TLE 2 Group_7_Dublin by Eric Clarke https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc THP7: Reflective report on a clinical encounter en-us 2021-11-09 10:45:46 UTC 2025-11-07 19:34:27 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/w3nk1qzz4dzymblc/wish/1877873864 2021-11-09 10:45:46 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1877873864 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/w3nk1qzz4dzymblc/wish/1877873866 2021-11-09 10:45:46 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1877873866 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/w3nk1qzz4dzymblc/wish/1877873870 2021-11-09 10:45:46 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1877873870 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908223061 Lack of integrity and altruism which is detrimental to patient centred care.

]]> 2021-11-23 11:56:49 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908223061 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908225990 Recognise previous mistakes. Apologise to our colleagues and the patients. 
Inform the person inviting us about our schedule and when we're free. Prioritise our job.
Choose not to attend the party and practice self-reflection. ]]> 2021-11-23 11:58:58 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908225990 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908228420 To separate work and play. 
Have a good work-life balance. 
Start being reflective and attending early, etc.

]]> 2021-11-23 12:00:38 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908228420 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908231546 Individual: Be disciplined and separate work and play 
Institutional: For the management to address a lack of professionalism with individuals. 
Macro: Make courses in professionalism compulsory for all workers]]> 2021-11-23 12:02:48 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908231546 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908234045 do self reflection
separate work and private life]]> 2021-11-23 12:04:45 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908234045 Stay and Help https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908241592 Working in partnership, compassion, altruism. 

Should not forget that we have a duty to help and to teach others, even our own colleagues. 

This will help improve care for the patient as well



]]> 2021-11-23 12:09:38 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908241592 Stay and Help https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908243317 Talk to our colleague about ways we can help him. Ask if he has any issues in his personal life that he needs to address.]]> 2021-11-23 12:10:54 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908243317 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908244698 Colleague improves confidence and practice. 
We learn to work well as a team and provide optimal patient-centred care

]]> 2021-11-23 12:11:51 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908244698 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908251055 Individual: Help others when you see them struggling 
Institutional: Promoting a consistent healthy working environment. Promote collaboration, etc. 
Macro: Courses that promote working in partnership. ]]> 2021-11-23 12:15:47 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908251055 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908255751 Patient safety at risk due to poor patient advocacy and a lack continuous improvement ]]> 2021-11-23 12:18:54 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908255751 Stay and Help https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908257416 work on: working in partnership, compassion, altruism]]> 2021-11-23 12:19:59 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908257416 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908258540 Address issue with management 
Come up with a QI plan (PDSA)
Look at how other hospitals do this better and bring this up with senior management]]> 2021-11-23 12:20:42 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908258540 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908262032 A proper handover introduced 
To be able to measure how the hospital has improved over time (and hopefully see some improvement) 
For example: fewer delays in morning clinic and breakfast catering, decreased patient wait times, decreased morning ward rounds etc. ]]> 2021-11-23 12:22:58 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908262032 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908265630 Individual: Don't be afraid to voice concerns 
Institutional: introduce a new handover method based off evidence from hospitals that do this well 
Macro: Make sure every hospital has an effective QI team]]> 2021-11-23 12:25:22 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908265630 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908266156 Importance of QI]]> 2021-11-23 12:25:45 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908266156 https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908266926 And importance of voicing concerns in the best interests of patients

]]> 2021-11-23 12:26:16 UTC https://padlet.com/RCSI_MedProf/w3nk1qzz4dzymblc/wish/1908266926