Revalidation pack



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Reflective Accounts Form

You are required to record a minimum of five written reflections on the Code, your CPD and practice-related feedback, as outlined in ‘How to revalidate with the NMC’. Please fill in a page for each of your reflections, ensuring you do not include any information that might identify a specific patient or service user. You must also discuss these reflections as part of a professional development discussion (PDD) with another NMC registrant and may be required to upload a signed PDD form.



Reflective account:

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


The patient was newly diagnosed with end stage renal failure and had been finding it hard to come to terms with the constraints on his lifestyle. I made time to sit and chat to the patient, to go through his concerns and to check that he fully understood about the diet and fluid restrictions. But, to also explain that the situation will get better and he may well be able to return to work and go on holiday again. I explained that the staff are here to help and there is a patient support network. The patient came to time the next week to say that he really appreciated the time that I had spent with him. He felt much better about everything. He also had a better understanding of his diet and fluid restrictions which were making him feel better. He had also been chatting to a couple of the other patients, some of whom were able to hold down a job, and the other had been on a cruise.

What did you learn from the CPD activity and/or feedback?


It made me feel really pleased that I was able to make difference to the patient. It is so nice to have positive feedback from a patient making my role worthwhile. Although, at times the pace on the ward can be really fast it is important to make time to chat to the patients allowing them time to voice their concerns and give them guidance to improve their quality of life. It is important that patients are able to trust the healthcare professionals.

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


Although it is a busy period of time when the patient is being ‘hooked up’ to the machine I will try and discuss any concerns they have, but I will always ensure that I spend some time with them later on in the dialysis session. Also, as a result of the patients having many common concerns and questions I have decided to start up a patient newsletter with the help of my colleagues. Patients will also be encouraged to contribute to the newsletter to provide hints, tips and personal experiences. We could also look at recipe ideas, and contact details for advice.

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, Promote professionalism and trust

Reflective Discussion Form

You must use this form to record your reflective discussion with another NMC-registered nurse or midwife about your five written reflective accounts. During your discussion you should not discuss patients, service users or colleagues in a way that could identify them unless they expressly agree, and in the discussion summary section below make sure you do not include any information that might identify a specific patient or service user. Please refer to Guidance sheet 1 in ‘How to revalidate with the NMC’ for further information. This form should be completed, stored and shared in manual paper form, as opposed to electronically. This is important because creating, storing or sharing these data electronically may trigger an obligation to register with the Information Commissioner.



To be completed by the nurse or midwife:

Name:

Ernie Jones

NMC Pin number:

99I123456E







To be completed by the nurse or midwife with whom you had the discussion

Name:

George Formby

NMC Pin number:

99I56789E

Email address:

George.formby1925@nhs.net

Date of discussion:

31st March 2014

Number of reflections discussed:

2

Short summary of discussion:

We discussed the reflection regarding the thank you card and CPR training. We discussed the need for individualised care and to keep current with all guidance and continuation of training and development to improve patient care and safety.

I have discussed the number of

reflective accounts listed above

with the named nurse or midwife

as part of a reflective discussion.

I agree to be contacted by the NMC to provide further information if necessary for verification purposes.

Goerge Fornby

31st March 2014

Reflective Discussion Form

You must use this form to record your reflective discussion with another NMC-registered nurse or midwife about your five written reflective accounts. During your discussion you should not discuss patients, service users or colleagues in a way that could identify them unless they expressly agree, and in the discussion summary section below make sure you do not include any information that might identify a specific patient or service user. Please refer to Guidance sheet 1 in ‘How to revalidate with the NMC’ for further information. This form should be completed, stored and shared in manual paper form, as opposed to electronically. This is important because creating, storing or sharing these data electronically may trigger an obligation to register with the Information Commissioner.



To be completed by the nurse or midwife:

Name:

Ernie Jones

NMC Pin number:

99I123456E







To be completed by the nurse or midwife with whom you had the discussion

Name:

George Formby

NMC Pin number:

99I78910E

Email address:

Rebecca.smith1976@nhs.net

Date of discussion:

31st January 2015

Number of reflections discussed:

3

Short summary of discussion:

We discussed clinical champions training, support to training for junior doctors and the dialysis patient. We have discussed the importance of training and passing on our experience and knowledge to others whether patients or colleagues as this improves patients care directly.

I have discussed the number of reflective accounts listed above with the named nurse or midwife as part of a reflective discussion.

I agree to be contacted by the NMC to provide further information if necessary for verification purposes.

Rebecca Smith

31st January 2015

Confirmation Form

You must use this form to record your confirmation. This form should be completed, stored and shared in manual paper form, as opposed to electronically. This is important because creating, storing or sharing these data electronically may trigger an obligation to register with the Information Commissioner. Please refer to Guidance sheet 1 in How to revalidate with the NMC for further information.



To be completed by the nurse or midwife:

Name:

Ernie Jones

NMC pin number:

99I123456E

Date of last renewal of registration or joined the register:

2nd April 2013

I have received confirmation from (select applicable):






A line manager who is also an NMC registered nurse or midwife
















A line manager who is not an NMC registered nurse or midwife
















Another NMC registered nurse or midwife
















A regulated health care professional
















An overseas regulated health care professional
















Other professional in accordance with the NMC’s online confirmation tool

To be filled in by your confirmer:

Name:

Eric Twinge

Job Title:

Ward Charge Nurse (manager)

Email address:

eric.twinge99@nhs.net

Professional address including postcode:

Wirral University Teaching Hospital

Arrowe Park Hospital,



CH495PE

Date of confirmation discussion:

31st March 2016



If you are an NMC registered nurse or midwife please provide:

NMC Pin Number:

99E12345E


If you are a regulated health care professional please provide:

Profession:




ID of membership for regulatory body:





If you are an overseas regulated health care professional please provide:

  • Country:




  • ID of membership for regulatory body:




  • Profession:





If you are another professional please provide:

  • Profession:




  • Registration number for regulatory body:




Confirmation checklist of revalidation requirements

Practice hours



You have seen written evidence that satisfies you that the nurse or midwife has practised the minimum number of hours required for their registration.

Continuing professional development



You have seen written evidence that satisfies you that the nurse or midwife has undertaken 35 hours of CPD relevant to their practice as a nurse or midwife.





You have seen evidence that at least 20 of the 35 hours include participatory learning relevant to their practice as a nurse or midwife.





You have seen accurate records of the CPD undertaken.


Practice-related feedback



You are satisfied that the nurse or midwife has obtained five pieces of practice-related feedback.

Written reflective accounts



You have seen five written reflective accounts on the nurse or midwife’s CPD and/or practice-related feedback and/or an event or experience in their practice and how this relates to the Code, recorded on the NMC form.

Reflective discussion



You have seen a completed and signed form showing that the nurse or midwife has discussed their reflective accounts with another NMC-registered nurse or midwife (or you are an NMC-registered nurse or midwife who has discussed these with the nurse or midwife yourself).



I confirm that I have read ‘Information for confirmers’, and that the above named NMC-registered nurse or midwife has demonstrated to me that they have complied with all of the NMC revalidation requirements listed above the three years since their registration was last renewed or they joined the registered as set out in ‘Information for confirmers’.

I agree to be contracted by the NMC to provide further information if necessary for verification purposes. I am aware that if I do not respond to a request for verification information I may put the nurse or midwife’s revalidation application at risk.


Signature:


Rebecca Smith


Date:


31ST March 2016



#PROUD TO CARE FOR YOU wuth.nhs.uk

@wuthnhs #proud





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