TLE 2 Group_9_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg THP7: Reflective report on a clinical encounter en-us 2021-11-09 10:47:18 UTC 2021-11-23 12:26:06 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/ulsl6ypg8hkfu1tg/wish/1877876798 2021-11-09 10:47:18 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1877876798 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/ulsl6ypg8hkfu1tg/wish/1877876799 2021-11-09 10:47:18 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1877876799 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/ulsl6ypg8hkfu1tg/wish/1877876803 2021-11-09 10:47:18 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1877876803 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908228837 Partnership - leaving work to colleagues instead of taking 

Lack of integrity - not taking the job seriously, lack of respect for colleagues 

Self care - not having enough sleep, coming to work late, can impact patient safety and care 

Ethical practice - danger and harm to patient by arriving to theatre late ]]> 2021-11-23 12:00:54 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908228837 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908230920 Reflective Practice - reflection on his social life and how it is affecting his work as an intern 

- How to balance social life and work 

- Improve lifestyle - in order to give patients proper care]]> 2021-11-23 12:02:24 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908230920 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908232981 - If he reflects on his actions and found a way to balance his social and work life 

- practicing reflection - makes sure he is taking care of himself, reflecting on whether the parties are affecting his patients, colleagues and work ]]> 2021-11-23 12:03:55 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908232981 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908236053 - Individual - realisation that he needs to makes some changes 

- At the societal level, reiterate their professionalism policies and patient centred care policies]]> 2021-11-23 12:06:08 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908236053 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908242741 - Working in partnership - making sure that the colleague reaches their goal in order to get tasks done and give patients optimal care

- Self Care - make sure that you are still getting breaks and rest to take care of yourself ]]> 2021-11-23 12:10:27 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908242741 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908247800 - Communicate - talking to the patient and asking is they need assistance 

- Self-assessment - making sure that I am not burnt out or tired before stepping in to help 

- Step in to help is they want me to, and if the work is doable (not too much, manageable) ]]> 2021-11-23 12:14:07 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908247800 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908250545 - Maintaining patient care

- Working towards the goal of getting work done as a team (partnership with colleague) 

- Self care ]]> 2021-11-23 12:15:29 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908250545 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908252327 - Individual - reflect before acting - making sure that your colleagues are not overlying on you ]]> 2021-11-23 12:16:31 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908252327 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908258373 - Altruism - he should voice his concern and report the situation, even if he is new to the hospital 

- Ethical practice - beneficence - making sure your giving patients good care by having a safe and organised environment 

- Lack of continuous improvement, Organisational issues, communication and partnership 

- not keeping to regulations]]> 2021-11-23 12:20:36 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908258373 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908259318 Institutional - regulation issues, lack of following guidelines, safety issues institutionally ]]> 2021-11-23 12:21:16 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908259318 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908262012 - Bring it up and report the issue, as it is impacting the safety of patients

- communicating challenges to a higher up or colleagues - honest about feelings about the situation ]]> 2021-11-23 12:22:57 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908262012 https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908266680 - Starting a new system or major adjustments to the current system that insures coordination between nightshift and dayshift and safer environment for patients 

- Insure better care for patients 

- More communication and organisation ]]> 2021-11-23 12:26:06 UTC https://padlet.com/RCSI_MedProf/ulsl6ypg8hkfu1tg/wish/1908266680