TLE 2 Group_10.Sem2 by Eric Clarke https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3 THP7: Reflective report on a clinical encounter en-us 2022-02-22 20:12:57 UTC 2022-03-28 14:23:44 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/ihgma746zdv4apm3/wish/2061331534 2022-02-22 20:12:57 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2061331534 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/ihgma746zdv4apm3/wish/2061331535 2022-02-22 20:12:57 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2061331535 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/ihgma746zdv4apm3/wish/2061331537 2022-02-22 20:12:57 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2061331537 Self Care https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117226829 Professional Issues/ Problems: 
Patient Centered Care is not followed as the intern is putting themselves first. 
Working In partnership: the intern is affecting colleagues and team 
Poor Communication 
Integrity and Honesty: he is not doing his duties as a medical professional 
Ethical Practice]]> 2022-03-28 13:59:56 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117226829 What to do? https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117236141 Who: Intern

What: Limit party to the weekends/ days that don't coincide with work schedule (i.e partying when not on shift the next morning)

How: Have another intern hold you accountable. Consider seeking therapy. Consider alternative social plans.

When: As of now ]]> 2022-03-28 14:04:03 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117236141 https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117238888 Try to stop staying up late so you can go into work on time.]]> 2022-03-28 14:05:23 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117238888 Desired Outcomes https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117239110 Less Stress 
More time management 
Not affecting job/colleagues 

]]> 2022-03-28 14:05:28 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117239110 https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117243423 Individual: Consider consequences of drinking on work 
Institutional: Factors causing interns to burnout/seek unhealthy coping mechanisms 
Council/ Societal: Drinking cultural issues and prevalence within society ]]> 2022-03-28 14:07:07 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117243423 Professional Issues https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117248386 Working in Partnership
Alturism 
Compassion 
Patient Centred Care]]> 2022-03-28 14:09:08 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117248386 stay https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117248721 2022-03-28 14:09:16 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117248721 Next Steps https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117251328 Teach the colleague on how to be more efficient ]]> 2022-03-28 14:10:15 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117251328 Outcomes: https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117253635 The patient gets the proper care and the work gets done and the fellow intern learns how to be more efficient causing a healthier workplace culture.

]]> 2022-03-28 14:11:11 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117253635 Question 4: https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117258705 Individual: stay and help to teach, reflect on how you see your colleagues 

Institutional: Add training to be more efficient and promote a more collaborative work culture 

Macro: look at how culture could be uplifted within the hospital or if there are barriers to interns finishing the work on time ]]> 2022-03-28 14:13:26 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117258705 https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117263366 integrity
altruism
honesty
patient-centred care

]]> 2022-03-28 14:15:32 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117263366 https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117264375 evidence based practice 

]]> 2022-03-28 14:15:59 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117264375 Implement a Morning Handover https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117269313 Implement a morning handover at the peripheral hospital based on the model of the previous hospital you were at. Have heads of departments from both hospitals meet and collaborate.

]]> 2022-03-28 14:18:02 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117269313 https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117271246 Start talking to other doctors and see if they have had one in the past then approach ward manager and then talk to quality and improvement office. ]]> 2022-03-28 14:18:58 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117271246 https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117272582 Individual: Talk to collleagues about implementing a handover 

]]> 2022-03-28 14:19:31 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117272582 https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117273575 Institutional: Mandate practice of handovers across hospital (add policy) 

]]> 2022-03-28 14:19:59 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117273575 https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117275223 Council: HSE having requirements to complete handovers and inquiring why they are understaffed and overworked 

]]> 2022-03-28 14:20:43 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117275223 https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117282010 Patient centred care is essential to ensure that the patient's health comes first. Achieving a model of patient centred care requires working in collaboration with others, altruism, and more professionalism strategies

]]> 2022-03-28 14:23:44 UTC https://padlet.com/RCSI_MedProf/ihgma746zdv4apm3/wish/2117282010