TLE 2 Group_6.Sem2 by Eric Clarke https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu THP7: Reflective report on a clinical encounter en-us 2022-02-22 16:45:09 UTC 2025-12-24 04:57:18 UTC hello@padlet.com https://padlet.net/icons/png/1f34e.png 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/5lnlxsh05rfez6yu/wish/2060956808 2022-02-22 16:45:09 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2060956808 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/5lnlxsh05rfez6yu/wish/2060956811 2022-02-22 16:45:09 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2060956811 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/5lnlxsh05rfez6yu/wish/2060956813 2022-02-22 16:45:09 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2060956813 Patient-centred care, ethical practice, working in partnership, integrity https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117219249 2022-03-28 13:56:49 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117219249 Patient-centred care, ethical practice, working in partnership, integrity https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117221996 2022-03-28 13:57:50 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117221996 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117222902 Apologise, not go to the party or leave early and make sure to be on time from now ]]> 2022-03-28 13:58:16 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117222902 Reconsider your priorities https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117223400 2022-03-28 13:58:29 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117223400 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117223962 being on time - don't sacrifice patient care for your social life ]]> 2022-03-28 13:58:44 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117223962 #Altruisim https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117224319 2022-03-28 13:58:53 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117224319 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117226515 micro: don't be late, professionalism is your responsibility 
institutional: I can't believe nobody said anything before, affecting patient care 
societal: difficulty long working hours, risk of patient harm & decreased trust]]> 2022-03-28 13:59:46 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117226515 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117227524 be balanced and responsible for you choices - do no affect patient care]]> 2022-03-28 14:00:15 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117227524 have conversation with intern who is late https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117228134 2022-03-28 14:00:31 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117228134 ask superior to talk to them https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117230947 2022-03-28 14:01:48 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117230947 Although the social part of your life is important to maintain your own mental health. You need to be aware of the consequences of your actions and find a balance that doesn't impact patient care and professional relationships https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117232306 2022-03-28 14:02:26 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117232306 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117244055 working in partnership, communication, advocacy, altruism, reflective practice]]> 2022-03-28 14:07:25 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117244055 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117251236 discuss with the intern - if you feel you are safely able to, take some of their tasks or assist the sick patient, see if they want help to learn tasks in the future ]]> 2022-03-28 14:10:12 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117251236 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117253527 Both of you finish 'early' and go home, patients are taken care of, intern accepts or asks for help learning how to do tasks faster in the future]]> 2022-03-28 14:11:08 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117253527 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117258292 micro: affecting patient care, affecting interns and colleagues time and relationships
institutional: higher cost, higher work hours, time in hospital, error rate? 
societal: standard of training, accumulated fatigue, patient trust - supports for interns who are struggling to transition]]> 2022-03-28 14:13:15 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117258292 help others https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117258848 2022-03-28 14:13:30 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117258848 Request help when you need it https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117259353 2022-03-28 14:13:42 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117259353 #Teamwork https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117259667 2022-03-28 14:13:51 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117259667 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117266021 communication, advocacy, evidence based practice, working with others, integrity]]> 2022-03-28 14:16:37 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117266021 Quality improvement https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117268224 2022-03-28 14:17:32 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117268224 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117271753 talk to your consultant and take responsibility for implementing it on your team 
discuss with hospital management 
PDSA cycle ]]> 2022-03-28 14:19:10 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117271753 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117273413 hospital management & consultant is interested - implementation starts at a small level and spreads easily improving patient safety ]]> 2022-03-28 14:19:55 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117273413 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117275775 micro: your team starts a handover
institutional: your hospital starts doing a handover
societal: look at and teach practices that teach patient safety]]> 2022-03-28 14:20:59 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117275775 https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117277795 improvement can be implemented at any level 
individual responsibility to lead quality improvement]]> 2022-03-28 14:21:55 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117277795 #responsibility https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117277858 2022-03-28 14:21:57 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117277858 Present this change in a positive light to avoid resistance from the team. Don't make it sound like "You're doing it wrong and I know better" but instead present it as "I have an idea that we could all work on implementing to improve patient care!" https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117281767 2022-03-28 14:23:37 UTC https://padlet.com/RCSI_MedProf/5lnlxsh05rfez6yu/wish/2117281767