TLE 2 Group_5.Sem2 by Eric Clarke https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x THP7: Reflective report on a clinical encounter en-us 2022-02-22 16:44:31 UTC 2022-03-28 14:23:26 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/wcx3nsvnhwwj303x/wish/2060955659 2022-02-22 16:44:31 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2060955659 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/wcx3nsvnhwwj303x/wish/2060955664 2022-02-22 16:44:31 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2060955664 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/wcx3nsvnhwwj303x/wish/2060955668 2022-02-22 16:44:31 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2060955668 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117228317 working in partnership 
ethical practice 
communication 
mutual respect for colleagues 
self-care 
compassion 
alturism 
integrity ]]> 2022-03-28 14:00:37 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117228317 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117228415 working in partnership
ethical practice 
communication
mutual respect for colleagues
Alturism 
integrity ]]> 2022-03-28 14:00:41 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117228415 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117228418 Working in partnership- mutual respect for colleagues
Ethical practice
Self care
Lacking compassion
Altruistic 
Integrity
Delaying surgery may result in patient harm.]]> 2022-03-28 14:00:41 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117228418 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117234959 I would not go to the party. 
I would reflect on my actions. 
Apologise to the team. 
Reach out and try get help. ]]> 2022-03-28 14:03:31 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117234959 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117235469 I would not go the party
I would reflect on my actions to 🤬 the impact of my actions on the patients.
Apologise the team and talk to his lead


]]> 2022-03-28 14:03:43 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117235469 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117235822 I would not go to the party. Reflective practice is needed to assess the impact of his actions on the impact of the team.
Apologise to the team for interrupting the surgical day cases. 
Reach out to head of team for advice]]> 2022-03-28 14:03:54 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117235822 Prioritise my work and the needs of my patients, apologise to colleagues and to the administrative staff, begin to re-establish respect and trust among colleagues https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117236265 2022-03-28 14:04:06 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117236265 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117238922 apologise
reflect on their actions and change their habits 
lead a healthier lifestyle ]]> 2022-03-28 14:05:24 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117238922 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117238939 Apologises
Reflects and reevaluates priorities
Implements change into his life. Avoiding parties till he gets hold of clinical duties]]> 2022-03-28 14:05:24 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117238939 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117241172 risks --
being reported to the medical council
losing his job

]]> 2022-03-28 14:06:16 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117241172 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117245672 Macro= medical council disiplinary hearing if reported by patients or members of the team
Meso= Written warning from consultant lead
Micro= Possibility of losing job, being suspended and anxiety surrounding GMC investigation.  Impact on patient outcomes/safety.]]> 2022-03-28 14:08:02 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117245672 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117249354 compassion and partnership 
ethical practice 
alturism 
communication ]]> 2022-03-28 14:09:27 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117249354 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117249420 Compassion 
Working in partnership
ethical practice 
alturism
communication]]> 2022-03-28 14:09:29 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117249420 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117250538 Working in partnership- supporting colleagues who are struggling
Compassion for unwell patients
Ethical practice- leaving unwell patients may compromise patient safety.
Altruism- patients come first
Communication on how to solve task]]> 2022-03-28 14:09:58 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117250538 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117250814 Partnership- important to support your colleagues especially when you perform your duties at different speeds
Compassion, 
Communication]]> 2022-03-28 14:10:05 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117250814 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117251534 I would stay and help.

]]> 2022-03-28 14:10:20 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117251534 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117251815 I would offer to help

]]> 2022-03-28 14:10:28 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117251815 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117253808 Stay and help out. Involve senior colleagues if tasks are complex. 

]]> 2022-03-28 14:11:16 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117253808 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117253968 Stay and help; as this is valuable in assuring optimal patient care, especially when your colleague is behind tasks]]> 2022-03-28 14:11:19 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117253968 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117256985 building team work 
trust
all tasks completed, trust is built with colleague
offer advice and assistance on carrying out the tasks  ]]> 2022-03-28 14:12:40 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117256985 Collaborating to ensure patient gets the best care possible under current circumstances https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117257917 2022-03-28 14:13:04 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117257917 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117258670 Tasks are completed and patients are managed safely. Senior referral is sought for patients with complex problems. 

Better teamwork, build interpersonal relationships, trust are established.

Offer advice, teaching and assistance to colleague so they can learn from the experience]]> 2022-03-28 14:13:25 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117258670 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117266384 Individual= building relationships, trust, being a nice person, chance to get involved in teaching
Institutional= is there a staffing problem? Does the doctor need more support and opportunities to learn new skills in a controlled environment
Council= unless there is no reflective practice and desire to learn, patient safety is compromised, involvement of a governing body would not be warranted]]> 2022-03-28 14:16:46 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117266384 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117270057 Quality improvement project to implement formal handover system, based on previous hospitals systems. Because you will only be present for 6 months at the site, someone should be responsible for completing the audity cycle 6 months after the system is implemented to assess its impact]]> 2022-03-28 14:18:22 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117270057 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117270956 ethical 
lack of communication 

]]> 2022-03-28 14:18:49 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117270956 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117271350 Ethical practice, evidence based medicine, advocacy, communication]]> 2022-03-28 14:19:01 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117271350 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117272135 Implementation of a formal handover system for the hospital]]> 2022-03-28 14:19:20 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117272135 https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117281356 Institutional= audit done under approval of hospitals audit department 
Individual= Communicate concerns about the ineffciency of the current system and past experience with other systems. 

]]> 2022-03-28 14:23:26 UTC https://padlet.com/RCSI_MedProf/wcx3nsvnhwwj303x/wish/2117281356