TLE 2 Group_4_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t THP7: Reflective report on a clinical encounter en-us 2021-11-04 09:25:35 UTC 2021-11-23 12:48:35 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/f18iepvsmpbjsj4t/wish/1866987251 2021-11-04 09:25:35 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1866987251 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/f18iepvsmpbjsj4t/wish/1866987255 2021-11-04 09:25:35 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1866987255 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/f18iepvsmpbjsj4t/wish/1866987259 2021-11-04 09:25:35 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1866987259 Failure to engage https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908221464 2021-11-23 11:55:46 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908221464 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908223415 lack of compassion towards collages.
lack of self-care

]]> 2021-11-23 11:57:05 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908223415 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908226888 Cannot separate personal life from her work life, affecting performance at work]]> 2021-11-23 11:59:34 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908226888 Keep things in moderation https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908227017 2021-11-23 11:59:39 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908227017 be back home earlier https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908227315 2021-11-23 11:59:51 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908227315 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908227795 make sure you finish your work before going out to party

]]> 2021-11-23 12:00:11 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908227795 To have a good performance as an intern https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908228572 2021-11-23 12:00:43 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908228572 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229006 Attend in time, have self control, be more conscious ]]> 2021-11-23 12:01:01 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229006 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229376 Achieve work-life balance while not compromising patient's care]]> 2021-11-23 12:01:18 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229376 Not to impact negatively on other people's work https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229427 2021-11-23 12:01:19 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229427 to not be a burden for your colleague https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229556 2021-11-23 12:01:25 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229556 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229685 having patient safety first ]]> 2021-11-23 12:01:31 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908229685 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908230895 Individual level - if adverse events were to occur --> guilt, blaming and loss of confidence

]]> 2021-11-23 12:02:23 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908230895 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908231985 Macro: it is delaying surgeries to the point one had been cancelled ]]> 2021-11-23 12:03:10 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908231985 Doctors should parctice self care https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908232522 2021-11-23 12:03:34 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908232522 Be altruistic - have compassion for your colleagues and patients https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233093 2021-11-23 12:04:01 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233093 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233203 micro: increasing other peoples workload unnecessarily

]]> 2021-11-23 12:04:06 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233203 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233279 Situational: it is delaying mornings admission ]]> 2021-11-23 12:04:10 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233279 If there are further cases where there are adverse events resulting from this doctor's action, it would negatively impact the image/ reputation of HCPs as a whole. Like a dead fish in a tank https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233563 2021-11-23 12:04:23 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233563 Balance between work and your personal life is crucial https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233616 2021-11-23 12:04:26 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233616 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233774 be mindful of the consequences of your actions]]> 2021-11-23 12:04:33 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908233774 Competence issue with the colleague https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908237575 2021-11-23 12:07:14 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908237575 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908237720 Team-work makes the dream work.
woking in partnership.
Communication.]]> 2021-11-23 12:07:21 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908237720 Patient centred care - risk benefit analysis https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908238460 2021-11-23 12:07:52 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908238460 Try to guide the colleague so that they can improve themselves https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908240735 2021-11-23 12:09:09 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908240735 Do not ignore if they are in trouble. However, make sure you do not compromise your health/ care for other patients https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908242913 2021-11-23 12:10:35 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908242913 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908243430 help but limit your help time]]> 2021-11-23 12:10:58 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908243430 Have compassion with the colleague and patient https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908243771 2021-11-23 12:11:13 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908243771 Approach the colleague and ask if they need any help --> may improve patients' care and relationship with colleague https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908243867 2021-11-23 12:11:16 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908243867 Share ideas on how to work faster effectively https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908243947



]]> 2021-11-23 12:11:20 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908243947 Be selfless to a point - dont jeopardize yourself in the process https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908244579 2021-11-23 12:11:45 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908244579 To finish together on time https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908245655 2021-11-23 12:12:32 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908245655 If it's become too unbearable, report the colleague so some action can be taken as to not harm patients in the future. https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908245671 2021-11-23 12:12:33 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908245671 More efficient work process https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908246272 2021-11-23 12:13:00 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908246272 Pray for college https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908246293 2021-11-23 12:13:02 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908246293 Competent team players https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908246593 2021-11-23 12:13:14 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908246593 Effcient patient care https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908246974 2021-11-23 12:13:30 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908246974 Effective communication https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908248209 2021-11-23 12:14:25 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908248209 Individual: Try to prevent college self-blame about being slow worer https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908248632 2021-11-23 12:14:41 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908248632 teamwork makes the dream work https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908251715 2021-11-23 12:16:06 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908251715 Patient at the centre of care - dont be selfish https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908252147 2021-11-23 12:16:24 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908252147 imbalance in work flow/ pace if everyone is working individually at different pace. Could cause inefficient care system https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908253222 2021-11-23 12:17:10 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908253222 Lack communication between overnight team and morning team https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908255146 2021-11-23 12:18:29 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908255146 Ineffective work in partnership https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908255772 2021-11-23 12:18:55 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908255772 Relate to culture of hospital https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908257623 2021-11-23 12:20:08 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908257623 Try to step up and initiate quality improvement plan https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908259994 2021-11-23 12:21:40 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908259994 Staff never voice out this problem (relate to culture) https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908260024 2021-11-23 12:21:40 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908260024 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908260421 continuous improvement ]]> 2021-11-23 12:21:57 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908260421 implement a more efficient working culture, such as the formal handover https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908261311 2021-11-23 12:22:33 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908261311 May have lack of motivation to improve https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908261913 2021-11-23 12:22:55 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908261913 Special committee to reconstruct how the hospital works https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908262222 2021-11-23 12:23:07 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908262222 Efficient patient care https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908263126 2021-11-23 12:23:41 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908263126 More communication between the two teams https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908264286 2021-11-23 12:24:29 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908264286 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908264556 a better smoother time efficient handover system 

]]> 2021-11-23 12:24:39 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908264556 Get to the bottom of the issue, address why this handouts are being unprofessional and emphasize on getting better handout system with clear management plan https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908264612 2021-11-23 12:24:41 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908264612 positive institutional culture where staffs are motivated to improve performance https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908265146 2021-11-23 12:25:02 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908265146 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908265438 Get to the bottom of the issue, address why this handouts are being unprofessional and emphasize on getting better handout system with clear management plan ]]> 2021-11-23 12:25:14 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908265438 Advocate. One should be vocal about whats happening around them if it interferes with their objectives as an organization. https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908268728 2021-11-23 12:27:26 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908268728 Communication is crucial in teamwork https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908270313 2021-11-23 12:28:25 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908270313 Step up - be a leader https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908270681 2021-11-23 12:28:39 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908270681 https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908270952 Individual: self-improvement and motivation to change.
Institutional: Culture change and improvement.

]]> 2021-11-23 12:28:49 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908270952 Possible reallocation of tasks https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908285648 2021-11-23 12:37:11 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908285648 Raise this concern to the management team? https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908289812 2021-11-23 12:39:42 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908289812 Macro: if the QI plan works out, this could set an example/ model for other smaller hospitals to follow. https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908292741 2021-11-23 12:41:20 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908292741 GOOOD JOBB https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908294261 2021-11-23 12:41:40 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908294261 They might be having a hard time in other aspects of life (e.g. family, financial), might need help and have not sought that yet. https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908305611 2021-11-23 12:48:24 UTC https://padlet.com/RCSI_MedProf/f18iepvsmpbjsj4t/wish/1908305611