Health and Care’s Top 70 Stars

Tracy Earley

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comms
comms | 10 months ago | in Health and Care's Top 70 Stars

Tracy has worked in nutrition nursing for the last 14 years as a consultant nurse, and has led many service innovations.  These include establishing a 7 day service for patients, developing local services to support both in—patient and out-patient intestinal failure patients, and a home TPN service.  She also has, unusually, a medical leadership role and was appointed as the Associate Divisional Medical Director for Surgery.  More recently she has led the development and roll out of a range of measures to improve patient safety in response to the recent 2016 NPSA alert around Naso-Gastric Tubes which include an e-learning tool on chest x-ray interpretation of NGT position.  This has had a huge impact on patient safety, and has been adopted by many other NHS Trusts and Health Education England as a safety and training resource to improve patient care and avoiding Never Events.  The Royal College of Radiographers and Royal College of Radiologists also have adopted this resource.

 

Nasogastric tube (NGT) insertion is commonly performed but mismanagement of NGTs can have disastrous consequences for patients, and is classed as a Never Event   An e-learning module was devised at LTHTr to teach the principles of confirmation of NGT position with the aim of improving confidence and competence of staff members who care for patients with NGTs.  The tool provides information on indications and contraindications for NGT insertion. It then shares a strategy for non-radiological position confirmation, including nose-ear-xiphysternum (NEX) measurement and pH testing, and formal teaching of chest x-ray (CXR) interpretation. This includes a structured approach to assessing anatomical landmarks: “the 2Cs and 2Ds” (clavicle, carina, diaphragm and deviation) consistent with NPSA 2016–006 alert

Amy Buckingham 9 months ago

This idea has been advanced to the current phase

Amy Buckingham 9 months ago

This idea has been moved back to the previous phase

Amy Buckingham 9 months ago

This idea has been advanced to the current phase

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