Josh Beattie and Phill Johnston are both Dietitians at the University Hospital North Midlands NHS Trust.   

Back in March for Nutrition and Hydration Awareness Week, these guys both took on a challenge to experience exactly what it feels like to have a nasogastric (NG) tube inserted AND to live with it for an entire week nil by mouth.    

Things didn’t go to plan for one of them though...   

Join us for this weeks episode as Marcus discusses with the boys: 

-  #NutritionandHydrationweek Nasogastric tube challenge 

- Josh's struggles with the NG tube challenge  

- Phil's published article in the British Dietetic Association (BDA) on his NG Tube experience   

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Timestamps   

01:05 We spotted something on Twitter with regards to the low number of male dieticians, what can be done to attract more men to the profession?   02:42 #Nutrition&HydrationWeek2020 Josh discusses his challenges (and struggles) with the NG Tube challenge and the experiential learning benefit   04:02 What inspired you guys to take on the NG tube challenge?   06:15 Josh when you started the challenge, what did the insertion of the NG feel like and how did it go?   10:16 Phill you witnessed Josh’s issues with the NG tube challenge why did you decide to step in?  11:15 Compared to Josh’s insertion, what was yours like?  14:10 Phill discusses his article published in the BDA - A Dietetic perspective of Nasogastric Feeding   https://www.bda.uk.com/resource/a-dietetic-perspective-of-nasogastric-feeding.html 15:42  So having had the experience is there anything you think should be done or said to patients to prepare them for the initial insertion and the first 24 hours?  17:38 How did it feel having to check your own aspirate before you could feed?  19:29 What would your advice be to patients preparing for an NG now you’ve experienced it yourselves?  23:06 You had the advantage as a dietician that you could adjust your regime as you went through based on your experiences and your monitoring. So what sort of adjustments did you make during the week?  29:49 So having taken this challenge and both of you took it, has that inspired anyone else in the Trust to maybe find something similar and have a go?  -------------------------   Phill & UHNM Social Links Phill Johnston Twitter: @PhillJohnstonRD UHNM Dietitian’s: @DietitiansUHNM1  -------------------------  Article published in the BDA - A Dietetic’s Perspective of Nasogastric Feeding - Phill Johnston  https://www.bda.uk.com/resource/a-dietetic-perspective-of-nasogastric-feeding.html -------------------------  About NGPod Global We are dedicated to providing innovative solutions to the patient safety issues surrounding nasogastric (NG) tube misplacement.  -------------------------  Website: www.ngpodglobal.com  Twitter: https://twitter.com/NGPODGLOBAL  Facebook: https://www.facebook.com/NGPodGlobal/  Linkedin: https://www.linkedin.com/company/ngpo...  -------------------------   SUBSCRIBE to our YouTube Channel: https://youtube.com/channel/UC7SARs_5...  -------------------------  Marcus’s Social Links:  Twitter: https://twitter.com/MarcusNGPOD1  Linkedin: https://www.linkedin.com/in/marcusine...

Liz Anderson is Lead Nurse for Nutrition at Buckinghamshire Healthcare NHS Trust in the UK. She joined the trust as Nutrition Nurse Specialist in 2007 whilst also joining the National Nutrition Nurse Group (NNNG) in the same year before being voted chair in 2010.   Liz has represented the NNNG on a number of projects with NHS England, Public Health England, the Department of Health, NNCE & the RCN, is a council member for BAPEN AND a member of the Royal College of Physicians Nutrition Committee.   She has also been published a number of times in various reputable nursing journals and continues to maintain her national profile to raise awareness on the importance of nutrition.

Timestamps: 01:20 - Tell us about your role as a Lead Nutrition Nurse 04:00 - Organisations and campaigns you’ve been involved with outside your day job, and which campaigns you are still involved with now?  08:20 - Liz discusses her recent article published in the Nursing Times - Ensuring patients with COVID-19 receive good nutritional care https://www.nursingtimes.net/clinical-archive/nutrition-and-hydration/ensuring-patients-with-covid-19-receive-good-nutritional-care-15-06-2020/  08:45 - How is nutritional assessment affected in COVID-19 patients vs the non-COVID population, are there any changes to nutritional assessment that clinicians need to be aware of?  11:33 - Do the changes in nutritional assessment extend out into the community as well?  13:30 - COVID-19 patients are more likely to need NG feeding - is that something anecdotally something other nutrition nurses are talking about around the UK?  16:00 - Increase in need to enterally feed patients in the Acute setting, what challenges does that increase present to people on the front line of care?  17:59 - Are there any other areas of practice that you think might need to be addressed in general, rather than just in COVID-19 patients when preparing for if this was to happen again?  20:35 - Can you explain the difference in view between Public Health England (PHE) & British Association for Parenteral & Enteral Nutrition (BAPEN) on the insertion of an NG tube being an Aerosol Generating Procedure (AGP)?  25:30 - Difference in management of NGT’s in patients with COVID-19 that are often being nursed prone supine, what are the considerations for these patients as opposed to how NG fed patients are usually positioned and managed?  27:50 - Liz’s discusses BAPEN’s Aide-Memoire on Nasogastric tube placement checks before first use in critical care settings during the COVID-19 response https://www.bapen.org.uk/pdfs/covid-19/aide-memoire-ngt-placement-13-05-20.pdf  31:15 - Marcus and Liz discuss the lack of awareness and focus on mouth care and WHY it is important for COVID patients than the general NG Feeding population

Liz's Social Links Twitter: https://twitter.com/nutritionlizA   Liz Anderson, Ensuring patients with COVID-19 receive good nutritional care - https://www.nursingtimes.net/clinical-archive/nutrition-and-hydration/ensuring-patients-with-covid-19-receive-good-nutritional-care-15-06-2020/  BAPEN'S NGSIG (Nasogastric Tube Special Interest Group of BAPEN Position Paper on Nasogastric Tube Safety https://www.bapen.org.uk/pdfs/ngsig/a-position-paper-on-nasogastric-tube-safety-sept-2020.pdf  Link to BAPEN's aide-memoire on Nasogastric tube placement checks before first use in Critical Care settings during the COVID-19 response https://www.bapen.org.uk/pdfs/covid-19/aide-memoire-ngt-placement-13-05-20.pdf

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Yvonne Clarkson is a Nutrition Nurse Specialist from Royal Preston Hospital which falls under the umbrella of  Lancashire Teaching Hospitals NHS Trust. On this episode of the NGPODCAST we discuss her role in Nutrition, what the team looks like at Royal Preston Hospital, and how it felt to place 37 nasogastric (NG) feeding tubes on friends and colleagues at the NGPOD healthy human volunteer study in a single day.  If you enjoy the NGPODCAST please don't forget to like and subscribe so you never miss an episode!

Timestamps  01:18 - How long have you been a nutrition nurse for and what do you enjoy in the role? 03:12 - What does the nutrition team look like in Preston? 05:40 - Short video of Healthy Human Volunteer study 07:13 - How did it feel placing 37 NG tubes on friends & colleagues within the Trust  10:05 - Difference between placing NG tubes on healthy human volunteers vs patients 12:05 - How did the experience inform your practice going forward 12:54 - How important is it to explain the procedure with patients  14:25 - Difference between testing with NGPOD vs pH strips in the Healthy Human Volunteer study

About NGPod Global  We are dedicated to providing innovative solutions to the patient safety issues surrounding nasogastric (NG) tube misplacement. Website: www.ngpodglobal.com - Twitter: https://twitter.com/NGPODGLOBAL - Facebook: https://www.facebook.com/NGPodGlobal/ - Linkedin: https://www.linkedin.com/company/ngpod-global-limited/ - SUBSCRIBE to our YouTube Channel: https://youtube.com/channel/UC7SARs_5Z0wZaEMCnQlnTWg?sub_confirmation=1  - Healthy Human Volunteer Study March 2019  https://www.youtube.com/watch?v=Rdu6HkF4n6k - Marcus’s Social Links:  Twitter: https://twitter.com/MarcusNGPOD1 - Linkedin: https://www.linkedin.com/in/marcusineson/