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For my reflection, I decided to focus on teamwork and ethics
of healthcare. Teamwork, I decided is a major part of the overall success of
the healthcare system and important to touch on, especially as a place for me
to reflect on to improve my teamwork in practice as it is so important. I think
teamwork especially affects the patients safety, so by reflecting on my
previous team working experiences, I hope to improve patient safety while under
my care. Ethics is also very important, for staff and for patients, unlike
teamwork which will affect the patient while they’re only within my care,
ethical practice follows the patient through-out their journey through the
healthcare system. As a paramedic student, I will be the start of their journey
through the system so by reflecting on my experiences relating to this, I want
to improve my practice ethically which hopefully will translate over to other
professionals work with the patient, to aid them in treatment and to give the
patient the best chance of a quick recovery.

Teamwork is
cooperative or coordinated effort on the part of a group of persons acting
together 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 practice
during an experiment we did in our 101CC experiment called Hollie. Hollie was
an online simulation that, as a group, me and my peers in my 101cc session had
to plan out her care regime between us all to make sure Hollies’ care was at
optimum level. I and my peers had to look after Hollie and manage her care for
a week, however this did not quite go as planned, as we didn’t always stick to
the plan and some elements of hollies care got forgotten. I believe this is
because, as a newly formed group, not all of us had established roles in our
team, as shown by Belbin’s model of team roles.

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Some of our
team took roles on very quickly, such as the coordinator – someone who
delegates most of the work and the implementer – someone who makes a plan for
the team to follow (Belbin.com, 2018). However, I did not have time to fall
into any of these roles, and therefore didn’t contribute to the team nearly as
much as I could have in that week period. I felt quite useless as I didn’t
contribute very much at all to the team effort, and it made me feel frustrated
as with groups I am familiar with, I feel like I am a valuable member of the
team. Of course, as the work load was equally distributed, I did have an impact
on 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 contributing
to the group, I did not get much out of the experience, as shown by this
diagram.

Fernandez at al (2008) also suggests that what outputs you
get from the first experience, feeds into the inputs for the next experience,
showing how groups adapt from situation to situation. I believe I reacted this
way because the groups were very quickly put together and as I didn’t know
anyone 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 team
so I could participate a lot more and feel more secure in the group. Using this
will massively impact the way I react to new team members on the road, by
making sure I get stuck in as soon as possible and have an open mind to new
members, and listen to them expressing strengths and weaknesses verbally, so we
can work as efficiently as possible. As stated in the HCPS guidelines for
paramedics in section 9, the ability to work appropriately in a team is
essential 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 your
ability while being a part of these multi-disciplinary team (hspc-uk.org,
2018).

Ethics are the rules of conduct recognized in respect to a
particular class of human actions or a particular group, culture etc
(Dictionary.com 2018). I undertook a placement at a hospital and this module
helped me reflect on that placement properly and understand what happened. As I
am only a student, and I was under 18 at the time, I couldn’t do very much at
the hospital, apart from fill out certain records like liquid intake, urine
output, how much they eat etc. I had very basic training in subjects like
manual handling of objects such as boxes and fire safety. I was called on by a
patient, an elderly man, who wanted to get out of his chair and into bed, but
said he couldn’t lift himself. As I was not properly trained, I didn’t attempt
to help him, but tried to explain that I couldn’t help him. The man got very
frustrated at me, and wasn’t listening to what I was saying, so I left him to
get a HCA (health care assistant). I felt quite vulnerable as the man got
aggressive, and I wasn’t sure if I was doing the right thing by repeatedly
saying no, even when he got angry. I had to interrupt another member of trained
staff to help him, which I felt guilty about as everyone was so busy with other
patients on the ward. I now know I did the right thing, as the module showed I
could do more harm than good to the patient and myself by doing something I am
not trained for. What wasn’t great was my communication with the patient, I
didn’t tell him soon enough that I wasn’t trained medical staff, so when I did
tell him he was already angry and frustrated, which lead him to not listen to
me from then on. I should have told him straight away that I was not a nurse or
staff, and I shouldn’t have assumed he knew I wasn’t staff due to the way I was
dressed, as he had seen me working with the staff for the last few days. I will
use this to ensure I let the patient know what I can and cannot do, as soon as
the opportunity arises, to avoid confusion and conflict. This was a valuable
reflection as I can now do the right thing confidently and effectively to avoid
any unnecessary distress to the patient which is very important in the
emergency setting. It is very important to manage the risk of the patient,
myself and members of the public, by identifying risks and minimising them
whenever possible (Hspc-uk.org, 2018).

I will use this reflection to improve my practice, by making
sure I am confident with my team and voicing any concerns I have with them, as
well as making an active effort to explore our strengths and weaknesses during
our time together to make sure we deliver effective service to our patients. I
will also make sure I am clear and concise when telling my patients what we can
and cannot do, to avoid any confusion or misunderstanding while working
together 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.

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