Miss Lisa Hetreed

Profession: Occupational therapist

Registration Number: OT68628

Hearing Type: Final Hearing

Date and Time of hearing: 10:00 14/01/2019 End: 17:00 21/01/2019

Location: Bristol Marriott Hotel City, Centre, 2 Lower Castle Street, Old Market, Bristol, BS1 3AD

Panel: Conduct and Competence Committee
Outcome: Hearing has not yet been held

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Allegation

Between 20 October 2014 and 23 November 2016, whilst working as an Occupational Therapist at University Hospitals Bristol NHS Foundation Trust

1. You did not demonstrate that you could undertake adequate medical observations in that:

A. On 28 December 2015, you did not ensure Patient A was wearing oxygen when being mobilised to the bathroom.
B. On 18 December 2015, you did not sufficiently check Patient B’s observations when mobilising Patent B to the toilet.
C. On or around 04 December 2015, you requested that Patient C be mobilised despite Patient C suffering from a possible vertebral compression fracture.
D. You scored Patient D, incorrectly within the ‘obs chart’.
E. On 21 April 2016, in relation to Patient E who had visual inattention on the left, you:
(i) Did not sit on the left side of Patient E to encourage scanning and improve Patient E’s awareness of the left side,
(ii) Did not place any items on the left side to encourage scanning and improve Patient E’s awareness of the left side,
F. On 08 April 2016, in relation to Patient F,
(i) You began Patient F’s apraxia assessment using the patient’s non-affected hand,
(ii) You asked Patient F ‘what a Cup was’ despite the patient presenting high functionality (cognitively and perceptually)

2. You did not demonstrate that you could record adequate and/or accurate assessments in that:

A. In relation to Patient G, on or around 14 December 2015,
(i). your assessment did not make it clear that Patient G was suffering from delirium.
(ii), your assessment did not make it clear that Patent G needed time to allow the delirium to settle.
B. In relation to Patient H,
(i) Your SOAP notes did not refer to the appropriate equipment for a discharge
(ii) Your SOAP notes did not mention that Patient H was soiled and/or the convene had not worked
(iii) Your SOAP notes did not mention any coordination with other medical personnel.
(iv)You recorded that Patient H was hoisted into a smart careflex chair when Patient H was seated into a flo-teck chair

3. You did not demonstrate that you could undertake adequate discharge planning in that:
A. In relation to Patient I, you did not discuss with a Social Worker around the need for Patient I’s
(i). package of care, (ii). equipment,
(iii), a pre discharge home visit
B. In relation to Patient J, you did not discuss with a Social Worker
(i) Patient J’s incontinence issues
(ii) a strategy of how to summon help in the event of an emergency
C. You delayed Patient K for discharge for over 4 days without good reason
D. You were prepared to discharge Patient L, despite Patient L suffering from inattention and requiring ongoing support
E. You suggested referring Patient M to social services to help Patient M find employment, even though Patient M had not expressed a desire to work during your assessment
F. You recommended that Patient N would be safe to discharge despite evidence of cognitive problems during his assessment
G. You recommended Patient F to be discharged to his home despite evidence of significant weakness in Patient F’s hand

4. You did not demonstrate that you could undertake adequate/safe analysis of clinical observation in that:
A. In relation to Patient O, you did not consider the use of a commode (wheelchair) despite Patient O being hot, dizzy and needing assistance
B. In relation to Patient P, you persisted in an assessment despite Patient P reporting dizziness.
C. On 28 December 2015, you demonstrated poor understanding of observation charts and/or normal blood pressure ranges in that:
(i) you did not understand that blood pressure recorded as 126 systolic was within the normal range, and
(ii) you indicated your understanding to a colleague that that blood pressure was scored by the diastolic value when this was not the case,

5. You did not demonstrate that you could communicate effectively in that:
A. In relation to Patient Q, you did not realise that Patient Q was having increasing problems with his memory during a cognition and delirium assessment
B. You discussed the wrong patient during a handover discussion on or around August 2016
C. On or around October 2016, you persisted with an assessment when Patient R put his hands on his head in discomfort
D. In relation to Patient S, you persisted with a clinical observation and /or grading the task despite Patient S finding the task difficult.

6. You did not demonstrate that you could select patients’ appropriate pathways and/or services in that:
A. You did not identify that Patient T required ongoing therapy and/or follow up services despite clear evidence of Patient T’s non-dominant hand weakness.
B. In relation to Patient U, you did not attempt to communicate with a physiotherapist to discuss:
(i) Appropriate rehab plan
(ii) Follow up treatment/assessment

7. On or around August 2016, you did not demonstrate adequate preparation in that you went to discuss Patient V’s need with Patient V and his family, without
A. Being fully aware of Patient V’s medical needs,
B. Being fully aware of Patient V’s level of mobility and/or equipment needs

8. On or around 08 January 2015, you did not bring the measurements of the bed and/or hoist when attending Patient W’s access visit.

9. The matters set out in paragraphs 1 - 8 constitute misconduct and/or lack of competence.

10. By reason of your misconduct and/or lack of competence your fitness to practise is impaired.

Finding

No information currently available

Order

No information currently available

Notes

No notes available

Hearing History

History of Hearings for Miss Lisa Hetreed

Date Panel Hearing type Outcomes / Status
14/01/2019 Conduct and Competence Committee Final Hearing Hearing has not yet been held
30/10/2018 Conduct and Competence Committee Interim Order Review Interim Suspension
03/08/2018 Conduct and Competence Committee Interim Order Review Interim Suspension
27/06/2018 Conduct and Competence Committee Interim Order Review Other
03/04/2018 Conduct and Competence Committee Interim Order Review Interim Suspension
04/01/2018 Conduct and Competence Committee Interim Order Review Interim Conditions of Practice
03/08/2017 Investigating committee Interim Order Application Interim Conditions of Practice