TLE 2 Group_8_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8 THP7: Reflective report on a clinical encounter en-us 2021-11-09 10:46:52 UTC 2025-12-06 11:36:09 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/tetgrx26m8wwg3c8/wish/1877876018 2021-11-09 10:46:52 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1877876018 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/tetgrx26m8wwg3c8/wish/1877876022 2021-11-09 10:46:52 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1877876022 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/tetgrx26m8wwg3c8/wish/1877876023 2021-11-09 10:46:52 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1877876023 Lack of ethical practice https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908222030 2021-11-23 11:56:09 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908222030 Lack of intergrity https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908222276 Not able to fulfill duties as a clinician]]> 2021-11-23 11:56:20 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908222276 lack of honesty and integrity https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908223541 2021-11-23 11:57:09 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908223541 lack of self awareness https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908224188 2021-11-23 11:57:38 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908224188 Lack of reflective practice https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908224202 Been happening repeatedly]]> 2021-11-23 11:57:39 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908224202 Stop going for parties till late at night (find proper work-life balance) https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908225262 2021-11-23 11:58:28 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908225262 Limit socialisation and figure out a proper work- life balance https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908225859 2021-11-23 11:58:53 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908225859 Ask admin for a leave of absence https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908229453 to self evaluate and take time off to figure out your priorities]]> 2021-11-23 12:01:20 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908229453 Request for a leave to take time to reflect https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908229593 2021-11-23 12:01:26 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908229593 Not affect the patients again https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908232535 2021-11-23 12:03:35 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908232535 Avoid Conformity https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908235083 It is also the fellow interns responsibility to alter the intern in regards to their behavior. ]]> 2021-11-23 12:05:25 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908235083 Working in Partnership https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908236180 2021-11-23 12:06:15 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908236180 Compassion https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908238321 2021-11-23 12:07:46 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908238321 Ethical practice https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908238405 2021-11-23 12:07:50 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908238405 Altruism https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908238702 2021-11-23 12:08:03 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908238702 Everyone should be altruistic, and compassionate and considerate of our colleagues as well as patients. https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908244018 2021-11-23 12:11:22 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908244018 Altruism https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908244189 It is important to be aware that the colleagues performance is not a reflection of their competency, they may not be as comfortable working in the ward or have not gotten used to the new system. Keeping ethical practice and patient centered service in mind, I should feel a responsibility to guide them. ]]> 2021-11-23 12:11:28 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908244189 All patients gets adequate care https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908246195 2021-11-23 12:12:57 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908246195 Create a positive environment for everyone to work in so they can reach their true potential https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908248049 2021-11-23 12:14:17 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908248049 create a sense of teamwork so that the individuals know that there will be someone to back them up if something goes wrong https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908250695 2021-11-23 12:15:35 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908250695 Continuous improvement & reflective practice https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908252476 2021-11-23 12:16:37 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908252476 Advocacy https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908252500 Speak up for patients so that they receive the best available and possible care]]> 2021-11-23 12:16:39 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908252500 Communication https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908253937 Communication between the morning and night teams would help limit any mistakes or lapses in care for the patients that would prevent any adverse outcomes]]> 2021-11-23 12:17:40 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908253937 introduce the idea of a handover system to allow clinicians to be kept up to date on the progress of the care of a patient https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908257593 2021-11-23 12:20:06 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908257593 Working in partnership https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908257808 2021-11-23 12:20:16 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908257808 QI https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908258721 With the time I am in the hospital I will try to implement the QI model as well as positive leadership to try and make positive changes in my limited amount of the time at the Hospital ]]> 2021-11-23 12:20:50 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908258721 Ask the people around https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908263807 -They might be aware of the same problem too
-They might have other perspectives
-They could even have better suggestions]]> 2021-11-23 12:24:08 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908263807 For there to be a positive change being implemented in the hospital https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908264643 Also keeping in mind that change takes time, and to set long term goals and short term goals (as long as there is improvement) ]]> 2021-11-23 12:24:43 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908264643 The patient's breakfast would not be delayed https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908264904 as well as having a smooth system to ensure patients get the care they need with minimal mistakes]]> 2021-11-23 12:24:53 UTC https://padlet.com/RCSI_MedProf/tetgrx26m8wwg3c8/wish/1908264904