Professional Documents
Culture Documents
BSC Nursing Format
BSC Nursing Format
A) TEACHING STAFF :-
UP to 50 Intake
First 1 1 2 1 1 - - - - 1 1 - 4 4 -
Second - - - - - - 1 1 - - - - 4 4 -
Third - -- - - - - - - - 1 1 - 4 4 -
- - - - - - - - - - 3 3 -
Forth
Total 1 1 - 1 1 - 1 1 - 2 2 15 15 -
SPECIFIC REMARKS:
B) HOSPITAL:-
SPECTFIC REMARKS :-
ACCOMODATION:-
i) Principal’s room and Office
ii) Class rooms
iii) Departments
iv) Computer lab
No. of Computer
Internet facility
SPECIFIC REMARKS:-
B) LIBRARY :-
i) No. of books available :-
ii) No. of Journals available :-
iii) Reading rooms for staff and students :-
SPECIFIC REMARKS :-
E) HOSTEL :-
i) ladies Hostel :-
ii) Boys Hostel :-
SPECIFIC REMARKS :-
F) OVERALL REMARKS :-
Member ) ( Member)
( Chairperson)
MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES ,
NASHIK
Year of Establishment :
Status :
Address :
E-mail Address :
Residential Address :
Tel No : Off
STD Code :
Secretary :
Registered Address ;
ADMINISTRATION
PART – II
2) Administrative relationships.
( Attach copy of organization chart.)
Explain
TEACHING STAFF
PART III
1. Complete the Bio-data sheet alongwith a passport size photograph &
necessary
Documents of each nursing teacher and submit it at the time of
inspection.
iii)If the college conducting Basic B.Sc and P.B. B.Sc Nursing
Yes / No
b) 1:10 teacher / student ration should be
maintained :- Yes / No
5. Staff Meeting :
Are there periodical meeting of :
a) Teaching staff members
Including external lecturers ?
b) Nursing services Staff of hospital
c) Jointly of Nursing Service
And Nursing education staff
PART – IV
(b) Give the total number of outdoor patients on the day inspection
____________
Medical
Surgical
Intensive Care Unit
Gynecology
Pediatrics
ENT
Orthopedics
Ophthalmic
Maternity
Psychiatric
Communicable
Diseases
Skin diseases
Others
a)
b)
c)
d)
9) NUSING STAFF
Nursing superintendent/Matron (Name)
a) Nursing Qualification (a) ______________ year
_______________
(b) ________________ year
_______________
11) a) Institution of training
b) Years of teaching experience :
c) Years of administrative experience :
Institution of training :
15) Do you have sufficient bedding linen , equipment, supplies in your hospital to give
quality nursing care?
PHYSICAL FACILITIES
PART – V
HOSTEL
STUDENTS
PART-VI
1. STUDENTS OF CURRENT ACADEMIC YEAR
a. Admission record :-
b. Class attendance records :-
c. Clinical experience records :-
d. Health record :-
e. Cumulative record :
f. Counseling and Guidance.
2. Date of Inspection :
Of sanctioned beds:-
11. State whether teaching staff are adequate or not if not, what
arrangements are
made to each / supervise the students nurses :
12. Sate whether Non-teaching staff are adequate or not :
13. Sate whether Nursing personnel in the hospital are as per norms
prescribed by the nursing council.
19. State whether hostel facilities are available and adequate or not :-
20. Sate whether required records are maintained for the students
and staff:-
Chairperson:-
Member :-
Member :-
Sr. Name of the Designation Qualificatio Subject Category Date of Date Date of
No. Teacher n Appointment of Retirement
Birth
Prof.
.
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