Mr Arkadiusz Bodziany

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

1. Between May 2017 and January 2018, attended to patients and there were
occasions when you did not:

a) undertake a detailed assessment and/or full patient history;

b) recognise signs and symptoms in patients;

c) recognise time critical patients;

d) demonstrate the ability to act as lead clinician;

e) treat patients appropriately;

f) identify differential diagnosis;

g) know the different referral pathways for patients.

2. On 13 November 2017, at an assessment day:

a) In relation to an adult ALS scenario:

i) Did not undertake a scene safety assessment;

ii) Did not adequately manage the patient’s airway;

iii) Did not establish the patient was in cardiac arrest;

iv) Did not identify reversible causes;

v) Did not use capnography adequately.

b) In relation to a conscious patient scenario (tension pneumothorax):

i) Did not undertake a scene safety assessment;

ii) Did not identify a time critical patient;

iii) Did not diagnose the patient;

iv) Did not provide adequate treatment to the patient;

v) Did not pre-alert casualy.

c) In relation to a paediatric cardiac arrest scenario:

i) Did not undertake a scene safety assessment

ii) Stayed present on the scene for too long;

iii) Did not take a BM reading;

iv) Did not adequately consider reversible causes.

d) In relation to a second Advanced Life Support scenario:

i) Did not adequately use capnography;

ii) Moved the patient;

iii) Did not recognise ECG changes;

iv) Did not understand the concept of reciprocal changes;

v) Did not give adrenaline when it was clinically indicated;

vi) Did not provide an adequate handover;

vii) Did not recognise this as a time critical patient;

viii) Did not manage pain adequately.

e) Did not know the answers for:

i) Normal values of a health adults;

ii) Oxygen saturations for COPD (Chronic ObstructivePulmonary Disorders) patient;

iii) A&P (Anatomy and Physiology) of the heart;

iv) Sympathetic or parasympathetic responses

f) Did not know how to label the heart during the assessment.

3. The matters set out in paragraphs 1 to 3 constitute lack of competence.

4. By reason of your lack of competence your fitness to practise is impaired.