NMCRevalidation

Portfolio,2016

MARY JONES
REVALIDATION
PORTFOLIO

MyPortfoliowillhelpmeasaNursedemonstratethatIpractice
safelyandeffectively.Itwillencouragemetoreflectontherole
oftheCodeinmypracticeanddemonstratethatIam'living'the
standardssetoutwithinit.


Chelsea&Westminster

PRACTICEHOURS
450nursinghours

MaryJones

 


Guide to completing practice hours log Worksetting Maternity unit or birth centre Scopeofpractice
To record your hours of practice as a registered nurse Ambulance service Military Commissioning
and/or midwife, please fill in a page for each of your
periods of practice. Please enter your most recent Care home sector Occupational health Consultancy
practice first and then any other practice until you reach Community setting (including Police Education
450 hours. You do not necessarily need to record
district nursing and Policy organisation Management
individual practice hours. You can describe your
practice hours in terms of standard working days or community psychiatric Prison Policy
weeks. For example if you work full time, please just nursing) Private domestic setting Direct patient care
make one entry of hours. If you have worked in a range
of settings please set these out individually. You may Consultancy Public health organisation Quality assurance or
need to print additional pages to add more periods of Cosmetic or aesthetic sector School inspection
practice. If you are both a nurse and midwife you will
Governing body or other Specialist or other tertiary care Registration
need to provide information to cover 450 hours of
practice for each of these registrations. leadership including hospice Nurse
GP practice or other primary Telephone or e-health advice Midwife
care Trade union or professional Nurse/SCPHN
Hospital or other secondary body Midwife/SCPHN
care University or other research Nurse and Midwife (including
Inspectorate or regulator facility Nurse/SCHPN and
Insurance or legal Voluntary or charity sector Midwife/SCPHN)
Other

Dates: Name and Your work Your scope Number Your Brief description of your work:
address of setting of practice of hours: registration
(choose from list above): (choose from list above): (choose from list above):
organisation:

04/05/14- St Matthews School Education/ 150 Nurse Part time, school nurse and taught some
03/12/14 Patient care classes on health and wellbeing
 

16/01/15 Chelsea and Hospital Education 200 Nurse Part time teaching nurses in the learning
20/07/15 Westminster and development department
Hospital

20/07/13- Bank Nursing Hospital, Direct patient 100 Nurse Working shifts through bank shifts giving
presesnt community, Care direct care to patients.
school


(Please add rows as necessary)

 JOB DESCRIP
PTION

A firs
st class edu
ucation forr our comm
munity

Staff
S from a
all of our educational
e sites are sharing be est practice and experrience, with
h the aim to
t
mprove serrvices for loccal people. Benefits fo r patients will
im w include:

proved clinical outcomes

Imp
Imp ent experience
proved patie
proved choice
Imp

The
T integrattion will also
o bring about greater o
opportunities
s for staff at both sites , including:

Wid der professsional experrience

Rootation and opportunitie
o es to be invo
olved in res
search
Oppportunities for greater sub-specia alisation and
d to maintain skills in sppecialist are
eas
Gre eater securrity and orga
anisational resilience
Mo ore staff invo
olvement inn Foundatio n Trust govvernance annd leadershiip
Inccreased refe erral base and
a better ssystem man nagement.

We
W will build a strong and sustainnable founddation trust which prov vides high-qquality, valu
ue-for-mone
ey
services
s to meet the educational needs of th
he local pop pulation. Its
s a very excciting time to
t come annd
work
w for us. Found out more about our schoool by visiting
g www.StMa atthews.govv.uk

JOB
J TITLE: School Nurse
N

BAND:
B 6 DIVISION:
D C
Clinical Sup
pport

HOURS:
H 15.5 RESPONSIB
R BLE TO:

Education/cl
E linical lead

ACCOUNTA
A ABLE TO:

Headmistres
H ss
JOB
J SUMM
MARY:

The
T Schoo
ol Nurse will:

Provide
P hig
gh quality clinical
c care
e to the stu
udents, in line with our values aand in acco
ordance
with
w professsional regu ulations.

Accept
A dele y for specifiic activities
egated ressponsibility s/areas from the seniior nurse in
n charge

Work
W in line
e with policcies, objecctives, proto
ocols and local guide
elines, whi lst also being aware
of
o the impo ortance of their
t role in
n supportin
ng members of the te eam, and aalways adh hering to
the values, and in acccordance with w NMC regulations s.

Work
W autonnomously and
a with otthers to alwways deliver high sta
andards of care to pa
atients and
their carerss, autonom
mously and as part off a team.

Communic
C cate in line with our va
alues, the students, patients,
p carers and sstaff at all times.

Take
T everyy opportunity to continue to devvelop, prac
ctice and ex
xpand theiir own general and
specialist
s n
nursing skillls.

Maintain
M hiigh standards of proffessional a
and ethical responsibility, and acccountability and be
aware
a of th
he medico--legal aspeects of nurssing, in line
e with profe
essional, re
regulating and
a local
guidance.
g

KEY
K WORK
KING RELA
ATIONSHIPS:

Stud
dents, Patients and their carers
Nurssing and me edical staff
Seniior Staff Nurse / Juniorr Sister
Siste
er / Charge Nurse
Matrron
Multidisciplinaryy team
Direcctorate / Divvisional Nurrse
 Chelsea annd Westmins
ster Hospital
HR Departmentt
369 Fulham Road
London
SW10 9NH

Tel: 02
2033158000
www.chelwest.nhs.ukk
PRIVATE & CONFIDEN
NTIAL
7th Septtember 2014
Mary Joness,
77 Ealing R
Road,
London,
W5 2TT

Dear Mary JJones,

RE: Condittional offer of

o appointm
ment

Congratulattions on you ur success at your recen nt interview. I am pleased to confirm m this conditio
onal offer off
employmen nt for the role
e of Staff Nurrse Band 6 in
n the Educattion centre, within
w the Leearning and development
d t
Directorate at Chelsea anda Westmin nster Hospita
al NHS Foun ndation Trust.

Your emplooyment with the

t Trust wo ould be on thhe terms set out in the ennclosed conttract of employment and
would also be subject to
t various poolicies and pprocedures ofo the Trust which
w are avvailable from
m the Human
Resources Team or via a the Trusts
s intranet. Th
he terms of the
t offer in this
t letter annd the enclos
sed contractt
override anything said to
t you duringg your intervi ew or any otther discussions about yoour employm ment with the
Trust.

Conditions s/clearances s
This conditiional offer is subject to each
e of the cconditions set out below and
a will be w
withdrawn if any
a of these
conditions a
are not satisffied.

Once you hhave satisfied

d each of the
e conditions in this offer letter and yo
our employmeent has been n confirmed,
your emplooyment will be
b subject too your satisffactory comp pletion of a six month pprobationary period. The
Trust may, at its discre
etion, extend
d this period d for up to a further thre
ee months. D During this probationary
p y
period yourr performance and suitability for contin
nued employ yment will be
e monitored.

ID and Doccumentationn Check

As part of your pre-em will need to complete a face to facee ID and documentation
mployment prrocess, we w
check. Plea
ase contact the
t Recruitmment Team n o later than 31st Augustt (two weekss from today
y) to arrange
your pre-em
mployment chheck appointtment.

Please brin o the following documen

ng originals of nts with you to the appointment as w
we are requirred to checkk
and verify th
hese:

1. Your vallid passport

2. Full UK Driving Licen nce (if you haave one)
3. A payslipp from your previous
p NHS employme ent
4. Your P45 (if you havve received one)o and a P4 46
5. Your Na ational Insuraance card, P6 60 or P45 (wwithin the lastt 12 months)
6. Two P Proofs of your y currennt addresss issued within w the last 3 m
months eg Utility bill
(Water/GGas/Electricitty/Broadband d/Landline), Bank/Credit Card statement or LLocal Authorrity Tax Bill
issued foor the currennt financial yeear
7. Diploma a or Certificatte of Qualification
8. Certifica
ate of professsional registrration (if appllicable)

1
References

Satisfactory references to cover recent and up to 3 years of employment/training history including any gaps
in employment. Please note that if you are coming from another NHS organisation only one reference will be
requested, subject to length of completed service.

You will be given an opportunity to notify us of anything that is likely to come up on your references at the
pre-employment appointment which you may want to discuss.

Please note that this conditional offer of employment will be withdrawn if, at any time, it subsequently
becomes apparent that you have either knowingly withheld information, or have provided misleading or false
information.

Professional Registration and Qualification

Please note that this conditional offer of employment may be withdrawn if you knowingly withhold
information, or provide false or misleading information in relation to your professional registration and
qualification. In addition, if you commence employment, your employment may be terminated should any
information subsequently come to light

Work Health Assessment form

Please complete the Work Health Assessment form and return to the Recruitment Team and Occupational
Health at the email addresses noted. Please note that candidates who are EPP workers and/or respond to
Option B will be required to complete a further health assessment form (this will be sent to you by
Occupational Health if applicable).

Declaration form
Before you can be considered for the appointment we need to be satisfied about your character and
suitability. Please complete the attached Declaration Form and return by email marked confidential to
recruitment.team@chelwest.nhs.uk.

Disclosure and Barring Services (DBS) Check (remove if post does not require any DBS)
The post you have been offered has been identified as providing a regulated activity within the terms of the
Protection of Freedoms Act 2012 and/or is an eligible position as per the Rehabilitation of Offenders Act
(ROA) 1974 (Exceptions) Order 1975. As such you are required to have a Standard/ enhanced DBS check
before starting work.

Please note that disclosure certificates will be sent to you only (by post) and as such you will need to present
the original to us.

Right to work in the UK/Work Permit

You will be required to provide proof of your right to work in the UK, either through production of a current
UK/EU passport or documentation endorsed by the Home Office confirming your right of residence in the
UK, prior to starting in your new post.

As a new appointee to the Trust, you will be required to read through and complete essential documents
which can be accessed via the link provided below:
http://www.chelwest.nhs.uk/working-here/information-for-new-starters

Please print out and complete the forms below, and bring them with you to your pre-employment check
appointment.
Please note the following

(i) that the Human Resources Department is not based at Chelsea and Westminster Hospital. The
address where you will your new starter appointment is Chelsea and Westminster Hospital NHS
Foundation Trust, HR Department, Unit 111, First Floor, Harbour Yard, Chelsea Harbour, London,
SW10 OXD;

(ii) that if you do not bring all the requested documentation to your pre-employment check appointment,
you may be required to return in person at a later date to complete the process. This may delay your
start date as a result;

By accepting this offer, you confirm that you are able to accept this job and carry out the work that it would
involve without breaching any legal restrictions on your activities, such as restrictions imposed by a current
or former employer.

I hope that you will accept this offer of employment, subject to the satisfaction of the above conditions. If you
wish to do so, please sign the enclosed contract of employment and return it to me. If you do accept this
offer, we would like you to start as soon as possible, subject to the satisfaction of the above conditions, and I
would be grateful if you would indicate a likely start date.

If you have any queries relating to the content of this letter, please feel free to contact me.

Yours sincerely,

XXXXXXX
Recruitment Assistant
Recruitment and Pre-employment Services

Chelsea and Westminster Hospial NHS Foundation Trust

Tel 0203 315 XXXX E: Recruitment.team@chelwest.nhs.uk
 STATE
EMENT OF E
EMPLOYMENT PARTICULARS

This docum ment details your

y principa
al terms and conditions of
o employmeent relating too your appoiintment, and
together with your lettter of appointment consstitutes yourr contract of employmeent with the Trust. This
statement oof terms and conditions of
o employme ent will supersede any previous conttract of employment with
the Trust.

This appoin
ntment is governed by th
he agreemen HS Staff Council relatingg to Agenda for Change
nts of the NH
Terms and Conditions of
o Employme by the NHS Staff Council, details whhich are conttained in the
ent, agreed b e
NHS Staff C
Council Handdbook and th
he Agenda fo
or Change: NHS
N Terms and
a Conditionns of Service e Handbook.

Your emplooyment is also subject to various p policies and procedures of the Trusst as referenced in thiss
document. The Trust agrees local terms and d conditions of employm ment and em mployment policies
p and
procedures with the loccally recognis
sed Staff Sid
de Organisattions via the Partnership Forum. Anyy changes too
your contra
act of employyment will only be made ultation and discussion iin partnership with Stafff
e after consu
Side and wwith you individually or by
b collective agreements s with the Partnership
P F
Forum or thee NHS Stafff
Council.

opies of all policies, ruless and docum

For your infformation co ments referen
nced in this S
Statement off Terms and
Conditions are availablle for inspecction from yo our Line Ma
anager, the Human
H Resoources Teamm or via the
e
Trusts intra
anet.

SECTION 1 1: SUMMAR RY STATEME ENT OF TERRMS AND CO

ONDITIONS:
(Go to expla
anation notes for further details)

Name: Mary
y Jones

Post title: Educ

cational Nursse

Date of ap
ppointment: (S
See section 3) 16th January 201 5

Date of Co
ommenceme
ent with the Trust:
T (See secction 4) 16th January 201 5

Date of Co
ontinuous NH
HS Service: (See
( section 5) 16th January 201 5

Nature of a
appointmentt 6 mo
onths

Pay Band:: (see section 7)

7 6

Basic sala
ary: - (see section 9) 28,000 per ann um (pro rata
a? if part
time)
High Cost Area Supple
ement Inner

Recruitme
ent/Retention
n premium: (ssee section 9) Long
g Term / peer annum

Incremental date: (see section

s 10) 16th January 201 5

Place of w
work (see sectioon 14) Learrning and devvelopment, education
e
centre
Contracted
d hours per week:
w (see section 15) 15.5

Minimum n
notice period
d for employe
ee and Trustt: (see section 23)
2 8 we
eeks


Chelsea&Westminster

CONTINUING
PROFESSIONAL
DEVELOPMENT
35hoursCPD

MaryJones


 

Guide to completing CPD record log

Examples of learning method What was the topic? Link to Code

Online learning
Course attendance
Independent learning
Please give a brief outline of the key points of the Please identify the part or parts of the Code relevant to the CPD.
learning activity, how it is linked to your scope of Prioritise people
practice, what you learnt, and how you have Practise effectively
applied what you learnt to your practice. Preserve safety
Promote professionalism and trust

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 Topic(s): Link to Code: Number of Number of
Please describe the methods you used for the activity: hours: participatory
hours:

05/03/13 Online learning Safeguarding Children Level 1:- Prioritise 1.5

To learn to recognise when children may be at people,
risk and the appropriate action to take. Preserve
safety, Promote
professionalism
and trust,
Practise
effectively

05/03/15 Online learning Anaphylaxis: - To learn clinical skills required in Preserve 1.5
managing and recognising a patient with safety, Promote
anaphylaxis and ensuring that the correct professionalism
course of action is taken. and trust,
 

05/03/15 Online learning Infection Control: - Designed to show why Preserve 1.5
inflection control is vital. Ways to protect safety, Promote
patients and staff from transmissions and how professionalism
to promote correct practice and trust,
Practise
effectively

18/03/15 Online learning Blood transfusion: - Online element of the Preserve 1.5
blood transfusion competencies. Ensuring that safety, Promote
you understand the process that is required professionalism
when ordering, storing, giving and monitoring. and trust,
Practise
effectively

31/03/15 Online learning Safeguarding Adults Level 1, Prioritise 1.5

To learn to recognise when adults may be at people,
risk and the appropriate action to take. Preserve
safety, Promote
professionalism
and trust,
Practise
effectively
 

13/11/15 Independent learning British Journal of Nursing: - Practise 4

The national Early Warning Score in Practice: effectively
This helped me further understand the
introduction of the NEWS onto our ward. I felt it
gave me a better understanding of the reasons
behind it.

27/02/1 Course attendance Mental Health Issues Update:- Preserve 8 8

An update to support my work discussing some safety, Promote
of the more prominent issues that are affecting professionalism
people with mental health issues. and trust,
Practise
effectively

06/03/15 Course attendance Clinical burns management:- Preserve 8 8

Provided a foundation to understand the care safety, Practise
required when nursing a burns patient. effectively
I sometimes nurses burns patients.

27/03/15 Course attendance and independent learning Immediate life support:- Preserve 20 8
Gained skills & understanding to managing safety, Promote
patients requiring immediate life support within professionalism
a clinical setting. and trust,

Total: Total: 24
47.5
EBSCOhost

Record:1

Title:TheNationalEarlyWarningScoreinpractice:areflection.

Authors:Day,Tina;Oxton,Julie

Affiliation:Lecturer,DepartmentofPostgraduateResearchandAdultNursing,

FlorenceNightingaleFacultyofNursingandMidwifery,KingsCollegeLondon

ConsultantNurseforCriticalCare,ImperialCollegeHealthcareNHSTrust,London

Source:BritishJournalofNursing(BRJNURS),10/23/2014;23(19):10361040.

(5p)

PublicationType:JournalArticleresearch,tables/charts

Language:English

MajorSubjects:CriticalIllnessTherapy

EmergencyCare

HeartArrestPreventionandControl

MinorSubjects:NationalHealthPrograms;England;StaffDevelopment;Patient

Identification;VitalSignsEvaluation;Human;Inpatients;Hospital

Mortality;Outcomes(HealthCare);Checklists;PilotStudies;HealthStatus

Evaluation;NursingAssessment;Audit;Algorithms

Abstract:In2012,TheRoyalCollegeofPhysicians(RCP)developedaNational

EarlyWarningScore(NEWS)asastandardisedapproachtoassessmentand

responsetocriticalillness.Thispaperreportstheauthorsexperiences

whilstimplementingNEWSacrossonelargeinnerLondonNHSTrust.NEWSwas

introducedtoalladultareasbetweenNovember2013andJanuary2014.All

healthcarestaffcompletedtheRCPsonlineelearningmoduleandreceived

scenariobasedteaching.OneofthechallengeswastheTrustsgeographical

locationoverthreesites.Comparisonsacrossallsiteswillbemadeovertime
asdatabecomeavailable.IntroducingNEWShasbeenachallengingbutexciting

initiative.

JournalSubset:CoreNursing;DoubleBlindPeerReviewed;EditorialBoard

Reviewed;Europe;ExpertPeerReviewed;Nursing;PeerReviewed;UK&Ireland

SpecialInterest:CriticalCare;EmergencyCare

ISSN:09660461

MEDLINEInfo:PMID:25345453NLMUID:9212059

EntryDate:20141208

RevisionDate:20150820

DOI:http://dx.doi.org/10.12968/bjon.2014.23.19.1036

AccessionNumber:107840215
Jones, Mary

Bluebell Ward

Mandatory E-Learning

Topic Date

Adult Basic Life Support 29-Sep-

14
Anaphylaxis e-learning Completed via e- 05-Mar-
learning 15
Appraisal Record 01-Sep-
14
Blood Transfusion e-learning Completed via e- 18-Mar-
learning 15
Conflict Resolution 09-Jul-14

Dementia Level 1 e-learning 12-Dec-

12
Epidural 05-Mar-
14
Equality and Diversity e-learning Completed via e- 05-Mar-
learning 15
Fire e-learning Completed via e- 31-Mar-
learning 15
Health and Safety and Risk Management e-learning Completed via e- 17-Apr-
learning 15
Inanimate Loads e-learning Completed via e- 24-Mar-
learning 15
Infection Control e-learning Completed via e- 05-Mar-
learning 15
Information Governance e-learning Completed via e- 05-Mar-
learning 15
Intravenous Drug Administration 10-Feb-
14
Medicines Management 26-Feb-
13
Patient Experience - Positive and Respectful 12-Dec-
Culture 12
Patient Handling 26-Jul-13

Pharmacy Induction 22-Apr-

15
Pressure Ulcer

Safeguarding Adults Level 1 e-learning Completed via e- 31-Mar-

learning 15
Safeguarding Children Level 1 e-learning Completed via e- 05-Mar-
learning 13
Safeguarding Children Level 2

Safer Administration of Insulin

ChelseaandWestminster

PRACTICERELATED
FEEDBACK
5piecesofpracticerelatedfeedback

MaryJones


 PERFORMANCE & DEVELOPMENT REVIEW (APPRAISAL)
PRIVATE AND CONFIDENTIAL
Name: Mary Jones
Post: Education officer
Department/Ward: Learning and Development
Division: Education
Getting Ready for Development Review (Appraisal)
Manager
Use the preparation section to plan the meeting. You will need to sign
off the sheet at the end of the appraisal as an agreement of the
discussions and actions identified.
Identify the mandatory & statutory training required for the coming
year. The Trusts mandatory & statutory training grid can be found on
the Intranet.
Consider if the objectives for the year have been met.
Think of the corporate objectives and which objectives will be needed
for this person.
Think what additional training or skills the person may benefit from
Talk to colleagues about how the person is doing
Date of development review (appraisal) 10/02/2016
Date of mid-year review: 10/07/2016
Manager undertaking the appraisal: Abdi Patel
Date of latest Job Description Review: 2014
Member of staff
Complete the preparation sheet and take it to the meeting for
discussion. To be signed off by your manager at the end of the
meeting as agreement of the discussions and any actions identified.
Think about the mandatory & statutory training you need for the
coming year.
Think about your objectives from the last year and how you have met
them.
Think of the corporate objectives and which objectives will be needed
for you this year.
Think what further training or skills you would like in addition to
mandatory training.
Talk to colleagues about how you are doing.
1
 Appraisal Discussion
What are your key achievements for the past year?

I think I have settled into my new work place well.

Constructing a detailed education plan for nurses studying immediate life support. Recognising the need for easily memorable
techniques that they can use to retain and recall information quickly and effectively.
What areas could have gone better (challenges)?

I found having limited budget and access to materials a challenge, having to learn to do a lot with a little has been a learning
experience for me.

How would you rate your contribution to the Trusts values & behaviours (respectful & positive culture)? (box, -
neutral/negative response to be included in PDP). The recorded rating must be agreed by the manager.

Contribution to the team. Give Exceptional Positive Y Neutral Negative

examples of why you have selected the I have introduced new approaches to older subjects and tried to make existing courses
rating you have. more interactive.

Communication, incl. open dialogue, Exceptional Positive Y Neutral Negative

sharing information, listening and giving I have always felt one of my strengths is communication, I feel I can relate well to the staff
feedback. Give examples and be able to understand their concerns about the courses content and be able to take
advice about where the course could improve.

Appreciation & Recognition incl. Exceptional Positive Y Neutral Negative

celebrating success, spreading good news,
I feel that I have been received well by my colleagues; I have received positive feedback
positive/can do attitude and saying thank
you. Give examples for my contributions from some of the students I have taught.

2
 Objectives for Year

Objectives should be SMART - Specific, Measurable, Agreed, Realistic, Timescales. All individual work objectives should be linked to
Trust and/ or Business Unit plans. The first line is an example. Quarterly reviews should detail progress towards achieving the objectives.

Corporate Individual Objective Timescale Success Criteria Progress report Monitoring progress
Objective/ (inc. milestones) against objective
BU/ To finish the changes to the 1 month Time management Mid year End of year
Department immediate life support course review review
Objective

Exceeds

Exceeds
Partially

Partially
Not met

Not met
Met

Met
Quality
To gain feedback from staff and 2months Results of feedback
colleagues

People
To continue engaging with 1 year Development of training
people to better understand sessions
different mechanisms to use
which engage learning

Productivity
& efficiency
Make sure all presentations are Continuous Ability to access the information
available online for download online

For guidance only it is advised that staff should have a minimum of four objectives and a maximum of eight objectives.

3
 Personal Development Plan
Having discussed your achievements against last years objectives, agreed objectives for the coming year and any areas of
development you and your manager have discussed you should be able to identify a PDP for you.

Benefits of a PDP are multiple and include helping to focus on learning needs, improve performance and personal motivation.
PDP should reflect the objectives of the wider Trust, your own department and where possible personal aspirations.

Development Agreed Action/activity to be taken Timescale State briefly the benefits of this
and by whom development (to the individual, dept or
wider Trust)
To finish the changes to the immediate Better training for staff, stronger understanding
life support course of care to patients.
Mary Jones 1 month

Helps staff feel they contribute to their

To gain feedback from staff and development.
colleagues Mary Jones and colleagues 2 months

Stronger education mechanisms strengthen

To continue engaging with people to the trusts relationships with its staff.
better understand different mechanisms Mary Jones 1 year
to use which engage learning

Amongst bored excellent

No training can be agreed until statutory & mandatory training is up to date.

4
The following managers comments must be completed
Managers comments:

I feel that Mary has appropriately considered her contribution to our team over the last year, she has reflected on things that have
been a success and also how she wishes to further develop her ideas in the future.
Mary has demonstrated taking feedback in a positive manner and I hope will continue to thrive under the education team.

Manager signature: Date: 10/02/2016

Employees comments:
I feel that I have many new ideas for the upcoming year and that my colleagues are supportive of my development.

Employees signature: Date: 10/02/2016

Reviewers managers comments (if applicable):

Reviewers Managers signature: Date:

Dearxxxxxxxx

Iwishtomakeacomplaintaboutthecaremysonreceivedfrom
theschoolnursexxxxx.

Mysoncametotheschoolnurseonthexx/xx/xxtotellherthathehadfallen
intheplaygroundandcuthisleg.Thenursecleanedhiswoundandapplieda
materialtypeplastertocoverit,thensenthimbackouttoplay.

IfeelupsetthatIwasnotinformedthatmysonhadfallenandhurthimself,I
amalsoupsetbecauseamaterialplasterwasusedandmysonhasanallergy
tothesetypeofplasters,hedevelopedaverypainfulanditchyrashwherethe
plasterhadbeensittingallday.

Ifeelthattherewasalackofcommunicationbetweenthenurseandmyself
andalsotheschoolbynoprovidingdetailsaboutmysonsallergieswhenthey
wereneeded.

Iwouldlikesomethingtobedoneaboutthewaythisschoolnurse
communicateswiththeparentsandalsoforhertohavereadyaccessto
informationaboutthechildren.

Yours

Mrsxxxxxxxxxxx

DearMaryJones

ThankyousomuchfortheclasstodayonImmediateLifesupport.

Iamanewlyqualifiednurseandworkinanacutesettingwherethepatients
areveryunwell,andcanbecomeunstablequickly.Ireallyenjoyedyourclass
andfeltthatyoucommunicatedtheinformationtousveryclearlyandinway
thatwaseasytounderstandandalsodeliveredittousinamethodthatwe
couldretainwellandbeabletorecallitshouldweneedto.

IverymuchenjoyedtheABCDEapproachtoassessinganunstablepatient.I
feelthatthiswillbeofgreatbenefittomeintheunitandIfeelmuchmore
confidentatbeingabletomanageasituationwhereapatienthasbecome
critical.

Thankyouforthecourseandforyoutime.

Yourssincerely

xxxxxxxxxxxxxxxxxxxxx

ChelseaandWestminster

WRITTENREFLECTIVE
ACCOUNTS
Fivewrittenreflectiveaccounts

MaryJones




ChelseaandWestminster

REFLECTIVE
DISCUSSION

ReflectivediscussionwithanotherNMCregistrant

MaryJones
 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.
Tobecompletedbythenurseormidwife:
Mary Jones
Name:
E14335
NMCPin:

Tobecompletedbythenurseormidwifewithwhomyouhadthediscussion:

Abdi Patel
Name:
E43598
NMCPin:
Abdi.patel@chelwest.nhs.co.uk
Emailaddress:

Professionaladdressincluding West Middlesex Hospital

Twickenham Rd,
postcode: Isleworth,
Middlesex
TW7 6AF

Contactnumber: 0208321xxxx

Dateofdiscussion: 20/03/2016

Shortsummaryofdiscussion: I have discussed all 5 reflective accounts.

I feel that Mary has appropriately reflected on
each account and has taken steps to
changed/improved her practice and helped her
develop as a nurse.
She has real insight into her CPD and the
feedback she received; projecting this in the
reflective accounts.

Ihavediscussedfivewrittenreflective Signature:
accountswiththenamednurseor
midwifeaspartofareflective
discussion.
IagreetobecontactedbytheNMCto Date:20/03/2016
providefurtherinformationifnecessary
47 forverificationpurposes.


ChelseaandWestminster

CONFIRMATION
LookattheevidenceIhavecollectedand'confirm'thatIhavemetthe
revalidationrequirements.

MaryJones




CONFIRMATION FORM
You must use this form to record your confirmation.

Tobecompletedbythenurseormidwife:

Name: MaryJones

NMCPin: E14335

Dateoflastrenewalofregistrationor 30/04/1995
joinedtheregister:
Ihavereceivedconfirmationfrom(selectapplicable):

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

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

x Another NMC-registered nurse or midwife

A regulated healthcare professional

An overseas regulated healthcare professional

Other professional in accordance with the NMCs online confirmation tool

Tobecompletedbytheconfirmer:

Name: AbdiPatel

Jobtitle: LineManager

Emailaddress: Abdi.patel@chelwest.nhs.co.uk

Professionaladdress WestMiddlesexHospital
includingpostcode: TwickenhamRd,
Isleworth,
Middlesex
TW76AF
Contactnumber: 0208321xxxx

Dateofconfirmationdiscussion: 20/03/2016

 IfyouareanNMCregisterednurseormidwifepleaseprovide:

NMCPin:E43598

Ifyouarearegulatedhealthcareprofessionalpleaseprovide:

Profession:

Registrationnumberforregulatorybody:

Ifyouareanoverseasregulatedhealthcareprofessionalpleaseprovide:

Country:

Profession:

Registrationnumberforregulatorybody:


Ifyouareanotherprofessionalpleaseprovide:

Profession:

Registrationnumberforregulatorybody(ifrelevant):

Confirmation checklist of
revalidation requirements

Practicehours

x You have seen written evidence that satisfies you that the nurse or midwife has

practised the minimum number of hours required for their registration.

Continuingprofessionaldevelopment

x 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

 x You have seen evidence that at least 20 of the 35 hours include participatory learning

relevant to their practice as a nurse or midwife.

x
You have seen accurate records of the CPD undertaken.

Practicerelatedfeedback

x You are satisfied that the nurse or midwife has obtained five pieces

of practice-related feedback.

Writtenreflectiveaccounts

x You have seen five written reflective accounts on the nurse or midwifes 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.

Reflectivediscussion

You have seen a completed and signed form showing that the nurse or midwife has
x
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).

IconfirmthatIhavereadInformationforconfirmers,andthattheabovenamedNMC

registerednurseormidwifehasdemonstratedtomethattheyhavecompliedwithallofthe
NMCrevalidationrequirementslistedaboveoverthethreeyearssincetheirregistrationwas
lastrenewedortheyjoinedtheregisterassetoutinInformationforconfirmers.

IagreetobecontactedbytheNMCtoprovidefurtherinformationifnecessaryfor
verificationpurposes.IamawarethatifIdonotrespondtoarequestforverification
informationImayputthenurseormidwifesrevalidationapplicationatrisk.

Signature:MARY JONES

Date:20/03/2016