TLE 2 Group_15_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1 THP7: Reflective report on a clinical encounter en-us 2021-11-09 10:50:54 UTC 2025-11-24 14:02:50 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/bijsou4c4uswtal1/wish/1877883435 2021-11-09 10:50:54 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1877883435 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/bijsou4c4uswtal1/wish/1877883438 2021-11-09 10:50:54 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1877883438 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/bijsou4c4uswtal1/wish/1877883439 2021-11-09 10:50:54 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1877883439 self care --> the doctor should make sure that his self care should not harm the patient and manage his time properly https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908225650 2021-11-23 11:58:43 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908225650 https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908228215 his colleagues need to report it to the authority if this doctor's behaviour affects patient safety ]]> 2021-11-23 12:00:29 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908228215 all the doctors in his team should be prepared although if one of the member cannot make it there https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908230410 2021-11-23 12:02:03 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908230410 As a patient, the patient can report to the intern's superior so that this situation does not occur again. https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908230714 2021-11-23 12:02:15 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908230714 Change in behaviour https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908233632 2021-11-23 12:04:26 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908233632 Have self care but in an appropriate way https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908235234 2021-11-23 12:05:32 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908235234 https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908236636 Time management]]> 2021-11-23 12:06:35 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908236636 as an professional, you should make sure that your personal life did not interfere with the care provided to patient https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908237926 2021-11-23 12:07:28 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908237926 Working in Partnership https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908240006 Doctors have the right to work together with patients or doctor to provide good care for everyone. Helping them would create a mutual respect between doctor. It is fair to say that we should show compassion in helping others although they are doctor or patients. There are some issues in terms of altruism as we are unsure if our priority is more imp to others concern.]]> 2021-11-23 12:08:51 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908240006 i will help my colleague https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908243354 2021-11-23 12:10:55 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908243354 As fellow intern, we should help our coworkers to maintain quality of care for patient https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908243950 2021-11-23 12:11:20 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908243950 Produce a more compassionate and altruism doctor who is able to be there for patients and also doctor. https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908246197 2021-11-23 12:12:57 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908246197 as the intern who had problem completing his job, should seek help or look for initiatives to improve himself as an individual and a more competent doctor https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908246785 2021-11-23 12:13:22 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908246785 maintaining a good quality of care to patients https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908247268 2021-11-23 12:13:42 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908247268 Produces a more efficient team among the doctors in the hospital https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908251720 2021-11-23 12:16:07 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908251720 should be self-aware - to allow for improvement and don't hesitate to ask for help https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908252275 2021-11-23 12:16:29 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908252275 Creates a safe environment for patients as doctors are all working together and have a mutual understanding towards each other. https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908252429 2021-11-23 12:16:35 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908252429 continuous improvement https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908254457 No planning and implementing of ongoing proactive improvements in processes of care to provide quality health care outcomes.

]]> 2021-11-23 12:18:01 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908254457 Continuous improvement https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908255740 Has no proper structured organisational process in the hospital which involves the physicians and other personal members. Seems to have a communication issue among the member of the hospital too. No one advocated too on this particular issue.]]> 2021-11-23 12:18:53 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908255740 https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908258560 i would raise concern and try to improve the situation by suggesting to have a formal hand-over from the on call team 

]]> 2021-11-23 12:20:43 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908258560 Integrate proper communication structure to solve the handover issue https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908261209 2021-11-23 12:22:29 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908261209 if there is nothing done, poor quality of patient care https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908263552 as the person who has the power to voice out the issue, i should do something like make a complain to the hospital]]> 2021-11-23 12:23:57 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908263552 Speak on behalf of all the doctors and individual patients, as this makes sure patient can receive appropriate healthcare too. https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908264110 It consoles ethical practice in it.]]> 2021-11-23 12:24:22 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908264110 the work wont be organised https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908264397 2021-11-23 12:24:33 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908264397 a more structured organisation will be formed in hospital which would give a better healthcare for patients. https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908266379 2021-11-23 12:25:54 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908266379 If I was the intern, I would not be able to voice out as no one would listen and consider my thoughts to the different hierarchical status. BUT as stated in the question, as a senior registrar, I would have the power and responsibility to raise the concerns https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908267484 2021-11-23 12:26:38 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908267484 Encourages other senior registars to follow suite. https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908268566 2021-11-23 12:27:18 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908268566 Behavioural issues https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908271386 Irresponsible ]]> 2021-11-23 12:29:06 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908271386 Good communication within the organisation is essential to allow for improvement https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908279967 2021-11-23 12:33:57 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908279967 Courage to advocate and open up issues and provide solution in a culturally respect level. https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908292752 2021-11-23 12:41:20 UTC https://padlet.com/RCSI_MedProf/bijsou4c4uswtal1/wish/1908292752