B. Sc. Nursing Scope, Cadre And Promotion Opportunities In India

Promotion Of Staff Nurse In RRB, AIIMS, ESIC and State Government Departments is done on the basis of Nursing cadre.  There are enough opportunities for staff nurse promotion in Indian railways, AIIMS and  ESIC where they can reach up-to the level of Nursing Superintendent and Chief Nursing officer.

Scope Of B. Sc nursing in private sector is less as compared to central government departments, because salaries in private sector are usually 40 percent lesser, especially at entry level. Similarly some state governments and contract jobs provides lesser starting salaries in the range of 30 to 45 thousand per month.

Below table gives the general cadre hierarchy for promotions in nursing in Indian government hospitals setup. Same principles in general can be applied to big private hospital.

First column gives the name of post and second column gives the Salary Level in seventh pay commission and corresponding Grade Pay .

Nursing Cadre Promotion Structure In Hospitals


Cadre post Name Salary Level and Grade pay
Sister Gr. II Or Staff nurse Or Nursing officer Level 7, 4600
Sister Gr. I Or  Sister In charge Level 8, 4800
Assistant Nursing Superintendent (ANS) Level 10, 5400
Deputy Nursing Superintendent (DNS) Level 10, 5400
Nursing Superintendent (NS) Level 11, 6600
Chief  Nursing Officer  (CNO) Level 12, 7600

Entry Level post in Education field

Nursing tutor Level 10, 5400

Sister Gr. II Or Staff Nurse Or Nursing officer

In central government Hospitals Nurses are recruited in entry level at post of staff nurse or sister grade 2 which is a group C post. Recruitment is done through the examination. B. sc. nursing is basic qualification required for this post. GNM are also eligible but now GNM course will no longer be conducted in India, so in 2019 minimum eligibility for staff nurse is updated to B. Sc.

Staff nurses are directly involved in patient care and maintaining ward hygiene. Generally this is an group C post. AIIMS recruit on this level with post name of nursing officer and in group B. Salary level is 7. Gross average starting salary for staff nurse is about 65000 per month. Future is promising because through promotions staff nurses can reach up-to the Group A posts.

Corresponding salary in private sector and for contractual staff is 30 to 40 thousand per month.


Sister Gr. I Or Sister In charge

Staff Nurses are promoted to sister In charge (Ward In-charge) or Sister grade I after 2-3 years of experience if there is any vacancy.  Apart regular staff nurse duties they are responsible for implementation of nursing plan in the ward, maintenance of records, basic supervision and education of ward staff, orientation of new nurses etc. Salary level is 8. This is a group B post.

Assistant Nursing Superintendent

After 6 years of experience in nursing field staff nurses can be promoted to the post of Assistant Nursing Superintendent. Out of 6 years minimum 3 years experience should be as ward in-charge. ANS is responsible for managing all wards of an department or Unit in the AIIMS, ESIC and Indian Railway hospitals. They are responsible for assigning duties, taking rounds in wards under them, checking stocks, supervision of nursing care etc. Salary level is 10. This is a Group A post.

Deputy Nursing Superintendent

Nurses are further promoted to the level Of Deputy Nursing Superintendent (DNS)  to look after the nursing affairs in all the departments of the big hospital. DNS act as a liasion officer between Nursing Supdt. and the nursing staff of the hospital, keep records, attend meetings, organize educational programmes for students, etc. Salary level is 10 for DNS.

Nursing Superintendent

HE/ She is overall In-charge of Nursing Services in a hospital or specialized centers. Directly involved in formulation and implementation of nursing policies in the hospital. Salary level is 11 for NS as per seventh pay commission.

Chief Nursing Officer

CNO is responsible for efficient running of Nursing Services of the Main hospital and its various centers. CNO is Assisted by NS in performance of his duties. This is a reputed post in the big hospitals.  CNO assist the director in formulating policies related to nursing services. Salary Level is 12.

Nursing Tutor or Tutor In Nursing

They are involved in teaching of nursing students. Recruitment is done on direct basic. 3 years experience in teaching institution is generally asked as eligibility. They can be further promoted to Assistant professor and Associate professors posts.

As you can see above the promotion avenues are great for staff nurses and nursing officers. Vacancies at higher levels exist in big hospitals and organizations. Small organizations have limited posts. In practical most nurses have to spend significant years at staff nurse or nursing officer level because number posts at entry level are high. Quicker promotion can be achieved through appearing in direct recruitment exams. Like AIIMS exam for Assistant Nursing superintendent.

However each year nurses get annual  increments and increased dearness allowance which is right of every government employee. Every 10 years at same post give automatic salary promotion to one level higher as per existing MACP rule.

Good luck for your Nursing career.

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2 thoughts on “B. Sc. Nursing Scope, Cadre And Promotion Opportunities In India”

  1. Good evening andi madam….. Please send …. promotions protocol for staff nurses in… Health & family welfare..
    Telangana state government …..

  2. Helli sir,
    I would like to do post basic nursing ptogramme. I’m 49 yrs young. Passed out in the year 1997 as GNM and at present working in Oman. Could you please tell is there any age limit, can I get an opportunity to study pist basic, is there online, and which are all the institutes. Kindly do reply.

    Mini Sreejith.

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