Download Nursing Home Portfolio

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This pPortfolio has been designed to help you organise your evidence for revalidation in line with the
Nursing and Midwifery Council (NMC) requirements.
You will need to ensure you have an NMC online account on WWW.nmc-uk.org
Please read How to set up your online NMC account
Once this has been set up you will be able to find out your revalidation date.
You must familiarise yourself with the revalidation requirements and start to develop your portfolio.
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Personal Profile
Full Name
Home Address
3
Membership of Professional Bodies
NMC registration number
NMC registration renewal date
NMC Revalidation date
4
Employment Details
Current Employment
Job Title
Employer Name
Employers Address
Date Employment commenced in current role
5
Employment history if less than 3 years in current role
Previous Employment
Job Title
Employer Name
Employers Address
6
Education and Professional qualifications
Qualification
Subject/qualification
Place of Study
Year obtained
Qualification
Subject/qualification
Place of Study
Year obtained
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Training Courses Attended
Training
Course title
Training provider
Duration
Year completed
Training
Course title
Training provider
Duration
Year completed
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Section Two
Practice Hours Log
Job specifications and Role profiles
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Practice hours log
For this section you must include a record of your practice hours.
The record must include: Dates of practice
 The number of hours you undertook
 Name and address and postcode of the organisation
 Scope and practice (Direct clinical care or management)
 Work setting (Care home)
 A description of the work you undertook
 Evidence of practice hours – time sheets, role profiles/job description
Completing the practice hours log



Enter the most recent practice first and then any other until you have achieved 450
hours
If you have worked in one setting make one entry of the hours
If you have worked in a range of setting please set out individually
Please note
Practice hours are the hours where you rely on your skills/ knowledge and experience of
being a registered nurse.
The practice hours can only be counted as hours worked as a registered nurse. Hours
undertaken as a health care assistant cannot be counted as practice hours
If you have worked overseas, as a nurse, during the three year renewal period please refer
to NMC guidance.
The examples have been added to the form below for your information and can be deleted so
you can add your information
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Guide to completing practice hours log
Work settings
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.
Dates:
Select appropriate setting:
Ambulance service

Care home sector

Care inspectorate

Cosmetic/aesthetic sector

District nursing

Education

Governing body or leadership role

GP practice or other primary care

Health visiting

Hospital or other secondary care

Insurance/legal

Military


Occupational health














Other community services
Overseas
Policy
Prison
Private domestic setting
Private health care
Public health
Research
School
Specialist (tertiary) care
Telephone or e-health advice
Trade union or professional body
Voluntary sector
Other
Your
registration
Registration:
Nurse

Midwife

Nurse/SCPHN


Midwife/SCPHN
Name and
address of
organisation:
Your work
setting
Your scope
of practice
(choose from list above):
(choose from list above):
04.01.2016prsent day
(14.03.2016
Care Acres
nursing home,
Any street,
Any town,
postcode
Care home sector Direct Patient
Care
37.5 x 11 weeks
=412.5 hours
Nurse
Unit Manager responsible for the
overseeing the provision of nursing care
to elderly patients
Responsible for supervision and
appraisal of nurses and care staff on the
unit
19.05.2014
to
03.01.2016
Amethyst Court
Nursing Home,
Any Avenue,
Any town,
postcode
Care home sector Direct Patient
Care
30 hrs x 94
weeks = 2,820
Nurse
Staff Nurse responsible for the delivery of
nursing care to 35 elderly patients
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Number
of hours:
Your scope of practice:
Commissioning

Consultancy

Education

Management

Policy

Direct patient care

Quality assurance or inspection

Brief description of your work:
(choose from list above):
Responsible for Tissue viability care in
the home
Dates:
Name and
address of
organisation:
(Please add rows as necessary)
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Your work
setting
Your scope
of practice
(choose from list above):
(choose from list above):
Number
of hours:
Your
registration
(choose from list above):
Brief description of your work:
Section Three
Continuing Professional
Development (CPD) record
log
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Continuing Professional Development
You must undertake at least 35 hours of continuing professional development (CPD), 20 of
these hours must be participatory learning (learning in a group with others).
The CPD cannot include mandatory training and must be relevant to your scope of practice
i.e. catheter care training
To gain free access to E-journals and E-book please contact:Fiona Rees
Librarian & Athens Administrator for Staffordshire
01785 221584 (Internal ext.7128935)
[email protected] OR [email protected]
Please note to gain access to this resource you must be providing clinical care to NHS
funded patients
The examples have been added to the form below for your information and can be deleted so
you can add your information
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Please provide the following information for each learning activity, until you reach 35 hours of CPD (of which 20 hours must be participatory). For examples of the types of CPD activities you
could undertake, and the types of evidence you could retain, please refer to Guidance sheet 3 in How to revalidate with the NMC.
Guide to completing CPD record log
Examples of learning method
What was the topic?
Link to Code



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.
Please identify the part or parts of the Code relevant to the CPD.
Prioritise people

Practise effectively

Preserve safety


Promote professionalism and trust
Online learning
Course attendance
Independent learning
Dates:
Method
Topic(s):
Link to Code:
Number of
hours:
Number of
participatory
hours:
Please describe the methods you used for the activity:
15.09.2014
Course attendance
Tissue Viability to understand how pressure
ulcers form and the risk factors. How to
undertake assessment and identify appropriate
dressing types and equipment.
Practise
effectively and
preserve safety
12
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12.05.2015
Course attendance
End of Life course to increase understanding,
knowledge and skills in Palliative and End of
Life Care
Prioritise people 18
Practise
effectively
Preserve safety
18
Practise
effectively
Preserve safety
0
(certificate kept in portfolio/folder)
11.07.2015
Independent learning
Wounds Essential 2012, Vol 2
Differentiating between pressure ulcers and
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2
moisture lesions
Read article on assessing and differentiating
between superficial pressure ulcers and
moisture lesions
(copy of article and review notes including
practice related outcomes from reading article
retained in portfolio/folder)
28.11.2015
Independent learning
Nursing Times supplement, Leadership skills
for nurses
Promote
professionalism
and trust
4
0
Total: 36
Total: 30
Read article on “what leadership style nurses
should develop”
(copy of article and review notes including
practice related outcomes from reading article
retained in portfolio/folder)
(Please add rows as necessary)
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Section Four
Practice Related Feedback x 5
(you tick a box to declare this online
with NMC when you revalidate)
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Practice Related Feedback
Practice related feedback can be obtained from a variety of sources:





Patients
Colleagues who are healthcare professionals
Complaints
Team performance reports
Serious Event reviews
Annual appraisal
Types of Feedback (you need to be clear about the impact the feedback has had on your
practice)
Can be written or verbal/ positive or constructive




Your individual practice
Team practice
Unit practice
Care home practice
Remember you must not have any person identifiable information in this feedback and
should not be stored electronically. You will not be expected to provide a copy of this to the
NMC.
I may be useful to keep a record of you practice related feedback for your
confirmer
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Guide to completing a feedback log
Examples of sources of feedback
Examples of types of feedback










Patients or service users
Colleagues – nurses midwives, other
healthcare professionals
Students
Annual appraisal
Team performance reports
Serious event reviews
Verbal
Letter or card
Survey
Report
Please provide the following information for each of your five pieces of feedback. You should not record any information that might identify an
individual, whether that individual is alive or deceased. Guidance Sheet 1 in How to revalidate with the NMC provides guidance on how to make
sure that your notes do not contain any information that might identify an individual.
You might want to think about how your feedback relates to the Code, and how it could be used in your reflective accounts.
Date
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Source of feedback
Type of feedback
Where did this feedback
come from?
How was the feedback
received?
Content of feedback
What was the feedback about and how has it influenced your practice?
Date
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Source of feedback
Type of feedback
Where did this feedback
come from?
How was the feedback
received?
Content of feedback
What was the feedback about and how has it influenced your practice?
Section Five
Reflective Accounts
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Written Reflective Accounts
You must prepare 5 written reflective accounts from the three year period when you last
renewed/revalidated.
The accounts must be recorded on the approved NMC form and refer one of the following:



A CPD activity
A piece of practice related feedback
An event or experience in your own professional practice
A topic that has been identified as a result of feedback to your team i.e. dignity
Remember
The reflective accounts must not include:



Any information that may identify an individual (alive or deceased)
The date of the incident or event
The home, unit or place
Descriptions of unique circumstances where an individual could be identified
You are not required to submit a copy of the reflective accounts to the NMC.
You will need to retain the accounts for the reflective discussion and to show your confirmer.
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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event
or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts,
making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to
our guidance on preserving anonymity in Guidance sheet 1 in How to revalidate with the NMC.
Reflective account:
What was the nature of the CPD activity and/or practice-related feedback
and/or event or experience in your practice?
What did you learn from the CPD activity and/or feedback and/or event or
experience in your practice?
How did you change or improve your practice as a result?
How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote
professionalism and trust
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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event
or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts,
making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to
our guidance on preserving anonymity in Guidance sheet 1 in How to revalidate with the NMC.
Reflective account:
What was the nature of the CPD activity and/or practice-related feedback
and/or event or experience in your practice?
What did you learn from the CPD activity and/or feedback and/or event or
experience in your practice?
How did you change or improve your practice as a result?
How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote
professionalism and trust
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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event
or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts,
making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to
our guidance on preserving anonymity in Guidance sheet 1 in How to revalidate with the NMC.
Reflective account:
What was the nature of the CPD activity and/or practice-related feedback
and/or event or experience in your practice?
What did you learn from the CPD activity and/or feedback and/or event or
experience in your practice?
How did you change or improve your practice as a result?
How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote
professionalism and trust
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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event
or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts,
making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to
our guidance on preserving anonymity in Guidance sheet 1 in How to revalidate with the NMC.
Reflective account:
What was the nature of the CPD activity and/or practice-related feedback
and/or event or experience in your practice?
What did you learn from the CPD activity and/or feedback and/or event or
experience in your practice?
How did you change or improve your practice as a result?
How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote
professionalism and trust
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You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event
or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts,
making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to
our guidance on preserving anonymity in Guidance sheet 1 in How to revalidate with the NMC.
Reflective account:
What was the nature of the CPD activity and/or practice-related feedback
and/or event or experience in your practice?
What did you learn from the CPD activity and/or feedback and/or event or
experience in your practice?
How did you change or improve your practice as a result?
How is this relevant to the Code?
Select one or more themes: Prioritise people – Practise effectively – Preserve safety – Promote
professionalism and trust
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Section Five
Reflective Discussion Form
You must use this form to record your reflective
discussion with another NMC-registered nurse
about your five written reflective accounts. During
your discussion you should not discuss patients,
relatives/visitors or colleagues in a way that could
identify them unless they expressly agree, and in
the discussion summary section below make
sure you do not include any information that
might identify a specific patient or service user.
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To be completed by the nurse or midwife:
Name:
NMC Pin:
To be completed by the nurse or midwife with whom you had the discussion:
Name:
NMC Pin:
Email address:
Professional address including
postcode:
Contact number:
Date of discussion:
Short summary of discussion:
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I have discussed five written
reflective accounts with the
named nurse or midwife as part of
a reflective discussion.
Signature:
I agree to be contacted by the NMC
to provide further information if
necessary for verification
purposes.
Date:
Section Six
Confirmation Form
This form must be used to record your
confirmation discussion
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Name:
NMC Pin:
Date of last renewal of registration or
joined the register:
I have received confirmation from (select applicable):
A line manager who is also an NMC-registered nurse or midwife
A line manager who is not an NMC-registered nurse or midwife
Another NMC-registered nurse or midwife
A regulated healthcare professional
An overseas regulated healthcare professional
Other professional in accordance with the NMC’s online confirmation tool
To be completed by the confirmer:
Name:
Job title:
Email address:
Professional address
including postcode:
Contact number:
Date of confirmation discussion:
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If you are an NMC-registered nurse or midwife please provide:
NMC Pin:
If you are a regulated healthcare professional please provide:
Profession:
Registration number for regulatory body:
If you are an overseas regulated healthcare professional please provide:
Country:
Profession:
Registration number for regulatory body:
If you are another professional please provide:
Profession:
Registration number for regulatory body (if relevant):
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Confirmation checklist of
revalidation 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
You have seen evidence that at least 20 of the 35 hours include participatory
learning relevant to their practice as a nurse or midwife.
You have seen accurate records of the CPD undertaken.
Practice-related feedback
You are satisfied that the nurse or midwife has obtained five
pieces of practice-related feedback.
Written reflective accounts
You have seen five written reflective accounts on the nurse or midwife’s CPD and/or
practice-related feedback and/or an event or experience in their practice and how
this relates to the Code, recorded on the NMC form.
Reflective discussion
You have seen a completed and signed form showing that the nurse or midwife has
discussed their reflective accounts with another NMC-registered nurse or midwife
(or you are an NMC-registered nurse or midwife who has discussed these with the
nurse or midwife yourself).
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I confirm that I have read Information for confirmers, and that the above named NMCregistered nurse or midwife has demonstrated to me that they have complied with all of the
NMC revalidation requirements listed above over the three years since their registration was
last renewed or they joined the register as set out in Information for confirmers.
I agree to be contacted by the NMC to provide further information if necessary for verification
purposes. I am aware that if I do not respond to a request for verification information I may
put the nurse or midwife’s revalidation application at risk.
Signature:
Date:
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