NMC Revalidation 

Portfolio,  2016 

  MARY JONES REVALIDATION 

PORTFOLIO  

My Portfolio will help me as a Nurse demonstrate that I 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. 

 

 

 

 

 

 

 

 

Chelsea & Westminster 

PRACTICE HOURS450 nursing hours 

Mary Jones  

�

�Guide to completing practice hours log To 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 setting

Ambulance service

Care home sector

Community setting (including

district nursing and

community psychiatric

nursing)

Consultancy

Cosmetic or aesthetic sector

Governing body or other

leadership

GP practice or other primary

care

Hospital or other secondary

care

Inspectorate or regulator

Insurance or legal

Maternity unit or birth centre

Military

Occupational health

Police

Policy organisation

Prison

Private domestic setting

Public health organisation

School

Specialist or other tertiary care

including hospice

Telephone or e-health advice

Trade union or professional

body

University or other research

facility

Voluntary or charity sector

Other 

Scope of practice

Commissioning

Consultancy

Education

Management

Policy

Direct patient care

Quality assurance or

inspection

Registration 

Nurse

Midwife

Nurse/SCPHN

Midwife/SCPHN

Nurse and Midwife (including

Nurse/SCHPN and

Midwife/SCPHN)

�

Dates: Name and address of organisation:

Your work setting (choose from list above):

Your scope of practice (choose from list above):

Number of hours:

Your registration (choose from list above):

Brief description of your work:

04/05/14-03/12/14

St Matthews School Education/ Patient care

150 Nurse Part time, school nurse and taught some classes on health and wellbeing

�

16/01/15 – 20/07/15

Chelsea and Westminster Hospital

Hospital Education 200 Nurse Part time teaching nurses in the learning and development department

20/07/13-presesnt

Bank Nursing Hospital, community, school

Direct patient Care

100 Nurse Working shifts through bank shifts giving direct care to patients.

�(Please add rows as necessary) �

Sim ••• T •••••• Wsw

J B

H

Staff from amprove ser

Imp Imp Imp

The integrat

Wid Ro Op Gre Mo Inc

We will builservices to work for us.

JOB TITLE

BAND: 6

HOURS: 1

all of our ervices for loc

proved cliniproved patieproved cho

tion will also

der professotation and opportunities eater secur

ore staff invocreased refe

d a strong meet the eFound out

: School N

5.5

A firs

educational cal people.

cal outcoment experieice

o bring abo

sional experopportunitiefor greater

rity and orgaolvement inerral base a

and sustainducational more abou

Nurse

D R E A H

JOB

st class edu

sites are Benefits fo

es nce

ut greater o

rience es to be invosub-specia

anisational n Foundatioand better ‘s

nable foundneeds of tht our schoo

DIVISION: C

RESPONSIB

Education/cl

ACCOUNTA

Headmistres

DESCRIP

ucation for

sharing ber patients w

opportunities

olved in resalisation andresilience n Trust gov

system man

dation trust he local popol by visiting

Clinical Sup

BLE TO:

linical lead

ABLE TO:

ss

PTION

r our comm

est practice will include:

s for staff a

search d to maintai

vernance annagement’.

which provpulation. It’sg www.StMa

pport

munity

and exper

t both sites

n skills in sp

nd leadershi

vides high-qs a very excatthews.gov

rience, with

, including:

pecialist are

ip

quality, valuciting time tv.uk

h the aim t

eas

ue-for-moneto come an

to

ey nd

J T Pw A Wot Wt C Ts Mag

K

JOB SUMM

The Schoo

Provide higwith profes

Accept dele

Work in lineof the impohe values,

Work autonheir carers

Communic

Take everyspecialist n

Maintain hiaware of thguidance.

KEY WORK

Stud Nurs Seni Siste Matr Mult Direc

MARY:

ol Nurse wi

gh quality cssional regu

egated res

e with policortance of t and in acc

nomously as, autonom

cate in line

y opportunnursing skil

igh standahe medico-

KING RELA

dents, Patiesing and meior Staff Nuer / Charge ron idisciplinaryctorate / Div

ll:

clinical careulations.

sponsibility

cies, objectheir role incordance w

and with otmously and

with our va

ity to contills.

rds of prof-legal aspe

ATIONSHIP

nts and theedical staff rse / JuniorNurse

y team visional Nur

e to the stu

y for specifi

ctives, proton supportinwith NMC

thers to alwas part of

alues, the

nue to dev

fessional aects of nurs

S:

ir carers

r Sister

rse

udents, in

ic activities

ocols and ng memberegulations

ways delivf a team.

students, p

velop, prac

and ethical sing, in line

line with o

s/areas fro

local guiders of the tes.

er high sta

patients, c

ctice and ex

responsibe with profe

ur values a

m the seni

elines, whieam, and a

andards of

arers and s

xpand thei

ility, and acessional, re

and in acco

ior nurse in

lst also bealways adh

care to pa

staff at all

ir own gen

ccountabilregulating a

ordance

n charge

ing aware hering to

atients and

times.

eral and

ity and be and local

PRIVATE &

Mary Jones77 Ealing RLondon, W5 2TT Dear Mary J RE: Condit

CongratulatemploymenDirectorate Your emplowould also Resources override anTrust. ConditionsThis conditiconditions a Once you hyour emploTrust may, period your ID and DocAs part of check. Pleayour pre-em Please brinand verify th 1. Your val2. Full UK 3. A payslip4. Your P45. Your Na6. Two P

(Water/Gissued fo

7. Diploma8. Certifica

& CONFIDEN

s, Road,

Jones,

tional offer o

tions on yount for the role

at Chelsea a

oyment with tbe subject tTeam or viaything said t

s/clearancesional offer is are not satisf

have satisfiedoyment will b

at its discrer performanc

cumentationyour pre-em

ase contact tmployment ch

ng originals ohese:

lid passport Driving Licenp from your p5 (if you hav

ational InsuraProofs of yGas/Electricitor the curren

a or Certificatate of profess

NTIAL

of appointm

ur success ae of Staff Nurand Westmin

the Trust woto various poa the Trust’sto you during

s subject to e

fied.

d each of thebe subject toetion, extende and suitab

n Check mployment prthe Recruitmheck appoint

of the followi

nce (if you haprevious NHve received oance card, P6your currenty/Broadband

nt financial yete of Qualificsional registr

ment

t your recenrse Band 6 innster Hospita

ould be on tholicies and ps intranet. Thg your intervi

each of the c

e conditions o your satisfd this periodility for contin

rocess, we wment Team ntment.

ng documen

ave one) S employme

one) and a P460 or P45 (wnt addressd/Landline), ear ation

ration (if appl

nt interview. n the Educatal NHS Foun

he terms set procedures ohe terms of tew or any ot

conditions se

in this offer factory comp

d for up to anued employ

will need to o later than

nts with you

ent 46

within the lasts issued w

Bank/Credi

licable)

I am pleasetion centre, w

ndation Trust

out in the enof the Trust wthe offer in tther discussi

t out below a

letter and yopletion of a a further threyment will be

complete a 31st August

to the appoi

t 12 months)within the t Card stat

Chelsea an

d to confirmwithin the Le.

nclosed contwhich are avthis letter anons about yo

and will be w

our employmesix month p

ee months. De monitored.

face to facet (two weeks

ntment as w

last 3 mement or L

nd WestminsHR

369 F

Tel: 02www.che

7th Sept

m this conditioearning and d

tract of empvailable fromnd the enclosour employm

withdrawn if a

ent has beenprobationary During this p

e ID and dos from today

we are requir

months eg Local Author

1

ster HospitalDepartmentulham Road

LondonSW10 9NH

2033158000lwest.nhs.uk

tember 2014

onal offer ofdevelopment

loyment andm the Human

sed contractment with the

any of these

n confirmed,period. The

probationary

cumentationy) to arrange

red to check

Utility billrity Tax Bill

t

k

f t

t

y

k

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

This documtogether wstatement othe Trust. This appoinTerms and NHS Staff C Your emplodocument. procedures your contraSide and wCouncil. For your infConditions Trust’s intra SECTION 1(Go to expla Name: Post title: Date of ap Date of Co Date of Co Nature of a Pay Band: Basic sala High Cost Recruitme Increment Place of w Contracted Minimum n

ment details yith your lettof terms and

ntment is goConditions o

Council Hand

oyment is aThe Trust with the loc

act of employwith you indi

formation coare availabl

anet.

1: SUMMARanation note

ppointment: (S

ommenceme

ontinuous NH

appointment

: (see section 7

ary: - (see sect

Area Supple

ent/Retention

al date: (see s

work (see sectio

d hours per w

notice period

STATE

your principater of appoi conditions o

verned by thof Employmedbook and th

lso subject agrees loca

cally recognisyment will ovidually or b

opies of all ple for inspec

RY STATEMEs for further

See section 3)

ent with the T

HS Service: (

t

7)

ion 9)

ement

n premium: (s

section 10)

on 14)

week: (see se

d for employe

EMENT OF E

al terms and ntment consof employme

he agreemenent, agreed bhe Agenda fo

to various pl terms andsed Staff Sidnly be madeby collective

olicies, rulesction from yo

ENT OF TERdetails)

Trust: (See sec

(See section 5)

see section 9)

ction 15)

ee and Trust

EMPLOYME

conditions ostitutes yourent will supe

nts of the NHby the NHS or Change: N

policies and d conditions de Organisate after consu agreements

s and documour Line Ma

RMS AND CO

ction 4)

t: (see section 2

NT PARTIC

of employmer contract orsede any p

HS Staff CoStaff Counc

NHS Terms a

proceduresof employm

tions via the ultation and s with the P

ments referenanager, the H

ONDITIONS

Mary

Educ

16th

16th

16th

6 mo

6

£28,timeInne

Long

16th

Learcent15.5

23) 8 we

ULARS

ent relating tof employmerevious cont

uncil relatingil, details wh

and Condition

of the Trusment and em

Partnership discussion i

Partnership F

nced in this SHuman Reso

:

y Jones

cational Nurs

January 201

January 201

January 201

onths

000 per ann) r

g Term / £ pe

January 201

rning and devre

eeks

o your appoient with the tract of empl

g to Agendahich are contns of Service

st as referemployment pForum. Any

in partnershForum or the

Statement ofources Team

se

5

5

5

um (pro rata

er annum

5

velopment, e

intment, andTrust. This

oyment with

for Changetained in thee Handbook.

nced in thispolicies andy changes toip with Staffe NHS Staff

f Terms andm or via the

a? – if part

education

e

s

o f f

e

 

 

 

 

Chelsea & Westminster 

CONTINUING PROFESSIONAL DEVELOPMENT 35 hours CPD 

Mary Jones   

�

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 Code Please identify the part or parts of the Code relevant to the CPD. Prioritise people Practise effectively 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 Please describe the methods you used for the activity:

Topic(s):

Link to Code:

Number of hours:

Number of participatory hours:

05/03/13 Online learning Safeguarding Children Level 1:- To learn to recognise when children may be at risk and the appropriate action to take.

Prioritise people, Preserve safety, Promote professionalism and trust, Practise effectively

1.5

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

Preserve safety, Promote professionalism and trust,

1.5

�

05/03/15 Online learning Infection Control: - Designed to show why inflection control is vital. Ways to protect patients and staff from transmissions and how to promote correct practice

Preserve safety, Promote professionalism and trust, Practise effectively

1.5

18/03/15 Online learning Blood transfusion: - Online element of the blood transfusion competencies. Ensuring that you understand the process that is required when ordering, storing, giving and monitoring.

Preserve safety, Promote professionalism and trust, Practise effectively

1.5

31/03/15 Online learning Safeguarding Adults Level 1, To learn to recognise when adults may be at risk and the appropriate action to take.

Prioritise people, Preserve safety, Promote professionalism and trust, Practise effectively

1.5

�

13/11/15 Independent learning British Journal of Nursing: - The national Early Warning Score in Practice: 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.

Practise effectively

4

27/02/1 Course attendance Mental Health Issues Update:- An update to support my work discussing some of the more prominent issues that are affecting people with mental health issues.

Preserve safety, Promote professionalism and trust, Practise effectively

8 8

06/03/15 Course attendance Clinical burns management:- Provided a foundation to understand the care required when nursing a burns patient. I sometimes nurses burns patients.

Preserve safety, Practise effectively

8 8

27/03/15 Course attendance and independent learning Immediate life support:- Gained skills & understanding to managing patients requiring immediate life support within a clinical setting.

Preserve safety, Promote professionalism and trust,

20 8

Total: 47.5

Total: 24

EBSCOhost 

 

Record: 1  

  Title: The National Early Warning Score in practice: a reflection.  

  Authors: Day, Tina; Oxton, Julie  

  Affiliation: Lecturer, Department of Postgraduate Research and Adult Nursing,  

  Florence Nightingale Faculty of Nursing and Midwifery, Kings College London 

  Consultant Nurse for Critical Care, Imperial College Healthcare NHS Trust,   London  

  Source: British Journal of Nursing (BR J NURS), 10/23/2014; 23(19): 1036‐1040.  

  (5p)  

  Publication Type: Journal Article ‐ research, tables/charts  

  Language: English  

  Major Subjects: Critical Illness ‐‐ Therapy  

  Emergency Care  

  Heart Arrest ‐‐ Prevention and Control  

  Minor Subjects: National Health Programs; England; Staff Development; Patient  

  Identification; Vital Signs ‐‐ Evaluation; Human; Inpatients; Hospital  

  Mortality; Outcomes (Health Care); Checklists; Pilot Studies; Health Status ‐‐  

  Evaluation; Nursing Assessment; Audit; Algorithms  

  Abstract: In 2012, The Royal College of Physicians (RCP) developed a National  

  Early Warning Score (NEWS) as a standardised approach to assessment and  

  response to critical illness. This paper reports the authors’ experiences  

  whilst implementing NEWS across one large inner London NHS Trust. NEWS was  

  introduced to all adult areas between November 2013 and January 2014. All  

  healthcare staff completed the RCP’s online e‐learning module and received  

  scenario‐based teaching. One of the challenges was the Trust’s geographical  

  location over three sites. Comparisons across all sites will be made over time  

  as data become available. Introducing NEWS has been a challenging but exciting  

  initiative.  

  Journal Subset: Core Nursing; Double Blind Peer Reviewed; Editorial Board  

  Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland  

  Special Interest: Critical Care; Emergency Care  

  ISSN: 0966‐0461  

  MEDLINE Info: PMID: 25345453 NLM UID: 9212059  

  Entry Date: 20141208  

  Revision Date: 20150820  

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

  Accession Number: 107840215  

Jones, Mary

Bluebell Ward

Mandatory E-Learning

Topic Date

Adult Basic Life Support 29-Sep-14

Anaphylaxis e-learning Completed via e-learning

05-Mar-15

Appraisal Record 01-Sep-14

Blood Transfusion e-learning Completed via e-learning

18-Mar-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-learning

05-Mar-15

Fire e-learning Completed via e-learning

31-Mar-15

Health and Safety and Risk Management e-learning Completed via e-learning

17-Apr-15

Inanimate Loads e-learning Completed via e-learning

24-Mar-15

Infection Control e-learning Completed via e-learning

05-Mar-15

Information Governance e-learning Completed via e-learning

05-Mar-15

Intravenous Drug Administration 10-Feb-14

Medicines Management 26-Feb-13

Patient Experience - Positive and Respectful Culture

12-Dec-12

Patient Handling 26-Jul-13

Pharmacy Induction 22-Apr-15

Pressure Ulcer

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

31-Mar-15

Safeguarding Children Level 1 e-learning Completed via e-learning

05-Mar-13

Safeguarding Children Level 2

Safer Administration of Insulin

 

 

 

 

 Chelsea and Westminster 

PRACTICE RELATED FEEDBACK 5 pieces of practice related feedback 

Mary Jones   

1

PERFORMANCE & DEVELOPMENT REVIEW (APPRAISAL) PRIVATE AND CONFIDENTIAL

Name: Mary Jones Post: Education officer Department/Ward: Learning and Development Division: Education

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

Getting Ready for Development Review (Appraisal) Manager Member of staff

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.

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.

Identify the mandatory & statutory training required for the coming year. The Trust’s mandatory & statutory training grid can be found on the Intranet.

Think about the mandatory & statutory training you need for the coming year.

Consider if the objectives for the year have been met.

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 this person.

Think of the corporate objectives and which objectives will be needed for you this year.

Think what additional training or skills the person may benefit from

Think what further training or skills you would like in addition to mandatory training.

Talk to colleagues about how the person is doing Talk to colleagues about how you are doing.

2

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 Trust’s 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 examples of why you have selected the rating you have.

Exceptional Positive Y Neutral Negative I have introduced new approaches to older subjects and tried to make existing courses more interactive.

Communication, incl. open dialogue, sharing information, listening and giving feedback. Give examples

Exceptional Positive Y Neutral Negative I have always felt one of my strengths is communication, I feel I can relate well to the staff 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. celebrating success, spreading good news, positive/‘can do’ attitude and saying thank you. Give examples

Exceptional Positive Y Neutral Negative I feel that I have been received well by my colleagues; I have received positive feedback for my contributions from some of the students I have taught.

3

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 Objective/

BU/ Department Objective

Individual Objective

To finish the changes to the immediate life support course

Timescale

1 month

Success Criteria

Time management

Progress report (inc. milestones)

Monitoring progress against objective

Mid year review

End of year review

Exce

eds

Met

Part

ially

Not

met

Exce

eds

Met

Part

ially

Not

met

Quality

To gain feedback from staff and colleagues

2months

Results of feedback

People

To continue engaging with people to better understand different mechanisms to use which engage learning

1 year

Development of training sessions

Productivity & efficiency

Make sure all presentations are available online for download

Continuous

Ability to access the information online

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

4

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

and by whom Timescale State briefly the benefits of this

development (to the individual, dept or wider Trust)

To finish the changes to the immediate life support course

Mary Jones

1 month

Better training for staff, stronger understanding of care to patients.

To gain feedback from staff and colleagues

Mary Jones and colleagues

2 months

Helps staff feel they contribute to their development.

To continue engaging with people to better understand different mechanisms to use which engage learning Amongst bored excellent

Mary Jones

1 year

Stronger education mechanisms strengthen the trusts relationships with its staff.

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

5

The following manager’s comments must be completed Manager’s 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 Employee’s comments: I feel that I have many new ideas for the upcoming year and that my colleagues are supportive of my development. Employee’s signature: Date: 10/02/2016 Reviewer’s manager’s comments (if applicable): Reviewer’s Manager’s signature: Date:

 

 

Dear xxxxxxxx 

    I wish to make a complaint about the care my son received from 

the school nurse xxxxx. 

 

My son came to the school nurse on the xx/xx/xx to tell her that he had fallen 

in the playground and cut his leg. The nurse cleaned his wound and applied a 

material type plaster to cover it, then sent him back out to play. 

I feel upset that I was not informed that my son had fallen and hurt himself, I 

am also upset because a material plaster was used and my son has an allergy 

to these type of plasters, he developed a very painful and itchy rash where the 

plaster had been sitting all day.  

I feel that there was a lack of communication between the nurse and myself 

and also the school by no providing details about my son’s allergies when they 

were needed. 

I would like something to be done about the way this school nurse 

communicates with the parents and also for her to have ready access to 

information about the children.  

 

Yours  

Mrs xxxxx xxxxxx 

 

 

 

 

 

Dear Mary Jones 

 

    Thank you so much for the class today on Immediate Life support. 

I am a newly qualified nurse and work in an acute setting where the patients 

are very unwell, and can become un‐stable quickly. I really enjoyed your class 

and felt that you communicated the information to us very clearly and in way 

that was easy to understand and also delivered it to us in a method that we 

could retain well and be able to recall it should we need to.   

I very much enjoyed the ABCDE approach to assessing an unstable patient. I 

feel that this will be of great benefit to me in the unit and I feel much more 

confident at being able to manage a situation where a patient has become 

critical. 

 

Thank you for the course and for you time. 

 

Yours sincerely  

xxxxxxxxxxxxxxxxxxxxx 

 

 

 

 

 

 

Chelsea and Westminster 

WRITTEN REFLECTIVE ACCOUNTS Five written reflective accounts 

Mary Jones   

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

Chelsea and Westminster 

REFLECTIVE DISCUSSION Reflective discussion with another NMC registrant 

Mary Jones 

47 

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:  Mary Jones

NMC Pin:  E14335

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

Name:  Abdi Patel

NMC Pin:  E43598

Email address:  Abdi.patel@chelwest.nhs.co.uk

Professional address including postcode:

West Middlesex Hospital Twickenham Rd, Isleworth, Middlesex TW7 6AF

Contact number: 0208321xxxx

Date of discussion: 20/03/2016

Short summary of discussion: 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.

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: 20/03/2016

 

  

 

 

 

 

Chelsea and Westminster 

CONFIRMATIONLook at the evidence I have collected and 'confirm' that I have met the revalidation requirements. 

Mary Jones   

 

You must use this form to record your confirmation.    

To be completed by the nurse or midwife:  

Name:  Mary Jones

NMC Pin:  E14335

Date of last renewal of registration or joined the register: 

30/04/1995

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

 

x  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:  Abdi Patel

Job title:  Line Manager

Email address:  Abdi.patel@chelwest.nhs.co.uk 

Professional address including postcode: 

West Middlesex Hospital Twickenham Rd,  Isleworth, Middlesex  TW7 6AF 

Contact number:  0208321xxxx

Date of confirmation discussion:  20/03/2016

CONFIRMATION FORM

 

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   

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

x 

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.

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 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: MARY JONES

Date: 20/03/2016 

x 

x 

x 

x 

x