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Nursing

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Nursing

Edited By Bharti M Borah | Updated on Aug 08, 2013 12:28 PM IST

FAST FACTS
Best Schools
: Rajkumari Amrit Kaur College of Nursing, New Delhi; Bharati Vidyapeeth’s College of Nursing, Pune; National Institute of Mental Health and Neurosciences, Bangalore and College of Nursing, All India Institute of Medical Sciences; Safdarjung Hospital, New Delhi.
Qualification
: 10+2 for certificate/ diploma/ graduation in science, postgraduation study requires specialisation in streams like oncology or obstetrics/gynecology
Our Advice: Decide which part of caretaking is comfortable for you such as pediatrics, geriatrics, ICU, cardiology, or psychiatric nursing.

Nursing
Nursing

Nursing_1(1)


IN
the third century BC, King Asoka set some strict guidelines for hospitals.  Only male nurses could work as women were not allowed to enter the profession because they were not ‘pure’ enough for the role.  Male nurses received training to be skilled in many aspects such as cooking, bathing, caring for patients, massage, physical therapy and bed making skills. 

In India, nursing is a profession largely chosen by women. However, male nurses are becoming more common. According to statistics, Kerala and Rajasthan churn out the largest numbers at present.  The space occupied by male nurses is still limited to those spaces that require the least interaction with patients such as the ICU. However, people still do not accept male nurses especially in obstetrics/gynaecology departments.

Why nursing?
In November 2009, a national daily reported that 267 nursing schools are expected to open in the next two years to reduce the shortage of five lakh nurses in India, according to the government.  The Health Ministry hopes 22,000 new nurses will enter the profession annually.  The numbers show India lacks 1 lakh auxiliary nurse midwives and 4 lakh general nurse midwives. “With healthcare growing on a regular basis, there is huge gap in the number of nurses available, nursing is an ideal profession for people with a passion,” stated Dr. Dinesh Batra, CEO, Primus Super Speciality Hospital, New Delhi. 

A nursing career
Your duties and responsibilities as a nurse would have a broad range.  You would have to dispense medication, keep complete records of each patient’s progress, set up and operate medical equipment along with administration and routine duties. As you gain seniority, you would need to manage people functioning in areas like the psychiatric, paediatric and intensive care units. 


Nurses are professionals you will find in all areas of a hospital from surgery to maternity to emergency to rehabilitative care.  Hospitals are the largest area in which nurses generally function.  Public health nursing/community health nursing is another option. You could be employed in government, private clinics and health departments functioning in both urban and rural areas, to provide basic medical services to a specified population.  Embassies, reputed companies and schools have openings for qualified nurses.

Part of your job as a nurse would include health education to individuals, families and other groups.  Also, you would need to instruct on nutrition, child care as well as disease prevention. Nursing is multi-faceted. You can become an educator, researcher or practitioner.  In each, you have another set of choices available like geriatrics, women, children and accident survivor care.

An insider’s viewpoint
A nursing career is not easy, it is a mentally and physically demanding field.  “You can never be jobless, always keep a positive attitude and your human values intact,” advises Saravjeet Kaur, Director, Nursing, Pan Max.  Nurses are exposed to health risks such as infectious diseases while caring for their patients.  Waste management in terms of disposal of syringes, wearing gloves and masks need to be followed strictly.  “Nurses are the first to receive public backlash when patients die in the hospital and emotions of relatives runs high,” warns Batra.  Long hours of work are part of the parcel, you need to be service oriented, willing to work extra hours and put in night shifts.  In order to excel as a nurse, develop loads of patience, courage and a smile that comes automatically.

Options for studying nursing
A student has various options available to enter the nursing profession. You can pursue a diploma, graduate or postgraduate course in nursing.  You can also opt for midwifery courses though some nursing courses include this as part of the programme (see Table 1 and 2 for institutions in India and in the US).

DSC_0084Auxiliary programme
ANM is Auxiliary Nurse Midwife/Health worker course, eligibility is having completed Class 10 and the duration is for 18 months.  You would be provided with training of health-related issues usually related to people living in rural areas, the focus is largely on children, mothers and old people.

General nursing programme
A large majority of Indian students opt for this option in terms of study.  Popularly known as GNM, the General Nursing & Midwifery programme is for 3  years, eligibility is again 10+2 with Biology, Physics and Chemistry as subjects.  This course prepares general nurses, you would function as a part of the health team in first-level positions in hospitals and other places requiring your special skills.

Bachelor programme
You can opt for a BSc in Nursing. In order to be eligible, you need to have completed 10+2 in Science with Biology, Physics and Chemistry as subjects.  The duration of the course depends on the institute but is typically for 4 years.  As a student, you would receive training in theory as well as practical aspects of nursing.  The course will provide you with basic knowledge about nursing, first-aid and midwifery as well. 

Select categories of female candidates can opt for a four-year BSc (Nursing) or a three year probationary nursing course conducted at various armed forces hospitals all over India. Candidates pursuing these courses would require to sign a bond to serve in the Military Nursing Services (MNS) for five and four years respectively. All candidates are given free ration, furnished accommodation, uniform allowance and monthly stipend during training. A BSc (Nursing) degree course is available at the Armed Forces Medical College in Pune.


The National Institute of Mental Health and Neurological Sciences (NIMHANS), based in Bangalore, offers specialisation in psychiatric nursing and neurosurgical nursing. Remember, to grow in the sector a higher the degree and participation in continuous programmes throughout is ideal for your career. “While working with the sick, always remember money and your own needs are secondary, the patient comes first,” said Anitha Sreedharan, Sister-in-charge, Primus.

Higher programmes
You can study further by opting for an MSc in Nursing, the duration is for 2 years.  Some continue to do an MPhil or PhD but it is still not a very common phenomenon in India.  Doing post basic speciality diploma courses is more common along with continuing programmes.

Getting a degree
Each state has its own organisation and registration norms, be aware and do the required research.  In India, the regulatory body for nursing is the Indian Nursing Council.  To be able to practice, you need to be registered with the Council by undergoing and passing courses decided by the council.  Keep this in mind before you choose your course and institution for study, the theoretical and practical aspects of nursing should have an equal balance, advises Kaur.

As part of training to be a nurse, you would spend time in all departments in the hospital.  This hands-on experience, helps you decide the kind of work you would like to do and what you would like to avoid when you become a registered nurse.  You can make informed decisions when opting for your area of expertise or specialisation based on hands-on experience.  “In OT and ICU, nurses should have the mental ability to correlate the whole body while the focus is on a part of the body, physical co-ordination and multi-tasking,” reveals Batra.

Pay packages in a nutshell
Going abroad and government jobs are most sought out options, especially by the younger generation of nurses.  Salaries are dependent on various factors, the level of nursing education you have pursued, area of expertise, work location and years of experience. Employment opportunities vary, ranging from hospitals, nursing homes, clinics, health departments, old age homes, orphanages, schools, railways, institutes, public sector medical department, research and also the services like the army, navy and air force. 

Nurses employed in government hospitals get a monthly salary that is higher than a private hospital in India. “With the 6th Pay Commission revision, a nurse with no work experience would receive a starting salary of Rs. 32,000 plus free accommodation and medical benefits,” shares Kaur.  A nurse joining a private hospital can expect approximately Rs. 10,000 to Rs. 12,000 to begin with but as you prove your calibre, the growth in the private sector increases. 

Salary packages abroad are substantially higher, sending a lot of our nurse force towards greener pastures.  In addition to salaries, nurses can expect packages to include health insurance, holiday pay, pension plans, annual vacation and other benefits.  In the US, nurses receive $2,000 to $10,000 as signing bonus.  Registered nurses with one year of experience get $17 per hour plus premium $2 per hour for evening shifts and $3 for night shifts in the US. However, before you sign a contract abroad ensure you are covered for malpractice and other legal issues.  

Becoming a good nurse
As a nurse, you need to be patient, responsible and dedicated. Your job would require you to be alert and aware all the time, team spirit is a given along with genuine compassion and tactful behaviour.  You should be physically fit, you are usually on your feet for hours at a time.  Develop the ability to serve the needs of each patient equally, balancing is part of your job (See Box First Person).

A nurse, wanting to specialise as a paediatric nurse should focus on studying paediatrics in detail along with developmental changes that occur in various age groups from prenatal to adolescence.  “Nursing is one profession where learning never ends, it goes on constantly,” states Celin Mohan, Nursing-in-charge, at Primus.

Listing of select schools for BSc/ MSc, recognised by Indian Nursing Council
Institution
Location
BSc seats
MSc seats
Government College of Nursing
Hyderabad, AP
60
30
Guwahati, Assam
60
25
Chandigarh
60
20
New Delhi
50
14
College of Nursing
Ahmedabad, Gujarat
60
25
Ambala, Haryana
100
30
BGS College of Nursing
Mysore, Karnataka
60
10
City College of Nursing
Mangalore, Karnataka
60
15
Belgaum, Karnataka
100
12
Kochi, Kerala
50
20
Government College of Nursing
Kozhikode, Kerala
 
30
Gwalior, Madhya Pradesh
60
20
College of Nursing
Indore, Madhya Pradesh
50
10
Pune, Maharashtra
50
8
Mumbai, Maharashtra
30
20
Government College of Nursing
Ganjam dist, Orissa
 
10
Pillaiyarkuppam,
Pondicherry
100
25
Ludhiana, Punjab
60
25
Government College of Nursing
Jaipur, Rajasthan
26
25
KG College of Nursing
Coimbatore, Tamilnadu
100
25
Dehradun, Uttarkhand
60
13
Kolkata, Bengal
50
27

Nursing_2
“It is pertinent that you keep the identity of your patients and their personal information regarding their illness confidential, that is the toughest part to ensure as a student. You have to actively guard yourself from discussing your patients in any way with anyone else that can reveal their identity,” expressed Naghma Abidi, a student of nursing in the US.

New roads for nurses
Trauma nursing would be an upcoming field in India, it has already risen abroad.  It requires knowledge and skills in terms of critical care, emergency care, medical-surgical nursing, psychiatry and also obstetrics and pediatrics on occasion.  Travel Nursing jobs is also an area that can be explored.  It would provide you with the opportunity to work with different people in different cultures on a global platform.  You could decide where you want to work by finding a travel nursing company that can help you get placement as well.

 


Some top Nursing Schools in the US
Institution
Website
University of California
University of Washington
University of North Carolina
University of Illinois
University of Pennsylvania
University of Pittsburg
University of Texas
John Hopkins University
Yale University  
University of Michigan

 

Nursing profession summed up
‘1 is to 1’ or ‘1 is to 3’ is commonly heard as part of conversation between nurses and doctors.  Don’t be surprised, it is just the talk about the nurse to patient ratio, largely dependent on the seriousness of the patient.  Being aware of any change in sound of machines is part of the nurse’s world, largely depending on the kind of equipment attached to your patient.  Whether it is a two-year-old patient who has just undergone heart surgery in ICU or a fifty-year-old suffering from head injury after a hit-and-run accident, nurses remain professionally calm and collected.   
It is part of their job to provide help to all patients and deal with crisis situations. Nurses are on their toes, ready for any eventuality that occurs along with the normal routine of work.  Awareness of diseases and treatment has increased in the public arena, expectation levels are high and nurses play a large part in effective delivery of healthcare. Enter nursing only if you can deliver genuine care to all and keep a smile on your face while fulfilling your duties!  

Student Speak

Syeda
Syeda Naghma Abidi,
Oakland Community College, USA

Q. Why did you opt for nursing?
A. Nursing is my second career choice; I already have a Master’s degree in education. There were few job opportunities available there so I moved to nursing. A counsellor helped chart out my time-line, what courses needed to be completed as prerequisites to apply to the nursing programme. The beauty of the American system is that you can pursue the career of your interest at any age. I chose Oakland Community College.  It was the cheapest, rigorous programme available that prepares its nurses well.

Q. Tell us about your nursing programme.
A. It’s a 2- year intensive programme. After the first 15 weeks, we have a semester of 7.5 weeks. In the first year, we cover OB/GYN, medical surgical 1 and psyche rotation. In the second year, we have two med surgical rotations and paediatrics. Everyone covers their clinical simultaneous to the theory that they are taking. One day comprises of theory and two days of clinical experience, duration of 8 hours each. We cover 15 weeks worth of subject matter in 7.5 weeks with a test every two weeks.

Q. Can you give a sense of what studying nursing entails?
A.Once you are in, you need to breathe and live nursing. Within the first couple of weeks you clear your basic skills test of taking vital signs, ready to get hands on experience on the floor. I began with the older population. You are assigned to work in a hospital for two days for 8 hours. Very importantly, you learn to work as a team on the floor.


Expert Speak

 

LTCOl
Lt Col Saravjeet Kaur
Director, Nursing, Pan Max. 32 years in the nursing profession

Q. What is your advice to nursing students?
A.
Nurses need to take care of their own health, many miss meals and don’t even stop to have a glass of water during their duty hours.  Don’t do that, you can provide the best to your patients when you are healthy and fit. When your patient goes home happily, this is your Diwali, this is your Christmas.

Q. What should new nurses keep in mind?
A.
You need to be open to learning everyday and be aware of legal issues, registration and certification. Just remember, if you can’t do right, don’t do anything wrong as part of your job either.  Give respect to all your patients and follow basic etiquette such as saying sorry and thank you.  Also, be part of the Trained Nurses Association of India.

Q. What is the nursing scenario today?
A.
Practical knowledge is lacking in nurses today, it is important that the curriculum being offered gives nursing students the right blend of theory and practical training.

Q. Has the outlook towards nurses changed over the years?
 A.
Patients have become more demanding, which has both positive and negative aspects. Nurses do not have to be submissive. But remember the rules of discipline and protocol, but your focal point is your patient and doctors can be wrong too. If you feel that the medication dose is wrong, say so and do not keep it to yourself. You have received training ,so just follow your instincts.

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In a career as a vlogger, one generally works for himself or herself. However, once an individual has gained viewership there are several brands and companies that approach them for paid collaboration. It is one of those fields where an individual can earn well while following his or her passion. 

Ever since internet costs got reduced the viewership for these types of content has increased on a large scale. Therefore, a career as a vlogger has a lot to offer. If you want to know more about the Vlogger eligibility, roles and responsibilities then continue reading the article. 

3 Jobs Available
Publisher

For publishing books, newspapers, magazines and digital material, editorial and commercial strategies are set by publishers. Individuals in publishing career paths make choices about the markets their businesses will reach and the type of content that their audience will be served. Individuals in book publisher careers collaborate with editorial staff, designers, authors, and freelance contributors who develop and manage the creation of content.

3 Jobs Available
Journalist

Careers in journalism are filled with excitement as well as responsibilities. One cannot afford to miss out on the details. As it is the small details that provide insights into a story. Depending on those insights a journalist goes about writing a news article. A journalism career can be stressful at times but if you are someone who is passionate about it then it is the right choice for you. If you want to know more about the media field and journalist career then continue reading this article.

3 Jobs Available
Editor

Individuals in the editor career path is an unsung hero of the news industry who polishes the language of the news stories provided by stringers, reporters, copywriters and content writers and also news agencies. Individuals who opt for a career as an editor make it more persuasive, concise and clear for readers. In this article, we will discuss the details of the editor's career path such as how to become an editor in India, editor salary in India and editor skills and qualities.

3 Jobs Available
Reporter

Individuals who opt for a career as a reporter may often be at work on national holidays and festivities. He or she pitches various story ideas and covers news stories in risky situations. Students can pursue a BMC (Bachelor of Mass Communication), B.M.M. (Bachelor of Mass Media), or MAJMC (MA in Journalism and Mass Communication) to become a reporter. While we sit at home reporters travel to locations to collect information that carries a news value.  

2 Jobs Available
Corporate Executive

Are you searching for a Corporate Executive job description? A Corporate Executive role comes with administrative duties. He or she provides support to the leadership of the organisation. A Corporate Executive fulfils the business purpose and ensures its financial stability. In this article, we are going to discuss how to become corporate executive.

2 Jobs Available
Multimedia Specialist

A multimedia specialist is a media professional who creates, audio, videos, graphic image files, computer animations for multimedia applications. He or she is responsible for planning, producing, and maintaining websites and applications. 

2 Jobs Available
Welding Engineer

Welding Engineer Job Description: A Welding Engineer work involves managing welding projects and supervising welding teams. He or she is responsible for reviewing welding procedures, processes and documentation. A career as Welding Engineer involves conducting failure analyses and causes on welding issues. 

5 Jobs Available
QA Manager
4 Jobs Available
Quality Controller

A quality controller plays a crucial role in an organisation. He or she is responsible for performing quality checks on manufactured products. He or she identifies the defects in a product and rejects the product. 

A quality controller records detailed information about products with defects and sends it to the supervisor or plant manager to take necessary actions to improve the production process.

3 Jobs Available
Production Manager
3 Jobs Available
Product Manager

A Product Manager is a professional responsible for product planning and marketing. He or she manages the product throughout the Product Life Cycle, gathering and prioritising the product. A product manager job description includes defining the product vision and working closely with team members of other departments to deliver winning products.  

3 Jobs Available
QA Lead

A QA Lead is in charge of the QA Team. The role of QA Lead comes with the responsibility of assessing services and products in order to determine that he or she meets the quality standards. He or she develops, implements and manages test plans. 

2 Jobs Available
Structural Engineer

A Structural Engineer designs buildings, bridges, and other related structures. He or she analyzes the structures and makes sure the structures are strong enough to be used by the people. A career as a Structural Engineer requires working in the construction process. It comes under the civil engineering discipline. A Structure Engineer creates structural models with the help of computer-aided design software. 

2 Jobs Available
Process Development Engineer

The Process Development Engineers design, implement, manufacture, mine, and other production systems using technical knowledge and expertise in the industry. They use computer modeling software to test technologies and machinery. An individual who is opting career as Process Development Engineer is responsible for developing cost-effective and efficient processes. They also monitor the production process and ensure it functions smoothly and efficiently.

2 Jobs Available
QA Manager
4 Jobs Available
AWS Solution Architect

An AWS Solution Architect is someone who specializes in developing and implementing cloud computing systems. He or she has a good understanding of the various aspects of cloud computing and can confidently deploy and manage their systems. He or she troubleshoots the issues and evaluates the risk from the third party. 

4 Jobs Available
Azure Administrator

An Azure Administrator is a professional responsible for implementing, monitoring, and maintaining Azure Solutions. He or she manages cloud infrastructure service instances and various cloud servers as well as sets up public and private cloud systems. 

4 Jobs Available
Computer Programmer

Careers in computer programming primarily refer to the systematic act of writing code and moreover include wider computer science areas. The word 'programmer' or 'coder' has entered into practice with the growing number of newly self-taught tech enthusiasts. Computer programming careers involve the use of designs created by software developers and engineers and transforming them into commands that can be implemented by computers. These commands result in regular usage of social media sites, word-processing applications and browsers.

3 Jobs Available
Product Manager

A Product Manager is a professional responsible for product planning and marketing. He or she manages the product throughout the Product Life Cycle, gathering and prioritising the product. A product manager job description includes defining the product vision and working closely with team members of other departments to deliver winning products.  

3 Jobs Available
Information Security Manager

Individuals in the information security manager career path involves in overseeing and controlling all aspects of computer security. The IT security manager job description includes planning and carrying out security measures to protect the business data and information from corruption, theft, unauthorised access, and deliberate attack 

3 Jobs Available
ITSM Manager
3 Jobs Available
Automation Test Engineer

An Automation Test Engineer job involves executing automated test scripts. He or she identifies the project’s problems and troubleshoots them. The role involves documenting the defect using management tools. He or she works with the application team in order to resolve any issues arising during the testing process. 

2 Jobs Available
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