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coo?Advancing heaLth
Chelsea and Westminster Hospital TiYiLLlNHS Foundation Trust
My Portfolio will help me as a Midwife demonstrate that
practice safely and effectively. It will encourage me to reflect on
the role of the Code in my practice and demonstrate that I am
‘living’ the standards set out within it
Sc5x?5y> Chelsea and Westminster Hospital FA’ia’h.lAdvancing health NI-IS Foundation Trust
Chelsea & Westminster
PRACTICE HOURS450 nursing hours
Orla Fox
Nursing
&
IP
RA
CT
IC
EH
OU
RS
LO
GT
EM
PL
AT
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Midw
ifery
_________________________________
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Council
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Chelsea and Westminster Hospital Fi’i.’AlNI-IS Foundation Trust
Chelsea & Westminster
CONTINUINGPROFESSIONALDEVELOPMENT
35 hours CPD
Orla Fox
CO
NT
INU
ING
PR
OF
ES
SIO
NA
LD
EV
EL
OP
ME
NT
(CP
D)
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ursi
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ethod
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ule
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kto
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de
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ase
iden
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the
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ode
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rior
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epe
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ract
ise
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rese
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hat
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ase
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ust
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.F
orex
ampl
esac
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ake,
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ence
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tain
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ase
refe
rto
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danc
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eet
3in
How
toro
vail
date
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the
NM
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ofth
ety
pes
ofC
PD
Dat
es:
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ic(s
):L
ink
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ode:
Num
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Num
ber
ofP
leas
ede
scri
beth
em
etho
dsyo
uus
edfo
rth
eac
tivity
;of
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s:pa
rtic
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s:
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rse
atte
ndan
ceL
egal
Birt
hC
onfe
renc
eco
urse
Pre
serv
esa
fety
7.5
7.5
-The
Fra
ncis
Inqu
iry:
The
impa
cton
eye
aron
-F
itne
ssto
Pra
ctic
e(A
case
stud
y)-
Deb
ate:
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supe
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has
itsda
y?”
22.1
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rse
atte
ndan
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ysio
logi
cal
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h:Pr
omot
ing
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ract
ise
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7.5
effe
ctiv
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ar:
the
enem
yof
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ritis
epe
ople
-E
vide
nce,
risk
and
auto
nom
yin
obst
etri
cs-
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ethi
csof
mat
erna
lre
ques
tc-
sect
ion
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ppor
ting
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choi
ceof
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nal
bree
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mot
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prof
essi
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and
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t
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sing
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wif
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ncil
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AT
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ED
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arly
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vere
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ajor
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terp
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tal
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ion
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st,
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t
Tot
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Tot
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41.5
37.5
Chairman’s IntroductionHelen Young I1,nt-r,irrrj Mir.iini,’tetdMid,ti/,rrSlrmlnghannWomons HospllalNHS PoundatlonTrust
Midwife appraisal and revalidation update from the Nursing and Midwifery CouncilKaterina Kolyva/tiniiirr,if C ,ntint,sd firs, rice
Nursing And Midwifery Council
Improving your appraisal skills: Role Play
— devote pmonts Iron the rovaildatlon pilot sites• taking forward the recommendations tar a system of revatidatlon ant learning from
ma responses to the contuttation
• the flaw NMC Code of Practice— planning for the changer at a local level• bow will an organisation onture fist the midwife who is revaiidatlng is complying with
the rovtsed code?
— what will be included in nidwito appraisal? Moving forward with the pilot silos— how mlii rho gustily of appraisal and rova lidaton rcccmmondalions be assured and
innpeded?
Becky Simpson and David SchaalPwycur
Ptayo.inrre r,ttlc aroma basec commur cottons ass pnesontacoea ‘sidLng
cocirary Thay yn Os podonring p ocr’ of tneaoe and ru’ritg an intoective
to promote a.sastton aooun ho .nin it’ sttrrsjty trss martuiJaco sO. ,nvctva
delegates tbrojgb anaiyss role play and furjm masse and wit consider stat to air
stan pelolmiap an apprci.sat
11 Quection and anstt’,rs, followed by coffee at 11.25
Supporting midwives and the midwifery profession to deliver effective Midwife RevalidationLouise Silvertoni)riicii,rrif hiisle it, i,
The Royal Cuiiogo tot MIdwIves
• no role ul appiata ;n eel vo’tng fla revel dal.oo tt.t mldwtvea anti ntis tsr could inka tin statotIry supotv:s oo ar a.siaal arrcs,ttent of ccmpcton:e
— tar, ink belwcen appra:aal potossatnal dogolnotent and asoary ash• moving forward chargkiq arJludor rulns:re values and bohaviour
Pilot Site Update: Demonstrating compliance with the revised NMCcode of conduct
Lynne Pacanowskiflits or/ ,ttrs(i.itirc 8 Iliac! ‘1Guys & St Thomas NHS FoundsuonTrur:
Guys St Thomas PillS Foundation Trust is an NMC Royafidation Pilot Site
12.51) Qteciion and answerv. ftilloit’ed hr lunch at 13.00
• r’apa’° I.; rrevaltdation and app miss to support revalidatiun what you need ID doas a ‘ease said as Sit rnganisatsai
— a rIco by stop guide to devauping rho evidence for ovatidaton
— iri;.ic-J f,snvwd
FOCUS: Deve4op4s midwlfwy appraisal systen5 as the tad ta sippofl Midwife Revalidadon
Improving the quality of midwifery appraisal to demonstrate competence. conduct & compliance for revalidationHelen YoungiJincstirci[Nut., inc and %IiI 4!] it
Bfrmfrngham Womerta Hoapitat NHS FoundatIon Tract
15Th) Question and an cwerc, Jollutted hr tea at 15.10
• impror rg Vie nu altiyefaoorabal con’orsaoont• bow can we check mid,’t0os contInue to moo: the NMC atancaros and the rav,sed
0000 in tear ol conduct and ceenpetence?
— I sling with statutory superv.s on and aviuat comtetaoco assessment— reactor rg an aponarsa’ systent Vast oboctives dir sans object yes ward
ocec yes and unSung The ur4Mduat object yea and roles barr into the overa:i amt•our aapatience and developments at Birmingham Women1s
FOCUS: Clinical s kion, pos’thlio de ®ment -e4 ,,,pnerformance concerns
Developing effective clinical supervision and portfolio developmentI supewision end pontoiio devciopmcnt as pan of appraisal
approsobas and Tools to supponoltoctiwisutiervitlati how the statutory tupeivision
frarnewods ‘nay change 10 rnleal wivaluitatuon reqLtirwments
- enhancing Individual pa,lonwance and linking with the annual assessment of
cM m p0 inn cc
• demonstration of practice using relevant tools such at. Pondai,o Daveiopmant
and Personal Dovoiopmant Plans
Managing performance concerns and midwives in difficulty
Barbara KuyperLtra/ upcsuit in1; 1 ,,sharkii 0/firstbIds England Midlands end East
•an overview of best practice guidance end priticiples of good practice- htvnding concerns about the peffonwence of midwives
• rasunin p rho culture and onvironnncnt support effective midwifery staffing and skill
mix• tankIng ahead to nvvalida ton for midwives. a nyu ring ap Praibti I .sytitetnn em
J
Mi RichardsDirt tar unit It’s, itt, if Nur.sr Fir;0Th Coaching Ltd
16.45 Quest/viz and ansti’ers,Jollowed hr close
V t
cn
3
o0
r
iz
F
I“3 C C
)
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f I
I ItI
I C
t
Certificate of AttendanceThis s to certify that
YJA ior
Attended the 2nd Annual Conference of
Physiological Birth: Promoting Normality
held at St George on 22nd October 201 5
This conference included 8 hours of Prepfor Healthcare Professionals
working within Maternity Services
Normal Birth Conference Lead
ARDO rsnoc bounty ?P1NO goewmoi%AMembTheLK4ernop -
babyit(M.. I(n
Neighbourhood MIDWIFE— I•.nsCaic-}katenffin Maternity —THE PRACTISING
)luI’. i\VS
Physiological Birth: Promoting Normality 2016
Conference Programme
0800 - 09:00 Delegate registration, exhibition and breakfast
09:00 - 09:05 Welcome Address
Miles Scott CEO and Teresa Manders DOM
09:05 - 09:15 Opening Remarks by the Conference Chair
Sheena Byrom
09:15 - 10:15 Professor Hannah Dahien
Professor of Midwifery
University of Western Sydney, Australia
‘Fear - the enemy of birth
10:15 - 10:30 Questions for Professor Hannah Dahlen
10:30 - 11:00 Morning break and refreshments
11:00 - 11:40 DrAma[i Lokugamage
Consultant Obstetrician/Gynecologist, Author
Whiuington NI-IS Hospital‘Evidence, risk and autonomy in Obstetrics’
11:40 - 11:45 Questions for Dr Amali Lokugamage
12:45 - 12:15 Professor Denis Walsh
Associate Professor of Midwifery
University of Nottingham
‘Optimising birth physiology in the context of higher risk women’
12:15 - 12:45 Birte Haney-Lam
Head of Maternity Services and Children’s Services
Ni-IS England
‘Influencing maternity commissioners to normalise birth’
12:45 - 13:15 Denise Titan
Midwife, founder and director of Expectancy
‘Complementary therapies to normalise birth — myths and
challenges’
13:15 - 13:30 Questions for the panel
13:30-14:30 Lunch
14:30 - 15:00 Marion LeukiConsultant Midwife in NormalityEpsom and 5t Helier University Hospital‘The ethics of maternal request caesarean section’
15:00 - 15:30 Jenny Geyer
Senior MidwifeSt Georges Healthcare NHS TrustBirth talk’
15:30 - 15:45 Questions for the panel
15:45 - 16:00 Break and announcement of poster board winner
16:00- 16:30 Shawn WalkerBreech Specialist Midwife and Midwifery LecturerCity University of LondonSupporting the choice of normal breech’
16:30-17:00 Louise SimpsonWorkforce Development Midwife, Director of Complementary BirthMid Cheshire Hospitals NHS Trusts“The use of telemetry for water birth - promoting normality inhigher risk women’
17:00 - 17:15 Questions for the panel
17:15 - 17:25 Closing comments by the chair
I,17:25 - 17:30 Evaluations and certificate of attendance
C-17:30 Close of Conference ‘?
17:30 - 19:30 Post Conference Drinks
JPERVISION
Vhat do midwives think aboutnidwifery supervision?
bstracti preparation for the annual audit of the Local Supervising AuthoritySAl. a team of supervisors of midwives (SoMsI surveyed the midwives inneir unit. This was to ascertain midwives’ views of supervision, including
heir wiLlingness to undertake the Preparation of Supervisors of Midwivescurse, and to raise the profile of supervision.
The survey was sent, via a SurveyMonkey’TM link, to 325 midwives.‘he response rate was 58.0% In=1801: 73.0% [n=138) responded thatupervision is a positive process and 32.0% (n=601 said that they wouLdonsider becoming a SoM. Three questions with open text yielded richerata from which themes were drawn.
The results were anaLysed in relation to the requirements of the
4idwives rules and standards (Nursing and Midwifery Council, 20121nd the recent Kings Fund report (2015), Midwifery regulation in theInited Kingdom. The views of midwives regarding the effectiveness of
nidwifery supervision, especially in light of recent recommendations,
re particularly pertinent.
(eywords: Supervision, Team working, Leadership and development.;urveyMon key
The overarching aim of midwiferysupervision is to ensure that women and
their babies receive high-quality and safecare. This goal is enshrined in the Midwivesrules and standards (Nursing and MidwiferyCouncil (NMC), 2012). The Midwives rules and
standards set out requirements for practice as
well as the standards for the Local Supervising
Authority (LSA) with regard to supervisionand the audit process (rule 7). They include a
midwife’s responsibility to have her Intention to
Practise form signed annually (rule : i); for it
to be signed by a named supervisor of midwives
________________________
(SuM) appointed by the LSA Midwifery Officer
(LSAMO) (rule 5) and to undertake an annual
review with his or her ScM (rule : ib). The rulesand standards also stipulate that each team of
midwifery supervisors must be audited annually
(rule 7, a: 1), with the aim of benchmarking each
activity to ensure safe practice.For each supervisory team, the yearly LSA
audit provides an opportunity to review initiatives
and achievements and to reflect on areas lor
development or improvement. For reporting
purposes, the audit is divided into ft,ur domair%.
• The interface of statutory supervision ofmidwives and clinical governance
• The profile and effectiveness of statutorysupervision
• Team working, leadership and development• Supervision of midwives and interface with
users.In line with good governance practices of the
NMC, each domain is benchmarked by the SoM
team against the ISA’s standards for the statutorysupervision of midwives (LSA, 2014). This informsthe framework for the London audit process. As ameans of gathering evidence for domains two and
three, one London SoM team chose to survey themidwives at their Trust.
Domain two: the profile andeffectiveness of statutorysupervisionDomain two relates to midwives’ experience ofsupervision, such as the ease of contacting the
24-hour on-call SoM (rule : id) as well as the
availability and supportiveness of their named
supervisor. Domain two also relates to rule 9h,
which states (NMC, lola: z6):
‘A focal supervising authority mustensure that.., at least once a year, asupervisor of midwives meets eachmidwife for whom she is the namedsupervisor of midwives to review themidwife’s pra ctice and to identify hereducation needs.’
Domain three: team working,leadership and developmentDomain three relates to providing professional
leadership and nurturing potential leaders. This
function is affected by the ratio of supervisors to
midwives, recommended to be i:i (rule : J.2)
(NMt’, zoiz). In London, this ratio currently
ranges from i:8 to i:aS (Read, 2013) and is i:i atthe authors’ Trust at the time of writing.
AimsRecent scrutiny of midwifery supervision,
particularly the King’s Fund report (2015), has
revealed that there is a lack of quantifiable
anjit RoseghiniU;; v 0 01 ‘idvjiees
- sand I Thomas,HSI.;
uzanne OlsonSO, f0,Ji:,
and St TI o’ asn.-,’
0
Fox, Orla
Mandatory E-Learning
Topic
e-Iearnlnp Completed via e
Date
e-Iearninp Completed via e- 16-Mar-learning 16
09-Jul-15
e-learnlnp 12-Dec-‘15
05-Mar-18
_________
05-Mar-16
_________
31-Mar-16
_________
1 7-Apr-16
_________
24-Mar-16
_________
05-Mar-16
_________
05-Mar-16
lO-Feb.1:: 16
26-Fob-15
12-Dec-15
26-Jul-15
22-Apr-16
29-Sop-15 405-Mar-i16
Adult Basic Life Support
Anaphylaxis
Appraisal Record
Blood Transfusion
Conflict Resolution
Dementia Level 1
Epidural
Equality and Diversity
Fire
Health and Safety and Risk Management
Inanimate Loads
Infection Control
Information Governance
Intravenous Drug Administration
Medicines Management
Patient Experience - Positive and RespectfulCulture
Patient Handling
Pharmacy Induction
Pressure Ulcer
Safeguarding Adults Level 1
Safeguarding Children Level 1
Safeguarding Children Level 2
Safer Administration of Insulin
e-learnlnp
e-learninp
e-learnina
e-learninp
e-Iearninp
e-learninp
Completed via elearning
Completed via elearning
Completed via elearning
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Coneted via elearning
e-Iearnlno Completed via e- 31-Mar-16
e-learnlng Completed via e- 05-Mar-learnThg 15
WEST MIDDLESEX UNIVERSITYHOSPITALNHS.TRUST
Queen Mary Maternity Unit
This is to certify that
OTLi4 TOX
affended
Skills and DrillsIncluding
•Early Recognition of Severely Ill Pregnant Women•Risk Management•New born Life Support•Major Obstetric Haemorrhage•Eclampsia•Vaginal Breech•Cord Prolapse•Shoulder Dystocia•CTG Interpretation•Perthatal Mental Health
05/10/2016Signed:
Practice Development Midwife
‘I’I ‘
WEST MIDDLESEX UNIVERSITYHOSPITAL NHS TRUST
QUEEN MARY MATER NITY UNIT
This is to certify that
[Fox
Has attended and completed the following
Midwifery Update Day 2Including:
Infant FeedingABLS (Practical Session)Pregnancy Loss and BereavementCurrent Research at QMMUMentorship
On 14th September 2016Practice Development Midwives
WEST MIDDLESEX UNIVERSITYHOSPITAL •NHS TROSF
Queen Mary Matern ity Unit
This is to certify that
riox
attended
Maternity Skills TrainingIncluding
Medicines ManagementANTT and Blood CultureInfection ControlFire Training UpdateCompassionate Care in MidwiferyInfectious Diseases (midwifery related)Safeguarding Children (Level3)
7th September2016 Signed:Practice Development Midwife
CERTIFICATE of ACHIEVEMENT
This is to certify that
OREA TOX
has completed
Statutory supervision of midwives
19 February 2017
Credit Hours: 1 hour
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Chelsea and Westminster
PRACTICE RELATED
FEEDBACKS pieces of practice related feedback
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Fw: Thank you!
Fw: Thank you!Robertson, Tamsin [[email protected]]Sent:To:
Dear
I hope you’re well. I was with you at a birth on HFH on Thursday night (Naidaa’s) and I just wanted to say thank you
for taking the time to talk with me about it afterwards - esp the use of hands on / hands off. I’ve been doing some
reflection on the birth since Thursday and why I chose to do the actions I did- I realised that I had gone into the birth
not fully aware of why I was choosing the hands on approach I did and was more just copying what I had seen /been doing in the birth centre. Since Thursday I’ve been reading lots about hands on! hands poised and looking at
evidence for / against etc and now at least feel a little more aware of options / choices which I will discuss with the
midwives I work with and the women. So I just wanted to say thank you really, it was great to get feedback from
you and it has really made me reflect (on my so far limited) practice and learning!
Many thanks again,
Tam sin
Tamsin Robertson0924813S2013
BSc Midwifery (3yr)
Group 1
/ ‘V’S/N
______
Chelsea and Westminster Hospital ya’I:1NHS Foundation t,usr
Chelsea and Westminster
WRITTEN REFLECTIVE
ACCOUNTSFive written reflective accounts
Dna Fox
/Nursing &
1 REFLECTIVE ACCOUNTS FORM jYou roust use mis form to record five wlitte,i ref ecte ar.counts on your CPD arid/n piactice- related feedback
and/or an event or expenerice in your practice and how this relates to the Code Please fill in a page to: each ot your
‘eflecrive accounts makioj sure you dz not include any informatior, that might dentit, a specific patent service user
or t:olleagie Please refer to our guidance on pceservinq anonymity in c,u:oance sheet 1 in How to lovdbddte %4IY? Ul(
NMC:
Reflective account: Learning from a complaint
What was the nature of the GPO activity andlor practice-related feedback
and/or event or experience in your practice? On a shift that I was co-ordinating,
a lady who had planned a c-section for her third baby due to a previous traumatic
experience, was admitted in strong labour. I greeted her and said I would do all I
could to facilitate her planned c-section (both theatres were busy at the time). I also
said that we would have to prepare for the possibility that the baby might arrive
before the c-section could be facilitated. I left her in the care of a midwife and
happily, was able to arrange a speedy transfer to theatre. Hence, I was sorry and
surprised to learn that this lady felt there had been “an over-emphasis on normality’.
What did you learn from the CPD activity andlor feedback and/or event or
experience in your practice? My reflection after this feedback was on the
importance of following up initial conversations; also of going back to women after
stressful episode to check if they have questions or concerns. As a co-ordinator, I
often have brief interactions with women. My aim is for these to be as positive and
supportive as possible but in the absence of spending time with the lady and
establishing a rapport, there is greater potential for misunderstanding.
How did you change or improve your practice as a result? I am even more
aware of the importance of going back to women following a stressful incident!
scenario in order to invite questions and feedback.
How is this relevant to the Code? This reflection particularly relates to ‘prioritising
people’. As the co-ordinator, I acted quickly to ensure this lady was transferred to
theatre for her planned c-section. In this way I prioritised her care. Unfortunately,
by not returning to speak with her following her c-section, she was not aware of this
and was left with the impression my priority was a ‘natural birth’.
Nursing &r REFLECTIVE ACCOUNTS FORM jrYou must use ths form to record five written reflective accounts on your CPD and/or practice-related teedback
andfor an event or experience in your practice and how this relates to the Code Please till in a page Ia each of your
reflective accounts making sure you do not include any information that might dentify a specific patient service user
ot cct!eague Please iefer to our guidance on preserving anonymity in Guidance sheet 1 in How to revalidate with the
NMC
Reflective account: Learning from a study day entitled Physiological Birth -
Promoting normality’
What was the nature of the CPD activity and/or practice-related feedback
and/or event or experience in your practlce?Aftendance at a study day focusing
on the physiology of birth and how we can support it
What did you learn from the CPD activity and/of feedback andlor event or
experience in your practice? It was inspiring to hear a wide range of speakers
offer practical suggestions as to how I, as a midwife, can support physiological birth
including for women whose pregnancies are considered higher risk’ e.g. the use of
wireless monitoring (telemetry). Other areas to consider were the impact of fear on
labour and the appropriate use of complementary therapies.
;
How did you change or improve your practice as a result? I have become
more aware of telemetry as a choice for women for whom continuous monitoring is
recommended but who also prefer to remain as upright/mobile as possible.
How is this relevant to the Code?
Promoting normality’ is a relevant subject for every midwife. It covers every area of
the code but particularly, practising effectively and prioritising people.
INssing &
[ REFLECTIVE ACCOUNTS FORM
Vou frjst use this fur ni to ieccNd twe writte: retic-ctre ac ,tjnts on you’ CPU and/u’ piact’i.e I elated teedLat
.jr:jji an event or expeilence in yaur practice and how ths relates to the Code Please fill fl a pane to: each at yiii
4ie live accounts making sure you do not orlude any nfojmatior that might identity a specific patient servw;e use
or colleague I’ieasc efer t our guidance on preserving anonymity in Gwdance sheet 1 in Flow f roahthitc with the’
Mm’
Reflective account; Learning from student feedback
What was the nature of the CPD activity andlor practice-related feedback
ancHor event or experience in your practice? A spontaneous email of thanks
from a year student following a birth together in which we discussed the evidence
for an element of midwifery practice.
What did you learn from the CPO activity andlor feedback and!or event or
experience in your practice? I learnt that appropriate, informed feedback and
discussion regarding midwifery practice is appreciated by students even though I
had not worked with this student before.
How did you change or improve your practice as a result? It renewed my
confidence and enthusiasm for working with student midwives plus demonstrated the
importance of keeping up to date with current evidence in order to be a positive
mentor to students.
How is this relevant to the Code?
Select one or more themes Prinritise people Practise effectively Preserve safety Promote
professionalism and trust
Being up to date and informed relates to all areas of the Code. In particular, this
scenario relates to practising effectively in caring for women at the time of birth.
INursing &
I REFLECTIVE ACCOUNTS FORM
You must use th:s form to record five written reflective accounts on your Cpu andlnr practce-related feedback
,indor an event or ererienre in your practice and how this relates to the Code Please till in a page for each of you’
‘efiectivu accounts making sure you do (lot include any information that mçht identify a specific patient service user
or colleague Please refer to our guidance on preserving anonymity in Gudance sheet I in How to revahdate wth the
1.1MG
Reflective account: Management of a postpartum haemorrhage (PPH)
What was the nature of the CPD activity and/or practice-related feedback
and/or event or experience in your practice? Reflective discussion with
Supervisor of Midwives regarding management of a PPH following a poe1 birth. The
woman remained stable throughout but when the case was reviewed in Risk there
was a question regarding a delay in transferring the woman.
What did you learn from the CPD activity and/or feedback and/or event or
experience in your practice? When things deviate from ‘normal’, it is always
important to act swiftly e.g. use the emergency bell. This may be alarming for the
woman and her family at the time but it means help arrives in a timely fashion.
How did you change or improve your practice as a result? Keeping a birth as
calm and ‘normal’ for a woman as possible is important. However, when a deviation
from normal occurs, it is important to escalate, all the while keeping the woman
informed. Once ‘calm’ is restored it is also important to review the events and
actions with her.
How is this relevant to the Code?
Se[eci one or more themes Pnioritisri people .. Practise effectiv.ilv Preserve satery Promote
protessionalism and trustS This reflection covers all areas of the Code. In particular, it
relates to practising effectively which in turn preserves safety.
/Nursing &
J REFLECTIVE ACCOUNTS FORM 1htYuu ris( use tins furm EQ record five witten tefCi tre acciunts on ynir CPD arrd:or platI.:e relateJ iEryLak
31i1/i)1 an ecent or experience in youn practice arid how this retates to the Code Please fiN in a page fur cacti 0t 90U1
tflei.:tive aci ounts making sure you do not include any information that might identify a specJir patient service user
or co:ieatw Please refer to our guidance on preserving anonymity in Guidance sheet I in How In revaI’dah w,th (he
NM
Reflective account: Learning from Legal Birth study day
What was the nature of the CPD activity and/or practicerelated feedback
andlor event or experience in your practice?
Attendance at a ‘Legal Birth’ study day — run jointly by the Royal College of Midwives
and Bond Solon (a legal firm).
(
What did you learn from the CPD activity arid/or feedback and/or event or
experience in your practice?
The background to the study day was the Francis Enquiry one year on. When things
go wrong it is always related to three things: communication, systems and human
error. In the session entitled ‘When things go wrong”, the lawyer did a
cammunicatian exercise and demonstrated the four stages of communication:
Encode (choice of words) —> Send (method e.g. spoken/written) --1 Receive
(Hearing/reading) 3 Decode (taking meaning from the words). At each stage of
communication, it is possible for misunderstanding to occur hence the importance of
very clear and precise communication in clinical situations. He also discussed,
‘confirmation bias’ i.e. that it’s easy, when doing an investigation, to set out to prove
my own bias or gut instinct. This can be prevented by looking for and exploring
other possible explanations.
How did you change or improve your practice as a result?
This study day was an excellent reminder of the importance of effective
communication. It was particularly helpful to consider the steps involved in
communicating with one another. For example, I need to choose my words and how
I deliver them carefully and be aware of what may be impacting the other person’s
ability to receive and/or understand my message
How is this relevant to the Code?
Select one or more themes Priorilise people Practise effectively — Preserve
satety — Promote professionalism and trust
This study links to all four elements of the Code. In particular the day was a good
reminder of the importance of promoting professionalism and trust which in turn
preserves safety. When trust is lacking and/or communication is poor, safety is
compromised.
V
Chelsea and Westminster
REFLECTIVE
DISCUSSIONReflective discussion with another NMC registrant
Chelsea and Westminster Hospital ri:iN -45 Fou, dat ion itt ct
Dna Fox
Nursing &
Midwifery
Council
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.
To be completed by the nurse or midwife:
Name:A.Midwife
NMC Pin:Y1687E
To be completed by the nurse or midwife with whom you had the discussion:
Name:A.N Other
NMC Pin:12345E
Email address:
Professional address including Chelsea & Westminster Foundation Trust
postcodeWest Middlesex University Hospital
. Twickenham Road]W7 6AF
Contact number: 01234 567890
Date of discussion: 1.9.2017
Short summary of discussion: I have discussed the 5 reflective accounts withA. Midwife. She demonstrated that she is areflective, life-long learner and committed topracticing in line with the NMS Code
I
I have discussed five written reflectiveaccounts with the named nurse ormidwife as part of a reflectivediscussion.
I agree to be contacted by the NMC to Date:1.9.2o17
provide further information if necessaryfor verification purposes.
Chelsea and Westminster Hospital ri’I:I.1NHS Foi,nciator, Irtist
Chelsea and Westminster
CONFIRMATIONLook at the evidence I have collected and ‘confirm’ that have met therevalidation requirements.
Orla Fox
Nursing &Midwifery
CONFIRMATION FORM CouncilTo be completed by the nurse or midwife:
Orla FoxName:
E14335NMC Pin:
Date of last renewal of registration or 30.4.1995
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
I 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
To be completed by the confirmer:
Name: Line Manager
Job title: Line Manager
Email address:
West Middlesex HospitalProfessional addressincluding postcode: rwickenham Road
Isleworth, MiddlesexrW7 6AF
Contact number: 0208 321 xxxx
Date of confirmation discussion: 131.8.2017 I
If you are an NMC-registered nurse or midwife please provide:
NMC Pin: E43598
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):
Confirmation checklist of
revalidation requirements
Practice hours
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.
Continuing professional development
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.
lxi You have seen accurate records of the CPD undertaken.
Practice-related feedback
x You are satisfied that the nurse or midwife has obtained five pieces
of practice-related feedback.
Written reflective accounts
x 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
x 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 yoursel.
I confirm that I have read Informotionfor 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 li5ted above overthe three years since their registration was
last renewed or they joined the register as 5et out in Informationforconfirmers.
I agree to be contacted by the NMC to provide further information if necessary for
verification purposes. I am aware that if do not respond to a request for verification
information I may put the nurse or midwife’s revalidation application at risk.
Signature:
Date:31.8.aoa7
