20

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? CPD on 30.7.14. Systematic Investigation training. What did you learn from the CPD activity and/or feedback and/or event or experience in your practice? I had not previously undertaken any investigation training and over time have been investigating increasingly serious and complex situations involving both staff and service users. I developed a greater understanding of the systematic investigative process and its practical application to investigate a wide range of incidents, including patient-safety breaches, complaints, non-clinical events and professional misconduct or capability concerns. Also to understand how an investigation can be used to discover why an incident occurred and identify solutions to prevent similar incidents happening again. How did you change or improve your practice as a result? Shortly after completing the training I had to lead an investigation panel into the suicide of a service user within 48 hours of discharge. I was able to use the new skills and tools to better organise the information available. This was particularly beneficial in organising the chronology. I was able to put into practice interviewing skills with the nursing staff who stated they could not recall the service user. As a consequence the investigation and subsequent report felt more competed and detailed that previous investigations and the recommendations were more comprehensive. I had increased confidence in leading the panel. Below are the aspects of the training that I was able to practically apply to my work :• human error theory • commissioning and setting terms of reference • securing and collating written evidence • investigative tools and models • establishing a comprehensive chronology • analysing data • Writing the report and developing recommendations that are specific, measurable, achievable, relevant and timescaled (SMART). 13 of 22

21 Publizr Home