Three Tyres of INC,NABH University Requirements

There is a slight difference in these comparisons of three tyres, such as INC, NABH, UNIVERSITY (Official). This comparison table outlines the requirements for nursing colleges and institutions in India based on the Indian Nursing Council (INC), National Accreditation Board for Hospitals & Healthcare Providers (NABH), and University affiliations. [1, 2]

INC sets the mandatory minimum standards for nursing education, University focuses on academic curricula and examinations, and NABH is a voluntary accreditation focused on quality, patient safety, and clinical processes in the parent hospital. [3, 4, 5, 6]

Comparison Table: INC vs. NABH vs. University Requirements

Feature [1, 3, 4, 5, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18]	Indian Nursing Council (INC)	NABH (Hospital Accreditation)	University (Affiliation)
Purpose	Regulatory/Mandatory (Minimum Standard of Education)	Quality Accreditation/Voluntary (Safety & Patient Care)	Academic Affiliation (Curriculum & Exams)
Primary Focus	Student education, Teacher ratio, Facilities	Patient safety, Infection control, Clinical processes	Syllabus, Exams, Certification
Parent Hospital	Mandatory: 100+ beds (300+ for 100 seats)	Mandatory: 50+ beds (usually), specialized care	Varies by state (usually aligns with INC)
Nurse-to-Patient Ratio	1:3 for general wards (Teaching Hospital)	1:1 in ICU, 1:2 in HDU, 1:3 in general	Generally adheres to INC/State norms
Infrastructure	Specific sq. ft. for labs, classrooms, hostel	Focus on patient safety, hygiene, equipment	Infrastructure to support university exams
Faculty Needs	M.Sc./B.Sc. with specific teaching experience	Nurses with specialized training, SOP knowledge	Adheres to INC requirements
Assessment	Inspection to ensure minimum norms	External audit of processes/documentation	University inspection team visit
Validity	Mandatory to continue program	Usually 4 years (Surveillance every 2)	Annual/Periodic renewal

Key Differences in Requirements

• Mandatory vs. Voluntary: INC approval is essential to start a nursing college. NABH is voluntary but essential for hospitals seeking high-quality certification (e.g., for CHS/ECHS).
• Infrastructure (INC vs. NABH): INC focuses on classrooms, labs, and library sizes (e.g., 20,000 sq ft for 40-60 students). NABH focuses on patient safety, infection control protocols, and functional hospital layout.
• Parent Hospital Requirements: INC requires a 100-bed parent hospital for nursing college establishment, with exemptions for tribal/hilly areas. [5, 10, 12, 19, 20]

Nursing College Setup Requirements Summary (INC & University)

1. Parent Hospital: Mandatory 100-bedded hospital, or 300-bedded for 100 seats.
2. Land & Building: Institutional area, not residential, at least 23,200 sq. ft. constructed area for 60 students.
3. Laboratories: Separate labs for Nursing Foundation, CHN, Nutrition, Anatomy, Computer, and OBG/Paediatrics.
4. Hostel: Separate hostel for male/female students with at least 30% accommodation.
5. Staffing (40-60 seats): 1 Principal, 1 Vice-Principal, 1 Professor, 2 Assoc. Professors, 3 Asst. Professors, 8-16 Tutors. [4, 5, 14, 21, 22]

NABH Accreditation Focus Areas (Hospital)

• Access, Assessment and Continuity of Care (AAC): Registration, admission, and transfer protocols.
• Care of Patient (COP): Patient care, specialized nursing care.
• Infection Control (IC): Hospital infection control committee and practices.
• Management of Medication (MOM): Safe handling of medicines. [12, 23, 24, 25, 26]

Although our curriculum changes should be considered, the foremost mandatory priority is double-checking.

REFERENCE:

[1] https://www.pib.gov.in/newsite/PrintRelease.aspx?relid=98555

[2] https://www.ijmrset.com/upload/11_Comparative%20Analysis%20of%20NABH%20and%20Non-NABH%20Accredited%20Hospitals%20in%20India.pdf

[3] https://nabh-portal-live.s3.ap-south-1.amazonaws.com/wp-content/uploads/2025/07/13110738/SHCO-Standards-3rd-Edition.pdf

[4] https://indiannursingcouncil.org/uploads/pdf/16001691603883619785f60a4c8a9e0d.pdf

[5] https://indiannursingcouncil.org/uploads/pdf/16777602712127346736400970f3f5c5.pdf

[6] https://www.cinps.in/overview-accreditation-nursing-education/

[7] https://www.researchgate.net/publication/366633669_Comparison_of_NABH_and_AB-PMJAY_Quality_Standards_for_Accreditation_in_a_Tertiary_Care_Medical_hospital

[8] https://portal.nabh.co/images/Standards/31.%20NABH%20Accreditation%20Standards%20for%20Care%20Homes%201st%20Edition%20-%20September%202023.pdf

[9] https://www.researchgate.net/publication/350094440_National_Accreditation_Board_for_Hospitals_and_Healthcare_Accreditation_System_for_healthcare_sector_in_India_An_overview

[10] https://www.scribd.com/document/555746857/Literature-Study-1

[11] https://pmc.ncbi.nlm.nih.gov/articles/PMC7491754/

[12] http://dmetodisha.gov.in/files/Minimum%20Standard%20Requirement%20as%20per%20INC%20for%20all%20nursing%20courses.pdf

[13] https://indiannursingcouncil.org/uploads/pdf/167776027113230585576400970f3eb60.pdf

[14] https://indiannursingcouncil.org/uploads/pdf/16777602713172325806400970f3f105.pdf

[15] https://www.indiannursingcouncil.org/

[16] https://www.indiannursingcouncil.org/universities-offering-recognized-nursing-qualification

[17] https://indiannursingcouncil.org/uploads/pdf/167776027110974562276400970f3fad4.pdf

[18] https://www.linkedin.com/posts/sis-suman-avinashi-b10204235_nabh-standards-the-recommended-nurse-to-patient-activity-7337439404963127296--Ox2

[19] https://nabh-portal-live.s3.ap-south-1.amazonaws.com/wp-content/uploads/2025/11/18095913/Guidebook-to-NABH-Certification-Standards-for-Entry-Level-Hospital-2nd-Edition-1.pdf

[20] https://www.scribd.com/document/145642494/Guidelines-for-GNM

[21] https://www.scribd.com/document/586090935/nursing-institution

[22] https://www.scribd.com/document/878440895/Regenerated-Nursing-College-Budget-and-INC-Norms

[23] https://portal.nabh.co/images/Standards/15.%20Homoeopathy%20Hospitals%20Standard%20-2nd%20Edition.pdf

[24] https://www.frontiersin.org/journals/health-services/articles/10.3389/frhs.2025.1654514/full

[25] https://www.scribd.com/document/806118166/NABH-5th-and-6th-Edition-Changes

[26] https://www.indhospitalsolution.com/essential-standards-to-join-nabh-accreditation/

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The Indian Nursing Council (INC) conducts inspections to assess a college's suitability based on infrastructure, teaching faculty, and clinical facilities. The inspection is generally carried out by independent inspectors appointed under Section 13 of the INC Act, 1947. 

1. Physical Infrastructure Checklist

Colleges must meet specific space requirements (e.g., approximately 23,200 sq. ft. for a B.Sc. Nursing teaching block with 60 seats). 

• Lecture Halls: At least 3–4 halls (approx. 900–1080 sq. ft. each) with proper ventilation, lighting, and tiered seating.
• Laboratories:
  • Nursing Foundation Lab: Minimum 1,500–1,600 sq. ft. equipped with adult mannequins and 1:6 bed-to-student ratio.
  • Advanced Nursing Skill Lab: Includes CPR mannequins, IV arms, and airway management models.
  • Specialty Labs: Nutrition (900 sq. ft.), OBG & Paediatrics (900 sq. ft.), Community Health (900–1,200 sq. ft.), and Pre-clinical Science (900 sq. ft.).
  • Computer Lab: Minimum 1,500 sq. ft. with at least 1 computer per 5–10 students.
• Library: Minimum 1,800–2,400 sq. ft. with seating for at least 50% of total students and at least 3,000 nursing books.
• Hostel: Mandatory accommodation (often for 30–100% of students) with 1 toilet/bathroom per 5–10 students and recreation/visitor rooms. 

2. Faculty & Staffing Requirements

Inspectors verify original certificates and physical presence on the day of inspection. 

• Student-Teacher Ratio: Must maintain a 1:10 ratio across all nursing programmes.
• Key Positions:
  • Principal/Professor: M.Sc. (N) with 15 years experience (12 years teaching).
  • Vice-Principal: M.Sc. (N) with 12 years experience (10 years teaching).
  • Tutors: M.Sc. (N) or B.Sc. (N) with at least 1 year of professional experience. 

3. Mandatory Records & Documentation

Inspectors will check for "Well-Maintained" daily records including: 

• Student Records: Admission registers, daily attendance, health records, and clinical/field experience logs.
• Practical Books: Midwifery casebooks and student cumulative progress records.
• Administrative: Trust/Society registration, land deed/ownership, and building blueprint.
• Clinical: Affiliation letters from a parent or affiliated hospital (usually within 30 km). 

4. Statutory Compliance Documents

• No Objection Certificate (NOC): Essentiality certificate from the State Government.
• Safety Clearances: Valid Fire, Electricity, and Sewage clearance certificates.
• Financials: Audited balance sheets for the last 3 years.