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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: Independent Healthcare Provider – Senior Nurse Manager What was the nature of the CPD activity and/or practice-related feedback and/or event or experience in your practice? Safe Staffing, Nursing Skill Mix 2015. Looked at tools and concepts for setting safe staffing levels. Though mainly general adult acute concepts translate to mental health. Series of presentations as well as group discussion Q & A . Main learning – actual versus planned staffing is irrelevant unless the plan is correct and includes acuity and dependence, not just number of service users. How do we apply to multiple/diverse service being delivered in environments that are not purpose built? What did you learn from the CPD activity and/or feedback and/or event or experience in your practice? How safe staffing happens which is • Establishment setting / staffing review • Systematic, consistent approach • Triangulate • Reviewed regularly • Follow best practice guidelines with staff input • Policy and procedure on rostering • Judgement as well as training • If you don’t know what you’ve got, you can’t use it How did you change or improve your practice as a result? Developed an action plan as follows • Rota management - E Rostering • Review of staffing establishment by ward from safe perspective • Annually and on any change in service or configuration • Ward manager training • Define organisational red flags / threshold • Tools & technology • Escalation process • Review process • Asked Board Sign off 11 of 22 SAMPLE

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