Robert Rawcliffe

As a registered Paramedic (PA44119) your fitness to practise is impaired by reason of misconduct. In that:

1. On or around 26 September 2019, you did not carry out an adequate assessment and/or provide adequate care and treatment to Patient X in that you:

a) Did not recognise the severity or identify red flags in respect of patient X’s symptoms, including but not limited to;
i. History of headache;
ii. Changes in the headache;
iii. Nausea and/or an episode of vomiting;
iv. Orthostatic headache;
v. Photophobia; and
vi. National Early Warning Score (NEWS) score of 9

b) Did not recognise that Patient X was critically ill at the time you conducted your assessment;

c) Did not make an appropriate diagnosis of Patient X’s condition, in that you stated that “Patient X’s headache was as a result of her high blood pressure reading” or words to that effect

d) Did not adequately treat and/or manage Patient X’s symptoms, specifically you did not administer Patient X with:
i. Intravenous Paracetamol; and/or
ii. Intravenous Ondansetron to Patient X for the nausea;

e) Inappropriately delegated the care and/or assessment of Patient X, to Colleague Y, an Emergency Medical Technician, in that whilst transporting Patient X to the Hospital you drove the ambulance rather than sit at the back of the ambulance with Patient X who was critically ill at the time;

f) Transferred Patient X to a wheelchair with no support to her head;

g) did not provide a pre-alert notification to the Hospital;

h) Did not activate blue lights and/or sirens whilst on route to the Hospital with Patient X who was critically ill at the time.

2. On or around 26 September 2019, when you attended Patient X, you did not communicate effectively with Person A and/or Patient X and/or her family in that you did not take into consideration the information Person A and/or her family provided about Patient X’s medical history and/or ensure that the information was documented on the Patient Report Form, specifically that, Patient X;
a) had irregular heartbeat;
b) was at risk of suffering from a stroke;
c) was prescribed Apixaban, a blood thinning medicine;
d) wore a band alerting that she was at high risk of stroke.

3. The matters set out in particulars 1 to 2 constitute misconduct.

4. By reason of your misconduct, your fitness to practise is impaired.