Ms Sabrina Anderson

Profession: Paramedic

Registration Number: PA40780

Interim Order: Imposed on 21 Feb 2019

Hearing Type: Consent Order Hearing

Date and Time of hearing: 10:00 05/05/2022 End: 17:00 06/05/2022

Location: This hearing will take place virtually

Panel: Conduct and Competence Committee
Outcome: Conditions of Practice

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Allegation

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.

Finding

No information currently available

Order

ORDER: The Registrar is directed to annotate the register entry of Ms Sabrina Anderson to show that, with effect from the date of the hearing (‘the Operative Date’) for a period of eighteen months from the date this order comes into effect, with consent, her registration is subject to the following Conditions of Practice:


1. You must only practise as a Paramedic whilst working alongside another qualified Paramedic of not less than two years’ post registration experience.

2. You must place yourself and remain under the supervision of a workplace supervisor registered by the HCPC or other appropriate statutory regulator, and supply details of your supervisor to the HCPC within one month of the Operative Date. You must attend upon that supervisor as required and follow their advice and recommendations.

3. You must meet with your workplace supervisor on at least a monthly basis to monitor and address the following areas of your practice, and any other areas of your practice as deemed necessary by your workplace supervisor:
a. Clinical Decision Making:
b. Communicating effectively with colleagues and patients;
c. Record Keeping;
d. Safeguarding.

4. You must provide to the HCPC within 14 days of each meeting records of the meetings with your workplace supervisor.

5. You must request that your workplace supervisor provides a report to the HCPC at least 14 days before any review of this Conditions of Practice Order.

6. You must promptly inform the HCPC if you cease to be employed by your current employer and/or take up any other or further employment.

7. You must promptly inform the HCPC of any capability or disciplinary proceedings taken against you by your employer.

8. You must inform the following parties that your registration is subject to these conditions:
a. Any organisation or person employing or contracting with you to undertake professional work;

b. Any agency you are registered with or apply to be registered with (at the time of application); and

c. Any prospective employer (at the time of your application).

Notes

Consent hearing of the conduct and competence committee due to take place between 5-6 May 2022 at 10:00am on day 1 and 09:30 am on day 2.

Hearing History

History of Hearings for Ms Sabrina Anderson

Date Panel Hearing type Outcomes / Status
05/05/2022 Conduct and Competence Committee Consent Order Hearing Conditions of Practice
20/09/2019 Conduct and Competence Committee Interim Order Review Interim Conditions of Practice