Within the next five years, half of private and most government hospitals in India will close due to an acute shortage of nurses. India is currently short 2.4 million nurses, and the number has declined in recent years as admissions to nursing colleges have dropped by half. Many nursing colleges are shutting down as demand for nurses increases in other countries like West Asia, Asia, Africa, the US, and Europe. The nursing profession in India lacks career progression, as nurses are not legally allowed to perform tasks without doctor supervision, even for simple procedures. This is causing nurses to seek opportunities abroad where they have more independence and higher salaries. The shortage of nurses and doctors is the real problem underlying issues like Delhi's dengue crisis, not just

1. Who's Killing Off Our
Nurses?
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2. Contd..
Delhi's dengue deaths have created a furore, highlighting the shortage of critical
care beds in government and private hospitals. Within the next five years, half of
private -and most of government -hospitals in India will close down due to acute
shortage of nurses. Without the prescribed number of nurses, hospitals cannot
legally function. India is short of 2.4 million nurses. In 2009, India had 1.65 million
nurses. The number has now dwindled to 1.56 million.
Admissions to nursing colleges have come down by nearly half across the country .
Half of south Indian nursing colleges are in the process of shutting down. The
demand for nurses in West Asia, Asia and Africa has increased tremendously . Soon,
the gates are going to open to the US and Europe, which faces severe nursing
shortage.
We can predict what the government's reaction will be. The health minister will
announce a Cabinet decision to prevent nurses from leaving the country . Bullying
nurses will result in the closure of the remaining half of the nursing colleges.
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3. Contd..
So why has the nursing profession lost its charm? It's simply because this profession has no
career progression in India. Ours is the only country where a nurse who has worked in the
ICU for 20 years is legally not allowed to prescribe simple painkillers or give an injection
without the presence of a doctor. Even in litigation-happy US, 67% of anaesthesia is given
by nurses, not doctors.
Nurses have absolutely no future in India. But how important are the nurses for healthcare
delivery?
The time spent by a doctor in a hospital is less than 1% of the time the patient spends in
the hospital. Especially in critical-care areas, nurses are the ones who manage the critically-
ill patient on a ventilator. A medical intensivist supervises the patient and plans the
treatment strategy .Nurses carry out the instructions standing on their feet day and night.
It was the British ICU nurses of the National Health Service hospitals who taught me how
to manage a patient in the ICU. Our nurses could have taught future cardiac surgeons how
to manage a patient in the ICU, the same way I learnt from British ICU nurses of the
National Health Service. Unfortunately , we have reduced them to the level of a pair of
hands to give sponge baths.
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4. Contd..
Nurse practitioners can address vacancies and absenteeism at our 25,000
primary health centres preventing hapless villagers getting wrongly treated
and cheated by quacks.
Health ministry and the Indian Nursing Council should work together and
create specialty courses in nursing. After receiving adequate training and
certification, nurses should be legally empowered to perform the tasks in
specialty fields like nurse practitioners and nurse anaesthetists. Legally
empowered and trained nurses will attract significantly higher salaries,
similar to their earnings in West Asian countries.
Two children dying in Delhi due to dengue has projected the `shortage of
beds' as the primary problem.The truth is, it is not a shortage of beds but a
shortage of doctors and critical-care nurses that has created the crisis. This is
the only reason why private hospitals are not increasing the number of
critical-care beds, especially for children.
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5. Contd..
Children are not miniature versions of adults. Even cities like Delhi will not have
more than a hundred paediatric intensivists. It will have an extremely small number
of paediatric critical-care nurses. The difference in nursing care of a child on a
ventilator compared to standard nursing in the ward is like the difference between
riding a cycle and flying an F-16 fighter plane.
The attrition rate of nurses in a typical Delhi hospital is to the tune of 75%. Patients
should be scared and governments should be worried about patients' safety in an
environment where 75% of the nurses are new recruits with very little experience.
All that the government needs to decide on is to: Equalise undergraduate (UG) and
postgraduate (PG) seats in medical education. India has 56,000 UG seats in medical
colleges and only 14,500 PG seats in clinical subjects. Compare that with the US,
which has 21,000 UG seats and nearly 38,000 PG seats.
Create specialty courses for nurse practitioners, nurse an aesthetists and nurse
intensivists and provide avenues for career progression.
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6. Contd..
We can build and equip a 300-bed hospital in six months. But it takes at
least eight years to train a nurse to manage a child on the ventilator.
What Indian healthcare needs is not FDI, or increased budgetary
allocation. All it requires is change in the policy of medical nursing and
paramedical education.
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7. This platform has been started by Parveen Kumar Chadha with
the vision that nobody should suffer the way he has suffered
because of lack and improper healthcare facilities in India. We
need lots of funds manpower etc. to make this vision a reality
please contact us. Join us as a member for a noble cause.
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8. Our views have increased
the mark of the 1,97,000
 Thank you viewers
 Looking forward for franchise, collaboration,
partners.
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9. Contact us:- 011-25464531, 9818569476
E-mail:- nursingcrusade@gmail.com
We are also available on
Justdial New Delhi.
Nursing Crusade Earlier Known as
Nursing Hi Nursing
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