INDIAN NURSING COUNCIL The Indian Nursing Council is an Autonomous Body under the Government of India; Ministry of Health

& Family Welfare was constituted by the Central Government under section 3(1) of the Indian Nursing Council Act, 1947 of parliament in order to establish a uniform standard of training for nurses, Midwives and health FUNCTIONS OF INC The basic Aims, Objectives and functions of Indian Nursing Council are as follows y To establish and monitor a uniform standard of nursing education for nurses midwife, Auxiliary Nurse-Midwives and health visitors by doing inspection of the institution. y To recognize the qualifications under section 10(2)(4) of the Indian Nursing Council Act, 1947 for the purpose of registration and employment in India and abroad. y To give approval for registration of Indian and Foreign Nurses possessing foreign qualification under section 11(2)(a) of the Indian Nursing Council Act 1947. y y To prescribe the syllabus & regulations for Nursing programs. Power to withdraw the recognition of qualification under section 14 of the Act in case the institution fails to maintain its standards under Section 14 (1)(b) that an institution recognized by a State Council for the training of nurses, midwives, auxiliary nurse midwives or health visitors does not satisfy the requirements of the council. y To advise the State Nursing Councils, Examining Boards, State Governments and Central Government in various important items regarding Nursing Education in the in the country.

ORGANIZATIONAL STRUCTURES OF INC

President Vice President Secretary Joint Secretary Deputy Secretary Assistant Secretary Office Staff

Existing members in INC

Organization structure

Vice president Dr. Asha Sharma

Secretary Dr. Sandhya Gupta

Joint Secretary Ms. K.S.Bharati

Other supporting staff

COMMITTEES:
y Executive Committee : Executive committee of the Council to deliberate on the issues related to maintenance of standards of nursing programs y The Nursing Education Committee: The committee is constituted to deliberate on the issues concerned mainly with nursing education and policy matters concerning the nursing education. y Equivalence Committee To deliberate on the issues of recognition of foreign qualifications which is essential for the purpose of registration under section 11(2)(a) or (b) of the Indian Nursing Council Act, 1947, as amended

Examination boards/ bodies:

1. Armed force medical science 2. Mid India board 3. South India board

4. Karnataka state board 5. 6. Tamil Nadu state board Andhra education board

Number of admission capacity as on 31 st march 2011

slno 1. 2. 3. 4. 5. 6. course ANM GNM B.Sc (N) P.B.B.Sc (N) M.Sc (N) Short term course Total 26909 95441 79633 16228 8273 2473

GUIDELINES TO START NURSING SCHOOLS AND COLLEGES GUIDELINES TO START A.N.M. COURSE
y

Any organization under the Central Government, State Government, Local body or a Private or Public Trust, Mission, Voluntary registered under Society Registration Act or a Company registered under companys act wishes to open and ANM Training School, should obtain the No

Objection/Essentiality certificate from the State Government.

y

If any Nursing Programme is recognized by Indian Nursing Council, then the institution will be exempted from NOC/Essentiality certificate for A.N.M. from the state Government.

The Indian Nursing Council on receipt of the proposal from the Institution to start ANM training program, will undertake the first inspection to assess suitability with regard to physical infrastructure, clinical facility and teaching faculty in order to give permission to start the programme.

After the receipt of the permission to start ANM training program from Indian Nursing Council, the institution shall obtain the approval from the State Nursing Council and Examination Board.

Institution will admit the students only after taking approval of State Nursing Council and Examination Board.

The Indian Nursing Council will conduct inspection every year till the first batch completes the programme. Permission will be given year by year till the first batch completes.

COMPETENCIES: On completion of the course, the ANM/FHW will be able to: Appreciate the concept of holistic health and understand the influence of socio economic and environmental factors on the health status of the community.

Identify health problems/needs and resources in the community and mobilize social support for active participation of the community in health care activities. Provide preventive, promotive, restorative and emergency health care to individuals and community as required. Provide treatment of minor ailments. Provide skilled midwifery services to all mothers in the community and refer mothers at risk to hospitals. Provide skilled care to all neonates in community and refer neonates at risk to the appropriate levels. Render skilled child care services at home, clinic and school. Guide/Train birth attendants, Anganwadi workers (AWW)s, other community health activists and volunteers. Provide need-based information and counseling related to health of individuals, family and groups. Participate in all the National health and Family welfare programmes at community level. Act as a team member in the health care delivery system. Coordinate and collaborate with the other health team members and community based organizations, non-govt. organizations (NGO) and village administration. Manage the health centre including equipments and supplies, and maintain the records in order to provide quality based people friendly services. Updates knowledge and skills for professional and personal growth.

GNM
y

Any organization under the Central Government, State Government, Local body or a Private or Public Trust, Mission, Voluntary registered under Society Registration Act or a Company registered under companys act wishes to open a School of Nursing should obtain the No Objection/Essentiality certificate from the State Government.

If any Nursing Programme is recognized by Indian Nursing Council, then the institution will be exempted from NOC/Essentiality certificate for G.N.M. from the state Government.

The Indian Nursing Council on receipt of the proposal from the Institution to start nursing programme, will undertake the first inspection to assess suitability with regard to physical infrastructure, clinical facility and teaching faculty in order to give permission to start the programme.

After the receipt of the permision to start the nursing programme from Indian Nurisng Council, the institution shall obtain the approval from the State Nursing Council and Examination Board.

Institution will admit the students only after taking approval of State Nursing Council and Examination Board.

The Indian Nursing Council will conduct inspection every year till the first batch completes the programme. Permission will be given year by year till the first batch completes.

COMPETENCIES

The nurse on completion of this course will be able to: 1. Demonstrate competency in providing health care to individual, sick or well, using nursing process. Assess the nursing need of clients from birth to death.

Plan and carry out appropriate action to meet nursing needs. Provide effective nursing care for maintaining best possible level of health in all aspects.

2.

Promote self care in people under their care. Apply problem solving techniques in nursing practice. Evaluate effectiveness of nursing care Apply knowledge from the humanities, biological and behavioral sciences in

functioning as a nurse. 3. Function effectively with members of the health team and community applying the knowledge of human relations and communication skills in her work. 4. Participate as member of the health team in delivery of curative preventive, promotive and rehabilitative health care service. 5. Mobilize community resources and their involvement in working with the communities. 6. 7. 8. 9. 10. Demonstrate use of ethical values in their personal and professional life. Demonstrate interest in activities of professional organization. Recognize the need for continuing education for professional development. Demonstrate basic skills in teaching patients and giving nursing care to them. Demonstrate basic skills in administration and leadership while working with other members of health team and community. 11. Assist in research activities

B.Sc
Guideline to start B.Sc course
y

Any organization under the Central Government, State Government, Local body or a Private or Public Trust, Mission, Voluntary registered under Society Registration Act or a Company registered under companys act wishes to open a School/College of Nursing, should obtain the No Objection/Essentiality certificate from the state government

If any Nursing Programme is recognized by Indian Nursing Council, then the institution will be exempted from NOC/Essentiality certificate for B.Sc. (N) from the state Government.

The Indian Nursing council on receipt of the proposal from the Institution to start nursing College, will undertake the first inspection to assess suitability with regard to physical infrastructure, clinical facility and teaching faculty in order to give permission to start the programme.

After the receipt of the permission to start the nursing programme from Indian Nursing Council, the institution shall obtain the approval from the State Nursing Council and University.

Institution will admit the students only after taking approval of State Nursing Council and University.

The Indian Nursing Council will conduct inspection every year till the first batch completes the programme. Permission will be given year by year till the first batch completes.

COMPETENCIES:
On completion of the four year B.Sc. Nursing program the graduate will be able to:

y Apply knowledge from physical, biological, and behavioral sciences, medicine

including alternative systems and nursing in providing nursing care to individuals, families and communities.

y Apply knowledge from physical, biological, and behavioral sciences, medicine

including alternative systems and nursing in providing nursing care to individuals, families and communities.

y Apply knowledge from physical, biological, and behavioral sciences, medicine

including alternative systems and nursing in providing nursing care to individuals, families and communities.

y Provide nursing care based on steps of nursing process in collaboration with the
individuals and groups. y Demonstrate critical thinking skill in making decisions in all provide quality care. y y Utilize the latest trends and technology in providing health care. Provide promotive, preventive and restorative health services in line with the national health policies and programmes. y Practice within the framework of code of ethics and professional conduct, and acceptable standards of practice within the legal boundaries. y Communicate effectively with individuals and groups, and members of the situations in order to

health team in order to promote effective interpersonal relationships and teamwork. y Demonstrate skills in teaching to individuals and settings. y y Participate effectively as members of the health team in health care delivery system. Demonstrate settings. y Conduct need based research studies in various settings and utilize the research findings to improve the quality of care. y Demonstrate awareness, interest and contribute towards advancement of self and of the profession. leadership and managerial skills in clinical/ community health groups in clinical/community health

POST BASIC B.SC

Guidelines to start P.B.B.Sc course:

y

Any organization under the Central Government, State Government, Local body or a Private or Public Trust, Mission, Voluntary registered under Society Registration Act or a Company registered under companys act wishes to open a M.Sc. Nursing programme, should obtain the No Objection/Essentiality certificate from the State Government.

If any Nursing Programme is recognized by Indian Nursing Council, then the institution will be exempted from NOC/Essentiality certificate for P.B.B.Sc. (N) from the state Government

The Indian Nursing council on receipt of the proposal from the Institution to start nursing program, will undertake the first inspection to assess suitability with regard to physical infrastructure, clinical facility and teaching faculty in order to give permission to start the programme.

After the receipt of the permission to start the nursing programme from Indian Nursing Council, the institution shall obtain the approval from the State Nursing Council and University.

Institution will admit the students only after taking approval of State Nursing Council and University.

The Indian Nursing Council will conduct inspection every year till the first batch completes the programme. Permission will be given year by year till the first batch completes.

Super Speciality Hospital can start M.Sc. (N) programme, however they have to get NOC/Essentiality certificate from respective State Government to start the M.Sc. (N) programme.

COMPETENCIES:

On completion of B.Sc. Nursing (Post-Basic) able to: y

degree programme the graduates will be

Assess health status, identify nursing needs, plan, implement and evaluate nursing care for patients/clients that contribute to health of individuals, families and communities.

Demonstrate competency in techniques of nursing based on concepts and principles from selected areas of nursing, physical, biological and behavioral sciences.

Participate as members of health team in the promotive, preventive, curative and restorative health care delivery system of the country.

y y

Demonstrate skills Demonstrate situations

in

communication qualities and

and

interpersonal relationship. abilities in various

leadership

decision-making

Demonstrate skills in teaching to individuals and groups in community health settings.

y y y

Demonstrate managerial skills in community health settings. Practice ethical values in their personal and professional life. Participate in research activities and utilize research findings in improving nursing practice.

Recognize the need for continued learning for their personal and professional development.

M.Sc (N) Guidelines to start M.Sc course:

y

Any organization under the Central Government, State Government, Local body or a Private or Public Trust, Mission, Voluntary registered under Society Registration Act or a Company registered under companys act wishes to open a M.Sc. Nursing programme, should obtain the No Objection/Essentiality certificate from the State Government.

If the institution is recognized for B.Sc. (N) programme and if one batch has passed out after found suitable by INC, then the institution will be exempted

from

NOC/Essentiality

certificate for M.Sc.(N) programe from the State

Government.
y

The Indian Nursing council on receipt of the proposal from the Institution to start nursing program, will undertake the first inspection to assess suitability with regard to physical infrastructure, clinical facility and teaching faculty in order to give permission to start the programme.

After the receipt of the permission to start the nursing programme from Indian Nursing Council, the institution shall obtain the approval from the State Nursing Council and University.

Institution will admit the students only after taking approval of State Nursing Council and University.

The Indian Nursing Council will conduct inspection every year till the first batch completes the programme. Permission will be given year by year till the first batch completes.

If the institution is recognized for B.Sc. (N) programme and if one batch has passed out after found suitable by INC, then the institution will be

exempted from NOC/Essentiality certificate for M.Sc.(N) programe from the State Government.
y

Super Specialty Hospital can start M.Sc.(N) programme, however they have to get NOC/Essentiality certificate from respective State Government to start the M.Sc. (N) programme.

COMPETENCIES: On Completion of the two year M.Sc Nursing programme, the graduate will be able to:1. Utilize/apply the concepts, theories and principles of nursing science 2. Demonstrate advance competence in practice of nursing

3. Practice as a nurse specialist.

4. Demonstrate leadership qualities and function effectively as nurse educator and manager. 5. Demonstrate skill in conducting nursing research, interpreting and utilizing the findings from health related research. 6. Demonstrate the ability to plan and effect change health care delivery system. 7. Establish collaborative relationship with members of other discipline 8. Demonstrate interest in advancement. continued learning for personal and professional in nursing practice and in the

ADMISSION TERMS AND CONDITION FOR SCHOOL /COLLEGE OF NURSING

No.

Nursing Programs Auxiliary Nurse & Midwife

Eligibility Criteria

Training Duration

Examination

Registration

10 Pass

1 and 1/2 years

Nursing Examination Board

R.ANM

General Nursing & Midwifery

10+2 Class pass with aggregate of 40% 3 and 1/2 years

Nursing Examination Board

R.N & R.M

B. Sc (Basic)

10+2 Class Pass with 45% aggregate in PCBE

4 years

University

R.N & R.M

Regular 10+2 + GNM 4 B.Sc (Post Basic) Distance 10+2 GNM + 2year Exp. 3 years 2 years University Additional Qualification

M. Sc.

B.Sc. Nursing / B.Sc. Hons. Nursing / Post Basic B.Sc. Nursing with minimum of 55% aggregate marks. one year of experience after Basic B.Sc. or Post Basic B.Sc. Nursing.

2 years

University

Additional Qualification

M. Phil

M. Sc.

1 year (Full time) 2 years (part time)

University

Additional Qualification

Ph D

M. Sc./ M. Phil

3-5 years

University

Additional Qualification

Post Basic Specialty Diploma Courses

R.N & R.M one year of clinical experience

One Year

Board or University

Additional Qualifications

REGULATION AND NORMS OF A N M

MINIMUM STANDARD REQUIREMENTS y

A school for training of the ANMS should be located in a community Health Centre (PHC annexe) or a Rural Hospital (RH) having minimum bed strength of 30 and maximum 50 and serving an area with community health programmes. The school should also be affiliated to a district hospital or a secondary care hospital in order to provide experiences of secondary level health care and an extensive gynae-obstertical care.

An organization having a hospital with 150 beds with minimum 30-50 obstetrics and gynecology beds, and 100 delivery cases monthly can also open ANM school. The should also have an affiliation of PHC/CHC for the community Health Nursing field experience.

Existing ANM schools attached to District Hospitals should have PHC annexe (accommodation facility for 20-30 students) for community health field experience

Physical facilities:
Office room Class-room Nursing laboratory Nutrition laboratory Library cum study Audio visual aid 1 2 1 1 1 1

Clinical facilities:
y School has to be affiliated to district hospital or a secondary care hospital with minimum 150 beds. y Bed occupancy on the average to be between 60% -70%.

Teaching facility teaching faculty for 20- 40 annual admission

Category

Minimum qualification and experience M.Sc. Nursing with 3 years of teaching

Principal

experience or B.Sc(N) with 5 years of teaching experience. B.Sc.Nursing/Diploma in Nursing Education

Nursing Tutor

& Administration/Diploma in Public Health Nursing with 2 years clinical experience.

GNM Physical facilities teaching block

S. No. Teaching Block Lecture Hall (I) Nursing foundation lab (ii) CHN (iii) Nutrition (iv) OBG and Paediatrics lab (v) Pre-clinical science lab 900 (vi) Computer Lab 1500 Area (Figures in Sq feet 4 @ 1080 = 4320 1500 900 900 900

1. 2.

3. 4. 5. 6. 7.

Multipurpose Hall Common Room (Male & Female) Staff Room Principal Room Vice Principal Room

3000 2000 1000 300 200

8. 9. 10. 11. 12.

Library A.V. Aids Room One room for each Head of Departments Faculty Room Provisions for Toilet Total

2400 600 800

2400 1000 23720 Sqr. Ft.

Hostel block:

Proportionately the size of the built-up area will increase according to the number of students admitted.

School and College of nursing can share laboratories, if they are in same campus under same name and under same trust, that is the institution is one but offering different nursing programmes. However they should have equipments and articles proportionate to the strength of admission. And the class rooms should be available as per the requirement stipulated by Indian Nursing Council of each programme

Clinical Facilities School of nursing should have a 120-150 bedded Parent/Affiliated Hospital for 40 annual intake in each programme:
y

Distribution of beds in different areas Medical 30 Surgical 30 Obst. & Gynaecology 30 Pediatrics 20 Ortho 10

y y

Bed Occupancy of the Hospital should be minimum 75%. The size of the Hospital/Nursing Home for affiliation should not be less than 50 beds.

Other Specialities/Facilities for clinical experience required are as follows:

o o o o o o o o o o o o o

Major OT Minor OT Dental Eye/ENT Burns and Plastic Neonatology with Nursery Communicable disease Community Health Nursing Cardiology Oncology Neurology/Neuro-surgery Nephrology etc. ICU/ICCU

y y

Affiliation of psychiatric hospital should be of minimum 30-50 beds. The Nursing Staffing norms in the affiliated Hospital should be as per the INC norms.

The affiliated Hospital should give student status to the candidates of the nursing programme.

y y

Affiliated hospitals should be in the radius of 15-30 kms. 1:3 student patient ratios to be maintained.

If the institution is having both GNM and B.Sc(N) programme, it would require 240 bedded parent/affiliated hospital for 40 annual intake in each programme to maintain 1:3 student patient ratio. Teaching facility - Qualification of Teaching Staff:

For School of nursing with 60 students (i.e., an annual intake of 20 students):

TYPES OF INSPECTION

First inspection: First Inspection is conducted on receipt of the proposal received from the institute to start any nursing program prescribed by Indian Nursing Council. The proposal should have the following requisite documents: Application form The requisite annexure for School of Nursing:

y y y

Permission letter by State Government/Essentiality certificate of the respective State Government, duly attested by notary. Duly attested Registration Certificate of Society or Trust Deed A bank draft for Rs. 50,000/- towards first inspection fee for School of Nursing in favour of Secretary, Indian Nursing Council, New Delhi (ANM, GNM, Post Basic Diploma Course).

Proposal for starting School of Nursing, which includes in detail teaching, clinical & physical facility including budget.

The requisite annexure for College of Nursing:

y y y y

Permission letter by State Government/Essentiality certificate of the respective State Government. Consent letter from the University. Duly attested Registration Certificate of Society or Trust Deed A bank draft for Rs. 1,00,000/- towards first inspection fee for College of Nursing in favour of Secretary, Indian Nursing Council, New Delhi {P.B.B.Sc.(N), B.Sc.(N), M.Sc.(N), M. Phil(N), Ph.D(N)}

Proposal for starting College of Nursing, which includes in detail teaching, clinical & physical facility including budget

Re inspection:
Re-inspections are conducted for those institutions, which are found unsuitable by Indian Nursing Council. The institutions and the government are informed about the deficiencies

and advised to improve upon them. Once the institution takes necessary steps to rectify the deficiencies, institution should submit the compliance report with documentary proof of the deficiencies pointed out and re-inspection fees. On receipt of the Compliance report & fees from the institution it will be considered for re-inspection.

Periodic inspection
Indian Nursing Council conducts periodical (after 3 years) inspection of the institution once the institution is found suitable by Indian Nursing Council to monitor the standard of nursing education and the adherence of the norms prescribed by INC. Institution are required to pay annual affiliation fees every year. However, if the institution does not comply to the norms prescribed by Indian Nursing Council for teaching, clinical & physical facilities, the institution will be declared unsuitable.

Enhancements of seat
 Indian Nursing Council will conduct inspection after one year from the last inspection conducted subject to the condition that the students are admitted.  Proposal of enhancement of seats will be considered only from those institutions who are found suitable by Indian Nursing Council.  Indian Nursing Council will conduct inspection on above guidelines and on receipt of the fees and the proposal for Enhancement of seats

Total no. of nurses registered:

Auxiliary nurse midwives Nurses Lady health visitors

5,76,810 11,28,116 52,490 Upto 31 december 2009