Analysis of Service Coordination and Leadership in Healthcare Setting

This report provides a detailed account of a healthcare professional's skills and experiences, reclassifying their work within the context of service coordination, quality and safety, leadership, and clinical teaching. The author demonstrates their abilities through numerous real-world examples from their time at Calvary Public Hospital, including managing critical patient situations, coordinating care across different departments, and ensuring patient safety. The report highlights the author's proactive approach to problem-solving, their ability to adapt to challenging situations, and their commitment to continuous improvement. Examples include managing medication errors, handling patient emergencies, and implementing safety protocols. The report also emphasizes the importance of leadership in healthcare, showcasing the author's ability to make critical decisions, guide staff, and advocate for patients. The author's experience in palliative care and their attendance of relevant courses are also mentioned. The report underscores the significance of clear communication, teamwork, and a patient-centered approach to healthcare delivery. The document provides a comprehensive overview of the author's contributions to patient care and the healthcare environment.

Reclassification Of
My Works

Table of Contents
COORDINATION OF SERVICE...................................................................................................1
QUALITY AND SAFETY..............................................................................................................2
LEADERSHIP.................................................................................................................................3
CLINICAL TEACHING.................................................................................................................4

COORDINATION OF SERVICE
Regularly act as shift coordinator on am/pm shifts and Updating care plans/excel care
I have various skills such as academic, coordination, time management etc. With the help
of all these skills I always tries to complete all the tasks which are provided to me at workplace
on time so that I can meet my career goals. Working in Calvary Public Hospital provided me
practical experience of handling patients who are dealing with specific disease. With the help of
it my abilities of understanding needs of patients have been enhanced.
Example: While I was working in the hospital a patient is taken to it and directly shifted
to the ICU ward. When we were shifting to the ward then other staff members at the hospital
doesn't mentioned about his Cardiac Monitoring. When I was planning for the treatment I
realised that the patient requires such type of monitoring because it can help to determine the
problem which has resulted in the serious health issue of him. In this situation I contacted to the
senior doctors in the ICU and asked them to for Cardiac check. At that time there was no bed
available in the hospital so I contacted to the manger who can arrange bed in the ward. I arranged
the bed and tried to analyse all the health issues of the patient.
Example 2: When I was working in night shift then I listen a voice of screaming. I
entered in the ward and analysed that the patient is dealing with lot of pain. I asked the hospital
staff for pain killer but they were out of stock. In order to provide best treatment to the patient I
transferred him to nerve block with the help of MET team. It has helped to control the pain of
him and provide him relief.
Example 3: At the time of my service in the hospital a patient is admitted to the hospital
who is having a rare disease combination which is DKA + HSS. As I was not that much
experienced so I do not have any instructions regarding treating this type of problem. In order to
deal with such situation I called senior doctor to take treatment plan from him. Due to some
issues he was not able to give it. As I was examining the patient so it was my duty to provide
appropriate treatment to him. Afterwards I called Entocrine Registrar so that I can get a detailed
plan of care for the patient. On the call I explained the situation to him and received a proper
guidance for the individual. With the help of the document which was received from registrar I
gave BGL to the patient so that the insulin infusion could be adjusted.
Example 4: When I was working in the hospital then a patient is admitted to the ward
and and decided to withdraw from treatment. The relatives of patient does not have any
1

information regarding e process so it was explained by me to them. With the help of it he will be
able to get proper care at home also.
Example 5: A patient was admitted to the ward with a compels bedsore and at the same
time the wound was not able to heal well. In this situation I referred to the nurse for follow up.
Example 6: A patient was in the insulin infusion and the doctors were willing to do a
Dialysis I was not sure for the same so I checked the Ketones and BGL and communicated with
doctors that if Dialysis is done then BGL may drop and result in Hypoglycaemia. The doctor was
not agreeing with me so I asked him to interact with consultant and discuss the issue at the end
the dialysis is conducted without insulin.
Example 7: When I was in the hospital a patient was transferred to the hospital overnight
and the doctor who was handling him was not aware regarding the protocol of treatment. As an
experienced person I provided him information regarding the treatment so that he can handle
situations.
Example 8: While I was in the service of hospital on one weekend the peritoneal fluid
run out of stock which was not in the hospital, I contacted the security and asked them to arrange
it so that appropriate treatment could be provided to patients.
Example 9: In the hospital one patient was on ATG infusion and requires special filter. I
contacted to ICU for specific medicines which were unavailable. In this situation I contacted to
pharmacist to arrange the medicines.
Example 10: In my service period in hospital temperature of a patient was spiking up
and I contacted to a doctor to handle the patient. The doctor refused to attend the patient so I
decided to cal MET so that the patient can get proper treatment. The team reach to the ward and I
explained the situation to them.
There are various courses which were attended by me to provide best treatment to all the
clients of mine. Some of the are as follows:
 Infection Control Update day – Flinders Uni – Feb 2011
 Diploma in palliative care enhanced practice – dying and bereavement (UK) 2003
 Infection control Link nurse 2 day course - DOH – Feb 2010
QUALITY AND SAFETY
I have effective skills to deal with several challenging behaviours of patients in order to
provide the proper treatment. It includes my ability to change decision of appointing staff and
2

manage their working shifts for delivering appropriate care to people for their wellness.
However, I completely understand the situation by working in Calvary Public Hospital in which
family should be involved for making client stable as well as calm. Moreover, I am much
capable to make correct decisions in certain complex situations to provide desired medication to
patient for their wellness.
Example 1: When I was dealing with a patient who is on medication of Hydromorphone
liquid during coordination at night shift. He was feeling severe pain and immediately needs
Hydromorphone but the bottle of this medication is almost empty with few drops in DDA
cupboard. Meanwhile, it has been analysed that documentation is wrong in DDA register and I
prefer to immediately inform to nurse consultant about this mistakes then went to another ward
to get medication along with changing DDA requisition form. In addition to this, by this step
patient get required medication on time and it will helps to manage the pain in appropriate way.
Moreover, it is observed that SLS has been done about wrong documentation and staff education
organised in order to make people learn to proper documentation of DDA.
Example 2: A patient was admitted who was afraid of MRI machine due to which staff
get hit or punch by that individual and failed to conduct MRI twice. This patient has denying
every kind of care and medication from few days as per the hand over. I have approached the
person and realise about language barriers which create more problems and try to communicate
with him that facilitate to make patient compliance with care as well as medication. It is
favourable to understand actual needs of an individual so that I have provide information to his
wife to remain present during the process of MRI because that person is scared of MRI machine.
Furthermore, I hand over that patient to staff and communicate to them about effective ways of
dealing with him for delivering proper medication. Additionally, I prefer to allocate staff who
can understand language of a sick person for the rest of their staying in the hospital properly.
Example 3: I prefer to use effective practices and policies along with guiding others to
attempt correct activities for maintaining quality of health. One day, when I was working with
MET team and one of the members use to discard blood culture and blood tubes in ward waste
bin which was not correct place to put these objects. However, I prefer to convey them that these
bottles should not put in ward waste bin and yellow sharp containers are required to be used for
this aspect.
3

Example 4: My habit of focussing on several aspects to be improved which helps to
increase quality of care in hospital. I have observed that medication trolley was left by staff in
corridor whose lock is not working then I put a sticker on it by putting information about its
condition. I also prefer to convey about that box to biomedical team to fix the trolley for further
use.
Example 5: It is habitual for me to determine risk factors and try to reduce hazardous
incidents. I have observe that cleaners haven't put near miss sign after cleaning and a patient was
waling with her frame from there then I stop her by telling about wet floor and put near miss
sign. I also provide information about this problem to PSA to reduce risky incidents.
Example 6: While working in hospital, I have observed that a patient was taken for X ray
who was connected with oxygen which was not turned on as the PSA was new. I use to inform
PSA about it after turning on the oxygen and make PSA understand to recheck patients properly
because it is a significant part of safety.
Example 7: I have observed that Resus check was avoided most of the day because of
busy schedule of staff which is important to be conduct everyday in Renal ward and also analyse
about complex procedure of documenting Resus. I use to make discussion with NUM about this
aspect and introduce fresh checklist that should be documented daily during Resus check and
place it in all the rooms.
Example 8: While working for sick and geriatric patients, I have observed IV poles are
not available and pump was not charge which are required in emergency condition and MET
team was unhappy due to clutter around the patients. I also determine that patient is suffering
from pain and ringing the bell and it was not working. However, I place new bell for that person
and put a term i.e. TIDY which describes all the issues that should be checked and improve
regarding safety of staff as well as patients.
Example 9: During work in Palliative care, it is observed that there is a gap between
mattress and patient bed which may impact negatively on patient security. I use to inform NUM
and shift coordinator to organise the bed and another mattress favourable for that individual.
Example 10: I am very much aware about escalation of patient with dementia and
confusion. It is observed that patient hits female nurse due to his excess aggression them I have
realised that he belongs to male dominant country. I inform to the team about situation and
request for male nurse for that patient that helps to deal with situation easily.
4

Example 11: One day, I have observed that PSA leave dinner trolley on top of skip that
is filled by soiled linen which is very unhygienic. It increase risk of infection and renal patients
are immunocompromised then I informed to PSA leader about this incident and tell him to
ensure such incident won't be happen again.
There are various situations that are dealt by me in order to provide accurate care for
patient in which some of them are given below:
 Immediately inform to consult nurse about wrong documentation of DDA and change it
for providing Hydropmorphone to patient on time.
 Organise learning and education session for staff to conduct DDA documentation
properly.
 Involve patient family to reduce fear of MRI to conduct clinical activities for well being
of patient.
 Allocate staff who can understand language of patient to improve their comfort level.
LEADERSHIP
Leadership skills are very important at work place for dealing with various complicated
situations to improve patient's condition. I have leadership qualities which helps me to lead at
work while working in Calvary Public Hospital. However, it is easy for me to analyse actual
situations or circumstances and focus on patients needs to make an accurate decision for
providing correct treatment on time.
Example 1: I was working in weekend shift where we have run out of Peritoneal Fluid
which was not anywhere in stock. Suddenly, I have analysed that one person was on ATG
infusion that needs specified filter then ICU, 5F and 5G was contacted where it was not
available. Meanwhile, however, I have evaluated that patient need special filter immediately then
I have decided to convey about this to pharmacist and rang the pharmacy in terms of organising
the same for starting the infusion for welfare of an individual. Moreover, it is necessary to take
action for wellness of an individual because delay in management of filter may create
complications in their condition which become quite difficult to deal with for making patient
stable again.
Example 2: When I was attending my working shifts then one of the outlier patient
temperature was rising up due to which he becomes symptomatic. I have decided to immediately
take blood & blood cultures and paged to associated physicians regarding that person who refuse
5

to attend because that patient is under surgical team and I was still paging to linked medical
teams without receiving any response. Moreover, I have finally make decision to call MET team
regarding safety of patient and they arrived to start on antibiotic. Furthermore, I provide
information to them about overall scenario of the person and them Met team appreciate my
efforts.
Example 3: A patient was admitted who was received from emergency department (ED)
and was prescribed for Resonium as stat order. I used to check blood report of patient and
realised that the blood has not sent by emergency department which was confirmed with SA
pathology. Then I prefer to contact with associated doctor and recommend them to provide blood
prior in order to stat resonium. However, after receiving the blood report with normal Potassium
and with held the Resonium. Moreover, I perform with proper concentration and confirm from
other relevant departments regarding specific case of patient for making accurate decision about
their treatment procedures.
Example 4: The cupboard of DDA is observed to be conjusted with discharge patient
DDA in Renal ward which become an issue from last few years. I have analyse it and provide
new way for dealing by putting a Magnet on patient journey during the locking-up patient DDA.
It can be solved and improve effectiveness of clinical practices.
Example 5: MET team prescribed for Actrapid with DEXTROSE for Hyerkalemia and
night staff provide the dose. Next morning, I have analysed that same medication was mentioned
on stat chat. I prefer to inform the team immediately that they should not provide medication
before evaluating blood report normal with Potassium.
Considering above example, I have taken several steps which are favourable in case of
patients conditions in which some of them are explained further:
 My decision of contacting with pharmacy production to organise filter due to
unavailability of it for wellness of patients.
 It includes my contact with MET team due to not receiving response from any other side
to provide immediate treatment of patient.
 I have analysed thoroughly about blood report and suggest cover doctor to sent correct
blood report prior to stat Resonium.
6

CLINICAL TEACHING
Clinical teaching and education is important in terms of increasing skills and abilities to
staff that make them confident to face different situations properly. I prefer to teach several
clinical aspects to new employees and make them capable to deal with challenging
circumstances while working in Calvary Public Hospital.
Example 1: After hand over charge to other staff by coordinating in Sunday shift, I have
analysed that a patient was died early in the morning and this case is going to be coroners court.
It is observed that family is shouting on nurse and doctors but when I have checked about
allocation then there is a new EN was allocated and she get stressed and exhausted. However,
then I determine the progress notes are not clearly documented then I ask employees to make
clear documentation and provide that information to new staff & guide her by telling significance
of data along with conveying whole scenario of patient's case.
Example 2: I prefer to educate fresh staff members, students and TPPP about the way of
calling MET team. It is suitable in context of improving their confidence to deal with emergency
conditions in appropriate manner. However, it is favourable to make new staff capable to deal
with critical cases of people in proper way.
Example 3: I use to provide education to new employees i.e. TPPP regarding various
access of Haemodialysis with it significant. I also explain about utilisation and way of sterile
dressing by reminding staff that any medication should not be given through these lines.
Example 4: I have observed that trolley of medication was unlocked and left in the
corridor most of the time. I prefer to make NUM and team leaders informed about it and tell
them remind staff at the time of huddle.
Example 5: One day, I have noticed that a patent had a fall and staff is not able to follow
the protocol then I use to explain them about the same. I also prefer to print polices and protocol
of hospital and put it on education board fro other employee to read.
Example 6: I use to properly explain about utilisation and side effects of Erythropoietin
injection after doubt of TPPP staff regarding the same which make them confident.
Example 7: It was determine that a senior staff has been asked to stay back fro double
shift because there is patient of CAPD who requires CAPD over night. I use to discuss about it
with NUM and organise training programme for staff related to CAPD to make them able to
solve double shift working problem.
7

Example 8: It has been analysed by me that urology patient were coded as FASTING in
ATS then team leader did not changed ATS on time due to having busy schedule due to which
not meal was provided for post surgery patients. I take initiative and educate unaware employees
about coding to update ATS for getting correct meal on time for sick individuals.
Example 9: I have decided to teach staff regarding utilisation of new IV pumps
introduced to staff as they are struggling to use from a long time.
Example 10: I use to refer phone calls for trouble shoots to the Endocrinologist when I
was not suer or need clarification regarding diabetic hot lines. It is helpful for me to provide
proper guidance to patient or their family members.
Example 11: I asked staff members to thoroughly observe and learn the way of vascath
dressing/removal/permacath dressing when I was doing so to analyse the method of maintaining
sterile technique. My experience of clinical education helps to teach new staff and my current
Certificate IV in training & assessment make me more confident to educate people.
Educational aspects attempt by me are as follows:
 Convey case scenario of critical patient and importance of relevant data to new EN.
 I use to provide information to call MET team.
8