Mrs Joy Lytham
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(as amended at the Final Hearing on 06 May 2014)
During the course of your practice as an Operating Department Practitioner with Harrogate and District NHS Trust:
1. 1.Between 5 and 6 April 2012 you were unable to demonstrate sufficient knowledge of basic procedures relevant to your role in that you:
a) did not have suitable laryngoscopes available
b) did not have a bougie available despite the Anaesthetists requests
c) were unable to set up a capnograph or arterial line
d) did not know how to zero an arterial line
e) did not apply cricoid pressure for a raid sequence induction
f) did not demonstrate independent judgement of what action was required.
2. On 12 July 2012 (during assessment of your skills as an Operating Department Practitioner) you were unable to practise at the required level of competence of a band 5 Operating Department Practitioner in that you were unable to:
a) check the set-up for the specialist needs of the patient in that you did not:
i. prepare fluids for administration to the patient by running them through the giving set;
ii. make ready a rapid infuser;
b) correctly prepare airway management equipment for the situation in that you:
i. did not cut the ET tubes;
ii. did not attach a syringe for rapid sequence induction;
iii. did not prepare the difficult intubation trolley;
c) safely assist the clinician with intubation procedure in that you released cricoid pressure during intubation
d) discuss alternative techniques for airway management in that you did not demonstrate awareness of contra-indictations for nasopharyngeal airways in head trauma patients;
e) prepare for CVC monitoring;
f) demonstrate how to recognise:
i. tension pneumothorax
ii. pulmonary embolism
g) adapt to a changing situation in that:
i. you were unable to determine the cause of the patient’s cardiac arrest;
ii. you were unable to deliver effective chest compressions;
h) provide a competent handover of care to the PACU team
i) receive a handover of care from the theatre team
j) identify the changing condition of the post-operative patient and take appropriate action.
3. On 10 August 2012 (during assessment of your skills as an Operating Department Practitioner) you were unable to practise at the required level of competence of a band 5 Operating Department Practitioner in that you were unable to:
a) check the anaesthetic machine correctly as part of its set up;
b) check the set-up for specialist needs of the patient in that you did not
i. take account of the patient’s low body temperature;
ii. make correct adjustments for intubation where a hard collar was in situation;
c) correctly prepare airway management equipment for the situation
d) safely assist the clinician with intubation procedure in that you:
i. released the syringe during the intubation procedure;
ii. removed the patient’s hard collar to facilitate intubation;
iii. rolled the patient onto their side whilst a hard collar was not in situ;
e) demonstrate awareness of or discuss alternative techniques for airway management
f) prepare for CVC monitoring and/or arterial line insertion
g) undertake a collection of arterial blood and provide basic interpretation of gas results;
h) adapt to a changing situation in that you did not notice the patient was in cardiac arrest for seven minutes;
i) assist with cardiac arrest management in that you used an ineffective CPR technique
j) undertake an effective A-E assessment and continue to monitor the patient
k) identify the changing condition of the post-operative patient and take appropriate action in relation to Hypoxia
4. l. provide a competent handover of care to the ODP for transfer in that you did not:
i. explain that the patient had undergone cardiac arrest;
ii. communicate the treatments and drugs that had been administered to the patient.
5. On 11 October 2012 (during assessment of your skills as an Operating Department Practitioner) you were unable to practise at the required level of competence of a band 5 Operating Department Practitioner in that you:
a) were unable to demonstrate a comprehensive check of anaesthetic machines
b) did not communicate adequately to the anaesthetist
c) were unable to use the pressure infuser device correctly
d) were unable to select the correct drugs for RSI in preparation for the anaesthetist arriving
e) were unable to deliver chest compressions at the correct ratio.
6. You were unable to demonstrate appropriate knowledge and understanding of equipment.
7. The matters described in paragraphs 1 - 5 above constitute a lack of competence.
8. By reason of that lack of competence your fitness to practise is impaired.
Proof of Service:
1. Mrs Lytham has not attended the hearing nor is she represented. The Panel is satisfied that the HCPC has served the Notice of Hearing.
Proceeding in Absence:
2. Ms Simpson, on behalf of the HCPC, applied for the hearing to proceed in Mrs Lytham’s absence. She submitted that Mrs Lytham has voluntarily absented herself from the hearing and that there was no guarantee she would attend an adjourned hearing. Ms Simpson said that she had a telephone conversation with Mrs Lytham yesterday when Mrs Lytham indicated that she would be unable to attend due to having a swollen leg. She had continued that she was worried that there was no one to represent her. Ms Simpson said that she had told Mrs Lytham that the Panel would consider any further representations sent by Mrs Lytham. Ms Simpson concluded by stating that the medical evidence submitted did not make it clear that Mrs Lytham was prevented by ill health from attending today as her hospital attendance could have been rearranged.
3. The Panel has been provided with a letter from Mrs Lytham dated 6 May 2016 in which she states that she is unable to attend the hearing as sand on 4 May 2016 her GP instructed her to rest. She also has an appointment today at the hospital.
4. Mrs Lytham has not specifically asked for an adjournment in the letter and has requested that the Panel considers her written evidence submitted earlier this week.
5. Although Mrs Lytham has not requested an adjournment the Panel note that she attended both the original hearing and the last review hearing. It considers that Mrs Lytham may not have understood that she could make an application for the hearing to be adjourned. There also appear to be valid medical reasons why she has not attended today.
6. The Panel has therefore decided that it is in the interests of justice to allow Mrs Lytham an opportunity to attend a hearing. In order to allow the HCPC to reschedule the hearing the Panel has decided that it is appropriate to extend the existing suspension order for 2 months.
7. Having considered all the documentation in this case the Panel considers that it would be appropriate to list the next hearing for a full day.
8. The Panel wishes to make it clear that it has made no decision on the merits of the case but has extended the order to preserve the status quo so as to allow Mrs Lytham the opportunity to attend and present her case.
9. The Panel has read all the documentation and was concerned that there is some evidence which appears to suggest that Mrs Lytham has been practising as an ODP since she has been suspended. The Panel therefore requests that the HCPC urgently contacts The Leeds Teaching Hospital NHS Trust to establish whether Mrs Lytham has undertaken the duties of a registered ODP whilst suspended.
This Order will be reviewed on or before 11 August 2016.
History of Hearings for Mrs Joy Lytham
|Date||Panel||Hearing type||Outcomes / Status|
|26/06/2017||Conduct and Competence Committee||Final Hearing||Voluntary Removal agreed|
|12/07/2016||Conduct and Competence Committee||Review Hearing||Suspended|
|06/05/2016||Conduct and Competence Committee||Review Hearing||Suspended|
|05/05/2015||Conduct and Competence Committee||Review Hearing||Suspended|