high power cmt
TRANSCRIPT
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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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