TLE 2 Group_7.Sem2 by Eric Clarke https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq THP7: Reflective report on a clinical encounter en-us 2022-02-22 16:46:10 UTC 2022-03-28 14:54:30 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/jis2ib0ihhgd9ubq/wish/2060958778 2022-02-22 16:46:10 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2060958778 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/jis2ib0ihhgd9ubq/wish/2060958779 2022-02-22 16:46:10 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2060958779 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/jis2ib0ihhgd9ubq/wish/2060958780 2022-02-22 16:46:10 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2060958780 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117225291 Self-care, communication, ethical practice, integrity and honesty]]> 2022-03-28 13:59:16 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117225291 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117226363 Working in partnership]]> 2022-03-28 13:59:44 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117226363 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117232524 Skip the party, apologise to coworkers for delay in theatre list and inconvenience to them, contact patient and try and make sure they still get proper care

]]> 2022-03-28 14:02:33 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117232524 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117232539 cancelled patient acts as wake up call for intern to change behaviour]]> 2022-03-28 14:02:33 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117232539 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117237026 Reconciliation with the team and no further incidents like this occur. Acts as a cautionary tale to other faculty. Patient is contacted and agrees to undergo surgery.]]> 2022-03-28 14:04:27 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117237026 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117241185 micro - don't overdo socialisation, be more punctual and on top of things.
meso - have support systems in place for new interns as they adjust to their new role and lifestyle
macro - ]]> 2022-03-28 14:06:16 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117241185 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117242926 Lack of communication, lack of willingness to assist a colleague, possible harm to patients due to increased work load of one intern]]> 2022-03-28 14:06:53 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117242926 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117244869 Selfishness, destructive competitiveness]]> 2022-03-28 14:07:43 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117244869 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117244902 lack of working in partnership & altruism]]> 2022-03-28 14:07:44 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117244902 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117244992 Compassion for both patients and team member]]> 2022-03-28 14:07:47 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117244992 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117246030 lack of compassion]]> 2022-03-28 14:08:10 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117246030 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117247653 As part of patient advocacy, patient health should be the priority and so I would offer to help them complete tasks and/or manage the patient ]]> 2022-03-28 14:08:48 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117247653 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117248056 I'd offer help to the intern if they are struggling to meet their tasks  ]]> 2022-03-28 14:09:00 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117248056 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117250626 Talk to them and ask them if they're struggling and point them to services or continuing medical education courses that could help them with practical tasks.]]> 2022-03-28 14:10:00 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117250626 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117251804 Successful communication results in the intern becoming more confident in keeping up with assigned tasks]]> 2022-03-28 14:10:28 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117251804 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117252408 Patient safety is maintained and overall improved patient management on the wards]]> 2022-03-28 14:10:46 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117252408 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117255544 Offer to share tips on how to effectively complete tasks]]> 2022-03-28 14:12:03 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117255544 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117255981 Individual - intern struggling to keep up with task 
Institutional - offer more supports for interns and advocate for partnership and assisting partners 
Council - Interns are made aware of the importance of keeping up with tasks]]> 2022-03-28 14:12:15 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117255981 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117261779 lack of communication, not efficiently working in partnership]]> 2022-03-28 14:14:49 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117261779 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117267594 Propose strategies to improve, regardless of duration of training]]> 2022-03-28 14:17:16 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117267594 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117268157 Although you are only there for 6 months, the hospital may continue to operate in this manner even once you are gone. It is important to make your concerns known and try to improve habits in practice as it has been affecting patient health]]> 2022-03-28 14:17:30 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117268157 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117268786 Risk to patient safety as there are not clear management plans. Must advocate for patients]]> 2022-03-28 14:17:48 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117268786 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117269331 No effective strategy in improving patient care ]]> 2022-03-28 14:18:03 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117269331 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117269778 everyone finishes their tasks on time; shifts end on time and the workload is distributed equally amongst interns]]> 2022-03-28 14:18:14 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117269778 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117269923 I would contact the departmental head and ask them for a quality review or audit to ensure that patients safety is being maintained]]> 2022-03-28 14:18:19 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117269923 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117270896 Effective management of patients is maintained throughout the hospital stay]]> 2022-03-28 14:18:48 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117270896 not working in partnership with the patient in mind https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117271372 2022-03-28 14:19:01 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117271372 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117274878 patient service is improved by improving the management and thereby the efficiency of the morning handover]]> 2022-03-28 14:20:37 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117274878 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117275580 I would meet with those in charge and make them aware of the issue. Suggest a more efficient method used in the other hospitals as an example of what can be implemented]]> 2022-03-28 14:20:53 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117275580 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117278884 meso - hospital should create environment of psychological safety & put systems in place that encourage staff to share ideas for improvement of patient care and to give feedback on current issues

]]> 2022-03-28 14:22:26 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117278884 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117283074 micro - all staff members should encourage each other to discuss issues and share feedback]]> 2022-03-28 14:24:12 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117283074 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117345209 importance of balancing social life and professional responsibilities]]> 2022-03-28 14:51:19 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117345209 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117347479 importance of altruism but also of compassion and communication]]> 2022-03-28 14:52:19 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117347479 https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117352125 importance of creating and maintaining an environment open to criticism with a growth mindset to ensure continuous improvement and optimal patient care]]> 2022-03-28 14:54:30 UTC https://padlet.com/RCSI_MedProf/jis2ib0ihhgd9ubq/wish/2117352125