Jayne M Denton

As a registered Paramedic (PA01751) your fitness to practise is impaired by reason of lack of competence; in that:

1. On 1 February 2020, in relation to Patient B, you did not:

a) Obtain and/or record an adequate medication history

b) Investigate and/or record results of an investigation into spinal tenderness

c) Provide and/or record sufficient follow up advice in order to minimise risks of deterioration.

2. On 1 February 2020, in relation to Patient B, you did not demonstrate adequate clinical knowledge, in that:

a) You prescribed strong anti-inflammatory and pain relief medication without having conducted sufficient investigation into the patient’s medication history

b) You prescribed Diazepam without providing sufficient advice on maximum dosage and frequency to the patient

3. On 20 February 2020, in relation to Patient F, you did not:

a) Investigate and/or record results of an investigation into eye pain and/or headache

b) Provide and/or record sufficient follow up advice in order to minimise risks of deterioration.

4. On 20 February 2020, in relation to Patient F, you did not demonstrate adequate clinical knowledge, in that you prescribed antibiotics when it was not clinically indicated.

5. On 27 February 2020, in relation to Patient E, you did not:

a) Adequately investigate and/or record results of an adequate investigation into shortness of breath and/or chest pain;

b) Identify the risks of Pulmonary Embolism and/or explain these risks to the patient.

c) Provide and/or record sufficient advice given to the patient in relation to Pulmonary Embolism.

d) Provide and/or record sufficient follow up advice in order to minimise risks of deterioration.

6. On 20 March 2020, in relation to Patient D, you did not:

a) Investigate and/or record results of an investigation into testicular pain

b) Provide and/or record sufficient follow up advice in order to minimise risks of deterioration.

7. On 21 March 2020, in relation to Patient C, you did not:

a) Obtain and/or record an adequate medication history.

b) Undertake and/or record the results of basic observations.

c) Provide and/or record sufficient follow up advice in order to minimise risks of deterioration.

8. On 21 March 2020, in relation to Patient A, you did not:

a) Obtain and/or record an adequate medication history

b) Investigate and/or record results of an investigation into the mode of injury

c) Physically examine the patient’s spine and/or record the findings of any physical examination

d) Physically examine the patient for symptoms associated with spinal injury and/or record the findings of any examination of the patient for symptoms associated with spinal injury.

e) Provide and/or record sufficient follow up advice in order to minimise risks of deterioration.

9. On 21 March 2020, in relation to Patient A, you did not demonstrate adequate clinical knowledge, in that:

a) You prescribed Naproxen, a strong anti-inflammatory, without having conducted sufficient investigation into the patient’s medication history

b) You prescribed Morphine when it was not clinically indicated or supported by relevant prescribing guidance.

10. The matters set out in paragraphs 1 to 9 above constitute a lack of competence.

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