NURSING STANDARD
Definitionof
Standard
It can be defined as a
benchmark of achievement,
which is based on desired level
of excellence. As such
standards become model to be
initiated and may serve, in
turn, as basis of comparisons.
The Oxford Dictionary,1964
Definitionof
Nursing
Standard
Nursing practice standard are
descriptive statements that affect
the nature of current nursing
practice, current knowledge and
current quality of nursing care. As
such they are a means of
establishing accountability of
nursing care rendered by the
professional Nurse.
Importanceof
Standards
 Form the fundamental building blocks
 Influence and transform the way we live,
work and communicate.
 Assurance that the highest quality of care
will be provided to all patient in all health
care settings.
 Established criteria for the practice of
nursing.
Purpose of
Standards
Give direction and provide
guidelines for performance of
nursing staff.
Provide a base for evaluating
quality of nursing care, ranging
from excellent care of usage care.
Help supervisor to guide nursing
staff to improve performance
Help to improve quality of nursing
care increases effectiveness of care
and improve efficiency.
Help to improve documentation and
records of care.
Help in determine the degree of
standards
Cont..
 Helps to improve basis for decision
making and desire alternative system for
delivering nursing care.
 Justify demands or resource association.
 Helps to clarify nurses area of
accountability.
 Help nurses to define clearly different
level of care.
Characteristics
ofstandard
 Statements must be broad enough to
apply to a wide variety of settings.
 Must be realistic, acceptable and
attainable.
 Standards of nursing care must be
developed by member of nursing
profession.
 It must express what is desirable
Cont….
 Should be phased in positive terms and
indicated , acceptable performance that
in good excellent etc.
 It must be understand and stated in
unambiguous terms.
 It is based on the current knowledge on
scientific practice.
 Review and revised periodically.
Sources
 The standard can be established,
developed, reviewed or enforced by variety
of sources as follow.
 Professional organization .e.g TNAI.
 Licensing bodies e.g INC, MCI, DCI etc.
 Institution/health care agencies e.g.
University hospital, health centres.
 Department of institution- e.g. specific
patient unit.
 Govt. unit at national, state & local units.
Classificationof
standards.
 Normatic standard
 Empirical standard
 End standard
 Mean standard
 Structure standard
 Process standard
 Outcome standard
Standardandpractice
developedby–
internationalcouncil
ofnurses,1949
 The ICN act is the only national
legislation directly related to nursing
practice.
 The right to refuse to treat the patient
except in an emergency situation.
 The right to issue for fees.
 The right to add a little or description to
one name
 Unregistered practitioner.
Fundamental
Duties
 To exercise a reasonable degree of skill
and knowledge in treating patient.
 Owns a relationship to a patient has been
established
 A practitioner must give personal attention
to his case and answer calls
 Children must be protected from harming
themselves.
Cont…
 Special precautions must be taken in case
of adults who are incapable to take care of
themselves.
 Dangerous diseases must be reported.
Standardby INC
 The council has in the framework for Post-
Registration nursing practice education
(May 2001) provides the framework on
which particular competencies for a
defined specially area.
 It defined as specially nursing practice is
the exercise of higher.
 Improving the quality of professional
service.
 Must use standards to evaluate their
practice.
Standardby the
SNC
 The state government control nursing
practice through the state nurse’s
registration act.
 The TNMC ( Tamil Nadu Nurses &
Midwives Council) have act that prevent
registration or justify removal from the
register for the following offenses:-
1. Conviction for a Nonbailable offense.
2. Being found guilty.
3. Possessing defect in character.
Cont….
 UNETHICAL PRACTICES PROHIBITED
THE TNMC ARE:
1. The dishonest use of certificates
2. Procuring registration by false means.
3. Falsification of the register.
4. Representation of the registration by an
unrecognized person.
5. A fine is the usual penalty imposed for
disobeying the law stated by TNC.
CONT…
 INFECTION CONTROL: STANDARD
SAFETY MEASURES
1. SICP ( Standard infection control
precaution) are designed to prevent
cross transmission from recognized and
unrecognized sources of infection.
2. Every hospital have infection control
unit which will be handled by an
infection control team who will observe
the standard precautions followed by
each staff members.
Cont…
 RESPONSIBILITY OF WORKERS REGARDING
STANDARD INFECTION CONTROL PRECAUTIONS
1. All staff providing direct care in a healthcare
setting must apply principles of SCIPS.
2. All staff has responsibility to encourage patient/
relative/ residents, carers and other staff to
comply with the principles of standard infection
control precaution.
3. Reports to nurse in charge about the deficit
knowledge and other factors related to SCIP.That
may resulted to cross contamination.
 Not provide direct patient care while
infectious as this could cause harm.
 Consider the elements of SCIP such as
hand hygiene as an objective within staff
continuing professional development
ensuring continuous updating of
knowledge skill.
 Be aware of national and local policies,
procedure and campaigns.
Standard
Precautions
 They are based on the concepts that all Blood, Urine,
Faeces, Vomiting, Excreta, Saliva, Sputum secretion from
No-intact skin, wounds and mucous membrane should be
treated as potentially infectious.
 Everyone should take appropriate protective measure
when coming into contact with them.These include:-
Hand hygiene
Respiratory hygiene and cough manners
Use of PPE
Proper cleansing and disinfection.
Prevention of sharp injury.
Waste management.
Isolation of infected patients
Barrier nursing
Specific
protectionof
thestaffinclude:
 Immunization
 Periodical health examination of the employee.

NURSING STANDARD FOR NURSING MANAGEMENT FOR NURSING STUDENT

  • 1.
  • 2.
    Definitionof Standard It can bedefined as a benchmark of achievement, which is based on desired level of excellence. As such standards become model to be initiated and may serve, in turn, as basis of comparisons. The Oxford Dictionary,1964
  • 3.
    Definitionof Nursing Standard Nursing practice standardare descriptive statements that affect the nature of current nursing practice, current knowledge and current quality of nursing care. As such they are a means of establishing accountability of nursing care rendered by the professional Nurse.
  • 4.
    Importanceof Standards  Form thefundamental building blocks  Influence and transform the way we live, work and communicate.  Assurance that the highest quality of care will be provided to all patient in all health care settings.  Established criteria for the practice of nursing.
  • 5.
    Purpose of Standards Give directionand provide guidelines for performance of nursing staff. Provide a base for evaluating quality of nursing care, ranging from excellent care of usage care. Help supervisor to guide nursing staff to improve performance
  • 6.
    Help to improvequality of nursing care increases effectiveness of care and improve efficiency. Help to improve documentation and records of care. Help in determine the degree of standards
  • 7.
    Cont..  Helps toimprove basis for decision making and desire alternative system for delivering nursing care.  Justify demands or resource association.  Helps to clarify nurses area of accountability.  Help nurses to define clearly different level of care.
  • 8.
    Characteristics ofstandard  Statements mustbe broad enough to apply to a wide variety of settings.  Must be realistic, acceptable and attainable.  Standards of nursing care must be developed by member of nursing profession.  It must express what is desirable
  • 9.
    Cont….  Should bephased in positive terms and indicated , acceptable performance that in good excellent etc.  It must be understand and stated in unambiguous terms.  It is based on the current knowledge on scientific practice.  Review and revised periodically.
  • 10.
    Sources  The standardcan be established, developed, reviewed or enforced by variety of sources as follow.  Professional organization .e.g TNAI.  Licensing bodies e.g INC, MCI, DCI etc.  Institution/health care agencies e.g. University hospital, health centres.  Department of institution- e.g. specific patient unit.  Govt. unit at national, state & local units.
  • 11.
    Classificationof standards.  Normatic standard Empirical standard  End standard  Mean standard  Structure standard  Process standard  Outcome standard
  • 12.
    Standardandpractice developedby– internationalcouncil ofnurses,1949  The ICNact is the only national legislation directly related to nursing practice.  The right to refuse to treat the patient except in an emergency situation.  The right to issue for fees.  The right to add a little or description to one name  Unregistered practitioner.
  • 13.
    Fundamental Duties  To exercisea reasonable degree of skill and knowledge in treating patient.  Owns a relationship to a patient has been established  A practitioner must give personal attention to his case and answer calls  Children must be protected from harming themselves.
  • 14.
    Cont…  Special precautionsmust be taken in case of adults who are incapable to take care of themselves.  Dangerous diseases must be reported.
  • 15.
    Standardby INC  Thecouncil has in the framework for Post- Registration nursing practice education (May 2001) provides the framework on which particular competencies for a defined specially area.  It defined as specially nursing practice is the exercise of higher.  Improving the quality of professional service.  Must use standards to evaluate their practice.
  • 16.
    Standardby the SNC  Thestate government control nursing practice through the state nurse’s registration act.  The TNMC ( Tamil Nadu Nurses & Midwives Council) have act that prevent registration or justify removal from the register for the following offenses:- 1. Conviction for a Nonbailable offense. 2. Being found guilty. 3. Possessing defect in character.
  • 17.
    Cont….  UNETHICAL PRACTICESPROHIBITED THE TNMC ARE: 1. The dishonest use of certificates 2. Procuring registration by false means. 3. Falsification of the register. 4. Representation of the registration by an unrecognized person. 5. A fine is the usual penalty imposed for disobeying the law stated by TNC.
  • 18.
    CONT…  INFECTION CONTROL:STANDARD SAFETY MEASURES 1. SICP ( Standard infection control precaution) are designed to prevent cross transmission from recognized and unrecognized sources of infection. 2. Every hospital have infection control unit which will be handled by an infection control team who will observe the standard precautions followed by each staff members.
  • 19.
    Cont…  RESPONSIBILITY OFWORKERS REGARDING STANDARD INFECTION CONTROL PRECAUTIONS 1. All staff providing direct care in a healthcare setting must apply principles of SCIPS. 2. All staff has responsibility to encourage patient/ relative/ residents, carers and other staff to comply with the principles of standard infection control precaution. 3. Reports to nurse in charge about the deficit knowledge and other factors related to SCIP.That may resulted to cross contamination.
  • 20.
     Not providedirect patient care while infectious as this could cause harm.  Consider the elements of SCIP such as hand hygiene as an objective within staff continuing professional development ensuring continuous updating of knowledge skill.  Be aware of national and local policies, procedure and campaigns.
  • 21.
    Standard Precautions  They arebased on the concepts that all Blood, Urine, Faeces, Vomiting, Excreta, Saliva, Sputum secretion from No-intact skin, wounds and mucous membrane should be treated as potentially infectious.  Everyone should take appropriate protective measure when coming into contact with them.These include:- Hand hygiene Respiratory hygiene and cough manners Use of PPE Proper cleansing and disinfection. Prevention of sharp injury. Waste management. Isolation of infected patients Barrier nursing
  • 22.