TLE 2 Group_6_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj THP7: Reflective report on a clinical encounter en-us 2021-11-09 10:44:53 UTC 2021-11-23 12:26:13 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/ivzxycjh1cg9d9xj/wish/1877872267 2021-11-09 10:44:53 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1877872267 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/ivzxycjh1cg9d9xj/wish/1877872271 2021-11-09 10:44:53 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1877872271 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/ivzxycjh1cg9d9xj/wish/1877872272 2021-11-09 10:44:53 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1877872272 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908227332 1) Self care; meaning that the intern wasn't taking care of himself through lack of sleep, etc.  
2) Collaborative work (negative effect); giving his colleagues a larger responsibility to try and complete the intern's unfinished work. 
3) Altruism; not prioritising patient's health and safety 
4) Reflection; intern should've reflected on such situation the first time to prevent it from reoccurring. ]]> 2021-11-23 11:59:52 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908227332 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908229957 1) Change of lifestyle; making sure that his social life doesn't interfere with occupation.
2) Cover more shifts for his peers on the wards and in theatre. 
3) Taking care of oneself 
 ]]> 2021-11-23 12:01:42 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908229957 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908231282 Reflection, trying to reflect on the series of events that led to such outcome and trying to tackle the dilemma in a different approach. ]]> 2021-11-23 12:02:37 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908231282 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908235889 Individual: Taking care of one-self, and continuously reflecting on actions. 
Institutional: Work-life balance, to try and prevent burnout. 
Societal: Educating the general public and individuals hoping to become healthcare professionals about the importance of ethical behaviour. 


]]> 2021-11-23 12:06:01 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908235889 reflect to improve, self care, altruism, work life balance https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908238003 2021-11-23 12:07:31 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908238003 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908239622 1) Collaborative working/partnership, should be mindful of other people's skills and trying to integrate them in a professional and ethical manner. 
2) Integrity/honesty; in such situation the patient is not being honest with himself if he doesn't decide to help out a colleague and the patient that seems to be in an ill condition
3) Advocacy; in a way the doctor should be advocating for himself and his colleagues, rather than being competitive. ]]> 2021-11-23 12:08:43 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908239622 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908247075 1) Teamwork; better patient care integrating healthcare professionals. 
2) Working in partnership; this will improve general healthcare professionals interactions. ]]> 2021-11-23 12:13:34 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908247075 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908250555 Individual: Developing collaborative skills. "Patient-centred care in general" 
Institutional: Implement more collaborative work within the curriculum. 
Societal: Reinforcing the values of what is to be an ethical and well rounded individual through good action and advocation. ]]> 2021-11-23 12:15:29 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908250555 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908253000 If this happened: 
1) Collaborate with colleague and other healthcare professionals eventually developing patient centred cared. 
2) Immediately trying to improve the ill patient's condition.
3) Improving communication between colleagues. ]]> 2021-11-23 12:17:01 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908253000 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908253969 Lesson learnt: Reflection is key in helping to tackle a dilemma at hand. ]]> 2021-11-23 12:17:42 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908253969 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908255092 Communication is crucial to try and improve interactions with other healthcare professionals, as it is also key to help out other colleagues when in need. ]]> 2021-11-23 12:18:26 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908255092 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908257755 1) Advocacy, speaking out about errors and things that need to be tackled. 
2) Cultural safety concept 
3) Communication; explaining why the system doesn't work. 
4) Collaborative (working together) ]]> 2021-11-23 12:20:14 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908257755 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908260376 1) Advocating; trying to raise awareness and shed light on the issues that need to be tackled in the hospital.
2) Utilising the short period of time to try and make a change, and trying to tackle such situation as a challenge. 

]]> 2021-11-23 12:21:55 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908260376 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908261924 1) Improving the handbook system, where patients would be admitted in a faster and safer way. 
2) Important to have it implemented for other teams, encouraging the spread of ideas and solutions. ]]> 2021-11-23 12:22:55 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908261924 https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908266850 Individual: Doctor's should try to advocate for patient's. 
Institutional: Developing a cultural safety environment to raise concerns and issues, where you don't be judged based on your ideas and opinions. 
Societal: Clarifying guidelines about leadership characteristics to the general public. ]]> 2021-11-23 12:26:13 UTC https://padlet.com/RCSI_MedProf/ivzxycjh1cg9d9xj/wish/1908266850