NABH Nursing Excellence Certification Program

 


A specialized consultancy provides the following scope of service:

1. Gap Analysis & Nursing Audit

Competency Mapping: Auditing the current skill levels of nursing staff across different specialties (ICU, OT, Wards).

Resource Assessment: Evaluating nurse-to-patient ratios against NABH 2026 benchmarks for different acuity levels.

Infrastructure Review: Ensuring nursing stations are designed for efficiency, medication safety, and confidential handovers.

2. Development of Nursing Manuals & SOPs

Consultants draft nursing-specific documentation that aligns with clinical excellence:

Clinical Protocols: SOPs for bedside care, including pressure ulcer prevention, fall prevention, and catheter-associated urinary tract infection (CAUTI) bundles.

Medication Management: Standardizing the "7 Rights" of medication administration and high-alert drug double-check protocols.

Nursing Care Plans: Implementing standardized, evidence-based nursing care plans that transition from "task-oriented" to "result-oriented" care.

3. Professional Growth & Governance

Credentialing & Privileging: Establishing a formal system to define what procedures each nurse is authorized to perform based on their experience and training.

Nursing Empowerment: Setting up nursing committees (e.g., Nursing Quality Committee, Infection Control Committee) to involve frontline staff in decision-making.

Job Descriptions: Refining JD’s to include specific key performance indicators (KPIs) for every nursing cadre.

4. Specialized Training Programs

Soft Skills & Communication: Training on SBAR (Situation, Background, Assessment, Recommendation) for effective handovers and "Effective Communication" with patients/families.

Technical Workshops: Hands-on training for BLS/ACLS, IV cannulation, and the use of specialized equipment like infusion pumps and ventilators.

Induction Manuals: Designing a structured orientation program for new nursing recruits to ensure immediate alignment with hospital quality standards.

5. Nursing Quality Indicators (2026 Metrics)

Consultants establish dashboards for the 7 mandatory Nursing Excellence indicators:

Pressure Ulcer Rate: Incidence of bedsores acquired after admission.

Patient Fall Rate: Number of falls per 1,000 patient days.

Medication Error Rate: Specifically those attributed to nursing lapses.

Needle-stick Injury Rate: Monitoring staff safety.

Nursing Attrition Rate: Tracking staff retention as a measure of institutional health.

Hand Hygiene Compliance: Observational audits of the "5 Moments."

Infiltration/Phlebitis Rate: Monitoring peripheral IV line complications.

6. Digital & Portal Management

NABH Portal Support: Managing the application specifically for the "Nursing Excellence" category.

Desktop Assessment (DA): Uploading evidence such as duty rosters, training logs, nursing audit reports, and geotagged photos of nursing stations.

Self-Assessment Toolkit (SAT): Completing the digital SAT ensuring all nursing-specific objective elements are met.

7. Assessment Readiness

Mock Drills: Conducting "Code Blue" and "Code Red" drills where nursing leadership is evaluated.

VIVA Preparation: Conducting mock interviews with staff nurses to ensure they can confidently explain policies like "Patient Rights," "Vulnerable Patient Care," and "Emergency Protocols."

NC Closure: Assisting in closing Non-Conformities (NCs) within the 15-day window following the official assessment.

Timeline & Validity (2026)

Preparation: 4–7 months.

Validity: The Nursing Excellence certification is valid for 2 years, encouraging continuous professional development.

For Quote :8838051686