Allegations as found proven at the Final Hearing
During the course of your employment as a Physiotherapist at Medway NHS Foundation Trust between 21 January 2015 and 14 September 2015, you:
1. Did not complete your probationary period during which there were concerns regarding:
a. your note keeping, in that you;
i. completed patient notes with illegible handwriting on at least four occasions between March 2015 and May 2015
ii. completed patient notes with spelling errors on at least three occasions between March 2015 and May 2015
iii. did not structure your patient records according to the ‘whole systems’ approach on more than one occasion between March 2015 and May 2015
iv. did not include the patient’s subjective history in the patient’s records on more than one occasion between March 2015 and May 2015 3
iv. failed to demonstrate adequate clinical reasoning in the patient records on more than one occasion between March 2015 and May 2015
v. problem lists consistently lacked sufficient detail
b. your assessment skills, in that you:
i. during your probation period frequently did not complete comprehensive whole systems assessments;
ii. on at least two occasions in or around April 2015, stated that two unidentified patients chests were clear, yet on assessment both patients had significant loads of sputum
iii. did not link patient history and then adapt your assessment skills accordingly.
iv. on 19 and 20 May 2015 failed to auscultate the lower zones of the lungs of Patient 1 on two occasions and Patient 2 on one occasion.
c. your use of monitoring during treatment sessions, in that you:
i. on an unknown date in April 2015, removed monitoring equipment from an unidentified patient and instructed the unknown patient to sit at the side of the bed.
ii. on an unknown date and in relation to an unidentified patient, took a blood pressure despite the patient being stable for several days;
iii. on an unknown date and in relation to an unidentified patient, did not reconnect an HDU patient back to the ECG monitoring equipment.
d. your identification of patient problems, in that you;
i. on 19 May 2015, failed to identify the circumstances of when a troponin blood test is required in relation to Patient 1
ii. on 19 May 2015, failed to identify that Patient 1 had metabolic alkalosis
iii. your clinical reasoning, in that on 20 May 2015 you used technical terms incorrectly
e. your treatment selection, in that you;
i. on one or more occasion in or around April and May 2015 did not alter treatment plans according to the patient’s needs
ii. did not prepare bed space adequately
iii. did not sufficiently frequently provide patients with exercises for their trunk;
iv. on 21 April 2015 did not return a patient’s table within reach of an unidentified HDU patient
v. on 21 April 2015 left Oxygen cylinders by an unidentified HDU patient’s bed
vi. on or around May 2015 needed to be prompted regarding the safe placement of a catheter when treating an unknown patient
vii. on 19 May 2015 selected an inappropriate treatment for Patient 1
f. your communication skills, in that you:
i. on more than one occasion between March 2015 and May 2015 did not adapt your communication style to patient age;
ii. on more than one occasion between March 2015 and May 2015 did not adapt your communication style to patient needs;
iii. on more than one occasion between March 2015 and May 2015 raised your voice unnecessarily to patients;
iv. [not proven].
2. The matters set out in paragraph 1 constitute lack of competence.
3. By reason of your lack of competence your fitness to practise is impaired.