For my reflection, I decided to focus on teamwork and ethicsof healthcare. Teamwork, I decided is a major part of the overall success ofthe healthcare system and important to touch on, especially as a place for meto reflect on to improve my teamwork in practice as it is so important. I thinkteamwork especially affects the patients safety, so by reflecting on myprevious team working experiences, I hope to improve patient safety while undermy care. Ethics is also very important, for staff and for patients, unliketeamwork which will affect the patient while they’re only within my care,ethical practice follows the patient through-out their journey through thehealthcare system. As a paramedic student, I will be the start of their journeythrough the system so by reflecting on my experiences relating to this, I wantto improve my practice ethically which hopefully will translate over to otherprofessionals work with the patient, to aid them in treatment and to give thepatient the best chance of a quick recovery.Teamwork iscooperative or coordinated effort on the part of a group of persons actingtogether as a team or in the interests of a common cause (Dictionary.com, 2018).
Teamwork is a very important aspect of healthcare, which was put into practiceduring an experiment we did in our 101CC experiment called Hollie. Hollie wasan online simulation that, as a group, me and my peers in my 101cc session hadto plan out her care regime between us all to make sure Hollies’ care was atoptimum level. I and my peers had to look after Hollie and manage her care fora week, however this did not quite go as planned, as we didn’t always stick tothe plan and some elements of hollies care got forgotten. I believe this isbecause, as a newly formed group, not all of us had established roles in ourteam, as shown by Belbin’s model of team roles. Some of ourteam took roles on very quickly, such as the coordinator – someone whodelegates most of the work and the implementer – someone who makes a plan forthe team to follow (Belbin.
com, 2018). However, I did not have time to fallinto any of these roles, and therefore didn’t contribute to the team nearly asmuch as I could have in that week period. I felt quite useless as I didn’tcontribute very much at all to the team effort, and it made me feel frustratedas with groups I am familiar with, I feel like I am a valuable member of theteam. Of course, as the work load was equally distributed, I did have an impacton Hollies care, even if it was the bare minimum. I did feel like as a group,we did struggle through the week, even though Hollies health was above 95%consistently. I believe this happened because I did not feel comfortable contributingto the group, I did not get much out of the experience, as shown by thisdiagram.Fernandez at al (2008) also suggests that what outputs youget from the first experience, feeds into the inputs for the next experience,showing how groups adapt from situation to situation.
I believe I reacted thisway because the groups were very quickly put together and as I didn’t knowanyone in the group, I did not feel confident enough to input appropriately.By planning group meetings before the task of Hollie arose,to get to know everyone in the group and understand each other’s personalities,strengths and weaknesses, would help me understand where I fit within the teamso I could participate a lot more and feel more secure in the group. Using thiswill massively impact the way I react to new team members on the road, bymaking sure I get stuck in as soon as possible and have an open mind to newmembers, and listen to them expressing strengths and weaknesses verbally, so wecan work as efficiently as possible. As stated in the HCPS guidelines forparamedics in section 9, the ability to work appropriately in a team isessential to being a paramedic, with teams being made up of other professionals,carers and service users, as well as being able to work to the best of yourability while being a part of these multi-disciplinary team (hspc-uk.org,2018).Ethics are the rules of conduct recognized in respect to aparticular class of human actions or a particular group, culture etc(Dictionary.com 2018). I undertook a placement at a hospital and this modulehelped me reflect on that placement properly and understand what happened.
As Iam only a student, and I was under 18 at the time, I couldn’t do very much atthe hospital, apart from fill out certain records like liquid intake, urineoutput, how much they eat etc. I had very basic training in subjects likemanual handling of objects such as boxes and fire safety. I was called on by apatient, an elderly man, who wanted to get out of his chair and into bed, butsaid he couldn’t lift himself.
As I was not properly trained, I didn’t attemptto help him, but tried to explain that I couldn’t help him. The man got veryfrustrated at me, and wasn’t listening to what I was saying, so I left him toget a HCA (health care assistant). I felt quite vulnerable as the man gotaggressive, and I wasn’t sure if I was doing the right thing by repeatedlysaying no, even when he got angry. I had to interrupt another member of trainedstaff to help him, which I felt guilty about as everyone was so busy with otherpatients on the ward. I now know I did the right thing, as the module showed Icould do more harm than good to the patient and myself by doing something I amnot trained for. What wasn’t great was my communication with the patient, Ididn’t tell him soon enough that I wasn’t trained medical staff, so when I didtell him he was already angry and frustrated, which lead him to not listen tome from then on. I should have told him straight away that I was not a nurse orstaff, and I shouldn’t have assumed he knew I wasn’t staff due to the way I wasdressed, as he had seen me working with the staff for the last few days.
I willuse this to ensure I let the patient know what I can and cannot do, as soon asthe opportunity arises, to avoid confusion and conflict. This was a valuablereflection as I can now do the right thing confidently and effectively to avoidany unnecessary distress to the patient which is very important in theemergency setting. It is very important to manage the risk of the patient,myself and members of the public, by identifying risks and minimising themwhenever possible (Hspc-uk.org, 2018).
I will use this reflection to improve my practice, by makingsure I am confident with my team and voicing any concerns I have with them, aswell as making an active effort to explore our strengths and weaknesses duringour time together to make sure we deliver effective service to our patients. Iwill also make sure I am clear and concise when telling my patients what we canand cannot do, to avoid any confusion or misunderstanding while workingtogether to avoid unnecessary distress. Development Topics (2 topics) Action Plan Goals (4 goals) Measurement of Success Target Date Evidence of Achievement Teamwork Ethics -Be more involved in the team as a proactive an valuable member, putting myself forward and attempting to do things without direct instruction.
-Take a leadership role within the team successfully and complete a job with minimal guidance -Make sure the patients and family members are fully aware that I am a student paramedic and what I can do as a student is very restricted. -I must always ensure all tests are done correctly and all data recorded is accurate and relevant to the patient. -Have a direct positive impact on a patient while working in a team, making sure I use my skills to my best ability to aid the team in helping the patient. -Lead a job independently and confidently while out on placement, directing the team to areas where I need assistance promptly and efficiently. -Receive minimal misunderstanding and confusion from patients or family members with full capacity when standing idly in stressful situations -Always complete relevant tests and fill out all forms correctly, never guess/assume test results and always double check if im unsure.
During placement – 26/02/2018 – 10/06/2018 During placement – 26/02/2018 – 10/06/2018 -During placement – 26/02/2018 – 10/06/2018 -During placement – 26/02/2018 – 10/06/2018 Report from my mentor of my participation at work increasing. Write my own reflection on the first job I do as a leader with minimal guidance from my mentor. -Receive no complaints and write a report on my interactions with patients, as well as reflections. -Report from my mentor of the correct tests taken and accuracy of results noted down.