This document provides information about nurse and midwife revalidation in the UK, which was introduced in 2015 by the Nursing and Midwifery Council (NMC) to improve public protection and ensure nurses and midwives remain fit to practice. It outlines the key requirements of revalidation including maintaining practice hours, continuing professional development, obtaining practice feedback, completing reflective accounts, and undergoing a confirmation discussion every 3 years to renew registration. The roles of the nurse/midwife undergoing revalidation, the NMC registrant involved in reflective discussions, and the confirmer who signs off that requirements have been met are also described.
NMC WirralCT revalidation presentation - Jan 2016WirralCT
The document discusses the new NMC Code of professional standards and the process of revalidation that all nurses and midwives in the UK must undergo every three years to maintain their registration. Revalidation involves meeting requirements centered around practice hours, continuing professional development, obtaining practice feedback, creating written reflective accounts, and having a reflective discussion to demonstrate upholding the standards of the NMC Code. The goal of revalidation is to strengthen public protection by promoting continuous professional development and improved nursing practice.
The document provides information about nurse revalidation in the UK as required by the Nursing and Midwifery Council (NMC). It explains that revalidation is the process that allows nurses to maintain their registration by demonstrating their continued ability to practice safely and effectively. It outlines the revalidation requirements including practice hours, continuing professional development, practice-related feedback, reflective accounts, and confirmation of requirements. It also describes the application and verification processes and options for mitigating circumstances.
The document discusses improving nursing appraisal to meet revalidation requirements. It provides an overview of Aneurin Bevan University Health Board's (ABUHB) experience as the only Welsh pilot site for revalidation, with over 800 nurses participating. It describes how ABUHB quality assures the nursing appraisal process by defining quality standards, improving quality through processes and methods, and measuring compliance. It also discusses how appraisal and annual reviews can be used to monitor nursing development by aligning activities like practice hours, CPD, feedback, and reflections to revalidation requirements. The document concludes by looking forward to revalidation being fully implemented based on lessons learned from the pilot.
The Association of Certified Bookkeepers (CBK) was formed as a not-for-profit organization to represent professional bookkeepers and provide accreditation for qualified bookkeepers, assist bookkeepers in their work, and connect bookkeepers with accounting firms and other clients. The CBK aims to lobby on behalf of bookkeepers, provide resources and support to help bookkeepers succeed and advance their skills and training, and ensure bookkeepers receive appropriate recognition from regulators and other professionals.
The document provides an overview of the UK's revalidation process for general practitioners (GPs). It discusses the following key points:
- Revalidation involves regular appraisal and review of GPs' fitness to practice through a portfolio of evidence demonstrating their compliance with standards.
- Evidence is assessed against four domains: knowledge and performance, safety and quality, communication and teamwork, and maintaining trust.
- GPs must complete continuous professional development activities, maintain an up-to-date personal development plan, and demonstrate the impact of their learning on patient care.
- A responsible officer makes revalidation recommendations to the General Medical Council based on the GP's portfolio and other performance evidence.
The NMC has introduced a new Code of conduct and process of revalidation for nurses and midwives in the UK. Revalidation will require nurses and midwives to demonstrate every 3 years that they are meeting standards of practice by fulfilling requirements like practicing a minimum number of hours, participating in ongoing professional development and training, obtaining practice feedback, and engaging in reflective discussions and accounts relating to their work. The goals of revalidation are to strengthen public protection, encourage continuous learning and improvement, and boost confidence in the nursing and midwifery professions. Pilot programs indicate that revalidation is feasible and beneficial, and the first nurses to undergo the full revalidation process may be those renewing in April 2016.
This document provides guidance on preparing a portfolio for nurse revalidation in the UK. It discusses the requirements for revalidation including 450 practice hours, 35 hours of continuing professional development (CPD) with 20 hours being participatory learning, 5 pieces of practice-related feedback, and reflections. It emphasizes using audits, practice visits, and other participatory activities for CPD hours. Examples are given of how to document audits and quality improvements in the portfolio. Overall, the document aims to alleviate fears about revalidation by showing nurses how to meet the requirements through normal participatory activities like audits, peer learning, and continuing education.
Professional Focus - Issue 2 - March 2015Tracey Hilton
The document provides information related to mentoring students in a healthcare organization. It discusses:
1) The different levels of mentors (stage 1 and stage 2) and their roles and responsibilities in supporting and assessing students.
2) A programme for existing mentors to progress to becoming a "sign off mentor" to make the final decision about a student's competence.
3) The importance of mentors in shaping the future workforce by ensuring students are fit for practice.
NMC WirralCT revalidation presentation - Jan 2016WirralCT
The document discusses the new NMC Code of professional standards and the process of revalidation that all nurses and midwives in the UK must undergo every three years to maintain their registration. Revalidation involves meeting requirements centered around practice hours, continuing professional development, obtaining practice feedback, creating written reflective accounts, and having a reflective discussion to demonstrate upholding the standards of the NMC Code. The goal of revalidation is to strengthen public protection by promoting continuous professional development and improved nursing practice.
The document provides information about nurse revalidation in the UK as required by the Nursing and Midwifery Council (NMC). It explains that revalidation is the process that allows nurses to maintain their registration by demonstrating their continued ability to practice safely and effectively. It outlines the revalidation requirements including practice hours, continuing professional development, practice-related feedback, reflective accounts, and confirmation of requirements. It also describes the application and verification processes and options for mitigating circumstances.
The document discusses improving nursing appraisal to meet revalidation requirements. It provides an overview of Aneurin Bevan University Health Board's (ABUHB) experience as the only Welsh pilot site for revalidation, with over 800 nurses participating. It describes how ABUHB quality assures the nursing appraisal process by defining quality standards, improving quality through processes and methods, and measuring compliance. It also discusses how appraisal and annual reviews can be used to monitor nursing development by aligning activities like practice hours, CPD, feedback, and reflections to revalidation requirements. The document concludes by looking forward to revalidation being fully implemented based on lessons learned from the pilot.
The Association of Certified Bookkeepers (CBK) was formed as a not-for-profit organization to represent professional bookkeepers and provide accreditation for qualified bookkeepers, assist bookkeepers in their work, and connect bookkeepers with accounting firms and other clients. The CBK aims to lobby on behalf of bookkeepers, provide resources and support to help bookkeepers succeed and advance their skills and training, and ensure bookkeepers receive appropriate recognition from regulators and other professionals.
The document provides an overview of the UK's revalidation process for general practitioners (GPs). It discusses the following key points:
- Revalidation involves regular appraisal and review of GPs' fitness to practice through a portfolio of evidence demonstrating their compliance with standards.
- Evidence is assessed against four domains: knowledge and performance, safety and quality, communication and teamwork, and maintaining trust.
- GPs must complete continuous professional development activities, maintain an up-to-date personal development plan, and demonstrate the impact of their learning on patient care.
- A responsible officer makes revalidation recommendations to the General Medical Council based on the GP's portfolio and other performance evidence.
The NMC has introduced a new Code of conduct and process of revalidation for nurses and midwives in the UK. Revalidation will require nurses and midwives to demonstrate every 3 years that they are meeting standards of practice by fulfilling requirements like practicing a minimum number of hours, participating in ongoing professional development and training, obtaining practice feedback, and engaging in reflective discussions and accounts relating to their work. The goals of revalidation are to strengthen public protection, encourage continuous learning and improvement, and boost confidence in the nursing and midwifery professions. Pilot programs indicate that revalidation is feasible and beneficial, and the first nurses to undergo the full revalidation process may be those renewing in April 2016.
This document provides guidance on preparing a portfolio for nurse revalidation in the UK. It discusses the requirements for revalidation including 450 practice hours, 35 hours of continuing professional development (CPD) with 20 hours being participatory learning, 5 pieces of practice-related feedback, and reflections. It emphasizes using audits, practice visits, and other participatory activities for CPD hours. Examples are given of how to document audits and quality improvements in the portfolio. Overall, the document aims to alleviate fears about revalidation by showing nurses how to meet the requirements through normal participatory activities like audits, peer learning, and continuing education.
Professional Focus - Issue 2 - March 2015Tracey Hilton
The document provides information related to mentoring students in a healthcare organization. It discusses:
1) The different levels of mentors (stage 1 and stage 2) and their roles and responsibilities in supporting and assessing students.
2) A programme for existing mentors to progress to becoming a "sign off mentor" to make the final decision about a student's competence.
3) The importance of mentors in shaping the future workforce by ensuring students are fit for practice.
2016 indicator reference guide pre-service training#GOMOJO, INC.
This document defines the indicator "Number of new health workers who graduated from a pre-service training institution or program as a result of PEPFAR-supported strengthening efforts". It provides details on:
1) The purpose of tracking this indicator is to measure the number of new health workers entering the workforce each year due to PEPFAR support of pre-service training programs.
2) Pre-service training includes university programs for various health worker cadres as well as accredited paraprofessional programs of at least 6 months.
3) To be counted, graduates must complete a nationally accredited training program and PEPFAR must provide at least 50% financial support or support critical infrastructure or faculty.
The document summarizes the role and standards of the Nursing and Midwifery Council (NMC) in the UK.
- The NMC regulates nurses and midwives to ensure high quality and consistent healthcare. They set standards for education, conduct, and performance.
- Nurses and midwives must meet two Prep standards to renew their registration every 3 years - the practice standard requires 450 hours of work, and the continuing professional development standard requires ongoing learning.
- Nurses and midwives who do not meet the practice hours must complete an approved return to practice course before renewing their registration.
Ashford and St Peter's Hospitals NHS Foundation Trust- A culture based approa...RuthEvansPEN
The document summarizes an initiative by Ashford and St. Peter's Hospitals NHS Foundation Trust to improve their complaints handling process using a culture-based approach. Originally, the centralized complaints process was devolved to clinical divisions, but this led to inconsistent handling and reduced performance. In response, the Chief Nurse commissioned a project using a methodology to engage stakeholders. Through interviews and meetings, issues were identified and outcomes implemented, including empowering divisions to sign off on less serious complaints, creating a weekly panel to discuss complaints, and updating the complaints policy to be more patient-friendly. The results included reductions in follow-up rates, improved patient survey results, and fewer complaints and PHSO cases. Ongoing work includes further developing
This document discusses effective delegation and supervision in healthcare. It covers key topics like staffing patterns, principles of delegation, safe delegation practices, and the differences between delegation and assignment. Delegation is described as transferring responsibility and authority for tasks while maintaining accountability. For delegation to be done safely, the RN must consider factors like the patient's condition, delegatee's competencies, task complexity, policies and standards of care. Proper supervision is also emphasized as crucial for delegation.
The document discusses key strategies for hospital success, including establishing the business case for health information technology, redesigning processes around new technologies, and using technology to extend patient-centered care beyond hospital walls. It also covers best practices like incorporating evidence-based design principles in construction, including stakeholders in the design process, and designing flexibility into buildings. Additional topics include promoting economic viability, the benefits of electronic medical records, achieving patient-centered care, comprehensive care planning, and using social media and marketing.
Mh0059 quality management in healthcare servicessmumbahelp
This document provides an assignment for a Quality Management in Healthcare Services course. It includes 6 questions about topics like the history of quality in healthcare, dimensions of quality, NABH accreditation, Six Sigma concept, total quality management, and challenges of quality management in non-clinical and administrative services. Students are asked to answer each question in approximately 400 words, addressing the evaluation criteria provided for each question.
The document discusses various nursing regulatory mechanisms in India including accreditation, licensure, and renewal. It provides details on:
- The functions of regulatory bodies like the Indian Nursing Council which protect patients, define nursing practice, and set minimum standards.
- The accreditation process for nursing programs which involves voluntary review against established standards to ensure quality.
- Eligibility criteria for different nursing programs from ANM to MSc Nursing.
- Criteria used to evaluate nursing programs which address areas like philosophy, administration, students, resources, and facilities.
This document introduces an End of Life Care Facilitator Competency Framework. The framework contains 4 core competency areas: communication, facilitation, audit, and learning and development. It is designed to help facilitators assess their own competencies, identify areas for improvement, and create learning plans. The framework provides indicators for each competency and tools for self-assessment and assessment by a mentor. It encourages facilitators to continually review and improve their practice through reflection, learning, and experience.
How design thinking marketers can change healthcareguest3be856
The document discusses how design thinking principles can be applied in healthcare to improve outcomes. It introduces Tenzing Health, a project launched by Vanguard Health Systems using a design thinking approach. Tenzing aims to improve health, healthcare experiences, and reduce costs by putting consumers at the center and incentivizing preventative and cost-conscious care. An initial pilot with 100 members showed promising results and a second phase is now testing an expanded program with 300 additional members. Analysis of phase two data will inform further iterations and a broader phase three rollout planned for July 2010.
Accreditation as a Strategy / Tool for Hospital Quality Service ImprovementReynaldo Joson
The document discusses hospital accreditation as a strategy for quality improvement, defining terms like accreditation, certification, and compliance. It examines standards for accreditation in the Philippines from organizations like PhilHealth, JCI, ISO, and more. The document recommends that hospitals seek accreditation from PhilHealth first to establish a foundation before pursuing other international standards.
How To Simplify The Application ProcessEllen Reeder
This document provides instructions for completing the contact hour application process through the Association of periOperative Registered Nurses (AORN) for continuing nursing education activities. It outlines requirements for planning committees, presenters, learning objectives, content, commercial support, and marketing materials to ensure compliance with ANCC accreditation standards. Applicants must describe how the activity will enrich nurses' contributions to patient care and meet learner-oriented objectives using measurable verbs. Commercial interests and in-service programs are ineligible for contact hour approval.
This document outlines a process for managing demand and supply in specialty care settings. It involves measuring demand and supply streams, comparing them to determine if there is a backlog or delay. If demand exceeds supply, strategies like reducing appointment types, increasing supply, or shaping demand can be used. Performance is continuously monitored and adjusted at the daily and caseload level, with the aim of balancing demand and supply while minimizing wait times.
This document outlines a 10 step marketing plan for the nursing service of MMC Maria Agnes Fulo hospital. It begins by defining the primary target market as patients of all ages, social classes, and lifestyles who need care from well to critically ill. It then positions the nursing service by emphasizing its well-trained staff, high quality and safe care, and customer service. The document estimates the market size for nursing services is between 150,000 to 200,000 patients per year and that the nursing service has about 40% market share of the total hospital services. It ends by outlining the marketing mix strategy to promote the nursing service.
Interpretation of arterial blood gases:Traditional versus Modern Gamal Agmy
This document discusses the interpretation of arterial blood gases and acid-base disorders. It begins by outlining the Handerson-Hasselbalch equation and normal blood gas values. It then defines respiratory failure and describes the four types based on PaO2 and PaCO2 levels. The document details how to evaluate oxygen status, ventilation, and acid-base disorders from a blood gas analysis. It provides examples of metabolic and respiratory acidosis and alkalosis, explaining compensation mechanisms. Mixed disorders and a step-wise approach to interpretation are also outlined. Three sample problems are worked through as examples.
March 2016 Competency development for advanced nursingLinda Nazarko
This document discusses competency development and revalidation for advanced nursing practice. It aims to help those managing advanced practice nurses understand the components of advanced practice and how to support nurses' skills development. It defines advanced practice nursing and outlines the core competencies including autonomous practice, clinical decision making, and prescribing. It provides guidance on maintaining and enhancing skills through education, mentoring, and experience. It also addresses setting up nurse-led services, developing guidelines, and preparing for revalidation through appraisal and continuing professional development.
The document discusses the Digital Health Platform (DHP) created by the Catalan mHealth Hub. The DHP is a repository for clinical and non-clinical patient data generated from various devices and apps. It can store all types of individual user data. TicSalut also created a Catalog of Mobile Variables with health and social care codifications.
The document also discusses the AppSalut website, which is a showcase of accredited mobile health apps. Apps must go through a five-phase accreditation process established by TicSalut based on 120 criteria covering design, content, functionality, privacy and technology. Both the process and criteria are publicly available on the AppSalut website.
This document defines an arterial blood gas (ABG) analysis and its components. It discusses the normal acid-base balance and how acid-base imbalances present as respiratory or metabolic acidosis or alkalosis. Specific examples of each type of acid-base disorder are provided along with their typical causes, signs, symptoms, and management approaches. Common toxins that can cause acid-base disturbances are also listed. The document aims to equip readers to interpret ABG results in the clinical toxicology setting.
This document provides an overview of arterial blood gas interpretation and the key equations involved:
1) The PaCO2 equation relates PaCO2 levels to alveolar ventilation and carbon dioxide production. Hypercapnia indicates inadequate alveolar ventilation relative to CO2 production.
2) The alveolar gas equation relates alveolar PO2 levels to inspired oxygen and PaCO2. Increases in PaCO2 or decreases in inspired oxygen lower alveolar and arterial PO2, causing hypoxemia.
3) Ventilation-perfusion imbalance is the most common cause of abnormal alveolar-arterial oxygen differences, reflecting problems transferring oxygen in the lungs. An elevated difference suggests lung disease.
This document provides a tutorial on interpreting arterial blood gases (ABGs). It discusses the key components of an ABG - pH, PaCO2, PaO2, HCO3-, base excess, and saturation. It explains how to assess for oxygenation, ventilation, and acid-base status issues. It details the causes and characteristics of respiratory and metabolic acidosis and alkalosis, including expected pH and HCO3- changes. Compensation mechanisms are also reviewed. The document is an in-depth resource for learning to interpret ABGs.
Here are the key steps to analyze this mixed acid-base case:
1. Identify the primary disturbances:
- Respiratory alkalosis due to hyperventilation (PaCO2 28-30)
- Metabolic acidosis likely due to lasix use (daily high dose diuretic)
2. Determine the compensatory responses:
- Respiratory compensation for metabolic acidosis (lower than normal PaCO2)
- Renal compensation not yet fully compensated the metabolic acidosis
3. Analyze the ABG values in the context of the primary disturbances and degree of compensation.
- The ABG values reflect both an ongoing metabolic acidosis and respiratory alkalosis.
4.
This document outlines the steps for analyzing arterial blood gases (ABG) and diagnosing acid-base disorders. It discusses evaluating the pH, identifying the primary disorder as respiratory or metabolic based on pCO2 and bicarbonate levels, assessing compensation, calculating anion and delta gaps to identify hidden disorders, and providing examples of respiratory and metabolic acidosis/alkalosis causes. Five patient cases are presented and analyzed using these ABG analysis steps to diagnose complex, multi-component acid-base disorders.
This document provides information about arterial blood gases (ABGs), including how to perform an ABG, normal ranges for ABG values, and how to interpret ABG results. It discusses how to determine if a patient has a respiratory or metabolic acidosis or alkalosis based on ABG values such as pH, pCO2, and HCO3-. It also covers oxygenation status, compensation, mixed acid-base disturbances, and causes of hypoxemia, respiratory acidosis/alkalosis, and metabolic acidosis/alkalosis.
2016 indicator reference guide pre-service training#GOMOJO, INC.
This document defines the indicator "Number of new health workers who graduated from a pre-service training institution or program as a result of PEPFAR-supported strengthening efforts". It provides details on:
1) The purpose of tracking this indicator is to measure the number of new health workers entering the workforce each year due to PEPFAR support of pre-service training programs.
2) Pre-service training includes university programs for various health worker cadres as well as accredited paraprofessional programs of at least 6 months.
3) To be counted, graduates must complete a nationally accredited training program and PEPFAR must provide at least 50% financial support or support critical infrastructure or faculty.
The document summarizes the role and standards of the Nursing and Midwifery Council (NMC) in the UK.
- The NMC regulates nurses and midwives to ensure high quality and consistent healthcare. They set standards for education, conduct, and performance.
- Nurses and midwives must meet two Prep standards to renew their registration every 3 years - the practice standard requires 450 hours of work, and the continuing professional development standard requires ongoing learning.
- Nurses and midwives who do not meet the practice hours must complete an approved return to practice course before renewing their registration.
Ashford and St Peter's Hospitals NHS Foundation Trust- A culture based approa...RuthEvansPEN
The document summarizes an initiative by Ashford and St. Peter's Hospitals NHS Foundation Trust to improve their complaints handling process using a culture-based approach. Originally, the centralized complaints process was devolved to clinical divisions, but this led to inconsistent handling and reduced performance. In response, the Chief Nurse commissioned a project using a methodology to engage stakeholders. Through interviews and meetings, issues were identified and outcomes implemented, including empowering divisions to sign off on less serious complaints, creating a weekly panel to discuss complaints, and updating the complaints policy to be more patient-friendly. The results included reductions in follow-up rates, improved patient survey results, and fewer complaints and PHSO cases. Ongoing work includes further developing
This document discusses effective delegation and supervision in healthcare. It covers key topics like staffing patterns, principles of delegation, safe delegation practices, and the differences between delegation and assignment. Delegation is described as transferring responsibility and authority for tasks while maintaining accountability. For delegation to be done safely, the RN must consider factors like the patient's condition, delegatee's competencies, task complexity, policies and standards of care. Proper supervision is also emphasized as crucial for delegation.
The document discusses key strategies for hospital success, including establishing the business case for health information technology, redesigning processes around new technologies, and using technology to extend patient-centered care beyond hospital walls. It also covers best practices like incorporating evidence-based design principles in construction, including stakeholders in the design process, and designing flexibility into buildings. Additional topics include promoting economic viability, the benefits of electronic medical records, achieving patient-centered care, comprehensive care planning, and using social media and marketing.
Mh0059 quality management in healthcare servicessmumbahelp
This document provides an assignment for a Quality Management in Healthcare Services course. It includes 6 questions about topics like the history of quality in healthcare, dimensions of quality, NABH accreditation, Six Sigma concept, total quality management, and challenges of quality management in non-clinical and administrative services. Students are asked to answer each question in approximately 400 words, addressing the evaluation criteria provided for each question.
The document discusses various nursing regulatory mechanisms in India including accreditation, licensure, and renewal. It provides details on:
- The functions of regulatory bodies like the Indian Nursing Council which protect patients, define nursing practice, and set minimum standards.
- The accreditation process for nursing programs which involves voluntary review against established standards to ensure quality.
- Eligibility criteria for different nursing programs from ANM to MSc Nursing.
- Criteria used to evaluate nursing programs which address areas like philosophy, administration, students, resources, and facilities.
This document introduces an End of Life Care Facilitator Competency Framework. The framework contains 4 core competency areas: communication, facilitation, audit, and learning and development. It is designed to help facilitators assess their own competencies, identify areas for improvement, and create learning plans. The framework provides indicators for each competency and tools for self-assessment and assessment by a mentor. It encourages facilitators to continually review and improve their practice through reflection, learning, and experience.
How design thinking marketers can change healthcareguest3be856
The document discusses how design thinking principles can be applied in healthcare to improve outcomes. It introduces Tenzing Health, a project launched by Vanguard Health Systems using a design thinking approach. Tenzing aims to improve health, healthcare experiences, and reduce costs by putting consumers at the center and incentivizing preventative and cost-conscious care. An initial pilot with 100 members showed promising results and a second phase is now testing an expanded program with 300 additional members. Analysis of phase two data will inform further iterations and a broader phase three rollout planned for July 2010.
Accreditation as a Strategy / Tool for Hospital Quality Service ImprovementReynaldo Joson
The document discusses hospital accreditation as a strategy for quality improvement, defining terms like accreditation, certification, and compliance. It examines standards for accreditation in the Philippines from organizations like PhilHealth, JCI, ISO, and more. The document recommends that hospitals seek accreditation from PhilHealth first to establish a foundation before pursuing other international standards.
How To Simplify The Application ProcessEllen Reeder
This document provides instructions for completing the contact hour application process through the Association of periOperative Registered Nurses (AORN) for continuing nursing education activities. It outlines requirements for planning committees, presenters, learning objectives, content, commercial support, and marketing materials to ensure compliance with ANCC accreditation standards. Applicants must describe how the activity will enrich nurses' contributions to patient care and meet learner-oriented objectives using measurable verbs. Commercial interests and in-service programs are ineligible for contact hour approval.
This document outlines a process for managing demand and supply in specialty care settings. It involves measuring demand and supply streams, comparing them to determine if there is a backlog or delay. If demand exceeds supply, strategies like reducing appointment types, increasing supply, or shaping demand can be used. Performance is continuously monitored and adjusted at the daily and caseload level, with the aim of balancing demand and supply while minimizing wait times.
This document outlines a 10 step marketing plan for the nursing service of MMC Maria Agnes Fulo hospital. It begins by defining the primary target market as patients of all ages, social classes, and lifestyles who need care from well to critically ill. It then positions the nursing service by emphasizing its well-trained staff, high quality and safe care, and customer service. The document estimates the market size for nursing services is between 150,000 to 200,000 patients per year and that the nursing service has about 40% market share of the total hospital services. It ends by outlining the marketing mix strategy to promote the nursing service.
Interpretation of arterial blood gases:Traditional versus Modern Gamal Agmy
This document discusses the interpretation of arterial blood gases and acid-base disorders. It begins by outlining the Handerson-Hasselbalch equation and normal blood gas values. It then defines respiratory failure and describes the four types based on PaO2 and PaCO2 levels. The document details how to evaluate oxygen status, ventilation, and acid-base disorders from a blood gas analysis. It provides examples of metabolic and respiratory acidosis and alkalosis, explaining compensation mechanisms. Mixed disorders and a step-wise approach to interpretation are also outlined. Three sample problems are worked through as examples.
March 2016 Competency development for advanced nursingLinda Nazarko
This document discusses competency development and revalidation for advanced nursing practice. It aims to help those managing advanced practice nurses understand the components of advanced practice and how to support nurses' skills development. It defines advanced practice nursing and outlines the core competencies including autonomous practice, clinical decision making, and prescribing. It provides guidance on maintaining and enhancing skills through education, mentoring, and experience. It also addresses setting up nurse-led services, developing guidelines, and preparing for revalidation through appraisal and continuing professional development.
The document discusses the Digital Health Platform (DHP) created by the Catalan mHealth Hub. The DHP is a repository for clinical and non-clinical patient data generated from various devices and apps. It can store all types of individual user data. TicSalut also created a Catalog of Mobile Variables with health and social care codifications.
The document also discusses the AppSalut website, which is a showcase of accredited mobile health apps. Apps must go through a five-phase accreditation process established by TicSalut based on 120 criteria covering design, content, functionality, privacy and technology. Both the process and criteria are publicly available on the AppSalut website.
This document defines an arterial blood gas (ABG) analysis and its components. It discusses the normal acid-base balance and how acid-base imbalances present as respiratory or metabolic acidosis or alkalosis. Specific examples of each type of acid-base disorder are provided along with their typical causes, signs, symptoms, and management approaches. Common toxins that can cause acid-base disturbances are also listed. The document aims to equip readers to interpret ABG results in the clinical toxicology setting.
This document provides an overview of arterial blood gas interpretation and the key equations involved:
1) The PaCO2 equation relates PaCO2 levels to alveolar ventilation and carbon dioxide production. Hypercapnia indicates inadequate alveolar ventilation relative to CO2 production.
2) The alveolar gas equation relates alveolar PO2 levels to inspired oxygen and PaCO2. Increases in PaCO2 or decreases in inspired oxygen lower alveolar and arterial PO2, causing hypoxemia.
3) Ventilation-perfusion imbalance is the most common cause of abnormal alveolar-arterial oxygen differences, reflecting problems transferring oxygen in the lungs. An elevated difference suggests lung disease.
This document provides a tutorial on interpreting arterial blood gases (ABGs). It discusses the key components of an ABG - pH, PaCO2, PaO2, HCO3-, base excess, and saturation. It explains how to assess for oxygenation, ventilation, and acid-base status issues. It details the causes and characteristics of respiratory and metabolic acidosis and alkalosis, including expected pH and HCO3- changes. Compensation mechanisms are also reviewed. The document is an in-depth resource for learning to interpret ABGs.
Here are the key steps to analyze this mixed acid-base case:
1. Identify the primary disturbances:
- Respiratory alkalosis due to hyperventilation (PaCO2 28-30)
- Metabolic acidosis likely due to lasix use (daily high dose diuretic)
2. Determine the compensatory responses:
- Respiratory compensation for metabolic acidosis (lower than normal PaCO2)
- Renal compensation not yet fully compensated the metabolic acidosis
3. Analyze the ABG values in the context of the primary disturbances and degree of compensation.
- The ABG values reflect both an ongoing metabolic acidosis and respiratory alkalosis.
4.
This document outlines the steps for analyzing arterial blood gases (ABG) and diagnosing acid-base disorders. It discusses evaluating the pH, identifying the primary disorder as respiratory or metabolic based on pCO2 and bicarbonate levels, assessing compensation, calculating anion and delta gaps to identify hidden disorders, and providing examples of respiratory and metabolic acidosis/alkalosis causes. Five patient cases are presented and analyzed using these ABG analysis steps to diagnose complex, multi-component acid-base disorders.
This document provides information about arterial blood gases (ABGs), including how to perform an ABG, normal ranges for ABG values, and how to interpret ABG results. It discusses how to determine if a patient has a respiratory or metabolic acidosis or alkalosis based on ABG values such as pH, pCO2, and HCO3-. It also covers oxygenation status, compensation, mixed acid-base disturbances, and causes of hypoxemia, respiratory acidosis/alkalosis, and metabolic acidosis/alkalosis.
This document provides an overview of arterial blood gas interpretation. It discusses normal values for pH, PaCO2, HCO3, PaO2 and SaO2. It explains acid-base balance and the respiratory and metabolic mechanisms that control pH. A 3-step process is outlined for interpreting ABG results: 1) determine if acidosis or alkalosis based on pH, 2) evaluate the respiratory mechanism using PaCO2, and 3) evaluate the metabolic mechanism using HCO3. Compensation and combined disturbances are also addressed. Case examples are provided to demonstrate interpreting ABG results and diagnosing respiratory vs. metabolic causes of acid-base imbalances.
The document discusses arterial blood gas (ABG) analysis. It provides information on:
1) What an ABG is and why it is important for evaluating ventilation, oxygenation, and acid-base status.
2) How to properly collect arterial blood, including using heparin as an anticoagulant and analyzing the sample within 10 minutes.
3) A stepwise approach to interpreting ABG results, including determining if acid-base disturbances are primary respiratory or metabolic and if compensations are adequate.
The document discusses arterial blood gas analysis and interpretation. It provides guidelines for deciding when to intubate based on clinical assessment rather than strict ABG value cutoffs. It also presents two scenarios to determine which case would warrant immediate ventilatory support. The key is that the decision to intubate should be based primarily on clinical factors, not just ABG values alone.
Arterial Blood Bas (ABG) Procedure and InterpretationLouie Ray
The document provides information about arterial blood gas (ABG) testing including the procedure, common terms, normal values, indications, contraindications, and complications. It describes how to perform an arterial puncture to obtain a blood sample including gathering supplies, locating the radial artery, administering local anesthesia, inserting the needle, applying pressure after removal to stop bleeding, and proper handling and labeling of the sample. The goals are to assess acid-base status, oxygenation, levels of carbon dioxide and bicarbonate, and to determine if issues lie with ventilation, oxygenation or metabolism.
This document outlines a STEMI recognition class consisting of 6 modules: 1) Introduction to 12-lead EKGs, 2) Identifying the J point, 3) Identifying ST elevation and depression, 4) Lead views and what areas of the heart each lead represents, 5) Practice exercises, and 6) Putting it all together to recognize STEMIs by identifying ST elevation in two or more contiguous leads. The class teaches students to systematically analyze each lead one by one to check for ST elevation compared to the TP segment baseline in order to diagnose STEMIs.
Interpretation of the Arterial Blood Gas analysisVishal Golay
The document discusses the basics of acid-base balance, the role of kidneys in homeostasis, and a step-wise approach to diagnosing acid-base disorders from arterial blood gas results including evaluating pH, PCO2, HCO3, and other electrolytes and looking at changes from normal values. It also covers proper sampling techniques for arterial blood gases and interpreting various values calculated from the measured results.
The document provides information on blood gas interpretation, including the components measured in a blood gas analysis, normal values, indications for obtaining a blood gas, possible abnormalities, and a stepwise approach to interpreting blood gas results. Key points include that blood gas values can differ in preterm infants compared to normal ranges for adults, the four primary acid-base disorders are respiratory acidosis, respiratory alkalosis, metabolic acidosis, and metabolic alkalosis, and a three step approach is outlined to analyze a blood gas result and determine if any acid-base imbalance is primarily respiratory or metabolic in nature. Several case examples are provided as a quiz to test interpretation skills.
This document discusses acid-base disorders and interpretation of arterial blood gases (ABGs). It defines acidosis and alkalosis, and describes respiratory and metabolic causes. Simple and mixed acid-base disorders are explained. Compensation by the lungs and kidneys in response to primary disorders is discussed. A stepwise approach to ABG interpretation is provided, including determining the primary disorder, checking for compensation, calculating the anion gap, and identifying specific etiologies. Characteristics of simple acid-base disturbances and combined disorders are summarized.
Salient features of the book are -
- The book provides a shortcut to understand and remember certain specific formulae and points you require to interpret the 12-lead ECG.
- Treatment protocols (in green boxes) for most of the important conditions are also included.
- View sample ECGs as you read along the topics.
- The content is explained in a very simple language to provide good conceptions, written from a student’s point of view.
- People can gain their belief in the book after going through sample ECGs which would be available at www.themedicalpost.net/ecg
- The book competes with the other books available in the market in simplicity, summaries, treatment protocols, live diagrams and regularly updated sample ECGs on the website.
This document provides an overview of ECG interpretation, including conduction pathways, a systematic method of interpretation, and common abnormalities seen in critical care. It discusses supraventricular and ventricular arrhythmias, bundle branch blocks, heart block, and life-threatening arrhythmias such as ventricular tachycardia, ventricular fibrillation, and asystole. It also covers the basics of 12-lead ECG interpretation including lead placement and axis.
http://www.revalidationfornurses.co.uk/
This is a guide to help UK nurses meet all levels of the new nursing revalidation requirements of the Nursing and Midwifery Council
A Physician's Guide to Chronic Care ManagementRenae Rossow
Learn how Chronic Care Management can impact your practice whether you choose to implement it in-house or outsource it. Now you will understand CCM and be able to make the right decision for your practice.
Outcomes/Effectiveness of revalidation in the UKIAMRAreval2015
Revalidation is a five-year process in the UK that aims to bring all doctors into a clinical governance system, help identify problems earlier, encourage self-reflection, and contribute to safer, higher quality patient care. So far, over 118,000 doctors have been revalidated. Early evidence suggests revalidation is increasing appraisal rates and identification of concerns, while 24,795 doctors have given up their licenses. Responsible Officers report revalidation is central to quality improvement and allows better understanding of doctors' practices. The future of revalidation may see it more integrated with team performance and use more objective data linked to specialist expectations.
Common Denials for SNF and How to Avoid Them?Jessica Parker
The Certification Statement must include that the individual requires skilled nursing (furnished directly by or requiring supervision of skilled nursing personnel) or skilled rehabilitation services on a daily basis in an SNF or swing-bed hospital as an inpatient.
Medical Economics - Revenue cycle managementStephanie Boim
The document provides tips for evaluating revenue cycle management vendors, including:
1) Practices should assess their current RCM performance before hiring a vendor to identify goals and gaps. Key metrics include costs to collect and return on investment.
2) Practices should solicit proposals from multiple vendors and ask about costs, performance guarantees, technology, call center details, contract length, termination clauses, industry best practices, security, and reporting.
3) Choosing the right vendor and maintaining oversight is important, as outsourcing RCM could significantly impact a practice's finances for better or worse.
BLS Recertification Program_Crucial for Healthcare Providers.docx.pdfamitv16
BLS, or Basic Life Support, is a set of fundamental lifesaving techniques. The techniques include cardiopulmonary resuscitation (CPR), defibrillation, and airway management. In healthcare, skill in BLS is vital for responding to critical emergencies. Such emergencies can include cardiac arrest, choking, and drowning.
Chronic Care Management: 6 Tips for Documentation SuccessManny Oliverez
Take advantage of the Chronic Care Reimbursement opportunity with these tips!
Healthcare providers can be reimbursed for the hours that they spend on the phone, filling prescriptions, and completing paperwork. Medicare now offers reimbursement for doctors who are assisting patients with chronic medical conditions.
The key to reimbursement from Medicare is all in the required documentation for Chronic Care Management (CCM). Here are some tips for documenting for CCM.
Visit Our Website: http://www.CaptureBilling.com/
Top Goals for Physicians to Implement In Their Facility.pptxalicecarlos1
Let's understand how our medical billing and coding experts help with Top Goals for Physicians to Implement In Their Facilities.
Read More: https://bit.ly/3LFPThv
Medical Billing for Primary Care Exception.pptxpatriciaava1998
In this article, let's understand the actual meaning of Primary Care Exception and the Attestation Checklist and the Billing and Coding of Outpatient E/M Services.
This document provides information about the 12th Annual Observation Management Summit taking place on April 28-29, 2015 in Chicago, Illinois. It is organized by the National Association of Physician Advisors (NAPA) and offers continuing education credits. The summit will focus on strategies for improving patient throughput, capacity, length of stay, and balancing costs in observation units. There will be presentations from industry experts on topics like financial aspects of observation services, navigating status determinations, and achieving peak performance. Pre-summit workshops on April 28th will address laying the foundation for efficient observation units and improving financial outcomes. Participants can also join sessions via a live-streaming webcast.
Medical provider credentialing services are a vital aspect of the modern healthcare system. By undergoing this process, healthcare providers can gain access to insurance networks, improve their patient base, and establish themselves as trusted professionals.
This issue of the UK Practice Matters magazine from March 2016 contains the following articles:
1) A feature on Clinical Risk Self Assessments and how they can help practices improve after a poor CQC report.
2) An article examining different clinical roles that can help practices meet increasing patient demand as primary care changes.
3) A piece from the NASGP Chair on the organization's new online Standardised Practice Induction Pack and how it can improve how practices work.
4) Notices on immunization of healthcare staff, nurse revalidation, and Medical Protection workshops and online learning modules.
4 Key Points in Gastroenterology Billing To Get Reimbursed.pdfScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services. Plus, they want to spend most of their time in patient care rather than in such administrative activities. I
4 Key Points in Gastroenterology Billing To Get Reimbursed.pptxScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services. Plus, they want to spend most of their time in patient care rather than in such administrative activities.
4 Key Points in Gastroenterology Billing To Get Reimbursed.pdfScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services. Plus, they want to spend most of their time in patient care rather than in such administrative activities.
4 Key Points in Gastroenterology Billing To Get Reimbursed.pdfScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services.
4 Key Points in Gastroenterology Billing To Get Reimbursed.pptxScottFeldberg
Insurance reimbursements are core to any practice’s successful day-to-day operations and Gastroenterology practices are no exception. However, Gastroenterologists are not trained for this business side of medicine i.e., medical billing and coding. They come out of training with the knowledge to treat patients but with little or no knowledge of how to get reimbursed for their services.
This document provides guidance from an OIG stakeholder meeting on documentation requirements for MDS 3.0 assessments. It addresses requirements for sections C, D, G, I, and O. Documentation must be completed within specified timeframes and signed. Electronic records require policies for signatures. Diagnoses must be current and impact care. Restorative programs require goals, interventions and evaluations. Respiratory therapy requires orders, evaluations, and training of qualified staff. RN signatures and license numbers must match. Facilities may record exit conferences and request reconsideration extensions. Medical necessity reviews are occurring, including for permanent approvals.
This document discusses several legal and professional considerations for nurses working in general practice, including scopes of practice, competency standards, codes of ethics and conduct, and insurance requirements. It emphasizes that nurses must practice safely and competently according to these standards to maintain their license. It also explains the differences between a nurse as an employee, where the employer assumes legal liability, versus an independent contractor, where the nurse assumes their own liability.
Similar to Premier IT GUIDANCE Premier guide to Nurse and Midwife Revalidation Oct2015 (WEB) (20)
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The Premier Guide to
Nurse & Midwife Revalidation
Contents
Introduction
What is revalidation?
Road to revalidation
Key roles in the revalidation process
Maintaining a revalidation portfolio
Top 10 tips for choosing the right online revalidation portfolio
Finding time for CPD and reflection
Frequently asked questions
Revalidation champions
Staying up-to-date
Social media
Your checklist for revalidation 22
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4. 4
Introduction
HOW DID WE GET HERE?
Following the recommendations of publications such as the Francis Report (2012) and Hard Truths
(DH 2013) the Nursing and Midwifery Council (NMC) introduced revalidation in October 2015.
Findings of the reports were influential in setting an agenda for evaluating the shortcomings in the
health system in England and improvements needed to be made for everyone’s protection.
The NMC has recently updated its Code of professional standards. Nurses and midwives will have to
demonstrate that they are living by the Code’s standards of practice and behaviour via the new
process of revalidation.
Revalidation is centred on the four themes of The NMC Code:
Revalidation timeline
Prioritise
people
Practice
effectively
Preserve
safety
Promote
professionalism
and trust
SEPTEMBER
NMC agrees to
‘phased’ approach
to revalidation
2013
SUMMER
NMC holds four
key stakeholder summits
around the UK
2014
NOVEMBER
All official pilot
sites announced
2014
MARCH
Phase one of the public
consultation closes
2014
SEPTEMBER
Phase two of the public
consultation closes
2014
JUNE
Completion of revalidation
pilots and evaluation
plus publication of
NMC resources
2015
5. 5
Revalidation is a mandatory process that all
nurses and midwives on the NMC register will
need to engage with. It is easy, straightforward and will
help nurses and midwives develop as professionals.
It became effective in October 2015 and revalidation will occur in 3
year cycles and it replaces the current post registration education and
practice (PREP) standards.
The purpose of revalidation is to improve public protection ensuring
nurses and midwives remain fit to practise throughout their careers
rather than a point in time assessment of nurses and midwives
There are also several benefits associated with the new revalidation
standards which include:
• encouraging professional discussions and reducing professional
isolation
• enhancing employer engagement and elevating awareness of
regulatory standards and practices though professional
development
As revalidation affects a nurse’s registration with the NMC, it is the
responsibility of each individual nurse or midwife to ensure they
meet the requirements of revalidation.
What is revalidation?
It is not about
catching bad
people – it is about
raising standards
and about
individuals owning
this and taking
responsibility as
professionals.
Most of them will
do it and that has
to be a good thing.
Jackie Smith
Chief Executive,
Nursing and
Midwifery Council
(NMC)
JULY
NMC to consider
preliminary information
on readiness resulting
from pilot and
engagement activities
2015
OCTOBER
Nurse revalidation launch.
Nurses and midwives are
encouraged to start developing
portfolio by this point
2015
FROM APRIL
Nurses and midwives whose
registration period ends in April
2016 can submit revalidation
applications to enable them to
renew registration
2016
AUTUMN
Publication of finalised
revalidation guidance
2015
JANUARY
Online revalidation system ready
for NMC registrants to start using.
First revalidation notices sent to
nurses and midwives whose
registration period
ends April 2016
2016
30th APRIL
First nurses to be
revalidated will have
renewal date of April 2016
to ensure fair period of
time to become
familiar with the
revalidation process
2016
6. Road to revalidation
6
In the three years preceding the date of
your application for renewal of your registration,
you need to meet a range of revalidation requirements
designed to show that you are keeping up to date and
actively maintaining your fitness to practise.
1. Record practice hours
You must practise a minimum of 450 hours (900 hours for those
registered as both a nurse and a midwife) over the three years prior to
the renewal of your registration.
Hours must be carried out in your role as a registered nurse or
midwife.
2. Portfolio of Continuing Professional
Development
You must undertake 35 hours of Continuing Professional Development
(CPD) relevant to your scope of practice as a nurse or midwife, over the
three years prior to the renewal of your registration. Of these hours,
20 must be through participatory learning.
You will need to maintain accurate records of your CPD and
demonstrate how you have used it to improve your practice in your
written reflections.
3. Practice-related feedback
You must obtain at least five pieces of practice-
related feedback over the three years prior to
the renewal of your registration.
Feedback can come from a variety of sources,
including patients, service users, students and
colleagues. Feedback can also be obtained
through reviewing complaints, team performance
reports and serious event reviews.
You can choose for your feedback to be informal
or formal, written or verbal. It could be on an
individual, team or organisational level.
7. 7
4. Written reflective accounts
You must record a minimum of five written reflective accounts on the
Code, your CPD and practice-related feedback over the three years
prior to the renewal of your registration. Each reflective account can be
about an instance of CPD or feedback, or a combination of both.
5. Reflective discussion
You must discuss your written reflections with another NMC-registered
nurse or midwife as part of a reflective discussion. The NMC registrant
with whom you had your discussion with must sign a form recording their
name, NMC Pin, email, professional address and postcode,
as well as the date you had the discussion.
6. Health and character declarations
You must provide a health and character declaration to declare if you
have been convicted of any criminal offence or issued with a formal
caution. This should happen immediately, not just at the point of renewal.
You should be in a state of health that ensures you are capable of safe
and effective practice without supervision, after any reasonable
adjustments are made by your employer. This does not mean there must
be a total absence of any disability or health condition. Many people with
disabilities or health conditions are able to practise effectively with or
without adjustments to support their practice.
7. Professional indemnity arrangement
You must declare that you have, or will have when practising, appropriate
cover under an indemnity arrangement. You must inform the NMC
whether this arrangement is through your employer, membership with a
professional body, or through a private insurance arrangement.
8. Confirmation
You will need to demonstrate to a confirmer that you have met the
revalidation requirements via a confirmation discussion. This could form
part of an annual appraisal. Confirmation has to be done face-to-face or
via a video conference.
An appropriate third party confirmer is your line manager. You should
obtain confirmation from this person wherever possible. A line manager
does not have to be an NMC registered nurse or midwife.
If you do not have a line manager, it is recommended that the third party
is an NMC-registered nurse of midwife. If that is not possible, you can seek
confirmation from another healthcare professional that you work with and
who is regulated in the UK.
9. Apply for revalidation
Every three years all nurses and midwives will apply for revalidation using
NMC Online. You will declare to the NMC that you have met the
requirements and obtained confirmation. The NMC will undertake
verification checks on a sample of registrants.
Revalidation is
important for
patients, the public
and nurses and
midwives
themselves. It
enables patients’
families and
communities to
know that their
nurses and
midwives have up
to date skills to
provide high
quality care, the
public to have
confidence in
these professions
and nurses and
midwives to reflect
on their practice.
Viv Bennett
Director of Nursing
and Midwifery in
Public Health
England
8. Key roles in the revalidation process
Nurse / Midwife
As a nurse or midwife you are responsible for your own
revalidation and must meet a range of well documented
requirements designed to show you are keeping up to date
and actively maintaining your fitness to practise.
NMC registrant (for reflection)
Five pieces of written reflective accounts on the Code, CPD and practice-related feedback must be
completed in the three years preceding revalidation.
You must discuss these with another NMC-registered nurse or midwife. This registrant will need to
sign a form recording their name, NMC pin, contact details and the date of the reflective discussion.
Confirmer
The confirmer plays a crucial role in the revalidation process by discussing your portfolio and
confirming that you have met the requirements for revalidation.
The NMC has provided clear guidance on who can fulfil the role of a confirmer. An appropriate
confirmer would be your line manager, who in most cases will also be an NMC registrant.
This means that the reflective discussion and confirmation discussion can happen at the same time,
with the same person, preferably in one meeting; for example, at your annual appraisal. If the
confirmer is not a registered nurse or midwife the reflective discussion and confirmation discussion
will need to happen separately.
If neither your line manager nor an NMC registrant is deemed to be
the most appropriate confirmer, you may obtain confirmation from
another healthcare professional that you work with and who is
regulated in the UK, such as a doctor, dentist or pharmacist.
A confirmer must complete and sign a confirmation form.
Appraiser
As your line manager is deemed to be the most appropriate
confirmer and an appraisal an ideal meeting to discuss reflection
and confirmation, the role of the appraiser is likely to be central to
the revalidation process.
An appraiser should be used to having these types of discussions
and reviewing portfolios already but will now need to fully
understand requirements from the NMC.
8
9. NMC
Every year the NMC will select a sample of nurses and midwives to provide further information to verify
the declarations they have made. If you are selected, you will be informed within 24 hours of
submitting your revalidation application and will need to complete an online form to provide further
information.
A request for further information does not necessarily mean that the NMC has any concerns about
your application and they may continue to practice while additional information provided is reviewed.
The verification process will be completed within three months of your renewal date.
What is your employer doing about revalidation?
Although revalidation is your responsibility, your employer has a pivotal role in helping to provide a
supportive environment and resources to ensure staff successfully revalidate and are therefore
registered to work within its setting.
Revalidation aims to build on existing processes such as appraisal and third party reflection and
confirmation is likely to take place within the workplace.
Therefore your employer should raise awareness of revalidation, put in place plans to ensure its
workforce engages in the process, review appraisal processes and IT systems and understand how
many staff will be affected by the new legislation.
Here are some questions to ask your employer about supporting your revalidation:
• Will there be regular communications about my revalidation being due and help with what I need to
do to meet the requirements?
• Is there an internal resource page available for help with revalidation?
• Will you be providing an organisation wide revalidation recording system or portfolio?
• Is my appraisal going to be linked to my revalidation?
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10. What to include in your portfolio
Practice Hours
WHAT TO INCLUDE:
• Date of practice
• Hours undertaken
• Scope of practice
• Work setting
• Description of work
• Evidence (e.g. timesheets, job specifications and role
specifications)
• Name, address and postcode of the organisation
CPD portfolio
YOU WILL NEED TO INCLUDE:
• CPD method
• Description of the topic and how it relates to your practice
• Dates and number of hours
• Relevance to Code
• Evidence that CPD has taken place
Participatory learning includes any learning activity which involves
interacting with other people, such as:
• Study day
• Conference or workshop
• Peer review activities
• Coaching and mentoring
• Participation in clinical audit, practice visit or group meeting
• Structured professional clinical supervision
• Group or practice meeting
10
Maintaining a revalidation portfolio
The most efficient way of keeping evidence
to demonstrate that you are meeting revalidation
requirements is by keeping a portfolio. Whether paper-based
or electronic, your portfolio needs to be a working document
which is constantly evolving and dynamic.
If you already keep a portfolio, you will need to update it in line with the
revalidation requirements. Another great advantage of having a
portfolio is that it provides structure for your discussion with your third
party confirmer.
11. Practice-related feedback
Be sure to keep notes of the content of all your feedback.
For example, you can have feedback from:
- Patients, service users, carers or students as part of your day to day
dpractice
- Colleagues or other professionals you may work with
- Complaints or serious event reviews
- Team performance reports or your annual appraisals
Be careful not to record any information that might identify a
specific patient or service user.
Reflective accounts
You will need to record:
Five written reflective accounts in the three year period since your
registration was last renewed or you joined the register. Each reflective
account must be recorded on the approved form and must refer to;
- an instance of your CPD and/or
- a piece of practice-related feedback you have received and/or
- an event or experience in your own professional practice and how this
brelates to the Code.
Reflective discussion
You must have had a reflective discussion with another NMC registrant,
covering your 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.
You must ensure that the NMC registrant with whom you had your
reflective discussion signs the approved form recording their name,
NMC pin and email, as well as the date you had the discussion.
Health and character declarations
These declarations will be made as part of your revalidation application.
You do not need to keep anything in your portfolio as part of this
requirement.
Professional indemnity
You should retain evidence in your portfolio that you have an
appropriate arrangement in place.
Confirmation
A confirmation form is available online via NMC and it is recommended
that you keep the completed and signed form in your portfolio.
- feedback from patients, service users, carers and students
- feedback from colleagues for example nurses, midwives and
ghealthcare professionals
- feedback from colleagues in management
11
12. 12
Paper based portfolio
The NMC has a pack of templates to support the revalidation process, including:
• Template: Practice hours record log
• Template: Continuing Professional Development (CPD) record log
• Form: Reflective accounts
• Form: Reflective discussion
• Form: Confirmation
You must keep your portfolio up-to-date within the three year cycle of
revalidation.
Online e-Portfolio
As an alternative to using a paper based solution, you could choose to use an online portfolio. There
are a number of suppliers in the market who have developed portfolios for revalidation; it’s a case of
choosing one that best suits your needs.
Paper vs online portfolio
There are a number of ways in which you could maintain your portfolio, with most choosing either a
hardcopy solution or an online e-Portfolio.
13. 13
Submitting your portfolio to the NMC
You are not required to submit your entire portfolio unless you are selected to do so by the NMC. It is
however strongly advised that you keep this up-to-date throughout your three year cycle. To
revalidate you should simply submit your application following the NMC Online steps.
As part of your application you will be required to make a number of declarations surrounding
practice hours, CPD, health and character, professional indemnity arrangements and confirmation.
In addition you will be asked to provide the name, NMC Pin, email, professional address and
postcode of your confirmer.
Selection of portfolios for verification
Each year, the NMC will select a sample of nurses and midwives to provide further information and
evidence to verify their application.
This does not necessarily mean that there are any concerns about your application and you can
continue to practise while the review takes place.
The process of verification
If you have been selected to provide further information, the NMC will contact you by email within 24
hours of you submitting your revalidation application so it is important you check your email during
this time.
If you are selected to provide further information you will need to complete a form and provide
further information.
As part of this process the NMC will contact your confirmer to verify that they provided your
confirmation.
14. Top 10 tips for choosing the right
online revalidation portfolio
Paper is so last year! The days of storing your evidence in lever-arch
folders or in a box under your bed just doesn’t cut it anymore!
Plus it isn’t only CPD evidence you need to keep now, it is reflections,
practice-related feedback and evidence of practice hours too.
That doesn’t mean you need to be daunted about how to store and update your evidence. It
simply means you need to choose wisely when selecting the best online tool to meet your
needs. Here are some helpful tips on what to look for:
1. Meeting requirements - does the portfolio enable you to record and reflect according to
all NMC requirements for revalidation? There’s no point having a tool that only enables you
to do half the job!
2. Accessible - will you be able to access your portfolio from anywhere at any time via the
internet? Is it mobile/tablet friendly so that you can use it on the go? It should be portable
and transferable in case you change roles or employers (even check if they use it already).
3. Easy to set up - you are looking for a quick and easy registration process with relevant
questions asked. This will be indicative of how easy (and relevant) the system will be to use.
You don’t want to get stuck at the first hurdle.
4. Terminology – make sure the information about the portfolio and the terminology within
the portfolio is appropriate to nurses and midwives. If it isn’t there is a good chance the
workflows and what the system enables you to do may be incorrect too!
5. Duplication of effort – there is nothing worse than having to do something twice is there?
A good system will only ask you to enter stuff once and will record it in the relevant places.
A bad tool will ask you to repeat yourself… do you have time for that?
6. Download for upload – if the NMC chooses you to verify your revalidation you will have to
download your portfolio and upload it to NMC online. How does the portfolio download…
is it a single PDF (not ideal) or a zip file of all relevant elements required by the NMC?
7. Price – watch out for hidden costs! Can you just purchase the portfolio or are you forced to
take out a subscription to a publication as well? Are there discount codes available? Does
the company promise not to increase your renewal price without telling you?
8. Recognised supplier - does the supplier of the portfolio have a history of providing
revalidation solutions? Is their system robust? Is it secure? Is it RCN accredited? Do they
understand the issues enough to support you in your needs?
9. Futureproof - revalidation is in its infancy and there will of course be developments from the
NMC. Does the supplier of the portfolio provide a futureproof guarantee that they will
always ensure the portfolio is in line with NMC requirements? And how quickly will it be
updated?
10.More than just a tool - what additional benefit do you get besides a portfolio? Does the
supplier offer best practice information, hints and tips and keep you up to date with the
latest news? Do they run free events and webinars? Make sure you get your money’s worth!
14
TOP TIPS
15. 15
How can CPD fit into the busy life of a nurse or
midwife?
For the majority of nurses and midwives, finding time to do CPD is an
issue. Despite this challenge, there are plentiful opportunities to
undertake CPD and often you are doing them without even realising it.
You could include:
• structured learning
• accredited higher education or training
• mandated training
• attending learning events
• reading and reviewing publications
• structured professional supervision
• short supervised practice for specific skills development
• group or practice meetings
• participation in clinical audits
• practice visits to different environments relevant to scope to practice
• job rotation, secondment, shadowing
Reflection - what is it and how to do it effectively
Experts will testify that learning is only effective if you take the time to
reflect on it and apply it to your continuing professional development
and future practice. In terms of revalidation, this reflection should be
done relative to the four themes of the Code.
Each time you reflect think about the following:
• Why did you undertake that activity?
• What have you learnt from the CPD activity or feedback?
• How have you changed or improved your work as a result?
• How is it relevant to the Code?
• Have you identified any gaps in knowledge/future training
requirements? And how do you plan to address these?
The benefits of reflecting will outweigh the time taken to do so and
don’t forget, you need only find time to reflect on five items for your
revalidation. Within your own portfolio you may reflect on as many
items as you like of course.
Suggested
nursing journals
Nursing Times
Journal of Advanced
Nursing
British Journal of
Nursing
Journal of
Professional
Nursing
Practice Nursing
Nursing in Practice
Nursing Standards
Journal of Practise
Nursing
National Health
Executive
Independent Nurse
Journal of
Community Nursing
Journal of Diabetes
Nursing
Nurse Education
Today
Community
Practitioner
Finding time for CPD and reflection
The process of CPD can help you identify
goals and areas for development; plan out a
way to improve in these areas and reach your goals.
16. 16
Frequently asked questions
The NMC has done a great job of outlining
the process of revalidation and will continue to share
information. Here are the most frequently asked questions
we came across:
What are the timescales for implementation?
The NMC launched revalidation in October 2015. Now, you will need to
fully familiarise yourself with revalidation requirements and start
developing your portfolio. The first wave of nurses and midwives across
the UK to revalidate will do so in April 2016.
When will I have to revalidate?
The revalidation application date is based on your registration and a
three year cycle from the original date qualified. You will need to renew
annually and revalidate every third year. Your revalidation application
date is the first day in the month of which your registration expires.
What is my renewal date?
The revalidation application will be due a few weeks before your
renewal date and the NMC will inform you of this date. You must simply
ensure that you are registered with NMC Online and check your
renewal date there. Your renewal date is the last day of the month in
which your registration expires.
I am a non-clinical nurse, do I need to revalidate?
Yes, as long as you are an NMC registrant, you will be required to
revalidate every three years.
Do requirements vary depending on my scope of work and
work setting?
The same revalidation requirements will apply to ALL NMC registered
nurses and midwives apart from the number of practice hours to be
completed. If you are a nurse and also a midwife (or vice versa), 900
hours split equally between the two disciplines must be evidenced.
A nurse or midwife who is also a Specialist Community Public Health
Nurse (SCHPN) will only need to complete 450 hours.
There is currently no differentiation for non-
clinical/management/educational roles or bank/agency staff. The
activities undertaken to meet revalidation requirements will reflect your
individual scope of practice.
17. How do I know what counts as CPD?
CPD is Continuing Professional Development and includes learning
activities as either individual or participatory. Participatory learning
includes any activity where you interact with other people. CPD
includes structured learning, training, professional events such as
workshops and conferences, reading publications, coaching and
mentoring and peer review activities.
Am I covered for professional indemnity?
NHS employment usually covers professional indemnity for all
registered nurses and midwives for the care you provide under that
employment. Ask your employer about cover if you are not sure. If
you’re not covered, you can also obtain professional indemnity from a
membership with a professional body or a private insurance
arrangement.
What if I fail to revalidate?
You will be putting your registration at risk if you fail to submit your
revalidation application on time. You may apply to the NMC for an
extension in renewing your registration if you have exceptional
circumstances but complete failure to revalidate will mean that you will
not be able to legally work in the United Kingdom within the
profession. Your renewal and revalidation dates are clearly available on
NMC Online and you will have three years to gather evidence that you
have met your revalidation requirements, making the whole process
very manageable.
Will I get chosen by the NMC for verification?
The simple answer is you might do! But there’s no need to worry, it
doesn’t necessarily mean there are concerns about your application.
The NMC will select a sample of nurses and midwives every year for
verification of their revalidation. You will be asked to provide further
information within 24 hours of submitting your revalidation application
and is usually completed within three months.
What about confidentiality of information?
In order to meet revalidation requirements and keep your evidence,
you must not include ANY information that might identify an
individual.
Do not include:
- names and individuals
- dates of incidents/events
- specification of wards and events
- descriptions of unique circumstances where individuals can be
hidentified
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18. 18
• Aneurin Bevan University Health Board
• Birmingham City University
• Bracknell and Ascot CCG
• Bupa UK
• Central Manchester University Hospitals NHS Foundation
Trust
• GP practices
• Guys and St Thomas’ NHS Foundation Trust
• Hallam Medical
• Independent occupational health practitioners
via the Association of Occupational Health
Nurse Practitioners
• Mersey Care NHS Trust
• NHS Tayside
• Nottinghamshire Healthcare NHS Trust
• Public Health England
• School of Nursing and Midwifery
at the University of Dundee
• Self-employed nurses via the
British Association of
Cosmetic Nurses
• Self-employed nurses via the
Private Independent Aesthetic
Practices Association
• South West Region Defence
Primary Healthcare
• Unite the Union
• Western Health and Social Care Trust
Revalidation champions
There were a number of official pilot sites for
revalidation across the UK, they concluded at the
end of June 2015.
Here’s a list of those revalidation champions:
19. Regulators and professional bodies
• The Nursing and Midwifery Council (NMC)
• The Royal College of Nursing (RCN)
• UNISON
• NBS - National Board for Nursing, Midwifery, and Health Visiting for
Scotland
• WNB - Welsh National Board for Nursing, Midwifery and Health
Visiting
• NIPEC - Northern Ireland Practice & Education Council
• An Bord Altranais - Southern Ireland Nursing Registration Board
• INO - Irish Nurses Organisation
19
Patients should
rightly feel assured
that robust checks
are in place to
ensure their safety
and protection. I
welcome these
pilots that will help
to develop a
sophisticated
process of
revalidation to
ensure every nurse
and midwife
remains fit to
practice to the
highest standards.
Jane Cummings
Chief Nursing
Officer for England
Staying up-to-date
It couldn’t be easier to keep up-to-date
with revalidation requirements. We have listed below
where you need to be going to get the most recent and
accurate information.
20. care and the community
20
Social media
With the Code being applied to social media
when it comes to protecting professionalism and reputation,
it is also a great tool for easily accessing current information
from key stakeholders within the profession.
Twitter has proved to be the most engaging of social networks with a
number of communities and live events to keep you at the forefront of
all things revalidation.
Who to follow on Twitter
Organisations
@medrevalidation Market leading provider of appraisal, revalidation
and training solutions
@nmcnews The UK’s regulator for nurses and midwives
@TheRCN Professional body for nursing supporting over 420,000
nurses, midwives, HCAs and APs
@WeNurses Highly engaged community of over 30,000 nurses
@WeMidwives Supporting, driving and connecting the tweeting
Midwives Community
@NHSEngland NHS England
@HQIP Healthcare Quality Improvement Partnership
@HSCIC Health and Social Care Information Centre
@PHE_uk Public Health England
@CareQualityComm The Care Quality Commission
@DHgovuk Department of Health
@6Cslive NHS England’s 6C’s Nursing
@acutemedicine The Society for Acute Medicine
@NHSIQ NHS Improving Quality
@NICEcomms National Institute for Health and Care Excellence
@nhssm Dedicated account on how to use social media to benefit
patients and staff
@nhsemployers The voice of employers in the NHS, supporting them
to put patients first
@IndyNurseMag Fortnightly magazine for nurses working in primary
Useful hashtags
21. • Premier IT – provides free of charge educational events, seminars and webinars with expert
speakers
• Healthcare Conferences UK - organises and produces high quality healthcare conferences and
exhibitions with a specialist interest in a clinical audience
• Royal College of Nursing - organises an annual programme of events and conferences including
the RCN Congress
• Chief Nursing Offer for England Summit - the CNO for England brings together the most senior
nursing, midwifery and care leaders from across the health and care system to provide professional
leadership and guidance
• Health Education England - provides education, training and personal development of every
member of staff, and recruiting for values
Key influencers
@SimonMonkman Managing Director, Premier IT
@JackieSmith_nmc Chief Executive of the NMC
@Jeremy_hunt MP for South West Surrey and Secretary of State for Health
@JaneMCummings Chief Nursing Officer for England
@KaterinaKolyva Dr Katerina Kolyva, Director Continued Practice at NMC and Senior EU Expert
and Lecturer
@NHSE_Danny Chief Executive of NHS Employers
@NursingTimesEd Jenni Middelton, Editor of Nursing Times
@HCUK_Clare Clare Gallagher, Owner/MD Healthcare Conferences UK
@HilaryGarratt Hilary Garratt, Director of Nursing, NHS England
@JennytheM Jenny Clarke, Midwife Caremaker
@197liz Liz Clough, Professional Development Lead Nurse, National Clinical Leadership Fellow
@KathEvans2 Head of Patient Experience at NHS England Children's Nurse
@moger_anne Anne Moger, Practice Nurse Advisor
@NHSE_Hanna Hanna Murphy, Senior Programme Officer @NHSEmployers.
@sharonallensfc Sharon Allen, CEO Skills for Care & National Skills Academy
@PaulNVaughan Paul Vaughan, Regional Director, RCN West Midlands
@helen1569 Helen Young, Director of Nursing and Midwifery at Birmingham Women’s
@DrUmeshPrabhu Dr Umesh Prabhu, Medical Director
@madandian7 Maddie Groves, Associate Director of Nursing, Yeovil District Hospital
@LesleyShazney Lesley Roberts, Integrating LTC care by system leadership
@suehaines1 Nurse, Acute Care, Practice Development
@HowardCatton RCN Head of Policy and International Affairs
@pauljebb1 Exp of Care Professional Lead, NHS England
@sdidymus Darzi Fellow for HENCEL
@BronNhsdeb Practice Nurse Advisor, Lewisham Clinical Commisioning Group
@ManjitDarby Director of Nursing and Quality, NHS England Central Midlands
Events
21
22. 22
n Read and understand the
revised Code
n Register with NMC Online at
www.nmc-uk.org/nmc-online for your renewal and
revalidation date
n Decide on a paper-based or electronic portfolio
n Select the best electronic portfolio
n Keep a record of your practice hours within your scope of practice
n Update your Continuing Professional Development (CPD) record,
keeping a record of the number of hours, and providing a brief
outline of the key learning points linked to your scope of practice.
Reflect on what you have learned and how this will influence your
practice.
n Link each learning activity to The Code so that you can provide an
example of how this is relevant to one of the key areas of the Code
n Start discussing your preparation and progress for revalidation
during your one-to-one with your line manager
n Keep a record of your practice-related feedback
n Complete your written reflective account and reflective discussion
n Identify who your Confirmer is going to be
(particularly if you have two line managers)
n Complete health and character declarations
n Ensure professional indemnity arrangement is in place
n Declare your confirmation
n Submit renewal annually and pay fees
n Apply for revalidation (every three years) via NMC Online
Your checklist for revalidation
23. 23
Your easy-to-use online revalidation
portfolio aligned to the Code
Helping you to meet ALL your requirements for
revalidation.
Accessible • Intuitive • Downloadable • Secure
Sign up today at
revalidation.premierit.com/iheart
Put HeART at the centre of your patient care
Record
practice hours
Written reflections
and discussions
Portfolio
of CPD
Revalidation
checklist
i