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Nursing Home

Revalidation

Portfolio

This pPortfolio has been designed to help you organise your evidence for revalidation in line with the Nursing and Midwifery Council (NMC) requirements.

You will need to ensure you have an NMC online account on WWW.nmc-uk.org

Please read How to set up your online NMC account

Once this has been set up you will be able to find out your revalidation date.

You must familiarise yourself with the revalidation requirements and start to develop your portfolio.

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Personal Profile

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Full Name

Home Address

Membership of Professional Bodies

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NMC registration number

NMC registration renewal date

NMC Revalidation date

Employment Details

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Current Employment

Job Title

Employer Name

Employers Address

Date Employment commenced in current role

Employment history if less than 3 years in current role

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Previous Employment

Job Title

Employer Name

Employers Address

Education and Professional qualifications

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Qualification

Subject/qualification

Place of Study

Year obtained

Qualification

Subject/qualification

Place of Study

Year obtained

Training Courses Attended

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Training

Course title

Training provider

Duration

Year completed

Training

Course title

Training provider

Duration

Year completed

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Section Two

Practice Hours Log

Job specifications and Role profiles

Practice hours log

For this section you must include a record of your practice hours.

The record must include:- Dates of practice The number of hours you undertook Name and address and postcode of the organisation Scope and practice (Direct clinical care or management) Work setting (Care home) A description of the work you undertook Evidence of practice hours – time sheets, role profiles/job description

Completing the practice hours log

Enter the most recent practice first and then any other until you have achieved 450 hours

If you have worked in one setting make one entry of the hours If you have worked in a range of setting please set out individually

Please note

Practice hours are the hours where you rely on your skills/ knowledge and experience of being a registered nurse.

The practice hours can only be counted as hours worked as a registered nurse. Hours undertaken as a health care assistant cannot be counted as practice hours

If you have worked overseas, as a nurse, during the three year renewal period please refer to NMC guidance.

The examples have been added to the form below for your information and can be deleted so you can add your information

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Guide to completing practice hours logTo record your hours of practice as a registered nurse and/or midwife, please fill in a page for each of your periods of practice. Please enter your 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 terms 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 settings 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 for each of these registrations.

Work settings

Select appropriate setting: Ambulance service 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 e-health advice Trade union or professional body Voluntary sector Other

Your scope of practice: Commissioning Consultancy Education Management Policy Direct patient care Quality assurance or inspection

Registration: Nurse Midwife Nurse/SCPHN Midwife/SCPHN

Dates: Name and address of organisation:

Your work setting(choose from list above):

Your scopeof practice(choose from list above):

Numberof hours:

Your registration(choose from list above):

Brief description of your work:

04.01.2016-prsent day(14.03.2016

Care Acres nursing home,Any street,Any town,postcode

Care home sector Direct Patient Care

37.5 x 11 weeks =412.5 hours

Nurse Unit Manager responsible for the overseeing the provision of nursing care to elderly patientsResponsible for supervision and appraisal of nurses and care staff on the unit

19.05.2014 to 03.01.2016

Amethyst Court Nursing Home,Any Avenue,Any town,

Care home sector Direct Patient Care

30 hrs x 94 weeks = 2,820

Nurse Staff Nurse responsible for the delivery of nursing care to 35 elderly patients

Responsible for Tissue viability care in

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Dates: Name and address of organisation:

Your work setting(choose from list above):

Your scopeof practice(choose from list above):

Numberof hours:

Your registration(choose from list above):

Brief description of your work:

postcode the home

(Please add rows as necessary)

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Section Three

Continuing Professional Development (CPD) record

log

Continuing Professional Development

You must undertake at least 35 hours of continuing professional development (CPD), 20 of these hours must be participatory learning (learning in a group with others).

The CPD cannot include mandatory training and must be relevant to your scope of practice i.e. catheter care training

To gain free access to E-journals and E-book please contact:-

Fiona ReesLibrarian & Athens Administrator for Staffordshire

01785 221584 (Internal ext.7128935)

fiona.rees@sssft.nhs.uk OR library@sssft.nhs.uk

Please note to gain access to this resource you must be providing clinical care to NHS funded patients

The examples have been added to the form below for your information and can be deleted so you can add your information

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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.

Guide to completing CPD record log

Examples of learning method Online learning Course attendance Independent learning

What was the topic?Please give a brief outline of the key points of the learning activity, how it is linked to your scope of practice, what you learnt, and how you have applied what you learnt to your practice.

Link to CodePlease identify the part or parts of the Code relevant to the CPD. Prioritise people Practise effectively Preserve safety Promote professionalism and trust

Practise effectively and preserve safety

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dressing types and equipment.

12.05.2015 Course attendance End of Life course to increase understanding, knowledge and skills in Palliative and End of Life Care

(certificate kept in portfolio/folder)

Prioritise peoplePractise effectivelyPreserve safety

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11.07.2015 Independent learning Wounds Essential 2012, Vol 2

Differentiating between pressure ulcers and moisture lesions

Read article on assessing and differentiating between superficial pressure ulcers and moisture lesions

(copy of article and review notes including practice related outcomes from reading article retained in portfolio/folder)

Practise effectivelyPreserve safety

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28.11.2015 Independent learning Nursing Times supplement, Leadership skills for nurses

Read article on “what leadership style nurses should develop”(copy of article and review notes including

Promote professionalism and trust

4 0

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practice related outcomes from reading article retained in portfolio/folder)

Total: 36 Total: 30

(Please add rows as necessary)

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Section Four

Practice Related Feedback x 5(you tick a box to declare this online with NMC when you revalidate)

Practice Related Feedback

Practice related feedback can be obtained from a variety of sources:-

Patients Colleagues who are healthcare professionals Complaints Team performance reports Serious Event reviews Annual appraisal

Types of Feedback (you need to be clear about the impact the feedback has had on your practice)

Can be written or verbal/ positive or constructive

Your individual practice Team practice Unit practice Care home practice

Remember you must not have any person identifiable information in this feedback and should not be stored electronically. You will not be expected to provide a copy of this to the NMC.

I may be useful to keep a record of you practice related feedback for your confirmer

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Guide to completing a feedback log

Examples of sources of feedback Patients or service users Colleagues – nurses midwives, other

healthcare professionals Students Annual appraisal Team performance reports Serious event reviews

Examples of types of feedback Verbal Letter or card Survey Report

Please provide the following information for each of your five pieces of feedback. You should not record any information that might identify an individual, whether that individual is alive or deceased. Guidance Sheet 1 in How to revalidate with the NMC provides guidance on how to make sure that your notes do not contain any information that might identify an individual.

You might want to think about how your feedback relates to the Code, and how it could be used in your reflective accounts.

DateSource of feedbackWhere did this feedback come from?

Type of feedbackHow was the feedback received?

Content of feedbackWhat was the feedback about and how has it influenced your practice?

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DateSource of feedbackWhere did this feedback come from?

Type of feedbackHow was the feedback received?

Content of feedbackWhat was the feedback about and how has it influenced your practice?

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Section Five

Reflective Accounts

Written Reflective Accounts

You must prepare 5 written reflective accounts from the three year period when you last renewed/revalidated.

The accounts must be recorded on the approved NMC form and refer one of the following:-

A CPD activity A piece of practice related feedback An event or experience in your own professional practice A topic that has been identified as a result of feedback to your team i.e. dignity

Remember

The reflective accounts must not include:-

Any information that may identify an individual (alive or deceased) The date of the incident or event The home, unit or place Descriptions of unique circumstances where an individual could be identified

You are not required to submit a copy of the reflective accounts to the NMC.

You will need to retain the accounts for the reflective discussion and to show your confirmer.

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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts, making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to our 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 your practice?

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

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

How is this relevant to the Code?Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote professionalism and trust

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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts, making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to our 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 your practice?

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

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

How is this relevant to the Code?Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote professionalism and trust

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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts, making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to our 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 your practice?

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

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

How is this relevant to the Code?Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote professionalism and trust

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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts, making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to our 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 your practice?

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

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

How is this relevant to the Code?Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote professionalism and trust

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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts, making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to our 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 your practice?

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

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

How is this relevant to the Code?Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote professionalism and trust

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Section Five

Reflective Discussion Form

You must use this form to record your reflective discussion with another NMC-registered nurse about your five written reflective accounts. During your discussion you should not discuss patients, relatives/visitors 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.

To be completed by the nurse or midwife:

Name:

NMC Pin:

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

Name:

NMC Pin:

Email address:

Professional address including postcode:

Contact number:

Date of discussion:

Short summary of discussion:

I have discussed five written reflective accounts 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.

Signature:

Date:

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Section Six

Confirmation Form

This form must be used to record your confirmation discussion

Name:

NMC Pin:

Date of last renewal of registration or joined the register:

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 healthcare professional

An overseas regulated healthcare professional

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

To be completed by the confirmer:

Name:

Job title:

Email address:

Professional address including postcode:

Contact number:

Date of confirmation discussion:

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

NMC Pin:

If you are a regulated healthcare professional please provide:

Profession:

Registration number for regulatory body:

If you are an overseas regulated healthcare professional please provide:

Country:

Profession:

Registration number for regulatory body:

If you are another professional please provide:

Profession:

Registration number for regulatory body (if relevant):

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Confirmation checklist of revalidation requirementsPractice 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).

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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 over the three years since their registration was last renewed or they joined the register as set out in Information for confirmers.

I agree to be contacted 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:

Date:

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