Guide to completing practice hours log Work setting  Maternity unit or birth centre Scope of practice

To record your hours of practice as a registered nurse  Ambulance service  Military  Commissioning
and/or midwife, please fill in a page for each of your  Care home sector  Occupational health  Consultancy
periods of practice. Please enter your most recent  Community setting (including  Police  Education
practice first and then any other practice until you reach district nursing and community  Policy organisation  Management
450 hours. You do not necessarily need to record psychiatric nursing)  Prison  Policy
individual practice hours. You can describe your practice  Consultancy  Private domestic setting  Direct patient care
hours in terms of standard working days or weeks. For  Cosmetic or aesthetic sector  Public health organisation  Quality assurance or inspection
example if you work full time, please just make one  Governing body or other  School
Registration
entry of hours. If you have worked in a range of settings
leadership  Specialist or other tertiary care
 Nurse
please set these out individually. You may need to print
 GP practice or other primary including hospice
 Midwife
care  Telephone or e-health advice
additional pages to add more periods of practice. If you  Nurse/SCPHN
 Hospital or other secondary  Trade union or professional
are both a nurse and midwife you will need to provide  Midwife/SCPHN
care body
information to cover 450 hours of practice for each of
 Inspectorate or regulator  University or other research  Nurse and Midwife (including
these registrations. Nurse/SCHPN and
 Insurance or legal facility
 Voluntary or charity sector Midwife/SCPHN)
 Other

Dates: Name and Your work setting Your scope Number Your registration Brief description of your work:
address of (choose from list above): of practice of hours: (choose from list above):

organisation: (choose from list above):

(Please add rows as necessary)