Mr Piotr Nowakowski

While registered as a Paramedic with the Health and Care Professions Council and employed with the East Midlands Ambulance Service NHS Trust, you:

1.  On 11 March 2018

a.  In relation to Patient A, you:

i.  Did not properly investigate Patient A’s chest pain and/or document Patient A’s OPQRSTA history within the Patient Report Form.

ii.  Did not administer a pain medication for Patient A’s chest pain.

iii.  Did not pull the curtain closed during the abdominal and respiratory examination.

iv.  Used an unrecognised cannulation method.

v.  Did not gain informed consent before administering Ondansetron.

vi.  Administered Ondansetron incorrectly, in that you administered it over 60-65 seconds.

vii.  Did not ensure Patient A was correctly positioned on the stretcher.

viii.  Administered 250mL Sodium Chloride incorrectly, in that it was not clinically indicated and/or was not administered correctly.

ix.  Provided an incorrect handover to hospital by booking Patient A in with a clinical impression of dehydration.

b.  In relation to Patient A, did not correctly complete the Patient Record Form in that you:

i.  Did not record the patient’s gender and/or full next of kin contact details.

ii.  Did not document the patient’s breathing category, pulse rate and/or if there was external or internal bleeding.

iii.  Left the patient capacity section blank.

iv.  Did not documenting your failed cannulation, or the time, location and clinician ID of the second cannulation.

c.  In relation to Patient B:

i. Did not provide a clear pre-alert message to hospital.

d.  In relation to Patient B, did not correctly complete Patient Record Form in that you:

i.  Did not record the patient’s pulse.

ii.  Did not document that the patient was unable to give a pain score.

iii.  Noted the patient had no nausea or facial and arm weakness, when they were incapable of expressing this.

iv.  Did not record the route of administration of oxygen and/or Clinician ID.

e.  In relation to Patient C:

i. Did not offer stronger pain medication to Patient C.

ii. asked for a pelvic splint to be used on the patient;

iii. Did not assess distal circulation, and/or sensation and/or movement before and/or after immobilisation and/or at skin level.

iv. Left Patient C’s Patient Report Form on the dashboard of the ambulance.

f.  In relation to Patient C, did not correctly complete the Patient Record Form in that you:

i.  Did not record patient GP contact details and/or next of kin details and/or if the next of kin had been informed of patient’s admission to hospital.

ii.  Did not record the patient’s breathing category.

iii.  Did not record the time both sets of observations were taken.

iv.  Did not record oxygen saturation levels and/or the patient’s pain score on the second set of observations.

2.  You did not reach the required standard in the following three assessments:

a.  Paramedic Level ECG recognition test, by scoring 44%.

b.  Trauma Life Support scenario.

c.  Online drugs paper test, by scoring 78%.

3.  The matters described in paragraphs 1-2 constitute misconduct and/or lack of competence.

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