 2-4% of all tubes are misplaced.
*figures taken from the NHSI Patient Safety Alerts
- Stomach contents aspirated via syringe; - pH paper used to measure pH level of aspirate:
• Unpleasant, messy and often difficult / impossible
• Carries a risk of contamination
• Requires interpretation
• Time consuming
• Costs up to £10.98/test*
• 40-70% Success rate
Current Practice – pH of Aspirate
First line method used to confirm tube placement
*cost figures based on BMC Health Service Research Paper 2014© NGPOD GLOBAL Ltd 2017
- X-Ray patient
• Requires access to expensive X-ray equipment
• Requires clinician to interpret results
• Patient needs to be moved
• X-ray harmful to patient
• Costs up to £100/test*
• 45% of Never Events are caused by x-ray
misinterpretation
Current Practice – X Ray
Second line method used to when no aspirate can be obtained
*cost figures based on BMC Health Service Research Paper 2014© NGPOD GLOBAL Ltd 2017
The NGPod is a simple device comprising a disposable fiber optic sensor and small, hand-held light source
• The sensor is inserted into in-situ NG tube until the end of the sensor sits at the bottom of NG tube
• Tip of the sensor houses a chemical indicator which changes colour at a pre-determined pH level.
• Colour change detected by clinician attaching the light source at top end of the cable and device giving a clear Yes / No indication
If NG tube is correctly positioned in the stomach, the acidic environment will cause the indicator to change colour
Intubation as normal Connect POD
Press button
7. The Solution - NGPod
Indicator will light greenif correct pH
has been detected
Indicator will light red if INCORRECT pH has been
detected
If the NG tube is not correctly positioned – e.g. in the lung– the indicator will not change colour
“Red” indicator colour means do not feed
© NGPOD GLOBAL Ltd 2017
- Improved patient safety and experience
- Benefits for Clinicians and care providers
- Reduction in Cost to the NHS
Summary
© NGPOD GLOBAL Ltd 2017
7
Thank you
©NGPOD Global Ltd 2017