Mr Ajeesh George

Profession: Radiographer

Registration Number: RA73105

Hearing Type: Review Hearing

Date and Time of hearing: 10:00 02/12/2020 End: 17:00 02/12/2020

Location: Virtual hearing - Video conference

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

Please note that the decision can take up to 5 working days to be uploaded onto the HCPTS website. Please contact one of our Hearings Team Managers via tsteam@hcpts-uk.org or +44 (0)808 164 3084 if you require any further information.

 

Allegation

Whilst registered as a Radiographer and employed by ABM University Health Board, you:

1. Between 14 December 2015 and 13 October 2016:

a) did not display appropriate knowledge of radiation protection in that you:

i. Did not check the pregnancy status of female patients of child- bearing age that were referred for x-rays of the abdominal area on the following dates:

a. 5 February 2016;

b. 9 February 2016;

c. 10 February 2016;

d. 20 June 2016;

e. 29 June 2016;

f. 29 July 2016.

ii. Did not consistently demonstrate adequate centering and/or positioning of the detector, including on the following occasions:

a. On 20 May 2016, you positioned the detector too high for a chest x-ray;  

b. On 23 May 2016, you did not move the detector appropriately for an angled-up clavicle x-ray;

c. On 27 June 2016, you centred the detector too low for a knee x-ray;

d. On 28 June 2016, you centred the detector too low for a knee x-ray;

e. On 29 June 2016, you centred the detector too low for an abdomen x-ray;

f On 21 July 2016, you centred the detector too distally for an elbow x-ray;

g. On 15 August 2016, you did not centre to the bucky for a pelvis x-ray.

b) displayed a limited knowledge of radiographic technique in that you:

i. Did not adequately and/or correctly adapt the exposure parameters depending on the patient and/or area being x- rayed, including on the following occasions:

a. On 30 March 2016, you increased the mAs from 16 to 100 to account for the use of a grid on a pelvic x-ray;

b. On 1 April 2016, you did not adapt the exposure settings for an x-ray of a pelvis on a trolley;

c. On 17 May 2016, you did not increase the exposure for a larger patient;

d. On 23 May 2016, for an x-ray of a 1 year old, you selected an exposure setting that was suitable for an adult;

e. On 25 May 2016, you did not increase the exposure for a patient with large arms;

f. On 27 June 2016, you selected the setting for the pelvis instead of hip only for a patient that had been referred for an x-ray of their right hip;

h. On 14 July 2016 when conducting a hand x-ray:

i) you did not set the right exposure for the x-ray in that it was too low;

ii) when conducting the lateral view x-ray you did not increase the exposure to the correct value;

i. On 1 August 2016, for an x-ray of a child’s tibula/fibula, you set a high exposure;

j. On 3 August 2016, when conducting a c-spine x-ray;

i) did not use the correct exposure;

ii) did not notice that the resultant image demonstrated features of over-exposure

ii. Did not adequately adapt the Film-Focal Distance depending on the area being x-rayed, including on the following occasions:

a. On 26 May 2016, you did not adapt the distance for an x- ray of a tibula/fibula to enable the whole are to be included in one film;

b. On 25 July 2016, you used too great a distance when taking a lateral view x-ray of a hip;

iii. Did not recognise and/or adapt to the limitations of the patient being x-rayed, including on the following occasions:

a. On 12 May 2016, you continued to position a patient for c- spine, chest and shoulder x-rays despite the patient feeling faint and/or looking like they were about to collapse;

b. On 12 May 2016, you continued to position a patient for a knee x-ray despite the patient looking like they were about to collapse;

c. On 23 May 2016, you physically and/or forcefully lifted the chin of a patient that potentially had a fracture of the cervical spine;  

d. On 24 May 2016, you started to sit a patient up into an erect position when they potentially had a neck of femur fracture;

e. On 24 May 2016, you physically and/or forcefully lifted the chin of a patient that potentially had a fracture of the cervical spine;

f. On 27 May 2016, you attempted to raise the arms of a patient with a pacemaker despite the patient explaining he was not allowed to raise his arms;

g. On 9 June 2016, while attempting to x-ray the humerus of a post-operative patient, you did not recognise that the patient was struggling to remain standing;

h. On 3 August 2016, you tried to move an unsteady, elderly patient onto the bed instead of leaving him in his chair for an x-ray of his foot.

c) required clinical supervision at all times in that you:

i. Did not consistently position and/or x-ray the correct area, including on the following occasions:

a. On 3 May 2016, you positioned the wrong knee for exposure;

b. On 24 May 2016, you x-rayed the whole hand of a patient who had been referred for an x-ray of their little finger;

c. On 9 June 2016, you x-rayed the hand but missed the little finger of a patient who had been referred for an x-ray of their little finger;

d. On 22 June 2016, you x-rayed the right knee of a patient who had been referred for an x-ray of their left knee and marked the image of the right knee as the left knee.

ii. Did not demonstrate good infection control practice in that:

a. On 3 May 2016, you did not consistently wash your hands and/or the equipment between patients;

b. On 18 July 2016, you did not change your gloves before touching the patient and/or equipment.

iii. Did not consistently demonstrate effective communication including on the following occasions:  

a. On 3 May 2016 you gave little or no instructions to patients when positioning them for their x-rays;

b. On 26 May 2016, you uncovered a patient’s legs without giving any prior warning to the patient;

c. On 10 June 2016, you physically touched and/or moved a patient that had been referred for a chest x-ray without giving any prior warning to the patient;

2. The matters set out at particulars 1 a) – c) constitute misconduct and/or lack of competence.

3. 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 Mr Ajeesh George

Date Panel Hearing type Outcomes / Status
02/12/2020 Conduct and Competence Committee Review Hearing Hearing has not yet been held
03/12/2019 Conduct and Competence Committee Review Hearing Suspended
03/12/2018 Conduct and Competence Committee Final Hearing Suspended