TLE 2 Group_2.Sem2 by Eric Clarke https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y THP7: Reflective report on a clinical encounter en-us 2022-02-22 16:34:15 UTC 2022-03-28 14:52:23 UTC hello@padlet.com https://padlet.net/icons/png/1f34e.png 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? RCSI_MedProf https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2060934620 2022-02-22 16:34:15 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2060934620 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? RCSI_MedProf https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2060947073 2022-02-22 16:40:19 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2060947073 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? RCSI_MedProf https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2060950021 2022-02-22 16:41:38 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2060950021 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117223879 ethical practice 
reflective practice continuous improvment ]]> 2022-03-28 13:58:41 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117223879 Working in partnership https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117224853 2022-03-28 13:59:05 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117224853 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117225336 self-care]]> 2022-03-28 13:59:18 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117225336 integrity, altruism, ethical practice niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117226599 2022-03-28 13:59:49 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117226599 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117226916 prioritise work ]]> 2022-03-28 13:59:58 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117226916 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117227677 Self-care 
change in behaviour ]]> 2022-03-28 14:00:18 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117227677 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117228264 reflection and action]]> 2022-03-28 14:00:36 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117228264 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117230437 apologising and rectifying behaviour

]]> 2022-03-28 14:01:33 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117230437 apologise to team for delays caused https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117230453 2022-03-28 14:01:33 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117230453 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117233388 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]]> 2022-03-28 14:02:58 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117233388 Working in partnership https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117246389 2022-03-28 14:08:15 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117246389 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117248167 communication, compassion

]]> 2022-03-28 14:09:02 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117248167 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117251634 help your colleague]]> 2022-03-28 14:10:23 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117251634 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117252657 Unwell patient is taken care of]]> 2022-03-28 14:10:52 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117252657 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117252974 patients outcome ]]> 2022-03-28 14:10:59 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117252974 Tasks completed https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117253391 2022-03-28 14:11:05 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117253391 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117254305 request further assistance from the team ]]> 2022-03-28 14:11:29 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117254305 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117256195 micro - need to provide the colleague with encouragement and assistance 

]]> 2022-03-28 14:12:21 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117256195 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117258660 meso- investigate what processes can be put in place to keep patients safe in situations like this]]> 2022-03-28 14:13:25 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117258660 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117259958 macro- ensure situation doesn't deteriorate and patients don't suffer to the point that reports to regulatory bodies have to be made]]> 2022-03-28 14:13:59 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117259958 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117264053 identify when a colleague is struggling and offer assistance so that it doesn't have a negative impact on patients care ]]> 2022-03-28 14:15:50 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117264053 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117265825 leadership
taking initiative]]> 2022-03-28 14:16:32 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117265825 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117266644 Advocacy

]]> 2022-03-28 14:16:52 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117266644 ethical practice niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117268537 2022-03-28 14:17:41 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117268537 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117269303 Research how other hospitals deal with handover
Approach relevant admin and present how this would aid efficiency and productivity
Monitor results post-implementation]]> 2022-03-28 14:18:02 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117269303 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117269395 continuous improvement, reflective practice ]]> 2022-03-28 14:18:04 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117269395 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117270151 New procedure is put in place that creates a more seamless handover]]> 2022-03-28 14:18:25 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117270151 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117270713 suggest ideas to the regulatory body involved 

]]> 2022-03-28 14:18:42 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117270713 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117270774 Approach management about possibly doing a pilot research project (PDSA) on one of the wards to improve handover ]]> 2022-03-28 14:18:44 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117270774 https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117273525 micro-more efficient clinic, more productive
meso- less info seeping through the cracks at handover, better patient outcomes overall
macro- better pt outcomes overall

]]> 2022-03-28 14:19:58 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117273525 niamhmcgm https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117347592 demonstrate advocacy when you believe that a system is flawed/could be improved on ]]> 2022-03-28 14:52:23 UTC https://padlet.com/RCSI_MedProf/1m6quinih7in6c5y/wish/2117347592