HIGH POWER COMMITTEE ON NURSING
AND NURSING PROFESSIONS
OBSERVATIONS
SERVICE CONDITIONS AND PAY ALLOWENCES FOR
TRAINED NURSES, MIDWIVES AND HEALTH
VISITORS
Pay scale
• Shortage of nurses
• Equipment and supplies
• Breakage and losses
• Living conditions
• Promotional avenues
• Status
• Men nurses
• Training of nurses
• Living condition for student
SAROJINI VARADAPPAN COMMITTEE
The terms of reference of the committee are:
• To look into the existing working conditions of nurses
with particular reference to the status of the nursing
care services both in the rural and urban areas .
• To study and recommend the staffing norms
necessary for providing adequate nursing
personnel to give the best possible care , both in the
hospitals and community .
• To look into the training of all categories and levels
of nursing , midwifery personnel to meet the nursing
manpower needs at all levels of health services and
education.
CONTINUE
• To study and clarify the role of nursing personnel in
the health care delivery system including their
interaction with other members of the health team
at every level of health service management.
• To examine the need for organized nursing services at
the national, state, district and local levels with
particular reference to the need for planning service
with the overall health care system of the country at
the respective levels.
• To look into all other aspects , the committee will
hold consultations with the state governments.
RECCOMENDATIONS
Employment Job description Working hours Work load
Pay & allowances Additional
facilities
WORKING
CONDITIONS OF
NURSING
PERSONNEL
Promotional Other welfare
opportunities services
Career Occupational
Accommodation Transport
development hazards
Norms recommended for nursing service and education
hospital setting.
[Link] Supdt. -1: 200 beds (hospitals with 200 or more beds).
2 Dy. Nsg. Supdt. - 1: 300 beds ( wherever beds are over 200)
[Link]. Nsg . Supdt. - 1: 100
[Link] sister/ward supervisor - 1:25 beds 30% leave reserve
[Link] nurse for wards -1:3 ( or 1:9 for each shift ) 30% leave reserve
[Link] nurses OPD and emergency etc - 1: 100 patients ( 1 bed : 5 out patients)
30% leave reserve
[Link] ICU -1:1(or 1:3 for each shift) 30% leave reserve
[Link] specialized depts. such as operation theatre, labour room etc- 1: 25 30%
leave reserve.
COMMUNITY NURSING SERVICES
- 1 ANM for 2500 population ( 2 per sub centre)
- 1 ANM for 1500 population for hilly areas
- 1 health supervisor for 7500 population( for supervision of 3
ANM's)
- 1 public health nurse for 1 PHC ( 30000 population to supervise
4 Health Supervisors )
- 1 Public Health Nursing Officer for 100000 population (
community health centre)
- 2 district public health nursing for each district.
- Teaching staff for schools/colleges of Nsg as per INC
- 1 Nurse Teacher to 10 students for post graduate programmes.
NURSING LEGISLATION
• .
1. Provision of more nurse members.
2. Provision for regulation of nursing
education standards by timely inspections and
follow up.
3. Provision of maintaining of minimum
standards of nursing practice
4. Provision of regulation for nursing care
standards in private nursing homes.
CONTINUE…..
• 5. Provision for regulation for private nursing bureaus
and practice by unqualified nurses.
6. Provision of approval of INC before opening a
SON or CON.
7. Provision of renewal of registration every 5 yrs.
8. Provision of independent practice of nursing by
nurses.
9. INC to set up a national examination system in
about 10 yr time to regulate standards of nursing
education.
Recommendations on preventive and primary
health care.
i) The epidemiological surveillance system should be
geared up with the support of the field staff as well as
the Panchayat Raj Institutions.
ii) Primary health care, public health programs, nutrition
schemes, and school health programs should be
coordinated with a view to reducing incidence of
diseases.
iii) Steps should be initiated to ensure the effective
functioning of rural hospitals by placement of
Specialists, particularly Anesthetists and Radiologists.
iv) Simple labor cases without complication should be
tackled in BPHCs and rural hospitals for which
necessary infrastructure is to be organized.
• )
v
• Special hands-on training programs need to be organized in a
nodal institution for newly recruited medical officers for at
least one month. Management/administrative training
programs also need to be organized for the Superintendents of
secondary level hospitals.
• vi) Refresher training programs on public health should be
organized regularly for CMOH, Dy. CMOH, ACMOH and
Program Officers.
• vii) Specialty and super specialty facilities outside the Kolkata
metropolitan area should be organized on a regional basis,
most importantly in the area of Neurosurgery and Trauma
Centre, Dialysis units, Cardiology, Cardiac Surgery, Casualty
and ICCU, preferably on public private partnership.
• viii) Regular periodic visits of senior level health
administrators to the field units for the purpose of
implementation, monitoring, supervision and evaluation
should be insisted upon.
• x) Adequate supply of modern Tissue Culture
Anti- rabic Vaccine (ARV) is to be ensured at the
earliest in the interest of a better health care
delivery system.
• xi) The fact remains that almost 50% of deliveries
still take place in home situations. Recognizing
this fact it is necessary that facilities for ante-natal
checkups and home delivery should be augmented
in terms of expertise and infrastructure
•
