As a registered Radiographer (RA55225) your fitness to practise is impaired by reason of misconduct and/ or lack of competence. In that:
1. You did not apply the necessary safety measures when undertaking diagnostic Magnetic Resonance Imaging (MRI) procedures, in that:
(a) On or around 4 February 2019, you did not select “normal mode” to scan a patient with sternal wires in situ;
(b) On or around 4 February 2019, you did not check on SECTRA to see the scanning conditions which must be adhered to, regarding a patient with metal staples in situ, which would advise you if it was safe to proceed or not;
(c) On or around 7 February 2019, you did not advise a patient to remove nose and ear piercings prior to a scan and a colleague had to intervene;
(d) On or around 19 February 2019, you simultaneously commenced moving the table up, whilst instructing the patient to lie flat on the table.
(e) Between 04 January 2019 and 11 January 2019 you did not advise a patient to remove her boots prior to a scan, which the patient had felt pulling as the heels of the boots were magnetic.
(f) On or around 26 March 2019, you failed to ask the patient to remove their metal dental plate prior to the scan and a colleague had to intervene.
(g) You failed to recognise a patient with a drain in situ and a colleague had to intervene.
2. You did not communicate effectively with patients in that:
(a) On or around 4 March 2019, you told a patient to stay still and stop moving, when in fact they were panicking and needed reassurance to be able to proceed with the scan.
(b) On or around 4 March 2019, you had the intercom system on so that the patient could hear that you needed to include the mass, which is information that should not be shared in this manner.
(c) On or around 8 March 2019, you did not inform a patient that you were going to remove an Electrocardiogram (ECG) lead and proceeded to pull off the electrode from the patient’s chest and replacing it with another, without advising the patient of your actions.
(d) On or around 27 February 2019, you were unable to correctly ascertain the patient’s pregnancy status following the completion of a safety questionnaire which resulted in the patient becoming confused and a colleague had to intervene.
3. You did not adhere to safe practice when preparing patients, in that:
(a) On or around 11 March 2019, you did not get a patient to sign their completed MRI safety questionnaire before intending to conduct an MRI scan.
(b) On or around 14 March 2019, following a failed attempt at cannulation you did not discard the used cannula and instead intended to re-use the cannula for your second attempt.
(c) On or around 14 March 2019, you did not fill the pump injector in a safe and proper manner and purged air bubbles with contrast instead of saline.
(d) On or around 26 March 2019, you did not document that the patient had bilateral hip replacements.
4. You did not retain passed competencies in that:
(a) On or around 14 March 2019, following being signed off as being competent using SECTRA, you were unable to access a previous report on SECTRA.
5. On or around 4 March 2019, when imaging, you did not identify the need to perform Short-TI Inversion Recovery (STIR) and in/out phase imaging.
6. You did not treat patient with dignity and respect in that:
(a) On 25 January 2019 when placing ECG stickers on a female patient in the scan room, you completely exposed her chest to complete this activity;
(b) On 01 February 2019 you removed ECG stickers from a female patient’s chest whilst she was sitting in a wheel chair with her top rolled up in view of the main waiting area;
(c) On 08 March 2019, you ripped the patient’s disposable top in order obtain access to apply the ECG electrodes.
7. On or around 26 March 2019, you were unable to ascertain MRI safety status of stents inserted on 2 occasions in 2 different patients.
8. You struggled to maintain competency and anatomical knowledge associated with Magnetic Resonance Cholangiopancreatography (MRCP) studies in that:
(a) You experienced difficulty identifying the Common Bile Duct (CBD) on an image and was only able to identify this after 2 attempts.
(b) You demonstrated inability to appreciate which field of view needs to be increased to ensure accurate region of interest is captured.
(c) On 04 March 2019 you took 30 minutes to perform a MRCP scan which should typically take 10 minutes.
9. On 20 February 2019 you were undertaking a cardiac scan whilst under supervision and a wrap appeared on your LVOT2 view which you were unable to identify.
10. You demonstrated difficulties in completing liver scans in that:
(a) You experienced difficulty in identifying breathing artefact on liver sequences and thus when to repeat scans;
(b) You experienced difficulty in performing a liver scan whilst simultaneously giving breathing instructions unaided;
(c) When completing a liver scan with gadivist contrast agent, you were unable to detect motion artefact on the coronal images.
11. The matters set out in allegations 1 to 10 above constitute misconduct and/or lack of competence.
12. By reason of your misconduct and/or lack of competence your fitness to practise is impaired.