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
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Name and address of organisation
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Type of organisation
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Scope of practice
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Number of hours
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Registration
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Brief description of work
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1st April 2015 –
31st March 2016
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Wirral University Teaching Hospital
Arrowe Park Hospital
Wirral
CH495PE
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Hospital
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Management
Education
Direct Patient Care
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1650
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Nurse
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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.
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1st April 2014 –
31st March 2015
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Wirral University Teaching Hospital
Clatterbridge Hospital
Wirral
CH63 4JY
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Hospital
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Management
Education
Direct Patient Contact
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1650
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Nurse
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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.
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1st April 2013 –
31st March 2014
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Wirral University Teaching Hospital Arrowe Park Hospital
Wirral
CH495PE
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Hospital
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Management
Education
Direct Patient Contact
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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
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Guide to completing practice hours log:
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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
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Work settings (select appropriate setting:
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Your scope of practice:
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Registration:
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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
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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
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Commissioning
Consultancy
Education
Management
Policy
Direct patient care
Quality assurance or inspection
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Nurse
Midwife
Nurse/SCPHN
Midwife/SCPHN
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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
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Method
Please describe the methods you used for the activity.
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Topic(s)
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Link to Code
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Number of hours
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Number of participatory hours
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12th December 2013
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Course attendance
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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
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Practise effectively
Preserve safety
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6 ½ hours
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6 hours
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4th January 2014
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Course attendance
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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
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Practise effectively
Preserve safety
Promote professionalism and trust
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1 ½ hours
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1 ½ hours
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Dates
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Method
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Topic(s)
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Link to Code
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Number of hours
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Number of participatory hours
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June 2014
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Online Learning
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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
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Prioritise people
Practise effectively
Preserve safety
Promote professional ism and trust
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20 minutes
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0
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November 2014
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Independent Learning
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Pressure Sore Management
Prevention
Grading & assessment
Pain management
Pressure area management treatments and devices
Nutrition
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Prioritise people
Practise effectively
Preserve safety
Promote professionalism and trust
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4 hours
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0
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February 2015
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Course Attendance
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Safer Use of Medicines
Theory & Practice of Safer Use of Medicine Administration
Anticoagulants
Insulin
Injectable medications
Calculation
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Practise effectively
Preserve safety
Promote professional ism and trust
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7 hours
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7 hours
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Dates
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Method
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Topic(s)
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Link to Code
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Number of hours
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Number of participatory hours
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June 2015
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Course attendance
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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
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Practise effectively
Preserve safety
Promote professional ism and trust
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1 ½ hours
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1 ½ hours
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November 2015
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Online Learning
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SN@P Education Training Package – linked to Safer Use of Medicines
Drug calculation practice
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Practise effectively
Preserve safety
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2 hours
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0
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January 2016
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Course attendance & Independent Learning
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BSc Module – Infection Control
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Prioritise people
Practise effectively
Preserve safety
Promote professional ism and trust
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150
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15
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|
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|
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Total:
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Total:
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|
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175 hours
20 minutes
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34 hours
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Guide to completing CPD record log
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Examples of learning method
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What was the topic?
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Link to Code
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Online learning
Course attendance
Independent learning
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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
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Please identify the part or parts of the Code relevant to the CPD
Prioritise people
Practice effectively
Preserve safety
Promote professionalism and trust
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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:
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What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in you practice?
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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.
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What did you learn from the CPD activity and/or feedback and/or event or experience in you practice?
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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.
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How did you change or improve your work as a result?
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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.
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How is this relevant to the Code?
Select one or more themes: Prioritise people - Practice effectively - Preserve safety - Promote professionalism and trust
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Prioritise people
Practice effectively
Preserve safety
Promote professionalism and trust
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