organization nursing organization services and potion care

introduction
definition
central level
state level
district level
institution
education
at community

1. Organization and function of nursing services and education at national state district and institution hospitals and community Presented by, Anju Sinha Guided by, Mrs. Nishi Kashyap Associate professor , Mental Health Nursing

2. Introduction Nursing services is the part of the total health organization which aims at satisfying the nursing needs of the patients /community.

3. Definition Nursing services: according to WHO nursing services as the part of the total health organisation which aims to satisfying major objective of the nursing services is to provide prevention of Health

4. Definition of organization Organisation is a system of cooperative activities of two or more purpose

5. Importance

6. Organisation and function of nursing service and education at National or central level

7. Contd … Union Ministry of Health and Family Welfare

8. Contd… Centre council of Health

9. Contd… Centre family welfare council

10. AT STATE LEVEL

11. AT DISTRICT LEVEL

12. Objective of nursing services in hospitals

13. INSTITUTIONAL LEVEL At hospital

14. 1)medical Organization of nursing services at hospital 1) Medical Superintendent

15. Medical superintendent DUTIES OF MEDICAL SUPERINTENDENT To take daily hospital rounds supervision and attend to patient and staff grievances, inspect drugs for stock positions of medicines and other items as per requirement, arrange for replacement and informed to M.S. Check availability of M.O.'s. on daily basis, supervision of work of all departments of hospital will be assigned to M.O.'s. Routine administrative work, grant leave to all categories to staff, arrangement of substitute as per need. Supervision of O.P.D. checking of records, admissions, discharge, 0. T list, waiting list, etc. Supervise working and attendance of Office staff, Honoraries, R.M.O.'s and M.O.'s. Lab. Staff, Kitchen, M.R.O., Ambulance, Hears, Nursing Staff etc. Monitors stock of equipments, consumables, logistics, medicine, surgical items, dietary articles, milk and prepared foods.

16. Chief nursing officer 1. General: Pre-university course/10+2 or equivalent examination. 2. Professional: Three years General Nursing/6-9 months Midwifery/Psychiatric Nursing Diploma certificate, recognized by Indian Nursing Council, or Revised General Nursing and Midwifery/Psychiatric Nursing Diploma/Certificate recognized by Indian Nursing Council, or Basic BSc Nursing from a recognized university according to Indian Nursing Council norms. 3. Registration: Registered with the state nursing council/Indian Nursing Council (INC). Experience : Should have experience as a senior staff nurse. Most Chief Nursing Officer (CNOs) hold a Bachelor of Science in Nursing (BSN), Many also having earned advanced degrees such as a Master of Science in Nursing (MSN) or DNP . Most nursing education programs offer courses in anatomy, microbiology, physiology, psychology, and social and behavioral sciences. They typically also include clinical requirements.

17. NURSING. SUPERINTENDENT Educational qualifications:- General education: As prescribed for a staff nurse Professional education: As prescribed for a staff nurse Registration: As prescribed for a staff nurse, registered with the state nursing council Experience: Should have experience as a senior staff nurse

18. JOB DESCRIPTION/RESPONSIBILITIES OF NURSING SUPERINTENDENT She/he will be responsible and overall In-charge of Nursing Services in a hospital or specialized centres irrespective of the number of beds. She/he will be responsible to the Medical Superintendent or Dy. MS or chief of Centres of the hospital or centre as the case may be. She/he will be responsible for implementing hospital/centre policies amongst various nursing units. She/he will assist the CNO in formulation of hospital policy, particularly concerning nursing services. She/he will recommend personnel and material requirement for nursing various nursing service departments of the hospital. She/he will assist MS/Addl. MS or Chief of Centres in recruiting nursing staff

19. DEPUTY NURSING SUPERINTENDENT JOB DESCRIPTION/RESPONSIBILITIES OF DEPUTY NURSING SUPERINTENDENT A. NURSING ADMINISTRATION : . Supervise the nursing care given to the patients in various departments by taking regular round of her area. Act as a liaison officer between Nursing Superintendent and the nursing staff of the hospital. Interpret the policies and procedures of the Nursing service department to sub-ordinate staff and others Attend the emergency calls concerning nursing services or hostel problems. Receive evening and night reports from the Assistant Nursing Superintendent/Supervisors. Keep records and reports of Nursin6. Keep records and reports of Nursing Services. Maintain the records of attendance of nursing staff and leave of any kind .

20. B. EDUCATIONAL ACTIVITIES:- 1. Assist in planning/organizing and implementing staff development programmes. 2. Ensure clinical experience facilities for student nurses in various clinical areas of the hospital 3. Provide guidance and counseling to nursing staff C. GENERAL DUTIES:- Escorts special visitors, Nursing Superintendent, Medical Superintendent for hospital rounds. Arranges and participates in professional and social functions of the staff and students. Maintains good public relations. Any other duties assigned to her from time to time.

21. ASSISTANT NURSING SUPERINTENDENT Assistant Nursing Superintendent is responsible to Deputy Nursing Superintendent for the total nursing care of patients, management and development of the unit assigned to her A. NURSING CARE:- 1. Assist the total needs of patients in the unit and prepare planned nursing care. 2. Demonstrate and supervise the nursing care of patients in the unit. 3. Attend regular round in the unit with the medical and nursing personnel. 4. Reviewing reports from Senior Nursing Officer regarding the nursing care of patients in each shift. 5. Give counseling and health education to the patients and their attendants.

22. Continue...... B. WARD MANAGEMENT:- Plan and arrange duty for nursing personnel posted under her. To ensure Plan and arrange duty for nursing personnel posted under her. To ensure availability of adequate nursing staff in all shifts. . Maintain cleanliness of unit its annexes and environment. Interact with the engineering service department for proper up keep of the unit. Keeping Deputy Nursing Superintendent Nursing Superintendent informed of the needs of the patient care areas and bring it to their notice any special problems. Guide the Senior Nursing Officer to ensure supplies and equipments of different stores, and re-checking their use and care .

23. Senior nursing officer NURSING CARE OF PATIENTS: Assess the total needs of patients and prepare plan of nursing care in the respective area by assigning patient. Assess the total needs of patients and prepare plan of nursing care in the respective area by assigning patients to the Nursing Officers and students keeping in the mind the need of the particular patients concerned and level of competency of the nursing professional in consultation with the Assistant Nursing Superintendent. Admission, Discharge and Transfer of patients. Plan, prepare, demonstrate and carry out direct nursing care to all patients especially preoperative patients, seriously ill patients, acutely ill dangerously ill and post-operative cadre of patients as and when situation arises.

24. B. WARD MANAGEMENT AND ADMINISTRATION :  Handing over and takeover charge of patients at the end/beginning of the shift. Assignment of work to Nursing Officers and support staff working in respective area. Co-ordinate and facilitate work of all other staff, e.g. physiotherapist, technical staff, medical social services staff, dietitians etc. Supervise & monitor maintenance of good inter personal relationship among all categories of staff and with patients and their relatives. Maintain cleanliness of ward, its annexes and environment. Proper upkeep and repair of linen and ward equipment. Maintain stock of medicines, surgical items, general, linen & stationary and all other items including appliances and equipments and make regular inventory of the area. Make indents for drugs, surgical supplies, and all other store items and issue. Keep custody of dangerous drugs/ narcotic drugs and record of their administration. Daily check of emergency drugs, dangerous/ narcotic drugs, crash Maintenance of stock registers, inventories. Assist to investigate complaints, if any.

25. C. NURSING EDUCATION  1. Ensuring the continuous development of the subordinates by organizing orientation and in-service education programs in consultation with ANS/DNS/Nursing Superintendent. 2. Participate in teaching and learning activities of student nurses as and when required in the area. 3. Impact planned and incidental teaching to subordinates & support staff. D. PROFESSION  1. Maintain the professional ethics. 2. Participate in professional & in-service educational activities and encourage the colleagues to similarly, participate in these activities. 3. Update his/her professional competency by continuous on the job learning. 4. Advocate for adopting newer practices in nursing profession for improving overall patient care services. 5. Organize and participate in staff welfare activities whenever required. E. NURSING RESEARCH   Participate in ongoing research: activities and projects/ study/research for professional growth (if so required). Perform any other duty as may be specified from time to time.

26. NURSING OFFICER Educational qualifications 1. General : Pre-university course/10+2 or equivalent examination. 2. Professional: Three years General Nursing/6-9 months Midwifery/Psychiatric Nursing Diploma certificate, recognized by Indian Nursing Council, or Revised General Nursing and Midwifery/Psychiatric Nursing Diploma/Certificate recognized by Indian Nursing Council, or Basic B.Sc. Nursing from a recognized university according to Indian Nursing Council norms. 3. Registration: Registered with the state nursing council/Indian Nursing Council (INC).

27. NURSING CARE OF PATIENTS.   Perform the requisite nursing activities for admission, discharge and transfer (within the hospital or other centers) of the patients. Give direct bedside nursing care to all patients as allotted by the ANS or Senior Nursing Officer. To ensure the personal hygiene of the patients, including toilet needs, sponging/ bathing, care of mouth, back, nails, hair etc. with assistance of support staff (HA's/SA's) as required. To ensure the elimination need of the patient is met by offering ad removing bed pans and urinals by the supportive staff (HA's/SA's) as and when required. To render nursing care during physiotherapy, ambulation and rehabilitation of patients as required. Administration of medications (as prescribed), injections, infusions and Transfusions and application of surgical dressings etc. to the patients. Urine testing for sugar, and albumin (whenever applicable feeds (gastrostomy feed, nasal feeds etc.) Supervision of distribution of diets in the unit. Carry-out patient's health education/teaching, and demonstration according to the need Counseling the patients and relatives as and when required. He/ She will be responsible for communication with the patient's          

28. Organization structure at education

29. Principal, College of Nursing,   Educational Qualification and Experience General: As prescribed for staff Nurse Professional : M.Sc. Nursing or equivalent degree Or Ph. D in nursing or other equivalent doctoral degree through convocation.  Registration: Registered with State Nursing Council/INC. Standard Norms: As per Indian Nursing Council.

30. Job Summary Principal, College of Nursing is the administrative head of the College of Nursing, will be directly responsible to the Director of the Medical Education/Director of Health and Family Welfare services and responsible for implementation and revision of curriculum for various courses, and research activities of the college of Nursing.  

31. Duties and Responsibilities of Nursing Administration   Planning  Develops philosophy and objectives for educational program.  Identifies the present needs related to educational program.  Investigates, evaluates and secures resources.  Formulates the plan of action.  Selects and organizes learning experience .   Organising Determines the number of position and scope and responsibility of each faculty and staff.  Analyses the job to be done in terms of needs of education program. Prepares the job description, indicate line of authority, responsibility in the relationship and channels of communication by means of organizational chart and other methods. Considers preparation, ability and interest personally in equating responsibility. Delegates authority commensurate with responsibility. Maintains a plan of work load among staff members. Provides an organizational framework for effective staff functioning such as meeting of the staff, etc.

32. Directing   Recommends appointment and promotion based on qualification and experience of the Individual staff, scope of job and total staff composition. Subscribes and encourages developmental aspects with reference to welfare of staff and students. Directs activities of staff working under. Provides adequate orientation of staff members. Guides and encourages staff members in their job activities. Consistently makes administrative decision based on established policies. Facilitates participation in community, professional and institutional activities by providing time, opportunity for support for such participation.

33. Coordinating Coordinates activities relating to the programs such as regular meetings, time schedule, maintaining effective communication, etc. Initiates ways of cooperation. Interpretes nursing education to other related disciplines and to the public. Controlling Provides for continuous follow up and revision of education program. Maintains recognition of the educational program by accrediting bodies. University, etc. KNC, INC, etc. Maintains a comprehensive system of records. Prepares periodic report which revives the progress and problems of the entire program and Presents plans for its continuous development. Prepares, secures approval and administrates the budget.

34. Instruction (Teaching ) Plans for participating in educational programs for further development. Recognizes the needs for continuing education for self and staff provides stimulation of opportunities for such development. Participate as a teacher in the educational program.   Guiding Provides for systematic guidance program for staff members and students. Encourages studies, research and writing for publication. Provides and maintains a program for recruitment, selection and promotion of students.  

35. VICE PRINCIPAL, COLLEGE OF NURSING Job Summary :- The Vice Principal assists principal in directing the staff (Teaching & Non-teaching) of the College in conducting teaching programmes. She assists Principal in assessing, planning, implementing & evaluating educational programmes

36. Duties & Responsibilities Assists Principal in planning, implementation, monitoring & evaluation of the educational programmes of the college. Participates in the conduct of continuing education programme & programme for visitors. Assists Principal in identifying needs for professional development of faculty & facilitates staff development programme. Identify the present needs related to educational programme. Select & organizes learning experiences. Assists in the conduct of admission procedures & final University examinations. Act as a member of various committees in the absence of Principal chair the assigned committee meetings. Supervises clinical experience of all educational programmes in coordination with coordinators. Review student progress reports & activities & offers academic guidance. Guides & monitors students cumulative record for all educational programmes, maintained by respective programme coordinators. Guides faculty in day-to-day academic activities of all educational programmes.

37. Professor, college of nursing Educational qualifications General : As prescribed for a staff nurse Professional: M.Sc. Nursing/MN or equivalent degree in nursing recognized by the INC, PhD in nursing with any specialty or other equivalent doctoral degree in nursing Registration: Registered with the state nursing council/INC Experience: Should have total 10 years of teaching experience of not less than 5 years in a college of nursing Standard norms:- As prescribed by the Indian Nursing Council. Role and functions The professor is overall in charge of the department and thereby responsible for administration, teaching activities and guiding that particular department.

38. Role and functions Administration Participates in determining the educational purposes and policies Contributes to the development and implementation of the philosophy and purposes of the total educational programme Instructions Identifies needs of learners in both theory and practical area These needs are identified through explaining the objectives of the programme, and by utilizing records of previous experience, personal interviews, tests and observations

39. Investigating ways of improving teaching Measures effectiveness of instructions by use of appropriate devices Increases knowledge and skills in his/her own curriculum area Analyses and evaluates resource material Devises teaching methods appropriate to objectives and content Recording and reporting Maintains and uses adequate and accurate records Shares information about learner's needs and achievements with others concerned with instruction and guidance Participates in the formulation and maintenance of a comprehensive record system

40. Research Initiates and participates in studies for the improvement of educational programmes. Identifies problems in which research is indicated or potentially desirable Continues to develop competence in the problem-solving process Cooperates with and/or initiates group activities in development and evaluation of studies. Utilizes findings of research Makes data available concerning learners and concerning methods of teaching and evaluation   Guidance and counseling Cooperates in guidance programmes. Shares in planning, developing and using guidance programmes. Gives guidance within own field of competence

41. Associate professor, College of Nursing Educational Qualifications and experience General : As prescribed for staff nurse. Professional : M.Sc. nursing/MN or equivalent degree recognized by the Indian Nursing Council. Registration: Registered with State Nursing Council. Standard norms:- As per Indian Nursing Council

42. Duties & Responsibilities Assists the learners in identifying their needs. Participates in formulation and implementation of the philosophies and objectives of the post. Selects and organizes learning experiences which are in accordance with these objectives. Participates in evaluation of the curriculum. Plans with the educational unit with nursing service and allied groups. Ascertains, selects and organizes facilities equipment and materials necessary for learning. Assists the learners in using problem solving process. Measures and describes quality of performance objectively. Maintains and uses adequate and accurate records.

43. Guidance and Counselling   1. Gives guidance with own field of competence. 2. Helps the learner to grow in self understanding.   Research Assist in initiating and participating in studies for the improvement of educational program. Identifies the problems in which research is indicated or potentially desirable. Make data available concerning learners and concerning methods of teaching and evaluation.

44. Assistant Professor, college of nursing Job Summary Assistant professor works under the direction of departmental head and assists him/her in curriculum Instruction & Teaching.

45. Duties & Responsibilities Participate in curriculum development evaluation and curriculum revision. Identifies the needs of the learners in terms of the program by utilizing the records of previous experience, personal interviews, tests & observation. Participates in formulation & implementation of the Philosophies & objectives of college of nursing. Select & organize learning experiences which are in accordance with objectives. Collaborate with other faculty in course development. Participates in University, professional & community service activities. Select & organize learning experiences which are in accordance with objectives. Collaborate with other faculty in course development. Participates in University, professional & community service activities.

46. Clinical instructor college of nursing Qualifications :  Graduate degree required. Job Summary:- Clinical instructor works under Lecturer vice Principal/Principal of College of Nursing.

47. Duties & Responsibilities Supervise all clinical activities and working of all student nurses and administer and present all content for formal classroom. Oversee all activities of patient care and ensure optimal level of care in clinical setting and participate in various education programs and ensure compliance to all lesson plans. Assist all student nurses to adjust to trainee group and ensure optimal work performance in assign ward to meet all customer objectives and train all students to minimize infection and contamination. Train all students to identify signs of patient health deterioration and clinical equipment malfunction to ensure achievement of all course objectives. Identifies the needs of the learners in terms of the objectives of the program by utilizing records of previous experience, personal interviews, tests & observations.

48. Planning of clinical teaching programme with the cooperation & collaboration of clinical staff. Teaching of all nursing subjects by using various teaching strategy with assistance from other members of the teaching staff. Guidance to students in methods of study and use of reference book and library. Helps the learner with special problems to seek & use additional help as indicated. Uses incidental & planned opportunities for teaching. Promotes continuous growth & development towards maturity. Conduct of periodical & terminal tests. Assure that the assignments of students are fulfilled.

49. School of nursing

50. Administrative head Principal, school of nursing Educational qualifications 1. General : As prescribed for staff nurse 2. Professional : M.Sc. Nursing or equivalent degree, PhD in nursing or other equivalent doctoral degree 3. Registration : Registered with state nursing council/INC Standard norms :- As per Indian nursing council

51. Nursing tutor Educational qualifications 1. General : As prescribed for staff nurse 2. Professional: B.Sc. Nursing (Postgraduate) or M.Sc. Nursing 3 . Registration: Registered with the state nursing council 4. Experience: any fresher candidate Standard norms As prescribed by the Indian Nursing Council. Role and functions She/he is a teacher in the nursing school, accountable to the principal or vice principal. He/she is responsible for planning and implementation of teaching programmes and assisting in the general administration.

52. Administration and evaluation Assisting in the administration of the school of nursing Supervising student's health, welfare and security Assisting in the selection of students and overall administration Assisting in examinations and tests (sectionals and terminals) Supervising living condition of students in the hostel Assisting in teaching of other categories of personnel in the hospital and community Assisting in the procurement of school supplies and equipment Assisting in library work Assisting in maintaining school records

53. Academic function Responsible for planning and implementation of the teaching programme Teaching subjects in the curriculum Overall supervision of clinical teaching programmes of those subjects, which come under the hospital/community health setting Maintains classroom equipment, supplies and teaching aids Conducts tests (theory and practical) and evaluates the student's assignments and performance Prepares teaching material and implements them under the guidance of other teachers Helps students with their extracurricular activities

54. Organization of nursing services at Community level Community health service is concerned not only with people who are sick but also with the healthy young and old, male and female. Community health and community health nursing (CHN) draws knowledge and practices from other disciplines such as medicine, surgery, paediatrics, obstetrics, gynaecology, dentistry, health education and vital statistics. The community centre may refer to a patient directly to the state-level hospital or the nearest medical college hospital. The community health centre has the following staff, which is collectively called a community health team

55. Medical officer A medical officer of all functions in organizer, supervisor, coordinator and evaluator all in primary health centre (PHC) And visits in the afternoons be outpatient (OP) patients in the morning and does field He visits subcentres on fixed days and hours. He gives guidance to the team.

56. Female health worker Registers and cares for prenatal and postnatal mothers at home Registers and follows up all eligible couples Provides nutrition advice and immunization to mother and children Refers mothers and children at the time of need to hospitals and follows up with them after discharge Carries out family planning services including the distribution of contraceptives Provides treatment for minor ailments Notifies communicable diseases Maintains records and registers all services provided and vital events such as births and deaths  

57. Male health worker Conducts surveys of the sub centre areas and maintains records of all families, Maintains information of all vital events Participates in the Malaria Control Programme Participates in family planning services by keeping a list of all eligible couples; provides information on those accepting family planning Participates in nutritional programmes Promotes health education activities Identifies and reports about communicable diseases Coordinates activities with female health worker and block staff Maintains records Provides generalized or multipurpose service at home, in school and in the work place Functions in the field of administration and supervision, education, training personnel, and health services and research

58. Community health nurse A community health nurse is a person serving at the community level and providing basic promotive, preventive, curative and rehabilitative services directly to the community. Qualities of community health nurse A qualified community health nurse is one who has undergone basic nursing training course as degree or diploma along with desirable field experience during his/her training. A community health nurse must understand dynamics of human relationships and behaviour. Community health nurse should exhibit sincere behaviour and empathy with their clients in community. Community health nurse should possess leadership skills with a generalized acceptable approach. The minimum essential skills of a community health nurse are observation,, communication interviewing, and bedside supportive and technical skills at home or at the health centre, The community health nurse must have abilities to make interpretations and judgements to take decisions related to their services to people.

59. At the community level nursing services deliver by main three centers

60. The community health centers' are established and maintained by state government under MNP/BMS [Minimum Need Programme /Basic Minimum Service] programme. It has 30 indoor beds with x-ray labour room, operation theatre, and laboratory facilities. It is managed by four medical specialists i.e. surgeon, physician, gynecologist and pediatrician. On 31 march 2003, 3076 CHC were established each covering a population of 80000 to 1.20 lakh.        

61. Definition Community health centers are the nonprofit community governed health organizations that provide primary health care, health promotion and community development services, using them inter disciplinary terms of health providers Community health centres are care facilities with the goal of increasing access to crucial primary and preventative care services. CHCs primarily serve patients from lower income areas who may be uninsured or underinsured, lack access to transportation, or face language barriers.

62. Community Health Centers has to provide the following services like Care of routine and emergency cases in surgery. Care of routine and emergency cases in medicine. 24 hour delivery services. Essentials of emergency obstetric care. Full range of family planning services including laparoscopic services. Safe abortion services. New born care. Routine and emergency care of sick children. Other management of medical and accidental conditions. All the national health programmes should be delivered through CHCS.

63. Functions of community health nurse Community health nurses provide comprehensive health care to individuals, families and groups by teaching, counselling and providing guidance. A community health nurse develops goals to meet the requirements. She develops an action programme, evaluates progress and plans again as needed. She gives assistance to the family in improving environmental conditions that affect health and helps to plan a safe environment in the home, school and industry. She provides supportive services to doctors, such as early symptom detection and technical help. She demonstrates and teaches the skills for taking care of the sick at home. She supervises the work of midwives, dais and other nursing personnel.

64. PHCS (Primary Health cenres) Introduction The PHC is the first contact point between the village community and the medical officer. These are established and maintained by the state government under minimum needs/basic minimum services programme. It acts as a referral unit for six sub centre and has 4-6 beds. A PHC covers population of 30000 in plain area and 20000 in hilly remote and tribal area. The activities of PHC's involve curative, preventive, promotive and family welfare services. There were 23,391 PHCs functioning as on March 2009 in the country .

65. Definition Primary health centre is the basic structural and functional unit of public health services for rendering primary health care in peripheral areas.

66. Elements of Primary Health Centre E - Ensure safe water supply L-Locally endemic disease control E-Education/expanded programme on immunization M-Maternal and child health E-Environmental sanitation N-Nutritional services T-Treatment of minor aliments S-School health services Principles of Primary Health Centre Equitable distribution Intersectoral co-ordination Appropriate technology Community participation Focus on prevention

67. Standards of Primary Health Centre The IPHS(Indian Public Health Standards) for Primary Health Centers has been prepared keeping in view the resources available with respect to functional requirement for PHCs with minimum standards example:- Building Man power Instrument Equipments Drugs Other facilities The standards prescribed are, a PHC covering 20000-30000 minimum population with six beds on well the block level PHC are ultimately going to be upgraded as CHC with 30 beds of providing specialized services.

68. Major role of nurse in Primary Health Centre Developmental role Facilitative role Clinical role Supportive role Functions of Primary Health Centre Medical care Maternal and child health Control of communicable diseases Collection and reporting of vital statistics Immunization services Improvement in environmental sanitation School health programmes Staffing pattern  

69. Sub-Centre The Sub-Centre is the most peripheral and first contact point between the primary health care system and the community. Sub-Centers are assigned tasks relating to interpersonal communication in order to bring about behavioral change and provide services in relation to maternal and child health, family welfare, nutrition, immunization, diarrhea control and control of communicable diseases programmes. The Sub-Centers are provided with basic drugs for minor ailments needed for taking care of essential health needs of men, women and children.

70. There are 1, 45,272 Sub Centers functioning in the country as on March 2007. Currently a Sub-centre is staffed by one Female Health Worker commonly known as Auxiliary Nurse Midwife (ANM) and one Male Health Worker commonly known as Multi Purpose Worker (Male). One Health Assistant (Female) commonly known as Lady Health Visitor (LHV) and one Health Assistant (Male) located at the PHC level are entrusted with the task of supervision of all the Sub-centers, generally six subentries under a PHC. The Ministry of Health & FW, GOI provides assistance to all the Sub-centers in the country since April 2002 in the form of salary of ANMs and LHVs, rent (if located in a rented building) and contingency, in addition to drugs and equipment kits. The salary of Male Health Worker is borne by the State Governments.

71. The objectives of Indian Public Health Standards for PHCs are To provide comprehensive primary health care to the community through the PHC To achieve and maintain an acceptable standards of quality of care To make the services more responsible and sensitive to the needs of the community Minimum requirements are The assured services cover all the essentials of preventive, promotive, curative and rehabilitative primary health care. This implies a wider range of services that includes Medical care Maternal and child health care Full range family planning services including counseling and appropriate referral for couples having infertility MTP services Health education for prevention and management of malnutrition, anemia and vitamin A deficiency and coordinates with ICDS School health services

72. Major role of nurse in Primary Health Centre Facilitative role Developmental role Clinical role Supportive role Functions of Primary Health Centre Medical care Maternal and child health Control of communicable diseases Collection and reporting of vital statistics Immunization services Improvement in environmental sanitation School health programmes Staffing pattern