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Indian Nursing Council (Nurse Practitioner in Critical Care Post Graduate Residency Program - Corrigendum), Regulations, 2021
Published vide Notification No. F. No. 11-1/2019-INC, dated 23.12.2021
Last Updated 22nd February, 2022 [act4007]
ii. These Regulations shall come into force from the date, the same is notified in the Gazette of India. In the Gazette Notification No. 351 dated 20th September, 2016, the following changes are further effected:-
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V. 1. a. & b. |
1. Essentiality Certificate a. If any institution opting to start NP program already has BSc (N) or MSc (N) program recognized by INC, it will be exempted from NOC (No Objection Certificate)/ Essentiality Certificate for NP in critical care post graduate residency program from State Government b. If the institution is having any University education program of training nurses and doctors or if they have DNB program, NOC will not be required to start NP program |
1. Essentiality Certificate a. Any institution who wishes to start NP program shall obtain Essentiality Certificate/Government Order from State. b. The following institutions are exempted from obtaining Essentiality Certificate.
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V. 5. a. |
5. Faculty/Staff resources a. Clinical area: Full time qualified GNM with 6 years of experience in critical care nursing or BSc with 2 years experience in critical care nursing or MSc (Specialty-Medical Surgical Nursing/ Pediatric Nursing/ Obstetrics & Gynaecology Nursing) with one year critical care nursing experience (One faculty for every 10 students) |
5. Faculty/ Staff resources a. Clinical area: Nursing Preceptor: Full time qualified GNM with 6 years of experience in critical care nursing or B.Sc. (Nursing) with 2 years' experience in critical care nursing or M.Sc. in Medical Surgical Nursing/Pediatric Nursing/Obstetrics & Gynaecology Nursing Specialty with one year critical care nursing experience. Medical Preceptor: Medical PG/Intensivist Preceptor student ratio: Nursing 1:10, Medical 1:10 (Every student must have a medical and nursing preceptor). |
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V. 5. b. |
b. Teaching faculty: Professor/Associate professor- 1 (Teaching experience- 5 years post PG), Assistant professor- 1 (Teaching experience - 3 years post BSc) |
b. Teaching faculty: Professor/Associate Professor - 1 (Teaching experience: 5 years post PG) - M.Sc. in Medical Surgical Nursing/Pediatric Nursing/ Obstetrics & Gynaecology Nursing Specialty (One faculty for every 10 students). Assistant Professor - 1 (Teaching experience: 3 years post B.Sc.). |
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V. 5. d. |
d. Guest lecturers: for pharmacology |
d. Guest lecturers: for pharmacology, pathophysiology, critical care medicine. |
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V. 8. a to d |
8. Student Recruitment/Admission Requirements a. Applicants must possess a registered B.Sc nurse with a minimum of one year clinical experience, preferably in any critical care setting prior to enrollment. b. Must have undergone the BSc in an institution recognized by the Indian Nursing Council. c. Must have scored not less than 55% aggregate marks in the BSc program d. Selection must be based on the merit of an entrance examination and interview held by the competent authority Number of candidates: 1 candidate for 4-5 ICU beds, Salary: 1. In-service candidates will get regular salary. 2. Salary for the other candidates as per the salary structure of the hospital where the course is conducted. |
8. Student Recruitment/Admission Requirements: a. Applicants must possess a registered B.Sc./ P.B.B.Sc. nurse with a minimum of one year clinical experience, preferably in any critical care setting prior to enrollment. b. Must have undergone the B.Sc. (Nursing) in an institution found suitable by the Indian Nursing Council and have been registered in any State Nursing Council. c. Must have scored not less than 55% aggregate marks in the B.Sc. Program. d. Selection must be based on the merit of an entrance examination and interview held by the competent authority. e. Must be physically fit. Number of candidates: 1 candidate for 4-5 ICU beds. Salary: 1. In-service candidates will get regular salary. 2. Stipend/Salary for the other candidates as per the salary structure of the hospital where the course is conducted. |
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VI. |
Examination Regulations Eligibility for appearing for the examination Attendance: Theory, practical and Clinical – 100% Classification of results Pass: 50% pass in theory and Clinical Practicum Second Division: 50-59% First Division: 60-74% Distinction: 75% and above For declaring the rank, aggregate of two years marks will be considered If a candidate fails in theory or practical, he/she has to reappear for the paper in which he/she has failed. Maximum number of attempts = 2, Maximum period to complete the program = 4 years Practicum: 6hours of examination per student Maximum number of students per day = 5 students Examination should be held in clinical area only Examined by one internal and one external examiner The examiner should be MSc faculty teaching the NP program with minimum two years of experience. |
Examination Regulations Eligibility for appearing for the examination Attendance: Minimum 80% for Theory and practical before appearing for final university examination but must complete 100% in practical before the award of degree. There is no minimum cut off for Internal assessment marks, as internal and external marks are added together for declaring pass. Examining and degree awarding authority: Respective University. Declaration of Results The declaration of results will be done as pass (60%) or fail and with rank. Pass marks is 60% and above in the aggregate of both internal and external university examination in theory and practical in every course/subject and less than 60% is fail. For calculating the rank, the aggregate of the two years' marks will be considered. If a candidate fails in theory or practical, he/she must appear for the paper in which he/she has failed. Rank will not be declared for candidates who fail in any subject. Maximum period to complete the program = 4 years. Practical Examination OSCE type of examination will be followed alongside viva (oral examination) - Refer OSCE Guidelines found in Appendix-2. Maximum number of students per day = 10 students. Examination should be held in clinical area only. The team of three practical examiners will include one internal examiner {M.Sc. faculty with two years of experiences in teaching the NPCC program/M.Sc. faculty (Medical Surgical Nursing preferable) with 5 years of post PG experience}, one external examiner (same as above) and one medical internal examiner who should be preceptor for NPCC program. |
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VI. |
Dissertation Submission of the research proposal: By 6 months in first year Submission of the dissertation final: 6 months before completion of second year Research guides: Main guide - Nursing faculty (3years experience) teaching NP program, Co guide: Medical preceptor Guide student ratio- 1:5 There should be a separate research committee in the college/hospital to guide and oversee the progress of the research (minimum of 5 members with principal or CNO-MScN) Ethical clearance should be obtained by the hospital ethics committee |
Dissertation Research guides: Main guide - Nursing faculty (3 years Post PG experience) teaching NP program, Co-guide: Medical preceptor. Submission of research proposal: 6-9 months after date of admission in the first year. Guide student ratio: 1:5 Research committee: There shall be a separate research committee in the college/hospital to guide and oversee the progress of the research {minimum of 5 members with principal or CNO who is M.Sc. (Nursing) qualified}. Ethical clearance must be obtained by the hospital ethics committee since it involves clinical research. Topic selection: The topic should be relevant to critical care nursing that will add knowledge or evidence for nursing intervention. The research should be conducted in any of the critical care settings. Data collection: 7 weeks are allotted for data collection, which can be integrated during clinical experience after 6 months in first year and before 6 months in second year. Writing the research report: 6-9 months in second year. Submission of Dissertation final: 3 months before completion of the second year. Dissertation Examination Internal assessment : Viva & Dissertation report = 50 marks University examination : Viva & Dissertation report = 50 marks {Marking guide used for other M.Sc. (Nursing) specialties can be used for evaluation}. |
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VII. |
Assessment (Formative and Summative)
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Assessment (Formative and Summative)
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VII. |
Assessment (Formative and Summative)
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Assessment (Formative and Summative)
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VII. |
Assessment (Formative and Summative)
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Assessment (Formative and Summative)
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VIII. |
COURSES OF INSTRUCTION |
COURSES OF INSTRUCTION |
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Theory (Hrs) |
Lab/Skill Lab (Hrs) |
Clinical (Hrs) |
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Theory (Hrs) |
Lab/Skill Lab (Hrs) |
Clinical (Hrs) |
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I Year |
I Year |
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III. Advanced skills in Leadership, Management and Teaching Skills |
56 |
24 |
184 4wks |
III. Advanced skills in Leadership, Management and Teaching Skills |
56 |
24 |
192 4 wks |
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VIII. |
COURSES OF INSTRUCTION |
COURSES OF INSTRUCTION |
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II Year |
II Year |
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VII. Foundations of Critical Care Nursing Practice VIII. Critical Care Nursing I IX. Critical Care Nursing II |
96
96 96 |
48
48 48
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552 552 |
VII. Foundations of Critical Care Nursing Practice VIII. Critical Care Nursing I IX. Critical Care Nursing II |
96
96 96 |
48
48 48
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576 576 |
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TOTAL = 2208hrs |
288 |
144 |
1748 |
TOTAL = 2208 hours |
288 |
144 |
1776 |
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VIII. |
COURSES OF INSTRUCTION |
COURSES OF INSTRUCTION |
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I year : 336-96-1776hrs (Theory-skill lab-clinical) [Theory + Lab=20%, Clinical=80%] II year : 288-144-1776hrs ( '' '' ) [Theory + Lab=20%, Clinical=80%] |
I year : 336-96-1776 hrs (Theory-skill labclinical) [Theory =15%, Skill Lab + Clinical=85%] II year : 288-144-1776 hrs ( '' '' ) [Theory =15%, Skill Lab + Clinical=85%] |
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VIII. |
CLINICAL PRACTICE B. 8 hours duty with one day Off in a week and on call duty one per week Clinical placements: I year: 44 wks (excludes 2 weeks of introductory block classes and workshop) Medical ICU - 12 weeks Surgical ICU - 12 weeks Cardio/Cardio thoracic (CT) ICU - 8 weeks Emergency Department - 6 weeks Other ICUs (Neurology, Burns, Dialysis unit) - 6 weeks
II Year: 45 wks (excludes one week of block classes) Medical ICU - 12 weeks Surgical ICU - 12 weeks Cardio/Cardio thoracic (CT) ICU - 8 weeks Emergency Department - 8 weeks Other ICUs (Neurology, Burns, Dialysis unit) - 6 weeks |
CLINICAL PRACTICE B. 8 hours duty with one day Off in a week and on call duty one per week Clinical placements: I Year: 44 wks (excludes 2 weeks of introductory block classes and workshop) Medical ICU - 12 weeks (includes Hematology posting) Surgical ICU - 12 weeks (includes OT posting) Cardio/Cardiothoracic (CT) ICU - 8 weeks Emergency Department - 6 weeks (includes Trauma) Other ICUs - 6 weeks {Other ICUs: Neuro ICU - 2 wks, Burns and Dialysis - 1 wk, Neonatal and Pediatric ICU - 2 wks, OBS & Gynae - 1 wk} II Year: 45 wks (excludes one week of block classes) Medical ICU - 12 weeks (includes Hematology and Dialysis Unit) Surgical ICU - 12 weeks (includes OT and Burns) Cardio/Cardio thoracic (CT) ICU - 8 weeks Emergency Department - 8 weeks (includes Trauma and Disaster) Other ICUs - 5 weeks {Other ICUs: Neonatal and Pediatric ICU - 2 wks, Neuro ICU - 2 wks, OBS & Gynae - 1 wk} |
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VIII. |
CLINICAL PRACTICE D. Procedures/log book At the end of each clinical posting, clinical log book (Specific competencies/Clinical skills & clinical requirements) has to be signed by the preceptor every fortnight (Appendix 2a, 2b, 3) |
CLINICAL PRACTICE D. Procedures/log book At the end of each clinical posting, clinical log book (Specific procedural competencies/Clinical skills) (Appendix 3) and clinical requirements (Appendix 4) have to be signed by the preceptor every fortnight. |
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VIII. |
CLINICAL PRACTICE F. Institutional Protocol/standing orders based administration of drugs & ordering of investigations and therapies The students will be trained to independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols/standing orders. (Appendix 4 Standing orders). Administration of emergency drugs is carried out in consultation with concerned physician and endorsed later by written orders. |
CLINICAL PRACTICE F. Institutional Protocol/standing orders based administration of drugs & ordering of investigations and therapies The students will be trained to independently administer drugs and order diagnostic tests, procedures, medical equipment and therapies as per institutional protocols/standing orders. (Appendix 5 Standing orders). Administration of emergency drugs is carried out in consultation with concerned physician and endorsed later by written orders. |
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VIII. |
CLINICAL PRACTICE (F Table) Implementation of
Curriculum - |
CLINICAL PRACTICE (F Table) Implementation
of Curriculum - |
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I yr. Courses |
Introductor y classes |
Worksho p |
Theory integrated in clinical practicum |
I yr. Courses |
Introductor y classes |
Worksho p |
Theory integrated in clinical practicum |
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2. Research Application and Evidence Based Practice in Critical Care (56+24) |
8 |
40 (5 day) + 6hrs |
1x26=26hrs |
2. Research application and evidence based practice in Critical Care (56+24) |
8 |
40 (5 day) + 8hrs |
1x24=24hrs |
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3. Advanced skills in leadership, Management and Teaching (56+24) |
12 |
2hrs (Block classes) |
1x26=26 hrs 2.5x16=40hr s |
3. Advanced skills in leadership, Management and Teaching (56+24) |
12+2 hrs |
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1×26=26 hrs 2.5×16=4 0 hrs |
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4. Advanced Pathophysiolog y (60) |
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1.5x37=56hr s |
4. Advanced Pathophysiolog y (60) |
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1.5×40=6 0 hrs |
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5. Advanced Pharmacology (54) |
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1x44=44hrs |
5. Advanced Pharmacology (54) 10 hrs |
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1×44=44 hrs |
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6. Advanced Health Assessment (70+40) |
6hrs |
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2x26=52hrs 1.5x18=27hrs 1x12=12hrs 2x7=14 hrs 2x2=4 hrs |
6. Advanced Health Assessment (70+48) |
8 hrs |
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2×26=52 hrs 1.5×18=27 hrs 1×15=15 hrs 2×6=12 hrs 2×2=4 hrs |
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Total |
48 hrs |
48 hrs |
336 hrs |
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I year - Introductory classes= 1 week, Workshop = 1 week, 44 weeks= 7.5 hrs/week |
I year - Introductory classes = 1 week (48 hrs), Workshop = 1 week (48 hrs) 44 weeks = 7.5 hrs/week (330/336 hrs) |
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Reg. No. |
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Appendices |
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APPENDIX 2 ASSESSMENT GUIDELINES (including OSCE guidelines) INTERNAL ASSESSMENT (Theory and practical) I Year
II Year
EXTERNAL (FINAL) EXAMINATION (As per schedule in syllabus) Theory: Short answer and essay type questions (Weightage can be decided by the University) {Essay 2×15 marks = 30, Short answers 5×6 marks = 30, Very short 5×2 marks = 10} OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION I YEAR I. HEALTH ASSESSMENT INTERNAL OSCE: 25 marks CORE COMPETENCY DOMAINS 1. Focused history taking and physical examination of adult patient 2. Focused history taking and physical examination of pediatric patient 3. Interpretation of findings and results 4. Monitoring of clinical parameters Number of stations: 5 (4+1 Rest station) Time for each station: 10 minutes Marks for each station: 5 marks (As per competency check list and allotted marks) Total: 4×5 = 20 marks Oral exam = 5 marks Total = 25 marks EXTERNAL OSCE: 50 marks CORE COMPETENCY DOMAINS 1. Focused history taking of adult patient 2. Focused physical examination of adult patient 3. Focused history taking of pediatric patient 4. Focused physical examination of pediatric patient 5. Interpretation of history and physical examination findings 6. Interpretation of results of lab and diagnostic tests 7. Monitoring clinical parameters 8. Monitoring clinical parameters Number of stations : 10 (8+2 Rest stations) Time for each station: 10 minutes Marks for each station: 5 marks (As per competency check list and allotted marks) Total: 8×5 = 40 marks Oral exam = 10 marks Total = 50 marks
II YEAR I. FOUNDATIONS OF CRITICAL CARE NURSING INTERNAL OSCE: 50 Marks CORE COMPETENCY DOMAINS 1. Focused history taking and physical examination and interpretation of findings and results 2. Monitoring competencies (Invasive and non-invasive) 3. Therapeutic interventions (Emergency procedural competencies) including drug administration 4. Family Education and counseling Number of stations: 5 (4+1 Rest station) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 10×4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL OSCE: 100 marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of results of adult patient 2. Focused history taking, physical examination and interpretation of results of pediatric patient 3. Monitoring competencies (Invasive and noninvasive) 4. Monitoring competencies (Invasive and noninvasive) 5. Development of care plan 6. Family education and counseling 7. Therapeutic interventions (Emergency procedures) including drug administration 8. Therapeutic interventions (Emergency procedures) including drug administration Number of stations: 10 (8+2 Rest stations) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 8×10 = 80 marks Oral exam = 20 marks Total = 100 marks II & III. CRITICAL CARE NURSING I & II INTERNAL OSCE: 50 marks CORE COMPETENCY DOMAINS 1. Focused history taking and physical examination and interpretation of findings and results 2. Monitoring competencies (Invasive and noninvasive) 3. Development of plan of care/care pathway 4. Therapeutic interventions (Emergency procedural competencies) including drug administration Number of stations: 5 (4+1 Rest station) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 10×4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL OSCE: 100 marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of results of adult patient 2. Focused history taking, physical examination and interpretation of results of pediatric patient 3. Monitoring competencies (Invasive and noninvasive) 4. Family education and counseling 5. Development of plan of care/care pathway 6. Family education and counseling 7. Drug administration 8. Therapeutic interventions (Emergency procedures) Number of stations: 10 (8+2 Rest stations) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 8×10 = 80 marks Oral exam = 20 marks Total = 100 marks
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Appendices |
Appendix 2a. Clinical Log Book I Year |
Appendix 3 a. Clinical Log Book I Year |
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Appendices |
Appendix 2b. Clinical Log Book II Year |
Appendix 3 b. Clinical Log Book II Year |
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Appendices |
Appendix 3 Clinical requirements |
Appendix 4 Clinical Requirements |
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Appendices |
Appendix 4 Standing orders |
Appendix 5 Standing Orders |
