Ms Sabrina Anderson

While Registered with the HCPC as a Paramedic, and employed by Yorkshire Ambulance Service NHS Trust between 12 September 2016 and 20 December 2018:

1. In relation to Patient 1, on or around 18 January 2017:

a) You did not:

i. take and / or record Patient 1’s blood pressure or record that this could not be taken;

ii. record Patient 1’s initial oxygen saturation levels;

b) You did not provide or attempt to provide Patient 1 with salbutamol;

c) You used the ‘LifePak’ monitor on ‘Automated External Defibrillator’ (AED) mode instead of ‘Manual’ mode;

d) You did not adequately assist Patient 1’s breathing

e) You did not secure Patient 1’s airway;

f) You used the incorrect size Laryngeal Mask Airway (LMA);

g) You carried out Cardiopulmonary Resuscitation whilst straddling Patient 1 in the ambulance;

2. In relation to Patient 2, on or around 12 November 2017:

a) You used the ‘LifePak’ monitor on ‘Automated External Defibrillator’ (AED) mode instead of ‘Manual’ mode;

b) You did not demonstrate that you were able to turn the ‘LifePak’ monitor into ‘Manual’ mode, and / or did not ask how to do so;

c) You intubated the patient with an endotracheal (‘ET’) tube:

i) without following a stepwise approach to securing their airway; and/or

ii) without adequately securing the ET tube

3. In relation to Patient 3, on or around 6 January 2018, you:

a) did not have the ‘LifePak’ monitor on a mode enabling the patient’s heart rhythm to be monitored

b) did not demonstrate knowledge of how to operate the ‘LifePak’ monitor.

4. In relation to Patient 4, on or around 2 February 2018:

a) You did not take and / or record adequate observations;

b) You did not review the ECG print out

c) You incorrectly recorded Patient 4 was in normal sinus rhythm on the Patient Care Record.

d) You did not identify a second degree atrioventricular (‘AV’) block on Patient 4’s electrocardiogram (‘ECG’);

e) You did not identify and/or record that Patient 4’s ECG demonstrated one or more episodes of bradycardia;

f) You did not consider and/or record a differential diagnosis;

g) You:

i. Did not transfer or attempt to transfer Patient 4 to hospital;

ii. Told Patient 4’s mother that it would be a waste of her time and hospital time to take Patient 4 to hospital;

iii. Recorded that Patient 4 refused to travel to hospital, when this was not the case;

h) You did not complete a safeguarding referral.

5. In relation to Patient 5, on or around 11 April 2018:

a) You were not aware of the distinction between ventricular tachycardia (‘VT’) and supraventricular tachycardia (‘SVT’);

b) You referred to the wrong JRCALC Protocol;

c) You gave Patient 5 medication which was not appropriate.

6. In relation to Patient 6, on or around 12 April 2018:

a) You gave intravenous paracetamol, when it was not clinically appropriate to do so;

b) You did not provide Patient 6 with Morphine and/or GTN and/or aspirin;

c) You did not recognise that Patient 6 was at risk of acute coronary syndrome.

7. In relation to Patient 7, on or around 15 December 2018:

a) You performed Transcutaneous Pacing when:

i. this procedure was outside of your scope of practice

ii. this procedure was not indicated;

iii. you did not have access to the necessary medications to accompany this procedure.

b) You did not perform Transcutaneous Pacing correctly;

c) You advised a colleague that you were ‘Red Arrest Team’ (‘RAT’) trained, when this was not the case;

d) You did not provide Patient 7 with necessary medications alongside delivering Transcutaneous Pacing.

8. Your conduct in particular 7c was dishonest.

9. The matters at paragraphs 1 – 7 above amount to lack of competence and / or misconduct.

10. The matter at paragraph 8 above amounts to misconduct.

11. By reason of your lack of competence and / or misconduct, your fitness to practise as a Paramedic is impaired.