A strong health system cannot be achieved without a well-performing health workforce; and the health of the population cannot be achieved without investing in the health workforce. As part of a changing health service system, health workers need to keep up with the evolving health needs, policies, technologies and knowledge Thus there is an urgent need for conducting training programs for newly professional nannies especially in public sector hospitals which are catering to a large population. The training program for nannies is specifically imparted to welcome them commencing initial employment or to new caregiving roles they are going to take up in the home/hospital. This helps in enabling nannies to acquire education, skills and experience that will capacitate them to support and help their client/patients in all kinds of situations. The ultimate outcomes of hospital training programs are to improve the professional practice of caregiver and thereby the care that is provided by caregiver to patients.

The goal of the training program is to provide standardized information on the policies, procedures, protocols and documentation to be followed in the hospitals and to familiarize the new caregivers on the vision, goals and organizational structure of the government/private hospitals.

This training is also intended to orient the newly caregivers on their roles and responsibilities and develop their communication, critical thinking and decision making skills to enable them to perform their jobs especially in improving the quality of health care to the public.

(B) Specific Objectives At the end of the training the participants will be able to:

· Describe the organizational structure, ethical and legal aspects and participate effectively as a member for health team Communicate effectively with the team members, patients and families. Apply the principles and techniques of reporting and recording in maintaining various patient and hospital records. · Describe the general concept of caregiving Management of Medication (MoM), Education, Communication and Guidance (ECG), infection control practices, empowerment and governance, Apply the principles and techniques for infection control and biomedical waste management in hospital setting

· Administer medication through different routes following the principles of administration of medications.

· Utilize the latest trends and technology in providing health care Training Methodology:

The training will be delivered in a batch wise pattern of 5-10 participants per batch (batch could be small also depends on the number of participants but not more than 15 for sure). The duration of the training program will be of 1 week

Training Conduction: The training will be conducted in the premises of the concerned institutions. Theoretical sessions need classroom/lecture hall facility and hands on training required to be done either in the demonstration rooms or bed-side of the patients in the hospital.

Hospital/Institutional Guidelines and Protocols (Institution based) Organogram (Hospital and caregiving)

Roles & Responsibilities/ Job description Caregiving Ethics and professional conduct, Non negotiable behavior Legal & ethical aspects Grievance redressal, work place violence. Disciplinary proceedings – Major and Minor General Financial rules Personality development and soft skills Professional dress up and Personal Hygiene (hair care, nail care, etc.) Body language Communication: and IP skills including Telephone and workplace etiquette

Empowerment and governance Critical thinking, Decision making, conflict resolution and handling difficult situations, Problem Solving Team building Leadership Stress management, Time Management–Personality development and soft skills &Documentation/records and report keeping in home/hospital

Principles, importance and significance of documentation including confidentiality Patient charting and its types/ patient assessment tool Orientation to different Performa/ medico-legal case, Incident reporting Maintaining hospital records Introduction to computers and Shift reporting- Handing and taking over, Inventory taking Documentation/records and report keeping in hospital & Emergency Response and Management Disaster preparedness (Include four phases of Disaster Preparedness) Fire fighting Patient Shifting and Transportation Admission, discharge ( Discharge advice and counseling), transfer (Accompanying Patient) and death