Requirements of Nursing Home

(1) Requirements Nursing Home:- (a) Location and surroundings:- The Nursing Home shall be situated in a place having clean surroundings and shall not be adjacent to an open sewer, drain or public lavatory or to a factory omitting smoke or obnoxious odour. (b) Buildings:- (i) The building used for the Nursing Homes shall comply with the relevant Municipal bye-law as in force and such guidelines as may be framed by the Lt. Governor from time to time and the use of the premises shall conform to the land use prescribed under relevant law(S). (ii) The rooms in the nursing home shall be well ventilated and lighted and shall be kept in clean and hygienic conditions. Arrangements shall be made for cooling them in summer and heating them in winter. (iii) The walls of the labour room and operation theatre upto a height of four feet from the floor, shall be of such construction as to render it water proof. The flooring shall be such as not permit retention or accumulation of dust. There shall be no chinks or crevices in the walls or floors. (iv) Aseptic conditions shall be maintained in labour room and the operation room. (v) Adequate arrangements shall be made for isolating septic and infectious cases. (c) Space accommodation for the patients etc. :- (i) The floor space in the nursing home shall be 120 sq. ft. for single bed and additional 80 sq. ft. for every additional bed in single room. (ii) A separate labour room and a separate operation theatre shall be provided with minimum floor space of 180 sq. ft. each. (iii) A duty room shall be provided for the nursing staff on duty. (iv) Adequate space for storage of medicines, food articles equipments etc. shall be provided. (d) Water supply:- The water used in the nursing home shall be pure and of drinkable quality. (2) Health Clothing and sanitary requirements of staff: (i) The staff employed shall be free from contiguous disease and shall be provided with clear uniforms suitable to the nature of their duties. (ii) The workers shall be medically examined at the time, of employment and periodically so examined thereafter. The worker shall be vaccinated against on smallpox and inoculated against enteric and cholera. (3) The equipment and Lines etc : The nursing home shall provide and maintain :- (i) Adequate number of commodes, bedpans and slop sinks, with flushing arrangements. (ii) High Pressure sterilizer and instrument sterilizer. (iii) Oxygen cylinder and necessary attachment for giving oxygen. (iv) Apparatus for transfusions. (v) Adequate equipments, instruments and apparatus. (vi) Adequate quantity of bed sheets , mattresses, pillows, Blankets, row sheets and other linens, and (vii) an almirah under lock and key for poisons. (4) Food:- If the nursing home provides diet to the patients it shall be prepared and served in hygienic conditions. (5) Nursing Staff:- One nurse shall be on duty at all times, for every ten beds or a fraction thereof in the nursing home. Provided that a part of nursing staff may be substituted with the prior approval of the supervising authority by other trained staff like midwife, pharmacist, dressers etc according to the specific needs of the nursing home. In nursing homes providing Intensive Care Units facilities there shall be at least four nurses provided exclusively for four such beds or fraction thereof. (6) Records:- Separate stock registers shall be maintained by the nursing home for (a) equipment, (b) instruments and (c) Linens. (7) Doctor : There shall be one qualified doctor holding a degree recognised by the medical Council of India or the medical Council of a State, round the clock for every 20 beds or fraction thereof, in the nursing home. In case of Nursing Homes providing intensive care facilities, there shall be at least two doctors exclusively for intensive care. (8) Provision of Co-operation at the time of Natural Calamity or disaster : In case of any natural calamity or disaster, (i) the owner or the keeper of every Nursing Home shall , on being requested by the supervising authority, co-operate and provide such reasonable assistance and medical aid as may be considered essential by the supervising authority at the time of natural calamity or disastrous situation. (9) Provision of display of charges. The owner and/or the keeper of the Nursing Home shall ensure that the charges levied by the Nursing Home for the various services available in the Nursing Home are permanently displayed. (10) Provision of stand by generator: The owner and/or the keeper of the Nursing Home shall ensure the provision of stand by generator in case of the power failure in the nursing home.