TAMILNADU NURSES AND MIDWIVES COUNCIL NURSES AND MIDWIVES COUNCIL ... Professor cum PRINCIPAL 1 1 2....
Transcript of TAMILNADU NURSES AND MIDWIVES COUNCIL NURSES AND MIDWIVES COUNCIL ... Professor cum PRINCIPAL 1 1 2....
TAMILNADU NURSES AND MIDWIVES COUNCIL(Constituted Under Tamilnadu Nurses and Midwives ACT III of 1926)
Jayaprakash Narayanan Maligai,
Old No.140, New No.56, Santhome High Road, Chennai - 600 004.
Tel. No.044-24934792, Fax : 044-24620547
Email : [email protected]
Web : www.tamilnadunursingcouncil.com
INSPECTION PROFORMA
FOR ALL NURSING PROGRAMMES
FOR THE GRANT OF RECOGNITION
RHODIUM JUBILEE1926-2013
Inspector's Information
2. Name of the Member with Designation and address
3. Tamil Nadu Nursing Council Letter No. & Datein which the Inspection Commission Constituted.
4. Date of Inspection
5. Academic Year
Phone No. Office
Residence
Mobile No.
Is the institution willing to submit itself for the inspection under
Rule No.37 of Tamil Nadu Nurses & Midwives Act.
(Please Tick the Appropriate Boxes)
NoYes
Types of Inspection :
Sl.No.
Type of Inspection
1. Primary Inspection
2. Annual Inspection
3. Re-Inspection
4. Enhancement of Seats
5. Surprise Inspection
H.V. ANM GNMBasic
B.Sc.(N)PBB.Sc.(N) M.Sc.(N)
P.B. DiplomaProgram
TAMILNADU NURSES AND MIDWIVES COUNCIL(Constituted Under Tamilnadu Nurses and Midwives ACT III of 1926)
INSPECTION PROFORMA
1
1. Name of the facilitator Designation and AddressPhone No. Office
Residence
Mobile No.
:
:
:
:
:
6. Bi-annual inspection
I. GENERAL INFORMATION
1. Name of the Institution : __________________________________
__________________________________
2. Full Address with Pin Code : __________________________________
(as given in G.O) __________________________________
__________________________________
District __________________________________
3. If there is any address change, specify the : __________________________________
new Address (enclosed the Govt. Order for __________________________________
change of Address) __________________________________
__________________________________
4. Name of the Principal : __________________________________
a) Telephone Number of the Principal (O) ______________ (R) ______________
(M) _______________________________
5. Name of the Vice Principal : __________________________________
a) Telephone Number of the Principal (O) ______________ (R) ______________
(M) _______________________________
6. Telephone Number of the Institution : ______________ Fax No._____________
7. E-Mail of the Institution : __________________________________
8. Name of the Trust/Society/Missionary/ : __________________________________
Company (enclosed a copy of the Registered __________________________________
Trust Deed only if any name change of the __________________________________
trust or trust members, trust address) __________________________________
Encl. : __________
9. __________________________________
a) Telephone Number (O) _______________ (R) _____________
(M) _______________________________
10. Administrative Control : 1. Government 2. University
3. Corporation 4. Private
5. Autonomous 6. Voluntary
7. Missionary/Trust/Society 8. Company
11. Does the institution has Minority status : Yes / No
(If yes, enclose the minority status G.O Encl. : __________
issued in recent years)
Name of the Managing Trustee / Chairperson :
2
12. First Batch admitted for School / College:
ProgrammeG.O
No. &Date
Year ofProgramme
Started
No. of Seats Sanctioned in Original G.O. No&
DateRemarks
Enhancement of Seats(No. of seats Sanctioned)
G.O G.OINC INCTNC TNCUniversity UniversityBoard Board
M.Sc.,(N)a. Med. Surg. Nsg.b. Com. Health Nsg.c. Paediatric Nsg.d. Psychiatrict Nsg.e. OBG Nsg.
H.V.
ANM
GNMBasic B.Sc(N)
Post Basic B.Sc(N)
M.Phil (N)
Ph.D
Post Basic
Diploma
Programmes
* G.O, INC, TNC, University & Board Orders to be enclosed; * If G.O is exempted, kindly mentioned those courses (Both for New / Enhancement) Encl : ______________
13.a) Do you have parent Medical College : 1. Yes 2. No
b) Do you have own Hospital : 1. Yes 2. No.
If Yes, Name & Address of the Medical College Hospital (Proof of the same to be enclosed): Encl: _________
14. Is the INC/TNC/University affiliation Orders for the Previous
academic year is available for each program : 1. Yes 2. No
If Yes, Mention the date of last inspection for each programme (Latest orders to be enclosed) Encl: _________
Council / University H.V. ANM GNMBasic
B.Sc.(N)PBBSc(N) M.Sc.(N)
Post BasicDiploma Programmes Remarks
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Tamilnadu Nursing Council
Indian Nursing Council
University
Board (Govt. / CMAI)
II. TEACHING FACULTY
STAFFING PATTERN AS PER INC NORMSSchool of Nursing
For School of nursing with 60 students (i.e., an annual intake of 20 students):
Teaching Faculty No.
Principal
Vice-Principal
Tutor
Additional Tutor for interns
Total
Required Available
1
1
4
1
7
Note : Teacher students ratio should be 1:10 for students sanctioned strength.
STAFFING PATTERN AS PER INC NORMSCollegiate Programme
Sl.No
DesignationB.Sc.(N)
40-60(Students Intake)
B.Sc.(N)61-100
(Students Intake)Available
3.
4.
5.
6.
Professor
Associate Professor
Assistant Professor
Tutor
0
2
3
10-18
1. Professor cumPRINCIPAL
1 1
2. Professor cumVICE-PRINCIPAL
1 1
1
4
6
19-28
Principal is excluded for 1:10 teacher student ratio norms.
Tutor student ratio will be 1:10
(For 40 students intake minimum teacher required is 17 (including Principal).
The strength of tutors will be 10, and 6 will be as per Sl. No.1 to 4.
Sl.No
DesignationB.Sc.(N)
40-60(Students Intake)
P.B.B.Sc.(N)20-60
(Students Intake)Available
3.
4.
5.
6.
Professor
Associate Professor
Assistant Professor
Tutor
0
2
3
10-18
1. Professor cumPRINCIPAL
1
2. Professor cumVICE-PRINCIPAL
1 1
2
2-10
4
B.Sc.(N)40-60
(Students Intake)
P.B.B.Sc.(N)20-60
(Students Intake)
M.Sc.(N)10-25
(Students Intake)Available
0
2
3
10-18
1
DesignationSl.No
3.
4.
5.
6.
Professor
Associate Professor
Assistant Professor
Tutor
1. Professor cumPRINCIPAL
2. Professor cumVICE-PRINCIPAL
1
1
1
2 3*
2-10
B.Sc.(N)40-60
PBBSC(N)20-60
M.Sc.(N)10-25
AvailableGNM20-60
6-18
Designation
Professor
Associate Professor
Assistant Professor
Tutor
Sl.No
3.
4.
5.
6.
Professor cumPRINCIPAL
1.
Professor cumVICE-PRINCIPAL
2.
0
2
3
10-18
1
1
1*
1*
3*2
2-10
* 1:10 teacher student ratio for M.Sc.(N)
B.Sc.(N)40-60
PBBSC(N)20-60
M.Sc.(N)10-25
AvailableGNM20-60
ANM20-60
6-184-12
Designation
Professor
Associate Professor
Assistant Professor
Tutor
0
2
3
10-18
1
1
1*
1*
3*2
2-10
Sl.No
3.
4.
5.
6.
Professor cumPRINCIPAL
1.
Professor cumVICE-PRINCIPAL
2.
* 1:10 teacher student ratio for M.Sc.(N)
5
Follow as per Latest INC Norms.
1. Prof-Cum-Principal
2. Prof-Cum-Vice-Principal
3. Reader / Associate Professor
4. Lecturer / Assistant Professor
5. Clinical Instructor
II. FACULTY DETAILS
A. Teaching Faculty Profile (Full - Time) of all the Nursing programme offered by this institution (H.V., GNM, Basic B.Sc.,(N)Post Basic B.Sc.,(N), M.Sc.,(N) & any other (Nursing Faculty of all the nursing programme details to be given irrespective of the program being inspected)
SlNo
NameRNRMNo.
PayScale
BasicB.Sc.(N)
PostBasic
B.Sc.(N)
M.Sc.(N)
M.Phil., PhD., Clinical BeforePG
AfterPG
Teaching
Date ofJoining Remarks
Total
Experience in years & months*
Speciality
Name of the institution Year of passing fromwhere and when qualified. (Enclose Photos with
self-attestation of all teaching facultyindividually in the affidavit - Form II)Age
Date ofLeavingPrevious
Employment**&
InstitutionName
Designation
Professor-cum-Principal
1
Professor-cum-VicePrincipal
2
Principal3
Reader/Asso.Professor
4
Lecturer5
Tutor /ClinicalInstructor
6
Enclosed the colour photograph duly signed by the faculty, copies of appointment order, a copy of relieving order of Last institution, UG & PG
Certification, RN, RM & Addl. Qualn. Registration Certificates & Experience Certificates. Encl : _____________
** Check the Relieving order & enclose the same; if joined within 6 months.
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B. External Teachers Details (Part Time) (whichever subject applicable for the programme)
Sl.No.
Subject Name QualificationNumber of Hrs / Year
RemarksAs per normsprescribed
Allotted
1. Anatomy
2. Physiology
3. Bio-Chemistry
4. Nutrition
5. Micro-Biology
6. English
7. Computer Science
8. Psychology
9. Sociology
10. Pharmacology
11. Pathology
12. Genetics
13. Bio-Statistics
14. Bio-Physics
15. Community Medicine
16. Others
**The above teachers should have post graduate qualification with teaching experience in respective area.
C. COLLEGE OFFICE STAFF
Sl.No.
DesignationNo.
RequiredNo. in
PositionVacant Since
WhenRemarks
1. P.A. to Principal
Sr. Assistant
Jr. Assistant
Accountant-cum-Cashier
Librarian
Computer Programmer
Peon / Office Attendant
Security
Driver (As per the No. of Vehicles)
Cleaner (Bus) (As per the No. of Vehicles)
House Keeping Staff
Maintenance Staff
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
1
1
1
1
2
1
2
2
4
2
7
D. HOSTEL STAFF
Sl.No.
DesignationNo.
RequiredNo. in
PositionVacant Since
WhenRemarks
1. Warden
Asst. Warden2.
Cooks (1:20)3.
Bearer4.
House Keeping Staff5.
Security6.
1
1
4
4
4
2
* Hostel should be under the control of the Principal. * Separate Hostel for Nursing Students is a mandate.
III. PHYSICAL INFRASTRUCTURE DETAILS
A) ACADEMIC BLOCK : Own / Leased / Rented
1. Total Land Area : __________________ Acres
2. Ready Built Area : __________________ Sq.ft.
3. Details about ownership of the Building : 1. Own / 2.Leased / 3. Rented
If own, proof to be enclosed with building completion Encl: _____________Certificate & Latest E.C. If leased, copy of theRegistered lease deed to be enclosed.*If leased building make sure it is registered for 5 yrslease, if not mention the same in the report. Make aspecial note in the report if the building is rented
4. Building Completion :
a) Building Stability Certificate from : ______________________________Collector / Panel Engineer(Should be renewed in 3 years)
b) Sanitation Certificate : : ______________________________(Should be renewed every year)
c) Fire Safety : ______________________________(Should be renewed every year)
d) Building License (Thasildhar) : ______________________________
i) Does all the courses are imparted in the : Yes / Nosame building
ii) If no, where the other courses are imparted : ______________________________
5. Number of Toilets in the College for allNursing programs
Total No. of Students : ______________________________Total No. of Toilets : ______________________________Student Toilet Ratio : ______________________________
Facilities Minimum requirements as per INC norms Available Remarks
A. Teaching Block:a. Lecturer Halls No.
2 for ANM, 4 for GNM, P.B.B.Sc.,(N), 2 forM.Sc.,(N), 4 for B.Sc.,(N) & Extra / Batch
Area Size 1080 sq.ft. (720 sq.ft. - ANM)
No. of TablesNo. of Chairs
Should adequate for Intake
B. Multipurpose Hall/ Auditorium
1. Area2. Seating Capacity3. Confidential Room4. CCTV Facility5. Furniture & Settings
3000 sq.ft. (ANM-1200 sq.ft.)
Exam. purpose
Adequate for capacity.
}
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Facilities Minimum requirements as per INC norms Available Ramarks
C. Laboratoriesa) Nursing Foundation Lab
1500 sq.ft.
1. No. of beds 1:6 students
2. No. of articles 10-12 sets in each item
3. Equipment & supplies Adequate for lab practice
4. No. of dummies Adult manikin - 3
Child / Neonate - 1
CPR manikin - 1
I.V. Arm Simulator - 1
5. Hand washing facilities Elbow / Leg operated system
b. Nutrition Lab - Area 900 sq.ft.
1. Equipment & Supplies Adequate for practice
2. Charts / Models Adequate for practice
c. MCH Lab - AreaSimulators / charts /model / playmaterials / specimens /charts / models / specimens
900 sq.ft.Adequate for practiceDelivery Manikin - 1Neonatal Manikin - 1
d) CHN Lab - AreaCharts / models etc.Community Health Bags
900 sq.ft.
1:2 students.
e) Pre-Clinical Science labs(Anatomy, Physiology etc.)
900 sq.ft.
f) Computer Lab-AreaNo. of computerInternet facilities
1500 sq.ft.
1:5 students.
D. A.V. Aids Rooms - AreaOHP
900 sq.ft.1 for each class room
LCD 2 (minimum)
Slider Projector 1
TV / Video 1
Charts / Models / Specimen Other T.L. Aids Specify
Adequate for each student
* Enclose the list of articles for all the labs Enclosures : ____________Enclose copy of latest purchase bills : ____________
* Proportionately the size of the built up area will increase according to the number of students admitted(10 sq.ft. for each student to be calculated for every additional seats)
* Apart from 2 additional Class room's for Post Graduate Programme, as per the no. of Specialities, theSeminar Rooms should be available.
* The nursing institution can have all the nursing programmes in the same building but with requisite infrastructure.Labs can be shared.
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E. LIBRARY Minimum Required Available Remarks
Library AreaSeatingCapacity
Staff reading room
2400 sq.ft.Min. 60
10 persons
Room for librarianFurniture
Should be Adequate
No. of cupboards Should be Adequate
No. of racks Should be Adequate
Total No. of Books(For DGNM programtotal books = 1000)
For Collegiate Programme 3000
YearMin.
Books
Professional Journals
NationalInter
NationalTotal
I
II
III
IV
1000
1500
2500
3000
3
5
2
10
2
2
1
5
5
7
3
15
* For PG programme Departmental library with additional 1000 books and journals(National & International) speciality wise should be available.
(i) General Books / Fictions : _____________________
(ii) No. of latest edition Nursing books (since 2000) : _____________________
(iii) Photocopying facility : Yes No o o
(iv) Internet facility : Yes No o o
(v) Separate section for Staff / PG : Yes No o o
(vi) Ventilation : Yes No o o
(vii) Lighting : Yes No o o
(viii) Registers maintained
Accession Register : Yes No o o
Journal Register : Yes No o o
Issue Register : Yes No o o
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Available Remarks
* Principal & Vice-Principal office should be attached with toilet.
AdministrativeFacilities
Size (Sq.ft.)
As perNormsSq.ft.
StorageFacility
No. ofTables
No. ofChairs/ Stools
RemarksTel.
Facility
Venti-lation
LightingComputer
FacilityActuallyAvailable
1. V.Good2. Good3. Fair4. Poor
1. V.Good2. Good3. Fair4. Poor
Principal Office 300
Vice-Principal Office 200
Professor Offices 100 x 5
Lecturer's Office 600 x 3Tutor's /Clinical Instr. Offices 600 x 2
Office ofAdministrative, Clericalstaff and PA(s)
300
Accountant Office 100
Store Room 100
Record Room 100Room forMaintenance Staff 100
Duplicating / XeroxingRoom 75
Common Room forBoys, Girls separately 300
Guidance /Counseling room
B) Hostel Facilities
1. Whether the School/College is having a : 1. Yes 2. No o oSeparate Hostel?
2. Built-up area of the Hostel : ____________________ Sq.ft.
3. Is the Hostel : 1. Own 2. Leased 3. Rented o o oIf owned, proof of ownership to be enclosed;(sale deed / Building completion certificate and latestE.C.). Building Stability Certificate from Collector/ Encl: _____________Panel Engineer (Should be renewed in 3 years)If leased, Registered Lease Deed for 5 yrs to beattached. If rented mention in the report
4. Is there a separate provision of Hostel for : Yes Noo oMale and Female Students
a. Total number of Day Scholars : Girls Boyso ob. Total number Students in the hostel : Girls Boyso oc. Number of Rooms : Girls Boyso od. No. of students living in each room : Girls Boyso oe. Size of each Rooms : Girls Boyso o
(Single room 100 sq.ft. & Double Room - 150 sq.ft.)
f. Total number of Toilets : Girls Boyso og. Total number of Bathrooms : Girls Boyso oh. Furniture allotted to each student : Bed Tableo o
Chair Cupboardo oRemarks ___________________________________________________________________________
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5. Whether the Hostel has provision for
a. Water Supply : Yes Noo ob. Electricity : Yes Noo oc. Safe Disposal of Wastes : Yes Noo od. Laundry : Yes Noo oe. Hot water supply : Yes Noo o
6. Is there a Recreation room available with T.V./Radio : Yes No If yes area ___ sq.fto o7. i) Is there facilities available for outdoor and : Yes Noo o
indoor games? Play ground area ___ sq.ft
ii) If play ground is not available within thecampus specify the address : _________________________________
iii) Distance from the college campus : ___________ kms.
iv) List of the sports articles available : _________________________________
8. Is there a Reading Room available : Yes No If yes area ___ sq.fto o(It should accommodate 25% of the Total intake)
9. Is there a Sick Room available : Yes No If yes area ___ sq.fto o10. Whether the hostel mess is available : Yes No If yes area ___ sq.fto o
(seating capacity 50% of the total intake)
11. Dining Facilities:
a) Dining room well maintained : Yes Noo ob) Size : _________ Seating Capacity _________
c) Hand Washing facility : Yes Noo od) Safe Drinking water facility : Yes Noo oe) Hygienic Kitchen : Yes Noo o
12. Whether Sanitation certificate & Fire Safety : Yes Noo ocertificate obtained from competent authorities
IV. TRANSPORT DETAILS
a) Vehicles available are : Own / contract / If both ______________
b) Vehicles available arei) Number of Vehicles available : ________________________________
ii) No. of own vehicles available : ________________________________
iii) No. of vehicles available on contract basis : ________________________________ (vehicles should be allotted exclusively for Nursing College)
Sl.No. Vehicle Capacity Registration No.
c) Who is the controlling authority of the vehicle : _______________________________________
12
d) Enclose the copy of Vehicle Registration :Certificate in the Name of the InstitutionInsurance copy, Drivers' License & latest FC(FC should be checked for yearly renewal) Encl : ______________
e) Mention the availability for Enhancementof seats : Adequate / Inadequate
V. BUDGET
1. a. Is there a separate budget for the
school / college : Yes Noo o o1. Amount per annum : _________________________________
2. What was the last year's budget Allocation : _________________________________
Furnish the following details:
S.No. PARTICULARS
1. CAPITAL EXPENDITURE
Land
Building
Furniture
Transport
Equipment
AV Aids, Computer
Library Books & Journals
2. SALARY
Nursing Staff
Non Nursing Staff
Part Time
Stipend
MAINTENANCE
Electricity
Building : Lease / Rental
Furniture
AV Aids, Computer
Lab Equipments
Sports Articles
Transport
Stationeries
Postal
Telephone
Contingencies
Books & Journals
House Keeping
INC
BOARD
UNIVERSITY
TOTAL
EXPENDITURE (Rs.)
3.
4.
INSPECTION & ANNUAL FEES : TNNMC5.
MISCELLANEOUS6.
* Enclose the Balance Sheet & Previous year audited income and expenditure statement of theInstitution / Trust / Society. Encl: ___________
13
VI. CLINICAL FACILITIES
a. Hospital Details :
1. Is the Institution has parent Hospital : Yes Noo oIf Yes, No. of Beds : __________________
2. Is the Institution having parent : Yes Noo oMedical College Hospital
If Yes, No of Colleges affiliated
3. No. of Affiliated Hospitals
(Inspectors should visit, verify and enclose the
consent letters, bills and payment receipts)
S.No.
Name of theHospitals
Distancefrom
institution
No. ofBeds
Bed Occupancy Rate onthe day of Inspection
Last MonthOn the day
of inspection
No. ofSchoolsaffiliated(Mention
the name)
No. ofCollegesAffiliated(Mention
the name)
No. ofRegistered
Nurses
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4. Bed Distribution: (IP - No. of beds and OP - No. of Patients per day)
ParentHospital
Speciality(Minimum Required Beds)
Medical - Surgical - 40
Affiliated Hospital TotalBeds
TotalOP/day
IP IP
1 2 3 4 5 6
IP IP IP IP IPOP OP OP OP OP OPOP IP OP
Cardio Thoracis
Respiratory
Orthopedic - 10
Neurology
Nephro & Urology - 10
Dermatology 5-10
Communicable & STD
ENT - 5
Eye - 5
Burns & Reconstructive 5-10
Oncology 5 - 10
Gynecolgy
ICU / CCU - 10
Geriatrics
Any other - Emergency - 10
Pediatric Nursing - 50 beds
Medical
Surgical
Communicable
NICU
PICU
Nursery
Any Other
OBG & Gynaec - 40 beds
Antenatal
Postnatal
High Risk & Emergency
No. of Deliveries
No. of Caesarians
Any other
Psychiatric Nursing - 60 beds
Acute Ward
Chronic Ward
De-adiction
Intensive Ward
Family Therapy Ward
Halfway Home
Any Other
15
5. Statistics of Operation / Deliveries performed in the last month : MA - Major Surgeries & MI - Minor Surgeries
ParticularsMA MI
Parent Hospital Affiliated Hospital - 1 Affiliated Hospital - 2 Affiliated Hospital - 3
Total MA MI TotalTotalTotal MI MIMA MAGeneral Surgery
Ortho
ENTOphthalmic
Gynec
Obstetrics
PediatricsSuper Specialities
Bed Occupancy Rate (BOR) at Parent Hospital : _________________________________
on the day of INSPECTION
Bed Occupancy Rate (BOR) at Affiliated Hospital : 1. ______________ 2. ______________
on the day of inspection 3. ______________
Average BOR for the last 6 months (Own Hospital) : _________________________________
Average BOR for the last 6 months (Affiliated Hospital) : 1. ________ 2. ________ 3. ________
6. Staffing Pattern of the Hospitals:
S.No.
1
2
3
4
Designation Qualification ParentAffiliated Hospital
21 3 4 5 6 7
Nursing Superintendent
Ast. Nursing Superintendent
Ward Sisters / Ward In-charges
Staff Nurses 1. ANM
2. Hospital Trained
3. GNM
4. B.Sc.,(N)
5. M.Sc.,(N)
* Furnish the detailed list of Nurses with RN *RM Nos. working in the parent & affiliated Hospitals.* Encl: ________
7. Brief description of the hospital : _________________________________
8. Hospitals Records & Registers
IP Register : Yes / No
OP Register : Yes / No
Day / Night Register : Yes / No
Discharge Register : Yes / No
Census Register : Yes / No
Any other (Specify) :
9. Clinical Supervision of students by
a) Hospital Nursing Staff : Yes Noo o
b) College Teaching Faculty : Yes Noo oc) On the day of Inspection, was College teaching
faculty supervising the Students : Yes Noo od) Teacher students ratio in Clinical Area : ________________________________
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b) Community Health Facilities
(1) Type Name & Address DistancePopulation
CoveredArea
CoverageNo. of Villages
Covered
2. Service Rendered a) Health & Family Welfare Programme : Yes / No
b) National Health Programme : Yes / No
Supervision of Students : 1) Field Staff only 2. College Teaching Faculty 3. Both o o o
c) Community Health Nursing Experience
I. ACTIVITIES AT COMMUNITY HEALTH DEPARTMENT
(Verify the following activities at the College / Community Centre / Primary Health Centre)
1. Home Visits - Family Health Care :
2. MCH Clinic :
a) Antenatal
b) Postnatal
c) Well baby
3. Immunization :
4. School Health :
5. Family Planning and Welfare :
6. Health Education :
7. Nutrition Education :
8. Community Nutrition :
II. RECORDS & REGISTERS
1. Family Folder :
2. EC Register :
3. Survey :
4. Organization of subcentres :
5. Treatment of minor ailments :
6. School Health Programme :
7. First aid and Emergency Care :
8. ILR Register :
17
II. Specific Practical Experience Requirements - Check Students Records:
18
Performed /Not Performed
RemarksSl.No.
1. Conducting Antenatal Examination
2. Conducting Deliveries
3. Nursing lying in women and babies
4. Conducting Child care clinics
5. Motivating eligible couples
and mothers to adopt F.P. Methods
6. Conducting Health talks /
Health Education Activities
7. Training Community
Level Voluntary Health Workers
8. Carrying out Immunization
Programme in
1) Clinic
2) Community
3) School
(Enclose copy of the letter of agreement for affiliation & bills paid to the Hospital and Health Centers to
be attached. Inspectors to Visit the Hospital and Community Field and Record their Observation)
Encl : ______________
VII. ADMISSION DETAILS
(i) Admission of students in current session : INC Norms / University Norms
(ii) Percentage of Admission : Management / Government(Attach the copy of admission criteria) Encl : ______________
(iii) Total No. of Students under Training in the current Programme:
Programme I year II year III year IV year Total
Male
Male
Male
Male
Male
Male
Male
Male
Female
Female
Female
Female
Female
Female
Female
Female
Total
ANM
GNM
B.Sc.(N)
Post BasicB.Sc.(N)*
M.Sc.(N)*
M.Phil(N)
Post Basic DiplomaProgramme
Any other
(iv) *I & II Year Post Basic B.Sc.(N) & M.Sc.(N) Students details to be ENCLOSED as per table given below &the inspectors should verify whether these students are present in the institute on the day of inspection
Sl.No.
Name ofthe Student
State Nursing CouncilRegistration No.
ResidenceAddress
Place & Addressof Work at the
time ofadmission
Board / Universityfrom where lastexam qualified
Duration ofCourse with
DatesFrom _____
To _____
Does thisdetails updatedin the nurses
data bankGNM B.Sc.(N)
(v) Year of passing out of first batch of Students:
ANM GNM Basic B.Sc.(N) Post Basic B.Sc.(N) M.Sc.(N) P.B. Diploma Programmes
(vi) No. of Students graduated previous year.
ANM GNM Basic B.Sc.(N) Post Basic B.Sc.(N) M.Sc.(N) P.B. Diploma Programmes
19
VII. ACADEMIC / CURRICULUM PLANNING
a) COURSES OF INSTRUCTION & SUPERVISED PRACTICE(Kindly attach the enclosure as per the column given below for each program conducted at your institution)
b) Academic system of the course (ü) : Annual / Semester
No. of working days per year / semester (programmeswise) : ANM : GNM : B.Sc.(N) : PBBSc.(N) : M.Sc.(N) : P.B Diploma
:
c) Teaching system adopted (ü) : 1) Block : 2) Partial Block : 3) Study Day
d) Experience gained by student according to syllabus :
through instruction (Verify overall adequacy subject wise by
verifying the Attendance Register) and comment
e) Experience performed by the student in the clinical area :
(verify clinical attendance) and comment
Na
me
of
the
Pro
gra
mm
e
Ye
ar
- w
ise
pa
pe
r
No. ofHoursTheory
No. ofHours
Practical
TheoryMarks
PracticalMarks
Eligibility for admission to Examination
Pre
sc
rib
ed
Pre
sc
rib
ed
Allo
tte
d
Allo
tte
d
Ex
tern
al
Inte
rna
l
To
tal
To
tal
Att
en
da
nc
e %
Int.
As
s. M
ark
s
Co
mp
leti
on
of
Pra
cti
ca
lR
ec
ord
s
Co
nd
uc
t
Re
po
rt f
rom
the
pri
nc
ipa
l
Inte
rna
l
Ex
tern
al
Du
rati
on
Sy
ste
m o
f s
up
ple
.E
xa
m
Ye
s / N
o
Fre
q
Th
eo
ry
Pra
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l
20
b) Teaching Plan (S - Satisfactory, I - Irregular, NA - Not Applicable)
Sl.No.
Program
MasterPlan
S / I / NA S / I / NA S / I / NA S / I / NA S / I / NA S / I / NA S / I / NA
LessonPlan
LearningObjectives
LearningExperiences
Plan ofEvaluation
UnitPlan
TimeTable
1 H.V.
2 ANM
3 GNM
4 Basic B.Sc.(N)
5 P.B.B.Sc.(N)
6 M.Sc.(N)
7 P.B. Diploma
Programmes
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
c) Does Clinical Teaching takes place? : Yes Noo o(N.B. : Inspectors should make an observation on plan of different clinical experiences)
d) Teaching Plan:
i) Which syllabus is followed by the teachers in the college?
a) University Syllabus b) Indian Nursing Council Syllabus
ii) Whether University syllabus fulfills the requirement of
Indian Nursing Council Syllabus : Yes Noo o
If No, what is the gap : __________________________
21
1. a) Is Rotation based on the needs of clinical : Yes Noo olearning experience (Rotation plan to be enclosed) Encl : ______________
b) Clinical Rotation is (ü) : _________ Regular / Inconsistence with syllabus / Not available.
e) Clinical Plan:
H.V.
I Year
i. Number and size of student Groups
ii. Number of Rotation
iii. Duration of each Rotation
iv. Graphic rotation plan (attach copy) 1. Yes Appendix No. 2. No
II Year
ANM
I Year
i. Number and size of student Groups
ii. Number of Rotation
iii. Duration of each Rotation
iv. Graphic rotation plan (attach copy) 1. Yes Appendix No. 2. No
II Year
GNM
I Year III Year
i. Number and size of student Groups
ii. Number of Rotation
iii. Duration of each Rotation
iv. Graphic rotation plan (attach copy) 1. Yes Appendix No. 2. No
II Year IV Year
Basic B.Sc.(N)
I Year III Year
i. Number and size of student Groups
ii. Number of Rotation
iii. Duration of each Rotation
iv. Graphic rotation plan (attach copy) 1. Yes Appendix No. 2. No
II Year IV Year
P.B.B.Sc.(N)
I Year
i. Number and size of student Groups
ii. Number of Rotation
iii. Duration of each Rotation
iv. Graphic rotation plan (attach copy) 1. Yes Appendix No. 2. No
II Year
22
M.Sc.(N)
I Year
i. Number and size of student Groups
ii. Number of Rotation
iii. Duration of each Rotation
iv. Graphic rotation plan (attach copy) 1. Yes Appendix No. 2. No
II Year
P.B. Diploma in:
I Year
i. Number and size of student Groups
ii. Number of Rotation
iii. Duration of each Rotation
iv. Graphic rotation plan (attach copy) 1. Yes Appendix No. 2. No
(N.B. : Inspector to make observation of the rotation plan discuss the adequacy and inadequacy and record
their observation)
2. Planning of Specific Clinical Experience
a. Who prepares the Clinical Rotation Plan?
1. School / College Faculty 2. Hospital Nursing Service Personnel 3. Both o o o
b. Who are all involved in planning the Clinical Rotation Plan?
(Please indicate designation)
___________________________________________________________________________
c. Experience gained by students on rotation (verify overall adequacy areawise / programewise
from the rotation and make your remarks)
d. Supervision and Guidance given by teaching staff / clinical staff (ü) :
Adequate & Effective / Inadequate and Needs Improvement
e. Clinical field experience gained by each students - Satisfactory / Fair / Poor
f. System of Examination:
1. Name and Address of Affiliated Examining Body / Board
________________________________________________________________________
________________________________________________________________________
Tel __________________________________ Fax ______________________________
E-mail ID _______________________________________________________________
Website _________________________________________________________________
23
2. Name and Address of affiliated University to
______________________________________________________________________________
Which affiliated / Deemed _________________________________________________________
Telephone and Fax Number Tel ___________________________ Fax _____________________
E-mail ID ______________________________________________________________________
Website ______________________________________________________________________
g) 1) Eligibility for admission in Examination:
a) Attendance percentage : 1. Theory ___________________ 2. Clinical Practice
b) Internal Assessment Marks : Minimum requirement _____________________________
c) Completion of assignment & practical record : Yes / No
2) Practical Examination conducted in : Parent Hospital / Affiliated Hospital
3) Faculty eligible to be appointed as examiner is available in each speciality : Yes / No
4) No. of students examined per day _____________________________________________
5) University / Board publishes results in time : Yes / No (If No kindly state the reason)
6) Weak points on examination : ________________________________________________
7) Strong points on Examination : ______________________________________________
8) Pass percentage of students in University Examination (Current Academic Year)
Sl.No.
Programme I year II year III year IV Year Remarks onachievements
24
IX RECORDS & REGISTERS:
1. Are the following Registers maintained well? (Check depending on programme implemented)
2. Maintenance of Records :
l Course Planning of each subject : Yes Noo o
l Rotation Plans (Master & Clinical) : Yes Noo o
l Mark Register : Yes Noo o
l Minutes of Committee Meetings : Yes Noo o
College Development Committee : Yes Noo o
Curriculum : Yes Noo o
Anti-ragging : Yes Noo o
Selection Committee : Yes Noo o
Library Committee : Yes Noo ol Teaching Load : Satisfactory / Fair / Unsatisfactory (Over Load)
1. Admission Register
3. Attendance Registersa) Daily
b) Subject
c) Clinical
d) Faculty
e) Ministerial Staff
S. No. Registers* Yes No
4. Leave Record
a) Student's
b) Faculty
c) Ministerial Staff
5. Practical Records
a) Nursing Foundation
b) Medical Surgical Nursing
c) Midwifery Case Book
d) Log Book
e) Drug Files
2. Cumulative Register
6. Daily Diary
7. Health Record
8. Clinical and Field Experience Record
9. Clinical Evaluation
10. Internal Assessment - Practical & Theory
11. Curricular & Co - Curricular Record
12. Family Folders
13. Any Other
25
l Any other - specify : ______________________________
l Affiliation records : Yes Noo ol Stocks Register : Yes Noo ol Inventory Register : Yes Noo ol Budget Plan : Yes Noo ol Annual report of activities and achievements : Yes Noo ol Staff Development Program : Yes Noo ol Records signed by Teachers with dates : Yes Noo o
[Note : verify Physically (a) & (b)]
X WELFARE ACTIVITIES
A. STUDENT
1. Professional Association / ActivitiesN.S.S. / SNA / any other - specify : ______________________________
2. Is the students of all basic nursing programmes : Yes Noo obeen enrolled in SNA
3. Health services are provided when students are sick : Yes Noo oIf Yes name of the hospital : ______________________________
Address : ______________________________Pin : ______________________________Tel : ______________________________Fax : ______________________________E-mial : ______________________________Website : ______________________________
a) Do students have Health Insurance : Yes No o o
If yes, is the Health Insurance : Group Individual o ob) Name of the Health Insurance Company
Address : ______________________________Pin : ______________________________Tel : ______________________________Fax : ______________________________E-mial : ______________________________Website : ______________________________
3. Counseling Guidance : Available / Not available
4. Eligible leave for students(*should adhere to INC Norms) :
1. As per INC :2. As per University :
If not Remarks :
5. Is the Alumni for Graduates available : Yes / No
6. Students Committee (List) : 1.2.3.4.
26
B. FACULTY
1. Is there any Professional Organization for Faculty? :If yes, name the Organization.
2. Establish Faculty Committee,If yes, name of the Committees.
3. Any other welfare activities
4. Eligible leave for faculty
Nature of LeaveSl.No. As per norms (Days)
No. of Days / Year
1. Casual Leave 12
2. Sick / Medical Leave 10
3. Vacation / Annual Leave 30
4. Public Holidays All Govt. gazette holidays
5. Maternity Leave As per policy of institution
6. On Duty 15
No. of days given by the instituion
S.No.
1.
2.
3.
4.
Name of the Organization
S.No.
1.
2.
3.
4.
Name of the Committees
S.No.
1.
2.
3.
4.
Activities
27
5. Provides health services for the faculty when sick : Yes Noo oIf yes, name the Hospital : ______________________________
Address : ______________________________
Pin : ______________________________
Tel : ______________________________
Fax : ______________________________
E-mial : ______________________________
Website : ______________________________
a) Will the faculty have Health Insurance : Yes No o o
If yes, is the Health Insurance : Group Individual o o
b) Name of the Health Insurance Company
Address : ______________________________
Pin : ______________________________
Tel : ______________________________
Fax : ______________________________
E-mial : ______________________________
Website : ______________________________
6. Are the faculty eligible for Provident Fund : Yes Noo o
7. No. of faculty meeting conducted in a year : ______________________________
8. No. of Workshops / Seminar / Conference conducted
by the Institution in a year : ______________________________
9. No. of faculty deputed for Conference / Workshop /
Seminar in a year : ______________________________
XI. LAST TNNMC INSPECTION DETAILS
a) Is there any Deficiencies notified in the previous / recent Inspection : Yes / No
Date of last inspection : ________________
b) If Yes, enclose Rectification / Compliance Report sent to the Council : Yes / No
c) Inspector to verify the rectification of the past deficiencies & write the report
___________________________________________________________________________
___________________________________________________________________________
28
XII. CHECK LIST
l I have received the inspection Performa & have filed same : Yes No o ol Whether the Inspection report is completely filled after verification : Yes No o oEnclosures:
1. Certified copy of the Register Trust Deed : Yes No o o2. G.O. - Each Program : Yes No o o3. INC - Each Program : Yes No o o4. TNC - Each Program : Yes No o o5. University / Board Orders - Each Program
6. Proof of documents for change of Address & Trust
7. Proof of the Own & Affiliated Hospitals and Health Centres.
8. Admission Criteria - Each Program.
9. List of Post Basic B.Sc.(N) & M.Sc.(N) Students.
10. Latest orders of TNC, INC, Board / University & Also for enhancement of seats if any.
11. Nursing faculty Details - UG, PG Certificates, RN, RM, Addl. Qualification, Experience Certificate, relievingorder Last institution if DOJ within 3 months, Appointment Order & Self Attested Color Photo.
12. Land Deed of the College & Hostel with Building Completion certificate.
13. If Leased, Registered Lease Deeds of College & Hostel.
14. Vehicle Registration Certificate in the Name of the Institution, Insurance, Drivers' License & Latest FC.
15. The Balance Sheet & Previous Year Audited Income and Expenditure Statement of the Institution / Trust/ Society.
16. The list of Articles for all the Labs. (Enclose the recent / Last year purchase Bills)
17. Lis of Library Books & Journals. (Enclose the recent / Last year purchase Bills)
18. List of Nurses with RN & RM No. working in the Parent & Affiliated Hospitals.
19. Master & Clinical Rotation plan for respective years - Each Program.
20. Eligibility for admission to examination : for all Nursing Programmes.
21. List of Sports Articles.
22. Report from the principal on course of instruction etc.
23. Whether the institution has uploaded details in the Institution Management Software (IMS)
24. Furnish the evidences for the Latest inspection and annual recognition fees paid.
25. Minority status GO
26. Past Rectification report.
XIII. INSTRUCTION1. Inspection should be conducted confirming to the norms prescribed by Indian Nursing Council Curriculum
and Syllabi.
2. Counseling session should be held with the faculty members and students. Inspector to plan it for collectiveor individual meeting.
3. Wherever necessary, separate papers have to be attached.
4. The practical clinical experience records, progress and cumulative records may be perused and guidancegiven wherever necessary.
5. The clinical staff and faculty member's registration status to be verified and reported.
6. Inspectors, may take into account the remarks and recommendation of the previous inspection.
7. Inspectors are required to meet the Head of the institution and discuss the result of inspection.
8. The institution should provide the necessary facilities for carrying out the inspection properly.
9. The inspectors may specifically indicate the deficiencies in clinical and teaching staff strength.
10. Documents produced by Institute must be signed by the authorized signatory.
29
XIV. REMARKS OF THE INSPECTORS
b. Hostel
(Land, Building, Furniture, etc.)
S. No. Particulars Remarks
a. Institution
(Land, Building, Library, Lab,
Equipments, Furniture, etc.)
Physical Infrastructure (School / College1.
30
Clinical Experience2.
a. Hospital
b. Community
3. Transport
31
S. No. Particulars Remarks
Faculty
5. Admission Procedure (Criteria)
6. (a) Curriculum Planning and
Implementation
(i) Theory
(ii) Practical
(iii) Supervision
(iv) Evaluation
(b) Examination
Adequacy of Teaching Staff4.
32
S. No. Particulars Remarks
7. Records & Registers
8. Welfare Activities for Students
9. Welfare Activities for Faculty
10. Miscellaneous
EXECUTIVE SUMMARYPlease tick the appropriate:
DEFICIENT / TIME BOUND RECTIFICATION / SUITABLE / UNSUITABLE.If Deficient or Unsuitable, a separate handwritten letter stating the reasons with both inspector's signature should be submitted.
___________________________________________________________________________________Name and Signature of the Inspectors
1)
2)
3)
Date :
N.B. : Suggest proposal for further developments of the institution to make good of deficiencies to be calledfor from the Management.
33
S. No. Particulars Remarks
XV. REGISTRAR REMARKS:
34