A NURSE IS A….. Patient care consultant Educator Manager Recruiter Therapist Researcher Administrator Case manager The list goes on… A simple definition FIVE RIGHTS THE RIGHT PATIENT, AT THE RIGHT TIME, IN THE RIGHT SETTING, RECEING THE RIGHT CARE AT THE RIGHTTIME IN THE RIGHTCOST. Quality assurance “Quality assurance as the monitoring of the activities of client care to determine the degree of excellence attained to the implementation of the activities”. (Bull, 1985) Quality assurance is the defining of nursing practice through well written nursing standards and the use of those standards as a basis for evaluation on improvement of client care (Maker 1998). QA in nursing comprise of set of related elements such as planning for quality, development of objectives setting and actively communicating standards, developing indicators, setting thresholds, collecting data to monitor compliance with set standards for nursing practice and applying solutions to improve care UALITY ASSURANCE PROCESS: Establishment of standards or criteria Identify the information relevant to criteria Determine ways to collect information Collect and analyze the information Compare collected information with established criteria Make a judgment about quality Provide information and if necessary, take corrective action regarding findings of appropriate sources Determine ways to communicate the information 1) Credentialing: 2) Licensure: 3) Accreditation: 3)CERTIFICATION 1) Credentialing It is the formal recognition of professional or technical competence and attainment of minimum standards by a person or agency. According to Hinsvark (1981) credentialing process has four functional components a) To produce a quality product b) To confer a unique identity c) To protect provider and public d) To control the profession. 2) Licensure Individual licensure is a contract between the profession and the state, in which the profession is granted control over entry into and exists from the profession and over quality of professional practice. The licensing process requires that regulations be written to define the scopes and limits of the professional’s practice. 3) Accreditation: The indian nursing council has established standards for inspecting nursing education’s programs in india(NLN-US). In the part the accreditation process primarily evaluated on agency’s physical structure, organizational structure and personal qualification 4. Certification Certification is usually a voluntary process with in the profession. A person’s educational achievements, experience and performance on examination are used to determine the person’s qualifications for functioning in an identified specialty area. A nursing care standard is a descriptive statement of desired quality against which to evaluate nursing care. It is guideline. A guideline is a recommended path to safe conduct, an aid to professional performance.