Professional Development Record



|Professional Development Record |

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|Name: Role: Workplace: |

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|Essential Skills Checklist – this must be attached and verified: |

|Date |Hours |Activity |Verification |Reflection of Education |

| | | |- Certificate OR |Select 3 sessions. Reflect on how this new Knowledge will influence and/or |

| | | |- Education printout from Organisation |change your practice. (Refer reflective writing rubric). |

| | | |OR Verification by a senior nurse | |

| | | |(Name, signature and APC number) | |

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| | | |NB: Only 60 hours over the last 3 years is required for the | |

|Total | | |record. | |

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Verified by:________________________________

Date:_____________________________________

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