# 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?

# data[].attributes.headline
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?

# data[].attributes.headline
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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ethical practice
reflective practice continuous improvment

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self-care

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prioritise work

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Self-care
change in behaviour

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reflection and action

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apologising and rectifying behaviour

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micro- reflection, change in behaviour
meso- apologise to team and ensure this pattern of behaviour doesn't occur again
macro-ensure situation doesn't spiral out of hand to the point where reporting to a regulatory body is necessary

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communication, compassion

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help your colleague

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Unwell patient is taken care of

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patients outcome

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request further assistance from the team

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micro - need to provide the colleague with encouragement and assistance

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meso- investigate what processes can be put in place to keep patients safe in situations like this

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macro- ensure situation doesn't deteriorate and patients don't suffer to the point that reports to regulatory bodies have to be made

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identify when a colleague is struggling and offer assistance so that it doesn't have a negative impact on patients care

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leadership
taking initiative

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Advocacy

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Research how other hospitals deal with handover
Approach relevant admin and present how this would aid efficiency and productivity
Monitor results post-implementation

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continuous improvement, reflective practice

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New procedure is put in place that creates a more seamless handover

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suggest ideas to the regulatory body involved

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Approach management about possibly doing a pilot research project (PDSA) on one of the wards to improve handover

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micro-more efficient clinic, more productive
meso- less info seeping through the cracks at handover, better patient outcomes overall
macro- better pt outcomes overall

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demonstrate advocacy when you believe that a system is flawed/could be improved on