Project Report of Nurses Training School and Trainees Hostel

PROJECT REPORT OF NURSES TRAINING SCHOOL AND TRAINEES HOSTEL

OF RAMAKRISHNA MISSION SEVASHRAMA, HARDWAR

1. Introduction:

The importance of Nurses’ Training School for a modern Multispeciality Hospital, hardly requires any elucidation. In such a small town like Hardwar, that too in a remote area of India, it is very difficult to get trained and experienced Nurses and it is all the more difficult to retain their services for a longer time with the meagre salary that the Sevashrama can offer. While Uttranchal can boast about having more educated youth than the neighbouring States and yet it being industrially and economically backward, it has very little employment avenues for these youths. Hence, the said Nurses’ Training Centre will very much help both the unemployed youth as well as the Sevashrama, and, at the same time, meet the growing demand of trained Nurses in the country.

In fact, the demand, for more and more Nurses aboard, is increasing phenomenally. The success of China’s health programme owed greatly to the availability of not so much doctors as trained Nurses. According to the latest data while the country (India) needs at least 45,000 such female health workers, the availability is a little over 27,000.

Accordingly, the Sevashrama proposes to construct Nurses’ Training School as well as a Hostel for the trainees and staff, with all required facilities.

2. ORGANISATIONAL BACKGROUND

The Sevashrama, is a branch centre of the RAMAKRISHNA MISSION, P.O.- Belur Math, Dist.- Howrah- 711202, West Bengal – which has 110 centres in India and 37 centres abroad (as on March, 2002). Ramakrishna Mission is a Registered body having been registered on 4th May, 1909 as per Registration No.S/1917 of 1909-10, Certificate No.138. Its Ideal is ‘Freedom of the self and service of mankind’ and Motto: (i) Renunciation and Service, looking upon all, irrespective of caste, creed or colour as veritable manifestation of the Divine and (ii) Harmony of religions.

3. GENESIS AND FORMATION OF HARDWAR SEVASHRAMA

The Hardwar ‘Sevashrama‘ was founded at the behest of SWAMI VIVEKANANDA, the Patriot Saint of India, who became world famous after his soul stirring speech at the World’s Parliament of Religions, Chicago in 1893. One of his direct disciples, Swami Kalyanananda established this Sevashrama in a rented house at Kankhal in the year 1901. It shifted to its own land in 1903 and since then it has made a long stride working ceaselessly in providing most essential services to the local people as well as the pilgrims/tourists, through its two Hospitals, one for Male and another exclusively for Female, as also through its Medical Mobile unit, plying in the country side. The Sevashrama has already completed more than 100 years of its services to this vast region stretching right from the foothills of the Mighty Himalayas to deep inside it.

4. SEVASHRAMA’S ACTIVITIES

a) The Indoor Department:

The male patients kept in different building blocks, were shifted to a new building constructed during Swami Vivekananda Birthday Centenary in 1963 with 57 beds. For the Female patients, another hospital building, with 65 beds, was constructed in the eighties of the last century. Now the total bed strength of the Indoor Hospital has risen to 150-169, with provision to increase its capacity.

b) The Out-Door Dispensary, Emergency Ward and I.C.C.U.:

The O.P.D., with Emergency Ward, is already functioning in the new NOPD building. The Emergency ward, working round the clock, has been modernized and its bed strength increased to 10 beds and a most modern four-bedded I.C.U. has been added very recently, spending about Rs.75 lakhs on them.

As early as in 1911 the Sevashrama had built, a separate T.B. block since it was then a most infectious and devastatingly killer disease requiring separate arrangement. The Sevashrama cannot close its eyes to the suffering of such poor afflicted ones. Therefore, it took up this scheme more seriously and has since been treating T.B. patients free of cost, giving them full-protracted course of treatment. This requires further and substantial funding.

c) Rural Medical Health Service:

Started in 1973, the Mobile Medical Dispensary is catering to the medical needs of the impoverished villages covering 150 km around Hardwar. The National Committee of the Govt. of India was good enough to approve our Rural Healthcare scheme vide its Notification S.O.No.602 (E) dt.12.8.1993 and the entire project has been completed. This service is progressing satisfactorily.

d) Diagnotic departments:

i) LABORATORY

All types of Tests in Biochemistry, Hematology, Serology, Microbiology and Urology, are being done in the Sevashrama Laboratory. It did Lab tests of 2,58,308 in 2003-04 as against 1,81,664 in the year 2002-03 and it has been modernized spending Rs.25 lakhs with the induction of Automatic Testing equipments. It is now equipped with Hitachi 902 Chemistry Analyzer, Automatic Hematology, Celltac, ESR Analyzer, AVL Blood Gas & Electrolytic Analyzer. Due to its constant up-gradation, the total number of tests done annually has gone up by 442% during last ten years.

ii) X-Ray and E.C.G. and Sonography departments

The Radiology department has two Siemens X-ray plants of 300 and 500 mA capacities. It undertook 21,845 tests during the financial year 2003-04. The Sonography deptt., has Toshiba Ultrasound & Eco Machine and gave 3460 diagnostic test reports during 2003-04.

e) Ancillary Services:

The Sevashrama is running Dairy (average daily milk yield being 266 ltrs per day as against 246 liters previous year) and Agricultural farms to provide wholesome food to its poor patients and inmates, including Doctors and Nurses.

5. SEVASHRAMA’S TRACK RECORD:

During last five years the total number of patients treated by the Sevashrama rose by 74%. In the year 1997-98 it was 2,47,784 and it went up to 5,11,791 in 2003-04, showing all round improvement. The I.C.U with 4 beds has been added and Laboratory, Emergency Wards have been expanded and modernized. However, some other departments have to be refurbished with modern hospital-equipments.

6. PROJECT PROFILE

6.1 TITLE: Opening of Nurses’ Training School

6.2 Prerequisites:

The following are the minimum pre-requisites for getting recognition of a School of Nursing offering a Diploma in General Nursing and Midwifery programme:

a) Procurement of the No Objection/Essentiality Certificate from the State Government, (b) Approval of the Indian Nursing Council regarding suitability with regard to physical infrastructure, clinical facility and teaching faculty in order to give permission to start the programme, (c) after getting the permission from the Indian Nursing Council to start the Nursing programme, approval from the State Nursing Council and Examination Board/University has to be obtained and thereafter the Institution will start admitting the students. (d) The Indian Nursing Council will conduct inspection every year till the first batch completes the programme. The permission will be given year by year until the first batch completes.

6.3 Action Plan:

The Sevashrama will fulfill the above basic requirements for opening the said School and adopt the following strategy for implementing the programme:

6.3.1 Induction of the required Staff:

Initially the annual intake of students will be 20 trainees and for that the following Teaching staff will be inducted:

Staff Qualification

(a) 1 Principal M.Sc or B.Sc. Nursing (Basic)/Post Basic, with 6 or 8 years respectively of teaching experience

(b) 1 Vice Principal M.Sc or B.Sc. Nursing (Basic)/Post Basic, with 4 or 6 years respectively of teaching experience.

(d) 5 Tutors M.Sc or B.Sc. Nursing (Basic)/Post Basic or Diploma in Nursing Education and Administration or its equivalent after graduation.

(e) 1 Additional Tutor for Interns with a Teacher student ration being 1: 10.

External Lecturers:

The external lecturers may comprise of Nursing experts, Medical Faculty, General Educationists including teaching experts in English, Computer Education, Physical Education/Yoga, Psychologists, Sociologists, Hospital Dieticians, Nursing Serving personnel like Nursing Superintendent, Ward In charge or Ward sister, Health Economist/Statistician etc. working in or outside the institution.

Additional Staff for School of Nursing:

a) 1 Stenographer/Personal Assistant

b) 1 Cashier/Accountant

c) 1 Junior Clerk/typist

d) 1 Librarian

e) 1 Laboratory Attendant

f) 2 Watchmen

g) 1 Driver

h) 3 Peons

i) 2 Sweeper

For Hostel:

Warden (Female), Cook, Kitchen & Dining Room helper, 3 Sweepers, Gardener and Security Guards

6.3.2 Physical Facilities: The building profile:

For the said School, with an annual admission capacity of 20 students, the constructed area of the school will be 4000 square feet and the it will be built in a phased manner between first and second year. The physical facilities are listed below:

a) Class Rooms: There will be four class rooms, with built in Black/Green/White Board with desk/dias. There will be a big table and chair for the teacher and racks/cupboards for keeping teaching aids, besides proper sitting arrangement for the students.

b) Laboratories: There will be four laboratories as under:

i) Nursing Practice Laboratory: There will be demonstrating beds at the ratio of 1 bed: 6 practicing students. Besides there will be built in cupboards and racks; Washbasins with running water supply; table, chairs, electric fittings. Further, there will be inventory articles, at least 10-12 sets of all items

ii) Community Practice Laboratory: It will have all articles required for practicing nursing procedures in a community set-up.

iii) Nutrition Laboratory: It will have facilities for imparting basic knowledge about food and to practice the cooking for the healthy as well as for the sick. For this it will have work-tables, cooking stoves, gas connection, wash-basins with running water supply, cutlery, trays, plates, dietetic scales, cooking utensils and refrigerator etc.

iv) Computer Laboratory: It may be shared with other departments.

c) Auditorium: It will be spacious enough to accommodate at least double the sanctioned/actual strength of students for hosting functions like workshops, examination etc.

d) Library: To start with, a minimum of 500 books, 3 sets each of Nursing journals and magazines, 2 kinds of newspapers and other kinds of current health related literature will be made available to the students.

e) Office requirements:

(i) Separate Principal’s and Vice Principal’s offices (ii) rooms for faculty members, with attached toilets etc.

f) Common Rooms: for teaching faculty, students and office staff

g) Record and Stores Rooms: for storing records and equipments and Audio- Visual aids

h) Garage

6.3.3 Clinical Facilities

Hospital: The School of Nursing will have a 200-bedded Parent Hospital:

Note: The present bed strength of the Sevashrama Hospital is 169 (i.e. 82 in Male Ward + 87 in NOPD. The New Block (Project No.1 below) will have 49 beds, making the total strength to 218 beds

a) Distribution of beds in different areas will be as under:

i) Medical 40

ii) Surgical 40

iii) Obst. & Gyne 40

iv) Paediatrics 20

v) Ortho 20

Eye/ENT 20

ICU/ICCU 10

Burns and Plastic 10

b) Bed Occupancy of the Hospital will be about 75%

c) Other Specialities/facilities for clinical experience will be as follows:

Major OT, Minor OT, Dental, and Neonatology with Nursery, Communicable disease

Community Health Nursing:

Cardiology, Oncology, Neurology, Nephrology etc.

6.3.4 Hostel:

With Recreation room, Visitors’ room, Kitchen and Dinning Hall, Pantry, Washing & Ironing Room, Sick Room, Room for Night Duty Nurses, Guest Room, Warden’s Room and Canteen.

PROJECT NO.1 (Sub-title New Block)

The above departments will be housed in a four storeyed building with a covered area of approx. 2125 sq m, as detailed under, fitted with a Bed Lift, Staircase and separate Male/Ladies toilets:

i. Ground Floor – Opthalmology Ward It will have 14 beds in Male Eye Ward and 7 beds in Female Eye Ward, Total: 21 beds, with Ophthalmologic O.T., Refraction rooms, Doctor and Nurses rooms etc.

ii. First Floor – General and Orthopaedic Wards:

Besides an Operation Theatre for Orthopaedic cases, it will have separate Male and Female Wards of 14 beds each (Total 28 beds) with Doctors room and Nurses lounge etc.

iii. Second & Third Floors – Nurses’ Training Centre for 100 students:

PROJECT NO.2 – NURSES’ TRAINING SCHOOL AND TRAINEES’ HOSTEL

Its urgency:

The urgency of starting a Nurses’ Training School has been stated in the introductory portion of this Report. Obviously, it will not only meet the growing need of the Sevashrama for the trained Nurses, it will open new employment avenues for the unemployed youth of this new but backward State.

The internationally recognized standard ratio of Doctor to Nurse is 1: 2.5 (which means for every two Doctors a hospital needs 5 nurses).

Its Plan: Besides the 4 Class Rooms and an Auditorium Hall in the Third Floor, it will have Principal’s, Teachers’ and Students’ common rooms, General Office, Library, Laboratory, stores Records rooms etc. in the second floor, (as per Encl: No.P-II)

Its execution:

The Nurses Training Centre will be housed in the New Block, as above, but for the Trainees’ Hostel, a separate building has to be raised.

6.5 Total cost of Construction, Staff Salary, Equipment and Furn & Fixture:

6.5.1 Non-recurring expenses:

i) New Block (with Nurses’ Training Centre) 1,50,00,000

25200 sq ft

ii) Add cost of Lift for the new block 5,00,000

ii) Construction cost of Hostel with rooms for 1,25,00,000 Warden (Female), Cook, Kitchen 2,80,00,000

& Dining Room helper, 3 Sweepers,

Gardener and Security Guards

iii) Cost on furnishing the School, Hostel,

Laboratories and Library etc. 10,00,000

iv) Cost for purchasing 500 books and magazines

For the Library @ Rs.50/- per book (average) 30,000

v) cost of purchasing Equipments for the Laboratories 20,00,000

3,10,30,000

6.5.2 Recurring expenses:

i) Staff Salary

Staff Monthly Yearly salary

a) 1 Principal Rs.20,000/- 2,40,000

b) 1 Vice Principal Rs.15,000/- 1,80,000

c) 1 Senior Tutor Rs.12,000/- 1,44,000

d) 5 Tutors Rs.10,000/- 60,00,000

1 Additional Tutor for Interns with 65,64,000

a Teacher student ration being 1: 10.

ii) Additional Staff for School of Nursing:

a) 1 Steno/P.A 5,000/- 60,000

b) 1 Cashier/Accountant 7,000/- 84,000

c) 1 Junior Clerk/typist 2,500/- 30,000

d) 1 Librarian 5,000/- 60,000

e) 1 Laboratory Attendant 5,000/- 60,000

f) 2 Watchmen 1,200/- 28,800

g) 1 Driver 4,000/- 48,000

h) 3 Peons 1,800/- 64,800

i) 3 Sweepers 1,500/- 54,000

j) 2 Liftmen 2,000/- 48,000

k) 2 Warden (Female), 5,000/- 1,20,000

l) 2 Cook 3,500/- 84,000

m) 3 Kitchen & Dining