VVVVVOLOLOLOLOL.2 I.2 I.2 I.2 I.2 ISSUESSUESSUESSUESSUE 2, J 2, J 2, J 2, J 2, JUNEUNEUNEUNEUNE 2010 2010 2010 2010 2010

Quarterly Newsletter of Indian Nursing Council

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Supported by Global Fund for AIDS, Tuberclosis and Malaria (GFATM)

ContentsEditorial Board:

Mr. T. Dileep Kumar

Dr. Asha Sharma

Mrs. K.S. Bharati

Dr. Jayarani Premkumar

Dr. Kalpana Mandal

Dr. Swati Kambli

Dr. Mahasweta Bose

Dr. Nizara Das

Dr. S.N. Misra

Dr. Dilip Vaswani

Content and Design:Shanta MisraCover:Nurses training in refurbishedclassrooms

www.indiannursingcouncil.org

Please submit your contributions/articles to INC Newsletter at:incindia.newsletter@gmail.com

Published by the Indian NursingCouncil, Combined CouncilsBuilding, Kotla Road, TempleLane, New Delhi 110002.

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GFATM Round 7

Training Update (June 2010)

Activity Achievement

This Quarter Cumulative

Number of Institutions conducted trainings 55 55

Number of Master Trainers/Trainers trained 58 699

Number of Nurses trained 9156 36768

The President’s Desk 3

GFATM Nurses Training- Achievements in this quarter 4

Blood Safety Program 5

In Conversation 7

Photo Gallery 9

Professional and Personal Challenges ofNurses When Caring For PLHIV 10

Are There Any Questions? 11

Remembering Manashi 12

Nurses Speak 13

Physical Facilities for School/Collegeof Nursing 15

INC Announcements 16

The President’s Desk

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Greetings from the Indian Nursing Council.

In this quarter, we saw another round of Nurses training programmeunder the GFATM project and around 9000 staff nurses from varioushospitals were trained. An update on the training has been included inthis issue. The 2nd Project Steering Committee meeting has brought outthe importance of the training of the Auxiliary Nurse Midwives inHIV/AIDS. We plan to cover the trainings of this cadre of nursing staffsoon.

We are pleased to have Dr. Manju Vatsa from AIIMS College ofNursing sharing her experiences and contributions towards the NursingProfession.

Mentoring is a value added program to the ongoing Nurses training.The importance of mentoring in the Nursing profession has beendiscussed in this newsletter.

Sadly, we do not have Mrs. Manashi Gogoi, faculty from the Collegeof Nursing, Guwahati and a trainer for the GFATM project among usanymore. Her untimely demise has left a void among us. We offer ourcondolences to the bereaved family.

We are continually receiving excellent feedback about the trainingprogramme and your work for the HIV/AIDS prevention programmes.We are delighted to share some of them with our readers.

Our announcements section calls for nominations for the FlorenceNightingale Award for 2011. We look forward to your nominations.

I thank you for your enthusiastic response and look forward to yourcontributions in our future editions of the INC newsletter.

Sincerely,

Mr. T Dileep KumarPresident, Indian Nursing Council

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Ms. K. S. BharatiAsst. Secretary INC& Project Director, GFATM-7

GFATM Nurses Training Project- Achievements in this Quarter

This quarter saw 54 institutes conducting trainingof nurses drawn from across the districts. An additional57 nursing faculty were trained as trainers in 2 TOTprograms and 9156 staff nurses were covered in 121training courses.

The other highlights for this quarter are discussedbelow.

Cross Learning WorkshopThe 2nd Cross Learning workshop for select trainers

of the West Zone was organized in Mumbai on the24th and 25th April 2010. Around 50 trainers fromvarious institutes participated in this workshop.

Apart from experiences from individual trainers, thedraft mentoring plan and the use of bettercommunication in training programs were alsohighlighted. Participants provided feedback on thetechnical content and the curriculum and suggestionsfor improvement of the training programs in future.Representatives of the local PLHIV network sharedtheir views on the care and support services being

provide to them and also the discussed the enhancedrole of the nurses in addressing stigma anddiscrimination in health care facilities and in counsellingservices.

Project Steering Committee MeetingsThe 2nd Project Steering Committee meeting was

held at NACO on the 30th April 2010. Mr. K.Chandramouli, Secretary and DG, NACO. Apart fromthe Nurses training project, the training of Counsellorsand Link workers on HIV/AIDS prevention and carewas also discussed in the meeting as part of Round 7project.

An update on the progress of the Nurses trainingwas presented by Mrs. K. Bharati, Asst. Secretary andINC and Project Director, GFATM. The nurses postedat the 24X7 PHCs needed more training on counsellingand additional inputs would be sought from theCounselling experts, while revising the curriculum inthe 2nd phase. It was also decided to position thesetrained nurses in ART centers on rotation basis.

Regional Meeting on Implementing theGlobal Fund New Funding Architecture &Gender Equality Strategy

The above meeting was organized by the GlobalFund in Pattaya from the 27th June to 1st July in Pattaya,Thailand. A team from INC and Futures Groupparticipated in the meeting. The new fundingarchitecture and Gender issues were discussed.

West Zone Cross Learning Workshop - Mumbai

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Blood Safety Program

The objective of Blood Safety programme underNACP-III is to ensure provision of safe and qualityblood even to the far-flung remote areas of the countryin the shortest possible time through a well-coordinatedNational Blood Transfusion Service. The specificobjective is to ensure reduction in the transfusionassociated HIV transmission to less than 0.5 per cent.

This is proposed to be achieved through a fourpronged strategy as follow:

Ensuring that regular (repeat) voluntary non-remunerated blood donors constitute the mainsource of blood supply through phased increasein donor recruitment and retention;Establishing blood storage centres in the primaryhealth care system for availability of blood in far-flung remote areas;Promoting appropriate use of blood, bloodcomponents and blood products among theclinicians; andCapacity building of staff involved in BloodTransfusion Service through a organised trainingprogramme for various categories of staf f.

Current Scenario:Access to safe blood to all the needy is the primary

responsibility of NACO. Currently, it is supported by anetwork of 1103 blood banks including 130 BloodComponent Separation Units (BCSU) and 10 ModelBlood Banks. NACO supported the installation of bloodcomponent separation units and also fundedmodernization of all major blood banks at state anddistrict levels. In addition to constantly enhancingawareness about the need to access safe blood andblood products, NACO has supported the procurementof equipments, test kits and reagents as well as therecurring expenditure of government blood banks andthose run by voluntary / charitable organizations thatwere modernized. There are still 31 districts in thecountry with no facilities for supply of safe blood.

Against the target of blood collection as 6.98 million,6.01 million units collected till 31st January 2010. Inpublic and charitable sector blood banks, currently74.1% of blood is collected through voluntary blooddonation.

Practice of appropriate clinical use of bloodamongst the clinicians has seen a definite rise due todengue epidemic and training of clinicians on rationaluse of blood. The proportion of blood componentsprepared by the BCSUs in 2007-08 was 20% whichrose to 41.1% in 2009-10 (till January 2010). Effortsare being made to further increase it by 50% by endof March 2010.

In order to streamline Blood Transfusion servicesin the country, National and State Blood TransfusionCouncils were established as registered societies.These councils are provided with necessary fundsthrough NACP. While the National Blood TransfusionCouncil provide policy direction on all issues relatedto Blood and related areas, the State Blood TransfusionCouncils implement the decisions taken by NationalBlood Transfusion Council.

A) Collectiona) Voluntary Blood Donation Programme:It has been recognised world over that collection

of blood from regular (repeat) voluntary non-remunerated blood donors should constitute the mainsource of blood supply. Accordingly, activities foraugmentation of voluntary blood donation are takenup as per “Operational Guideline on voluntary blooddonation.

Several activities to promote public awareness ofthe need for voluntary blood donation have beenundertaken in collaboration with Red Cross andvarious Blood Donor Organisations. In addition,through collaboration with these organisations,voluntary blood donation camps and other activitieswill be regularly undertaken to increase bloodcollection in the country.

B) Scheme for modernisation of blood banks:NACP is implementing a scheme for modernization

of blood banks by providing one time equipments fortesting and storage as well as annual recurrent grantfor support of manpower, kits and consumables.

a) District level Blood Banks:During NACP I and II, blood banks in all districts of

Dr. Mohammed ShaukatAsst. Director General

National AIDS Control Organisation, New Delhi

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the country were taken up under the scheme formodernization of blood banks, except for the newlycreated districts.

In NACP III, 39 newly created districts have beenidentified which does not have a blood bank. NACOhas taken the initiative with the respective State Healthdepartment for setting up a blood bank in thesedistricts.

b) Blood Component Separation Units:In order to promote rational use of blood, 85 Blood

Component Separation Units (BCSU) has beenestablished during NACP- I & II. It has been proposedto establish component separation facilities in all theblood banks in Tertiary care hospitals attached tomedical colleges in Public sector.

c) Model Blood Bank:Under the NACP-II, 10 Model Blood Banks were

developed in 8 under-served States to improve uponthe standards of blood transfusion services. TheseModel Blood Banks are expected to function asdemonstration centres for the State in which they arebeing set-up.

NACP-III target is to upgrade existing 22 bloodbanks in the remaining states/U.T.s to Model BloodBanks, preferably in the State Capital.

C) Distributiona) Blood Storage Centres:In order to make safe and quality blood available in

these FRUs where a full-fledged blood bank is notfeasible, Government has taken the initiative of settingup Blood Storage units. National Rural Health Mission(NRHM) and NACO have taken a joint program to startBlood Storage Units in the FRUs. NRHM will be providingthe requisite infrastructure and manpower and procurethe necessary equipments for storage and issue of blood.

It has been proposed to establish 3222 blood storagecentres in the identified FRUs during NACP-III.

b) Blood Transportation Vans:Blood need to be transported under proper cold

chain maintenance from the linked Regional BloodTransfusion Centre (RBTC) to the Blood StorageCentre (BSC). Each RBTC will be linked to 6-8 BSC.In order to supply blood units under proper conditionsand storage, NACO has taken the initiative to provide500 refrigerated Blood Transportation Vans to theRBTCs/ District Blood banks during NACP-III. These

vans will be transferring blood units to the BSCregularly and also on demand/emergency situations.

D) Capacity Buildinga) Blood Safety Training Programme:Education and training is fundamental to every

aspect of blood safety. Many of the factors threateningthe safety of the National blood supply can beattributed, in part, to inadequate training.

The Blood Safety training programme aims to:1. Strengthening national capacity in education

and training in all aspects of blood transfusion;2. Support the establishment of sustainable

national education and training programmes in bloodtransfusion;

3. Strengthen inter- and intra-regionalcollaboration in training in blood transfusion betweenNACO and its Collaborating Centres, national bloodtransfusion services, education and traininginstitutions, and non-governmental organization

NACO has developed a uniform training curriculumfor all aspects of blood transfusion. Seventeen centreshave been identified across the country to imparttraining on all aspect of Blood Safety involving BloodBank Medical Officers, Technicians, Counselors andNurses, Clinicians, Donor Motivators and ProgrammeOfficers of SACS.

During 2009-10, 994 Medical officers, 1833 LabTech., 587 Nurses and 186 Counsellors were trainedtill January 2010.

E) Newer Initiativesa) Setting up of Metro Blood Banks as Centre

of Excellence in Transfusion Medicine:As a step to improve the Blood Transfusion services

in the country, a proposal to set up four Metro BloodBanks as Centre of Excellence, in cities of New Delhi,Mumbai, Kolkata and Chennai has been approved.These Blood Banks will have State of the Art facilitieswith 100% Voluntary Blood Donation, 100% bloodcomponents preparation and capacity to process morethan 100,000 units of blood annually.

b) Plasma Fractionation Centre:Under the National AIDS Control Programme –

Phase III, one Plasma Fractionation Centre with aprocessing capacity of more than 150,000 litres ofplasma, which can fulfill the demand of the Nation,has been proposed

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In Conversation

Dr. Manju Vatsa is Principal of College of Nursing,AIIMS, New Delhi. Her distinguished career has a longlist of awards and accolades which will inspire severalof our readers. She was awarded the President ofIndia’s Silver Medal for standing First in B.Sc. (Hons.)Nursing, the President of India’s Gold Medal forstanding First in M.Sc. Nursing at Delhi University. Shewas also awarded prize for best research in M. PhilNursing at RAK College of nursing. She was awardedthe Health Care Promotion Trust Oration on “NursingCare of Elderly”. She was also awardedCommonwealth fellowship to University of Dundee inScotland for Medical Education Technology & WHOFellowship on ‘Aging’ at Khon Kaen University,Thailand. She is the Founder President of the IndianAssociation of Neonatal Nurses (IANN). She is anexecutive member of the Indian Nursing Council & coregroup member for INC Projects, National Consortiumfor Ph.D. in Nursing; Revision of Curriculum of B.Sc.& M.Sc. Nursing and Guide for six Ph.D. students.She is member consultation committee on Nursing,MOH & FW Government of India. She is in the AdvisoryBoard of four national & International journals ofNursing.

She has authored more than 35 publications innational and international journals.

Her current interests include developing NeonatalNursing as a speciality, incorporating evidence basein nursing practice & education, focus on specialistand practitioner roles of nurses. She is also involvedin quality assurance in nursing education, especiallyin teaching methods and assessments.

Dr. Manju Vatsa shares with our readers her visionfor nursing care and education in India. She talks about

her current interests and her inspiration whichmotivates to achieve so much in life.

Q Ma’am, as Principal of the College of NursingAIIMS, the premiere institution for nursing in India,do you feel nursing education is undergoing a seachange today? If so, has it met the demands ofthe 21st century?

A Yes, nursing education is undergoing a seachange in India today. To start with, there is a hugequantitative expansion. The opening up of the privatesector in nursing education, use of InformationTechnology with emphasis on e-learning and internethave made information available at the fingertip of themasses. However, the emphasis on quality and selflearning techniques for life- long learning still needsto be strengthened. The health needs of thecommunity and advances in medical technology makeit imperative to change the curriculum of todayspecially the strategies used for teaching, learning andassessments to prepare the nurses to meet thedemands of 21st century.

Q Do you feel that nurses should go beyondtheir 3½ - 4 year graduation course and equipthemselves further by pursuing advanced coursesor super specialisation, to meet these demands?

A Nurses at present are undergoing either 3 ½years GNM program or a 4 year B.Sc. Nursing programat the basic level. Both the programs prepare nursesas generalists and they are expected to function in arange of settings starting from primary to communityhealth centres and district and tertiary level hospitalsin the urban areas. The medical systems andspecialties have advanced to such an extent that thenurses need to pursue advanced and specialitycourses in order to keep pace with the demands ofdifferent medical specialities.

The expanded and advanced roles of nurses asspecialists and practitioners need to be recognisedand encouraged. The countries which are advancedin terms of nursing have successfully introduced thenurse practitioners and there is reaserch evidence to

Dr. Manju VatsaPrincipal, College of Nursing,AIIMS, New Delhi

8

suggest the effectiveness, acceptability and costeffectiveness of the cadre. In India we have just madea beginning by introducing nurse practitioner inmidwifery as a pilot. The concept needs to be extendedto many other specialties.

Q Neonatology and Care for the Elderly, yourfields of specialised interest deal with “thebeginning and ending of the life cycle” in your ownwords, what is the situation in India regardingthese two important areas in medical care...

A Nursing care of the Neonates as well as care ofthe elderly at both the extreme of the lifecycle requiresextremely skilled, dedicated & sensitive handling.Although basic competencies of both the specialtiesare included in the basic nursing curricula there is aneed for a specialised dedicated cadre for both. Boththe areas have a great potential for independent workby the nurses. However, in the absence of specialitynurses being available the majority of the units haveto depend on generalist nurses.

A lot has been done in the field of neonatal nursingto provide opportunities for continuing education ofnurses to provide essential new born care. The Govt. ofIndia, the INC and the National Neonatology Forum havemade contributions to the development of neonatalnursing as a speciality. We now have a speciality coursei.e. Post basic diploma in Neonatal nursing of one yearduration approved by the INC. The neonatal nurses haveestablished an association “Indian Association ofNeonatal Nurses” which has more than 600 membersenrolled. The objectives are to advance the knowledge& skill in neonatal nursing, foster excellence in neonatalnursing practice and to promote standards of neonatalnursing, research & development of neonatal nursingas a speciality. I am proud to say that I am the founderPresident of the association.

The geriatric nursing, however, still needs todevelop in India. Although, the INC has approved aone year post basic diploma in geriatric nursing, it isyet to make a mark. The Govt. of India has developedsome modules for training of ANMs and nurses in careof the older persons the same are yet to be integratedin the nursing curriculum. The Indian nursing councilhas incorporated the care of the elderly in the medical

and surgical nursing curriculum of the B.Sc. Nursingprogram. There is a great deal of work which needs tobe done for sensitizing the nurses in meeting thespecial needs of the elderly and to develop it as aspecialty.

Q Ma’am having extensively travelled abroad,do you feel nursing institutions in India needs tochange?

A There is a great discrepancy among the nursinginstitution in India. There are many excellentinstitutions which are as good as the best in the world.On the other hand there are many which are not up tothe mark. Indian nurses are very much sought afterall across the globe and are recognised for theirdedication & hard work. However, there are someareas in which the nursing education in India needsto change. First and foremost the nursing educationneeds to become more competency based. TheNursing Council, Universities & Educational Institutionsneed to collectively strive for the same. The theorypractice gap in India is too wide. A lot of what thestudents learn in schools and colleges, they are notable to practice in the hospital setting in India. Thisgap needs to be reduced so that the best of nursesproduced in India have an opportunity to demonstratetheir capabilities in the practice setting. This requiresmore collaboration between the nursing education &nursing services. The practicing nurses need tocontribute to the learning of students and the nursingfaculty need to contribute to the service delivery in acollaborative role. This will contribute to theimprovement of nursing education as well as practice& the image of the nursing profession will be enhancedin the eyes of the public.

Q What would you like to say to young womenwho would want to pursue nursing?

A Nursing is a very women-centric professionwhich can prepare a person for life in general anddevelop the competencies to become a professional(the men also have an equal opportunity &contribution). With the current employmentopportunities available for nurses globally, this is oneprofession which can help women to becomeeconomically independent and empowered. It is

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Photo Gallery

Training in Chandigarh

Cross Learning workshop, MumbaiCross Learning workshop, Mumbai

Training of Nurses

however, a very demanding profession and only thosehave an aptitude for caring should enter the profession.

Q Finally Ma’am a few words about yourself,how would you describe yourself?

A I see myself as an intelligent, independent,disciplined & hard working person. I have madesignificant contribution to all the initiatives in nursing,taken for more than a decade now.

Q Ma’am, who has been your inspiration inyour life?

A My father. He has motivated, encouraged andguided me in making choices which have helped meto develop a much disciplined approach to life and mycareer.

I would also like to mention one of my teachers,Dr. Aparna Bhaduri who was my guide & mentorthroughout my formative years in the profession.

Q Your favourite pastime....

A Reading

Q Your favourite book....

A ‘The Secret’ by Rhonda Byrne. The book hasthe potential to reform people’s life & make the worlda better place to live.

Q Your favourite film....

A ‘Three idiots’.

Thank you Dr. Vatsa, for sharing your thoughts andtalking to INC Newsletter.

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Professional and personal challenges of nurseswhen caring for PLHIV

Ms. Elsa Sanatombi Devi,Associate Professor, MCON,MANIPAL University, Manipal,Karnataka, India

Workplace stress can be described as physical andemotional outcomes that occur when there is disparitybetween the demands of the job and the amount ofcontrol the individual has in meeting those demands.Anytime stress occurs, it is an indication that thedemands placed upon the person have exceeded theperson’s personal resources, whether these resourcesare physical, emotional, economic, social, or spiritual.Thus, workplace stress occurs when the challengesand demands of work become excessive, thepressures of the workplace exceed the worker’s abilityto handle them, and job satisfaction turns to frustrationand exhaustion. The nurse who is experiencingburnout unconsciously would exhibit symptoms suchmemory problems, indecisiveness, inability toconcentrate, poor judgment, trouble thinking clearly,seeing only the negative side of an issue, anxious orracing thoughts, constant worrying, loss of objectivity,frequent headaches, muscle tension and stiffness,diarrhea or constipation, nausea, dizziness, insomnia,frequent colds, moodiness, agitation, restlessness,short temper, irritability, impatience, inability to relax,feeling tense, isolation, depression, sleeping too muchor too litt le, isolating oneself from others,procrastinating, neglecting responsibilit ies,overreacting to unexpected problems, and pickingfights with others. If these symptoms minor or majorare experienced by the nurse, the patient is unlikelyto receive the right type of care and concern that he

or she is expecting from a nurse.At all times the nurse is faced with high job

demands, low supportive relationship, low job controlin his or her workplace, quality nursing care demands,dealing with death and dying, frequent change of workarea within the hospital, lack of resources, long hoursof work, night duty, dealing with uncooperative familymembers and patients. All these have been found tobe stressors experienced by nurses and leading tonegative coping mechanism and tendering patientswith such attitude can lead to poor patient care.

Also at the end of the day majority of the femalenurses tends to be the bread winner of the family wherethe entire family has high demands. Children andspouse expects equal attention from the mother. Thenurse who is experiencing high stress at her workplaceis unable to provide quality time and care for her lovedones at home. This imbalance between professionaland personal issues is the source of conflict thatgenerally builds up in the individual in her workplaceand home leading to poor job satisfaction and leadingto frustrations. If the same nurse who is to take care isat this juncture, one needs to realize and help oneanother to have a balance in personal and professionallife.

Caring for HIV/ AIDS individuals links to stigma andtends to be discriminated from the rest even if one ishighly educated or even literate in terms of thisdisease. Hence the bed side nurse is challenged withwide variety of challenges be it in clinical areas or homeand understanding the CUTOFF point betweenprofessional and personal issues will help build a wellbalanced person to critically think, clinically reason andtake an appropriate decision in the workplace toimprove the current scenario in HIV/ AIDS care thefocus of this century.

Nursing is an art: and if it is to be made an art, it requires an exclusivedevotion as hard a preparation, as any painter’s or sculptor’s work; for what isthe having to do with dead canvas or dead marble, compared with having todo with the living body, the temple of God’s spirit? It is one of the Fine Arts: I had almost said, the finest of Fine Arts.

~Florence Nightingale

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Are there any questions?Prof.(Mrs) Rafath Razia

Principal, GCON, Hyderabad

The ubiquitous “Are there any questions? At theend of a teaching session is so routinely ineffectivethat it has come to mean “That’s all for today”. Duringa training session it doesn’t work very much better.There are some good reasons for this:a. Training participants may be too busy writing notes

on what has just been said to formulate a question.b. Dictation or fast presentation requiring full note-

taking does not encourage thinking of any kind,let alone questioning.

c. Only brief silences are normally tolerated duringtraining session and sensible questions may takefew moments to formulate.

d. An unspoken ground rule may be operating to theeffect that getting through to the end of the lecturequickly is the primary goal. Questions may resultin the trainer having to rush later on even missout the last sections of the training sessiontogether. This may cause more problems totraining participants than the failure to have theirquestions answered, and so they collude with thetrainer to avoid interrupting the presentation.

e. Even when a training participant has managed toformulate a question, she may need an opportunityto ‘try it out”(to check that it doesn’t seem silly)before she is prepared to ask it in public

f. Training participants who ask questions run therisk of being considered stupid, attention seekersor creeps.

As a result it can be unusual for invitations to askquestions to be taken up. The larger, more formal andimpersonal the setting, the less likely it is that trainingparticipants will ask questions

To get these problems the trainer may need to :a. Give training participants time in which to formulate

questions;b. Give training participants the chance to check out

that their questions are not silly before asking themin public;

c. Ask everyone to formulate questions so as to avoidthe stigma attached to the questioner.

You could say.”Now I ‘d like to give you the chanceto ask me questions about what I have just explained.You have half a minute in which to write down thequestion you’d really like to have answered, or queryyou would like to raise. OK, I’m going to go along thethird row back asking each person in turn to read outtheir questions. So.. What is your question?”Or, “Could you please turn to your neighbor andraise any question you have at this stage. Try andanswer each other’s questions. If you can’t, writethe question down. In two minutes I am going to aska couple of pairs what their outstanding questionsare”.Reference: Gibbs, Graham, Habeshaw ,Sue & HabeshawTrevor(1988).53 Interesting things to do in your lectures(ed4).U.K., Technical and Educational services Ltd.

During my second year of nursing school our professor gave us a quiz. I breezed through the questions until I read the last one: “What is the firstname of the woman who cleans the school?” Surely this was a joke. I hadseen the cleaning woman several times, but how would I know her name? I handed in my paper, leaving the last question blank. Before the class ended,one student asked if the last question would count toward our grade. “Absolutely,” the professor said. “In your careers, you will meet many people. All are significant. They deserve your attention and care, even if all you do issmile and say hello.” I’ve never forgotten that lesson. I also learned her namewas Dorothy.

~Joann C. Jones

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Late Ms. Manashi GogoiFaculty & Trainer (GFATM 7)College of Nursing, Guwahati,Assam

Late Manashi Gogoi As I Knew Her It is very painful to recall Manashi today!! The

girl whom I knew as a “ full of life” person. She was astudent of mine and it was a pleasure to have her as acolleague later! Manashi herself was very inspirationalto everyone and no one need counsel her. But that“Chulbuli” (I called her so) girl was struck with thedeadly cancer in 2007. I was shocked at the firstinstant, though it is the Almighty who decideseverything, I solaced myself. Never did Manashi letanyone feel that she had undergone a series ofdreadful surgeries and the painful times she hadundergone. She left her only son, a 13 year old, backhome, when she faced the pain alone. The continuedsurgeries, the chemotherapies, the plastic surgeriesdid not cater much to her living as one piece.

Manashi was a very popular and dedicated

Remembering Manashi

Being a nurse you see life in a different light.Who will I save tonight?Who will hold my hand during their last breathwith no fright?Who will enter this world on my shift?How many mothers will greet their babies witha kiss?I don’t know who these special people arebut I will meet them with every callI will hold them tight and help the painI will hold them up when they feel faint.I will be strong when I am neededThat is my job, I am a nurse..that is my duty.

By Ms. Jincy ThomasClinical Instructor, HSINE, Mumbai.

I walk through those doors with pride,whose life will I save tonight?Someone is waiting for me,Someone is alive today because of my duty.Sometimes we cry ‘cause we can’t save themall,God sometimes won’t let us interfere when hecalls.A baby’s first breath when he looks at me,The joy of my first delivery.The tear I wipe away with my own hands,The life ending of a gentle old man.The night seems so dark and the morning sobright.

IT’S MY DUTY

teacher, and much sought after company. Her shrilllaughter attracted everyone in the college and echoedin all the walls of the corridors.

Nothing matched Manashi as a trainer when theGFATM program is concerned. She was a sincere,punctual, and an excellent trainer. She enjoyed thework thoroughly and the participants swooned at her.She could motivate and influence the learning of theparticipants.

The College came to a grinding halt, when herdeath news reached early morning on 29th July, 2010!We knew she was attacked by a deadly disease! Butnot ready to accept that the disease will snatch heraway from us in such a short time!

Manashi’s reminiscence is still lingering in thecorridors of the college!! Till now I’m unable to acceptthat she is no more. I’m waiting for Manshi to comeback from the treatment and be among us!

Dr. Mridula Saikia Khanikor,Principal, CON, Guwahati

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First of all I would like to thank INC and Futuresgroup for selecting our General Nursing School,Rajkot, Gujarat, as a training center(SSR) to carryout the dreams of GFATM Project-7 and we have beenworking hard in fulfilling this dream in reality.

GFATM Project-7 is the first project which has beenexclusively for nurses. It is a great effort towards theNurses in making them equipped with adequateknowledge on HIV/AIDS & ART and all aspectsincluding prevention, treatment, care & support, as thenurses are the first point of contact of HIV infected inany setting with in-patient facility. And in turn PLHAsare benefited in leading their lives positively.

Our General Nursing School, Rajkot had startedthe first training programme on 16/11/09 with 33participant and 4resources personsand now we are happyto report that in the firstphase we successfullycompleted 23batches and trainedthe 716 staff nursesfrom different healthcare setting, Now thesecond phase is goingto start and we willhope for the samesuccess.

Our trainers and allGFATM staf f havealways tried to give

The New Venture of Vijay Marie College of Nursing, Begumpet, Hyderabad-16

Nurses Speak

The dawn of September 2009, marked an importantand memorable event in the history of Vijay MarieCollege of Nursing, Hyderabad. The new venture intowhich we plunged was the beginning of the GFATMProject and the inauguration of the Seminar in ourcollege. Today when we glance back to the monthsand year gone by, we see that this Project has becomea part and parcel of our college activity.

The initial dilemmas and newness is no more thereand the entire college is moving smoothly with it. It iswith great satisfaction and continuing commitment thatwe are carrying out this Project today. All theparticipants of past Seminars have expressed greatsatisfaction over the benefits, enrichment and theknowledge which they have gained during theSeminar. Above all, most of them had a change intheir outlook and attitude towards people with HIV/

Greetings from GNS, Rajkot

GFATM Training Team, Rajkot

their best. In order to make further improvement, weare always open to suggestions and comments fromall the participants.

One of our participant Sagathiya Geeta, Staff nursefrom N.M.Virani WOCKHARDT Hospital, Rajkotexpressed that, “after completion of this training I amfully equipped with knowledge in all the aspect of HIV/AIDS & ART. Before this training I was not aware of alot of things and had confusion regarding HIV/AIDSbut now I fully confident to provide good quality careto PLHAs.”

Another Head Nurse said…”I am the head Nurseof Upleta Hospital. All of my staf f in my hospital hastaken the HIV/AIDS training. Previously, all my staffwas afraid of taking care of PLHAs and their behavior

were not good towardsthe PLHAs. But nowafter the training I amseeing the effect andall are now workingand behaving withoutany fear anddiscrimination. Now, Ialso have got a deepknowledge about HIV/AIDS & ART”.

With regards,

Vaishali M. ParmarTraining Coordinator

GFATM Project-7,GNS,Rajkot,Gujarat.

14

AIDS. Most of them shared that they areprofessionally and humanly ready to renderresponsible and kind services to thesecategory of patients. It is truly a momemt ofachievement, we can say, and these seminarshave enlightened their minds and hearts,cleared many doubts, enabled to overcomeprejudices and bias.

And so af ter getting into this Project andwith the interactions and contacts with variedpeople, we felt that the best way to encouragepeople to live in this world is to give them aray of positive light, positive view aboutoneself and others, to take life as gift fromthe Almighty and do good in the way we can.Here are some Tips for that:-

Training in Vijay Marie College of Nursing, Hyderabad

You are Strong...When you take your grief

and teach it to smile.

You are Brave…When you over come your fearsAnd help others to do the same.

You are Happy…When you see a flower andare thankful for the blessing.

You are Loving….When your own pain does notblind you to the pain of others.

You are wise….When you know the limits

of your wisdom.

You are true….When you admit there are

times you fool yourself

You are Alive….When tomorrow’s hope meansmore to you than yesterday;s

mistakes.

You are Growing…When you know what you arebut not what you will become.

You are Free…When you are in control of yourselfand do not wish to control others.

You are honourable…When you find your honor

Is to find honer others.

You are Generous…When you can take as

sweetly as you can give.

You are Humble…When you do not knowhow humble you are.

You are Thoughtful…When you see me as just as I am

And treat me just as you are.

You are Merciful…When you forgive in others thefaults you condemn in yourself.

You are Beautiful…When you do not need

a mirror to tell you.

You are Rich…When you never need

more than what you have.

You are YOU…When you are at peacewith who you are not.

Let us all pursue to make these views a reality inour life

Sr.Thersa N.LVijay Marie CON, Hyderabad

15

Physical Facilities For School/College Of Nursing

BuildingThe College/School of Nursing should have a

separate building. The college/school of Nursingshould be near to its parent hospital having space forexpansion in an institutional area. For a College/School with an annual admission capacity of 60students, the constructed area of the school/collegeshould be 23720 square feet.

Adequate hostel/residential accommodation forstudents and staff should be available in addition tothe above mentioned built up area of the NursingCollege/School respectively.

For Intake of 60 Students:

Teaching BlockS. Teaching Block Area (FiguresNo. in Sq feet)

1. Lecture Hall 4 @ 1080 = 43202. (i) Nursing foundation lab 15001. (ii) CHN 9001. (iii) Nutrition 9001. (iv) OBG and Paediatrics lab 9003. Pre-clinical science lab 9004. Computer Lab 15005. Multipurpose Hall 30006. Common Room (Male & Female) 20007. Staff Room 10008. Principal Room 3009. Vice Principal Room 20010. Library 240011. A.V. Aids Room 60012. One room for each Head of Departments80013. Faculty Room 240014. Provisions for Toilets 1000

Total 23720 Sqr. Ft.

Hostel BlockS. Teaching Block Area (FiguresNo. in Sq feet)

1. Single Room 2400Double Room

2. Sanitary One latrine & One Bathroom (for 5 students) 500

3. Visitor Room 5004. Reading Room 2505. Store 5006. Recreation Room 5007. Dining Hall 30008. Kitchen & Store 1500

Total 30750 Sqr. Ft.Grand Total : 23720 + 30750 = 54470 Sqr. Ft.

Note (1) : Proportionately the size of the built-up area willincrease according to the number of students admitted.Note (2) : School and College of nursing can sharelaboratories, if they are in same campus under samename and under same trust, that is the institution isone but offering different nursing programmes. Howeverthey should have equipments and articles proportionateto the strength of admission. And the class roomsshould be available as per the requirement stipulatedby Indian Nursing Council of each programme

Other Facilities· Students’ welfare hall of size 400 sqr. ft. Indoor

games hall of size 4000 ft. Safe drinking water

and adequate sanitary/toilet facilities should beavailable for both men and women separately inthe college in each floor common toilets forteachers (separate for male and female) i.e 4toilets with Wash basins. Common toilets forstudents (separate for male and female) 12 withWash Basins for 60 students.

· GarageGarage should accommodate a 60 seater vehicle.

· Fire ExtinguisherAdequate provision for extinguishing fire shouldbe available as per the local bye-laws.

· PlaygroundPlayground should be spacious for outdoor sportslike Volleyball, football, badminton and forAthletics.

16 Printed at Veerendra Printers, New Delhi 110005. Tel. 28755275

GOVERNMENT OF INDIA

MINISTRY OF HEALTH AND FAMILY WELFARE

(NURSING SECTION)

Event: National Florence Nightingale Nurses Awards-2011

Ministry of Health & Family Welfare announces the National Florence Nightingale NursesAwards for the year 2011. Nursing Personnel working in the State, Central, AutonomousInstitutions, private, Missionary and Voluntary Organizations are eligible to apply for the award.The next award ceremony will be held on 12th May, 2011.

The application form and guidelines in this regard can be downloaded fromwww.indiannursingcouncil.org OR www.mohfw.nic.in The applications along with resume anddocumentary proofs in support of claim for the award need to be submitted to the Secretary,Health & Family Welfare of the concerned State.

Sd/-(T. DILEEP KUMAR)NURSING ADVISER

INC Announcements