Mr Mark Higgins

: Paramedic

: PA39505

Interim Order: Imposed on 20 Dec 2016

: Final Hearing

Date and Time of hearing:10:00 23/04/2018 End: 17:00 27/04/2018

: Health and Care Professions Council, 405 Kennington Road, London, SE11 4PT

: Conduct and Competence Committee
: Hearing has not yet been held

Allegation

Whilst registered as a Paramedic:

1. During the course of your employment as a Paramedic at South Central Ambulance Service NHS Trust, on 16 October 2015, you attended to Patient A during an emergency call and you:

a) did not conduct an appropriate diagnostic and/or monitoring procedure and treatment for Patient A, in that you:

i) did not check Patient A's pain response;

ii) did not place Patient A in a lateral position and then open the airway using the head tilt and chin lift;

iii) did not place a monitor or defibrillator on Patient A.

b) did not accurately and/or adequately complete the Electronic Patient Record (ePR), in that you:

i) did not record that oxygen had been administered;

ii) recorded the wrong time when treatment was administered;

iii) did not record the time you started Cardio Pulmonary Resuscitation (CPR);

iv) did not record the DC Shock;

v) did not record the Rhythm Strip;

vi) did not record the treatment that you provided Patient A with.

c) did not recognise that Patient A was in the early stages of respiratory arrest.

d) did not recognise the following symptoms which Patient A had:

i) a pulse of 40 beats per minute;

ii) a state of bradycardia; and

iii) early stages of deterioration.

e) did not take leadership of Patient A's treatment;

f) did not communicate your treatment plan with Colleague A;

g) did not assess Patient A’s heart rhythm prior to putting defibrillator pads on them;

h) did not follow appropriate guidelines for a shockable rhythm, in that you did not reassess Patient A’s heart rhythm and/or feel his pulse;

i) did not maintain Patient A’s airway;

j) failed to recognise that Patient A was not breathing.

2. During the course of your employment as a Paramedic at South Western Ambulance Service NHS Trust, you attended a development Day on 21 June 2016 and you were unable to meet safe practice for paediatric advanced life support, in that you:

a) elected to intubate a conscious child with a gag reflex when it was not required;

b) did not reassess the patient’s airway;

c) did not check for signs of life;

d) did not deliver any rescue breaths.

3. During the course of your employment as a Paramedic at South Western Ambulance Service NHS Trust, you attended an assessment on 26 July
2016 and you:

a) were unable to achieve the standard to deliver a safe paediatric advanced life support assessment;

b) were unable to manage complex situations requiring paramedic interventions in a timely manner;

c) lacked certainty around drug administration impacting on timeliness of care;

d) lacked consistency of approach, particularly in more time-critical patients;

e) became fixated on tasks or actions at the possible detriment of the patient;

f) did not re-assess the patient after completing interventions.

4. The matters set out in paragraphs 1 -3 constitute misconduct and/or lack of competence.

5. By reason of your misconduct and/or lack of competence your fitness to practise is impaired.

Finding

No information currently available

Order

No information currently available

Notes

No notes available

Hearing history

History of Hearings for Mr Mark Higgins

Date Panel Hearing type Outcomes / Status
23/04/2018 Conduct and Competence Committee Final Hearing Hearing has not yet been held
15/11/2017 Conduct and Competence Committee Interim Order Review Interim Conditions of Practice
18/08/2017 Conduct and Competence Committee Interim Order Review Conditions of Practice
09/06/2017 Investigating committee Interim Order Review Interim Conditions of Practice
20/12/2016 Investigating committee Interim Order Application Interim Conditions of Practice