Version: May17 (DNAMER)

Private & Confidential

KEMH Professional Development Review (PDR)

Name:

Employee Number:

Position:

Directorate/Department:

Reviewer Responsible: Position:

Registration number: Midwifery: Nursing:

PDR Date:

Entered into MyHR: Yes ☐ No ☐

MidwifeRegistered Nurse

Level 1 & 2

Version: May17 (DNAMER)

WNHS employment requirements:All nurses and midwives at KEMH are required to complete a professional development review each year.

You will need to complete Section 2 for both professions if maintaining registration as a Registered Nurse and Midwife.

Nursing & Midwifery Board of Australia requirements:You are reminded that annual renewal of registration for all nurses and midwives is required by 31 May each year.

The information included in your KEMH PDR document for nurses and midwives should assist you to respond to an audit request by the Nursing and Midwifery Board of Australia (NMBA) should this occur.

The NMBA may choose to audit one or more of the following four mandatory registration standards:

Criminal history registration Continuing professional development (20 hours CPD each for midwifery & nursing) Recency of practice (450 hours in 5 years for each profession you are registered in) Professional indemnity insurance arrangements (should you require evidence of this you are

advised to contact the Executive Secretary to the Director of Midwifery, Nursing & Patient Support Services for a standard letter that is available from the hospital confirming this arrangement)

Further information can be accessed at:http://www.nursingmidwiferyboard.gov.au/Registration-and-Endorsement/Audit.aspx

While the documents are the same for both ANF Level 1 and 2 staff it is expected that the responses that you provide to the questions will be reflective of your level of experience.

You are encouraged to make entries in your PDR document throughout the year to avoid having to add all relevant information at the time of your review.

Checklists can be accessed at:http://www.wnhs.health.wa.gov.au/services/dnamer/

You should send your completed documents electronically to your reviewer one week prior to your scheduled review date. Your HE number is your electronic signature.

Please retain a copy of this document for your personal records. Your Reviewer will arrange for your completed PDR date to be entered into MyHR as evidence of compliance with the NMHS HRM06 Performance Development and Review Policy located at: https://healthpoint.hdwa.health.wa.gov.au/policies/Policies/NMAHS/Corporate/NMHS%20Performance%20Development%20and%20Review%20Policy.pdf

This information will also be shared with the relevant Co-ordinator/Co-Director/Director of your Clinical Service.

Version: May17 (DNAMER)

Section 1: PDR meeting questionsIn preparation for your annual PDR meeting complete the following questions in relation to your current JDF and the WNHS organisation values of: Respect, Excellence, Integrity, Teamwork and Leadership. (Type directly into the boxes provided, adapting the size to your needs – remove the examples provided)

1. In the last 12 months how have you facilitated woman/patient centred care in our setting?

Choose a real example of having achieved this in practice – examples include: advocating, empowering, facilitating informed decision making, supporting birth plans, interpreter services, culturally sensitive care.

2. Briefly describe a QI activity you have undertaken or been involved in demonstrating evidence based practice in the last 12 months. How has this information influenced your practice?

What was the purpose/aim? How was it undertaken? What were the outcomes? How did you help? How has this affected your practice or that of others?

3. Choose one of the CPD activities that you have completed and reflected upon in the last 12 months. Explain how you will use this in your practice.

Choose an activity you learned the most from or had the greatest impact. What was the topic? Who presented? Why and how has it impacted on you? How have you implemented this into practice and has it worked?

Version: May17 (DNAMER)

4. Describe your involvement with the facilitation of learning for your colleagues in the last 12 months?

Think of all the times that you have acted as a preceptor, mentor, buddy for students, graduates and other colleagues. What have you done to make a difference to their learning? What feedback have you received from them about your ability to support them and help their learning?

5. Describe a situation in the last 12 months where you demonstrated leadership skills within the multidisciplinary team.

Think about a situation where you took the lead in managing a situation within the multidisciplinary team. What made you the leader, what leadership characteristics did you use (such as effective communication, delegation, role modelling, giving constructive feedback), what was the outcome, how did you feel?

Version: May17 (DNAMER)

Section 2a: National Competency Standards for the MidwifeFor each competency standard place a tick in the table to demonstrate you meet the expectation of this competency. National Competency Standards for the Midwife will assist in the planning of ongoing CPD requirements. Midwives who are Registered Nurses will also need to complete the Registered Nurse Standards for Practice checklist.

Domain: Legal and professional practice

Competency Self-review Reviewer confirmation

CPD reference (from 3b)

1. Functions in accordance with legislation and common law affecting midwifery practice.

2. Accepts accountability and responsibility for own actions within midwifery practice.

Domain: Midwifery knowledge and practice

Competency Self-review Reviewer confirmation

CPD reference (from 3b)

3.Communicates information to facilitate decision-making by the woman.

4. Promotes safe and effective midwifery care.

5. Assesses, plans, provides and evaluates safe and effective midwifery care.

6. Assesses, plans, provides and evaluates safe and effective midwifery care for the woman and/or baby with complex needs.

Domain: Midwifery as primary health care

Competency Self-review Reviewer confirmation

CPD reference (from 3b)

7. Advocates to protect the rights of women, families and communities in relation to maternity care.

8. Develops effective strategies to implement and support collaborative midwifery practice.

9. Actively supports midwifery as a public health strategy.

10 Ensures midwifery practice is culturally safe.

Domain: Reflective and ethical practice

Competency Self-review Reviewer confirmation

CPD reference (from 3b)

11. Bases midwifery practice on ethical decision making.

12.

Identifies personal beliefs and develops these in ways that enhance midwifery practice.

13. Acts to enhance the professional development of self and others.

14. Uses research to inform midwifery practice.

Version: May17 (DNAMER)

Section 2b: Registered nurse standards for practiceFor each standard place a tick in the table to demonstrate you meet the expectation of this standard. Staff employed as Registered Nurses who maintain their midwifery registration will also need to complete the National Competency Standards for Midwife checklist.

Standard 1: Thinks critically and analyses nursing practice

RNs use a variety of thinking strategies and the best available evidence in making decisions and providing safe, quality nursing practice within person-centred and evidence-based frameworks.

Self-reviewReviewer

confirmation

CPD reference (from 3b)

1.1accesses, analyses, and uses the best available evidence, that includes research findings, for safe, quality practice

1.2develops practice through reflection on experiences, knowledge, actions, feelings and beliefs to identify how these shape practice

1.3

respects all cultures and experiences, which includes responding to the role of family and community that underpin the health of Aboriginal and Torres Strait Islander peoples and people of other cultures

1.4 complies with legislation, regulations, policies, guidelines and other standards or requirements relevant to the context of practice when making decisions

1.5 uses ethical frameworks when making decisions

1.6maintains accurate, comprehensive and timely documentation of assessments, planning, decision-making, actions and evaluations, and

1.7 contributes to quality improvement and relevant research.

Standard 2: Engages in therapeutic and professional relationships

RN practice is based on purposefully engaging in effective therapeutic and professional relationships. This includes collegial generosity in the context of mutual trust and respect in professional relationships.

Self-reviewReviewer

confirmation

CPD reference (from 3b)

2.1establishes, sustains and concludes relationships in a way that differentiates the boundaries between professional and personal relationships

2.2.communicates effectively, and is respectful of a person’s dignity, culture, values, beliefs and rights

2.3recognises that people are the experts in the experience of their life

2.4provides support and directs people to resources to optimise health-related decisions

2.5advocates on behalf of people in a manner that respects the person’s autonomy and legal capacity

2.6uses delegation, supervision, coordination, consultation and referrals in professional relationships to achieve improved health outcomes

2.7actively fosters a culture of safety and learning that includes engaging with health professionals and others, to share knowledge and practice that supports person-centred care

Version: May17 (DNAMER)

2.8participates in and/or leads collaborative practice, and

2.9reports notifiable conduct of health professionals, health workers and others.

Standard 3: Maintains the capability for practice

RNs, as regulated health professionals, are responsible and accountable for ensuring they are safe, and have the capability for practice. This includes ongoing self-management and responding when there is concern about other health professionals’ capability for practice. RNs are responsible for their professional development and contribute to the development of others. They are also responsible for providing information and education to enable people to make decisions and take action in relation to their health.

Self-reviewReviewer

confirmation

CPD reference (from 3b)

3.1considers and responds in a timely manner to the health and wellbeing of self and others in relation to the capability for practice

3.2provides the information and education required to enhance people’s control over health

3.3 uses a lifelong learning approach for continuing professional development of self and others

3.4accepts accountability for decisions, actions, behaviours and responsibilities inherent in their role, and for the actions of others to whom they have delegated responsibilities

3.5 seeks and responds to practice review and feedback

3.6 actively engages with the profession, and

3.7 identifies and promotes the integral role of nursing practice and the profession in influencing better health outcomes for people.

Standard 4: Comprehensively conducts assessments

RNs accurately conduct comprehensive and systematic assessments. They analyse information and data and communicate outcomes as the basis for practice.

Self-reviewReviewer

confirmation

CPD reference (from 3b)

4.1conducts assessments that are holistic as well as culturally appropriate

4.2uses a range of assessment techniques to systematically collect relevant and accurate information and data to inform practice

4.3

works in partnership to determine factors that affect, or potentially affect, the health and wellbeing of people and populations to determine priorities for action and/ or for referral, and

4.4Assesses the resources available to inform planning.

Version: May17 (DNAMER)

Standard 5: Develops a plan for nursing practice

RNs are responsible for the planning and communication of nursing practice. Agreed plans are developed in partnership. They are based on the RNs appraisal of comprehensive, relevant information, and evidence that is documented and communicated.

Self-reviewReviewer

confirmation

CPD reference (from 3b)

5.1

uses assessment data and best available evidence to develop a plan

5.2

collaboratively constructs nursing practice plans until contingencies, options priorities, goals, actions, outcomes and timeframes are agreed with the relevant persons

5.3

documents, evaluates and modifies plans accordingly to facilitate the agreed outcomes

5.4

plans and negotiates how practice will be evaluated and the time frame of engagement, and

5.5

coordinates resources effectively and efficiently for planned actions.

Standard 6: Provides safe, appropriate and responsive quality nursing practice

RNs provide and may delegate, quality and ethical goal-directed actions. These are based on comprehensive and systematic assessment, and the best available evidence to achieve planned and agreed outcomes.

Self-reviewReviewer

confirmation

CPD reference (from 3b)

6.1

provides comprehensive safe, quality practice to achieve agreed goals and outcomes that are responsive to the nursing needs of people

6.2

practises within their scope of practice

6.3

appropriately delegates aspects of practice to enrolled nurses and others, according to enrolled nurse’s scope of practice or others’ clinical or non-clinical roles

6.4

provides effective timely direction and supervision to ensure that delegated practice is safe and correct

6.5

practises in accordance with relevant policies, guidelines, standards, regulations and legislation, and

6.6

uses the appropriate processes to identify and report potential and actual risk related system issues and where practice may be below the expected standards

Standard 7: Evaluates outcomes to inform nursing practice

RNs take responsibility for the evaluation of practice based on agreed priorities, goals, plans and outcomes and revises practice accordingly.

Self-reviewReviewer

confirmation

CPD reference (from 3b)

7.1

evaluates and monitors progress towards the expected goals and outcomes

7.2

revises the plan based on the evaluation, and

7.3

determines, documents and communicates further priorities, goals and outcomes with the relevant persons.

Version: May17 (DNAMER)

Section 3a: Midwifery/Nursing CPD record for previous 12 months(Continuing Professional Development activities you have attended/completed such as study days, in-service, reading an article)

No

Dateattende

d

Activity Reflection on activity CPD Hours

Nursing Midwifery

1

Example

21/11/16

InTime – simulation study day (KEMH)

Opportunity to practice my skills in a safe environment. Take home message was to provide feedback once tasks had been completed – I aim to include this in my clinical practice

7

TOTAL HOURS

Staff who use alternative recordkeeping methods may present these documents (ANF, ACM, excel spreadsheet, Ausmed) at time of review as evidence of completion, rather than type information into this table.

Version: May17 (DNAMER)

Version: May17 (DNAMER)

Section 3b: Midwifery/Nursing CPD plan for next 12 months (Linked to section 2) (Choose an achievable number (3-5) of Continuing Professional Development activities you plan to attend in order to meet your identified learning objectives/ needs – What do you plan to do? Why do you plan to do it, How are you going to do it? When are you going to do it by?- consider using Specific, Measurable, Agreed, Realistic, Time based {SMART} objectives).

No(Cross

Reference with

Section 2a/b)

Planned completion

date

Objectives/Learning needs Activity/Learning plan

1 Example26/7/17

To refresh my knowledge of the physiology and management of pre-eclampsia

Attend KEMH Pre-eclampsia study day - July xxxxComplete K2 pre-eclampsia module - by xxxxRead KEMH Clinical guidelines - by xxxxRead 2x recent journal articles on evidenced based management - by xxxx

Completed activities from this plan will be recorded in Section 3a, together with other CPD activities, in preparation for your next PDR

Version: May17 (DNAMER)

Section 4:

Mandatory training (include a copy of mandatory training checklist)

Mandatory training requirements completed Yes ☐ No ☐

Signature of Reviewer:

Comments:

Clinical competencies (include a copy of the competencies checklist)(Discussion around competencies – What have you achieved? What would you like to achieve? How are you maintaining your skills?)

Relevant competencies reviewed Yes ☐ No ☐Signature of Reviewer:

Comments:

Breastfeeding education record (BFHI) BFHI* group 1 ☐ 3 ☐No Date

attended

Activity Reflection on activity CPD Hours

TOTAL BREASTFEEDING HOURS

*Group 1: Midwives and neonatal nurses who assist mothers with breastfeeding

Group 3 = Nurses who have contact with pregnant women and mothers but do not provide breastfeeding assistance or give advice as part of their expected role.

Version: May17 (DNAMER)

Section 5: Summary

1. What do you think we can improve in your area/s? How can you be a part of that?

Do you have a quality improvement project in mind? Is there an easier way to do something? Are you concerned about something and have an idea to help?

2. Where do you see your career going and what help will you need to get there?

Have you experienced any challenges achieving your CPD in the last year? Are there other positions you would like to relieve in the future? Is there additional study you would like to do but need some information? Are there some skills you would like to learn? Would you like the opportunity to upskill in a different area? Are you planning for retirement?

Version: May17 (DNAMER)

Declarations

Comment by PDR reviewer:PDR Meeting questions, Competencies, CPD, General comments

Employee additional comments (OPTIONAL)

Employee: Name: HE # /Signature: Date:

I have openly discussed my performance, outcomes and development plan and I agree with the information documented.

PDR reviewer: Name: HE # /Signature: Date:

The employee’s performance, outcomes and development plan have been openly discussed and all relevant information has been documented.

Manager/Co-ordinator/Co-Director/Director:

Name: HE # /Signature: Date:

Comments:

© Department of Health 2017

Copyright to this material is vested in the State of Western Australia unless otherwise indicated. Apart from any fair dealing for the purposes of private study, research, criticism or review, as permitted under the provisions of the Copyright Act 1968, no part may be reproduced or re-used for any purposes whatsoever without written permission of the State of Western Australia.