# data[].attributes.headline
You are a new Intern Doctor and have been socialising a lot and staying out late to party. You are tired and have been turning-up late for work and whilst your fellow Intern’s have been covering some of your work it is leading to delays in morning admission clerk-ins, drug-charts and medications and blood tests.Today, you arrive late and are told the morning Theatre List was delayed and a patient cancelled because the Day-case Admission patients were not all clerked-in and ready for Theatre. You are on the early shift again tomorrow but are invited to a great party tonight and wonder what to do?

# data[].attributes.subject
You are a new Intern Doctor and have been socialising a lot and staying out late to party. You are tired and have been turning-up late for work and whilst your fellow Intern’s have been covering some of your work it is leading to delays in morning admission clerk-ins, drug-charts and medications and blood tests.Today, you arrive late and are told the morning Theatre List was delayed and a patient cancelled because the Day-case Admission patients were not all clerked-in and ready for Theatre. You are on the early shift again tomorrow but are invited to a great party tonight and wonder what to do?

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You are a New Intern Doctor and have always been competitive in sport and in your studies, for which you achieved individual awards and high-marks.You work with a fellow Intern who you recall had to repeat several exams, unlike you, and appear to take much longer to do the same tasks as you. It is approaching the end of your shift and you have your tasks completed but your colleague has several tasks to complete and one of their patients has become unwell. You wonder should you help them complete their tasks or leave on time?

# data[].attributes.subject
You are a New Intern Doctor and have always been competitive in sport and in your studies, for which you achieved individual awards and high-marks.You work with a fellow Intern who you recall had to repeat several exams, unlike you, and appear to take much longer to do the same tasks as you. It is approaching the end of your shift and you have your tasks completed but your colleague has several tasks to complete and one of their patients has become unwell. You wonder should you help them complete their tasks or leave on time?

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You are a Senior Registrar and your new training attachment is in a small but very busy peripheral hospital. You notice there is no formal handover from the on-call overnight team and the morning ward round is lengthy because you often find rather sick patients newly admitted patients without a clear management and it delays catering of breakfasts and your arrival at morning clinic.You have seen things run much smoother and safer in a previous hospital which had introduced a formal morning handover, but you are only here for 6 months and wonder what you should do?

# data[].attributes.subject
You are a Senior Registrar and your new training attachment is in a small but very busy peripheral hospital. You notice there is no formal handover from the on-call overnight team and the morning ward round is lengthy because you often find rather sick patients newly admitted patients without a clear management and it delays catering of breakfasts and your arrival at morning clinic.You have seen things run much smoother and safer in a previous hospital which had introduced a formal morning handover, but you are only here for 6 months and wonder what you should do?

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Integrity and honesty

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There should be a voice within

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The main issues is punctuality, poor cooperation & poor discipline. The intern doctor lacks in terms of Professionalism; Working in Partnership & integrity & honesty. There should be a voice within to address the intern's behaviour and hold him accountable.

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I would probably go to the early shift of work. I should not leave my parter to do all the work for me.
By skipping the party, he will get enough sleep because he has been complaining of not sleeping enough

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Have good work-life balance to be able to attend both parties but also maintain a good professional practice

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Try to balance work and life
If you are tired from all the work, have a good night rest.
Understand that there are times for fun and times for work

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at the end of the day, the patient is who we should consider at the centre of care

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micro: practice self-discipline and manage time wisely.

meso: A much more organised scheduling for interns to avoid overworking. Avoid using same interns for both day and night shifts. Cooperation between the team  and co-workers and if one member fails to come to work on time and it burdens the workload onto other interns then it must be act upon.

macro: counselling and time out should be given to workers who are burn out or exhausted with the workload so that they are not demotivated and dreaded.

Lack of discipline and moral principles among workers should be highlighted and assessed so that it does not happen again.

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Help the colleague not because its your duty, but because you want to help them.
Because he's done with his duties, so he should help his colleague

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I would help my colleague because I am done with my tasks of the day

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Today I would help him, but I would also teach him on how to better manage his time and his tasks

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guide him to the road of competency

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Make sure you colleague understands that he may be abit slow with finishing the workload, and give him advice on how to better manage his time so that this doesn't happen again and that he doesnt have to keep relying on you.

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Self reflection

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not everyone is perfect, but we shouldn't let any person in the team to cause a disrupt in the flow of work

there is a need to fill in for others when we see areas that are lacking, but only up to a certain extent. Continuously needing to fill in for others will cause burnout.

a good outcome is measured on team level instead of individual level

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life is a journey of constantly learning and needing to improve, a positive attitude will show a positive example to colleagues hence you may indirectly become role models

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Promoting good working culture

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there is a need to address the issue when you can observe them happening because improvements needs to be made to reach the most optimum level of patient care

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lack of communciation between overnight team & the morning ward round

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Shared responsibility for nightshift and morning staff to admit the patients accordingly and make sure the work process runs smoothly

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Bringing this issue to the attention of the hospital management would result in improvements to the standard of care
delivered  to patients.

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Have a formal handover between the on-call overnight team & morning round.

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- bring up the issue to the board so that the system is much more efficient in providing service to the patients without delay.

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putting the reflective practice in mind and teamwork, this addresses the need to sit down and talk with the whole team to discuss the ways to streamline the process so things can run smoothly

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Work runs smoothly and patients admitted at night and at day are cared for before switching shifts.

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or find an alternative way that will suit this hospital better

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Communication is key, to make sure work place and process runs smoothly, both for the benefit of the patients and the Workstaff.
This increases work efficiency

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implement QI committee to regularly measure how effective measures are working, test changes using PDSA before implementing the change.

Promote transparency & openness

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Learn to have good communication skills & build advocacy.