TLE 2 Group_10_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3 THP7: Reflective report on a clinical encounter en-us 2021-11-09 10:47:57 UTC 2021-11-23 12:38:32 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/siwkrgq5mllwfoe3/wish/1877878079 2021-11-09 10:47:57 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1877878079 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/siwkrgq5mllwfoe3/wish/1877878081 2021-11-09 10:47:57 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1877878081 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/siwkrgq5mllwfoe3/wish/1877878084 2021-11-09 10:47:57 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1877878084 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908225665 lack of altruism ]]> 2021-11-23 11:58:43 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908225665 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908227586 1. Altruism 

Prioritise patient care above self-wants to party 

2. Working in patnership 

Should assume responsibility over own duty. Can't leave everything to colleagues. 


]]> 2021-11-23 12:00:02 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908227586 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908229273 1. Reflect on own actions 

2. Take responsibility & stop partying. 

3. Apologise to affected colleagues & patients + make changes for the better]]> 2021-11-23 12:01:13 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908229273 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908229526 i prefer not to go to the party ]]> 2021-11-23 12:01:23 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908229526 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908229885 not go to the party, communicate with my colleagues, take responsibility for my poor performance]]> 2021-11-23 12:01:39 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908229885 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908230595 1. Resolve conflict & misunderstandings. 

2. Assume own professional duty as a proud HCP 

3]]> 2021-11-23 12:02:09 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908230595 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908232074 - Delaying the patient care 
- Lack of responsibility ]]> 2021-11-23 12:03:14 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908232074 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908232679 Set the right priorities]]> 2021-11-23 12:03:42 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908232679 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908233248 working in partnership ]]> 2021-11-23 12:04:09 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908233248 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908237294 1. Working in partnership & working together. 

2. Cultural sensitivity 

3. Communication ]]> 2021-11-23 12:07:02 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908237294 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908241806 4. Lack of Altruism - didn't think about others and give them a hand while they are in need.  ]]> 2021-11-23 12:09:47 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908241806 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908241932 I would choose to not leave early and instead stay to help my colleague. ]]> 2021-11-23 12:09:53 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908241932 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908245122 Improved performance of the colleague ]]> 2021-11-23 12:12:10 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908245122 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908245136 Putting the patient's interest at first, no matter if I leave late. ]]> 2021-11-23 12:12:10 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908245136 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908245662 1. Help out the colleague & build communications with the colleague.

2. Communicate & determine the reason for delay in colleague. If wanted, provide advice. 

3. Invite the colleague out for dinner for example.]]> 2021-11-23 12:12:33 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908245662 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908246160 patient centered service, I would help in order to prevent any patient care delay ]]> 2021-11-23 12:12:55 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908246160 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908247370 1. Building open & proper communications. 

2. Building a feeling of openness & trust between healthcare providers. 

3. Uniform goal of providing optimum patient centered healthcare while promoting teamwork. ]]> 2021-11-23 12:13:47 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908247370 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908248513 - Trying to speak with the fellow to understand the situation, before taking an action. 
- Encouraging the fellow to reflect his actions to enhance his poor practice performance

]]> 2021-11-23 12:14:36 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908248513 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908250635 Try to understand the actual reason of the colleague's  poor performance and tackle the root cause]]> 2021-11-23 12:15:32 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908250635 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908250780 i would help them with the tasks while they tend to the patient to avoid delay in patient care. 
however if this happens repeatedly, give advice to them eg. time management etc]]> 2021-11-23 12:15:38 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908250780 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908253619 1. Patient centered care 
2. Advocacy for patient rights to receive appropriate healthcare. 
3. Maintain integrity by voicing out concerns ]]> 2021-11-23 12:17:27 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908253619 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908255181 Evidence based practice]]> 2021-11-23 12:18:31 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908255181 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908256385 1. Voice out my concerns to HR. Prompt them to carry out QI investigations. 

2. If ignored, carry out QI steps. Start with obtaining inputs from colleagues & initiating the PDSA cycle. 


]]> 2021-11-23 12:19:20 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908256385 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908256573 bring up this issue to the quality improvement team and work together to resolve this ]]> 2021-11-23 12:19:28 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908256573 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908256859 Reflective practice and continuous improvement- can raise concerns with the appropriate person ]]> 2021-11-23 12:19:37 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908256859 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908257111 I should report to the appropriate authority immediately ]]> 2021-11-23 12:19:46 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908257111 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908257940 1. Concerns be heard & addressed. 

2. Optimal & safe care for all patients. 

3. Actions regarded positively to promote a culture of openness & acceptability relative to respect. ]]> 2021-11-23 12:20:20 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908257940 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908267415 micro - disrupted work-life balance 
meso - causing harm to the patients, creating bad reputation for the hospital
macro - raising public inquiry ]]> 2021-11-23 12:26:36 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908267415 https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908287949 micro - maintain professionalism
meso - keep a close eye on worker within the healthcare setting
macro - One bad apple may spoil the bunch ]]> 2021-11-23 12:38:32 UTC https://padlet.com/RCSI_MedProf/siwkrgq5mllwfoe3/wish/1908287949