20/03/2018. GOVERNMENT OF MANIPUR MEDICAL DIRECTORATE. NOTIFICATION Imphal, the 28th February, 2018

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1 GOVERNMENT OF MANIPUR MEDICAL DIRECTORATE MOST IMMEDIATE NOTIFICATION Imphal, the 28th February, 2018 No. G/Award(Nsg)2017-DHS: It is hereby notified to all the CMOs/HOOs/MSs/ DDOs/POs/MOs i/c under Health Department, Manipur and Heads of all' Health Institutions (Private Hospitals, Mission Hospitals, Hospitals run by NGOs & Nursing Institutions) that applications are invited from the deserving Nursing Personnel working under their jurisdictions for nomination o f National Florence Nightingale Award-2018 in the prescribed application form which can be downloaded from the official website of this Directorate i.e. The duly filled-in application form along with supporting documents should reach the undersigned through proper channel on or before 20/03/2018. (Dr. K. Rajo Singh) Director of Health Services, Manipur. Endt. No. G/Award(Nsg)2017-DHS : Imphal, the 28th February, 2018 Copy to:- 1. The Secretary (Health & FW), Government of Manipur. 2. The Director of Family Welfare Services, Manipur. 3. The Director of Information and Public Relations, Manipur. 4. The Administrative Officer, Medical Directorate/JN Hospital, Imphal. 5. The CMOs/HOOs/MSs/ DDOs/POs/MOs concerned. 6. The News Editor, AIR Imphal. He is requested to broadcast the Notification in the news bulletin. 7. The News Editor, ISTV Imphal. He is requested to broadcast the Notification in the news bulletin. 8. The Editor... daily newspaper. He is requested to cover the Notification as news item. 9. Order BookI Guard File. (Dr. K. Rajo Sin Director of Health Services, Manipur.

itei w 2, - 110020 - / V, Y / / / / T c n? Z J TTcf t tr ct R c f j ^ q F I W e i? / S*3t]i^ry Body under the Ministrj I n d ia n n u r s in g c o u n ( jh Floor, NBCC Centre, Plot No.

2 itei w 2, / V, Y / / / / T c n? Z J TTcf t tr ct R c f j ^ q F I W e i? / S*3t]i^ry Body under the Ministrj I n d ia n n u r s in g c o u n ( jh Floor, NBCC Centre, Plot No. 2, Community Centi Okhla Phase-I, New Delhi cp & Family Welfare M O ST IM M F No 22-15/2018-INC D ated To. Shri Sum ant Singh Secretary (H ealth & FW ) D epartm ent o f H ealth.& Family W elfare. M anipur Secretariat. Im phal isfe-mkt Ei 5 i«'< < y o.. ^ * b Sub: Inviting N om inations for N ational Florence N ightingale N urses A w ard For the year, reg. Dear Sir, As you are aw are, N ational Florence N i g i f f i f f i ses A w ard are given as a m ark ofrecognition for the m eritorious services re n d e rs JP p f f la lurses and nursing professionals irrthe country. This aw ard is presented on 12th year by H on ble President^of India as 12th M ay is celeb rated all over the w o rlhfas^^^roem ational N urses D ay on the. i if. j- occasion o f birth anniversary o f Florence Nightingal'e. T he next aw ard cerem ony will be held on 12th M ay $ In the above connection it is brought to pufifnotice that the w ork relating to organizing the N ational Florence N ightingale aw ards 2018 has now been transferred by M inistry of H ealth & Fam ily W elfare flvursingsseotidn) to Indian Nursing Council and as such all correspondence in this regard is"tof be addressed now to Indian N ursing Council. Further, the nom ination for the Award w ill be scrutinized by a Com m ittee headed by H on ble Justice Shri Gopala G ow da, form er Justice o f Suprem e Court o f India. E ^4 tlffs The aw ard is given to outstanding Niirsing, jggfsonnel em ployed in Central, State/UTs, Private, M issionary and Voluntary Organizations. The aw ard consists o f Cash Award o f Rs: 50,000/- a certificate and a M edal. A part from the N ursing Personnel w orking in the State, Central, A utonom ous institutions, t h ^ P e r s o n n e l w orking in Private, M issionary and V oluntary O rganisations are f r th e N ational Florence nightingale N urses A w ard and their application f c ^ S ^ b e forw arded after considering it ;p. State Level Selection Com m ittee in accordance w ith the laid dow n procedure, subject to their fulfilling the requirem ents.. # / Selection criteria, applications form, in s tru o ^ n ^ fo r preparing the resum e o f the \ s nominee, com position o f the State Level Selection Olommittee and procedure for selection of nom inees for the aw ard are attached at A nnexure-1 to IV. The lists o f nam es are to be /-finalized by the State Level Selection Com m ittee-headed by Secretary, H ealth and Family W elfare as indicated in A nnexure- IV I [U j^ a f^tstt ^ -m h i V cprr <?>t tw rn Striving to ach ieve un iform standards o ftn u rsin g E ducation Website: w w w. indianniirsinacounci 1.o ra. secy.inc@ gov.in PHone: 0* ,

3 \ v? xra. 2, cj?rjpr t r$ 3tl?tT qnjt-1, -:f: fc^roft / W?e2f xjcf ttrgtx cpeefft TT5fR^ S tatu to ry B o d y u n d e r the M in istry I f / T. -2- r- IAN NURSING C, NBCC Centre, Plot No. 2, Comm Okhla Phase-I, New Delhi ' f*ra>ra '& F am ily W elfare Y ou are requested to recom m end at least threg pahfefpf nam es for each category, i.e Nurses. A uxiliary N urse M idw ives and Lady H ealt ^ f^ f> i?s' from Your-State. * I * 'jm ' > On com pletion o f the selection process outlined >^)6ve, the nam es o f the nominees along with their resum e and docum entary proofs ^ S u p p o rt o f claim for the award may be forwarded to the P resident, INC, 8th floor, N B (S0-C entre, C om m unity C entre, Okhla Ph-1 New D elhi latest by 31st M arch, g f8 (Tel. IVo.Ol ). I would request you to keep the foliowin'g im portant aspects in view, w hile forwarding the nominations. ; W ide publicity may be given in the State t ( # ^ ^ ^ t c e r n e d Stakeholders by issuing necessary circulars and up-loading the encffijpctdocum ents on the official website o f the State G overnm ent. m?' 2. It may please be ensured that apphcations*?fot1th. : nom inations are received from Private and M issionary institution also aparftfom ; bvernm ent institutions. 3. Representatives o f the Trained N urses A ssociation-of India (TN A I) at the State Level and other A ssociations/u nions should be inc&hed'tn the Selection Committee.. * * i, =*t 5L * 4. It should be ensured that the panel o f nam ^s should include nom inations in each o f the three categories i.e. N urses, A uxiliary N ufsv M idw ives and Lady H ealth Visitors. It should be ensured that only such candidates are nom inated w ho fulfill the criteria and proven evidence o f outstanding work in their field and all the nom inations are to be place before the State Selection Com m ittee-m eeting. Receipt o f this letter m ay kindly be acknow ledged^^ ^ Y ours Faithfully, *fr (T. D ileep Kaoiti. President Encl. As Above f^ratr c^r *m<t cm trzrm S trivin g to ach ieve un iform standards O'f'N ursing Education W ebsite: w w w.indiannursirm conncil.or^. -- ^ ^ o 1 t c -7 o * * 1 O 1CO Q1 ^ secy.inc(a)fiov,in

4 W4> 1 1 ANNEXURE- I CRITERIA FOR SELECTION FOR TIJEJBATIONAL FLORENCE NIGHTINGALE N U R ss si fik R D ' - i } $ ' ^ y I. The nom inations should be called fl^ < 8 5 t te G overnm ent, Central fc -e m m e n t, Private institutions / M is s iq p ^ e S ^ id Prom inent Voluntary arsar.izations of the concerned state. ' rb ~ AM All nom inations should be handled 'b y 'th fr Secretary of Health and rr.iiy Welfare of the concerned State. 3. The applications of the recom m ended after m aking selection by the State Secretary, H ealth a n d Fam ily Welfare. m u st invariably be sent Com m ittee headed by 4. (a). No nom ination in any case should ^e s^nt w ithout considering and recom m endation of the State Selection 'Gqtonlittee. If the nom ination is received w ithout the recom m endation th a t; will n o t be considered by the Central Selection Com m ittee. r a (b) Experience: M inim um 10 years 'fo^p ^ ^ p ience in any one of the avenue, in case of, extraordinary perform ance q^-m ay not be a constraint.' 5. The n u rse selected for a national m eritorious aw ard should furnish docum ents to the satisfaction of the selgqtkji^ com m ittee th a t sh e /h e h as performed beyond the norm al e x p e c ta ti )S c ^ h e job! w hen com pared to qthers with equivalent attrib u tes according & ^one or m ore of the following dritena. The in stru ctio n s for preparing* T.esUme of the nom inee are a t Anncxure - III and should be strictly followed:* NURSING SERVICE, H O S P IT lip ftp ) COMMUNITY: 6 (i) The n u rse in h e r/h is regular job (inf fche hospital or com m unity contributes to improve patient/fam ily com m unity care by exceeding the lim itations of the job functions as demons'traled^by: a. Developm ent or organization of a u n it of responsibility which provides extraordinary care to patients by increasing own skills and knowledge, developing staff, procuring su p p lie m j f>equipm ent, stream lining techniques and m aintaining espi^$p3^?% orps sufficient to bring recognition to the employing organization in 'th e m edical com m unity. b. Developm ent of a com m unity or section of a com m unity in the betterm ent of their collective health s ta tu s through increasing own skills and knowledge, developing 'Staff,; procuring supplies and.resources, and m aintaining sufficient to bring recognition to th e em ploying m edical com m unity.

5 6 (ii). The nurse who h as a regular jo b ' of em ergency of cri such as accident, fire, flood or f a m i n e, o c c u r a t any tim e performs in a heroic m anner without tregki@ 1^ H e r / h i s own time, safety a n d /o r possessions as dem onstrated by* a) Rescuing a person (s) u n d er hazardous " c- ^ " 5- I i b) Performing life saving techniques with a sucpbssful outcom e. c) Prevention of a catastrophe by initiativejgb<e,n or leadership assum ed without official sanction (firefighting, e v a c ^ L fi^ ^ fe )b control) d) Remaining at p o st over an extended period' tim e w hich aids in the recovery of a group com m unity following 33.^c h a s te r such as organizing communication, nutrition first aid, evacuation^or other activities which become necessary in em ergencies. m ^ (iii). The n u rse who h as regular job in the Hospsital/Com m unity is: 3 *4$ # ~ * i mi a. A ssociated/contributed extra o r d in a ^ p p %, activities or program m es such as Leprosy Control, T uberculosis,/^f^~a ids, C ancer care, Palliative care, M ental H ealth, other co m m u m eable^nd non-com m unicable illness, Psychiatric M ental H ealth, old age rx^anagemefnt, Special children (Mental R etardation physically challenged, u n d er privileged) and C ontribution in National H ealth Program m e. t,,,r f 1i c); b. Working in difficult areas like Tribal and other interibr rem ote area NURSING EDU AT?ION,{ f 'f ' 7. The nurse in h e r/h is regular job in an educational setting contributes to the quality or quantity of education excess of the job expectations as demonstrated by:- t - a. Development or initiation of an innovative curriculum program m e of study or teaching m aterials th a t brings.recognition to the organization which pays h e r/h is salary. ^ i, b. Preparation of textbook, teaching m a^^l^jo r (educational film th a t is accepted and used beyond h e r/h is ; q & catio n al setting and brings recognition to th e organization w hich pays flier/:his salary. c. C ontributing in the research, activities/ articles/ w orkshops / conferences/ publications, tow ards the standard of education.

6 t f w V NURSING ADMIN, Nurse in h e r/h is job in an adm inistr, com m unity/ educational institutions nursing sector. g in term s of hospitals/ er agencies/heading any raordinaiy:- C oninbuuori to%vards stan d ard of 0 im orovem ent m ade in the sta tu s *e in the hospital of the com m unity. (ci Perform ance in excelling the educa'loiiakistandard in the teaching 1 institution. * a i t OR (d) Innovative changes m ade in the adm inistrative set up. # * VW *,w;: V,f, VI?;«-1 i>: :..» -! X-. " i<jr' * 1V 3

7 ,V=>-» ft-.':'. ĀPPLICATION FORM FOR NATIO NURSES AW. Annexure - II ENCE NIGHTINGALE Name (In Block letters) 2. Age with date of birth [In C hristian Era) 3. F ath er s/h u s b a n d s Name 4. Complete P resent Address for com m unication w ith Pin Code. 4.1 Telephone Num ber (Residence) 4.2 Mobile N um ber Address if any 5. Complete P erm anent A ddress with Pin Code, if 5.1 Telephone Num ber (Residence). 6. Name & Complete Address of H ospital/institution where,» working r i 6.1 Telephone Num ber (Office) 6.2 E- Mail Address if any 7. Post held at present 8. W hether retired if so, the date: of retirem ent, if applicable

8 Post held at the time of retirem en t, if applicable 10. Details of experience in n u rsin g services. 11. Q ualifications M em bership with professional organization / s w ith m em bership num ber Anv other inform ation.* ' Course'* ih 5 i t * i,' - 41 ANM/Elj\ GNM f BSctfN)fc$h Ph.frSM'.... V-rfr ~rs :51s ^Year of i Pafesing jr jj wfj- '. %ftgf r< nr $r4 -rr - T f T - - Name of Institution J Exam. Board/ University f 14. Resum e of the Applicant as per A nnexure III. Signature of the applicant Recommended by-n ursing S u p erin ten d en t/p rin cip al/d istrict Medical Officer/ D istrict Public Health Nursing Officer etc.,/institutional Head. Place & date: ; Signature Seal Forwarded by Secretary, Health & FW fs tate/c entral Selection Committee for me Awards) f. For Self-nom ination-registrar, State N ursae ^sb$m cil/secretariat State TNAI Place & date: Enclosure: L ette r/s of support if applicable lift - Signature Seal

A THE NATIONAL FLORENCE NIG INSTRUCTIONS FOR PREPARIN M ention the category against w. Annexure - III ;E NURSES AWARD E ON A NOMINEE 'Nurse is nom inated. For Category: 2.

9 A THE NATIONAL FLORENCE NIG INSTRUCTIONS FOR PREPARIN M ention the category against w. Annexure - III ;E NURSES AWARD E ON A NOMINEE 'Nurse is nom inated. For Category: 2. 1 '" The narration s h o u l d t i m e, the place, the circum stances, the deed - the recognition of the event w hich qualifies the indfyid^ak for nom ination. Newspaper articles, jo u rn a l articles, ^fekescs of ap p reciatio n of o th er docum entation which gin can d id ate s application could be sent. * 2.2 D escription as per Criter: The resum e m ust provide: jtion of the outstanding perform ance or th at perform] fich is beyond the norm al' ex p ectatio n s held for every sa! tory employee (Normally one expects every employee to repfffe^n-.-ti-me for duty, to report when assigned for duty, to be c le a i^ E ^ a t, courteous and loyal Jlo the employer. Normally one e x p ^ ^ fe ^ p lo y e e s to be prepare for the position they hold and be responsible for their own continuing education through self-study ^ ifja ttic ip a tio n in service or formal through self-study or participation* qn,service or form al continuing education program m e. It s exp k;j:e<,that the n u rse will work as a m em ber of the team to improve! nuiysing care and nursing education). f-i P ast education and exper^fttee-hilpi the individual m ay be docum ented b u t th a t in itself^viipis:^ Contribute to the selection of the nom inee (The Com m ittee is looking for outstanding perform ance which occurs a ^ithe Result or in spite of education and experience). * ^ 4., * + *vi! Mere listing of distin ctio n s Received m ed u ca tio n al program m e is not to be encouraged as m, have been performed by academ ically. Recognition perform ance or contribution aqijq be enclosed. The resum e should not be m o re'th an two pages. r the outstanding deeds in history ^j&ons who were not outstanding w ards th a t su p p o rt outstanding %

10 ANNEXURE- IV ITION OF THE STATE/C EN TR^Ifp^pgTIO N COMMITTEE FOR XATIONAL FLORENCE NIGHTINGALE NURSES'AWARD j,.j > * j The application of the can d id ates; for, the National Awards of the Skate/U nion Terri tors level will be called b^'-the Chief N urse in the Office of f3feectorate H ealth Sendees i.e. A ssistant D irector N ursing/d eputy Director Nursing. The S tate/u nion Territory Sele< jie applications "and recom m end the c *djknm ittee for the National Florence Nig level Selection Committee will comprise om m ittee who will screen l i o th e C entral Selection "Nurses Award. The S ta te S ecretary, H ealth 8s F.W 2. Director of H ealth Services/ Director of Medical E ducation 3. R egistrar/r epresentative State N ursing Council #rf - ' T t *,«, lit : C hairm an Member P resident/s ecretary T.N.A.I. (State B ranch) Chief N urse in the Office of D.H.S.- (ADHS N ursing / D eputy Director Nursing) Member Secretary CENTRAL SELECTION COMMITTEE The C entral Selection Committee um<ff=^3ndian N ursing Council which will exam ine the applications the c a n j recom m ended by the State G overnm ent/u nion territories will com prise qfy - 1. H on ble Ju stic e S h n V Gopala Gowda Form er Suprem e C ourt Judge 2. The President, Indian Nursing C ouncil/, - 3. DDG (Medical) Dte, G. H S M inistry of H ealth & Family Welfare <, 4. D irector, N ursing (MOHFW) 5. S ecretary G eneral, AIGNF, New Delhi C hairm an 6. Principal, RAK, New Delhi i *

CRITERIA FOR SELECTION FOR THE NATIONAL FLORENCE NIGHTINGALE NURSES AWARD

1 2 ANNEXURE I CRITERIA FOR SELECTION FOR THE NATIONAL FLORENCE NIGHTINGALE NURSES AWARD 1. The nominations should be called from State Government, Central Government, Private institutions/missionaries