Nursing regulatory mechanism in ppt

Nursing regulatory mechanism

1. NURSING REGULATEORY MESCHANISM SWETAPARNA.S.PRADHAN M.SC 2 ND YEAR

2. REGULATION Regulation refers to the processes used to designate that an individual, programme, institution or product have met established standards set by an agent (governmental or non-governmental) recognized as qualified to carry out this task . ( Styles & Affara, 1997,)

3. REGULATION BODY Regulatory body is the formal organization designated by a statute or an authorized governmental agency to implement the regulatory forms and process whereby order, consistency and control are brought to the profession and its practice.” ICN,1997

4. IMPORTANCE OF REGULATORY BODIES To provide quality health care service to the public. To support and assist professional members. Set and enforce standards of nursing practice. Monitor and enforce standards for nursing education. Set the requirements for registration of nursing professionals. To exercise legal control over institution within their respective area .

5. NURSING REGULATORY MECHANISMS MAIN FUNCTIONS To protect patient or society To define the scope of nursing practice To identify the minimum level of nursing care that must be provided to clients The regulatory bodies that define the laws and regulations in nursing practice by the nursing councils at the international, national and state levels International council of nurses Indian nursing council State nursing council

6. DEFINITATION A process of review and approval by which an institution, programme or specific service is granted a time-limited recognition of having met certain established standards beyond those that are minimally acceptable. (ICN)

7. PURPOSES OF ACCREDITATION Maintaining a uniform standard for nursing education and nursing service. It helps in the registration of nurses. It prescribes the syllabus. It grants recognition to school and colleges. It guides the school/college of nursing, according to criteria.

8. FUNCTIONS OF ACCREDITATION It preserves the quality of nursing education. It protects the public from ill prepared nurses. It protects the institutions unsound and unsafe political pressure. It helps the practitioner for the broad scope of nursing practice.

9. TYPES OF ACCREDITATION AGENCIES National accrediting agency National professional accrediting agency State accrediting bodies

10. 1)NATIONAL ACCREDITING AGENCIES Central advisory board of education All India council for Elementary education All India council for secondary education University grants commission All India council for technical education

11. 2)NATIONAL PROFESSIONAL ACCREDITING AGENCY Medical Council of India Indian Nursing Council Dental council of India Pharmacy council of India Central council of Indian system of Medicine

12. INDIAN NURSING COUNCIL AIMS To establish uniform standard of training throughout the state Prohibit training center, which are inadequate Prohibited practice of nursing by non-qualified nurses.

13. FUNCTIONS AND ROLE OF INC Prescribing Syllabus Inspection To prescribe syllabus & regulations for nursing programs. To advices the state nursing councils, Examination boards, State govt. & central govt.in various important items regarding nursing education in the country

14. NATURE OF INSPECTION BY INC First Inspections Re Inspection Periodic Inspections Inspection for enhancement of seats

15. 3) STATE ACCREDITING BODIES Providing the registration to the nurses Maintains a register of names of professional nurses All degree holding nurses also have to get the registration in state council .

16. PURPOSE:- Licensure offers protection to the public It ensure minimum competency among professional. It ensures minimum standard among the professionals It helps to regulate the professional conduct. Licensing permits a person to offer special skills and knowledge to the public in a particular jurisdiction when such practice would otherwise be unlawful. A particular jurisdiction or area is covered by the license

17. NURSING LICENSURE The process, sanctioned by the law, of granting exclusive power or privilege to persons meeting established standards, which allows them to engage in a given occupation or profession, and to use a specific title. ( ICN)

18. CURRENT LICENSURE ACTIVITIES Nurses are required to apply for licensure in each state in which they practice Nurses will be responsible for following the laws and regulations of those states

19. GENERAL INSTRUCTIONS FOR APPLYING REGISTRATION For Bulk Registration, Candidate's Color Photo (Passport Size) to be submitted & write the Candidate Name behind the photo. One photo to be fixed in the Application form and Do Not Staple. And also CD to be submitted with Scanned Photo and it has been saved in file name as Candidate Name (Photo file size 20 to 40 kb in .JPG format only).

20. Other State Trained Candidates should Surrender their Concerned State Nursing Council´s Registered Nurse & Midwife Certificates to the parent Council where ever they have registered. Two Xerox copies of parent Council's RN and RM Certificates should be enclosed. Other State Candidates after surrendering their parent Council's RN, RM certificates they should obtain NOC from the parent Council to Register in TNNMC For Dispatching the Bulk Registration Certificate, Self-addressed Envelope along with Necessary Stamp to be sent.

21. RENEWAL OF LICENSURE The process for periodic reissuing of the legal authority to practice. Renewal system in a proper way it will help to improve the professional competencies in nursing. In TNMC instructed that all the nurses renew their registration every 5 years for that they need a specific (150) credit hours.

22. MEANING OF PATIENTS BILLS OF RIGHTS The Consumer bill of rights & responsibilities that was Adopted by the US advisory commission on Consumer protection and quality in the health care industry in 1998 known as Patient’s bill of rights .

23. DEFINATION OF PATIENTS RIGHTS Patient rights encompass legal and ethical issues in the provider- patient relationship, including a person’s right to privacy, the right to quality medical care without prejudices, the right to make informed decisions about care and treatment options, and to right to refuse treatment ..

24. PURPOSES OF PATIENTS BILLS OF RIGHTS Ensure the ethical treatment of persons receiving medical or other professional health care services. Persons in all settings are entitled to receive ethical treatment

25. GOALS OF PATIENTS RIGHTS To help patients feel more confident in the health care system. To stress the importance of a strong relationship between patients and their health care providers. To stress the key role of patients play in staying healthy by laying out rights and responsibilities for all patients and health care providers

26. 8 KEYS OF BASIC GOALS OF PATIENTS RIGHTS Information of patients Choice of providers and plans Access to emergency services Taking part in treatment decisions Respect and Non-discrimination Confidentiality of health information Complaints and appeals Consumer responsibilities

27. PRECAUTIONS TO BE TAKEN BY THE PATIENTES TO PROTECT THE BILLS OF RIGHTS In case of surgical treatment or invasive procedures and investigations, the details are understood by the patient before they sign in the consent form. At the time of discharge, make sure that they have been given copies of all the relevant records. At the time of discharge make sure that they have received the bills for all the payments made by them. They have the right to get details of drugs administered to them

28. CONTI… Have the right to ask for a second opinion. They should request the doctor in case of any clarification of doubts regarding treatment. Make sure that the patient has been given all the instructions for the medicines prescribed. The patient should always preserve all the bills of the purchase of every medicines.

29. RIGHTS OF SPECIAL GROUPS Rights are legal, social, or ethical principles of freedom or entitlement; that is, rights are the fundamental normative rules about what is allowed of people or owed to people, according to some legal system, social convention, or ethical theory.

30. RIGHTS OF CHILDREN DECLARATION OF GENEVA (1946)  Child must be given the means needed for its normal development, both materially and spiritually.  Hungry child should be fed; sick child should be helped; and the orphan and the homeless child should be sheltered and secured.  Child must be first to receive relief in times of distress.  Child must be put in a position to earn a livelihood and must be protected against every form of exploitation.  Child must be brought up in the consciousness that its best qualities are to be used in the service of its fellow men.

31. ACT FOR CHILD WELFARE The Right of Children to Free and Compulsory Education Act was enforced April 1, 2010. Pre-conception and pre-natal diagnostic Techniques (prohibition of sex selection) Act 1994. Infant milk substitutes, feeding bottles and infant foods (regulation of production, supply and distribution) Act, 1992. The juvenile justice (care and protection of children) Act, 2000. The child Labour (prohibition and Regulation) Act, 1986. The child Marriage restraint Act, 1929 .

32. RIGHTS OF CHILDREN Right to develop in an atmosphere of affection and security and protection against all forms of neglect, cruelty, exploitation and traffic. Right to enjoy the benefits of social security, including nutrition, housing and medical care. Right to a name and nationality. Right to free education. Right to full opportunity for play and recreation. Right to special treatment, education and appropriate care, if handicapped. Right to be among the first to receive protection and relief in times of disaster Right to learn to be useful member of society and to develop in a healthy and normal manner and in conditions of freedom and dignity. Right to be brought up in spirit of understanding, tolerance, friendship among people, peace and universal brotherhood. Right to enjoy these rights, without any discriminations.

33. RIGHTS OF WOMEN In modern India, women have adorned high offices in India including that of the President, Prime minister, Speaker of the Lok Sabha, Leader of Opposition, etc

34. IMPORTANT CONSTITUTIONAL AND LEGAL PROVISIONS FOR WOMEN IN INDIA Gender equality Empowers the State to adopt measures of positive discrimination in favour of women. Women’s advancement in different spheres

35. CONSTITUTIONAL PROVISIONS  Fundamental Rights prohibits discrimination against any citizen on grounds of religion, race, caste, sex or place of birth, and guarantee equality of opportunity to all citizens in matters relating to employment.  Equality for women (Article 14)  The State not to discriminate against any citizen on grounds only of religion, race, caste, sex, place of birth (Article 15)  The State to make special provision in favour of women and children (Article 15)  Equality of opportunity for all citizens in matters relating to employment or appointment to any office under the State (Article 16)

36. CONTI.. Equal pay for equal work for both men and women (Article 39) The State to raise the level of nutrition and the standard of living of its people (Article 47) Not less than one-third of the total number of seats to be filled by direct election in every Panchayat, Municipality to be reserved for women (Article 243 )

37. THE CRIMES IDENTIFIED UNDER THE INDIAN PENAL CODE (IPC)  Rape (Sec. 376 IPC)  Kidnapping & Abduction for different purposes ( Sec. 363-373)  Homicide for Dowry, Dowry Deaths or their attempts (Sec. 302/304-B IPC)  Torture, both mental and physical (Sec. 498-A IPC)  Molestation (Sec. 354 IPC)  Sexual Harassment (Sec. 509 IPC)  Importation of girls (up to 21 years of age )

38. THE CRIMES IDENTIFIED UNDER THE SPECIAL LAWS (SLL) The Family Courts Act, 1954 The Special Marriage Act, 1954 The Hindu Marriage Act, 1955 The Hindu Succession Act, 1956 with amendment in 2005 Immoral Traffic (Prevention) Act, 1956 The Maternity Benefit Act, 1961 (Amended in 1995)

39. CONTI….. Dowry Prohibition Act, 1961 The Medical Termination of Pregnancy Act, 1971 The Contract Labour (Regulation and Abolition) Act, 1976 The Equal Remuneration Act, 1976 The Prohibition of Child Marriage Act, 2006 The Criminal Law Act, 1983 The Factories Act, 1986 Indecent Representation of Women (Prohibition) Act, 1986 Commission of Sati (Prevention) Act, 1987 The Protection of Women from Domestic Violence Act, 2005 The Employees State Insurance Act, 1948

40. RIGHTS OF HIV People living with HIV and AIDS have been discriminated throughout the world. So, to reduce these disparities and violating acts some rights have been laid down by the government and made the part of constitution to protect them. People with HIV infection/AIDS have same basic rights & responsibilities like:  Liberty, autonomy, security of the person and freedom of movement.  HIV testing  Confidentiality and privacy  Health and support services, public benefits, medical schemes and insurance  Education on HIV and AIDS.  The responsibility of media.  The right of safer sex  The right of prisoners  Duties of persons with HIV or AIDS.

41. RIGHTS OF HANDICAP Persons with disabilities face discrimination and barriers that restrict them from participating in society on an equal basis with others every day. LEGAL RIGHTS OF THE DISABLED IN INDIA  General legal provisions  The disabled and the constitution  Education Law for the Disabled  Health Laws  Family Laws 6. Succession Laws for the Disabled  Labour Laws for the Disabled  The rights of the disabled  Judicial procedures for the disabled  Income Tax Concessions

42. RIGHTS OF AGEING Ageing refers to a decline in the functional capacity of the organs of the human body, which occurs mostly due to physiological transformation, it never imply that everything has been finished.

43. GOVERNMENTAL PROTECTIONS Pension fund Construction of old age homes and day care centers for every 3-4 districts Concessional rail/air fares for travel Enacting legislation for ensuring compulsory geriatric care in all the public hospitals The government policy encourages a prompt settlement of pension, provident fund (PF), gratuity, etc. in order to save the superannuated persons from any hardships According to Sec.88-B, 88-D and 88-DDB of Income Tax Act there are discount in tax for the elderly persons Life Insurance Corporation of India (LIC) has also been providing several scheme for the benefit of aged persons, i.e., Jeevan Dhara Yojana , Jeevan Akshay Yojana , Senior Citizen Unit Yojana , Medical Insurance Yojana . Former Prime Minister A.B.Bajpai was also launch ‘ Annapurana Yojana ’ for the benefit of aged persons It is proposed to allot 10 percent of the houses constructed under government schemes for the urban and rural lower income segments to the older persons on easy loan.