Revalidation pack



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Revalidation pack

This is a pack of templates to support the revalidation process, including:



Reflective Accounts Form 11

Reflective Accounts Form 13



2 - 3

Template Continuing Professional Development (CPD) record log

4 - 7

Template: Reflective accounts record log



8 - 14

Professional development discussion (PDD) form

15 - 16

Confirmation from a third party form



17 - 19

Practice hours record log

Dates__Method'>Dates__Name_and_address_of_organisation__Type_of_organisation'>Dates

Name and address of organisation

Type of organisation

Scope of practice

Number of hours

Registration

Brief description of work

1st April 2015 –

31st March 2016




Wirral University Teaching Hospital

Arrowe Park Hospital

Wirral

CH495PE


Hospital

  • Management

  • Education

  • Direct Patient Care

1650

Nurse

Working within general medical ward duties include:

Medicine administration including IV

Cannulation, venepuncture, urinary catheter insertion and care, care to support activities of daily living, care assessments (various), referral and support to multidisciplinary team both internal and outside agencies, safeguarding, emergency care, advocacy, support of nursing and medical students, Instructor for ALS and support clinical training on the ward.


1st April 2014 –

31st March 2015




Wirral University Teaching Hospital

Clatterbridge Hospital

Wirral

CH63 4JY


Hospital

  • Management

  • Education

  • Direct Patient Contact

1650

Nurse

Working within general medical ward duties include:

Medicine administration including IV

Cannulation, venepuncture, urinary catheter insertion and care, care to support activities of daily living, care assessments (various), referral and support to multidisciplinary team both internal and outside agencies, safeguarding, emergency care, advocacy, support of nursing and medical students, Instructor for ALS and support clinical training on the ward.


1st April 2013 –

31st March 2014




Wirral University Teaching Hospital Arrowe Park Hospital

Wirral


CH495PE

Hospital

  • Management

  • Education

  • Direct Patient Contact

1650

Nurse

Working within general medical ward duties include:

Medicine administration including IV



Cannulation, venepuncture, urinary catheter insertion and care, care to support activities of daily living, care assessments (various), referral and support to multidisciplinary team both internal and outside agencies, safeguarding, emergency care, advocacy, support of nursing and medical students, Instructor for ALS and support clinical training on the ward



Guide to completing practice hours log:



To record you hours of practice as a registered nurse and/or midwife, please enter you most recent practice first and then any other practice until you reach 450 hours. You do not necessarily need to record individual practice hours. You can describe your practice hours in team of standard working days or weeks. For example if you work full time, please just make one entry of hours. If you have worked in a range of setting please set these out individually. You may need to print additional pages to add more periods of practice.. if you are both a nurse and midwife you will need to provide information to cover 450 hours of practice of these registrations

Work settings (select appropriate setting:

Your scope of practice:

Registration:

  • Care home sector

  • Care inspectorate

  • Cosmetic/aesthetic sector

  • District nursing

  • Education

  • Governing body or leadership role

  • GP practice or other primary care

  • Health Visiting

  • Hospital or other secondary care

  • Insurance/legal

  • Military

  • Occupational health

  • Other community services

  • Overseas

  • Policy

  • Prison

  • Private domestic setting

  • Private health care

  • Public health

  • Research

  • School

  • Specialist (tertiary) care

  • Telephone or e0health advice

  • Trade union or professional body

  • Voluntary sector

  • Other

  • Commissioning

  • Consultancy

  • Education

  • Management

  • Policy

  • Direct patient care

  • Quality assurance or inspection

  • Nurse

  • Midwife

  • Nurse/SCPHN

  • Midwife/SCPHN

Continuing Professional Development (CPD) record log

Please provide the following information for each learning activity, until you reach 35 hours of CPD (of which 20 hours must be participatory). For examples of the types of CPD activities you could undertake, and the types of evidence you could retain, please refer to Guidance sheet 3 in ‘How to revalidate with the NMC’.



Dates

Method

Please describe the methods you used for the activity.



Topic(s)

Link to Code


Number of hours

Number of participatory hours

12th December 2013

Course attendance

Clinical Champions Course – theory and practical

  • Infection control

  • MRSA Bacteraemia

  • Blood Cultures (post course assessment within ward)

  • Venepuncture

  • Cannulation

  • Urinary Catheter Insertion and care

  • PICC line care




Practise effectively

Preserve safety




6 ½ hours

6 hours

4th January 2014

Course attendance

Mandatory Basic Life Support

  • Adult & Paediatric BLS

  • Adult & Paediatric Choking

  • Unified Do Not Attempt Cardiopulmonary Resuscitation Policy overview

  • Emergency Equipment Familiarisation

  • Modified Early Warning Score overview and audit feedback

  • Sepsis

Practise effectively

Preserve safety

Promote professionalism and trust


1 ½ hours

1 ½ hours

Dates

Method

Topic(s)

Link to Code

Number of hours

Number of participatory hours

June 2014

Online Learning

Dementia Awareness Tier 1 Training

  • Awareness & understanding symptoms, recognising signs, challenging behaviour

  • Knowledge of the condition – types of dementia, differences between dementia, delirium, depression etc.

  • Communications, listening skills and supporting people with dementia;

  • Person centred care – sign posting to advice and guidance, medication, ethics, impact on families

Prioritise people

Practise effectively

Preserve safety

Promote professional ism and trust



20 minutes

0

November 2014

Independent Learning

Pressure Sore Management

  • Prevention

  • Grading & assessment

  • Pain management

  • Pressure area management treatments and devices

  • Nutrition




Prioritise people

Practise effectively

Preserve safety

Promote professionalism and trust



4 hours

0

February 2015

Course Attendance

Safer Use of Medicines

  • Theory & Practice of Safer Use of Medicine Administration

  • Anticoagulants

  • Insulin

  • Injectable medications

  • Calculation




Practise effectively

Preserve safety

Promote professional ism and trust


7 hours

7 hours

Dates

Method

Topic(s)

Link to Code

Number of hours

Number of participatory hours

June 2015

Course attendance

Mandatory Basic Life Support

  • Adult & Paediatric BLS

  • Adult & Paediatric Choking

  • Unified Do Not Attempt Cardiopulmonary Resuscitation Policy overview

  • Emergency Equipment Familiarisation

  • Modified Early Warning Score overview and audit feedback

  • Sepsis

Practise effectively

Preserve safety

Promote professional ism and trust


1 ½ hours

1 ½ hours

November 2015

Online Learning

SN@P Education Training Package – linked to Safer Use of Medicines

  • Drug calculation practice

Practise effectively

Preserve safety



2 hours

0

January 2016

Course attendance & Independent Learning

BSc Module – Infection Control

  • ..

  • ..

  • ..

  • ..

  • ..

  • ..

  • ..

  • ..

Prioritise people

Practise effectively

Preserve safety

Promote professional ism and trust



150

15















Total:

Total:













175 hours

20 minutes



34 hours



Guide to completing CPD record log

Examples of learning method

What was the topic?

Link to Code

  • Online learning

  • Course attendance

  • Independent learning

  • Give a brief outline of the key points of the learning activity

  • How it is linked to your scope of practice

  • What you learnt

  • How you have applied what you learnt to your practice

Please identify the part or parts of the Code relevant to the CPD

  • Prioritise people

  • Practice effectively

  • Preserve safety

  • Promote professionalism and trust

Reflective Accounts Form
You must use this form to record five written reflective accounts on you CPD and/or practice related feedback and/or an event or experience in you practice and how this relates to the Code. Please fill in a page for each of you reflective accounts, making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to the NMC guidance on preserving anonymity in Guidance sheet 1 in ‘How to revalidate with the NMC’.

Reflective account:

What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in you practice?


I received a letter that was sent to my ward Sister thanking me for the care I had given to their relative during the End stages of life.


What did you learn from the CPD activity and/or feedback and/or event or experience in you practice?


Several years ago I undertook an end of life training course and this has impacted upon my practice ever since. Is it nice to know that this course and consequently the skills & knowledge I have gained from it have made a difference to both patient and their relatives experiences during the end stages of the patient’s life and their death.


How did you change or improve your work as a result?


I am thinking that I may try and access a more advanced end of life course to enhance and develop my skills further which will directly affect patient and their relatives care. Even though I have had positive feedback there is always room for improvement and I strive for this as end of life care is of upmost importance. This will enable me to teach and support others dealing with clients’ needs.


How is this relevant to the Code?

Select one or more themes: Prioritise people - Practice effectively - Preserve safety - Promote professionalism and trust




Prioritise people

Practice effectively

Preserve safety

Promote professionalism and trust







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