Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698069062092.pdf (Guyana)
APPENDIX "A" Stat� Paper No, � l) Labour Ratification of International/Conventions and implementation of International the IN'l'ERNATIONAL adcpted Labour Recommendations at the 63rd Session of LABOUR COUFERENCE held in Geneva from l to 22 June, 1977.

The International Labour Conference adopted the following Conventions and Recommend�tions during its 63rd Session: 1.

·Working Convention, Environment (Air Pollution, 1977 (No.

148) See Appendix "A".

Noise and Vibration) 2.


Nursing Personnel Convention, 1977 (No.

149) See Appendix "B".

Working Environment Recommendation (Air Pollution, (No.

156) See Appendix "C".

Noise and Vibration) 4.

Nursing Personnel Recommendation, 1977 (No.

157) See Appendix "D".

2.


As a member of the Internation al ·Labour Organisation, Guyana is under obligation to bring these Conventions and Recommendations to the attention of the National Assembly within the period of one year or at the most eighteen months from the closing of the session of the Conference for the enactment of legislation or other action; and to inform the Director-General of the International Labour Organisation of the measures taken in th�s respect.

3.
3.

The Honourable House is accordingly invited to adopt the conclusions contained in this paper in respect of the instruments listed above so that the decisions of the Parliament of Guyana may be conveyed to the Director-General of the International Labour Organisation at the earliest opportunity • l,pe Working Environment (Air Pollution, Noise and Vibration} Convention, 1977 • S9ope and Definitions: 1._This Convention applies to all branches of economic activity.
However, in con­ sultation with the representative organisa­ tion of employers and employees concerned: (a) certain branches activity could be excluded; of economic and (b)each member may accept the obliga­ tions of this Convention separately in respect of 2.

(i)air pollution; (ii)noise; and (iii)vibration.
2.For the purpose of this Convention: (a)the te:r·m "air pollution" covers all air contaminated by substances, whatever their physical state, which are harmful to health or otherwise dangerous; (b)the term "noise" covers all sound which can result in_hearing impairment or be harmful to health or otherwise dangerous; (c)the term "Vibration" covers any vibration which is transmitted to the human body through solid structures and is harmful to health or otherwise .

dangerous 3.
General Provisions: The Convention provides for: (a)the making of national laws and regulations to prevent control, and protect against occupational hazards in the working environment due to air pollution, noise and vibration; (b) the consultation, association, participation and close collaboration with the representative organisations of employers and employees of the in respect practical' implement ation and application of laws·and regulation s prescribed; (c)the representatives of the.employers to have and of the workers of undertakings the opportunity to accompany inspectors to supervise the application of the measures prescribed; (d)the workers to comply with safety procedures; (e)the workers or'their to have the right to present proposals representatives, to .
obtain information 1 training and and to appeal to appropriate bodies in order to ensure protection against oG:cupational hazards.

Preventive and Protective Measures: (f)the competent authority· with the help of officers designated by employers and workers to establish and revise regularly the criteria for determining .
the hazards of exposure to their pollution, · noise and vibration in the working environ­ _ment and where appropriate to specify exposure limits; ( g)th·e working environment to be kept free from any· hazards due to air pollution, noise and by the­ vibration ·ap·i�iicati6n of· technical measures to new· plants or processes in) design or instal­ lation, or additions to existing plant or processes; (h)the employer suitable protective equipment and to to provide and maintain·.
refrain from r�quiring a worker to work without the personal .

�... .

... " .

prescribed; prqtective eq�ipment .

J b ... .,.

,I \ (i) the supervision free of cost and by pre-assigned at suitable intervals, conditions '\l of the heal th of workers exposed or Liable , ·: ' to· b.e exposed to occupational .

, , hazards; (j)providing 'in to cop.tinue work.ing workers who are I I \l I ' ' I \, 1 ' - I / J , with suitable alternative • . '

" ' .... 4.
(k)the notific&tion of the Gompetent authority of processes, substances machinery and equipment which involved exposure of workers to occupational hazards; (1)the dissemination of information and instructions on potential occupational hazards in the working environment; (m) the employer to have the services of someone competent to deal with matters pertaining to the prevention and control of air pollution, noise and vibration in the working environment; and for the competent authority to provide appropriate inspection se;rvices to supervise the application of the provisions of the Conventions.
The Working Environment (Air Pollution, Noise and Vibration) Recommendat ion, 1977, Scope The provisions of both instruments are to be applied/all branches of to economic activity and fo.

both employed self-employed persons.
Preventive and Protective Measures: The Recommendation provides for: (a) the competent authority to prescribe, the nature, frequency a�d other conditions of monitoring of air pollution, noise and vibration in the working environment to be carried out on the employers' responsibility; (b)the employer to arrange for equipment used to monitor air pollution, noise and vibration to be regularly main­ inspected, tained and calibrated; (c) the 11orkers and/or their representatives and tl,e inspection services to be afforded access to the records of inspection, main- 5. tenance and calibration of apparatus and equipment used on the monitoring of the working environment; (d)substances heal th or o·therwise which are harmful to dangerous .to he replaced 1 by less harmful substances··; ·· ·· (e)the replacement air pollution, noise of processes and vibration;· involving (f)the competent the substances to be prohibited or limited authority to determine in the manufacture, supply or use in the working environment; (g)the competent authority to approve standards for the emission levels of machinery and installations to be attained as appropriate by (a) design; or (b} built-;I in devices; or (c)1 those standards to qe placed on the manufact urer or the supplier of the machinery or installations; (h)the employer to ensure t�e regular' and mainte�µce of machines �n4 inspection installation�, with respect to the emission of harmful substances, dust, noise and vibration; (i) the competent a procedure for the approval of personal authority to establish protective equipment; (j)the competent in consultation authority to promote with employers' and workers•:'· · · the reduction organi�ations throughsuitable of exposure system�.or.
schedules ..

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there�u�ti·<>i>.

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wor:k �rganisa tj.ons f.mcluding ·cl ·1�o�king • \.

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6. provided that due account is taken of the relationship between the proteption of the working environment and the protection of the general environment.
Supervision of the Health of Workers: In supervising the health of workers the following are prescribed - (a)a pre-assignment medical examination; (b)a periodic medical examin�tion at suitable intervals; (c)biological or other tests or investi­ gations to control the degree of exposure; (d)medical examinations or biological or other tests or investigations after cessation of the assignment to be made available on a regular basis and on a pro­ longed period.
In addition the competent authority is required: (i)to make the results of all tests available to the worker and at his request to his personal physician; (ii)to carry out tests during working hours, free of cost to the workers; (iii)to develop a system of records to include information on occupational exposure to any pollution, noise and vibration in the environment; (iv)to provid� suitable employment and to maintain alternative his previous income through social security measures if the worker is advised not to continue working in the environment • 7.
TmF ing.

Information :and: Research: ( i)to promote'the and to' training provide inform.a tibn_ 'vli th respect to the prevention of and and control protection against existing an� occupational hazards in consultation .

f in advance with the workers' representatives; (ii) to ,promote and stimulate.research in the field of prevention and control of hazards; (�ii) to inform workers of the hazards before being assigned; (iv)to encourage workers' and employers' organisations to tak.e positive action· , .
to carry out programmes of training and information •.

Measures of Applica·tio n: The competent authority is expected to consult with the :most representative organisations of employers and workers concerned, and as appropriate manufacturers' suppliers' and importers1 organisations.

fosition.1n.Gu,v1QA The Safety, Health and Welfare Regulations Cap.

95:�2 make_provisions to cover·air pollution These in factories.
made ·unc1'J; 'Act, the Factor�es are (a) The Distilleries (Safety) Rei:,1U.lations which prescribe (i) "breath­ ing apparatus" for persons entering any place where dang�rous fumes are liable to be present (ii) belts breathing and reviving apparatus to be readily accessible in work places where fwnes are present.
(iii) vent pipe to be placed above the roof of buildings which carry spiritous vapour, (b) Factories (Health, and Welfare) Regulations which cover cleanliness, over crowding, temperature, ventilation, lighting, drainage, sanitary conveniences etc., of working t:nvironm,;nts.
(c) lt,actories in places where dang1c1rous (Safety) Regulations whic11 issue precautions fumes are liable to be present (Part V) (d) Building (Safety) Regulations which pl·escribe laws in parts VI and VII to cover aspects of Heal th and Welfare governing -inhalation of dust and fumes metallic compounds and 'r.T other poisonous substances Part VIII covers miscel.Laneous areas (e.g.)

mechanically propelled vehicles and trailers, explosives excavation of steam, smoke and vapour.
It is recognisab�e, therefore, that there are very few relating to Air Pollution, Vibration and noise ae ....... Guyan� measures in Guyana ts · leve'"l.� ·a:( ,t\· :.'

industrialisation does not warrant such measures • .QQ.pclusions as our There is no need at this point in time to ratify this Convention level of industrialisation is low.

However, it is proposed to implement the relevant provisions time.

of the Recommendation at the appropriate NURSING Pffl.SONNEL Convention, 1977 (No.
149) Scope: The Convention applies to all nursing personnel, wherever they work.

"Nursing personnel" includes all categories of persons providing care and nursing services.

However, special rules conc�rning nursing personnel who give nursing care and services on a voluntary basis are to be worked out in consultation with employers' and workers' organisations.

9.

·The Con�en�io11; for each provides·, / (a)after consulting the employers' and workers' organisations' concerned to adopt.
· and apply in a manner appropriate to national.

conditions a policy concerning nursing services.and nursing personnel designed within the,framework of a general heal th programme;· (b)to take the necessary measures to with - provide nursing personnel (i)education and training appropriate to the exercise of their functions; '.�pd (ii)employment and working conditions, including career prospects and remuneration; (c)to lay down by national laws or regulations .
( i)., the· basic requirements regarding -1, nursing education and training and.

the supervision of ·s·ucli ·education and training; (i,i) the requirements and limitations for the practice of nursing; (iii)the measures to promote the of nursin� perso�ef participation in th�.
P,l�p,ning of-' ,nursing services, L·iild COn�"Y:J.:tation With SUCh' personnel on decisions concerning· them; (d)to provide for the conditions of ·employment and work to be negotiated between· employers' and workers' organisations and for the settlement of disputes arising_ • I from t:qe dete'rmina tion of terms and.

conditions of employment ,to follow the·.· 10.


(e)to ensure that nursing personnel enjoy conditions at least equivalent to those of other workers in the following: (a)hours of work, including regulation.
and compensation for overtime, incon­ venient hours and shift work; (b) weekly rest; (c) paid annual holidays; (d) leave; educational (e) maternity leavE; (f)sick leave; (g)social security; (f)to endeavour to improve existing laws and re�lations health and on occupational safety to meet the special nature of nursing work and of the environment in which it is out.

carried Nursing Personnel 1977.


Recommendation, I Scope: This Recommendation applies to all"nursing personnel" providing nursing care and nursing services everywhere.

Special rules, however, may be established to .

govern nursing personnel who give servic�s on a voluntary basis.

II.Policy concerning Nursing Services and Nursing Personnel.
Every member is requested: (i)to adopt and apply in a manner appropriate to national conditions a policy concerning nursing personnel designed with­ in the framework of a general health programme; 1.1.· (':ii) tb establish in cohsultation.wi�h, employers' and workers' organisations a·' national nursing personnel stJZUcture as follows: ,.. (a) professional nurses, having the I education and training recognised as ·ncces'sary for assuming highly complex functions; (b) auxiliary nurses, having at least the · .1, · t education and training recognised as necessary for assuming less complex functions; ( c)nursing aides, p.avi.ng,.
prior.

education and for on-the-job training to enable them to perform specified tasks under supervision; (iii)not to use substitutes for nursing personnel of1a higher category except in case of special emergency they .

and provided have adequate training and experience and, are given appropriate compensation.

III.Education and Training.


The Recommendation provides for: (i)the necessary information and guidance on the nursing profession to be I• given to persons wishing to take up nursing as a career; (ii)nursing education and training to include both theory and practice; (iii) the duration of ba.sic nursing education and training to be related to the mtnimum educational requirements for entry to training; (iv)an advanced level of training to.
• ·, train p1:ofessional n�ses; (vi)programmes /of higher nursing education to prepare nursing personnel · fpr the higher 1 responsibilities in direct and supportive nursing care, in the administration of nursing education and and in research development, in the field of nursing; (vii)nursing aides to be given theoretical and pr,sctica.l training appropriate to their functions; (viii)continuing education and training both at the work place and outside.
IV.General The Recommendation provides also for: (a)Laws and regulBtions to specify require­ ments for the practice of the Nursing pro­ fession in terms of (i)limitation of practice (ii) standards (iii)assignment of work (iv) accelerated training to prepare nurses for higher positions (v) civil liabil:i.ey" of nursing personnel (vi) disciplinary rules (vii)and e.;,._emptions from performing specific duties; (b)the promotion of measures to promote participation of nursing personnel in the planning and in decisions concerning national health policy in general; (c)measures to ensure reasonable career prospects in career development; (d)the remuneration of nursing personnel to be fixed at levels commensurate with their socio-economic needs, qualification, responsibilities, duties and experience; (e)the working time and rest periods to be, fixed in each country; (f)the occupational heal�h �rotection and safety of nurses to be regulated by laws; (g) nursine personnel to enjoy social security protection at least equivalent to in the that of other persons employed public service or sector, private service or self employer; (h)special employment arrangements to be made to prevent the withdrawal of qualified persons from the profession; (i)nursing students to enjoy.
the rights and freedom of students in other disciplines; (j)the harmonisation of education and training for the nursing profession without the lowering of standards by international co-operation by means of mutual recognition of qualifications among countries; harmonising the requirements of authorisation to practise; and organising nur3ing personnel exchange programmes; (k)the Recommendation to be applied by means of national laws or regulations, collective agreements, work rules, arbitra­ tion awards or judicial decisions or other­ wise consistent with national practice.
Position in Guyana The Scope of the Conventio with those enjoyed by Nursing ..

Personnel of Guyana (i.e.)

11 categories of p ersons providing nursing care and.services."

n constitutes provisions all .

which are consistent The provisions of the Convention cater for the following: (a)a policy �n nursing service and nursing personnel (Article 2) (b)Education and Training (Article 3) (c) Practice of the Nursing Pro­ fession (.Article 4) (d) Participation of Nursing Personnd in the planning / ( l4.
of nursing.services (Article 5).

-Thes� provisions are either fully in opuration or in part .n..nd th·ose of Articles 6 end 7 are also negotiateij, Moreover, the General Nursing Council i� Guyana is a body corporate established under the Nurses and Mid-wives Registration Act Cap.

137 and consequently, it has the power by law to make rules regulating educr:1.tion and training, examination and certification per­ of nursing sonnel.

Thus Articles 3 and 4 of the Convention COi.�ld .be fully satisfied.
Conclusion§.

As a result of the foregoing, it is obvious that no problem would arise in terms of the implementation of the Convention, if the Convention is ratified.

Consequently, it is proposed to ratify the Convention and to implement as an aim of policy the provisions of the Recommendation.

SUMMARY OF COUCLUSIONi,FOR ADOPTION BY THE NATIONAL .ASSEMBLY 1 • • WORKING ENVIRONMENT (AIR POLLUTION, NOISB .AND VIBRATION) CONV:C:NTION, 1977 (No.
148) WORKING ENVIRONMENT (AIR POLLUTION, RECOr���NDAT ION, 1977 (No.

156) NOISE AND VIBRATION) It is proposed not to ratify the Convention on Working Environment but to implemen t those aspects of the Recommendation which are appropriate to the present stage of the country's level of industrialisation.

The Safety, Health and Welfare Regulations made under the Factories Act Cap.

·95:02 give adequate protection to workers in the working environment.
Aspects of air pollution,vibration and noise, however, are not looked upon as an immediate threat to the working population.

2.

NURSING P"ERSONNEL CONVENTION NURSING PERSONNEL RECOMMENDAT 1 1977 (No.

149) ION.

1977 (No.

157) The Scope of the Convention constitutes provisions which are consistent with those practised within the N ursine working environment.
In con­ sequence there would be little difficulty in implementing the articles of the Convention and, therefore, it is proposed to ratify the Convention and to impl�Iaent as an aim of policy the provisions of the Recommendation.

H.GREEN Minister Labour.

of Health, Housing and Ministry of Health, Housing and Labour III MP.

23/2/l JP3 Conve!l_tion CONVENTIOU C0:7CEi.

'lffK J TH1 PRO'l'EC;'UON �ORKING EKV.rnONME""�'.

:: Dl'E 'J.
:: Dl'E 'J.

'0 AIR POLLU1Ii ION, NOISE VIBRATION OF TORKERS .uGAINST OCCUPATION.AL HAZ�S IN THE Th G e er..er�.·� , Confer:-mce of t!1e �;uterna.

;ional 1abour Organisation p Havi:1g be6�1 convened at GcnevH by the Go70rning Body of the International Labu.1.r Off:.�c3, and :1avi11g met in its Sixty-third .

e:rnatio�al Noting t:1 .


terms of exist.ng int Session on l June 1977, and 1ubour Conventions and Recommendations which arc rE.�evan-c, a:cd :i.n pa-cFcular 9 the P�.ot.ection of Workers' Heal th Rec;omm8r..dation, l953 � ·';he Occupational .
the Ra dJ:=i.ticn Protect:.on Convention of Mac��:n3:r.·y Conventio:.1; J.964, Cancer Convention and Re\,;orrnnendation, 1964, the Hyf;:i.Gne (Commerce 1959, and Re'conunendation, 1960, ·che Guarding and Recommerdation, 1971, and the Occupational Health· Services Recommondation, tb.G Benzene Conv�nti.0:-1 and Of·fices) Convention and Reconoend.atiom, 19_74, and 1963, the Employment Injury Benefits Con%:i tion and Recommendation, Havi:ng cL..:.cid1:;d upon the adoption of certain proposals with regard to working e:nvi.r...,1ur..�nt: atno3nherif' pollution, itc:::.
Gi: t.Le agen.... ;f the E -=:ssi.on; and noisG and ribration, which is the fourth Having det .. 1,.m.i.ned that these proposal.3 shall take the form of nn international C1..nvc"J.t:.c:a :, adopts t:1�.G t·.

_;,.. the fol,_cT.i..:::l.::: Noise B.nd V =_;•::a cion) Coiwen-�ion � J 9}7: +; :Loth day of June of the year one thousand nine hundred anu seventy-seven C0 •.
vm1t:::..on, v:-hich rr:a;/ be cited as thw Working Environr.icmt (Air Pollution, 1.This Convc:1t.�on appl::.&s -!�o all branches of ecunomic activity.

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� �,, SCOI'B .AJ.

'"IJD DEFINITIONS :-t::.cle 1 2.A Memb0:i.· ra�1.fyint� ortaI:t��s"'N tiO;'.lE.'

of e.1 1} 1.oycx·�.

applie;c...�:.:ion.

0·� ·:l � · :0:.1 ven _ ,.on r :;.::::-··L.cL.

'..a.r br1.nc11es of economic activity special r,,ro b>�e:::: of r:.. subs-:ant:�a.i.
.may, after consultation �"> concern_ed, where such exist, exclud 1 from the thj_o Conve'1.tio:q o.nd wo·::-,-:01 nA.

ture ar··_se with the representative in respect of which ., Laoou:-Organisatio_n t�_, wl:ich :cati:ieG th:; s ';o�vention of th.e Conver.tio:;.1 3., Eac�1 l'{fat.

applica�i.on International of parag:-i.

"aph in subsequerit r,?ports the postt'ion excluded, and· the extent -:o wh�i-�:::h cf::ect h3.s be�m g:;._ ven or :'i.
s; propos9d to be given to the Convention in respect of such tranc�esu any L1:anches .. vin__i,· the reasons for such exclusionp and shall state of its law and prachce in respect of the branches under article 22 of the Constitution of .

shall 'list in the first report on the 2 of this }_T +.

.. _c.\o, g:.i which may have been excluded in pursuance s·J.'!

:::n:.ttcd the Article 2 1.Each -.-cr.1te:;:-?

.

:.n'ts:."

and wor�·:ers-.


in respect of...... whs7-'e such e�ds t. may accept the 'J ligations of this v:ith the representative organisations c ;para.tely-· coj_:sultation Convention of employers air poE·c:tion; noipe: &nd , .

'., vibration.

(a) (b) (c) 2o A Membe.·� more of the co.hlgories reason·J i.n the of the Cor:..s·�· repo!

't.J i.> ::i •.

cs�1 of hazc:xc.s oxcl.,_:,.

:,(..d given to th0 Con�.�cn wb::.�h do3s no·c e.c:;e-pt the obligations of the Convention f.�rst report on -the.
ap-:"lication of hazs.rds shall 8pecify this in its ratificcJ.tion ·and shall of the Convention subni tted under article 22 ·_.1,,..\ .. • o:n of the J:ntc:c·nn.tfonal Labour Organisation; it ehall state in subsequent in respect of one or give -i.;i.or.

of its law a:r�d T:,ractice in respect of the category or catag;ries and the eztEmt to wh.

ich effect has been given or i S' proposed to be tion in re;:ipsct ol ec.1ch such category of hazards.
3.Each ds�be� w�ich ha3 not on ratif�0ation in respect o:": an the en tegor:L9n : ondi tio�3 : .. q_:-:--�::.

tha+ it acc.

;e1)ts the obligations pr-"''VlOUs:: .. �r exr·.

X .. Jodo t t:' ·i.s � notiry -��rn Di:�ector-,Ge�.eral 01, l1t?zards sha1J.

subsequently, uhen it i3 satiffied that o: the Con·.rention in respect or· a category or categories of the Int .

.rna.

tional Labour- Office accepted the obligations of this Convention.

(n)the L·�:-:·.

11e::.r rollu+:i.01" cove.rs aJl.


air c,mtaminated by substances, whatever their .A:-ticle 3 .. JWJ:�ioal, .. �t.���, (�,) .. ·th e \�i,ri ·�n�ise" which-"are ,·co�era harmful to heal th or othe..,ise dangerous; _whicl: �� resu:t· all so:�:4d in .saring impaime.flt or be �armful· to, h 0al th· or otherwise dangero1...£: � 2·- {b) the term "vibratlon" through solid structures covers any vibration and is harmful P .ART .

II.

GENER.AL.
II.

GENER.AL.

PBO�SIONS whiJh is transmitted to h,alth dr otherwise dange.us.

to the human body Article· 4· ·.· .that measures be taken for the prevention shall prescr�be occupati(?llal hazards .in tho working environment agai:r::�t, laws or re�ulations · · to air pollution, '· 1.

Nativnal L\r1 control of, and protection and vibration.

due cone2rning the practical 2.


Provisions be adopted through technical standards codes of practic� noise· :inlplemen�ation of 1ihe measures so prescribed may and other r�1propriat e methods.

• .Artic:e � of tlis Convention, th-0ompetont authori 't'� shall with the most represen:;ative organisations of a-.

:1>loyers and workers concerning of employers the practical 4.

..• In giving effect to the provisions act in consultation concerned.

2.

Representatives .

provisions pursuance of Article ;.

P:".


'0vision employers and workers in tiJ.e application Convention.

4.
Re�resentatives shall have the opportunity uieasures prescribed in the light of the general p�ejudicial to the pe�formance to accompany in pursuance of their dties • shall be made for as ,..lose l cdl?,boration as possible of the measures prescribed in pursuance of �nis at all levels betwe:0 of the employer and rep�sentatives of the workers of t:r .� undertaking inpectors supervising the applica�:...,n of the consider, of this (mvention, instructions f the competent unless the inspectors that this may be authority, and worke?s snall be associated with the elaboration of implenen-;n +-ion of the measures prescribed in .AJ:"l.cle 6 ·l.
Employers shall be made responsib.e for complianc 2.Whenever two or more employers uriert.ake ac ti vi ties simultaneou sly at one .. work- e with thG prescribed measures.

place, they shall have the duty to colle>orate measures, without .safety of his employees.

prescribe general procc1.1ures In appropriate :t:'or this coL.:.abor2 to the respc1sibili prejudice in order to comply 1d th the prescribed ty of each empl0yer for the heal th : and the coJ1potcnt authority t,hall circumstr-mces, �i.on.
lrticle 7 1.Workers shall be required .

.

: .. prevention and control of, and pro;ectior.

pollution, noise and vibration in che working environment.
tv comp:y with safety procedures relating to the against, occupational hazards due to air 2.\tbrkers or their representa.ives and training �hall have the right to present proposals, to and to appeal to appropriate bodies so &a to ensure against occupational hazards due to air pollution, noise and vibration in the 'i qbtaiL information protection wbrking environment.

PAR!

:1 III.

PREVENT:VE AND PROTECTIVE MEASURES , .

, 1�, Th� compete11t .'


�· eXP,oeure to air :)ollution, noise and vibra-:;ion appropriate, shall specify exposure limits on the basis of these criteria.

_ ,'2.

In the el�boration and the determination of the criteria shall est�bli� criteria for determining -:he hazards of and, where in the working environment of the exposure linti.�s authority .. t authority shall take into account the opinion of technically competent by the.

most representative organisations of er ,:;�LOyers and workers· .
Vle, compete1 .

', ··persons designated ·· .- .,oPcc:�ned.

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- 3 - Article 9 As far as possible,' the working .enviro:nment shal� be kept free from any hazard G.ue to air pollut:lon, (a� by technical measures or added to existing noise· or ... vibration ---": --pplied to new plnnt or nrocesses in fr-sign or installat _ion, plant or processes; or, where this is.

not possible, ( b)by supplem..;_itary organ_sat ional measures.
Article 10 Where the measures t�ken in pursuance of Article 9 do not bring air pollution, in the working environment within the limits specified 8, the employer shall ��ovide and maintain suitable shall not require a worker to work wi thou-· the personal noise in pursuance of equipment.
personnl protective equipment protective and vibration Article Tne employer providei in pursuance of this Article • .A;;::ticle 11 1.There shall be supe1vision determined edposed environnent periodical by the competent to occupational ..

Such supervision shall examinations, as determined at suitable nuthority, include hazards intervals, on condit..LJfiS and in circumstances of tne health of workers exposed due to air pollution, noise or vibration or liable to be i� the working by the competent authority.
a pre-assignment medical exaful�.ation and for in paragraph 2.The supervision provided 1 of this Article shall be free of �ost to the worke.1· :;oncerried.

3.

Where con tinuad ass·ignmen t to work involving or vibration with nation::il a+ t-_erne.

.
.

or .o._ther:wise .- is found to be medically practice aYJ.d conditions, to provide or to maintain his income through inadvisable, ti ve .employment to air pollution, noise exposure every effor� shall be the worker v.:_ccrnod with 3uitable, made, consis:�nt social security mE:-+-�"J.res 4.In implementing this Conve�.t.ion, c;he rights of workers under social security r social insurance legislation shall not be adversely affected.

Article 12 The use of processes, substance2.


machinery and equipment, to be specified authority, competent �.

�rkinr envir0r1ent due to air pollution, the competent anct the competent use on prescribed conditions or prohibit authority it.

· · noise or· vibration, eLJ.


thori ty, as appropriate, hazards shall be notified to may authorise the which involve � .. :pos1:U'e of workers to occupational by the in the All persons concerned shall be adequately cUld suitably-- .Ar.ticlo 13 (a)informed of potential onal ha��rds in the working environment due to air pollution, noise and vibranion; occupati and (b)instructed protection in the measures available against, those hazards.
for the.prevention and control of, and ArtieJ.c 14 Measures taking account of na tiona+ conditions and resources st.aJl be taken to promote research due to air pollution, noise and vibration.

in the field of prevention and control of hazards in the working environment PART IV.

MEASVJIBS OF .APPLI(]ATION .Article 15 be required c-.·� �n.
condi ti.�ns: J.ari-d> i:r:1 c�rcumstances �--a�l a competent service o.�d control to a�point common to several undertakings, of air pollution, noise and vibration person, to deal with matters pertaining in the working by -che competent authority, the employer or use a competent outside service'or determ:�ned environment to· the prevention •.. Each Member shall-- Article 16 ( a)by l�w� or regulations c o�d1.
ti 'Jn� take such � teps, including may be necesscLry to give effec.t to the provisions .. the pro vision of approprin of this Convention; or any other method consis ti:mt with nat::_0na l practice and te pe::ial tie's, as, 9eRY&1i9P 149 9RADO-ion c9nc9£1PM Emt>low.�nt and Condit,,111 Rt )fQF!s AAA Lit .�.

of .

.

.

.

lm:IJY Ps;aonnel.

.

.

\ '!

'he Qeneral Conf'ere.nce of the Internatioriai" at Ger·va by the Govern� ·ody of _th� Int�­ Having been convened_ .
nationa-Labour Off ice, and having met in its Si v:ty-third La�our Organisation� Sass.ion · ' on t June .. 1977, and Reo�ising the vital ·role plgyed by nursing in the f .... Jld of health, other workers provement and im­ of.

the heal th and welf.are of ti--e population, and per��nnal, toget�er with in the protection Recognising that 1..t.1.

'3 publ> sector as an employer should play an active role in the imprJvement employment and work of nursing personnel, of rur..,ing J>ersonnel of �?nd.itions of and .
.

Noting that tl-,1 present situation of nursing in which there j s a shortage of qua:L.:.
ied parsons and �xis ting is P..n obstacle to staff are not -_1ways utilised and the development of effective health services, to best effect, personnel .1.n many countries, Recalling are covered personnel that nursing laying down general· by many international labour standards con­ of work' such as ins-brumenta on CQnventions and Recommendations cerning emrloyment and conditions discrimination, collectively, of work; security the protection of workers on freedom on voluntary conciliation holidays with pay and paid educational and welfare facilities, and arbitration, on hours leave, on social protection and on maternity and ·w1a fight to bargain, of association ' �-, :�al th, and and Const'lering comlLions that ·• e special ..aake it desirable standards by standards enable them to enjoy a status corresponding t�; their role :in field of heal th and acceptable .c:nt the a:�ove-mentioned in which nursing is carried out to nursing personnel, to •SUppleLJ specific designed to to them, and general the Noting that the fallowing the World Health Organisation co-operation .application with that Organisation in promoting of these standards, and standar 1s have been framed in co-opera Fon vi th, and that there will be continuing and securing the Having decided upon the adoption ployment and conditions which is the sixth itan on tL8 of certain proposals with regard to em­ _of work and life 01 nursing personnel, age.
1a of the session, and ·:Having determined that these proposals shall take the form of an 'inter- national Convention• adopts this twenty-first seventy-seven Personnel Convention, 1977: hundred and the folivwing Convention, 1:hich day of June of the year :ne thousand nine maJ be cited as t�1e n, rsing Article 1 1.

For the purpose of this Convention, the term "nursing.personneil," incl:udes all categories of persons providing nuraing care and nursing 'services.

2.
2.

Thia Convention applies to all nursing personnel, wherever they wor :,.

The competent I or:ganisations concerned, with the employers' enc,.

WQ%1kers ei1.�te,.

��abliah special rules c0t.

.. cerD1ng n:Jr8ing persori.nel who givf!

"lursing cai'e and aervicea on a vol�tary basis; these rules shall not derogate fl'om ot Article paragr �ph 2( a), A.rtio� , , Article 4 end Article 7 of this Convent.A.on.

c .. J, where ·su�h organi.,!tionca a:f'ter consultation the pr ,,ieiona authority .

I 2. ?

..
I 2. ?

..

Article 1. .

.. Each··llemb·� 11hicii��;tifies to national and nursing personnel designed, in a DialineJt appropriate services heath programme, where such a programme exists, for health care as a whala, to provide for attaining the highest possible conditions, the quantity and quality of nursinc care level of health f6r the population.

t1 :_s·'C.onventi>n a policy coi:,;ernf.Dc IU1r81ng "1?1�11 atopt-·and -,,.,., within the framework of a general and within the resources availabJ.e 2.
In partiaaJ.ar, it shall take the necessary measures r;o provide nursiDB personnel with - {a) education and training awr:>priate to the exercise of their functions; and (b) employment neration, which d.l'e lik�ly to attract and working conditions, including career prospect and remu­ persons to the profession and :retain them in it.

:,.

The policy mer.tioned mulated in consultation with where such organisations exist.
in paragraph l of this A.l'ticle shall be for- the employers' and �:orkers' organisations concerned, 4.

This policy shall .ba co-ordinated with J,olicies rcl.J.tiag to other aspects of he�lth care and to other workers with the employera'and workers' organisations concerned.

in the field of haalth, in consultation Article 3 1.
The basic requirements regarding nursing education and traininc and the supervision or regula tio'· empowered ... s or by the ... , Jmpeten by such laws or regulations t authority to do so.

laws of such education and training shall be laid down by n,�tional or competent prof easional bodies, 2.

Nur sing education and training shall be co-ordinated with the education and training of other workers in the field of health.

Article 4 praQtice of nursing and limit.


that practice to persons who meet these requirements .

National laws or regulations shall spucify for the the requirements Ar+icle 5 l...

Measures.

shall be taken to personnel in the planning of nursing aervices and c.onaultation on decisions them, in a manner appropriat concerning promote the participation of nursing· with such personnel e to national conditions.

,.., be made by negotiation between 2..


The determination of conditions of employment employers' and workers' and work shall preferabl3 concerned.

o�ganisations 3..

The settlement of terms and condi tiona of employment the parties, or, in such a manner as through independent voluntary arbitration.

and impartial arising in connection shall be sought through nego-:-.
:: to ensure the confidence of such as mediation, n and of disputes machinery conciliatiq ationa 1:-etveen the parties involved with the determaination Article 6 of oth.-workers 11.uwing personnel shall enjoy conditions in the country concerned in the fqllowinc f�eldaa a, le.ut eq·"'� valent ''to thca e , .
(a) · Hours of work, including regulations and compensatio .n of overtimfl, in­ conven1.ent hours and shift work; (b)' (c) (d) weekly rest; paid annual holidays; leave; educational (e) maternity leave; (g) sick leave; (g) social security.

...u-ticle 7 and-regulations nature of nursing Each Member shall, if necessary, endea\ existing laws health and safety b� a<lapting them to the sll8cial in which it is carried out.
Jur to :Im.prove work and of the environment on occupational Article 8 The provisions of this Convention, � so.

far as they_are not otherwi made effective by means of collective agreements, works rules, arbitr(ltion awards, court decisions, or in such other manner consistent with national practice as may be appropriate under national conditions, shall be given effect by national laws or regulations.

the Director-General of the International Labour Office for registration.
The formal ratificatio:J.s o f this Convention whall be communicated to Article 9 Article 10 1.

This Conventior wt all be binding only upon those Members of the Labqur 01:8e,nisation whose ratifications have been registered with International ··th'e I1rector-Genera1·.

I • 2.

I1' shall come tnto force twelve months after the date on which the ratifications of two Members have been registered with the DJ.rector-Ge�eral • .

:,.
:,.

Thereafter, this Convention twelve months after the date on which its ratification sp.e.11 come into force for any Member has been registered.

Article 11 .

1.

£ Member which has ratified this Convention may denounce it after of ten years from the date on which the Convention the expiration forec, by an act communicated to the Director-General Office f�r registrati on.

Such denunciation after the date on which it is registered.
of the International shall not take effect until one year .- first comes into Labour 2.

Each Member which has ratified this Convent.ion and which does not, within the year following the preceding the right of denunciation provided for in this Jitticle, will be bound for another pe:ck>d of ten years and, thereafter, this Convention vided for in this Ar.ticle.
may denounc of each period of ten :rears under the terms pro­ of the period of ten years mentioned paragraph, exercise the expiration at the expiration in Article 12 1.

The· D·· rector-General .of the International Labour O Jice shall notify all Members of the Int.ernational Labour Organisation of the registration of all ratific•tions and denunclatio1µ3 communicated to him by the Memb�rs of the Organiaaticin.1 4.

2.

Vhen notifying the Members of the Ol'!ganisation of -�.

:i:1.u ROgistraticm.


of the second ratification attention will come into force.

of the Me·nbers communicated to him, the Director-G8nerfll shall cltb the of the OJ:'ganis2.tion to the date upon which the Convention Article 13 The ni.

:ector-G eneral of the International Labour Office shall oommuni­ cate to the S3creta.ry-General with .Article 102 of the Qi arter of the United Iiations of the United Nations for registration full particulars of all in accordance .
ratifica visions of the preceding tio� and acts of denunciation Acticles.

registered by him in nccordance with the pro­ Article 14 International the workl;ng Conferenc� the question of its revision in whole or in part • At such times as it may consider necessary the Governing Body of the a report on Labour otfice shall present to the General Conf ert.nce ,Articla 15 1.
Should the Conference adopt a new Convention revising this Convention in whole or in part, then, unless the new Convention otherwise provides -- the ratification jure involve the immediate standing the provisions Convention shall have come into force; by A Member of the new revising C denunciation onvention of this Convention, notwith­ shall ipso.
of Article ll above, if and when the new revising (b) as from the date when the new revising Convention ratification shall cease to open to Convent!on by the M@m.bers.

come• into foro.e this 2.

This Convention shall in any case remain in force in its actual form and content r<rvising Convention.

for those Jlembe�a which have ratified it but have not ratified the The English and Prench versions of the text of this Convention are oo_ually a thori tative.
Article 16 Recommendati�� RecommendaJ:j..QtL.£2�1}2;..H�w the ..

:erot�ct;.Q.

!LS?.L worker§.._§:g_9"j.�11.§.

:L.tQ.C�_Raj;Jo11.E!l ha&§..r ..

@.

;_J .

.. 1:1 the working envir onmen t_sl11-_EL.

to ai_r;_J20l1_}ltioIJ.,..ll.Qi$_.e_ and yj�hr.,_ati.Ql};o The General Conference of the International Labour OrJ�nisation, .

comcned at ·Geneva· by the Governing Body of the International Having·beer.. Lab0llr Oi.
'i'ice, and having met · in i·i::s Sixty-third Ses3ion "'n 1 June 1977 � and Noting the terms of 2xistinP.
international labour ConvJ�tio_s and Recommenda­ tions which are relevant, and, in particular, th<-frotection of Workers' Machinery Health Recomrn.endation, 1959 t the Radiation Protection Guarding of InJury Benefits ·0onven tion, J.971� and tion and Recommenda Convention, 1953, thG Occupational Heal th Services Convontion and Recorar=ie!1:d�tion, Conv�ntion anci Recommendation, Recommendation, 1960, the 19·�.

'\, tho ELployment 1964, ti-� Hygiene (Ebmmcl::'C1.:--...
,1.d Offices) and the Occupational tion, 1964, the Benzene C01wot.ti Ce..ncer Convention :n and Recorn.11enda­ a::.cl 'R.8-;omrn.endation� 1974r Having decided upon the adoption of certain proposals .,.-i th regard to working c ?

ironmen item on the a�c�da of the session, pollution., o.n t: atmospheric noise and vibra:ion, wt.ich is the fo1.i.

:th Having deterii ined that these proposalfi shall take the form of e..

Recommend::ition supplementing Co::ivention ,, 19Ti.
the Working Enrironm.Jnt (Air Pollution, Noise and Vibration) adopts this twentieth the following Noise and Vibration) n oc c:::mnendation, J '-'")d as the Working .....1nvironmon wM.ch nay be ci .

•�-:!.•1tion� 1977: day of Junl;j of the year one thousand nine hundred and seventy-seven t ( Air Pc lu tioJ., .

SCOPE L.(1) To the greatest (Air Pollution� Noise and Vibration) be applied to a:�2.
brrc.1ches of econom�_c extent possible, Convention, activity e1 the provisions of the Working Environment should 1977, and of this Recommendation (2)I1:::.e.

'3L H.'es should be taken ti.

give self-emplo yed persons p1 otcction (Air Pollution, in the working Noise environment and Vi.bratio:i) analogous to tr.at provided 1977, in this Recommendation for in the Working Environment ., .'

· Com-ention, II... PREVENTIVF.i AND PROTECTIVB MEJ....SDRES.
2Q (l)The competent authority of air pollution, the nature, frequency nois(;j and vibration in the working environment should prescribe anJ.

other conditions to be carr:.ed of mc!liLoring out on the emriloyer 's responsibility.

(2)s1:sJia1.

moni.toring jn the working envircU.llllent when machinery o� insta:lations i.n relation (Air, pollution� N to the exposure limi"ts ,,.0f0rred oise and Vibration) Convention, to in .A:'ticle 8 1977, should are fir�t put into of the Working L ..

n-·.rorur�.
n-·.rorur�.

:mt be undertaken use or significnntiy modified, or when new processes are intr.·0d.uced.

3o It shoula bs the duty of th8 eraployer to arrange fo1.· equipmbnt :i_n the working environment to ue regularly inspected·, used to i:10nitor air pollution, noise and vibration maintained and calibrated.

afforded of inspection 4o The workers and/ or the:i..r repr C)O<.::J.

L.:.

access to the records of the mo1utoring of ··:,: .

and calibrA.�ion of apparauts 11 ma:Lntenance '.,.l.
\,•ec OY a L -3 i.nr::� .. '"'-:_ion S8"'"7ices s:ti_rmld be .

working enviro;.1I,10nt and equipmo:nt used therefor.

cords_ and to· the re I ' • � - 2 - J,u,s-tarn•es·v,;{��' .

'.h c.

·e··.··nAu.'.·:nJ.

·to heaJ.�h liable by less to b� airb har11lful or l18.r111J.s�,s °o�hB :.i.

:rt tl1.).

work�ng 8ff'T: i·un·men-c ��bofailces �-· · ... { .

.. .

()1.· o:1.,llGJ.w.iRe } <l.anb--erou::;-and W!lic 1 'ar,--' A:8 far: as possi bl_c, Le r.A!)

�.JlC ed shou:;__,�; ·· ...... · 6 C, _ rcCPdoGs �ff.-oJ.
"'.-ing :nent as d1.

::fin0d �.E Ji:.·{· ·.c�·.e 3 o:!

:' t�-� �,�crL::.n:2; 9 :J77, shov.J.d.

b�, ro:-,1.E.2ed.

ac:it"cr.

:: Convention air po11·.

:.-ti01, noiGe or ".r:::.c::·a-::;:i.on .

.

�:=:..r pollution, noise o--:: ··• ·-.

;:,t.ion in the working onviron- E-.:�1v.i.

;:·'Jrn-:1ei1t U,..:.,_._ .. Pollution, Noise a · .,s 1.JOSs�:_ble by procescGs i·wolving nd y· bration) less ur no 70 1.L'he C �'11p8-�t:;ll t .SU .

:ho::c·l -'cy s: .
:ho::c·l -'cy s: .

: '):J.::c� d.et•.il"GI:,ne the Or wh:i_ch tho manu:f ac-ture: env:'..:�·ori rrr'YrJ.t su·r,3 t..an�es shouli be prohibited cc:r."1J.��ance wii,�1 .,.

)art:i.cu} or mado subject to its .ar ri1eB, ... ,lu�cs of prev0rition or su.1-,ply or use j_:n the uo:.

:·�;:::_:1g c:1., req_uiri:10; spe.�j p::-otec+iono fie au-tho1":.sa.�t 'J...

(:.)

J.n.

app�c�/.;.'i'.

:l.t� r� .,.eT:,1.0 of map:1�.

:1crJ s..:i..'�..:.;sio.

8ascs the co:Il::;ietent au.tho·.


:· __ t::,· shouJ.d approve standard.o anci -i.nstallation s a� ::-cgards ai:r pollution fol' the ?

noise and vibra- ( 2)1'hosc s ta:-:dn:i:'.

'ds E:hou::..c: 'be 2.ttain.ed as appropr:i.ate b._:· , ' .. b) 1m:;_ :..t-��n clc vi.� cu ; m· �31 •.

n o'b:ic3.t�.on.

Jc o '.

?n.Pure cc::;ipJ.ian • 1.

..

.'

• ., __ ' ·.1.cT1.1:r1;.

;r r tl:.

,3 st..pp�.:..

"...'!:-..'

o.f t '1e .

!Jl.1.·G�.1.


::.ne:cy ce with tn�1se: sta:,l.ards 01· i:1stalla� ons" s'10uld be pla:J 0 .. 1 •'10 S, ·:�1 ... ) v· "'-:..0,_, .. :.7;.

� ... s-r:11::,::;, :i.-;.1 c ".:'B��:.

8 n: this I'..ecc��:nc::cat:.

:..0:1 ·,:· .... 1[ ... :c..ul· .. ::'� .. t r�u tl10:r·:::.. �:r ::·cqu �-�·-:.:.

::,-; r ornpI..i �7.1.i�h of }?c p:.Yten r -::: • .-: t'ie l�f.t t or -�·-.-.
most recent tec .. mica1 know' edg-::, mo,Jt the requiremen·:�� 2hould bo Qade subject to J.ut:iori sati ·m by the com­ 9 with othLT ::1.ppropria te tochr ... ir;al or c drninistra ti ve ....... tE::-e, supply or use of tachirwry and installations 100 rri ... e prc-:...-:'.,:·i.c:i.1s c��-�;a.�·2-;:·c.

:)· .. ·, 8 a:1d 9 CJ.

t:•.iis Ile ,O!D�G:'1(atL .,n 8hou1<1 not re] teve the GJ1.1..lo;y,]r PolJ.ution, of �:.,3 0Y.::...

:'.�:::.1.0Y1.J c:� Artic·1 e 6 of -:;ho 1.:orkinc� i:1 ?·...Tsu::-.
:-1c0 ..1.� '·:J.)

Co:::i ';:'_:t.o .. :� �977 i�·o�.S(.

[,":C. ·,;J.1..i:·a t1n.7ironment r Air 11 .

n 'i'ho CEllJ�.oye1· :JhO'J.ld ensur .

:- :.��.e 2.

'Cg1 'U'.'

inspcct�_on o:· .rar .. n tLmance .of machines and insta:lations t�_on.

... 9 i;::::_ th r3S:;?eVt J..,8 tl,8 ,··' '1"' .· .. Q of hnrmfu].

::iu'Jsta..v:i;�r3s 1 dust, nois& and vibra-- 12, T��'.J co::-.1pst'':i.1C c: ..

:'Ghc,..-.

:_ n�cossary for the prvr,oction.


of the Forkersv heal-:;h, os..1.abJif:'.h a �)�ocedu:::·e 7'y shouJ.d; ,;-;i_en fo1:· the approvak.

:of personal :,:rotecti-r o Q".ly .

.

'...pmsnt.

13...

In r-r:-su '.ln .... e of Ar �le le 9 1 8"J.bparagraph rl V� .

a·,1 Pollution, I"· 2pprcp�"i ··aI'-; sati0!1.r1 , -�?le r<=d::;;t�.on cf ort;an:i..sation, at�, i-'.J.vvide fc:,: ..

:.:.d.

:;_ng :.

!le� e::: :9ost:.r'J tnrou;·h -t:-... e red1-.1.cticn of worl.c�.ng ...,�ntiorJ �on"t,2nt�_on?
( b) of the �forking 1977 j the 8ompe�t.n�.t En-rirom:.ent ( A� r auth rity f.J10nld, as or­ suitable systens or s :l�odulcs o: wcr...c or pror:wte, �-:i C0!1:)LA.�h1.tion with employ0rs' c.nd wcckers'' t:.me without losn of pay0 ., 4 c :.-:n 1.,_"esG·::· �-�-"':.1�_; in the wo::.-k.::_,€' mens.1res ±'02.. the Jrev Jntion and control of ail" ?OllLA.

tit.a, no-�se ufld vi:.rat :_on :-·l.dr1:::-c::<: T,t \ ·_., .. --' ..

:.

:[' ..

!'

C1::'·i-?

i .. -:-i.

'.

;t c;.

; most r·::cc.mt cedes O'!'


prac:;j_8e e &r..c: -L�'le cc:ic L1si ors o:: .me8ti:ngs envirc:-:nEnt, tho competent author:l ty slicm� O:::' guides eE;tablished cf uxpt..�rts -· 1 .

� �:l.Vf.ni)d cy· -� .. 1-: d take int2 �on-� by tb:1 Internatlo:1a{.

.. � .�0-i::_:3.

]_ J !.1-,c.-,;.::-V'."����C'.3!

1 [;,::.

''7E:�'.

.l C'J :.::.::.

:i:'c:.�r.c..J.,\0_1 .

:,:'ron ()'v_.

... c::' computcn-bod::qsc- J.:,i�.

L.1 pre.::;..::;'L�:i:�::'.'

0 rr.•.,.2,r: .. "t.' .


.l'Co �o:.· th e r:."u7�nt:Lo.

: ar..d cont::col of air p-:,llv.tion, n-�is3 ..... , -; cm in th\.., -rn:rU_::i.g-envj_ro1 nent, t'hu comr,, tent author:i ty shou1d take ··, n1 "··i.1:;�_ t!1i:1 pro· 2ct::.on of t he \i·rking environ.mont and the pn:i-cc�-cion c.... the gen01·aJ.

--tion�hi.·?

bet·.·sen .mc· _ t, env:i.ro:::- , : , r .

• • III SUPERVISION OF THL HE.ALTH OF WORKERS 16.

(1) The supervision of the he"' i �h of workc.>rs provide_q.
for in Article 11 of the Working Environment ns determined by;th� comp�tent authority- (Air Eo�tioi:t� Noise and Vib .. :ation) Convention, 1977, should include a pre-r..ssignment medical examination·; periodic medical e·xaminations at s1li table intervals; (a) (b).
(c) biological the degr� ·of exposure or other tests or investigations and supervise • •• • the state of health of the worker con�rned; # which may be necessary to control (d) examinations medical of the c::.ssignm,ent which, when medically right on a regular basis and over a prolonged or .. biol,;gical or other tests or· irttrestigatiQns after cessation us -Jf indiC'8-ted, should be made available period.

(.)
(.)

The oompetent authority 2 should require that the results of any such examina- to the worh:r, and at his request ��o his personal tions or tests be made available physician.

17.The dupervision provided for in Paragraph 16 of this Recommondation should normally be Cc:.!

ried out.

in working hours and should be free.

of cost tG the worker._ 18.


(1' The competen� information obtained determine the manner in 1hich it maintenance availability,on authority of such records for an appropriate term� which will permit pers0nal perHd.

: of··time to ass�re their identificatior.

by the competent ·only, for epidemiologicdl and other research.

in pursuance of Paragi-·aph authority .should de�elop � system of records of the medical ation and should ·Prevision should be made for th8 16 of this Recommend is to op�rate.
(2)To tt.e extent determined by t'�· · competent authority, the .records should on.occ�pational exposurp to air pollution, noise and vibration in include information the working environment.

19.
19.

Where �ontinued assignment to work involvin is found tc be medically practice and condittons,' inadv:.isable, to provide the worker concerned with suitable g exposure to air pollution, every ef'f ort should be made, consister .. t noise .. _t and to maintain his previous income through social secu�ity or vibratL..,n with national alternative measure� emp.loyi-'i--- or otherwise.

20.
20.

In implementing this Recommendation, or social insu�ance legislation should not be adversely the rights of workers affected.

under social security IV.TRAINING, INFORMATION AND RESEARCH 21.

(1) The competent authority should take measures with r&spect to the prevention to promot,e the training and of, and and contro� information of protection environment all persons against, existing due to air pollution, cunc£rned and potential occupational hazards in the workinL, noise and vibration.
(2)Representatives of the workers of the undertaking should be informed and cor-3ulted in advance by the employer harmful �v: vibration consequences in the working environme nt.
on projects, measures and decisions on the health of workers, in connection which are liable to have with air pollution, noise (3)Before being assignl?d pollution, of safety and health measures, noise or vibration, to work liable to involve exposure workers and of possibilities of having rec�urse t · hazard;1 of air should be informed by the employer of the hazards, to medical services.

22.

(1) Th0 competent organisations, workers' prevention and vibration, o.rganisations.
and control authority, in close co-operation with employers' an.

should promote, assist and stimulate of hazards in the working environment of internati research due to air pollution, onal and national with the assistance, as appropriate, in the field of noise (2)All concerned should be informe� of the objectives and results of such research.
23.Employers' and workers' organisations should take positive programmes of training and informatiun with respect to the pr8vention action to carry out and control of, and protec tion against, edetiilg and po ten ti: ment due to .air pollution, noise and vibration.

4 9:oupa tional haiarde in tL.c working �nvi::On-,� � \ 24.
Workers' representatives within und�rtakings should ·have _the facilities and nee,,easary time, without loss of pay, ·to play an active role in respect of the preven:tion an.d control of, and the protection against,· environment due to air pollution, noise and Vibration.
have the right to seek assistance from recc�;-nised hazards in the working Por this purpose , they should experts of their choice • occupational 25.Such measures as are :necessary should be taken to secure that, in connection with the u se ·at a workplace dangerous, adequate information is available on- of a subs�ance liable to be .h�mful to heal th or otherwise (a) the results of any relevant· (b} the conditions teats relating to the substance; tmd required to ensure that, when properly used, it is without danger to the health of workers.
26.Each Member should- V.MEASURES OF APPLICATION ( a) by laws or regulations·or conditions take such steps, including any other method consistent with national practice and penalties, as of appropriate ion; to give effect to the provisions of this Recommendat the provision ·may be necessary (b)provide appropriate inspe:tion .services for the purpose of sup0rvising the applica­ of this R�commendatiori.

', or satisfy i tsdlf ·that appropriate tion of the provisio�s inspection is carried ou�; _., .
(c) endeavour to do so as speedily as national 27.

In giving effect to the provisions conditions permit.

of tr1is Reconmendation the competent authority should act in consul:ation �mployers and workers concerned, importers' organisations.

with the most representati ve organisations and, as appropriate, manufacturers•, of suppliers• and ' 28.

(1) The.
(1) The.

provisions of this Recommendation which relate to the· deaigr.. ::zanufacture and supply pf machinery newly manuf�ctured machinery and equipment.· and -equipment to an approved standard shO').ld apply forthwith to (2)The' competent aut1> ·�ty should, as soon as possible, specily time limits appropriate to their nature for the modification of existing machinery and equipnent.

r' a tj Q;:,;_�:21.
r' a tj Q;:,;_�:21.

R e c orrnr3:1 REC(qMMENDATIO N CC JCEiuUNG K-IPLOYHENT AND CONDITIONS OF WORK .AND LIFE OF NURSING PERSONNEL Labour Crganisation9 Body of the International.Labour Office, togather with other workers 78!Ilent of the hee.l th and welfare 0£ J\.�he rr.·-�t in its S�xty-thi�d Sessi011 on l June 1977, nnd J.:he vital role play�d by nrn'.
'sing personnel, International The General Conference Having ::>Gen convened at Geneva bv the Governing and �1aving Recognising in the field 0±: heal fa, :i.:n the.

protr�ction of the populqt:Lon, Emphasising and e�p!oyers' ol .. nursing services Recogn:.ij_ng ·a partfoularly of·nurs-ing role in the improvement and acti,ve ·personnel, that tho public se':!

tor as an· employer and workers'.

o�ganisation s concerned appropriate and impro'.

of cond.i and .

to.
the needs ·of the community, and of nursing personnel should play� tions of employment and work tre need to expand health services thJ.�ough co-operation between governments in order to ensure the provision No,tinrr that the present situation oi qualified �ncr� is a shor�age to the best effect, is an obsta�lG oi' nursing personnel persons and existing in many cou.htli0;s, sta.ff are not t-tlways utilised of effective in which health services, and to the development Recalli.ng th,r� nurc.ing personnel are covered oy many internationnl labour Conventions laying d.m-:rn general· and n�co .. 11c1daJcioas of wo:tk, s ur.h as i11sh·uments to bargain colJ.ectivcly, holi .oys with : and 'On n;1tr:1i pay and paid ed1tcat�_onal t�r protcct.
"_on on volunta:::-y concerning on discrimination, on.

freedom of ·.¥ssociation and the right ent and conditions standards GmpJ.oym conciliation leave, 0�1 soci�l security and welfare facilities, and arpi.tration, on hours of work, and th.e protection 'of wor)rers.'

heal th?

and Cons:.c 1·e:;."i?


:13 ttL:'c tho sp�c:;..al conditions in which nursing is cnrri ed out make it · to: cu .1plement specific desirable to nursing personnel, de'"'igned to enable th�m to enjoy a status· corresponding to their role in t�_a field of health and acceP_tabl� .

geri.eral stand·ard� the above-mentioned by stnndards to the:rri,· and Noting that th:� follm;ir.s standards Heal th.

Crga�i··; tion in p1·omo�-;..ng c.:c::.on a:".ld Jl·:·rn:t -�'.12::-e and secui,�.ng ·c11.e R}Jp}.
:-i_cation of these standards have_ been ;rar.1:ed wilJ.

bo �ontinuing in co-_operation co-or· -ration 9 and uith the World with that O 5anisa­ Having decide<l u�on tne e.c.op-c:..on conditions ancl:· of the session.� and life of·.

nurs_ing of i•io:d�.

o.f certain proposals Ni th .r·L\�·r:.

:::d to ump1.oymei ·[i:; zmd p2rsonneJ., whicb is the sixth i teµi on the agenda Having detorr.ij ned tb!
:l.t t:1.es9 p:roposals sha11· ::alee the form o'f a Recommendation, adopts this t1rnnty-f·: rst' c:;.o.y the following 1977: Recom.."Ilendation� o� Ju:1e of the yoar·3cne thousand wh:Lch may be cited.-ns the Nursing Personnel Recommendation, nine hundred and seventy-seven Io SCOPE.

L For the· pr:.

:;--,pcse of this Reccmmendn:cion 9 the term r:1nursing personnel'' all includes categories of pcrso�s pro·vi.ding rnxcsing care and nursing services.
2 .. Thi n_ nee: mrne�dation appli�s J;o aJ.l nursing personnel, wherever they work.

3 • .

who g:ive· · Th� compete:J.-� au-'.

::hor:.ty � may, aft.e2'."

consu: tation with the employers' and workers organis�tions c?ncerned, where such organisations concerning not derogata nursing personne2.

· from t11e pJ:-ovisions of Partc II III IV and -1.x of th·· R C01JCERNING v ' c... __ 1,. ,.

,.

J.n a mannei-- approprinte to national s a policy.


�oncerning within the framework of a general h?al th progra;m�e and within the j:'esou-'.

'ces available- .

whole, to provide the -quantJ.ty - or a aining f h. h °' t ... .

b ig es possi le l�vcl of heal th for the popuJ.ation.

for beal th· care as a tt · · basis; these rules should is _ecommen a ion.

NURSHTG SE_RVICES P.ND NURSING PERSON1JE L exist, 2stablish special anJ nll?.

'sing .Pcrsori..nel .

4.


(1) le.ch fe:rr.b8r and qua·1 i ty of nursing '1'ould ndop"" and "'l')· �, • nursirg service.._, care necessary on a voluntary .

,.

:)_ • ·- • IL FOL:�CY designed, services rules the d t · • .

c 9 9 1 ..J condition ·.

( 2) .

·The_ sa:i.d lJoJ..:c: · shou.L:-- ( a) be co-ordinated with policies workers in re.,_ating to ot·hnr t the fi:::.ld.o±' hea:th) :i.n :..:on3'1l"i:'ltion include the adopt�on ·, + aws or :;_·3g·l �..i..a "i ons concerning e .
and the pracb.�e of ..L._·1e n,,./ · t· I.Al'.

'3J.�..g pro· es3ion and the adaptation duc::ition 0f 1 t t ( b) aspec s of health cnre and to other w·t1 1 J.

1 rf:prosGn--a ·ives of the latter; and training for of such ·laws or regulations· ,nursi� ,personnel.to meet all .cdls for nursing services; in the qualificatisns to develo'pments reqliif� · and responsi'bilities 2 - ··(�)include ·measures� (1)to f:a cili tate ;.the effective uti_lisation of nursing personnel in the country as a �hole.
; and / · !ii)to promote the fullest use of the qualifications ' establishments, areas and sectors· employing them; and th.e employers' in consultation with�.

{d)be formulated , .

· 5.

( 1) Measures should be taken, in consultation organisations cla ssifying nursing personnel in a limited number of categories .to education and training,� level of functions and authorisation concerned.
to'esta.bl:i.sha rational nursing personnel an� workers � I of nursing personnel in.the various with the employers I and work�s' organisations concerned. '

structure by determined by refe�ence to practise.
(2)Such a structure' may include the follow:tng categories, in accordance with national practice: professional assuming less complex functions, nurses, having the education and training recognised as necessary for and authorised to perform them; (b)auxiliary nurses, having at least the education and training recognised as necessary for assuming less complex functions, as appropriate, and authorised to perform them; under the supervision ·of a professional nurse {c) nursipg aides, having prior education a:nd/o·r on-the-job ·training enabling them to perform -specified tasks ·under the· supervision of a professional or auxiliary nurse.
6:-�· (1) The functions of nursing personnel should be classified according.

to the level� of;.

judgement ··'wfth bility for the nursing services provided.· required, the authority other functions, the level of technical· skill required, to talce decisions, 't;he complexity of th.e relationship and the level of responsi­ .
(2) The r�sulting classification should be u_sed to ensure _greater uniformity structure in the various establ.tshments, areas and sectors employing nursing .. _employment of personnel. )

(3) Nur.sing personnel of a given category should not be used as substitutes for except in case of· ·special emergency, on a· nursing personnel of a higher -category .

provisional basis,· and on condition that they have adequate training or experience and are given appropriate compensation.
7� (1) · Measures should be taken to provide the necessary·information and guid�ce.

on the nursing profession to persons wishing to take up nursing as a career III EDUCATION AND TRAINING (2)Where appropriate, basic nursing education should be conducted in educational , institutions within the framework of the general �ducation aysteill of the country at a ,�evel similar' .to that of comparable professional groups.
(3) Laws or regulations educatio� or should empower the competent authority or .and training and provide for the supervision should prescribe the basic requirements regarding nursing of such educatio� and training, competent profes'sional bodies to do so.- and training should be organised by reference (4)Nursing education community needs, taking o..;,,;o�dinated with the education and training of other workers in the field of health .

� .

.

8.
� .

.

8.

(1) Nlll:'sing, education and training should include both theory and practice· in.

: conforrili ty with a programme officially account of resources available in the country, and should ··be to recognised.

recbgnisE:;d by the.

competent author_i .

(2) Practic�l, 1 seryices, � training· should be given in approved preventive, under the., supervision ta:ti?n - \9.

, (1} The dur-ation of basic n�rsing education and training should be related to th e minim um -educationa].
requirements for entry to training and to the purposes o f tr·ainiilg·.

_: � (2)_ :1'Ji ere should 9e two le�els of approved basic education '\ <•l ./ �- � v�ce_d l.ev�� desi�� to.

trai17 prof�s.�pnal :' -� � t'�Q..• Alc4ll' :°·· 8h��l-�:.

�-�.

�-er,o ·.· .. �O 1>�0�_de.

the· moat ·cpmpJ.e···:�� 8� .�iiti('J�i 'tO .. : � nur ses, having.

and training·:.

.

of qualified nurses. '

.

.

.

\)B h v��l.l!

;l�� •.

f'��� ��-�, •/1", � l �' 'C: as � �i.�: s�1�.ts: t ���11·� �� 1•P;.
�i ?,�J'.Oi' edf�� .. �� - � �.

at � le � �d �$be, �eaJ.tn�e� .. • .... 1tr suf'fi�i�� .. -,i�e- 1 ,, _ , ) , ..

., \ 1 ties.

; · curative �d rehabili- .

-3 -.

level should have.

the bac.kgTound of general' (b) leve·l, designed a less advanced nursing care which· is less complex ralations; for personal aptitude this level should have attained education.

education.

required • • \ .• ..,.

• �.I. '


;for entry to universit y; to train auxiliary nurses able to provide general but which requires accepted technical for education skills and and training of secondary a level as possible students as adva...�ced at 10-There should be programmes of higher nursing education for the highest responsibilitie tration the field of nursing.
s in direct and supportive education persQP.nel nursing care, in the adminis­ and in research and development of nursi�g services, in nursing' to prepare nursing in 11.Nursing their functions.

aides should be given theoretical and practical training appropriate to education 12.

(1) Continuing an integral part of'the programme referred·to in Paragraph ·Recommendation and be available knowledge techniques and skills and to enable nursing in the field .of nursing and relat0d sciences.
personnel and training.both at.the workplace to all so as to ensure the updating should b� and outside 1, of this 8, sub-paragraph to acquire and apply new ideas and and upgrading.of (2) Continuing which would promote nursing education and facilitate and training .

ement of nursing the advanc for programmes aides and auxiliary nurses.

should include provision (3)Such education and training should also include provision for programmes which would facilitate re-entry into nursing IV.PRACTICE OF.
THE NURSING PROFESSION after a period of interruption.

13 ..
The laws or regulations concerninB the pr8:ctice of the nursing profession should-- (a) specify the requirements for the practice of the nursing nurse and, where the possession profession of certificates attesting as professional nurse or as auxiliary the attainment automatically representatives of the required level of education t·he profession; and training does not · ,, empower a body including imply the right to practise of nursing personnel to grant licences; (b)limit the practice of the profession to duly authori�ed persons; (c).
be reviewed practices in the profession.

and updated, as necessary, in accordance with current advances and 14.The standards concerning the practice concerning of other health professions.

nursing practice should be co-ordinated with those· 15.
(1) Nursing personnel should not be assigned to work which coes beyond their qualifications and competence .. (2) Where individuals are not qualified for work on·which they are already employed, they should be trai� as quickly and their preparation ag, possible to obtain the necessary should be f'acili tntod.

for th.e.se qualifications qualifications, 16 •.

Consideration of civil liability should be given to the measures which may be called for by.
the personnel arising from the exorcise of their of nursing problem functions.

17.Any disciplinary the participation personnel rspresented appropriate a fair judgement rules applicable of represent�tives to nursing of nursing personnel personnel.should be determined with and should guarantee such and adequate appeal procedures, including the right to be by persons of their choice at all levels of the proceedings, to national conditions.

in a manner 18 •.
in a manner 18 •.

11Q.rsing personne without.being penalised, or ethical convictions objection that essential so as to allow the necessary care of patients l should be able to cliam exemption wo1-:.ld conflict where performance from performing with their religious, in c9od time of their alternative arrangements specific moral to be made to ensure and where they inform their superviser is :.10t affected.

nursing duties, V.PARTICIPATION 19.


{1) Measures should be taken to promote concerning and in decisions the .. planning at all levels, their profession in particular the participation of nursing personnel in national health policy in ceneral and concerning in a manner appropriate to national conditions.

(2).

:· :l:n part;,cular- �4 - .. ' { a.)


/;au.±"��d representatives of nursing personnel, should be associated p�inhiples regarding the nursing profession, of the profession; training aI1d the practice with the elaboration and application or of organisations of policies representing them, and general.

those reg�ding education and.
including ·(b) eondi tions of employme Ii·'· · �employers' and workers' organisations concerned; nt and work should be determined by negotiation between the , '(�) · the settlement conditions 'through arbitration, voluntary senting nursing personnel organisations independent of disputes of employment should be sought through negotiation arising in connection with the determination of terms �d between the parties or and impartial machinery,- such as mediation, with a view to making it unnecessary for -tJ:e organisations to have recourse to such other steps as a:ee and conciliation repre­ no�ally open to of other workers in defence of their legitimate interests; in the employing establishment, or �ticle 3 of the Workers' Representatives d�ciSions at' issue.
to their professional nursing personnel relating in the meaning or their �epresentatives with n 1971, should be associated to the questions life, in a manner �ppropriate Conventio "' ·"' t .

.

�'; 20.

Representatives 1 tlle Workers'.

Representatives of nursing· personnel should be assured the protection and Recommendation, 1971.

Convention provided f_or in VI.CAREER DEVELOPMENT 21.
(1) Measures should be taken to offer nursing personnel reasonable varied and open range of possibilities advance- of profossional career prospects by positions leadership nursing education, �d a grading and a remuneration �, · -providing for a sufficiently ,·.

,ment, f \�ursing services, ,� .. - 1·?.:.

increased responsibility, [1 .�rect relations :·, y · ,\ (2)' with patients / I . '

�.'

and the public.


in direct and supportive nursing care, the administration of and research and development structure recognising the acceptance in the field of nursing, of functions skill and professional in�ol ving judgement.

and requiring greater technical These measures should also give recognition to the import.wee of functions involving ,._ 22.

Measures should be taken· to give.


nursing personnel advice and guidance on career , l)l"ospects and, as appropriate, on re-entry into nursing after a period of interruption.

23.

In determining the level at which nursing personnel re-entering the profes·sion after of its practice be taken of previous .. should be employed, account should ,an interruption -<;, '-nursing experience and the duration of the interruption.· :.

24.
24.

(1) Nursing personnel wishing in programmes of continuing /�d training and capable of doing so should be given the necessary facilities.

to participate educ.ation (2) 'l'hese facilitie s might consist in the grant of paid or unpaid educational leave, of hours of work, and payment of study or training costs·; wherever possible, el should be granted paid educational leave in accordance with the Paid "•4aptation -,AUrsing,personn · ¥Jducational.

Le·ave Convention, 1974.

�) Employers / ·.


· ( �,personnel, preferably at the workplace.

should provide staff and facilHies for in-service ti,aining of nursing 1 25.

(1) The remuneration of nursing personnel should be fixed at levels which are VII.REMUNERATION .. q.� e!U3urate with their socio-economic e�e:i:�ence, which take account of the constraints � which are likely to attract .

(2) Levels of remuneration should bear comparison or equivalent persons to the profession qualification .
:,,�-ilar needs, qualifications, responaibili ties, duties and and hazards inherent in the profession, and and retain them in it.

�t�} Levels of remuneration s and carrying similar or equivalent • ·for nursing personnel having similar or cquivalenl duties and • :.

:�� • '.

<� ·:""1 � .

',,,,'.r/ \(�1'0rk,� in similar f�r�•as _'O� sectors <;�.� .>?
: )� (4) · Remuneration should b.e adJusted froµi time to time to 1tf\ke into account variations ·1: \' (�) ··""•· r�erati<»l .of nurs� p9:rsonnel sholµd :pr�er(',bl,y be.f:i,xe\l i,7·9QlleoU�' � eeJDent .

, or equivalent conditions n which they wo k- � � coat, ,o.f 1ivihg and 1:ises in, the nat�onal standaid of living.

· should be comparable, responsibilities in ' ·, .

,whatever the establishments, .

.

'.

.

{ with those of other professions requiring . '

' .

.
' .

.

; 26.Scales of remuneration should take account of.

the classification of functions and responsibilities set out in Paragraph 21 of this Recommendation.

recommended in Paragraphs 5 and 6 and of the principles of career policy 27G Nursing personnel who work in particularly arduous or unpleasant conditions should receive financial compensati?n for this.

.

28.
.

28.

( 1) R-c;.muneration should be payable entirely in money" (2)Deductions from wages should be permitted only under conditions and to the extent l'rescri�ed by national laws or regulations or lfrixed by collective agreeHent or arbitration award .. (3)liursing personnel should be free to decide whether or not to us.e the services provided .�by the employer.
290 Work clothing, medical kits, transport for the performance of ·the work should be provided by the employer to and other supplies required by the facilities employer···or necessary nursing personnel and maintained fr·ee of charge.· I ,, I 30.. For the purpose of this Recommendation - VIII.WORKING TIME .AND REST PERIODS ( a) the term "normal hours of work0 mean� the number of hours fixed in each country by or in pursuance of laws or regulations, collective agreements or arbi trati'on, awards; (b)the term "overtime" means hours worked in excess of normal hours of, work; (c)the term non-call duty".
means periods of time during which nursi,ng personnel.are, at the workplace or .elsewhere, at the disposal of the employer in order to respond to possible' , calls; i ( d) the term "inconveni ent hours" means hours worker on other than the normal working days .. �r:td· a,t othe \ . '

� than.

the normal working time of the country·\· : .. 31.The time during which nursing personnel ar,e at the disposal of the employer - such as the time needed to organise·th,eir-work' and the time needed to receive ang.
to transmit in� structions - sho'Ll.ld he'·counted\p.s.

:w.orking time for nursing subject to possible personnel, -special provisicms ' .. eorrc·erning ·on-call duty.

32.

(1) The normal we.ek:ly-hours of nursing personnel should not be higher than those set in the country concerned for workers in general.

( 2)Wh ere the normal worki-ng week of workers in general, exceeds 40 hours, steps should be · taken to.
bring it ·ctown, progressively, but as rapidly as possiqle, to that level for nursing 9 of the Reduction without any reduction personnel, of H0urs of Work Recommendation, in salary, in accordance with.Paragraph 1962� 33.

(1) .

, .

]formal daily hours of work should be continuous and not exceed eight hours, -< except where arrangements are made by laws or regulations, collective or arbitration week should remain within the limits referred to in Paragraph 32, subparagraph Recommendation.
awards for fexible hours or a compressed (1), of.

this ac_;reemen ts, works rules week; lhn any case, the normal working ( 2·f.

The working day, including (3)Temporary exceptions _overtime, s hould not exceed 12 hotu·s.

to the provisions of this Paragraph should be authorised only in case of special emer.gency.

.

34� (1) Th�re should be meal .

breaks of reasonable duration.


(2)There_ whould be rest breaks of reasonable 35.Nursing personnel should have sufficimit notic�· of working schedules to enable them to to these schedules should be organise their personal and family life accordingly.

Exceptions authorised only in case of special emergency.

-duration inctude:d in the normal hours of work.

, · 3fj.

'.fi) Where nursing re�t, steps should be taken to bring their weekly·rest personnel are entitled to that level.
to less than 48 hours of continuous •eekly (2), The weekly rest of nursing personnel should in no case be less than 36 uninterrupt� '..�ours.

\and on-cal,,l duty ·(2) Overtime 37� (1) There should be as little recourse as possible.

and work on public holidays at a higher rate than the normal salary rate.
.\llUlle�ation to overtime hours work, work at inconvenient should be oompensated in time off and/or re­ (3) Work at inconveni41nt hours other than public holidays should be compensated by an addition to aalary.

1·. '

.

38.

(1) Shift work should be compensated .-l)e less than that applicable to shift work in other employment by an increase , I in the country.
in remuneration which should·not assigned to shift work should have a period reat of of continuous Nursing (2) 1 , �a·t least 12 hours between (3)A single shift of duty divided personnel shifts.

by a period of unremunerated time (split shift) • be avoided .• llould .

.

·)9. personnel �holiday of at least the same length as other workers (1) .Nursing o:c fr- in the country.
/ should be entitled to, and required to take, a paid annual {2) Where the length of.the paid annual holiday is service,: st4.ps should be taken to bring it progressively, less than four weeks for one year of as possible, · · but as rapidly to that -:.. .., ·.

· ·1evdl for nursing 40.Nursing personnel.

who work in particularly benefit frpm a reduction of working hours and.or an i'n total remuneration.

personnel .

:d,-ec·l,'leaee �y .


arduous ihcreaee or unpleasant conditions in rest periods, without any should ,Jlo :(1) Nursing '.

,,i tleid, for a period .p rsonnel absent from work by reason of illness and in a manner determined by laws or regulations.

or injury should be en­ or by .collective ·'' 1 �greemen ts, to - {a) maintenance (b)income security.

of the employment relationship and of rights deriving therefrom; /.<(.

(2l The laws or regulations, ·l.

:f" .

��.


1;)1ent should distinguish Je.')

,cases in which the illness or injury is service-incurred; JtJ)) cases in w�ich the person concerned is not incapacited between or collective agreements, establishing sick la.ave entitle- for work but absence from work to protect is neeessary cases of illness 42., · ( l) xrursing �aiir;)uld be assured the benefits the health of others; to work.
dis tine tion be tween married and unmarried persons, for in the Maternity or illfry unrelated personne and protection 1, without Protectio� provided Reoommen- .4a.

tion 195·2.

0:-:�i.i '.

-�"i' j/' \:·.1A' leave should not re comsidered for in the Employment ;'.

· ( 2) · Maternity 1 (3)The measures eco�endation, ;, 43.

In .�ccordance ��i�Uon of work, wor:p,ng time and rest periods ·:fit�io� with freely chosen provided 1965, should be applie� with Paragraph in respect of nursing personnel.
19 of this Recommendation, decision should be taken in agreement concerning the or­ or in consu.1- · r.._ting them·.'

The1, should.

b.ear, re pres en ta ti vee of the nursing personnel on - in paryicular, or with organisations to be ai .. ck leave.

(Women with Family Responsibilities) (a)the hours to be regarded as inconvenient hour�; (b)the c.onditi�ns in which on-call duty will be counted as working time; 7.
(c)the conditions and in Paragraph in which the execptions 35 of this Recommend ation will be authorised; provided for.

in Paragraph 33, �ubparagraph (3), (d)the length of the breaks provided for in Paragraph 34 of this Recomm�ndation and the manner in which they were to be taken; (e)the form and amount.of the compensation provided for in Paragraphs 37 and 38 of this Recomrue�dation;· (f)working schedules; (g) the conditions of Paragraphs to be considered 27 and,40 of this Recommendation.
as particularly arduous or unpleasant for the purpose IX.OCCUPATIONAL HEALTH PROTECTION 44.Each Member should endeavour and safety to the special nature out, and to increase the protection afforded by them.

to adapt laws and regulations health on occupational of nursing work and of the environment in which it is carried 45.

(1) Nursing personnel should have access to occupational in accordance with the provisions of the Occupational ope121ting 1959.
Health Services Recommendation, health services «2» Where occupational health services have not yet been set up for all undert�kings, medical care establishments which, im accordance in the first instance.
with Paragraph employing nursing personnel should be among the undertakings for 4 of that Recommendation , such services should be set up 460 (1) Each Member and the employers' and workers' of the Protection to the provisions organisations concerned of Workers' Health Recommendation, attention should pay particular 1953, and endeavour to ensure its application to nursing personnel.

(2) All appropriate measures should be taken in accordance 1 to 7 of with Paragraphs that Recommendation personnel.
to prevent, .. reduce or elimate risks to the heal th or safety of nursing 47�· (1) Nursing personnel should undergo medical examinations on taking up and· terminating an appointment, during their service.

and at .regular intervals regularly assigned (2)Nursing personnel to work in circumstances such that' a definite risk to their health or to that of others around them exists or may be suspected go regular medical examinations to the risk involved.
appropriate at intervals should under­ (3)Objectivity and condifentiality this Paragr�ph; the persons examined the examinations referred have a close working relationshi p.· should be assured in examinations to should .«tOt be carried out b�· doctors with whom for in provided 48.

(1) Studies should be undextaken -and kept up to date -to determine to which nursing personnel risks may be prevented and, as appropriate, compensat ed.
may be exposed in the exercise of their profession special risks so that these -'I' (2)For that purpose, cases of occupational under laws or regulations concerning employment and casesof diseases recognised injury benefits, or liable accidents as occupational �o be occupational be prescribed the Protection in origin, should be motified by national laws or r·�guibations, of Workers' Heal th Recommendation, 1953. to the C',mpetent authority, with Paragr�phs in a manner to 14 to 17 of in accordE,nce 49.
(1) All possible steps should be taken to ensure that nursing personnel are not exposed to special risks.

Where exposure be taken to minimise it.


to special risks is unavoidable, measures should (2)M�asures hours, more frequent should be provided special risks so as to reduce their exposure shch as the provision ISst breaks, � porary remo .-al from the risk or longer annual holidays for in respect to nursing personnel regularly assigned to duties invo�ving and use of protective clothing, shorter immunisation, to tbese risks.
(3)In addition, nursing personnel who are exposed to special risks should receive financial compensation.

50ft Prega.nant women and parents of young children whose normal assignment could be to their health or that of their child should be transfGrred, without loss of prejudicial entitlements, to work appropriate to their situation.

8 •.
8 •.

51.The collaboration of nursing personnel application and of organisations concerning of provisions the protection them should of representing be sought in ensuring the health and safety of nursi ng personnel.

the effective 52.Appropriate measures should be taken for the supervision of the application of the laws and regulations of nursing personnel.
and other provisions concerning the protection of the health and safety X.SOCIAL SECURITY 53.· (1) Nursing personnel should enjoy social security protection at least equivalent� as the case may be, to that of other persons employed employed should cover periods of probation nursing personnel.

in the prmvate sector, or self-employed, in the public s2rvice or sector, .
in the country concerned; this protection and periods of training of :r:s rsons regularly employed as (2)The social security protection of nursing personnel should take account of the particular nature of t�eir acitivity.

54.As far as possible, appropriate should be made to ensure continuity arrangements of benefits in case of change of employment in the acquisition and temporary of rigt-±s and the provision of employment.

cessation 55.
cessation 55.

(1) Where the social security scheme cives protected persons the free choice of drictor and medical institution, nursing personnel should enjoy the same freedom of choiee.

(2)The medical records of nursihg personnel should be confidential.

56� National laws or regulations should make possible the compensation, as an occupg.tional disease, of any illness contracted by nursing personnel as a result of their work.

XI.

SPECIAL EMPLOYMENT ARRANGEMENT.


67.With a view to making the most effective use of available nursing personnel and to preventing taken to wa,ke possible of qualified temporary and part-time the withdrawal employment.

persons from the profession, �easures should be 58.The conditions of employment of temporary and part-time nursing personnel should be equivalent to being, as appropriate, those of permanent and full-time on a pro rate.

basis.
basis.

c alculated staff respectively, their entitlements XII.NURSING STUDENTS 59.Nursing students subject only to limitations should enjoy the rights andfreedoms of sft4dents in other disciplines, which a�p essential for their education and training.

60.

(1) Practical work of nursing s�udents should be organised and c�rried out by re­ ference to their training staffing requirements.
needs; it should in no case be used as a means of meeting normal (2)During their partical work, nursing students should only be assigned tasks ·which correspond to their level of preparation.

(3)Throughout their education as nursing personnel.

health protection and training� nursing suudents should have the same (4)Nursing s�orlents should have appropriate legal protection.
61.During their education and training, nursing students information on the employment, working conditions and care.er should receive precise and prospects of nursing and on the means available to them to further their ·economic, social and professional detailed personnel, interests.

62.In order to promote_ e«changes of personnel, ideas and knowledge, .�nd thereby im­ XIII.
INTERNATIONAL CQ�PERATION prove nursing care, Members should endeavour, arrangements, to - in particular by mmltilateral or bilateral (a)harmonise education and training for the nursing profession without lowering standards; (b) lay down the conditions of mutual recognition of qualifications acquired abroad; (c)harmonise the requriements for authorisation to practice; (d) organise nursing personnel exchange programmes.

63.
63.

(1) Nursing personnel should be encouraged to use the possibilities of education and training available in their own country.

(2)Where necessary or desirable, they should·have the possibility of education and training abDoad, as far as possible by way of organised exchange programmes.

64.
64.

(1) Nursing personnel undergoing education or training abroad should be able to obtain appropriate agtangemen t or national laws or ·:regulations _. financial aid, on conditions to be determined by mi,tl.tilateral or pilateral (2)Such aid may be made dependent on an· undertaking time and to work there for a specified to return to their country witpin, minimum period in a job corresponding to qualifications, on terms at least equal to those applicable to other a reasonable the newly acquired nationals .
-�5.

Consideration should be given to the possibility of detaching personnel work or train abroad for a specified period, without break in the employment wishing to relationship.

66.

(1) Foreign nursing personnel should have qualifications for the posts to be filled and satisfy all other conditions in by the competent for.

the participating recognised of the profession-in the 'country of employment;.

foreign personnel exchange from the latter requirement.
may be exempted programmes authority practice organised as appropriate :-(2) The employer should satisfy himself that foreign nursing personnel have adequate language ab:i,li ty for the posts to be filled.

(3� Foreign nursing personnel which are as favourable responsibilities.

employment duties and with equivalent qu�lifications should have conditions of as �ose of national personnel in posts involving the same 67.
(1) Recruitment of foreign nu_c.sing personnel for employment should be authorised only (a)if there is a lack of qualified personnel_for the posts to be filled in the country of employment; (b) if t1\ere is.no �hortage of nursing personnel with the qualifications sought in the country of __ origin.

(2)Recruitment of foreign nursing personnel provisions of the Migration for Employment should be undertaken Convention in conformity and Recommendation with (Revised), the relevant 1949.
68.: Nursing personnel employed or in training abroad should be given all necessary facilities when they wi�h to be repatriated.

69.

As regards social security, Members should, in accordance with national practice (a) as�u,re to foreign nursing personnel training or working in the co_untry equality of treatme�t with national personnel; (b) participate in bilateral or multilateral arrangements designed to ensure the maintenance of the acquired as well as the provision abroad.
of benefits rights or rights in course of acquisition of migrant nursing personnel, XIV.METHODS OF APPLICATION 70.This Recommendation agreements, workd rules, arbitration cons.istent with national in �a.ch country.
may be applied by national awards or judicial practice which may be appropriate, decisions, laws or r.egulation s, collective or in any other manner account being taken of conditions 71.In applying the provisions of this Recommendation, Members ani the employers' by the to the extent possible and desirable and workers' suggestions concerning organi�ations concerned should be,guided set forth in the Annex.

application its practical 10.


ANNEX Suggestions conc�rning Partical Application Policy concerning and Nursing Services Nursing Personnel .

1� Sufficient budgetary provision policy concerning should be made to permit the attainment of the ob­ and nursing personnel.

nursing services joctives of the national : 2o (2) The programming of nursing services should be a continuing process at all levels of general health programming.
(2)Nursing services should be programmed on the basis of -- (a)information obt�ined from s�dies and research which are of a continuing nature and permit adequate evaluation resources; of the problems arising and of tho meeds and available (b).

technical standards appropriate to changing needs �nd national and local conditions.
(3)In particular, measures should be taken to -­ (a)establish adequate nursing standards; (b)specify the nursing functions called for by the recognised needs; (c)determine the' staffing standards for the adequate composition regards the number of persons and qualifications the various categories; required of nursing teams as at the various levels and in 'd) determine development on that basis the categ�ries, of nursing 'Services number and l�vel of personnel required.for the as a whole and for the effective utilisation of personnel; (e)determine, in consultation with the representatives of those concerned, the relationship between nursing personnel and other categories of health personnel.
3� The policy concerning and nursing personnel should aim at develop­ ing four types of functions administration field of nursing.

of nursing services; nursing education; direct and supportive and research nursing care; the and development in the nursing services of nursing personnel: � Appropriate technical of the tasks of nursing personnel.
and material exercise resources should be provided for the proper 5� The classification of functions recommended in Paragraph should be baaed on an analysis with the employers' and workers' of jobs and an evaluation of functions organisations concerned.
5 of the Recommendation made in consultation Education and Training 6� Where the educational possibilities should be taken within the proGrammes of large sections of the population.are of nursing education and training limited, .to supplement of students who have not attained the level required .in accordance measures the general education F:th Paragraph 9 of the Recommendation.
?n Programmes of nursin� education and training should provide a basis for access to education and training for higher knowledge and skills as members of the health team.

So (1) In conditions to be determined, the renawal of an authorisation to practise the nursing profession may be required.
PRACTICE OF THE NURSING PROFES5ION (2)Such renewal might be made subject to requirements of continuing considered necessary to ensure that authorised nursing· education and personnel training, �emain fully qualifiedo where this is 9� Re-entry into the profession after an interruption of its practice.may be made subject in specified be given to facilitating for a specified �ircumstances period before verification takes place.
to verification of qualifications; re-entry by such methods as employment in such case, consideration shouli another person alongside 100 (1)Any disciplinary rules applicable to nursing personnel should includ�· -- 11.

(a)a definition of breach of professional fession and of such stanfards of professional conduct taking account of the nature of the pro­ ethics as may be applicable thereto; (b)�n indication of the sanctions applicable, which should be propo�ional to the gravity of t.he fault.
�2) Any disciplinary rules applicable to nursing personnel should be laid down in the framework · should take.due account of nules applicable ·of rules· applicable to health personnel as a whole or, where there are no such rules, to other categories of health personnel.

llc Where the possibilities of professional adva.-,cement are limited as a result of the.
; CAREER DEVELOPMENT manner in which nursing services access to studies leading to qualifications in general are cqnceived, for other health prijfessions.

measures might be taken to faci.li ta te 12.

(1) M�ssures should be taken to establish remuneration classification which provide possibilities of the l_vel of functions of professional envisaged in Paragraph systems· of classification and of scaies of the· on the basis of advancement 6 of the Recommendat�on.
(2)These systems should be sufficiently open to provide an incentive for nursing per­ sonn�l to pass from one level to another • .

(3) The prom�tion of nursing personnel should be based on equitable criteria and take account of experience and demonstrated abjJity.

13.
13.

Increases in remuneration and abilityo development of experience should be provided to the for, at every level, by refer€nce 140 (1) Measures should be taken to encourage nursing personnel to make the greatest possible use of their knowledge and their qualifications in their work.

(2)..

The responsibi shown by them should be continuously theretoe or promotion.
advancement corresponding lities effectively reviewed assumed by nursing personnel and the competence so �s to ensure remuneration and possibilities of' 15.

(1) PeFiods of paid educational leave should be conside ed to be periods of work for the purpose of entitlement relationship.
to social benefits and other rights deriving from the employment (2)Af3 far as possible, periods of unpaid educational should be taken into consideration education par �@�arly as regards remuneration and training and pension rights.

leave for the purpose of additional in the calculation of seniority,.

16� Pending the attainment of levels of remuneration comparable with those of other pro-�· REMUNERATION requiring fessions responsibilities as possible retain them in ita ,.
measures ·to a level.which similar or equivalent qualifications and carrying should be taken, where necessary, to bring remuneration similar or equivalent as rapidly is likely to attract nursing personnel to the profession and 17 .. (1) Additions to salary and compensatory payments which are granted on a regular basis should, to an· extent eommensurate Paragr�@ 16 of this Anne�, be regarded of holiday pay, pensions and othei social benef�ts.
with general practice as an integral in the professions part of remuneration to in referred for the calculation (2)Their amount should be periodically reviewed in the light of changes in the cost of Uving, WORKING TIME AND RE�.T PERIODS 18a (1) In the organisation of the service, requirements hou6s equitably and between full-time dividual pr.eferences portation between nursing personnel, to allocate shift work, overtime and in particular and part-time personnel, and of special considerations regarding and temporary �fin­ and to take account �s far as possible trans­ such matters as climate, b8tween permanent work and work at inconvenient of hours of work, every effort should be _made, subject to the and family responsibilities.
I .12 .• I .

-� :'{2} : .- ,·, .- .

.

The>organi .

·: ·., satj._on of -hoiq>s of 'work for nursing ·personnel .should:.

be -basect: On':tne··ne ra'ther than subordinated-· .

ed · to the I w-0rk pattern of oth��,' heal th service_ .. '.,-• , •.

•, l_ I ' - .

• •, ·, .

/• • •.

.

• -·.

.

, , '< '· \fo±-)mr'sing services.

.

·_ .

':/a,rid.

-fo;.

p�:rsbn�'$i.

· - : .

..: · ·i9 .

:,> :!£lse;of· staiff and in scheduling ·., fo.r: replac,ing �oifec-ti:ve .

.
.

'··(1) .Appropriate measures to limit the· need for overtime·, 6n�call dµty should be taken in the organisation of work.9 in determining hours of work; in particular f9r work at inconvenient hours the number and si account should be· tc1;ken of the ·need n:ursing perSCIDnnel du:r:ing absences ·or leave-authorised by laws or regul_ation s or · ag;re.�ments, the_ 'personnel who are pre:sent win not be' overburdened.

sp that .

'-.
sp that .

'-.

( Overtime should be worked on a volunta·ry -: ,/ (2) qa;re and suffici�nt volunteers are not available.

basis, except where iit is essential for patient ·,20.

The notice bf working schedules be.

given at least two weeks in adv�e.. provided ·for in Paragraph 35 of the Recommendation s -21.

1.Any period of on-call duty during which nursing personnel are fe·qµired ,·.

: 'work;pl�c� or the services of nursing personnel a!

'e actually used should> b�:{f1J.-lly ' ' working time and !
'emunera .

• ' I ted as such.. ·"' ' - to remain at the r.egarded as Nursing personnel should be free to take their meals in places of their choice.

\ /: - .

. ''

·22 1) a · ( (2)They should be able to tab� thei·r -rest brea�s ·at a place other than t�eir wo:i;-kplace.

I L . '

' ·.

_/ .23.

The time at which the annual holiday i · ·b.asis, due aqcount being taken �f 'family obligat:i,..on ··of the· service • s to be taken should be determined.
on an equitable s and the requirements s, individual prE3ference OCCUPATIONAL HEALTH PROTECTION :z4 •.

Nursing personnel in respect of whom.

special measures shch as tho_se envisaged in · be taken should in­ ( 2), 49 �nd· 50 of tlje· ·Recommendation shoulcl' --·Paragr,a�4s 4 7, subparagraph .

elude.,.

1 in particular, pers.onnel regµlarly_ exposed to .ionising radiations or to anaesthE?tic ., ;sV:1?�--t�Bc:es ·25.

', _: arid ;pe;rsonn�.l in contact �ith infectious diseases or ·mental-illn�ss� .

.
.

.Nursi�g personnel gularly exposed to i·onising radiations should.,/�dd1tion, enjoy the re .

\ 1 .

of the measures pr�videq.

_for in the Radiation Proi:;�ction Convrtnt1=,op.

an�-Recommendation .

:pro.tection .

,,i·, .. , .

··t9�;�/ .i:.r::::, .

26 .• Work to which preganant .

.

include --· ' !.

·:{�:/\:_ .

· by.· · .�s::/�e:��;d� wi��en �.overed .

: the ·types of ·work enumexated women or mothers of young children should not be-a.
'ssigne:a'.· 1Sliould Pa:ragraph 5 t:>f ther.eiri; ' · .,, · · .

th� Ma.texnity P.ro.tection Re�:ommend� tiori/ 1952, :p) .. generally, work involving "_involving COntact With infectiOUS exposure to ionising radiations _:'- .di·seaileS.

:: or anaesthetic substances or .. 27=.

, In ,order· to" ensure.-continuity in ·the acquisltion of: rights mid: the provision of benefits, . '

·SOCIAL.SECURITY 54 of ·the Recommenda tion1 steps should be taken to· coordina;te such schemes.
schemes as· exist-with each other a1;1d with statutory· .

. '

.

ensure that nursing personnel receive the compensatibn 'f�r fl.mess con- result of their work, as proyided·for in Paragraph 56· of ·the -Recommendatidn� Members· .

/'' "• ·, in· ·Paragraph '.as ,:p:rovided .

pr:tvat� · suppleniantary .

�: .· · 28.

In order t.o :tracted'_as-a ,·s}?.9uJ.dt. '

.

.

by laws 1 _ Ca) pre·sctibe .

\ d/is,�ases or regtila tions · - a list es·ta,blishing . '
when they are contracted by nursing pers nneill and revise the list' periodi�cally in a presumption of occ.upational origirt in respect of certain and te.chnical development s affecting mursing personnel; tha:t list'by a general definition of.

occupational diseases or by other provision nursing personnel· to establish the occupational origin of dise�ses not presumed to .

.

., .

.

the' light of scientific .

co�plement (p) "'-.enab,ling, .

,·' -�--' ·.


_7 -�o b.Er_ occupational ' ' by virtue .of the liste ---- INTERNATIONAL.

: .co�OPERATIQN .

\i,id give� to n1+rsing personnel pnde;going education \_Or 'tra:Lning abroad might' " i •• .

',· � -t � • ,1 • \ \ ·.

\ ; expen'ses; '(b )' payment ·of s.tudy co'stS';, /c): scholarships.

; ; ( d).

.

:cfontinua tibn- ' • • ,.

• • • ' ·.

.

.

;29; ..

The ifinapcia1 'inoluc;la, -··a� ap_propr�a �e -� .. -.

-.

: • �· >.

� • • , · ,1 ' -· • • • _i .

(, .

a .


, .

\ ' , .

.,,,.., -' "."

", , ' • - 1·'., · .

_· : payxµent·.

of travei ' ( Ei)' o�·J�l�.

'���-p��;��a1,: ' j � 3d.

As' : ta�.k� -:�n�p-_,·¢�1:1s· .

:·and.

pension· rtlghts.

.

.. · .· .· • · ·,' r_einf1e�a���.n i /�.

t�e c.� f lef 'period,$ -�n 1· .· · s '., , . "

far· as pps�il: :.

'oi• .

u��.tion -io'j: se��9_r.i�y.

�he _ _:,6,�16' iea·�e :b:rt detachment for· graining or work'· abr0ad-' ,.
,;_p�rt,�_c11lar�y_ �'S '..:r�ag:r;-a,�·· ��m11;�eratiol'.}

i'd_er.a,_'t:ton.f Shouid' b.� i I.

· sonnel alrea�y· empl��ed_o" · :e 6:(·:urs�n� ?e � • ' 1 ' .