High Power Cmt

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Govt. College of Nursing

Ahmedabad

Subject : NursingManagement

Unit : V- human resource for

health

Topic : High PowerCommittee


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The retardeddevelopment of nursing

and nursing professionseems to be mainly due tothe fact that no seriousthought has been given tothis discipline by the

overnment over the


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COMMITTEE ON NURSING ANDNURSING PROFESSION


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Working In The Rural Areas

Family accommodation at sub centreis a must for safety and security ofANM's /LHV.

Women attendant, selected from thevillage must accompany the ANM forvisits to other villages.

The district public health nurse isprovided with a vehicle for fieldsupervision.

Fixed travel allowance with provision


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1. There should be 2 levels of nursingpersonnel - professional nurse(degree level) and auxiliary nurse

(vocational nurse). Admission toprofessional nursing should be with12 yrs of schooling with science. The

duration of course should be 4 yrs atthe university level. admission tovocational /

auxiliary nursing shouldbe with 10 yrs of schooling .The

duration of course should be 2 yrs in


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2. All school of nursing attached to medical

college hospitals is upgraded to degreelevel in a phased manner.

3. All ANM schools and school of nursing

attached to district hospitals be affiliatedwith senior secondary boards.

4. Post certificate B.Sc. Nursing degree to

be continued to give opportunities to theexisting diploma nurses to continue highereducation.

5. Master in nursing program to be

increased and strengthened.


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6. Doctoral programs in nursing have to bestarted in selected universities.

7. Central assistance be provided for alllevels of nursing education institutions interms of budget( capital and recurring)

8. Up gradation of degree level institutionsbe made in a phased manner as suggested

in report.

9. Each school should have separatebudget till such time is phased to

degree/vocational programs. The principal


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10. Nursing personnel should have a

complete say

in matters of selection of students.Selection is

based completely on merit. Aptitudetest is

introduced for selection of

candidates.11. All schools to have adequate budgetfor libraries

and teaching equipments.


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13. Adequate accommodations areprovided to students. A maximumof 3 students to share a room.

Rooms to be furnished with light,study table , chair etc. Adequatedining room, toilets and bathroomsfacilities to be provided in eachhostel as per norms recommended.

14. Students should learn under

supervision in the wards.


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15. Community nursingexperience should be as perINC requirements. Necessarytransport and accommodation

at PHC be made available forsafety, security and meaningfullearning of students.

16. INC requirements forstaffing the schools andmeeting the minimumre uirements are followed b


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18. Institutes like NationalInstitute of Health andFamily welfare, RAK College

of Nursing and severalothers may develop courseson nursing administrationfor senior nursing leadingto doctorate level.

19. Provision for higher


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Development

HOSPITALS/INSTITUTIONS (URBAN


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HOSPITALS/INSTITUTIONS (URBANAREAS)

Definite nursing policiesregarding nursing practice be

available in eachinstitution .These policiesinclude:

a)

Qualification/recruitment rules


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d) Nursing care standards fordifferent categories of patients.

Staffing as per norms

Nurse patient ratio 1: 3

Students not to be counted asstaff

Adequate supplies andequipments, drugs

Nurses to be relieved from non-nursing duties


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nurses should not be made to pay

for breakage and losses

Provision of part time jobs formarried nurses to be considered

(min 16-20hrs/week)

Re-entry by married nurses at theage of 35 or above may also be

considered

Nurses in senior positions like wardsisters, Asst. nursing

superintendents, Deputy NS; N.S


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Nurses working in specialty areasmust have courses in specialties

The committee recommends that

Gazetted ranks be allowed fornurses working as ward sisterand above - minimum class II

gazettedSimilarly the post of Health

Supervisor (female) is allowed

gazetted rank and district public

C it i


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Community nursingservices

Appointment of ANM/LHV to berecommended.

ANM/LHV promoted to supervisoryposts must undergo courses in

administration and management.

Specific standing orders are madeavailable for each ANM/LHV to

function effectively in the field.Adequate provision of supplies,

drugs etc are made.

Recording system be simplified.


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NURSING SERVICE AND EDUCATION

HOSPITAL SETTING


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SERVICES

1 ANM for 2500 population (2per sub centre)

1 ANM for 1500 population for

hilly areas

1 health supervisor for 7500population (for supervision of 3

ANM's)

1 public health nurse for 1 PHC(30,000 population to supervise

4 Health Supervisors)


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NURSING LEGISLATION

INC and state nursing council actsbe amended to provide for controlby INC on states nursing councils.

Provision of more nursemembers.

Provision for regulation of nursingeducation standards by timelyinspections and follow up.

Provision of maintaining ofminimum standards of nursing

practice


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Provision for regulation forprivate nursing bureaus andpractice by unqualified

nurses.Provision of approval of INC

before opening a SON or

CON.Provision of renewal of

registration every 5 yrs.

Provision of inde endent

ORGANISATION OF NURSING


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ORGANISATION OF NURSINGSERVICES

Each ADG level nurse to deal with

continuing education /researchcomponent for specialized areas.

Selection to these posts is made on merit

and not by seniority alone.Nurses appointed for these posts must

have undergone through courses in

administration, management and fiscalmanagement.

Railway board, state insurance (laborminister), post, telegraph union,territories (Delhi), munici al cor orations


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High Power Cmt