EMHS Flashcards
Why I want to work here
• visions align with my own personal values
• commitment to providing high quality, patient centred care to all individuals
• believe we need to work with patients, listen to their feedback in order to provide the best care for each individual
• believe important to strive for continued improvement, take opportunities to further learning and gain new skills to provide best service
• value commitment to practising culturally safe care and developing services specific for Aboriginal Australians
• education for new-graduates and professional development opportunities
• opportunity to work in variety of clinical settings
VISION
Healthy people, amazing care
• healthy people – committed to ensuring that staff, patients and community have access to comprehensive health care services in order to maintain a healthy life
• amazing care – providing a high-quality service, taking on feedback from patients and consumers, mplementing practises that ensure continued development and improvement of service.
• celebrate diversity and different cultures, share vision in Noongar language
VALUES
Kindness
Collaboration
Excellence
Accountability
Integrity
Respect
Values - Kindness
Kindness – demonstrate genuine care and compassion to patients, consumers and colleagues to ensure that they feel safe and supported
• for patients and consumers, allows us to help them feel that their needs as an individual are being recognised
• for colleagues, recognise that we are all working together, need to help each other so that we can ensure best care delivery for patients
My practise
• implementing kindness in care means prioritising listening to my patient’s concerns and supporting them however I can
• even if very busy – if someone needs comfort or someone to listen to, I always make the time to be that person
Example
• S – patient SCGH oncology, family member visiting, visibly distressed about their mother who was experiencing delirium
• T – reassure family member and provide them with information that I could
• A – asked them if they would like to have a chat/ask questions
• A – discussed current physiotherapy plan and patient level of function, explained delirium
• A – discussed what our plan was from MDT, ensuring that I only gave information that was within my scope of knowledge and practise
• A – asked family member if would like family meeting – arranged at next MDT
• R – by taking time out of day, comforted and reassured individual, visibly more relaxed and in control, achieved better patient outcome through coordinated plan
Values - Excellence
Excellence – striving to do better, constantly improving way deliver services in order to deliver high quality health care
My practise
• I use a number of different strategies to ensure that I always provide high quality service to my patients, and that I am constantly improving upon my practise in order to achieve excellent care
• preparation – prior to seeing patient/meeting, ensure that I am equipped with necessary knowledge and skills beforehand, and that I have all information that I need in order to be successful
• structured approach – ensure that prior to each session or meeting, that I have a mental checklist of what I need to achieve in order to guide my actions.
• self-reflection – take time to reflect at the end of each day, how successful my actions were and what I need to do in the future in order to improve
• feedback – seek feedback from patients, supervisors and colleagues so that I can continue to better my actions
• evidence based practise – remain up to date with current literature by accessing articles via online data bases, taking part in any developmental opportunities that are provided to me, implementing what I learn into my practise.
Values - Respect
Respect – means different things depending on whether I am working with patients or with colleagues
• patients – acknowledging that they are an individual, listening to and incorporating their concerns/wants into my practise, means communicating clearly, conducting shared-decision making in order to involve them in their care
• colleagues – understanding the role of each individual in the MDT and recognising the expertise each member has in their area. It means communicating clearly, both verbally and through documentation, and working as a team to create best solutions for patients.
Example – Patient
• S – Fremantle Hospital, in charge of discharge planning for a patient. I believed that patient needed to go into residential care, they and their family were adamant that they wanted to go home.
• T – in this situation, respect meant listening to what they wanted despite my own beliefs, in order to explore all options that could make what they wanted possible
• A – arranged family meeting with patient, family members and other members of MDT
• A – created a plan and list of goals that would need to be achieved if this patient as to go home safely
• A – for physiotherapy, involved creating specific goals for their function for example being able to walk 20m independently with their walker as this was the longest distance in their home, and being able to walk up 3 steps with their walker as this was at the entrance to their home
• R – by respecting my patient’s wishes despite my own beliefs, I was able to help create a plan that was safe whilst also achieving what they wanted. This ultimately motivated my patient to participate in their rehabilitation, and we were eventually able to achieve those goals and get them home safely.
Values - Integrity
Integrity – means doing the right thing all of the time, even if no one is watching
• means we hold ourselves as individuals to a high standard of practise, that ultimately allows us to deliver the best care to patients
My practise
• ensuring documentation is in the correct format, accurate and always completed on time
• means doing the small but important things such as returning any equipment that I might have used after I have used it, ensuring that any shared equipment has been correctly cleaned, practising good hand hygiene and PPE donning/doffing
• means not taking any short cuts and taking the extra step to ensure my patient is as safe as possible.
• checking medical chart, vital signs
• appropriate footwear/socks
• arranging extra assistance if patient requires more than x1 assist
Values - Accountability
Accountability – means taking responsibility for all of my actions and also any mistakes that I might make, and then actively taking part in the processes that might be required to fix those mistakes.
My practise
• clearly and accurately documenting all of my actions
• as a student – getting my supervisor to check all of my documentation before submitting it
• means clearly communicating my actions to my supervisor and taking ownership of what I did/didn’t do
Example – occasion where a patient needed to have a full postural BP taken, and I forgot to take their standing blood pressure. When writing the notes for my session, I realised my mistake, instead of fabricating a number I explained what I did to my supervisor, apologised, and ensured that I clearly documented my actions in my notes.
Values - Collaboration
Collaboration – working with consumers and community in order to create a healthcare service that directly addresses and serves their needs
• individual level – means working with patients and their families to create shared, individualised goals that guide my practise in order to achieve patient-centred care
• community level – means ensuring that I have the appropriate training and skills required to provide culturally safe care for different groups within our community
• for example – for Aboriginal Australian patients, means taking part in workshops/cultural training opportunities
• implementing this knowledge not only in my work as a physiotherapist but also outside of work as well
• working with Aboriginal liaison officers/linking patients to different support within the hospital
• being aware of power imbalance between healthcare provider – patient
• listening to patients and recognising that they are the experts – they know what is best for them and their community
Teamwork
Teamwork – effective member of the MDT
• understanding and respecting the roles of my colleagues
• understanding my own role within the MDT
• clear and transparent communication
• approaching all problems with the mindset that I am part of a team, and therefore we have to work together in order to create shared solutions to any problem
Example
• S – placement at Fremantle hospital, arranging discharge for a patient. Believed that they required more OT intervention in order to facilitate safe discharge
• T – recognised that I was not an expert in this area, needed to communicate my concerns to my colleague
• A – arranged time with OT where we could discuss matter
• A – approach ‘us against the problem’
• A – described my concerns and asked for their opinion
• A – OT agreed, from then on conducted joint OT/PT sessions where we could implement our shared plan together and create goals for treatment that aligned with each other
• R – ability to effectively communicate my concerns whilst respecting role of my colleague meant that we were then able to work together to create best outcome for this patient
Communication
Communication – ability to communicate clearly and concisely with both patients and colleagues is one of my strengths
• patients – ensure that I use patient-friendly language, that I am transparent, and that I always explain what we are doing in our sessions and why.
• patients – pay attention to their non-verbal cues, listen to their concerns, always make sure I check for understanding
• colleagues – clear and concise, in handovers/MDT meetings, means giving a clear summary of my management of a patient that includes only the relevant information that my colleagues need.
Example – patient and family
• S – patient at Fremantle Hospital, family and patient keen for patient to discharge home, view of medical team that it was safe to do so, however from a physiotherapy perspective, not at functional level to discharge home safely
• T – communicate my concerns to patient, family and medical team
• A – at MDT, explained my concerns to the team, reasons why I believed it wasn’t safe for them to go home yet, what was required in order for it to be safe and how I would achieve it.
• A – asked patient and team for permission to contact family via phone to explain
• A – communicated concerns to family member, ensure to be reassuring that the patient only needed a few more days, and that this was to make sure we were being as safe as possible
• A – once family member on board, able to discuss with patient and explain to them the new plan
• R – via communicating effectively my concerns and my plan for this patient, I was able to get everyone involved on board and was able to rehab this patient to a level of function that ensured they were safe to go home.
Time Management
Time management/Caseload – strong time management and organisational skills enable me to effectively manage an independent caseload
• beginning of each day, prioritise my patient list
• structure day according to list, ensuring to place high priority patients at the beginning of my day
• arrange times with other members of MDT if I need to do a joint session with a patient
• create a plan for each session with main things I need to achieve, in order to remain on task
• ensure I leave enough time in my day to do necessary documentation and paperwork
• remain flexible – able to adapt to changing circumstances in order to still optimise my time if I am unable to follow my plan for the day
Leadership
Leadership – my experiences through volunteering, work and through sport have provided me with the opportunity to develop strong leadership skills
• take initiative, delegate tasks to others, communicate clearly and ensure that I lead by example by maintaining a high quality of my own work
Example
• work as a sports trainer, had to use leadership skills to ensure safety of the players
• S – in charge of managing two amateur soccer teams. During one of our games, a player on the other team suffered a head injury and became unconscious. Other team didn’t have their sports trainer present, I was the only person with medical training.
• T – take control of situation and tell others how to best help me manage this player
• A – telling coach of other team who I was and if I could help
• A –delegated tasks to others – explain to referee game had to be stopped/moved, asked someone I knew I could trust to call an ambulance, asked someone else to clear area whilst I tended to the player
• A – ensured that I remained calm and communicated clearly in order to remain in control of the situation
• R – by taking control, communicating effectively and remaining calm I was able to get others to follow my instructions so that I could provide the player with the care he needed and ensure his safety.
Patient Safety
Patient Safety – upholding values of integrity, accountability and excellence in order to provide high quality care that prioritises safety of my patients
• necessary knowledge and skills
• not going beyond my scope of knowledge and skills
• correct and accurate documentation
• paying attention to small details – environment, correct equipment, faulty equipment
• practising good hand hygiene and other practises to prevent infection such as correct donning/doffing of PPE
• checking medical chart, checking their vitals if I am concerned
• falls-prevention techniques
• never placing myself in a situation where I would be alone with a patient if something went wrong
• assessing and addressing the potential risks of any situation
Example – needed to assess patient’s ability to walk up flight of stairs
• stair well at end of corridor, no one else present
• asked another physiotherapist to be present whilst I conducted the assessment just in case something went wrong
Quality Improvement
Quality improvement ¬– the regular reviewing and evaluating of procedures and practises within an organisation, in order to constantly improve upon them and ensure the delivery of a high-quality service
• self-reflection of own practise
• taking on feedback from patients, colleagues and supervisors
• participating in any organisation run quality improvement strategies
• plan to implement these into my work
Example
• S – practical placement at Senses, during peak Covid, driving to home visits and had a lot of occasions where client would cancel/not be there when I arrived
• T – wanted to implement strategy that would ensure client was able to attend appointment before I went to see them
• A – asked supervisor for permission to access client contact details, so could remind them of session day before in order to ensure they were available
• R – meant that I was able to optimise my own time, reschedule any appointments that were cancelled
