Syllabus and Regulations Diploma in General Nursing & Midwifery

Indian Nursing Council

Combined Council Building, Kotla Road, Temple Lane, New Delhi - 110002

Syllabus and Regulations

Diploma in General Nursing & Midwifery

REVISED — 2015

Price: ` 150/-

Fourth Revision-2015

First Print 2015 - IV

Revision

reviewed, abstracted, stored in a retrieval system or transmitted in

any form or by any means including photocopying without the prior

written permission of the Indian Nursing Council, New Delhi.

PREFACE

Indian Nursing Council (INC) is a National statutory body. INC’s main function is to establish Uniform

Standards of nursing education for nursing personnel and to prescribe the syllabus and regulation for various

categories of nursing personnel.

Indian Nursing Council has revised the syllabus and regulations for the General Nursing and Midwifery

training programme. The revision was undertaken by having series of consultations with the various stake

holders. One of the major change in the revised curriculum is duration of the programme. The duration of the

programme has been reduced from 3 ½ years to 3 years, without compromising course content and objectives

of the course, internship has been integrated within the 3 years course.

Another change in the revision of the curriculum is format of the syllabus. The format of the curriculum

changed to include the course description, general objective, learning objectives, course content, number of hours

for each unit, their teaching learning activities and assessment methods. For each subject which had practical

requirements, a detailed description of the area with course description, general objectives, area of practice,

time to be spent in each area with the objectives for each area, the skills to be acquired, the assignments and the

assessment methods are clearly spell out. This will facilitate for the teachers for effectively covering the syllabus

and also guide the nursing teachers to implement the curriculum in totality covering all aspect of the theory and

practical component of the programme.

I am condent that this revised syllabus and regulations will be able to prepare Nurses to provide qualitative

Nursing care in the hospital and also in the community.

I also take this opportunity to acknowledge the contribution Nursing Education Committee Members of

INC, Nursing Experts, Vice-President, INC the then Secretary, INC and Joint Secretary of INC in preparation

of the revised GNM syllabus.

(T. Dileep Kumar)

President

Indian Nursing Council

Ex- Nursing Adviser to Govt. of India

REGULATIONS

Introduction & Philosophy -----------------------------------------------------------------------------------------------7

Aims ------------------------------------------------------------------------------------------------------------------------8

Objectives -------------------------------------------------------------------------------------------------------------------9

Guidelines and Minimum Requirements to Establish School of Nursing ---------------------------------------- 11

Physical Facilitties ------------------------------------------------------------------------------------------------------- 12

Teaching Block ------------------------------------------------------------------------------------------------- 12

Hostel Block ---------------------------------------------------------------------------------------------------- 13

Hostel Facilities ------------------------------------------------------------------------------------------------ 16

Anti Ragging ------------------------------------------------------------------------------------------------------------- 18

Nursing Teaching Faculty ---------------------------------------------------------------------------------------------- 19

Clinical Facilities -------------------------------------------------------------------------------------------------------- 21

Admission Terms and Conditions ------------------------------------------------------------------------------------- 24

Curriculum --------------------------------------------------------------------------------------------------------------- 27

Course of Instruction ---------------------------------------------------------------------------------------------------- 27

Scheme of Examination ------------------------------------------------------------------------------------------------- 29

CURRICULUM

FIRST YEAR

Bio-Science --------------------------------------------------------------------------------------------------------------- 36

Anatomy and Physiology ------------------------------------------------------------------------------------- 36

Microbiology --------------------------------------------------------------------------------------------------- 39

Behavioural Sciences ---------------------------------------------------------------------------------------------------- 41

Psychology ------------------------------------------------------------------------------------------------------ 41

Sociology-------------------------------------------------------------------------------------------------------- 43

Nursing Foundations ---------------------------------------------------------------------------------------------------- 45

Fundamentals of Nursing ------------------------------------------------------------------------------------- 45

First Aid --------------------------------------------------------------------------------------------------------- 51

Nursing Foundation-Practical -------------------------------------------------------------------------------- 53

Community Health Nursing -------------------------------------------------------------------------------------------- 60

Community Health Nursing - I ------------------------------------------------------------------------------- 60

Community Health Nursing I - Practical ------------------------------------------------------------------- 63

Environmental Hygiene --------------------------------------------------------------------------------------- 64

Health Education and Communication skills -------------------------------------------------------------- 66

INDEX

Contents Page No.

Nutrition ------------------------------------------------------------------------------------------------------- 68

English -----------------------------------------------------------------------------------------------------------72

Computer Education ------------------------------------------------------------------------------------------- 73

SECOND YEAR

Medical Surgical Nursing – I ------------------------------------------------------------------------------------------- 74

Medical Surgical Nursing – II ----------------------------------------------------------------------------------------- 81

Medical Surgical Nursing I & II Practical ----------------------------------------------------------------- 91

Mental Health Nursing ------------------------------------------------------------------------------------------------- 98

Mental Health Nursing - Practical -------------------------------------------------------------------------101

Child Health Nursing --------------------------------------------------------------------------------------------------102

Child Health Nursing - Practical ---------------------------------------------------------------------------108

THIRD YEAR PART - I

Midwifery and Gynecological Nursing -----------------------------------------------------------------------------110

Midwifery -----------------------------------------------------------------------------------------------------110

Gynecologial Nursing ---------------------------------------------------------------------------------------116

Midwifery and Gynaecological Nursing Practical -------------------------------------------------------118

Community Health Nursing - II --------------------------------------------------------------------------------------121

Community Health Nursing II - Practical -----------------------------------------------------------------125

INTERNSHIP (3

Year Part - II)

Nursing Education ------------------------------------------------------------------------------------------------------126

Introduction to Research -----------------------------------------------------------------------------------------------127

Professional Trends and Adjustment ---------------------------------------------------------------------------------128

Nursing Administration and Ward Management -------------------------------------------------------------------130

INTRODUCTION & PHILOSOPHY

Nursing is a profession within the Health Care Sector focused on the care of individuals, families and communities

so they may attain maintain or recover optimal health and quality of life.

Nurses care for individuals of all ages and all cultural backgrounds who are healthy and ill in a holistic manner

based on the individuals physical, emotional, psychological, intellectual, social and spiritual needs. The

profession combines physical sciences, social science and technology in caring for those individuals.

Indian Nursing Council believes in concept of Health laid down by World Health Organisation (WHO) “Health is

a state of complete physical, mental and social wellbeing and not merely the absence of disease or inrmity.”

In order to provide qualitative Nursing Care there is a need to train nurses effectively to work as a team member

of health care delivery system. It is therefore their training should involve positive attitudes, knowledge, skills,

professional expertise, latest trends in health care and health care needs of the community and the country as a

whole.

As per the denition of Virginia Avenel Henderson “ The Unique function of the nurse is to assist the individual,

sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death)

that he would perform unaided if he had the necessary strength, will or knowledge.”

As per the International Council of Nurses “ Nursing encompasses autonomous and collaborative care of

individuals of all ages, families, groups and communities, sick or well and in all settings. Nursing includes the

promotion of health, prevention of illness, and the care of ill, disables and dying people. Advocacy, promotion

of a safe environment, research, participation in shaping health policy and in patient and health systems

management and education are also key nursing roles.”

Indian Nursing Council recognized that basic nursing education is a formally recognized programme of students

providing a broad and sound foundation in the behavioural, life and nursing sciences for the practice of nursing

for a leadership role and for the post basic education in specialties for advanced nursing practice. The Country

believes that this basic course in nursing should prepare nurses for occupying rst level positions in nursing

in all kinds of health care settings. The Council recognizes that nursing is a profession which is inuenced by

advances in science and technology, it believes that skills in all aspects of communication are also essential

learning and for the practice of nursing.

The Council also recognizes that the nature of nursing is such that a substantial portion of learning of the

study is acquired in clinical eld(s) of practice. It further recognised the interdependence of nursing to allied

professions and occupations in prevention of diseases, promotion, maintenance and restoration of health.

The Council believes that it has a responsibility in helping the students to develop pride in their profession

besides keeping them abreast with current knowledge and professional trends for a successful career ahead.

AIMS

The basic Diploma course in General Nursing and Midwifery is geared to the health needs of the individuals,

family, community and the country at large.

The aims of the Diploma in General Nursing and Midwifery programme are:

1. To prepare nurses with a sound educational programme in nursing to enable them to function as

efcient members of the health team, beginning with the competencies for rst level positions in all

kinds of health care settings.

2. To help nurses develop an ability to co-operate and co-ordinate with members of the health team in

the prevention of disease, promotion of health and rehabilitation of the sick.

3. To help nurses in their personal and professional development, so that they are able to make

maximum contribution to the society as useful and productive individuals, citizens as well as efcient

nurses.

4. To serve as a base for further professional education and specialization in nursing.

5. To prepare nurses to keep pace with latest professional and technological developments and use these

for providing nursing care service.

OBJECTIVES

The nurse on completion of this course will be able to:

1. Demonstrate competency in providing health care to individual, sick or well, using nursing process.

- Assess the nursing need of clients from birth of death.

- Plan and carry out appropriate action to meet nursing needs.

- Provide effective nursing care for maintain best possible level of health in all aspects.

- Promote self care in people under their care.

- Apply problem solving techniques in nursing practice.

- Evaluate effectiveness of nursing care.

- Apply problem solving techniques in nursing practice.

- Evaluate effectiveness of nursing care.

2. Apply knowledge from the humanities, biological and behavioral sciences in functioning as a nurse.

3. Function effectively with members of the health team and community applying the knowledge of human

relations and communication skills in her work.

4. Participate as member of the health team in delivery of curative preventive, promotive and rehabilitative

health care service.

5. Mobilize community resources and their involvement in working with the communities.

6. Demonstrate use of ethical values in their personal and professional life.

7. Demonstrate interest in activities of professional organization.

8. Recognize the need for continuing education for professional development.

9. Demonstrate basic skills in teaching patients and giving nursing care to them.

10. Demonstrate basic skills in administration and leadership while working with other members of health

team and community.

11. Assist in research activities.

REGULATION

GUIDELINES FOR ESTABLISHMENT OF NEw GENERAL

NURSING AND MIDwIFERY SCHOOL OF NURSING

1. Any organization under: (i) Central Government/State Government/Local body (ii) Registered Private

or Public Trust (iii) Missionary or any other organization registered under Society Registration Act (iv)

Company incorporated under section 8 of Company’s act are eligible to establish General Nursing and

Midwifery School of Nursing.

2. Any organization having 100 bedded Parent (Own) hospital is eligible to establish General Nursing

Course.

3. Above organization shall obtain the Essentiality Certicate/No Objection Certicate for the General

Nursing and Midwifery programme from the respective State Government. The institution name

along with Trust Deed/Society address shall be mentioned in No Objection Certicate/Essentiality

Certicate.

4. An application form to establish Nursing programme is available on the website viz., www.

indiannursingcouncil.org, which shall be downloaded. Duly lled in application form with the requisite

documents mentioned in the form shall be submitted before the last date as per the calendar of events

of that year.

5. The Indian Nursing Council on receipt of the proposal from the Institution to start nursing programme,

will undertake the rst inspection to assess suitability with regard to physical infrastructure, clinical

facility and teaching faculty in order to give permission to start the programme.

6. After the receipt of the permission to start the nursing programme from Indian Nursing Council, the

institution shall obtain the approval from the State Nursing Council and Examination Board.

- Before the admission of the students next year institute will submit the renewal/validity form as

per the calendar of events every year. However INC may conduct yearly inspection.

7. Institution will admit the students only after taking approval of State Nursing Council Examination

Board.

Note:

• If, no admission are made for two consecutive academic years then it shall be considered as closed for

the said programme.

• If the institution wants to restart the programme they have to submit the rst inspection fees within 5

years i.e., from the year they did not have admissions. Guidelines of the year wherein institute was rst

permitted will be applicable.

PHYSICAL FACILITITIES

Teaching Block:

The School of Nursing should have a separate building/teaching block*. For a School with an annual admission

capacity of 40-60 students, the constructed area of the School should be 20000 square feet.

The School of Nursing can be in a rented/leased building for rst two years. After two years institute shall have

own building in an institutional area. Otherwise Rs.50,000 penalty has to be paid for every year. During the

penalty period institute shall be able to construct own building. If the institution is not able to have their own

building, permission/suitability will be withdrawn and however institution will be given chance to submit the

proposal towards rst inspection with the latest guidelines.

Adequate hostel/residential accommodation for students and staff should be available in addition to the above

mentioned built up area of the Nursing School respectively. The details of the constructed area are given below

for admission capacity of 40-60 students:

S. No. Teaching Block Area (Figures in Sq. feet)

1. Lecture Hall 3 @ 900 = 2700

2. (i) Nursing foundation lab 1500

(ii) CHN & Nutrition Lab 900

(iii) Advance Nursing Skill Lab 900

(iv) OBG and Paediatrics Lab 900

(v) Pre-clinical science lab 900

(vi) Computer Lab 1500

3. Multipurpose Hall 3000

4. Common Room (Male & Female) 1000

5. Staff Room 1000

6. Principal Room 300

7. Vice Principal Room 200

8. Library 1800

9. A.V. Aids Room 600

10. Faculty Room 1800

11. Provisions for Toilets 1000

Total 20000 Sq. Ft.

Note:

*1. Nursing Educational institution should be in Institutional area only and not in residential area.

*2. If the institute has non-nursing programme in the same building, Nursing programme should have

separate teaching block.

*3. Shift-wise management with other educational institutions will not be accepted.

*4. Separate teaching block shall be available if it is in hospital premises.

*5. Proportionately the size of the built-up area will increase according to the number of students

admitted.

*6. School and College of nursing can share laboratories, if they are in same campus under same name

and under same trust, that is the institution is one but offering different nursing programmes. However,

they should have equipments and articles proportionate to the strength of admission. And the class

rooms should be available as per the requirement stipulated by Indian Nursing Council of each

programme.

Hostel Block:

Hostel Provision is Mandatory and shall also be owned by the institute within the period of two years

S. No. Hostel Block Area (Figures in Sq feet)

1. Single Room 9000 (50 sq. ft. for each student)

Double Room

2. Sanitary One latrine & One Bath room (for 60 students)

– 600 × 3 = 1800

3. Visitor Room 500

4. Reading Room 250

5. Store 500

6. Recreation Room 500

7. Dining Hall 3000

8. Kitchen & Store 1500

9. Warden’s room 450

Total 17500 Sq. Ft.

Grand Total (total requirement for the nursing programme): - 20000 (Teaching Block) + 17500 (Hostel

Block) = 37500 Sq. Ft.

1. Class rooms

There should be at least three classrooms with the capacity of accommodating the number of students admitted

in each class. The rooms should be well ventilated with proper lighting system. There should be built in White

Boards. Also there should be a desk/ dais/a big table and a chair for the teacher and racks/cupboards for keeping

teaching aids or any other equipment needed for the conduct of classes.

2. Laboratories

There should be at least Six laboratories as listed below:-

1 Nursing Practice Laboratory

2 Community Health Nursing & Nutrition Laboratory

3 Advance Nursing Skill Laboratory

4 Computer Laboratory

5 OBG & Paediatric Laboratory

6 Pre Clinical Sciences Laboratory

a) Nursing Practice Laboratory: There should be demonstration beds with dummies, mannequins in

proportion to the number of students practicing a nursing procedure at a given point of time (the desired

ratio being 1 bed: 6 practicing students).

It should be fully equipped with built-in-cupboards and racks. Wash-basins with running water supply,

electric tting, adequate furniture like table, chairs, stools, patient lockers footsteps etc. Sufcient

Necessary inventory articles should be there i.e. at least 10-12 sets of all items needed for the practice

of nursing procedure by the students.

b) Community Practice & Nutrition Laboratory: It should have all required articles needed for practicing

nursing procedures in a community set-up. The laboratory should give appearance of that of a rural

setting, with community maps, records put up on display & cupboards.

It should also have facilities for imparting basic knowledge of various methods of cooking for the healthy

as well as for the sick. The furnishing and equipment should include work-tables, cooking cutlery, trays,

plates, dietetic scales, cooking utensils, microwave, racks/ shelves, refrigerator, pressure cookers, mixie

and cupboards for storage of food items. The food items shall be purchased for the conduct of practical

classes as and when required. Sets of crockery and cutlery for preparation, napkins for serving and

display of food also should be there.

c) Computer Laboratory: It can be shared with other departments.

d) OBG &Pediatric Laboratory: Laboratory should have equipment and articles as mentioned in laboratory

equipments and articles.

e) Advance Nursing Skill Laboratory: There should be simulators used teach, practice & learn advance

skills e.g., administration of tube- feeding, tracheostomy, gastrostomy etc. I/V injection, BLS, newborn

resuscitation model, etc. The lab should have computers, internet connection, monitor used in Critical

Care Units.

f) Pre-clinical Science lab: It is the laboratory of Biochemistry, Anatomy, and Microbiology. The laboratory

articles mentioned in the laboratory equipment & articles shall be available.

3. Multipurpose Hall

It can be utilized for hosting functions of the college, educational conferences/ workshops, CNES examinations

etc. It should have proper stage with green room facilities. It should be well –ventilated and have proper lighting

system. There should be arrangements for the use of all kinds of basic and advanced audio-visual aids.

4. Library

There should be a separate library in the school. It should be easily accessible to the teaching faculty and the

students, during school hours and extended hours also.

It should have comfortable seating arrangements for half of the total strength of the students and teachers in the

school.

There should be separate budget for the library. The library committee should meet regularly for keeping the library

updated with current books, journals and other literature. Internet facility should be provided in the library.

The library should have proper lighting facilities and it should be well-ventilated. It should have a cabin for

librarian with intercom phone facility.

There should be sufcient number of cupboards, books shelves and racks with glass doors for proper and safe

storage of books, magazines, journals, newspapers and other literature. There should be provision for catalogue-

cabinets, racks for student bags etc., book display racks, bulletin boards and stationery items like index cards,

borrowers cards, labels and registers. Current books, magazines, journals, newspaper and other literature should

be available in the library.

A minimum of 500 of different subject titled nursing books (all new editions), in the multiple of editions, 3

kinds of nursing journals, 3 kinds of magazines, 2 kinds of newspapers and other kinds of current health related

literature should be available in the library.

There should be a separate record room with steel racks, built-in shelves and racks, cupboards and ling cabinets

for proper storage of records and other important papers/ documents belonging to the college.

5. Ofces Requirements

a. Principal’sOfce

There should be a separate ofce for the Principal with attached toilet and provision for visitor’s room. Independent

telephone facility is a must for the Principal’s ofce with intercom facility connected/linked to the hospital and

hostel.

b. OfceforVice-Principal

There should be a separate ofce for the Vice-Principal with attached toilet and provision for visitor’s room.

Independent telephone facility is a must for Vice-principal’s ofce with intercom facility connected/linked to

the hospital and hostel.

c. FacultyRoom

There should be adequate number of ofce rooms in proportion to the number of teaching faculty. One ofce

room should accommodate 2 teachers only. Separate toilet facility should be provided for the teaching faculty

with hand washing facility. There should be a separate toilet for male teachers.

d. StaffRoom

One separate ofce room for the ofce staff should be provided with adequate toilet facility. This ofce should

be spacious enough to accommodate the entire ofce staff with separate cabin for each ofcial. Each ofce room

should be adequately furnished with items like tables, chairs, cupboards, built –in racks and shelves, ling cabinets

and book cases. Also there should be provision for equipments like photocopy, computers and telephone.

6. Common Rooms

Common rooms should be provided. One for the teaching faculty, one for the student and one for the ofce

staff. Sufcient space with adequate seating arrangements, cupboards, lockers, cabinets, built-in-shelves and

racks should be provided in all the common rooms. Toilet and hand washing facilities should be made available

in each room.

7. Audio-Visual Aids Room & Store Room

This room should be provided for the proper and safe storage of all the Audio-Visual Aids. The School should

possess all kind of basic as well as advanced training aids like chalk boards, overhead projectors, slide and

lm-strip projector, models specimen, charts and posters, T.V. & V.C.R., Photostat machine, tape recorder and

computers, LCD, laptop.

It should be provided to accommodate the equipments and other inventory articles which are required in the

laboratories of the college. This room should have the facilities for proper and safe storage of these articles and

equipments like cupboards, built-in-shelves, racks, cabinets, furniture items like tables and chairs. This room

should be properly lighted and well-ventilated.

8. Other Facilities

Safe drinking water and adequate sanitary/toilet facilities should be available for both men and women separately

in the school. Toilet facility to the students should be there along with hand washing facility.

9. Garage

Garage should accommodate a 50 seater vehicle.

10. Fire Extinguisher

Adequate provision for extinguishing re should be available as per the local bye-laws.

11. Playground

Playground should be spacious for outdoor sports like Volleyball, football, badminton and for Athletics.

Hostel Facilities:

There should be a separate hostel for the male and female students. It should have the following facilities.

1. Hostel Room

It should be ideal for 2 students. The furniture provided should include a cot, a table, a chair, a book rack, a

cupboard or almirah for each student.

2. Toilet and Bathroom

Toilet and bathroom facilities should be provided on each oor of the students hostel. Geysers in bathroom and

wash basins should also be provided.

3. Recreation

There should be facilities for indoor and outdoor games. There should be provision for T.V., radio and video

cassette player.

4. Visitor’s Room

There should be a visitor room in the hostel with comfortable seating, lighting and toilet facilities.

5. Kitchen & Dining Hall

There should be a hygienic kitchen and dining hall to seat at least 80% of the total students strength at one time

with adequate tables, chairs, water coolers, refrigerators and heating facilities. Hand washing facilities must be

provided.

6. Pantry

One pantry on each oor should be provided. It should have water cooler and heating arrangements.

7. washing & Ironing Space

Facility for drying and ironing clothes should be provided in each oor.

8. warden’s Room

Warden should be provided with a separate ofce room besides her residential accommodation. Intercom facility

with school & hospital shall be provided.

9. Telephone facility accessible to students in emergency situation shall be made available.

10. Canteen

There should be provision for a canteen for the students, their guests, and all other staff members.

11. Transport

School should have separate transport facility under the control of the Principal. 25 and 50 seats bus is preferable

and number of transport shall be as per students strength.

Staff for the Hostel

1. Warden (Female) -3: Qualication- B.Sc. Home Science or Diploma in Housekeeping/Catering. Minimum

three wardens must be there in every hostel for morning, evening and night shifts. If number of students

are more than 150, one more warden/ Asst. Warden/ House keeper for every additional 50 students.

2. Cook-1: For every 20 students for each shift.

3. Kitchen & Dining Room helper- 1: For every 20 students for each shift.

4. Sweeper-3

5. Gardener-2

6. Security Guard/ Chowkidar-3

ANTI RAGGING

BUDGET

1. Notice/Circular for prohibition of Ragging shall be available on

- Notice Boards

- Admission Brochure/Prospectus

2. Display Posters/Charts on Prohibition of Ragging in common places.

3. Constitute :-

- Anti- ragging committee with name designation & Telephone no.

- Anti- ragging squad

4. Leaet given to fresher’s students to detail out the telephone no. mentioned to whom to approach in

case of ragging including Anti ragging committee/squad addresses and telephone numbers.

5. Constituting a mentoring cell consisting of students volunteering to be mentors for fresher’s (one mentor

of six fresher’s and one mentor of a higher level for six mentors of the lower level.)

6. Online Afdavit (1) by the student (2) by the parent shall be taken as per the UGC notication from

time to time.

7. Display at multiple places- notices, common rooms, canteens, classrooms, library, toilets, corridors etc.

Anti-ragging help line for students.

8. Complaint box placed at places accessible to students.

In the overall budget of the Institution, there should be provision for school budget under a separate head.

Principal of the school of Nursing should be the drawing and disbursing ofcer.

NURSING TEACHING FACULTY

The Principal should be the administrative head of the school. He/She should hold qualication as laid down by

INC. The Principal should be the controlling authority for the budget of the school and also be the drawing and

disbursing ofcer. The Principal and Vice- Principal should be Gazetted ofcers in Government Schools and of

equal status (though non-Gazetted) in non-government Schools.

Qualication of Teaching Staff for General Nursing and Midwifery programme with 40 students

intake:

Ratio of Female and Male Nursing Teachers in School Programme

• For every 7 female nursing teacher there shall be 3 male nursing teacher i.e. 7:3 female to male

nursing teacher ratio.

[i.e., maximum of 30% will be male] it does not direct that female teachers to be replaced by male.

The following is for 60 students intake:

S. No. Teaching faculty Qualication & Experience No. Required

(i) Principal M.Sc. Nursing with 3 years of teaching experience

or B.Sc. Nursing (Basic) / Post Basic with 5 years

of teaching experience.

(ii) Vice-Principal M.Sc. Nursing or B.Sc. Nursing (Basic) / Post Basic

with 3 years of teaching experience.

(iii) Tutor M.Sc. Nursing or B.Sc. Nursing (Basic/Post Basic) or

Diploma in Nursing Education and Administration

with 2 years of professional experience.

Total 18

Note:

• Teacher student ratio should be 1:10 on sanctioned strength of students.

• One of the Tutors need to stay at the community health led by rotation.

• The salary structure of the teaching faculty in private Schools of Nursing should not be less than what

is admissible in the schools of the nursing under State/Central Government.

• Nursing service personnel should actively participate in instruction, Supervision, guidance and evaluation

of student in the clinical and eld/ community practice areas. The teaching faculty of the School of

nursing should work in close coordination with nursing service personnel.

• The teaching faculty of the school and the nursing service personnel should be deputed to attend short

term educational courses/ workshops/ conferences etc. to update their knowledge.

• It is mandatory for school authorities to treat teaching faulty of the school of nursing on duty when

nominated/ selected for the purpose of examination or inspection or inspection by the Council.

• All nursing faculty including Principal shall spend at least four hours each day in the clinical area for

clinical teaching and / or supervision of care by the students.

• 50% of the non-nursing subjects should be taught by the nursing teachers. However, it will be

supplemented by the external faculty who are doctors or candidates having PG Qualication in the

requisite subject. Nursing teachers who are involved in non-nursing subjects shall be examiners

for the programme.

EXTERNAL FACULTY

Besides the regular teaching faculty in the school of Nursing, there should be provision for external lectures

for teaching the students. They should possess the desired qualication in the respective subjects which are to

be taught. Remuneration of these external lecturers is to be paid as per the institute/ govt. policy. The external

Faculty may comprise Medical Faculty and Scientists, General Educationist including teaching experts in English,

computer Education. Physical Education/ Yoga, Psychologists, Sociologists, Health Economist/ Statistician,

Nutritionist.

School Management Committee

Following members should constitute the Board of management of the school.

Principal Chairperson

Vice- Principal Member

Tutor Member

Chief Nursing Ofcer/ Member

Nursing Superintendent

Administrative staff for School of Nursing Member

Additional Staff for School of Nursing

Stenographer/Personal Assistant One Should have

Senior Clerk cum Cashier/ Accountant One Knowledge of

Junior Clerk cum Typist One computer

Librarian One

Laboratory Attendant One

Chowkidar/ Watchman Two

Driver One for each Vehicle

Cleaner One for each Vehicle

Peon Three

Sweeper/ Safai Karmachari Two

Machine (Duplicating/ Xerox) Operator One

NB: Provision should be made to have leave reserve staff in addition to the regular staff according

to rules

I. Own Hospital: School of nursing should have a 100 bedded Parent (Own Hospital).

II. Additional afliation of hospital:

If all the required learning experience are not available in the parent hospital, the students should be sent to

afliated hospital/ agencies/ Institutions where it is available.

i. Criteria for Afliation

The types of experience for which a nursing school can afliate are:

- Community Health Nursing

- Communicable diseases

- Mental Health (Psychiatric) Nursing

- Specialities like Cardiology, Neurology, Oncology Nephrology etc.

ii. The size of the Hospital/Nursing Home for afliation:-

- Should not be less than 100 beds apart from having own hospital.

- Maximum 3 Hospital can be attached with 100 beds each.

The Physical facilities stafng and equipment of the afliated hospitals should be of the same standard as

required in the hospital.

The Nursing Staff of the afiated hospital should be prepared to recognize the instituitional student with student

status as per their educational programme.

III. Distribution of beds in different areas

Medical 45

Surgical 45

Obst. &Gynaecology 45

Pediatrics 30

Ortho 15

Psychiatric 50

IV. Bed Occupancy of the Hospital should be minimum 75%.

V. Other Specialties/Facilities for clinical experience required are as follows:

Major OT

Minor OT

Dental

Eye/ENT

Burns and Plastic

Neonatology with Nursery

CLINICAL FACILITIES

Communicable disease

Community Health Nursing

Cardiology

Oncology

Neurology/Neuro-surgery

Nephrology etc.

ICU/ICCU

VI. There should be a variety of patients of all age groups in all the clinical areas where the students are

posted for obtaining the requisite learning experiences.

VII. The Nursing Stafng norms in the afliated Hospital should be as per the INC norms.

VIII. The afliated Hospital should give student status to the candidates of the nursing programme.

IX. Maximum distance of the afliated hospitals should be within 30 kms.

X. 1:3 student patient ratio to be maintained.

XI. For Tribal and hilly area the maximum distance is 50 kms

IftheinstitutionishavingbothGeneralNursingandMidwiferyandB.Sc.(N)programme,itwouldrequire

toensure1:3studentpatientratiobasedonintakeforeachprogramme.

Distribution of Beds

At least one third of the total number of beds should be for medical patients and one third for surgical patients.

The number of beds for male patients should not be less than 1/6th of the total number of beds i.e. at least 40

beds. There should be minimum of 100 deliveries per month. Provision should be made for clinics in health and

family welfare and for preventive medicine.

Stafng

1. Chief Nursing Ofcer (C.N.O) - for 500 Beds and above. (Qualication as for Principal, SON)

2. Nursing Superintendent (N.S)-1 (Qualication as for Principal, SON).

3. Deputy Nursing Superintendent (D.N.S)-1 (qualication as for vice-principle, SON).

4. Assistant Nursing Superintendent (A.N.S)-2 and for every additional 50 beds one more (qualication as for

vice- Principle, SON).

NORMS RECOMMENDED BY EXPERTS COMMITTEE ON HEALTH MANPOWER PRODUCTION AND

MANAGEMNET (RESOLUTION OF FOURTH CONFERENCE OF CENTRAL COUNCIL OF HEALTH

AND FAMILY WELFARE, ON NURSING, 1995).

Categories Requirements

1. Nursing Superintendent 1:200 beds

2. Dy. Nursing Superintendent 1:300 beds

3. Departmental Nursing Supervisors/ 7:1000( Plus one

Nursing Sisters additional 100 beds

4. Ward Nursing Supervisors/ Sisters 8:200+30% leave

Reserve

5. Staff nurse for wards 1:3 (of 1:9 each Shift)+30% leave Reserve

6. For OPD, blood Bank, X-ray 1:100 OPD Patients

Diabetic Clinic CSR etc. (1 bed:5 OPD Patients)+30% leave Reserve.

7. For Intensive Care Unit 1:1 (of 1:3) for each

(8beds ICU for 200 beds) (shift +30% leave Reserve)

8. For specialized departments 8:200 + 30% leave Reserve

and clinic such as OT, Labour room.

Justication

1. Needs may vary from one hospital to another, Depending on its size and service rendered, more staff

than anticipated will be required.

2. Special attention is needed for supervision of patient care in the evening and night shifts.

3. 30% leave reserve posts are mandatory.

Other point to be considered

a. The staff of the parent hospital should be strictly as per the criteria laid down by INC in terms of doctors,

nurses and paramedical staff.

b. Wards/Area/OPDs/OTs/Clinical departments etc. must have adequate coverage of the staff in all the

shifts to ensure that students are only for attending clinical experience in these areas and not utilized

for service purposes.

c. Continuing/ in-service education programme must be attended by all staff nurses to keep themselves

abreast with latest technologies and sophistication used in day to day patient care in these areas.

Community Health Nursing Field Practice Area

The students should be sent for community health nursing experience in urban as well as rural eld area. Institute

can be attached to primary health centre. A well setup eld teaching centre should be provided with facilities for

accommodation of at least 10-15 students and one staff member at a time. Peon, cook and chowkidar should be

available at health centre. Each school of Nursing should have its own transport facilities and it must be under

direct control Principal. The security of staff and students should be ensured.

ADMISSION TERMS AND CONDITIONS

1. Minimum education eligibility criteria for admission to GNM:

• 10+2 with English and must have obtained a minimum of 40% at the qualifying examination and English

individually from any recognized board. Candidates are also eligible from State Open School recognized

by State Government and National Institute of Open School (NIOS) recognized by Central Government.

However Science is preferable.

• 10+2 with English having 40% of marks in vocational ANM course from the school recognized by

Indian Nursing Council

• 10+2 with English having 40% of marks in Vocational Stream-Health care Science from a recognized

CBSE board/State/Centre

• Registered ANM with pass mark.

For foreign nationals

• The entry qualication equivalency i.e., 12th standard will be obtained by Association of Indian

Universities, New Delhi. Institution, State Nursing Council will be responsible to ensure that the

qualication and eligibility will be equivalent to what has been prescribed as above

2. Reservation

a) For disabled candidates: 3% Disability reservation to be considered with a disability of locomotor

to the tune of 40% to 50% of the lower extremity and other eligibility criteria with regard to age and

qualication will be same as prescribed for each nursing programme.

Note: A committee to be formed consisting of medical ofcer authorized by medical board of state

government and a nursing expert in the panel which may decide whether the candidates have the disability

of locomotor of 40% to 50%.

b) 5% of total marks is relaxed for SC/ST candidates

c) Any other reservation as per the State Govt.

Note: Reservation shall be applicable within the sanctioned number of the seats by INC and not above

it.

3. Admission of students shall be once in a year.

4. Students shall be medically t.

5. Minimum age for admission will be 17 years. (as on 31st December of that year) The upper age limit is 35

yrs. For ANM/ for LHV, there is no age bar.

Admission / Selection Committee

This committee should comprise of:

- Principal Chairperson

- Vice-Principal

- Senior Tutor

- Chief Nursing Ofcer or Nursing Superintendent

ADMISSION STRENGTH

Admission / Intake of candidates shall be as per sanctioned strength permitted by INC.

Health Services

There should be provisions for the following health services for the students.

(a) An annual medical examination.

(b) Vaccination against Tetanus, hepatitis B or any other communicable disease as considered necessary.

(d) A complete health record should be kept in respect of each individual student. The question of continuing

the training of a student, with long term chronic illness, will be decided by the individual school.

Records

Following are the minimum records which needs to be/should be maintained in the school

a) For Students

1. Admission record

2. Health record

3. Class attendance record

4. Clinical and Field Experience record

5. Internal assessment record for both theory and practical

6. Mark Lists (State Council/Board Results)

7. Record of extracurricular activities of student (both in the school as well as outside)

8. Leave record

9. Practical record books – Procedure book and Midwifery record book to be maintained as prescribed by

INC

b) For each academic year, for each class/batch

1. Course contents record (for each subjects)

2. The record of the academic performance

3. Rotation plans for each academic year

4. Record of committee meetings

5. Record of the stock of the school

6. Afliation record

7. Grant-in-aid record (if the school is receiving grant-in-aid from any source like state Govt. etc.)

8. Cumulative record.

Record of educational programmes organized for teaching faculty and student, both in the school as well as

outside.

Annual reports (Record) of the achievement of the school prepared annually.

School of nursing should possess detailed and up-to-date record of each activity carried out in the school.

Transcript

All institutions to issue the transcript upon completion of the course and to submit only one single copy of

transcript per batch to respective State Nursing and Midwifery Registration Council.

CURRICULUM

Duration

Course duration = 3 Years

Weeks Available = 52 weeks

Vacation = 4 weeks

Examination (including preparatory) = 2 weeks

Available weeks = 46 weeks

Hours per week = 40 hours

Hours available per academic year (1st & 2nd Year) = 1840 (46 wks × 40 hours) X 2=3680

Hours available for 3rd Year (Part I) = 960 (24 wks × 40 hours)

Internship (Part II) = 1248 (26 wks × 48 hours)

Year 2 weeks vacation

2 weeks Examination

Total = 5888 hours

Course of Instruction

FIRST YEAR

Subjects Theory (hours) Practical (hours)

Bio Sciences

- Anatomy & Physiology.

- Microbiology

120

Behavioral Sciences

- Psychology

- Sociology

Nursing Foundations

- Fundamentals of Nursing.

- First aid

210

190

200 (lab) 680(clinic)

(22 weeks)

Community Health Nursing

180

320

8 weeks

- CHN-I 80

- Environmental Hygiene 30

- Health Education & Communication Skills 40

- Nutrition 30

Subjects Theory (hours) Practical (hours)

English

Computer Education

Co-curricular activities

TOTAL

625 (16 wks) 1215 (30 wks)

1840

Subjects Theory (hours) Practical (hours)

Medical Surgical Nursing-I 120

800 (20 wks)

Medical Surgical Nursing -II 120

Mental Health Nursing 70 320 (8wks)

Child Health Nursing 70 320 (8wks)

Co-curricular activities 20 -

TOTAL

400 (10 weeks) 1440 ( 36 weeks)

1840

SECOND YEAR

THIRD YEAR Part-I

Subjects Theory (hours) Practice (hours)

Midwifery &Gynaecological

Nursing

140 560 (14 wks)

Community Health Nursing-II 90 160 (4 wks)

Co-curricular 10 -

TOTAL

240 hours (6 weeks) 720 hours (18 weeks)

960

THIRD YEAR Part-II (Integrated supervised Internship)

Theory Subjects Theory (hours)

Nursing Education 20

Introduction to Research and statistics 30

Professional Trends & Adjustments. 30

Nursing Administration & Ward Management 40

TOTAL 120 (2 weeks)

Clinical Areas Clinical Hours/ weeks *

Medical Surgical Nursing 288(6 wks)

Community Health Nursing 288(6 wks)

Child Health Nursing 96(2 wks)

Midwifery and Gynaecological Nursing 384(8 wks)

Mental Health Nursing 96(2 wks)

TOTAL 1152 (24 weeks)

Night duty should be given in clinical area(s) in rotation

*43 hours per week for clinical and 5 hours per week for theory.

The students posted in the clinical areas should be accompanied by teaching faculty of the school.

The same practice must be followed when student are posted for requisite clinical experience to afliated

Hospital/Agency /Institution.

The Nursing teachers must actively participate in supervising, guiding and evaluating students in the hospital

wards, health centers and in the community.

1:10 teacher student ratio to be maintained during the supervised clinical practice

SUMMARY OF TOTAL CLINICAL EXPERIENCE

Area 1st Year 2nd Year 3rd Year –I 3rd Year –II

(Internship)

Nursing Foundation 880 (22) - - -

Community Health Nursing 320 (8) - 160 (4) 288 (6)

Medical Surgical Nursing - 800 (20) - 288 (6)

Mental Health Nursing - 320 (8) - 96 (2)

Child Health Nursing - 320-(8) - 96 (2)

Midwifery and Gynaecological Nursing - - 560 (14) 384 (8)

Total 1200 1440 720 1152

SCHEME OF EXAMINATION:

FIRST YEAR

Paper Subjects Total

Marks

Internal

Assessment

Council/

Board

examination

weightage Duration of

Examination

(Hrs.)

I. Bio Sciences

- Anatomy & Physiology.

- Microbiology

100 25 75

65%

35%

Paper Subjects Total

Marks

Internal

Assessment

Council/

Board

examination

weightage Duration of

Examination

(Hrs.)

II. Behavioral Sciences

- Psychology

- Sociology

100 25 75

65%

35%

III. Foundation of Nursing

- Fundamental of Nursing

- First aid

100 25 75 3

IV. Community Health Nursing

- CHN-I

- Environmental Hygiene

- Health education &

Communication Skills

- Nutrition

100 25 75

50%

10%

25%

15%

Practical – I

Fundamental of Nursing

100 50 50

SECOND YEAR

Paper Subjects Total Marks Internal

Assessment

Council/

Board

examination

Duration of

Examination

(Hrs.)

I. Medical Surgical Nursing-I 100 25 75 3

II. Medical Surgical Nursing –II 100 25 75 3

III. Mental Health Nursing 100 25 75 3

IV. Child Health Nursing 100 25 75 3

Practical – I

Medical Surgical Nursing

100 50 50 -

Practical-II

Child Health Nursing

100 50 50

Practical-III*

Mental Health Nursing

100 50 50*

Note: * (only school examination, no council/board exam)

*Practical examination for psychiatric nursing is to be conducted at the place of clinical

experience at the end of clinical instruction by school, itself and marks shall be sent to the

council/board.

THIRD YEAR Part-I*

Paper Subjects Total Marks Internal

Assessment

Council/

Board

examination

Duration of

Examination

(Hrs.)

I. Midwifery & Gynecological

Nursing

100 25 75 3

II. Community Health Nursing-II 100 25 75 3

Practical I

Midwifery

100 50 50

Practical – II

Community Health Nursing

100 50 50

*Examination for Part-I will be conducted at the end of Third Year

THIRD YEAR Part-II (School Examination)

Paper Subjects Total

Marks

Term

Assessment

School Exam Duration of

Examination

(Hrs.)

I. Nursing Education and Introduction

to Research and statistics

100 50 50 3

II. Professional Trends & Adjustment,

Nursing administration and Ward

Management

100 50 50 3

Examination guidelines

1. Shall have one regular examination followed by supplementary examination in a year.

2. If a candidate fail they can be promoted to next year

3. A candidate can take any number of attempts with a condition that maximum period allowed is 6

years. However all previous papers need to be cleared before appearing in the nal examination

4. No institution shall submit student average internal marks more than 75% i.e., if 40 students are

admitted in a course than the average score of the 40 students shall not exceed 75%.

Example of 5 students: A=25, B=20, C=22, D=21, E=24

Average score=89.6%

This will not be accepted by the State Nursing Registration Council

5. Minimum pass marks should be 50% in each of the Theory and practical paper separately.

6. Minimum pass marks shall be 40% for English only.

7. Theory and Practical exams for Introduction to Computer to be conducted as School exam and marks

to be send to the SNRC/ Board for inclusion in the mark sheet.

8. A candidate has to pass in theory and practical exam separately in each of the paper.

9. If a candidate fails in either theory or practical paper he/she has to re-appear for both the papers

(Theory and Practical)

10. Maximum number of candidates for practical examination should not exceed 20 per days.

11. All practical examination must be held in the respective clinical areas.

12. One internal and one external examiners should jointly conduct practical examination for each

students.

Eligibility for Admission to Examination

A candidate shall be eligible for the admission to the state Council / Board examination if the Principle of the

school certicate that:

(a) She / he has completed not less than eleven months of the course

(b) A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory

and practical in each subject for appearing for examination.

 Thediplomashallnotbeawardedtothestudenttillshe/hehascompletedtheclinical/eld

requirements.

(d) The record of practical experience is complete.

(The Principal shall send to the Council / board the internal assessment for each subject, i.e. both

theory and practical (S) before the start of the examination along with the examination form).

GRADING OF EXAMINATION

Examination shall be graded on aggregate marks of the entire three years of the training programme, as

follows:

Distinction - 80% and above

First Division - 70% to 79%

Second Division - 60% to 69%

Pass - 50% to 59%

THEORY EXAMINATION

1. Nursing teacher with minimum ve years of teaching experience (recent) in a particular subject may

be appointed as paper setters and examiners for that particular subject only.

2. Question paper should have a combination of essay, short answer and objective type question as

detailed in the content

3. All units of a subject and sub-subject should be given due weightage in accordance with the

instructional hours prescribed.

PRACTICAL EXAMINATION

1. Practical examination is to be conducted in the respective clinical area.

2. Nursing teacher with minimum of ve years of teaching/clinical teaching experience in a particular

subject/clinical area may be appointed as practical examiner.

MAINTAINENCE OF PRACTICAL RECORD

The student shall be required to maintain the Practical record book and report of observation visits and diary

for assessment must also be used. Marks shall be allotted for each of the following:

a) Case study

b) Case presentation

c) Nursing care plan

d) Maintenance of record books (Procedure Book and Midwifery Record book).

e) Daily diary.

f) Area wise clinical assessment is to be carried out. Minimum two assessments are required in each

clinical area.

Regular record of theory and practical is to be maintained. Task oriented assessment is to be undertaken.

Assessment shall be maintained by teacher for each student each month. This can be checked by the Council/

Board. Principal to sign all the records of examination. It should be displayed on the notice board for the

information of the students.

Each student is required to maintain the record of following assignment in clinical areas in each year:

First Year

a) Nursing care plan - 4 in medical / surgical wards.

b) Daily Diary - 1 each in urban and rural community eld.

c) Health – Talk - 1 each in Urban and rural community eld.

Family Study including - 1 each in Urban and rural community eld.

Health assessment of an - 1 each in Urban and rural community eld.

Individual in the family

Community prole - 1 each in Urban and rural community eld.

Second Year

(a) Medical ward

Nursing Care Plan - 2

Case Study - 1

Case Presentation - 1

Drug Study - 1

(b) Surgical ward

Nursing Care Plan - 2

Case Study - 1

Case Presentation - 1

Drug Study - 1

Nursing Care Plan - 1

Case Study - 1

Case Presentation - 1

Drug Study - 1

Process Recording - 2

Mental Status examination - 4

(d) Pediatric ward

Nursing Care Plan - 2

Case Study - 1

Case Presentation - 1

Drug Study - 1

Observation Report (New born) - 2

Third Year

(a) Midwifery and Gynaecological ward.

Nursing Care Plan - 2+1

Case Study - 1+1

Case Presentation - 1+1

Drug Study - 1+1

(b) Daily Diary Urban & Rural Community eld

Health Talk - 2 each

Family Health Nursing care Plan - 2 each

Group Project - 1 each

In addition to above, each student shall maintain a procedure book and midwifery case book signed by

concerned / supervisor and Principle which is to be presented to examiner each year.

The above assignments are to be evaluated by concerned teachers for the purpose of internal assessment and

shall be presented to the external examiner in a compiled form and it should be duly signed by her and should

be stamped as cancelled after practical examination.

CURRICULUM

Placement- FIRST YEAR Time: Theory- 120 hours

Anatomy and Physiology-90 hours

Microbiology- 30 hours

ANATOMY AND PHYSIOLOGY

Course Description

This course is designed to help students gain knowledge of the structure and function of the human body and

recognize any deviation from normal health in order to render effective nursing services.

General Objective

Upon completion of the course, the student shall be able to:

1. Describe in general the structure and functions of the human body.

2. Describe in detail the structure and functions of the different organs and systems in the human body.

3. Apply the anatomical and physiological principles in the practice of nursing.

Total Hours – 90

Unit No. Learning

Objectives

Content Hr. Teaching

learning

activities

Assessment

methods

I Dene and

spell various

anatomical terms.

Introduction to anatomical terms

organization of the human body

a) Anatomical terms

b) Systems and cavities of the human

body

4 Lecture cum

Discussions.

Explain using

charts

Record book

Short answer

questions

Objective type

II. Describe different

organs of the

body, systemic

function and their

inter-relationship.

Introduction to the detailed

structure of the body

a) The cell: Structure, reproduction

and function

b) Tissues including membranes and

glands : types, structure and

functions

c) Body cavities and their contents

6 Lecture cum

Discussions.

Explain using

microscopic

slides, Skeleton

and torso

Short answer

questions

Objective type

III Describe the

composition of

blood and its

functions.

Blood

a) Composition and formation of

blood

b) Functions of blood

c) Blood clotting, blood grouping and

cross matching

d) Blood products and their use.

6 Lecture cum

Discussions.

Explain using

microscopic

slides

Short answer

questions

Objective type

Essay type

BIO-SCIENCE

Unit No. Learning

Objectives

Content Hr. Teaching

learning

activities

Assessment

methods

Demonstration of

blood grouping

and cross-

matching, Hb

estimation

IV. Describe the

structure and

functions of heart

and blood vessels

The Circulatory System

a) Heart : Structure, functions

including conduction system and

cardiac cycle

b) Blood vessels : Types, Structure

and position

c) Circulation of blood

d) Blood pressure and pulse

6 Lecture cum

discussions.

Explain using

charts, models

and specimen

Short answer

questions

Objective type

Essay type

V. Describe structure

and functions of

lymphatic system

The Lymphatic system

- Structure and function of lymph

vessels, Lymph nodes and lymph

circulation, lymphatic tissue -

spleen and thymus

6 Lecture cum

discussions.

Explain using

charts and models

Short answer

Objective type

Essay type

VI. Describe the

structure and

functions of

respiratory

system

The Respiratory system

a) The structure and functions of

respiratory organs

b) The physiology of respiration

c) Characteristics of normal

respiration and deviation.

6 Lecture cum

discussions.

Explain

using charts

and models,

specimens

Demonstration of

spirometry

Short answer

Objective type

Essay type

VII. Describe the

structure and

function of

digestive system

The Digestive system

a) Structure and functions of the

alimentary tract and is accessory

organs.

b) The process of digestion,

absorption and metabolism of food

constituents.

6 Lecture cum

discussions.

Explain using

charts, models

and videos

Short answer

Objective type

Essay type

VIII. Describe the

structure and

functions of

organs of

Excretory system.

The Excretory system

a) Structure and functions of the

kidney, ureters, urinary bladder,

and urethra

b) Formation and composition of

urine.

c) Fluid and electrolyte balance

d) Structure and functions of the skin.

e) Regulation of the body

temperature.

6 Lecture cum

discussions.

Explain using

charts, slides

models and

videos

Short answer

Objective type

Essay type

Unit No. Learning

Objectives

Content Hr. Teaching

learning

activities

Assessment

methods

IX. Describe the

structure and

functions of

endocrine glands.

The Endocrine system

- The structure and functions of

the pituitary, thyroid, parathyroid

and adrenal glands, pancreas (islets

of Langerhans), ovaries and testes

6 Lecture cum

discussions.

Explain using

charts and models

Short answer

Objective type

Essay type

X. Describe the

structure and

functions of

male and female

reproductive

system and

accessory organs

The Reproductive system

a) Structure and functions of the

female reproductive system

b) Process of menstrual cycle,

reproduction and menopause

c) Structure and functions of breasts

d) Structure and functions of the male

reproductive system

e) Reproductive health

8 Lecture cum

discussions.

Explain using

charts, videos,

models and

specimens

Short answer

Objective type

Essay type

XI. Describe the

structure and

functions of

Nervous system.

The nervous system

a) Types of nerves- structure and

functions

b) Brain and cranial nerves.

c) Spinal cord and motor and

sensory pathways of the spinal

cord, autonomic nervous system.

10 Lecture cum

discussions.

Explain using

charts and models

Short answer

Objective type

Essay type

XII. Describe the

structure and

function of

sensory organs

The sense organs

a) Skin, eye, ear, nose and tongue

b) Physiology of vision, hearing,

smell, touch, taste and equilibrium.

6 Lecture cum

discussions.

Explain using

charts, videos and

models

Short answer

Objective type

Essay type

XIII. Describe the

structure and

functions of

skeletal system.

The Skeleton

a) Formation and growth of bones

b) Tendons, ligaments and cartilages

c) Classication of bones, joints

d) Joint movement

e) Axial and appendicular skeleton

8 Lecture cum

discussions.

Explain using

charts, models

and skeleton

Short answer

Objective type

Essay type

XIV Describe structure

and functions of

Muscular system.

The Muscular System

a) Type, structure and functions of

muscle

b) Origin, Insertion, and action of

muscles

6 Lecture cum

discussions.

Explain using

charts, slides and

models

Short answer

Objective type

Essay type

MICROBIOLOGY

Course Description

This course is designed to help students gain knowledge and understanding of the characteristics and

activities of micro- organisms, how they react under different conditions and how they cause different

disorders and diseases. Knowledge of these principles will enable student to understand and adopt practices

associated with preventive and promotive health care.

General Objectives

Upon completion of the course, the students shall be able to:

1. Describe the classications and characteristics of micro-organisms

2. List the common disease producing micro-organisms

3. Explain the activities of micro-organism in relation to the environment and the human body.

4. Enumerate the basic principles of control and destruction of micro-organisms.

5. Apply the principles of microbiology in nursing practice.

Total Hours – 30

Unit.

No.

Learning

Objectives

Content Hr.

Teaching

learning

activities

Assessment

methods

I Describe evolution of

microbiology and its

relevance in nursing.

Introduction

a) History of bacteriology and micro-

biology.

b) Scope of microbiology in Nursing

3 Lecture cum

discussions.

Objective type

Short answers

II Classify the different

types of micro

organism.

Describe the normal

ora and the common

diseases caused by

pathogens Explain

the methods to study

microbes

Micro Organisms

a) Classication, characteristics,

(Structure, size, method and rate of

reproduction)

b) Normal ora of the body.

c) Pathogenesis & common diseases.

d) Methods for study of microbes,

culture & isolation of microbes.

8 Lecture cum

discussions.

Explain using

slides, lms,

videos, exhibits,

models Staining

and xation of

slides.

Short answer

Objective type

Essay type

III Describe the sources

of infection and

growth of microbes.

Explain the

transmission of

infection and the

principles in collecting

specimens

Infection and its transmission

a) Sources and types of infection,

nosocomial infection.

b) Factors affecting growth of

microbes.

c) Cycle of transmission of infection

portals of entry, exit, modes of

transfer.

d) Reaction of body to infection,

mechanism of resistance.

e) Collection of specimens.

4 Lecture

Demonstrations

Specimens

Explain using

charts

Short answer

Objective type

Essay type

IV Describe various

types of immunity,

hypersensitivity

autoimmunity and

immunizing agents

Immunity

a) Types of immunity – innate and

acquired.

b) Immunization schedule.

Immunoprophylaxis (vaccines, sera

etc.)

c) Hypersensitivity and autoimmunity.

d) Principles and uses of serological

tests

5 Lecture cum

discussions.

Demonstration

Exhibits

Short answer

Objective type

Essay type

V Describe the various

methods of control

and destruction of

microbes

Control and destruction of Microbes

Principles and methods of microbial

control

-Sterilization

-Disinfection

-Chemotherapy and antibiotics

-Pasteurization

b) Medical and surgical asepsis

c) Bio-safety and waste management

5 Lecture,

Demonstration

Videos Visit to

the CSSD

Short answer

Objective type

Essay type

VI. Demonstrate skill in

handling & care of

microscopes Identify

common microbes

under the microscope

Practical Microbiology

Microscope – Parts, uses, handling

and care of microscope

b) Observation of staining procedure,

preparation and examination of

slides and smears

c) Identication of common

microbes under the microscope for

morphology of different microbes.

5 Lecture,

Demonstrations

Specimens Slides

Placement- FISRT YEAR Time- 60 Hours

Psychology- 40 hours

Sociology- 20 hours

PSYCHOLOGY

Course Description

This course is designed to help students understand the dynamics of human behavior and concept of mental

health. This shall enable them to develop positive attitude and good inter – personal relationships in the

practice of nursing in all health care settings.

General Objectives

Upon completion of the course, the students shall be able to:

1. Describe the concept of mental health and psychology.

2. Explain the dynamics of human behavior, personality and learning.

3. Discuss the role of adjustment mechanisms and emotions in health and illness.

4. Demonstrate skills in the application of principle of psychology in nursing practice in all kind of

health care settings.

Total Hours – 40

Unit.

No.

Learning

Objectives

Content Hr.

Teaching

learning

activities

Assessment

methods

I State the concept,

scope and

importance of

psychology.

Introduction

a) Denition, nature and scope of

psychology

b) Importance of psychology for Nurses

2 Lecture cum

discussion.

Short answer

Objective type

II. Describe the

structure of the

mind.

Structure of the mind

a) Conscious, pre-conscious

b) Id, ego and super ego

2 Lecture cum

discussions.

Short answer

Objective type

III. Illustrate the

dynamics of

human behavior.

Describe the

concept of mental

health

Psychology of Human Behavior

a) Basic human needs, dynamics of

behavior, motivation drives

b) Body mind relationship, mental health,

characteristics of mentally healthy

person, emotional control, psychological

problems of patients and relatives.

12 Lecture cum

discussions.

Role play

Short answer

Objective type

Essay type

BEHAVIOURAL SCIENCES

Unit.

No.

Learning

Objectives

Content Hr.

Teaching

learning

activities

Assessment

methods

c) Stress and conicts, natural sources and

types of stress and conicts, dealing with

stress and conict, frustration – sources

and overcoming frustration

d) Mental mechanism their uses and

importance

e) Attitudes - meaning, development

changes in attitude, effects of attitudes on

behavior, importance of positive attitude

for the nurse.

f) Habits-meaning and formation.

g) Breaking of bad habits, importance of

good habit formation for the nurse.

IV Describe and

apply the process

of learning,

thinking,

reasoning,

observation and

perception

Learning

a) Nature, types and laws of learning,

b) Factors affecting learning, memory and

forgetting.

Thinking and Reasoning

- Nature and types of thinking, reasoning,

problem solving, importance of creative

thinking for nurse.

Observation and Perception

- Attention, perception, laws of perception,

factors affecting attention and perception,

and errors in perception

13 Lecture cum

discussions.

Roleplay

Short answer

Objective type

Essay type

V. Discuss the

concept and

development of

personality.

Personality

a) Meaning, nature and development, types

of personality

b) Assessment of personality importance of

knowledge of personality for the nurse.

c) Characteristics of various age groups –

child adolescent, adult and aged

d) Will and character.

6 Lecture cum

discussions.

Role play

Psychometric

assessment

Short answer

Objective type

Essay type

VI. Discuss the

nature and

measurement of

intelligence.

Intelligence

a) Denition, Meaning, individual

differences in intelligence

b) Mental ability, nature of intelligence and

development

c) Assessment of intelligence

5 Lecture cum

discussions.

Demonstration

Role play

IQ testing

Short answer

Objective type

Essay type

SOCIOLOGY

Course Description

This course is designed to help student gain an understanding of sociology in the context of its relevance to

nursing practice.

General Objectives

Upon completion of the course, the students shall be able to:

1. Describe the concept of the family as a social unit and the status of the individual in the family.

2. Explain the dynamics of society and identify common social problems.

3. Demonstrate ability to understand the socio – cultural and economic aspects of the community in the

light of their effects on health and illness.

4. Utilize the knowledge and understanding of sociology in nursing practice.

Total Hours - 20

Unit

No.

Learning

Objectives

Content Hr.

Teaching

learning

activities

Method of

assessment

I Describe the nature,

scope & content

of sociology and

its importance in

nursing

Introduction

a) Denition and scope of sociology

b) Its relationship with other social sciences

c) Uses of sociology for nurses.

2 Lecture cum

discussions

Short answer

Objective type

II Describe the

inuence of the

environment

on individual

development and

the rights and

responsibilities of

the individual in the

society

Individual

a) Review of human growth and

development

b) The socialization process

c) Effect of environment on human growth

and development

d) Rights and responsibilities of the

individual in a democratic society.

2 Lecture cum

discussions

Short answer

Objective type

Essay type

III Describe the concept

of family as a social

unit

The Family

a) Denition, characteristics and types of

family.

b) Family cycle and basic needs of family

c) Importance of interdependence of family

members.

d) Important functions of family and their

problems.

e) Types of Marriage, medical and sociology

aspects of marriage.

4 Lecture cum

discussions

Short answer

Objective type

Essay type

Unit

No.

Learning

Objectives

Content Hr.

Teaching

learning

activities

Method of

assessment

IV Describe about

social groups, social

change, control,

stratication and

social problems

Society

a) Denition and meaning.

b) Social groups - Types, Structure,

intergroup relationship group cycle, group

behavior and group morale.

c) Social change -Meaning, factors affecting

and effect on society and institution

leading to social problems.

d) Social control

e) Social stratication

f) Social problems-Prostitution, crime

divorce, dowry system, juvenile

delinquency, drug addiction alcoholism,

handicapped, over population and slum

g) Social agencies and remedial measures

8 Lecture cum

discussions

Visits to social

institutions

Short answer

Objective type

Essay type

V Describe the culture

and characteristics

of community

The Community

a) Community

– Denition and types

– Rural and urban

b) Culture and characteristics

4 Lecture cum

discussions

Short answer

Objective type

Essay type

Placement- FIRST YEAR Time- 210 hours

Fundamentals of Nursing- 190 hours

First- Aid- 20 hours

FUNDAMENTALS OF NURSINGS

Course Description

This course is designed to help students develop an ability to meet the basic health need of the patients with

regard to nursing care and develop skill in the competencies required for rendering effective patient care.

General Objectives

Upon completion of the course, the students shall be able to:

1 Describe the physical, mental and social adjustment required of a sick individual and his family.

2 Carry out basic nursing techniques and care with the application of sound scientic principle.

3 Explain the concept of comprehensive nursing care.

4 Develop skills in assessment, planning, implementation and evaluation of the nursing care rendered to

the patients.

5 Communicate effectively and establish good interpersonal relationship with the patients, their

relatives and other health team members.

6 Demonstrate skills in observation, recording and reporting.

7 Recognize and utilize opportunities for planning and implementing need based health teaching

programme (s) for individuals, groups, families and communities.

Total Hours - 190

Unit.

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

I Dene nursing

and explain its

nature, meaning,

scope,ethics and

principles in

nursing.

Identify the

qualities of

Introduction to Nursing

a) Nursing – concept, meaning,

denitions,scope and functions.

b) History of nursing in India

c) Nursing as a profession

d) Nursing professional – qualities and

preparation.

Lecture cum

discussions

Short answer

Objective type

Essay type

NURSING FOUNDATIONS

Unit.

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

a professional

nurse health care

agencies and its

functions.

Describe the

holistic approach

to nursing and

the determinants

of health and the

effects of illness.

e) Ethics in Nursing-roles and

responsibilities of a nurse.

f) Health care agencies – hospital and

community service – types and

function of hospitals health team.

g) Modern approaches to nursing care

including holistic nursing care

h) Health and Disease

- Denition of health, determinants

of health status.

- Basic human needs

- Illness and its effects on individual

II Describe nursing

care of the

patient/client in

hospital using

nursing process.

Demonstrate skill

in the admission

and discharge

process,

maintenance of

safe environment

and records and

reports

Nursing care of the patient

a) Patient Environment in the hospital:

Patients unit

b) Therapeutic environment

- Physical factors – lighting temperature,

ventilation, humidity, noise, pestilence.

- Safety needs, prevention of

environmental hazard

- Psychosocial and aesthetic factors.

c) Patient’s Adjustment to the Hospital.

- Understanding the patient as a

person, socio-economic, and cultural

background, health status etc.

- Effect of hospitalization on patient and

family.

- Admission, transfer, discharge

procedures

d) Basic Nursing Skills-

- Communication

- Nursing interview

- Recording and reporting

e) Nursing Process

- Meaning and importance

- Assessment, Nursing diagnosis

Planning, Implementation and

Evaluation

- Nursing care plan.

6 Lecture cum

discussions.

Demonstration

of maintaining

the records and

reports

Role Play

Short answer

Objective type

Essay type

Return

demonstration

Unit.

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

III Describe

basic needs

of the patient

Demonstrate skill

in meeting basic

care of the patient

Meeting the Basic Needs of a patient

a) Physical needs-

- Comfort, rest, sleep and exercise

–Importance and its promotion

- Body mechanics –moving, lifting,

transferring

- Position and posture maintenance

- Comfort devices

- Beds and bed making – Principles of

bed making, types and care of bed

linen

- Safety devices, restraints and splints

- Exercises – Active and Passive

b) Hygienic needs

- Personal and environmental hygiene

personal

- Nurses note in maintaining personal

and environmental hygiene.

- Care of eyes, nose, ears, hands and

feet.

- Care of mouth, skin, hair and genitalia

- Care of pressure areas, bed sores.

c) Elimination needs

- Health and sickness

- Problems – constipation and diarrhea,

retention and incontinence of urine.

- Nurse’s role in meeting elimination

needs.

- Offering bed-pan and urinal,

- Observing and recording

abnormalities.

- Preparation and giving of laxative,

suppositories, enemas, bowel wash,

atus tube.

- Perineal care, care of patient with

urinary catheter, diapers.

- Maintenance of intake and output

records

d) Nutritional needs

- Diet in health and disease

- Factors affecting nutrition in illness,

- Nurse’s role in meeting patients

nutritional needs.

- Modication of diet in illness.

- Diet planning and serving.

- Feeding helpless patients including

articial methods of feeding.

e) Psychological and spiritual needs

65 Lecture cum

discussion

Demonstration

Short answer

Objective type

Essay type

Return

demonstration

Assessment using

checklist

Unit.

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

- Importance

- Nurse’s role -Diversional and

Recreational therapy

f) Care of terminally ill and dying patient

- Dying patient’s signs and symptoms

needs of dying patient and family,

- Nursing care of dying-: special

considerations; advance directives,

euthanasia, will, dying declaration,

organ donation etc.

- Medico legal issues

- Care of the dead body

- Care of unit

- Autopsy

- Embalming

IV Describe the

principles of

assessment

demonstrate skills

in assessing the

patient

Assessment of patient/client

a) Physical Assessment

- Importance, principles, methods of

assessment

- Height, Weight, posture

- Head to toe examination.

b) Physiological Assessment

- Vital signs, normal, abnormal

Characteristics, factors inuencing the

variations,

- Observation and collection of

specimens-urine, stool, vomitus and

sputum.

c) Psychological Assessment

- Mood, Intelligence, Emotions Normal

and Abnormal behavior.

14 Lecture cum

discussions

Demonstration

Short answer

Objective type

Essay type

Return

demonstration

Assessment using

checklist

V Describe the

infection control,

methods in the

clinical setting.

Demonstrate

infection control

practices

Infection control

a) Infection control :

- Nature of infection

- Chain of infection transmission

- Defence against infection: natural and

acquired

- Hospital acquired infection

( nosocomial infection)

b) Concept of asepsis:

- Medical and surgical asepsis

- Isolation precautions , barrier nursing

- Hand washing : simple, hand asepsis,

surgical asepsis (scrub)

- Isolation – source and protection

- Personal protective equipments types,

uses and techniques of wearing and

removing

Lecture cum

discussion

Demonstration

Explain using

manual of

biomedical waste

management of

Government of

India

Demonstration

Videos

Simulation

exercises

Short answers

Essay type

Objective type

Unit.

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

- Decontamination of unit and

equipment

- Transportation of infected patient

-. Standard safety precaution

- Transmission based precautions

c) Bio-medical waste management

- Importance

- Types of hospital wastes

- Hazards associated with hospital waste

- Decontamination of hospital waste

- Segregation and transportation

- Disposal

VI Describe

therapeutic

nursing care

Therapeutic Nursing Care

a) Care of patients with respiratory

problems/dyspnea

- Deep breathing and coughing exercises

- O2 inhalation

- Dry and moist inhalation

- Oro nasal suctioning

b) Care of patient with altered body

temperature-Hot and cold Applications

c) Care of patients with Fluid and

Electrolyte imbalance

d) Care of unconscious patient

e) Care of the bed-ridden patient(traction,

fractures etc.)

f) Care of patient with pain

g) Care of patients with body elimination

deviation

30 Lecture cum

discussions.

Demonstration

Short answer

Objective type

Essay type

Return

demonstration

Assessment using

checklist

VIII Explain the

principles,

routes, effects of

administration of

medications

Introduction to clinical Pharmacology

Administrationof medication:

a) General Principles/Considerations

- Purposes of medication

- Principles: Rights, special

considerations, prescriptions, safety

in administering medications and

medication errors

- Drugs forms

- Routes of administration

- Storage and maintenance of drugs and

nurses responsibility

- Broad classication of drugs

- Therapeutic effect, side effect, toxic

effect, allergic reaction, drug tolerance,

drug interactions

- Factors inuencing drug actions

- Systems of drug measurement: metric

system, household measurements.

30 Lecture cum

discussions.

Demonstration

Short answer

Objective type

Essay type

Return

demonstration

Assessment using

checklist

Unit.

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

- Converting measurements units:

conversion within one system, between

systems, dosage calculations.

- Terminologies and abbreviations used

in prescription of medications.

b) Oral drug administration: oral,

sublingual, buccal : equipment and

procedure.

c) Parentral:

- General principles

- Types of parentral therapies.

- Types of syringes, needles, canulas and

infusion sets,

- Protection from needle stick injuries,

giving medications with a safety

syringe.

- Routes of parentral therapies:

- Purposes, site equipment, procedure

and special considerations in

giving intradermal, subcutaneous,

intramuscular and intravenous

medications.

- Advanced techniques : epidural,

intrathecal, intraosseous,

intraperitoneal, intrapleural, intra

arterial

- Role of nurse

d) Topical administration: purposes,

site, equipment, procedure, special

considerations for applications to skin

and mucous membrane.

e) Direct application:

- Gargle, throat swab

- Insertion of drug into body cavities :

nasal pack, suppositories / medicated

packing into rectum / vagina

- Instillations: ear, eye, nasal, bladder and

rectal.

- Irrigations: eye, ear, bladder, vaginal

and rectal. Spray: nose and throat

f) Inhalations: nasal, oral, endotracheal,

tracheal (steam, oxygen and

medications) – purposes, types,

equipment, procedure and special

considerations.

g) Recording and reporting of medications

administered.

FIRST AID

Course Description

This course is designed to help students develop and understanding of community emergencies and be able to

render rst aid services as and when need arises.

General Objectives

Upon completion of this course, the students shall be able to:

1. Describe the rules of rst aid.

2. Demonstrate skills in rendering rst aid in case of emergencies.

Total Hours - 20

Unit

Learning

Objectives

Content Hr.

Teaching

learning

activities

Assessment

methods

I Describe the

importance and

principle of rst aid

Introduction

Denition, Aims and Importance of

rst aid

Rules/ General principles of First Aid

Concept of emergency

2 Lecture cum

discussions

Short answer

Objective type

II Demonstrate skill in

rst aid techniques

Procedures and Techniques in First

Aid

Preparation of First Aid kit.

Dressing, bandaging and

splinting(spiral, reverse spiral,

gure of 8 spica, shoulder, hip,

ankle, thumb, nger, stump, single

and double eye, single and double

ear, breast, jaw, capelin), triangle

bandage uses, abdominal binder and

bandage, breast binder, T and many

tail bandage, knots reef, clove.

Transportation of the injured

CPR : Mouth to mouth, Sylvester,

Schafer, External cardiac massage

8 Lecture cum

discussions

Demonstration

Videos

Simulation

exercises.

Short answer

Objective type

Return

demonstration

III Describe rst

aid in common

emergencies

First Aid in emergencies

Asphyxia, drowning, shock

Wounds and Bleeding

Injuries to the Bones, Joints and

Muscle - fractures, sprains, strains,

hanging, falls

6 Lecture cum

discussions.

Videos

Demonstration

Short answer

Objective type

Return

demonstration

Unit

Learning

Objectives

Content Hr.

Teaching

learning

activities

Assessment

methods

Burns and scalds

Poisoning – ingestion, inhalation,

bites and stings

Foreign body in eye, ear, nose and

throat.

IV List various

community

emergencies

and community

resources.

Community Emergencies &

Community Resources

Fire, explosion, oods, earth-quakes,

famines etc

Role of nurses in disaster

management

Rehabilitation

Community Resources

Police, Ambulance services

Voluntary agencies-local, state

national and international

4 Lecture cum

discussions.

Videos

Mock drill

Simulation

exercise

Videos

Field visit

to voluntary

agencies.

Short answer

Objective type

Essay type

Placement: FIRST YEAR Time: Practical – 880 hours

Lab - 200 hours

Clinical – 680 hours

Course Description: This course is designed to help the students to acquire knowledge, attitude and skills in

techniques of nursing and practice them in clinical settings

The nurse on completion of this course will be able to:

q Demonstrate appropriate attitudes and skills in providing comprehensive nursing care to patients based on

nursing process.

• Assess the nursing needs of the clients by collecting complete data, making relevant observation and

analyze the data collected.

• Plan for appropriate nursing care by prioritizing the needs and executing competent nursing actions.

• Implement effective nursing care by integrating scientic principles for maintaining health optimum

• Promote the health of the individual and the community by giving appropriate health teaching.

• Evaluate the patients response to nursing care provided.

• Apply the theoretical knowledge to the appropriate clinical nursing practice.

• Demonstrate skill in the use of problem solving methods in nursing practice.

• Contribute for promotion of health prevention of illness & restoration of health of people by working

with other health team members.

• Gain knowledge of health resources in the community and the country.

• Demonstrate leadership skills in working with health team, community and others in the provision of

health care.

• Recognize the need for continuing education for professional development.

• Demonstrate use of ethical values in their personal and professional life.

• Assist in research activities.

NUSING FOUNDATIONS- PRACTICAL

Areas

Time

(Hours)

Objectives Skills Assignments

Assessment

methods

Supervised

practice in

Lab General

Medical

and surgery

wards

200

680

(Minimum

practice

time in

clinical

area)

• Performs

admission

and discharge

procedure

• Prepares

nursing care

plan as per

the nursing

process

format

• Communic

ates

effectively

with patient,

families

and team

members and

• Maintains

effective

human

relations

Hospital admission and

discharge

a) Admission:

• Prepare Unit for new patient

• Prepare admission bed

• Perform admission procedure

• New patient

• Transfer in

• Prepare patient records

b) Discharge/Transfer out

• Gives discharge counseling

• Perform discharge procedure

(Planned discharge, LAMA

and abscond, Referrals

andtransfers)

• Prepare records of discharge/

transfer

• Dismantle, and disinfect

unit and equipment after

discharge/transfer

Perform assessment:

• History taking, Nursing

diagnosis, problem list,

Prioritization, Goals &

Expected Outcomes, selection

of interventions

• Write Nursing Care Plan

• Gives care as per the plan

Communication

• Use verbal and non verbal

communication techniques

Prepare a plan for patient

teaching session

• Practice in

Unit/ hospital

• Write nursing

process records

of patient

• Simulated -1

• Actual - 1

• Role-plays

in simulated

situations on

communi-

cation

techniques-1

• Health talk-1

• Evaluate with

checklist

• Assessment

of clinical

performance

with rating

scale

• Completion

of Practical

record

• Assessment

of nursing

process

records with

checklist

• Assessment

of actual care

given with

rating scale

• Assess role

plays with

the checklist

on comm.

unication

techniques

• Assess health

talk with the

checklist

• Assessment

of comm.-

unication

techniques by

rating scale

Areas

Time

(Hours)

Objectives Skills Assignments

Assessment

methods

• Develops

plan for

patient

teaching

• Prepares

patient

reports

• Presents

reports

• Monitors

vital signs

• Performs

health assess-

ment of each

body system

• Provides

basic nursing

care to

patients

write patient report

• Change-of shift reports,

• Transfer reports, Incident

reports etc.

• Present patient report

Vital signs

• Measure, records and

interpret alterations in

body temperature, pulse,

respiration and blood pressure

Health assessment

• Health history taking

• Perform assessment: General

Body systems

• Use various methods of

physical examination

• Inspection, Palpation,

Percussion, Auscultation,

Olfaction Identication of

system

• wise deviations

Prepare Patient’s unit:

• Prepare beds:

• Open, closed, occupied,

operation, amputation,

• Cardiac, fracture, burn,

Divided, & Fowler’s bed

• Pain assessment and

provision for comfort

Use comfort devices Hygienic

care:

• Oral hygiene:

• Baths and care of pressure

points

• Hair wash, Pediculosis

treatment

• Write nurses

notes and

present the

patient report

of 2-3 assigned

patients

• Lab practice

• Measure

Vital signs

of assigned

patient

• Practice in lab

& hospital

• Assessment of

performance

with rating

scale

• Assessment of

each skill with

checklist

• Completion of

activity record

Areas Time

(Hours)

Objectives Skills Assignments Assessment

methods

Feeding:

• Oral/ Enteral,Naso/Orogastric,

gastrostomy and Parenteral

feeding

• Naso-gastric tube insertion,

suction, and irrigation

Assisting patient in urinary

elimination

• Provide urinal/bed pan

• Condom drainage

• Perineal care

• Catheterization

• Care of urinary drainage

Bladder irrigation Assisting

bowel Elimination:

• Insertion of Flatus tube

• Enemas

• Insertion of Suppository

Bowel wash Body Alignment

and Mobility:

• Range of motion exercises

•

Positioning: Recumbent,

Lateral, Fowlers, Sims,

Lithotomy, Prone,

Trendelenburg positon-

•

Assist patient in Moving,

lifting, transferring, walking

•

Restraints

Oxygen administration

• Mask

•

Prongs

•

Tent

• Catheters

Suctioning: oropharyngeal,

nasopharyngeal

Chest physiotherapy and

postural drainage

Care of Chest drainage

CPR- Basic life support

Observation of Intravenous

therapy

•

Simulated

exercise

on CPR

manikin

Areas Time

(Hours)

Objectives Skills Assignments Assessment

methods

• Performs

infection

control

procedures

Blood and blood component

therapy

Collect/assist for collection of

specimens for investigations

Urine, sputum, faeces,

vomitus, blood and other

body uids

Perform lab tests:

•

Urine: sugar, albumin,

acetone

• Blood: sugar (with strip/

gluco-meter)

Application of hot and cold

therapies:

• Local and general

• Dry and moist

Communicating and assisting

with self-care of visually &

hearing impaired patients

Communicating and assisting

with self-care of mentally

challenged/disturbed patients

Recreational and diversional

therapies

Caring of patient with

alteration in sensorium

Infection control

• Perform following

procedures:

• Hand washing techniques

• Simple, hand antisepsis and

surgical antisepsis (scrub)

• Prepare isolation unit in lab/

ward

•

Observation

study -2

•

Department

of Infection

control &

CSSD

•

Visits

CSSD write

observation

report 1

• Assess

observation

study with

checklist

•

Evaluate all

procedures

with

checklist

Areas Time

(Hours)

Objectives Skills Assignments Assessment

methods

• Provide

care to pre

and post-

operative

patients

• Perform

procedures

for care of

wounds

Administers

drugs

• Practice technique of

wearing and removing

Personal protective

equipment (PPE)

• Practice Standard safety

precautions (Universal

precautions)

Decontamination of

equipment and unit:

• Surgical asepsis:

• Sterilization

• Handling sterilized

equipment

• Calculate strengths of

solutions,

• Prepare solutions

• Care of articles

Pre and post-operative care:

• Skin preparations for

surgery: Local

• Preparation of Post-

operative unit

• Pre & post- operative

teaching and counselling.

• Pre and post-operative

monitoring

• Care of the wound:

• Dressings of minor

wounds, careof Drainage /

Application of Binders,

Splints& Slings

• Bandaging of various body

parts

Administration of

medications

• Administer Medications in

different forms and routes

• Oral, Sublingual and Buccal

• Parenteral : Intradermal,

subcutaneous, Intramuscular

etc.

• Assist with Intravenous

medications

• Collection of

samples for

culture

• Do clinical

posting in

infection

control

department

and write

report

• Practice in

lab/ward

• Provide

care to

dying and

dead

• Counsel

and support

relatives

• Drug measurements and

dose calculations

• Preparation of lotions and

solutions

• Administer topical

applications

• Insertion of drug into body

cavity: Suppository &

medicated packing etc.

• Instillation of medicines

into Ear, Eye, Nose and

throat

• Irrigations: Eye, Ear,

bladder, Vagina and Rectum

• Inhalations: dry and moist

• Medicated/Nebulization

• Identication of spurious

drugs.

• Record date, time,

medication, dose, route

And sign immediately after

administration

Care of dying patient

• Provide care for the

terminally ill

• Caring and packing of dead

Body

• Counseling and supporting

grieving relatives

• Handing over the body &

valuables

• Transferring to mortuary

with proper identication

• Terminal care of the unit

Placement- FIRST YEAR Time- 180 hours

CHN-I – 80 hours

Environmental Hygiene- 30 hours

Health Education & Communication skills- 40 hours

Nutrition- 30hours

COMMUNITY HEALTH NURSING – I

Course Description

This course is designed to help students gain an understanding of the concept of community health in order to

introduce them to the wider horizons of rendering nursing services in a community set – up, both in urban and

rural areas.

General Objectives

Upon completion of this course, the students shall be able to:

1 Describe the concept of health, community health and community health nursing.

2 State the principles of epidemiology and epidemiological methods in community health nursing practice.

3 Explain the various services provided to the community and role of the nurse.

4 Demonstrate skills to practice effective nursing care of the individuals and families in the clinics as well

as in their homes, using scientic principles.

Total Hours – 80

Unit

No.

Learning

Objectives

Content Hr

Teaching

Learning

activities

Method of

Assessment

I Describe the concept of

health and disease and

community health

Introduction to Community Health

a) Denitions: Community,

Community health, community

health nursing

b) Concept of Health and disease,

dimensions and indicators of health,

Health determinants

c) History & development of

Community Health in India& its

present concept.

d) Primary health care, Millennium

Development Goals

e) Promotion and maintenance of

Health

10 Lecture cum

discussions.

Short Answers

COMMUNITY HEALTH NURSING

Unit

No.

Learning

Objectives

Content Hr

Teaching

Learning

activities

Method of

Assessment

II Explain various aspects

of Community Health

Nursing. Demonstrate

skills in applying

nursing process in

Community Health

Nursing settings

Community Health Nursing

a) Philosophy, goals, objectives &

principles , concept and importance

of Community Health Nursing,

b) Qualities and functions of

Community Health Nurse

c) Steps of nursing process;

community identication,

population composition, health

and allied resources, community

assessment, planning & conducting

community nursing care services.

14 Lecture cum

discussions.

Short answers

Essay type

III Demonstrate skill in

assessing the health

status and identify

deviations from normal

parameters in different

age groups.

Health Assessment

a) Characteristics of a healthy

individual

b) Health assessment of infant,

preschool, school going, adolescent,

adult, antenatal woman, postnatal

woman, and elderly.

10 Lecture cum

discussions.

Demonstration

Role Play

Videos

Short answers

Objective type

Essay type

Return

demonstration

IV Describe the principles

of epidemiology

and epidemiological

methods in community

health nursing practice.

Principles of Epidemiology and

Epidemiological methods

a) Denition and aims of

epidemiology, communicable and

non-communicable diseases.

b) Basic tools of measurement in

epidemiology

c) Uses of epidemiology

d) Disease cycle

e) Spectrum of disease

f) Levels of prevention of disease.

g) Disease transmission – direct and

indirect.

h) Immunizing agents, immunization

and national immunization

schedule.

i) Control of infectious diseases.

j) Disinfection.

10 Lecture cum

discussions.

Non-

communicable

disease module

of government

of India.

Field visit

Short answers

Objective type

Essay type

V Demonstrate

skill in providing

comprehensive nursing

care to the family.

Family Health Nursing Care

a) Family as a unit of health

b) Concept, goals, objectives

c) Family health care services

d) Family health care plan and nursing

process.

12 Lecture cum

discussions.

Role play

Family visit

Short answers

Essay type

Unit

No.

Learning

Objectives

Content Hr

Teaching

Learning

activities

Method of

Assessment

e) Family health services – Maternal,

child care and family welfare

services.

f) Roles and function of a community

health nurse in family health

service.

g) Family health records.

VI. Describe the principles

and techniques of family

health care services at

home and in clinics.

Family Health Care Settings Home

Visit:

a) Purposes, Principles

b) Planning and evaluation

c) Bag technique

d) Clinic: Purposes, type of clinics and

their functions

e) Function of Health personnel in

clinics

10 Lecture cum

discussions.

Demonstration

Visits – Home,

health center

Short answer

Return

demonstration

VII Describe the referral

system and community

resources for referral

Referral System

a) Levels of health care and health care

settings.

b) Referral services available

c) Steps in referral.

d) Role of a nurse in referral

6 Lecture cum

discussions.

Mock drill

Short answer

Objective type

VIII List the records

and reports used in

community health

nursing practice

Records and reports

a) Types and uses

b) Essential requirements of records

and reports

c) Preparation & Maintenance

3 Lecture cum

discussions.

Exhibit the

records.

Short answer

Objective type

IX. Explain the management

of minor ailments.

Minor Ailments

a) Principles of management

b) Management as per standing

instructions/orders.

5 Lecture cum

discussions.

Short answer

Objective type

Areas Duration Objectives Skills Assignments

Assessment

methods

Community

health

Nursing -

urban / rural

8 weeks a) Organize home visit

b) Prepare bagand

demonstrate bag

technique.

c) Build up and maintain

rapport with family.

d) Identify needs of

community

e) Practice procedure

f) Make referrals.

g) Plan and conduct health

education on identied

health needs.

h) Set up clinics with help

of staff.

i) Maintain records and

reports

j) Collect and record vital

health statistics.

k) Learn about various

organizations of

community health

importance.

l) Health Assessment

family

m) Identify the health needs

of various age groups.

n) Assess the environment

o) Maintain family folders.

p) Assessment nutritional

needs

q) Demonstrate different

method of preparing

food according to the

nutritional need of

family.

• Conducting Home

visits.

• Nutritional

assessment of

individuals.

• Provide care

at home as per

Standing Orders /

protocol.

• Conduct health

Education.

• Set up of different

Clinics.

• Maintain Records

& Reports.

• Practice family

health nursing.

• Demonstrate

different methods

of preparation of

Meals.

• Daily Diary

• Health

talk -2

• Family care

plan based

on family

study -2.

• Health

assessment

of an

individual -2

• Community

Prole – 2

• Report of

visit to water

purication

plant,

sewage

plant,

milk dairy,

panchayat.

• Assess

clinical

performance

with rating

scale.

• Evaluation of

daily diary,

health talk,

family care

plan, health

assessment,

community

prole,

observation

report.

Placement: FIRST YEAR Time: Practical – 320 hours (8 weeks)

COMMUNITY HEALTH NURSING I- PRACTICAL

ENVIRONMENTAL HYGIENE

Course Description

This course is designed to help students acquire the concept of health, understanding of the principles of

environmental health and its relation to nursing in health and disease.

General Objectives

Upon completion of this course, the students shall be able to:

1 Describe the concept and principles of environmental health.

2 Demonstrate skills to apply the principles of environmental hygiene in caring for self and others.

3 Describe the environmental health hazards, related health problems and the services available to meet

them.

Total Hours – 30

Unit.

Learning

Objectives

Content Unit wise Hr

Teaching

learning

activities

Method of

assessment

I Explain the

importance

of healthy

environment

and its relation

to health and

disease.

Introduction

a) Components of environment

b) Importance of healthy environment

2 Lecture cum

discussions.

Short answer

II Describe the

environmental

factors

contributing to

health andillness.

Environmental Factors Contributing to

Health

a) Water :

- Sources and characteristics of safe and

wholesome water

- Uses of water.

- Rain water harvesting

- Water pollution – natural and acquired

impurities

- Water borne diseases

- Water purication-small and large scale

b) Air :

- Composition of air

- Airborne diseases

- Air pollution and its effect on health

- Control of air pollution and use of safety

measures.

22 Lecture cum

discussions

Demonstration

Exhibits

Visit to water

Purication

plant, sewage

treatment plant

Short

answers

Objective

type

Essay type

Unit.

Learning

Objectives

Content Unit wise Hr

Teaching

learning

activities

Method of

assessment

c) Waste :

- Refuse – garbage, excreta and sewage

- Health hazards

- Waste management: collection,

transportation and disposal.

d) Housing:

- Location

- Type

- Characteristics of good housing

- Basic amenities

- Town planning

e) Ventilation:

- Types and standards of ventilation

f) Lighting:

- Requirements of good lighting

- Natural and articial lighting

- Use of solar energy

g) Noise

- Sources of noise

- Community noise levels

- Effects of noise pollution

- Noise Control measures

h) Arthropods:

- Mosquitoes, housey, sand y, human

louse, rat eas, rodents, ticks etc.

- Control measures

III. Describe the

community

organization

to promote

environmental

health.

Community organizations to promote

environmental health

a) Levels and types of agencies:

- National, state, local

- Government, voluntary and social

agencies.

b) Legislations and acts regulating the

environmental hygiene.

6 Lecture cum

discussions.

Short answer

Objective

type.

HEALTH EDUCATION AND COMMUNICATION SKILLS

Course Description

This course is designed to help students to

1. Acquire the concept of health education and develop an ability to select and/or prepare appropriate

audio-visual aids and use them effectively to communicate with the individuals and community

2. Understand the principles of communication and counseling, and its application in nursing practice.

General Objectives

Upon completion of this course, the students shall be able to:

1 Describe the concept of health education, communication skills including soft skills, audio – visual

aids and health education agencies.

2 Identify and utilize opportunities for health education.

3 Describe the application of information technology in preparation and use of various health teaching

aids.

4 Develop effective communication and counseling skills.

Total Hours – 40

Unit.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

I Describe the

concept and

different aspects

of communica-

tion

Communication Skills

a) Denition, process, purposes, principles,

types and importance of communication

b) Barriers in communication

c) Establishment of successful

communication.

d) Observing and listening skills.

8 Lecture cum

discussions.

Demonstration

Role play

Short answers

Objective type

Return

demonstration

II Describe the

aims and

objectives,

scope, levels,

approaches and

principles of

health education

Health Education

a) Concept, denition, aims and objectives

of health education

b) Principles of health education

c) Process of change/modication of health

behavior

d) Levels and approaches of health

education

e) Methods of health education

f) Scope and opportunities for health

education in hospital and community

g) Nurse’s role in health education.

6 Lecture cum

discussions.

Short answers

Objective type

Unit.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

III Demonstrate

the skills of

counseling.

Counseling

a) Denition, purpose, principles, scope and

types

b) Counseling process: steps and techniques

c) Qualities of a good counselor

d) Difference between health education and

counseling

e) Role of nurse in counseling

8 Lecture cum

discussion

Role play

Short answer

Essay type.

IV Describe the

types of AV

aids.

Demonstrate

skill in

preparing and

using different

kinds of audio –

visual aids

Methods and Media of Health Education

a) Denition, purpose and types of audio-

visual aids and media

b) Selection, preparation and use of audio-

visual aids : graphic aids, printed aids,

three dimensional aids and projected aids

c) Advantages and limitations of different

media

d) Preparation of health education plan

18 Lecture cum

discussions

Exhibits.

Demonstration

Evaluation of

prepared audio

visual aids.

Written test

NUTRITION

Course Description

This course is designed to help students understand that nutrition is an integral component of health as

nutrients play a vital role in the growth, development and maintenance of the body.

General Objectives

Upon completion of this course, the students shall be able to:

1 Describe the principles of nutrition and dietetics and its relationship to the human body in health and

disease.

2 Describe the balanced diet in promotion of health

3 Apply this knowledge in providing therapeutic diet in care of the sick.

4 Demonstrate skills in selection, preparation and preservation of food.

Total Hours – 30

Unit.

Learning

Objectives

Content Hr.

Teaching

learning

activities

Methods of

assessment

Describe the

relationship

between nutrition

and health

Introduction

a) Meaning of food, nutrition,

nutrients etc.

b) Food Habits and customs

c) Factors affecting nutrition

d) Changing concepts in food and

nutrition.

e) Relation of Nutrition to Health

Lecture cum

discussions.

Explain using

charts

Short answer

types

Objective type

Describe the

classication of

food.

Classication of food

a) Classication by origin:

- Food and animal origin

- Food of plant origin

b) Classication by chemical

composition and sources

- Carbohydrates

- Proteins

- Fats

- Minerals

- Vitamins

- Water

c) Classication by predominant

functions

- Body building food

- Energy giving food

- Protective food

Lecture cum

discussions.

Real food

items

Exhibits charts

Short answers

Objective type

Essay type

Unit.

Learning

Objectives

Content Hr.

Teaching

learning

activities

Methods of

assessment

d) Classication by nutritive value

- Cereals and millets

- Pulses and legumes

- Vegetables

- Nuts and oil seeds

- Fruits

- Animal food

- Fats and oils

- Sugar and jiggery

- Condiments and spices

- Miscellaneous food.

III Explain

normal dietary

requirements

Demonstrate skill

in calculating

normal food

requirements.

Normal Dietary Requirements

a) Energy: Calorie, Measurement,

Body Mass Index, BasalMetabolic

Rate – determination and factors

affecting

b) Balanced Diet – nutritive value

of foods, calculation for different

categories of people, normal

food requirement calculation.

Menu plan. Combination of

food affecting and enhancing

the nutritive value of the diet.

c) Budgeting for food, low cost

meals, food substitutes.

d) Diseases and disorders caused by

the imbalance of nutrients.

e) Food allergy –causes, types, diet

modications in glutein, lactose

and protein intolerance etc.

f) Food intolerance - inborn errors of

metabolism

4 Lecture cum

discussions.

Charts exhibits

Real food

Practical

exercise

Short answer

Objective type

Essay type

IV Describe

theprinciples and

various methods

of preparation,

preservation and

storage of food.

Food Preparation, Preservation &

Storage

a) Principles of cooking, methods of

cooking and the effect of cooking

on food and various nutrients.

Safe food handling, health of food

handlers.

2 Lecture cum

discussions.

Field visit

to food

processing

unit.

Short answer

type

Objective type

Unit.

Learning

Objectives

Content Hr.

Teaching

learning

activities

Methods of

assessment

b) Methods of food preservation–

household and commercial,

precautions.

c) Food storage – cooked and raw,

household and commercial, ill

effects of poorly stored food.

d) Food adulteration and acts related

to it.

Demonstration

exhibits

Evaluation

of exhibit

preparation.

V Describe about

therapeutic diet

Therapeutic Diet

a) Diet modication in relation to

medical and surgical condition

of the individual such as Protein

Energy Malnutrition (PEM),

Diabetes, Cardio Vascular

disease, Hepatitis, Renal, Gouts,

Irritable Bowel Syndrome (IBS),

Obesity, cholecystectomy,

partial gastrectomy, gastrostomy,

bariatric surgery and colostomy

etc.

b) Special diet – low sodium diet, fat

free diet, diabetic diet, bland diet,

high protein diet, low protein diet,

low calorie diet, geriatric diet,iron

rich diet, liquid diet, semi-solid

diet, soft diet and high ber

dietetc

c) Factors affecting diet acceptance,

feeding the helpless patient.

d) Health education on nutrition

needs and methods in diet

modication .

8 Lecture cum

discussions.

Practical of

planning

Therapeutic

diet

Demonstration

Charts

Exhibits

Short answers

Objective type

Essay type

VI Describe the

concept of

community

nutrition

Community Nutrition

a) Nutritional problems and

programs in India

b) Community food supply, food

hygiene and commercially

prepared and grown food available

locally.

c) National and international food

agencies – Central food training

research institute (CFTRI), Food

and agriculture organization

4 Lecture cum

discussions.

Videos

Government of

India nutrition

manuals.

Short answer

Objective type

Unit.

Learning

Objectives

Content Hr.

Teaching

learning

activities

Methods of

assessment

(FAO), National Institute of

Nutrition (NIN), Food Safety

and Standards Authority of India

(FSSAI), CARE (Cooperative

for Assistance and Relief

Everywhere), National Institute

of Public Cooperation and Child

Development (NIPCCD) etc.

Visit to the

local food

preparation

/ processing

agency.

VII Demonstrate skill

in preparation of

common food

items.

Preparation of diet / practical

a) Beverages: hot and cold, juice,

shakes, soups, lassi, barley water

b) Egg preparation: egg ip,

scramble, omlet, poached egg

c) Light diet: porridges, gruel,

khichari, dahlia, kanji, boiled

vegetables, salads, custards.

d) Low cost high nutrition diets -

chikki, multigrain roti

8 Lecture cum

discussions

Cookery

practical

Practical

evaluation

Placement- FIRST YEAR Time- 30 hours

Course Description

This course is designed to help students develop an ability to comprehend spoken and written English, so as

to communicate effectively.

General Objectives

Upon completion of this course, the students shall be able to:

1 Read and write correct English.

2 Communicate effectively in English.

Total Hours-30

Unit

Learning

Objective

Content Hr.

Method of

Teaching

Assessment

Method

I. Speak and

write correct

grammatical

English

Grammar

a) Review of basic grammar

b) Building Vocabulary

6 Discussion,

written and oral

exercises.

Objective type

Paraphrasing

II Develop

ability to read ,

understand and

write in English

Composition

a) Sentence construction and usage.

b) Reading comprehension.

c) Written composition : paragraphs

& essays, precise writing, story

writing & comprehension, letter

writing, nurses notes and reports,

anecdotal records, diary writing

14 Discussion

Written and oral

exercises.

Dictation

Exercise

Objective type

Translation

Report

evaluation

Essay type

III Demonstrate

conversation

skills.

Spoken English

a) Conversation – face to face and

telephonic

b) Oral report

c) Discussion, debate

d) Public speaking skills.

10 Discussion,

written and oral

exercises.

Extempore

Debates

Discussion

ENGLISH

Placement- FIRST YEAR Time- 15 hours

Course Description:-

This course is designed to help students gain a basic understanding of uses of computers and its application in

nursing.

General Objective:-

Upon completion of this course, the students shall able to:

1. Describe the basic disk operating system.

2. Use computer for data processing

3. Use Micro-soft ofce programs.

4. Use computer in patient Management System.

5. Use E-mail and internet

Total Hours – 15

Unit

Learning

Objectives

Content Hr.

Teaching

learning

activities

Assessment

methods

I Describe the

structure and

purpose of

computers and

disc operating

systems

Introduction to computers and Disk

operating system

a) Denition

b) Classication

c) Structure and parts of computer

d) Disk operating system – DOS and

WINDOWS all versions.

e) Purposes / uses of computer is health

care delivery system

5 Lecture cum

discussion

Practical

Short answers

Essay type

Practical

II Demonstrate skill

in the use of MS

ofce

MS Ofce

a) MS word

b) MS excel with pictorial presentation

c) MS Power point

d) MS access

e) MS publisher document

15 Lecture cum

discussion

Demonstration

Practice session

Short answer

Objective type

Practical exam

III Demonstrateskill

in using

multimedia

Multimedia

a) Types and uses

b) Data base creation, retrieval and report

generation

c) Computer aided teaching and testing

5 Lecture cum

discussion

Demonstration

Short answer

Objective type

Practical exam

IV Demonstrate the

use of internet and

e-mail

Use of internet and e-mail

a) Accessing the website

b) Searching the internet for content

c) Accessing the email and communicating

with the help of it.

d) Use of internet communication programs

– skype

10 Lecture cum

discussion

Demonstration

Short answer

Objective type

Practical exam

COMPUTER EDUCATION

Placement- SECOND YEAR Time- 120 hours

Course Description:-

This course shall help students understand the concept of disease and disease process, Students shall be able

to gain knowledge and develop understanding of various medical, surgical disorders and disease. They shall

be able to give comprehensive nursing care to patient with these diseases.

General Objective:-

Upon completion of this course, the students shall able to:

1. Describe the cause, symptoms, treatment and prevention of Medical Surgical Diseases.

2. Demonstrate skill in carrying out nursing technique and procedures with the applicant of scientic

principles.

3. Discuss nursing process and provide nursing care to patients with medical surgical/ diseases.

Total Hours - 120

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

Methods

I Explain the

history of modern

Medicine and

Surgery

Introduction

a) Brief history of evolution of modern

medicine and surgery

b) Theories of illness and its causation -Illness

as human experience

c) Review of Nursing process and Nursing care

plan.

2 Lecture cum

discussion

Short answer

Objective type

II Demonstrate skill

in conducting

health assessment

and physical

examination

Nursing assessment

a) Health Assessment

- Health history

- Physical examination

- Nutritional assessment

- General clinical investigations

4 Lecture cum

discussion

Demonstration

Simulation

Short answer

Objective type

Return

demonstration

III Describe the

pathophysiolo-

gical mechanism of

diseases

Pathophysiological mechanism of disease

a) Stress adaptation stressors, management,

Nursing interventions

b) Inammation

c) Defense against injury

d) Nutritional consideration

2 Lecture cum

discussion

Topic presentation

Short answer

Essay type

IV Demonstrate skill in

providing nursing

care to patients with

altered immune

response.

Altered immune response

a) Overview of normal immune system

b) Altered immune response, hypersensitivity

and allergy

c) Assessment of immune system

d) Diagnostic evaluation

e) Allergy disorders:

- Anaphylaxis

- Allergic rhinitis

- Contact dermatitis

- Atopic dermatitis

6 Lecture cum

discussion

Clinical case

presentation

Short answer

Objective type

Essay type

MEDICAL SURGICAL NURSING- I

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

Methods

- Drug reactions

- Food allergy

- Serum sickness

- Latex allergy

f) Approaches to treatallergic diseases

g) Nursing management client with altered

immune response

h) Auto immune disease

- Rheumatoid arthritis

- SLE

- Ankylosing spondylitis

- Graft versus host disease

V Demonstrate skill

in management of

client with uid

and electrolyte

imbalance.

Fluid and electrolyte balance and Imbalance

a) Water contents of body, electrolyte and Acid

– Base balance

b) Homeostasis

c) Review mechanism of regulating uid and

electrolyte movement

d) Fluid and electrolyte Acid-Base imbalance

and its management

4 Lecture cum

discussion

Demonstration

Short answer

Objective type

Essay type

Return

demonstration

VI Describe physical

set up of OT and

its equipments.

Demonstrate skill in

theatre techniques.

Operation theatre technique:

a) Physical Environment

- Operation theatre room - cleaning of tables,

trolleys, lights and other equipments

- Pre-operative holding areas.

b) Theatre Technique

- Scrubbing – Hand washing

- Gowning

- Gloving

- Positioning of patient for various surgical

procedures.

- Draping of patient.

c) Preparation of theatre, equipment and

supplies

- Cleaning

- Needles, sutures – types and their uses.

- Carbolization, ETO sterilization,

fumigation, OT swab, Bacillocid

sterilization.

- Packing and sterilization of dressings, linen

rubber ware suture material, instruments,

needlesandother materials.

8 Lecture cum

discussion

Explain about the

instruments

Demonstration

of OT techniques

– scrubbing,

gowning, gloving

Positioning and

draping

Visit to CSSD

Short answer

Objective type

Essay type

Return

demonstration

VII Demonstrate skill in

preparing the client

for surgery.

Recognize and

perform the role

of nurse during

surgery.

Management of patient undergoing surgery

a) Pre operative preparation and care

- Physical

- Psychological,

- Pre-medications

- Legal and ethical

b) Intra operative management

- Surgical Team

- Nursing activities and responsibilities

- Anesthetic agents

- Role of nurse in anesthesia

8 Lecture cum

discussion

Demonstration

Videos

Short answer

Objective type

Essay type

Return

demonstration

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

Methods

Demonstrate skill

in giving care to

clients after surgery

(post-operative

care)

c) Post operative Management

- Immediate care

- Transferring patient from operation theatre

- Patient in recovery room

- Recovery from Anesthesia

- Post operative observation and nursing

management

- Carryout the post operative orders.

- Postoperative complication observation,

prevention & management.

VIII Demonstrate skills

in the nursing

management of

client with impaired

respiratory function

and gaseous

exchange

Nursing management of patient with impaired

respiratory function and gaseous exchange

a) Assessment of respiratory function

- History

- Physical examination

- Diagnostic evaluation

b) Care of patient in respiratory intensive care

and ventilator care and respiratory function

c) Management of Patient with disorders of

upper respiratory airway.

- Obstruction of upper airway

- Epistaxis

- Sinusitis

- Pharyngitis

- Tonsillitis

- Laryngitis

- Deviated nasal septum

d) Management of patient with disorders of the

chest and lower respiratory tract

e) Management of patient with impaired • Lung

abscess

- Empyema

- Bronchial asthma

- COPD

- Pneumothorax

- Pneumonia

- Bronchitis

- Bronchiectasis

- Trauma

- Pulmonary Tuberculosis/DOTS

- Pulmonary embolism

- Pulmonary edema

- Lung tumors

- Disorders of pleura and pleural space

- Lung surgery

- Respiratory failure

- Acute respiratory distress syndrome,

- SARS

f) Alternate therapies

g) Drugs used in treatment of disorder of

respiratory system

15 Lecture cum

discussion

Demonstration of

various articial

respiratory devices

Simulation

Case discussion

Videos and Films

Short answer

Objective type

Essay type

Return

demonstration

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

Methods

IX Describe the

various gastro

intestinal disorders.

Demonstrate skill in

providing care for

clients with gastro

intestinal disorders.

Nursing management of patient with gastro

intestinal disorders

a) Assessment of gastro intestinal function

- History

- Physical examination

- Diagnostic evaluation

b) Management of Upper gastrointestinal

disorders

- Parotitis

- Stomatitis

- Glossitis

- Gingivitis

- Pyorrhea

- Dental caries

- Halitosis

- Dysphagia

- Achalasiacardia

- Gastro Esophageal Reux Disease (GERD)

- Cancer of esophagus

- Hiatus hernia

- Gastritis

- Gastric and duodenal ulcers

- Gastric cancer

- Gastroenteritis

- Esophageal stula

- Peritonitis

c) Care of patient with gastro intestinal

intubation and special nutritional

management.

d) Management of patient with lower gastro

intestinal disorders:

- Helminthiasis

- Constipation

- Diarrhea

- Fecal incontinence

- Irritable Bowel Syndrome (IBS)

- Appendicitis

- Diverticular disease

- Crohn’s disease

- Ulcerative colitis

- Intestinal obstruction

- Colitis

- TB abdomen

- Colorectal cancer

- Polyps of colon and rectum

- Ano rectal abscess

- Anal stula and ssure

- Hemorrhoids

e) Alternate therapies

f) Drugs used in treatment of GI disorders

18 Lecture cum

discussion

Visit to endoscopy

room, radiology

department

Demonstration

Films and Videos

Short answer

Objective type

Essay type

Return

demonstration

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

Methods

X Describe the

management

of patients

with metabolic

and endocrinal

disorders.

Demonstrate

skills in caring

for the clients

with metabolic

and endocrinal

disorders.

Nursing management of patients with

metabolic and endocrinal disorders:

a) Assessment of Hepatic and biliary functions

- History

- Physical examination

- Diagnostic measures

b) Management of patients with hepatic

disorders

- Jaundice

- Hepatic cirrhosis

- Portal hypertension

- Ascites

- Hepatic Encephalopathy and coma

- Viral hepatitis

- Tumors and cyst of the liver

- Liver abscess

c) Management of patients with biliary

disorders

- Cholecystitis

- Cholelithiasis

- Choledocolithiasis

- Acute and chronic pancreatitis

- Cancer of pancreas

d) Assessment of Endocrinal function

- History

- Physical examination

- Diagnostic evaluation

c) Management of endocrinal disorders

- Pituitary disorders

- Thyroid disorders

• Hyperthyroidism

• Hypothyroidism

• Thyroid tumors

• Goiter

- Parathyroid disorders

- Pancreas disorder

• Diabetes mellitus

- Adrenal disorders

• Pheochromocytoma

• Addison’s disease

• Cushing’s syndrome

- Tumors of the endocrine glands

f) Alternate therapies

g) Drugs used in treatment of metabolic and

Endocrine disorder

15 Lecture cum

discussion

Charts

Simulation

Clinical teaching

Exposure to

diagnostic

procedures

Videos and Films

Short answer

Objective type

Essay type

XI Describe the

management of

clients with urinary

and renal disorders.

Demonstrate skill in

giving care of client

with urinary and

renal disorders

Nursing management of renal and urinary

disorders

a) Assessment of renal and urinary functions

- History

- Physical examination

- Diagnostic evaluation

b) Management of patients with renal and

urinary disorders

- Urinary retention and incontinence

- Urinary tract infection

14 Lecture cum

discussion

Clinical teaching

Visit to Dialysis

unit

Videos and Films

Short answer

Objective type

Essay type

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

Methods

. - Acute and chronic glomerulonephritis

- Pyelonephritis

- Urolithiasis

- Renal calculi

- Trauma of kidney, bladder,urethra, ureters

- Urinary strictures

- TB of urinary tract

- Neurogenic bladder dysfunction

- Renal cyst and renal abscess

- Nephrotic syndrome

- Acute and chronic Renal failure

- Uremia

- Acute and chronic nephrosis

- Tumor – benign and malignant

- Care of patient on hemodialysis and

peritoneal dialysis

- Care of patient with renal transplant

c) Assessment of male Genitourinary function

- History

- Physical examination

- Diagnostic evaluation

d) Disorders of male genito urinary tract and its

management

- Hydrocele,

- Phimosis

- Benign and malignant prostatic

hypertrophy

- Orchitis

- Epididymoorchitis

- Cancer penis

e) Alternate therapies

f) Drugs used in treatment of renal and Urinary

disorders

XII Describe

the nursing

management

of clients with

Neurological

disorders

Nursing management of patients with

neurological disorders:

a) Assessment Neurological functions

- History

- Physical examination

- Diagnostic evaluation

b) Management of patients with neurologic

dysfunctions

- Altered level of consciousness

- Increased Intracranial pressure

- Intracranial surgery

c) Management of patients with neurological

disorders

- Headache

- Migraine

- Seizures

- Epilepsy

- Status epileptics

- Cerebrovascular disorder – CVA

- Neurological trauma – Head, brain, spinal

cord, subdural and extradural hematoma

- Neurologic infection

• Meningitis

20 Lecture cum

discussion

Clinical teaching

Demonstration of

reexes and use

of Glasgow coma

scale

Simulation

Videos and Films

Charts

Short answer

Objective type

Essay type

Return

demonstration

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

Methods

Demonstrate skill

in giving nursing

care to clients

with Neurological

disorders

• Brain abscess

• Encephalitis

- Degenerative disorders

• Multiple sclerosis

• Myasthenia gravis

• Guillain – Barre syndrome

• Parkinsonism

• Alzheimer disease

- Neuralgia

- Bell’s Palsy

- Peripheral neuropathies

- Brain and spinal cord tumors

- Huntington’s disease

- Muscular Dystrophies

- Herniation of the intervertebral disc

d) Alternate therapies

e) Drugs used in treatment of neurological

disorders

XIII Describe the

management

of clients with

connective tissue

and collagen

disorders

Demonstrate skill in

providing nursing

care to clients

with connective

tissue and collagen

disorders

Nursing Management of Patients with

Connective Tissue and Collagen Disorders

a) Assessment

- History

- Physical examination

- Diagnostic measures

b) Management of patients with disorders of

connective tissue and collagen disorders

- Rheumatoid arthritis

- Systemic lupus Erythematosus (SLE)

- Scleroderma

- Polymyositis

- Osteoarthritis

- Ankylosing Spondylitis

- Gout

- Fibromyalgia

c) Alternate therapies

d) Drugs used in treatment of connective tissue

and collagen disorders

8 Lecture cum

discussion

Clinical teaching

Short answer

Objective type

Essay type

XIV Describe the nurse’s

role in promoting

wellness for elderly.

Demonstrate skill in

providing nursing

care for elderly

clients.

Nursing management of the elderly

a) Assessment of the elderly

- Ageing process

- Helping and care of elderly in promoting

wellness and self care

b) Conditions associated with ageing

- Dementia

- Osteoporosis

- Incontinence – urinary

- Sensory deprivation

c) Home and Institutional care

6 Lecture cum

discussion

Visit to old age

home

Videos

Short answer

Objective type

Placement- SECOND YEAR Time- 120 hours

Course Description:-

This course shall help students understand the concept of disease and disease process, Students shall be able

to gain knowledge and develop understanding of various medical surgical specialty disorders and disease.

They shall be able to give comprehensive nursing care to patient with these diseases.

General Objective:-

Upon completion of this course, the students shall able to:

1. Describe the cause, symptoms, signs, treatment and prevention of diseases classied under medical

Surgical Specialties.

2. Demonstrate skill in carrying out nursing technique and procedures with the applicant of scientic

principles.

3. Prepare nursing care plan using nursing process and apply it in provide care to patient with these

diseases.

Total Hours - 120

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

Describe the

management of

patients with

oncology

Oncology Nursing:

a) Nursing management of patients with

oncological conditions

- Structure & characteristics of normal &

cancer cells

- Nursing Assessment-History and Physical

assessment

- Prevention, Screening, Early detection,

Warning signs of cancer

- Epidemiology, Etiology, Classication,

Pathopysiology, staging, clinical

manifestations, diagnosis, treatment

modalities and medical & surgical nursing

management of oncological conditions

- Common malignanacies of various body

systems: Oral, larynx, lung, stomach and

Colon, Liver, Leukemias and lymphomas,

Breast, Cervix, Ovary, uterus, Sarcoma,

Brain, Renal, Bladder, Prostate etc

b) Oncological emergiences

c) Modalities of treatment

- Immunotherapy

Lecture cum

discussion

Explain using

charts, graphs

models, lms,

and slides

Case discussion

Seminar

Short answers

Objective type

Essay type

MEDICAL SURGICAL NURSING- II

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

- Radiotherapy

- Surgical Interventions

- Stem cell and Bonemarrow transplants

- Gene therapy

- Other forms of treatment

d) Psychosocial aspects of cancer

e) Rehabilitation

f) Palliative care: symptom and pain

management, Nutritional support

g) Home care

h) Hospice care

i) Stomal Therapy

j) Special therapies

k) Psycho social aspects

l) Nursing procedures

m) Alternate therapies

n) Drugs used in treatment of oncological

disorders

Drug book

Lecture cum

discussion

Topic

presentation

Posting to

cancer Hospital/

unit

Structured

discussion

Seminar

Assessment

of skills with

check list

II Describe the

disorders of

breast and breast

cancer.

Demonstrate skill

in giving nursing

care to patients

with breast

disorders

Nursing Management of patients with

disorders of Breast

a) Assessment of breast

- History

- Physical examination

- Diagnostic tests

- Breast self examination

b) Disorders of breast

- Mastitis

- Breast abscess

- Gynaecomastia

- Tumors and Malignancy of breast

c) Nursing management of a patient after

mastectomy.

5 Lecture cum

discussion

Models and

exhibits

Short answer

Objective type

Essay

III Describe the

various diseases

and disorders of

integumentary

system and their

management.

Demonstrate

skill in providing

care to the clients

with disorders

of integumentry

system

Nursing Management of patient with

diseases and disorders of integumentary

system

a) Nursing Assessment

- History

- Physical assessment

b) Etiology

c) Pathophysiology

d) Clinical manifestions

e) Nursing management of disorders of skin

and its appendages

- Lesions and abrasions

- Infection and infestations Dermititis

- Dermatoses; infectious and Non

infectious

- Inammatory dermatoses

- Acne Vulgaris

5 Lecture cum

discussion

Explain using

Charts, graphs

models, lms,

slides

Essay type

Short answers

Object type

Assessment

of skills with

check list

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

- Allergies and Eczema

- Psoriasis

- Malignant Melanoma

- Alopecia

- Infestations

- Bacterial infections

- Pyoderma

- Impetigo

- Folliculitis

- Furuncles

- Carbuncles

- Viral infections

- Herpes zoster

- Herpes simplex

- Fungal infection

- Athlete’s foot (Tanta Pedi’s)

- Parasitic infestation

- Pediculosis

- Scabies

- Pemphigus

- Stevens - Johnson syndrome

- Skin cancer

- Special dermatological therapies

f) Burn and its management

- Burns Plastic Surgery

- Incidence, causes of burns

- Types & classication of burns

- Pathophysiology

- Calculation of the percentage

- Local & systematic effects of burns

- Immediate care

- First aid care

- Medical Management, barrier nursing

care of the burns

- Complications, Health education

g) Plastic Surgery

- Dene plastic & reconstructive surgery

- Types

- Dene skin graft aps

- Possible complication

- Preparation of patient for constructive

surgery

- Post operative care

- Health Education

h) Alternate therapies

i) Drugs used in treatment of integumentary

disorders

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

IV Describe the

disorder and

diseases of eye

Demonstrate

skill in giving

care for patients

with various

eye diseases and

disorders.

Ophthalmology And Ophthalmic Nursing

a) Review of anatomy and physiology of eye

b) Assessment of function of eyes.

- History

- Physical exam

- Diagnostic tests-tonometry, Snellen’s chart

c) Infections and Inammations conditions

- Blepharitis

- Stye

- Chalazion

- Entropion

- Ectopion

- Dacrocystitis

- Conjunctivitis

- Trachoma

- Pterydium

- Keratitis

- Corneal ulcer

d) Degenerative Conditions

- Cataract

- Retinopathy

- Retinal detachment

e) Miscellaneous

- Strabismus

- Refractive errors

- Tumors

- Color blindness

- Nigh Blindness

- Total blindness

f) Preventive and Rehabilitative aspects

g) National programs on Blindness and trachoma

h) Current trends in Management of Ophthalmic

conditions

- Hospital corneal retrieval

- Grief counseling.

- Eye Collection

- Counselling

- Obtaining consent for eye donation

i) Eye banking in India

j) Ocular Emergencies

- Glaucoma

- Foreign body

- Acid / Alkali burns

- Trauma to the eye

k) Eye Immigration

l) Instillation of eye drops and ointment

m) Cold and hot compress

n) Eye dressing and bandage

o) Assisting for sac syringing

p) Assisting for removal of foreign body

q) Alternate therapies

r) Drugs used in treatment of eye disorders

10 Lecture cum

discussion

Visit school for

the blind

Visit to eye bank

Visit

National

Association for

the blind

Eye bank

Demonstration

Short answer

Objective type

Essay

Return

demonstration

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

V Describe disorders

and diseases of ear,

nose and throat.

Demonstrate

skills in Providing

nursing care

for patients with

various ENT

problems.

Nursing Management of Patient with

Disorders and Diseases of Ear, Nose and

Throat

Ear

a) Review of Anatomy and physiology of Ear

b) Assessment of function of ear

- History

- Ear examination

- Diagnostic tests

c) Diseases and disorders of the ear

Externalear

- Otitis

- Foreign body

- Impacted cerement

- Furunculosis

 Middleear

- Otitis media

- Mastoiditis

- Perforation of ear drum

 Internalear

- Presycusis

- Labryinthitis

- Meniere’s disease

- Otosclerosis

 Deafness

- Conductive deafness

- Neural deafness

 Tumorsoftheearandauditorynerve

 InsufationsofEustachiantube

Nose

a) Review of Anatomy and physiology of nose

b) Assessment of functions of nose

- History

- Examination of nose

- Diagnostic tests

c) Diseases and disorders of nose

 Infections

- Rhinitis

- Sinusitis

- Obstruction

- Polyps

 Foreignbody

 Deviatednasalseptum

 Trauma–fractureofnasalboneand

epitaxies

Throat

a) Review of Anatomy and physiology of Throat

15 Lecture cum

discussion

Clinical teaching

Demonstration

Videos, charts

Short answer

Objective type

Essay

Return

demonstration

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

b) Assessment of the function of throat

- History

- Examination of throat

- Diagnostic tests

c) Diseases and disorders of throat infections

and inammation

- Tonsillitis

- Pharyngitis

- Adenoiditis

- Laryngitis

- Tumors

- Injury and foreign body

- Alternate therapies

- Drugs used in treatment of ENT disorders

VI Describe

cardiovascular

circulatory and

Hematological

disorders and

diseases.

Demonstrates

skill in carrying

nursing

interventions

for clients with

circulatory and

hematological

disorders and

diseases.

Nursing Management of Patient with cardio

vascular, circulatory and Hematological

disorders

Cardio Vascular

a) Review of anatomy and physiology of heart

and circulatory system

b) Assessment of functions of heart and

vascular system

- History

- Physical exam

- Diagnostic tests

c) Diseases and disorders of cardio vascular

system

- Coronary Artery disease

- Arrhythmia

- Coronary Artery disease

• Angina pectoris

• Coronary atherosclerosis

• Myocardial infarction

- Valvular heart disease

• Mitral stenosis

• Aortic stenosis,

• Incompetence, regurgitation

• Tricuspid stenosis

• Pulmonary stenosis

- Inammation and infections

• Pericarditis, Myocarditis, Endocarditis

• Rheumatic fever

- Heart block

- Complication of heart disease

• Acute Heart failure (Pulmonary Edema)

• Chronic (Congestive Cardiac failure)

• Cardiogenic shock

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

• Pericardial effusion, cardiac tamponade

- Cardiac emergencies

• Cardiac arrest

• Shock

- Vascular disorders

• Arterial disorders

• Berger’s disease (TAO),

• Arterial ulcers,

• Arteriosclerosis,

• Aneurysm,

• Thrombosis and emboli,

• Raynaud’s disease

• Hypertension

- Venous disorder

• Deep Vein Thrombosis (DVT)

• Venous insufciency

• Venous ulcer

• Varicose vein

• Cellulitis

• Lymphatic disorders

• Lymphangitis & Lymphadenitis

• Lymphedema & elephantiasis

Hematological disorders

a) Review of function and structure of blood

components

- Assessment

- History

- Physical examination

- Diagnostic tests

b) Diseases and disorders of blood and its

components

- Anemia

- Thalassemia

- Polycythemia

- Leukopenia and neutropenia

- Leukocytosis & leukemia

- Lymphomas Hodgkin & Non Hodgkin

diseases, Multiple myeloma

- Bleeding disorders

- Thrombocytopenia,

- Purpura, hemophilia

- Acquired coagulation

- Disorders – Liver disease, Vitamin K

deciency, DIC

c) Alternate therapies

d) Drugs used in treatment of cardiovascular

circulatory and hematology disorders

28 Lecture cum

discussion

Demonstration

Clinical

teaching

Videos,

Simulation

Short answer

Objective type

Essay type

Return

demonstration

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

VII Describe

the nursing

management of

patients with

communicable

diseases.

Demonstrate

skill in providing

interventions

for patients with

communicable

the nurse’s

role in various

national control/

Eradication

Programme of

communicable

diseases.

Nursing Management of Patients with

communicable diseases

a) Assessment

- History

- Physical examination

- Diagnostic tests

b) Review of infection, mode of transmission,

its prevention and control

c) Preparation, care and administration of anti

sera and vaccinesIsolation,

d) Management of various infection diseases

causedbyVirus;

- Measles

- Chicken pox

- Swine u

- Ebola

- Dengue

- Chicken guinea

- Inuenza

- Mumps

- Encephalitis

- Infective hepatitis

- Poliomyelitis

- Rabies

- AIDS

CausedbyBacteria;

- Diphtheria

- Whooping cough

- Tetanus

- Typhoid

- Dysentery

- Gastroenteritis

- Cholera

- Meningococcal Meningitis

- Tuberculosis

- Plague

- Leptospirosis

Vectorbornediseases;

- Malaria

- Filariasis

- Yellow fever

- Dengue

- Any other prevailing diseases

e) Alternate therapies

f) Drugs used in treatment of communicable

disorders

10 Lecture cum

discussion

Role play

Participate in

immunization

campaign

Short answer

Objective type

Essay type

Assesment

with clinical

checklist

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

VIII Describe

various sexually

transmitted

diseases.

Demonstrates

skills in

syndromic

management

of sexually

transmitted

diseases.

Nursing Management of Patients with

Sexually Transmitted deiseases

a) Assessment

- History

- Physical examination

- Diagnostic tests

b) Sex health and hygiene

c) Syndromic Management of sexually

transmitted disease

- Gonorrhea

- Syphilis

- Granuloma Venerium

- Chanchroid granuloma

- AIDS

- Genital herpes

05 Lecture cum

discussion

Video

Short answer

Objective type

Essay type

IX Describe various

musculo skeletal

disorders and

diseases.

Demonstrate

skills in

management of

musculo skeletal

diseases.

Nursing Management of Patients with

musculo skeletal disorders and diseases

a) Review of Anatomy and Physiology of

musculo skeletal system

b) Assessment

- History

- Physical examination

- Diagnostic tests

c) Infections and inammations

- Septic arthritis

- Gonococcal arthritis

- Osteomyelitis

- Tuberculosis of the spine and bones

- Sprains

- Dislocations

- Fracture of spine and extremities

d) Degenerative conditions of joints, spine

e) Tumors, Amputation and prosthesis

f) Deformities - Congenital and acquired

g) Range of motion exercises

h) Care of patient:

- Skin and skeletal traction

- Orthopedic splints

i) POP application and removal

j) Neurogenic bladder

k) Preparation for bone surgery

l) Use of orthopedic assist devices

- Crutches

- Canes

- Walker

m) Alternate therapies

n) Drugs used in treatment of musculo-skeletal

disorders disorders

10 Lecture cum

discussion

Clinical

teaching

Demonstration

Short answer

Objective type

Essay type

Unit

No.

Learning

Objectives

Content Hr.

Method of

Teaching

Assessment

methods

X Describe the

role of nurse in

medical surgical

emergencies

Demonstrate

skill in meeting

medical surgical

emergencies.

Emergency Management

a) Scope and practice of emergency nursing

- Principles of emergency care

- Triage

b) Medical Surgical Emergencies

c) Airways obstruction

- Hemorrhage

- Shock, Anaphylactic reaction, Allergies

- Trauma – intra abdominal, crush injuries,

multiple injures fractures

- Poisoning

- Ingested poisoning

- Inhaled poisoning

- Food poisoning

- Injected poisons – Stinging insects

- Snake bites Chemical burns

- Environmental emergencies:

- Heat stroke

- Frost bite.

- Near drowning

- Hanging

10 Lecture cum

discussion

Demonstration

Preparing

emergency

trolley -

Demonstration

of CPR -

Debrillation

Videos & Films

Simulation

Roleplay

Short answer

Objective type

Essay type

Return

demonstration

XI Identify the role

of nurses in

emergency and

disasters.

Demonstrate

beginning skill

in managing the

Emergencies and

disasters.

Emergency and Disaster Nursing

a) Natural calamities

- Flood

- Earthquake

- Volcanic eruptions

b) Man-made disaster

- Explosion

- War

- Fire

- Accidents

c) Emergency preparedness

d) Community resources available to meet

calamities

e) Nurses role in disaster management

05 Lecture cum

discussion

Role play

Mock drill

INC: Disaster

management

module:

Reaching out:

nursing care

Short answer

Objective type

Essay type

Placement- SECOND YEAR Time: 800 hours (20 weeks)

General objectives:

Students are able to apply nursing process and provide comprehensive nursing care to the clients with various

medical and surgical conditions

Specic objectives; students are able to;

1. Comprehend the causes, signs and symptoms, treatment and prevention of various medical, surgical

conditions.

2. Apply the theoretical knowledge to appropriate clinical nursing practice.

3. Identify the problems and needs, prioritize them and provide comprehensive nursing care by applying

nursing process

4. Demonstrate skills in carrying out nursing techniques, procedures in keeping with scientic

principles.

5. Demonstrate skills in respective clinical specialty.

6. Interpret and carry out the pharmacological intervention,

7. Identify the deviation from normal in the diagnostic value.

8. Plan and participate in rehabilitation of patient and family.

Area Duration Objectives Skills Assignment

Assessment

methods

General

medical

wards

(resp.,GI,

Endo.,

hemato,

neuro,

renal)

3 wks • Provide

nursing care

to adult

patients with

medical

disorders

- Assessment of patient

• Take history

• Perform general & specic

physical examination

• Identify alterations and

deviations

- Practice medical-surgical

asepsis-standard safety

measures.

- Administer medications

• Oral

• Sub-lingual

• Intra-dermal

• Subcutaneous

• Intramuscular

• Intravenous

- Intravenous therapy

• IV canulation

• Maintenance & monitoring

- Oxygen therapy-mask,

prongs & tent

Plan &

implement care

for assigned

patients

• Nursing care

plan 1

• Nursing case

study-1 or

presentation-1

• Assess

performance

with rating

scale

• Assess each

skill with

check list

MEDICAL SURGICAL NURSING- PRACTICAL

Area Duration Objectives Skills Assignment

Assessment

methods

• Counsel

and educate

patients and

family

- Nebulization

- Chest physiotherapy

- Naso-gastric feeding

- Assist in common diagnostic

procedures

- Perform/assist in therapeutic

procedures

- Transfusion of Blood & its

components

- Throat suctioning

- ET suctioning

- Collect specimens for

common

- investigations

- Maintain elimination

• Catheterization

- Educate & counsel patient

& family regarding specic

disease conditions.

• Drug study

presentation-1

• Maintain drug

book

• Maintain

practical

record book

• Evaluation

of case study

presentation

• Completion

of practical

record

General

surgical

wards

(GI and

Urinary)

3 weeks • Provide pre &

post-operative

nursing care

to adult

patients with

surgical

disorders

• Educate

& counsel

patients and

families

- Practice medical-surgical

asepsis-standard safety.

- Pre-operative preparation of

patient

- Post-operative care

• Receiving

• Assessment

• Monitoring

- Care of wounds and drainage

- Suture removal

- Ambulation & exercises

- Naso-gastric aspiration

- Care of chest drainage

- Ostomy care

• Gastrostomy

• Enterostomy

• Colostomy

- Transfusion of Blood & its

components

- practice universal

precautions

Plan &

implement care

for assigned

patients

• Nursing care

plan 1

• Nursing case

study-1 or

presentation-1

• Drug study

presentation-1

• Maintain drug

book

• Maintain

practical

record book

• Assess

performance

with rating

scale

• Assess each

skill with

check list

• Evaluation

of case study

presentation

• Completion

of practical

record

Operation

theater

3 weeks • Identify

instrum-

ents used

in different

operations

Perform scrubbing, gowning,

gloving

- Identify instruments,

suturing materials for

common operations.

Disinfection, carbolization

sterilization & fumigation

- Assist as a

scrub nurse for

5 major and 5

minor cases.

Assess skill

with check list

Area Duration Objectives Skills Assignment

Assessment

methods

• Set-up the

table/ trolleys

for common

operative

procedures

• Assist in the

operative

procedu-res

• Provide peri-

operative

nursing care

- Prepare the OT table

depending upon the

operation

- Positioning and monitoring

of patient

- Assisting with minor &

major operations

- Handling specimens

- Segregation and disposal

of biomedical waste as per

guidelines

ICU 1 week • Gain

procien-

cy in ICU

nursing

• Identify

potential

problem and

provide care

accordin-gly

• Record

ndings and

medicati-ons

accurately

• Develop good

IPR with

patient &

family.

- Connect and monitor ECG &

pulse oxymetry

- Assist in endo-tracheal

intubation

- Suctioning -provide care for

a patient on ventilator

- Handling emergency drug

trolly / crash cart.

- Assisting in insertion of

central line and monitoring

Central venous pressure.

- ET suction-ing

- O2 adminis-

tration

Assess skill

with check list

Geriatic

nursing –

medical

/ surgical

/ special

ward

1 week

• Identify

specic

problems

related to the

elderly

• Assist in the

activities of

daily living

• Provide com-

prehensive

nursing care

- Assessment of the geriatric

- Identify the health

problems among the elderly

(psychological, social and

spiritual needs of the elderly)

and provide specic care

- Health promotion of the

elderly

Health teaching

- 1

Assess skill

with check list

Oncolo-gy

Unit

1 week • Provide

carefor

patients with

cancer.

- Screen for common cancers

–Tumor Node Metastasis

(TNM) classication.

- Assist with diagnostic

procedures.

• Biopsies.

• Pap smear

• Provide care

to assigned

patients.

• Assess each

Skill with

checklist.

• Assess

performance

with rating

scale.

Area Duration Objectives Skills Assignment

Assessment

methods

• Counsel and

educate patient

and families.

• Bone-morrow aspiration.

- Assist with therapeutic

procedures.

- Observe various modalities of

treatment.

• Chemotherapy

• Radiotherapy

• Pain management

• Stoma care

• Hormonal therapy

• Immunotherapy

• Gene therapy

• Alternative therapy

- Participate in palliative care.

- Counsel and teach patients

families.

• Observation

report of cancer

unit

• Evaluation of

care plan and

observation

report.

• Completion

of activity

record.

Dermato-

logy and

burns

1 week

• Provide care to

patients with

dermatol-ogy

disorder and

Burn.

• Counsel and

educate patient

and families.

- Assessment of the burn

patient.

• Percentage of burns.

• Degree of burns.

• Dressing

- Fluid & electrolyte

replacement therapy

• Assess

• Calculate

• Replace

• Record

• Intake/output

- Assessment and care of patients

with dermatological disorders.

- Administer topical medications

• Give medicated Baths

- Perform active & passive

exercises.

- Practice medical & surgical

asepsis.

- Counsel & Teach patients and

families

• Provide care

to assigned

patients.

• Health talk - 1

• Assess each

skill with

checklist.

• Assess

performance

with rating

scale.

Ophthalm-

ology

1 week • Provide care to

patients with

Eye disorders.

• Counsel and

educate patient

and families.

- Perform examination of eye.

- Assist with diagnostic

procedures.

- Assist with therapeutic

procedures.

- Perform/assist with irrigations.

- Apply eye bandage.

• Provide care to

2-3 assigned

patients

assessment

using snellen’s

chart

• Assess each

skill with

checklist

Assess

performance

with rating

scale.

Area Duration Objectives Skills Assignment

Assessment

methods

- Apply eye drops/ointments.

- Teach patients and families.

• Observation

reports of

OPD & Eye

bank.

• Assist in

organizing eye

camp

• Evaluation

observation

report of

OPD/Eye

bank.

ENT 1 week • Provide care

to patients

with ENT

disorders

• Counsel

and educate

patient and

families

- Perform examination of ear,

nose and throat.

- Assist with therapeutic

procedures.

- Instillation of drops.

- Perform/assist with

irrigations.

- Apply ear bandage.

- Perform tracheostomy care.

- Health education to patients

and families.

• Provide care

to assigned

patients.

• Assess each

Skill with

checklist.

Cardiology

ward /

ICCU /

cardiotho-

racic and

vascular

unit

2 weeks • Provide care

of patients

with cardiac

and vascular

disorders

• Counsel

and educate

patients and

families

- Perform cardio vascular

assessment

- Recording ECG and identify

basic changes in ECG

- Monitoring of patients in on

cardiac monitor

- Preparing and assisting

of frequently performed

diagnostic and therapeutic,

non –invasive and invasive

procedures

- Administer cardiac drugs

- Advanced / Basic Cardiac

Life Support (ACLS/BLS)

- Monitoring and caring for

patients with chest drainage

- Assist in debrillation

- Monitoring of patients in

ICU.

- Maintain ow sheet.

- Perform Endotracheal

suction.

- Demonstrates use of

ventilators, cardiac monitors

etc.

- Physical examination

- Collect specimens and

interprets ABG analysis.

• Plan and

give care to

patients

• Health talk – 1

• Case

presentation –

Assessment

performance

with rating

scale

Area Duration Objectives Skills Assignment

Assessment

methods

- Assist with arterial puncture.

- Maintain CVP line.

- Pulse oximetry.

- CPR – ALS

- Debrillators.

- Bag- mask ventilation.

- Emergency tray/trolly –

Crash Cart.

- Administration of drugs

• Infusion pump.

• Epidural.

• Intra thecal

• Intracardiac

- Total parenteral therapy

- Chest physiotherapy.

- Perform active & passive

exercises

• Drug

presentation -

••

Evaluation

of health

talk, case

presentation

and drug

presentation.

Orthopedic

ward

1 week • Provide

nursing care

to patients

with musculo

skeletal

disorders

• Counsel

and educate

patient and

families

- Assessment of orthopedic

patients

- Assist in the application of

plaster cast and removal of

cast

- Assist in applying skin

traction, bucks extension

traction

- Assist in application and

removal of prosthesis

- Physiotherapy

- Crutch maneuvering

technique

- Ambulation

• Plan and

give care

to assigned

patients

• Nursing care

plan – 1

• Health talk – 1

• Assessment

performance

with rating

scale

• Evaluation

of health

talk, case

presentation

and drug

presentation

Communi-

cable

diseases

ward /

isolation

ward

1 week • Provide

nursing

care for

patients with

communi-

cable diseases

- Assessment of patients with

communicable diseases

- Use of personal protective

equipment (PPE)and barrier

nursing

- Health teaching for

prevention of infectious

diseases

- Counseling of HIV/ AIDS

patients

- Counseling of family

members

• Give care

for assigned

patients

• Health talk – 1

• Care plan – 1

• Assessment

performance

with rating

scale

• Evaluation

of health

talk, case

presentation

and drug

presentation

Area Duration Objectives Skills Assignment

Assessment

methods

Emergency

ward /

casualty

1 week • Provide care

to patients in

emergency

and disaster

situation.

• Counsel

patient and

relatives for

grief and

bereave-ment

- Practice ‘triage”.

- Assist with assessment,

examination, investigation

& their interpretation, in

emergency and disaster

situations.

- Provide rst aid

- ACLS / BLS

- Assist in legal

documentations and

procedures in emergency

unit.

- Counsel patient and families

grief and bereavement.

• Practice

‘triage”.

• Assess

Performance

with rating

scale.

Placement- SECOND YEAR Time- 70 hours

Course Description:-

This course is designed to help students develop the concept of mental health and mental illness, its causes,

symptoms, prevention, treatment modalities and nursing management of mentally ill for individual, family

and community.

General Objective:-

Upon completion of this course, the students shall able to:

1. Describe the concept of mental health and mental illness and the emerging trends in psychiatric

nursing.

2. Explain the causes and factors of mental illness, its prevention and control.

3. Identify the symptoms and dynamic of abnormal human behavior in comparison with normal human

behavior.

4. Demonstration a desirable attitude and skills in rendering comprehensive nursing care to the mentally

ill.

Total Hours - 70

Unit.

Learning

Objectives

Content Hr.

Teaching

Learning

Activites

Methods of

Assessment

I Describe the

concept of

mental health

and mental

illness in

relation to

providing

comprehensive

care to the

patients.

Introduction

a) Concept of mental health and mental illness

b) Misconceptions related to mental illness

c) Principles of Mental Health nursing

d) Denition of terms used in psychiatry

e) Review of defense mechanisms

f) Mental Health Team

5 Lecture cum

discussion

Structured

discussion

Group

interaction

Short answers

Objective type

II Narrate the

historical

development

of Psychiatry

and psychiatric

nursing.

History of Psychiatry

a) History of Psychiatric Nursing - India and at

international level

b) Trends in Psychiatric Nursing

c) National mental health programme

4 Lecture cum

discussion

Short answer

Objective type

III Describe

mental health

assessment

Mental Health Assessment

a) Psychiatry history taking

b) Mental status examination

c) Interview technique

4 Lecture cum

discussion

Demonstration

Short answer

Objective type

Return

Demonstration

MENTAL HEALTH NURSING

Unit.

Learning

Objectives

Content Hr.

Teaching

Learning

Activites

Methods of

Assessment

IV Describe

therapeutic

relationship

Demonstrate

skills in process

recording

Therapeutic nurse-patient relationship:

a) Therapeutic nurse patient relationship:

Denition, components and phases,

Importance

b) Communication skills Denition elements,

types, factors inuencing communication,

barriers (therapeutic impasse)

5 Lecture cum

discussions

Role play

Videos

Demonstration

of process

recording

Short answers

Return

demonstration

V List various

mental disorders

and describe

their mental

and psychiatric

and nursing

management.

Mental Disorders and Nursing Interventions

a) Psycho-Pathophysiology of human behavior

b) Etiological theories (genetics, biochemical,

psychological etc)

c) Classication of mental disorders.

d) Disorders of thought, motor activity,

perception, mood, speech, memory,

concentration, judgment

e) Prevalence, etiology, signs and symptoms,

prognosis, medical and Nursing

management

f) Personality & types of personality related to

psychiatric disorder

g) Organic mental disorders: Delirium,

Dementia

f) Psychotic disorders:

- Schizophrenic disorders

- Mood (affective) disorders: Mania

depression, Bipolar affective

disorders(BPAD)

h) Neurotic disorders: Phobia, anxiety

disorders,obsessive compulsive disorders,

depressive neurosis, conversion disorders,

dissociative reaction, psychosomatic

disorders, post traumatic stress disorder

i) Substance use and de-addiction: alcohol,

tobacco and other psychoactive substance

j) Child and adolescent psychiatric disorder;

- Sleep disorder

- Eating disorders

- Sexual disorders

k) Nursing Management: Nursing process and

process recording in caring for patients with

various psychiatric disorders

25 Lecture cum

discussions

Case study

Case

Presentation

Process

recording

Videos

Role plays

Field visits-

De-addiction

centers, Alcohol

Anonyms group,

Adolescent

clinics, Child

guidance centers

etc

Short answers

Essay types

Case Study

Case

Presentation

100

Unit.

Learning

Objectives

Content Hr.

Teaching

Learning

Activites

Methods of

Assessment

VI Describe the Bio

– psychosocial

therapies and

explain the role

of the nurse

Bio – Psycho & Social Therapies

a) Psychopharmacology – Denition,

classication of drugs antipsychotic,

Antidepressant, antimanic, antian xiety

agents, anti parkinsons

b) Psychosocial therapies – individual

therapies, group therapy, behavior therapy,

occupational therapy, family therapy, melieu

therapy

c) Role of nurse in these therapies.

d) Somatic therapy – Electro Convulsive

Therapy, insulin therapy,

e) Role of nurse in these therapies.

12 Lecture cum

discussions

Seminar

Videos

Demonstration

Field visits-

Rehabilitation

centre, Day care

centres

Role plays

Short Answers

Essay types

Return

demonstration

Quiz

Drug study

VII Describe the

concept of

preventive

community

mental health

services.

Enumerate the

nurse’s role

in National

mental health

programme

Community Mental Health

a) Concept, importance, scope

b) Attitudes , Stigma and discrimination

related to the mentally ill

c) Prevention of mental illness(Preventive

Psychiatry) during childhood, adolescent,

adult hood and old age.

d) Community Mental Health Services.

e) Role of Nurse in national mental health

programme and Psychiatric care in

Community

5 Lecture cum

discussion

Role play

Videos

Short answers

Essay type

Assignment

VIII Explain different

psychiatric

emergencies

and their

management

Demonstrate

skills in crisis

intervention

Psychiatric Emergencies and Crisis

Intervention

a) Types of Psychiatric emergencies: Over

Active, under active patient, Violent

behaviour,

b) Suicide, adverse drug reactions, withdrawal

symptoms, Acute psychosis etc

c) Crisis and its intervention: AIDS,

Adolescent Crisis

5 Lecture cum

discussion

Videos

Role plays

Demonstration

Short answers

Objective Type

Essay type

IX Describe the

legal aspects

to be kept in

mind in the care

of mentally ill

patients.

Forensic Psychiatry / Legal Aspects

a) India Lunatic Act 1912

b) Narcotic Drugs and psychotropic Act 1965,

1985

c) Mental Health Act 1987, 2014

d) Admission and discharge procedures

e) Standards of psychiatric nursing practice.

f) Rights of Mentally ill patients

g) Legal responsibilities in the care of mentally

ill patients.

5 Lecture cum

discussions

Demonstration

Short answers

Essay type

Objective Quiz

101

Placement- SECOND YEAR Time – 320 hrs (8 weeks)

Internship 96 hrs (2 weeks)

Areas Duration Objectives Skill Assignments

Assessment

methods

Psychiatric

OPD

3 weeks • Assess patients

with mental health

problems

• Observe and assist

in therapies

• Counsel and educate

patients, and

families

- History taking

- Perform mental status

examination

- Assist in

pyschometric

assessment

- Observe and assist in

therapies

- Teach patients and

family members

• History taking-1

• Mental status

examination-2

• Observation

report of OPD-1

• Assess

performance

with rating

scale

• Assess each

skill with

checklist

• Assessment

of observation

report

• Completion of

activity record

Child

guidance

clinic

1 week • Assessment of

children with

various mental

health problem’s

• Counsel and provide

health education for

children, families

and signicant

others

- History taking

- Perform mental status

examination

- Observe and assist in

therapies

- Health education of

family members and

signicant others

- Counsel family

members and

signicant others

• Observation

report of child

guidance clinic

• Assess

performance

with rating

scale

• Assess each

skill with

checklist

• Assessment

of observation

report

Inpatient

ward

6 weeks • Assess patients

with mental health

problems

• Provide nursing

care for patients

with various mental

health problems

- History taking

- Perform mental status

examination

- Observe and assist in

therapies

- Provide nursing care

to the mentally ill

patient

- Health educate

family members and

signicant others

• Assess &

give nursing

care to 2-3

patients with

various mental

disorders

• History taking-1

• Mental status

examination-2

• Case study-1

• Care plan -1

• Case

presentation-1

• Process

recording-2

• Maintain drug

book

• Assess

performance

with rating

scale

• Assess each

skill with

checklist

• Assessment

of the case

study, case

presentation,

process

recording and

care plan

MENTAL HEALTH NURSING- PRACTICAL

102

Placement- SECOND YEAR Time – 70 hour

Course Description:-

This course is designed to help students develop and understanding of the concept of child health, the trends in

child care and the health problems of children. This shall enable the students to meet the needs of the children,

in health and sickness.

General Objective:-

Upon completion of this course, the students shall able to:

1. Explain the concept of child health, the principles underlying child care trends in pediatric nursing.

2. Describe normal growth and development of children, so as to recognize deviations for normal health

and care of healthy children

3. Demonstration skill in meeting the needs of the sick infants and children based on the IMNCI guidelines

of GoI

Total Hours: 70

Unit

No.

Learning objective Content Hours

Teaching

learning

activities

Assessment

methods

I Understand the concept

of the child health care,

trends & emerging

challenges for pediatric

nurses

Describe the role of

pediatric nurses in

clinics, hospitals and

community

Introduction

a) Modern concept in child health

care

b) Trends in pediatric nursing

c) Role of pediatric nurses in child

care

d) Emerging challenges, nursing

process related to pediatric

nursing

e) Concept of preventive pediatric

f) Vital statistics related to

pediatrics as per the NRHS and

GoI

5 Lecture cum

discussions

Project on

collection of vital

statistics related

to child health

Short answers

Objective type

Essay type

II Describe the normal

growth & development

of children

Growth & Development

a) Denition, principles, factors

affecting growth & development,

techniques of assessment,

plotting of growth chart

15 Lecture cum

discussions

Role play

Videos

Plotting of

growth chart

Short answers

Objective type

Essay type

CHILD HEALTH NURSING

103

Unit

No.

Learning objective Content Hours

Teaching

learning

activities

Assessment

methods

b) Infant:

Growth & Development, health

promotion, breast feeding

&weaning, immunization, infant

and young child feeding

c) Toddler :

Growth & Development,

nutrition counselling, toilet

training, safety, prevention of

accidents, play.

d) Preschoolers

Growth & development Daycare

centers Role of Parents in sex

education

e) School ager

Growth & development, rest,

sleep, physical exercises &

activity, dental health, sex

education

f) Adolescent

- Growth &development,

adaptation to puberty,

menstrual hygiene, nutritional

guidance, sex education,

- Role of Parents in health

promotion of adolescents

- Control of iron deciency

anemia (WIFS guidelines)

III Describe the role of

nurse in caring for a

sick child

Develop skill in

carrying out nursing

intervention while

caring for pediatric age

group.

The sick child

a) Child’s reaction to hospital

b) Effect of hospitalization on the

family of the child

c) Role of nurse in helping child &

family in coping, with stress of

hospitalization & illness

Pediatric procedures:

a) Preparation of child for

diagnostic tests, collection of

specimens.

b) Calculation & Administration of

oral & parenteral medication

c) Procedures related to feeding

- Katori& Spoon

- Ryle’s tube & gastrostomy

8 Lecture cum

discussions

Demonstration

Simulation

Role play

Short answers

Objective type

Essay type

Return

demonstration

104

Unit

No.

Learning objective Content Hours

Teaching

learning

activities

Assessment

methods

d) Procedures relating to

elimination

- Enema

- Colostomy irrigation

e) Administration & analysis of

oxygen concentration, steam

inhalation, nebulization,

f) Other procedures:

- Pediatric Resuscitation

- Surgical dressing

IV Describe the

management of

behavioral disorders

and common health

problems of children

Demonstrate skills

in the prevention &

implementation of

medical & nursing

management of

behavioral disorders&

common health

problems.

Disorders and health problems of

a child

a) Infancy :

- Failure to thrive

- Diarrhea & Vomiting

b) Childhood

- Communicable diseases

- Tonsillitis

- Otitis media

- Child abuse

- Breath holding spasms

- Enuresis, nail biting, thumb

sucking, somnambulism

- Protein Energy Malnutrition

- Helminthic infections

- Bites and stings

- Pica

- Tics

c) Adolescent

- Precocious puberty

- Gynecomastia

- Accident, sport injuries

- Obesity & anorexia nervosa

- Juvenile delinquency

6 Lecture cum

discussions

Seminars

Short answers

Objective type

Essay type

V Demonstrate

skills in providing

comprehensive nursing

care to the children

having congenital

defects/ malformation

Child with congenital disorders:

Etiology, signs and symptoms,

diagnosis, complications and

medical, surgical & nursing

management of children with:

- Malformations of CNS, cranial

deformities, spina bida,

hydrocephalus, cerebral palsy,

meningocoele.

- Skeletal defects, cleft lip &

cleft palate

15 Lecture cum

discussions

Presentation

of picture of

congenital

anomalies

Supervised

clinical practices

Short answers

Objective type

Essay type

105

Unit

No.

Learning objective Content Hours

Teaching

learning

activities

Assessment

methods

- Gastro intestinal tract

defects, stula, anorectal

malformations, hernia

- Congenital hypertrophied

pyloric stenosis

- Defects of Genito-urinary Tract

–hypospadiasis & epispadiasis,

extrophy of bladder,

phimosis & paraphimosis,

cryptorchidism, polycystic

kidney

- Sexual abnormalities,

ambiguous genitalia

- Defects of cardio vascular

system, cyanotic and

acyanotic- TOF (Tetralogy of

Fallouts), TGV (Transposition

of Great Vessels), TAPVC,

ASD, VSD, Coactation of

aorta, PDA

- Orthopedic abnormalities -

congenital talipusequinovarus,

congenital dislocation of hips

- Chromosomal abnormalities

- Down’s syndrome, Turner’s

syndrome.

VI Demonstrate

skills in providing

comprehensive nursing

care to children with

various disorders &

diseases

Children with various disorders

and diseases

Etiology, signs and symptoms,

complications, prevention, medical,

surgical &nursing management of :

a) Renal System

- Nephrotic Syndrome

- Acute Glomerulonephritis

- ARF & CRF

b) Resp. System

- URI and LRI

- Asthma, Pneumonia

c) GI System

- Intestinal obstruction

(Mechanical)

- Hirschsprung’s disease

- Malabsorption Syndrome

- Inammatory conditions

– appendicitis, Meckel’s

divertculum, ulcerative colitis

- Worm infestation

15 Lecture cum

discussions

Presentation

Clinical teaching,

Simulation,

Videos,

Visit to Blind,

Deat & dumb

school &

rehabilitation

centre

Short answers

Objective type

Essay type

106

Unit

No.

Learning objective Content Hours

Teaching

learning

activities

Assessment

methods

d) CVS System

- Rheumatic fever

- CCF

- Infective endocarditis

e) Hematological System

- Anemia

- Leukemia,

- Thalassemia

- Hemophilia

- Sickle cell anemia

- Thrombocytopenic purpura

f) Neurological System

- Meningitis

- Encephalitis

- Convulsive disorders

- Cranio-cerebral trauma

g) Endocrine

- Pituitary disorders

- Hypo & Hyperthyroidism

- Juvenile Diabetes

- Adrenal disorders

h) Developmental problem

- Handicapped children

- Mental Retardation

- Dyslexia

- Hearing & Vision impairment

i) Others:

- Fluid and electrolyte imbalance

- Burns

j) Problems with locomotion:

- Poliomyelitis

- Osteomyelitis

- Kyphosis, lordosis, scoliosis

- Fractures

k) Pre and post operative care of

children undergoing surgery.

107

Unit

No.

Learning objective Content Hours

Teaching

learning

activities

Assessment

methods

VII Describe the various

child welfare

services provided by

Governmental &non

Governmental agencies

Explain the ethical &

legal implication in

pediatric nursing

Child welfare services

a) Child welfare services and

agencies:

- ICDS

- Mid-day meal program

- Balwadi, anganwadi

- Day care centers

- NPSP

b) Law pertaining to Pediatrics:

- National child labour policy

- Child act.

- Juvenile justice act

- Internationally accepted rights

of the child

- Rehabilitation of delinquent &

destitute children

- Adoption laws and services

- Adolescent health programs

– menstrual hygiene, WIFS

program, adolescent safety

program

6 Lecture cum

discussions

Visit to

anganwadi

schools, remand

homes &

adoption centers

Short answers

Objective type

Essay type

108

Placement- THIRD YEAR Time – 320 hrs (8 weeks)

Internship 96 hrs (2 weeks)

Areas Duration Objectives Skill *Assignments

Assessment

methods

Paediatric

medicine

ward

3 weeks • Perform physical

assessment

• Assist in diagnostic

procedure and

provide pre and

post care related

to diagnostic

procedure

• Administer the

drugs • Provide

health education

• Perform basic

resuscitation

- Taking pediatric

History

- Perform physical

examination and

assessment of

children

- Administration of

oral, I/M, & I/V,

medicine/ uid

- Calculation of uid

requirements

- Prepare different

strengths of I.V.

uids

- Apply restraints

- Administer O2

inhalation by

different methods

- Feed children by

katori (bowl) and

spoon,pallada etc.

- Collect specimens

for common

investigations

- Assist with common

diagnostic procedure

- Teach mothers/

parents on balance

diet for child of

different age group

- Oral rehydration

therapy

- Feeding & weaning

- Play therapy

- Check vital signs

- Give enema

- Insert suppositories

Give care

to assigned

paediatric

patients Nursing

care plan-1

Case study or

Presentation-1

Health talk-1

• Assess

performance

with rating

scale

• Assess each

skill with

checklist

• Evaluation of

Nursing care

plan, Case

study, Health

talk, Case

presentation

• Completion of

activity record

CHILD HEALTH NURSING- PRACTICAL

109

Areas Duration Objectives Skill *Assignments

Assessment

methods

Paediatric

surgery ward

3 weeks • Recognize

different pediatric

surgical condition

• Provide pre and

post operative

care to children

with common

paediatric surgical

conditions/

malformation

• Counsel and

educate parents

- Do bowel wash

- Care for ostomies:

• Colostomy

irrigation

• Ureterostomy

• Gastrostomy

• Enterostomy

- Urinary

catheterization and

drainage

- Feeding

• Nasogastric

• Gastrostomy

• Jejunostomy

- Care of surgical

wound dressing

- Suture removal

• Give care to

three assigned

paediatric

surgical

patients

• Nursing care

plan-1

• Case study or

presentation-1

• Assess

performance

with rating

scale

• Assess each

skill with

checklist

• Evaluation of

Nursing care

plan, Case

study, Case

presentation

• Completion of

activity record

Paediatric

OPD/

Immuniza-

tion room/

well baby

clinic /

adolescent

clinic

4 weeks • Perform

assessment of

children, health

development and

anthropometric

• Perform

immunization

• Give health

education/

nutritional

education

- Assessment of

children

- Health assessment

- Developmental

assessment

- Anthropometric

assessment

- Immunization

- Health/ nutritional

education

• Health

assessment of

the child

• Health talk - 1

• IMNCI Module

• Assess

performance

with rating

scale

• Completion of

activity record

• Assessment of

the health talk.

110

Placement- THIRD YEAR Time- 140 hours

Midwifery- 120 hours

Gynecological Nursing- 20 hours

MIDwIFERY

Course Description:-

This course is designed to help students acquire knowledge and gain skills to meet the needs of women during

pregnancy, labor and puerperium and care for the newborn.

General Objective:-

Upon completion of this course, the students shall able to:

1. Describe the health needs of women in pregnancy, labour and puerperium.

2. Identify deviation(s) from normal pregnancy, labour and puerperium and take appropriate action.

3. Demonstrate skills in providing antepartum, intrapartum and postpartum care to the mother as well as

care to the new born as per the SBA guidelines of Government of India.

Total Hours:120

Unit

No.

Learning

objectives

Contents Hr

Teching learning

Activities

Assessment

methods

I Describe the

scope and trends

in midwifery

Introduction:

a) Denition of midwifery and obstetrical

nursing

b) Scope of midwifery

c) Basic competencies of a midwife

d) History of midwifery

e) Trends of maternity services in India

f) Vital statistics related to maternal health

in India.

4 Lecture cum

discussions

Videos

Short answers

Objective type

Essay type

II Describe the

anatomy and

physiology

of female

reproductive

system

Reproductive system

a) Review of structure and function of

female reproductive system

b) Female pelvis –structure, types and

diameters

5 Lecture cum

discussions

Demonstrations

Charts,

Specimen

Models &

Objects

Short answers

Objective type

Essay type

Viva

MIDwIFERY AND GYNECOLOGICAL NURSING

111

Unit

No.

Learning

objectives

Contents Hr

Teching learning

Activities

Assessment

methods

III Describe

the stages of

Embryological

and fetal

development

Embryology and foetal development

a) Oogenesis, spermatogenesis,

fertilization and implantation.

b) Embryology and Fetal development

c) Placenta and membranes:

- Structure

- Functions

- Abnormalities

- Liquor amni

- Umbilical cord

d) Fetal skull:

- Structure

- Diameters

- Fontanels and sutures

e) Fetal circulation

8 Lecture cum

discussions

Charts

Models &

Objects

Specimens

Short answers

Objective type

Essay type

Oral presentation

IV Describe the

physiological

changes in

pregnancy and

the management

of normal

pregnancy

Demonstrate

skill is caring for

pregnant women

Normal pregnancy and its management

a) Pre-conception care

b) Genetic counseling

c) Physiological changes in pregnancy

d) Diagnosis of pregnancy

- History

- Signs & symptoms

e) Antenatal care:

- History taking

- Calculation of expected date of

delivery,

- Examination and investigations

- Health Education and counselling

- Drugs and immunizations

f) Minor disorders and their management

12 Lecture cum

discussions

Demonstration

Clinical teaching

Simulation

Charts & Videos

SBA module of

government of

India, handbook

for staff nurses

(Government of

India)

Short answers

Objective type

Essay type

Assessment of skill

using checklist

V Describe the

various stages

of labour and

the role of the

midwife in

caring for a

woman in labour

Demonstrate

skill in

conducting the

normal delivery

Normal labour and its management

a) Denition and stages

b) Causes and signs of onset of labour

c) True and false labour

d) First stage of labour:

- Physiology

- Monitoring using partograph and its

interpretation

- Care of mother : physical and

psychological

- Pain management

- Setting up of the labour room

including newborn corner

18 Lecture cum

discussions

Demonstrations

Case studies

Simulation

Videos

Exercises SBA

module of

government of

India, handbook

for staff nurses

(Government of

India)

Short answers

Objective type

Essay type

Assessment of skill

using checklist

112

Unit

No.

Learning

objectives

Contents Hr

Teching learning

Activities

Assessment

methods

e) Second stage:

- Physiology and mechanism

- Monitoring

- Conduction of normal delivery

- Episiotomy

- Essential newborn care

f) Third stage:

- Physiology and signs

- Active management of third stage

- Examination of the placenta

- Episiotomy suturing

g) Fourth stage:

- Physiology

- Care of the mother and baby

- Postpartum family planing

VI Describe the

management of

normal newborn

Development of

skill in caring

for the normal

newborn

Management of newborn

a) Assessment

b) Physiological adaptation

c) Apgar scoring

d) Examination for defects

e) Breast feeding- BFHI

f) Care of newborn -Skin, eyes,

buttocksetc

g) Bonding and rooming in

h) Minor disorders of new born:

- Birth marks, rashes, skin

- Infections, sore buttocks,

- Infection of eyes.

14 Lecture cum

discussion

Demonstrations,

Clinical teaching

Chart

Videos

SBA module,

ENBC, NSSK,

PPIUCD module,

handbook for

staff nurses of

government of

India

Short answers

Objective type

Essay type

Assessment of skill

using checklist

VII Describe normal

pureperium

and the role

of midwife

in the caring

for woman in

puerperium

Management of normal puerperium

a) Denition and objectives of care

b) Physiological changes

c) Postnatal counselling

d) Lactation and feeding

e) Care during puerperium – breast and

perineal care, postnatal exercise,

postnatal examination, follow up,

family welfare

f) Minor ailments and management.

g) Family planning

10 Lecture cum

discussion

Demonstration

Simulation

Role play

SBA module,

PPIUCD module,

handbook for

staff nurses of

government of

India

Short answers

Objective type

Essay type

Assessment of skill

using checklist

113

Unit

No.

Learning

objectives

Contents Hr

Teching learning

Activities

Assessment

methods

VIII Describe the

complications

of pregnancy

Demonstrate

skills in

providing care

for women with

complicated

pregnancy

Management of complications during

pregnancy

a) Bleeding in pregnancy

- Early and late

- Ectopic pregnancy

- Abortion

- Antepartum hemorrhage

- Vesicular mole

b) Hyperemesis gravidarum

c) Gestational diabetes mellitus

d) Pregnancy inducedhypertension

- Pre eclampsia

- Eclampsia

e) Hydromnios – poly and oligo

f) Pelvic inammatory diseases

g) Intra uterine growth retardation

h) Post maturity

i) Intra uterine death

High risk pregnancy:

- Monitoring- NST, USG

- Anemia

- Jaundice

- Viral

- Urinary tract infections

- Hearts diseases

- Diabetes

- AIDS and STD’s

- Osteomalacia,

- Teenage pregnancy

- Elderly Primigravida

- Multipara

- Multiple pregnancy

12 Lecture cum

discussions

Case presentation

Clinical teaching

Videos

Simulation

Case studies and

exercises SBA

module

Short answers

Essay type

Objective type

Assessment of skill

using checklist

IX Describe the

management

high risk labour

Demonstrate

skills in early

detection

and prompt

management of

high risk labour

Management of high risk labour

a) Malposition, malpresentations

b) Contracted pelvis

c) Abnormal uterine actions

d) Cervical Dystocia

e) Premature rupture of membranes,

precipitate and prolonged labour,

induction of labour obstructed labour,

f) Obstetrics Emergencies-Cord prolapse,

cord presentation, amniotic uid

embolism, obstetric shock,rupture of

uterus, shoulder dystocia, vasa previa.

10 Lecture cum

discussion

Demonstration

Bed-side clinic

Videos & Charts

Clinical teaching

IMPAC module

of WHO

MCPC module of

Government of

India

Short answers

Objective type

Essay type

Assessment of skill

using checklist

114

Unit

No.

Learning

objectives

Contents Hr

Teching learning

Activities

Assessment

methods

g) Complications of third stage

- PostpartumHemorrhage

- Atonic uterus

- Injuries to the birth canal

- Retained placenta and membranes

- Inversion of uterus

X Describe the

puerperal

complications

Demonstrate

skill in the

management of

complications of

puerperium

Management of complications of

puerperium

- Puerperal pyrexia

- Puerperal Sepsis

- Thrombophlebitis and Embolism

- Breast engorgement, Mastitis, Breast

abscess

- Puerperal psychosis

4 Lecturer cum

discussion

Demonstration

Clinical teaching

MCPC module of

Government of

India

Short answers

Objective type

Essay type

XI Describe the

management of

high risk and

sick newborn

Demonstrate

skills in caring

for high risk and

sick newborns

High risk and sick newborn

a) Assessment

b) Nursing care

c) Management of newborn with:

- Hyperbilirubinaemia

- Neonatal hypoglycemia

- Hypothermia

- Neonatal Convulsions

- Rh incompatability

- Small for dates

- Low birth weight

- Preterm

- Asphyxia,RDS

- Sepsis

- Birth injuries Cephal hematoma Caput

succedaneum Facial &Erb’s palsy

Torticollis Hemorrhage

- Congenital anomalies

d) Newborn of HIV positive mother,

diabetic mother

e) Levels of care in NICU

10 Lecturer cum

discussion

Demonstration

Clinical teaching

IMNCI module

SBA module

NSSK module

Short answers

Objective type

Essay type

Assessment of skill

using checklist

115

Unit

No.

Learning

objectives

Contents Hr

Teching learning

Activities

Assessment

methods

XII Describe

the obstetric

operations and

midwife role in

assisting with

each one

Obstetric operations

a) Denition, indication and care of

women undergoing

- Induction of labour

- Manual removal of placenta

- Version

- Forceps delivery

- Vacuum extraction

- Caesarean Section

- Sterilization

- Destructive surgeries

- Amnio infusion

- Manual Vaccum Aspiration, Dilatation

and Evacuation, Dilatation and

Curettage

b) Post abortion care.

10 Lecture cum

discussion

Clinical teaching

Videos

Post abortion care

module of GoI

Short answers

Objective type

Essay type

Assessment of skill

using checklist

XIII Describe the

midwife’s

role in the

administration

of drugs for

women during

pregnancy.

labour and post

parturn period

Drugs used in obstetrics

a) Indication, dose, action,

contraindication, side effects and

responsibilities in the administration of :

- Oxytocin

- Uterotonics

- Tocolytics

- Antihypertensives

- Anticonvulsants

- Anesthesia and analgesia

b) Drugs used for newborn

c) Teratogens – effects of drugs on mother

and baby.

4 Lecture cum

discussion

Drug presentation

Short answers

Objective type

Essay type

XIV Describe the

ethical & legal

issues related to

midwifery

Ethical and legal aspects related to

midwifery

a) Maternal and newborn death review

b) Mother and child tracking system

2 Lecture cum

discussion

Presentation

Short answers

Objective type

116

GYNECOLOGIAL NURSING

Course objective

The students shall be able to identify different gynecological disorders and diseases and gain skills in

providing nursing care to women suffering from them.

General Objective:-

Upon completion of this course, the students shall able to:

1. List different gynecological problems and demonstrate skills in providing nursing care to women

suffering from these disorders and diseases.

Total Hours:20

Unit

Learning

objectives

Content Hours

Teaching

learning

activities

Method of

assessment

I Dene the

terms used in

gynecology

Demonstrate

the skills of

gynecology

history taking,

conducting

examination &

investigation

Introduction

a) Denition of terms

b) History

c) Examination

d) Investigation

2 Lecture cum

discussion

Demonstration

Videos

Short answers

Objective type

Essay type

Return

demonstration

II Describe the

physiology,

psychology and

pathology of

puberty

Puberty

a) Denition

b) Development of sex organs in

females and sexuality

c) Review of menstrual cycle

d) Premenstrual syndrome

e) Disorders of menstruation,

dysmenorrhoea, cryptomenorrhoea,

dysfunctional uterine bleeding

3 Lecture cum

discussion

Clinical teaching

Videos

Charts

Short answers

Objective type

Essay type

III Describe the

management

of couples with

fertility related

problems.

Fertility and infertility

a) Denition

b) Causes-both in male and female

c) Investigation

d) Management

e) Articial reproductive techniques

2 Lecture cum

discussion

Clinical teaching,

Videos

Role play

Short answers

Objective type

Essay type

117

Unit

Learning

objectives

Content Hours

Teaching

learning

activities

Method of

assessment

IV Demonstrate

skills in the

management

of clients with

various pelvic

infections.

Pelvic infections

a) Vulva – vulvitis, bartholinitis

b) Vagina - Vaginitis, Trichomonas

vaginitis, Moniliasis,

c) Metritis,Salpingitis, Oophritis

d) Cervical erosions

e) Pelvic Abscess

f) Chronic infection

g) Pelvic inammatory disease

h) Pelvic tuberculosis

i) Sexually Transmitted Diseases

- Syphilis

- Gonorrhea

- Warts

- HIV

j) Syndromic case management

4 Lecture cum

discussion

Clinical teaching

Videos

Prevention of STI

module of NACO

Short answers

Objective type

Essay type

V Describe the care

of women with

gynaecological

disorders

Gynaecological disorders

a) Retroversion, retro exion

b) Fistulas

c) Uterine displacement & prolapse

(Procidentia)

d) Uterine malformations

e) Cysts and broids

f) Uterine polyps

g) Tumors of the reproductive tract –

benign and malignant

h) Palliative care and rehabilitation

5 Lecture cum

discussion

Case

Presentation

Demonstration

Short answers

Objective type

Essay type

VI Describe the care

of the woman

with breast

disorders

Breast disorders

a) Review mastitis, breast engorgement,

breast abscess

b) Tumors of the breast benign and

malignant

2 Lecture cum

discussion

Clinical teaching,

Videos

Role play

Short answers

Objective type

Essay type

VII Describe the care

of women with

menopause

Menopause

a) Denition and physiological changes

b) Signs and symptoms

c) Health education and counselling

d) Hormone replacement therapy

e) Surgical menopause

2 Lecture cum

discussion

Case histories.

Short answers

Objective type

Essay type

118

Placement: THIRD YEAR (PART – I) Time: 560 hours

Internship: 384 hours

Area Duration Objectives Skills Assignment

Assessment

methods

Antenatal

clinic / ward

3 weeks • Assessment of

pregnant women

• Counselling of

AAntenatalmo-

thers

- Diagnose pregnancy using

pregnancy detection kit

(preg-card)

- Antenatal history taking

- Physical examination

- Antenatal examination –

abdomen and breast

- Recording weight and BP

- Hemoglobin estimation

- Urine testing for sugar and

albumin

- Immunization

- Assessment of risk status

- Antenatal counselling

- Maintenance of antenatal

records

- SBA module

• Conduct

antenatal

examinations

– 20

• Health talk – 1

• Case study – 1

Verication of

the ndings

of antenatal

examinations

Assessment

of skills using

checklist

Labour room 6 weeks •Assess the woman

in labour

• Carry out

pervaginal (PV)

examinations

• Monitor women

in labour

• Conduct normal

deliveries

• Perform

episiotomy and

suture it

• Resuscitate

newborns

- Assessment of woman in

labour

- Vaginal examinations (PV)

and their interpretation

- Monitoring women in

labour using the partograph

- Caring for women in labour

- Setting up of the labour

unit including the newborn

corner

- Conduct normal delivery

including active

management of third stage

of labour (AMTSL)

- Provide essential newborn

care

- Immediate newborn

assessment

- Resuscitation of the

newborn.

- Assessment of the risk

status of the newborn

- Episiotomy and suturing

• Perform

pervaginal

examinations

– 5

• Conduct normal

deliveries – 20

• Perform

and suture

episiotomies – 5

• Resuscitate

newborns – 5

• Witnessing

abnormal

deliveries - 5

• Case book

recording

Assessment

of clinical

performance

with rating scale

Assessment of

each skill with

checklist.

Practical

examination

MIDwIFERY & GYNAECOLOGICAL NURSING- PRACTICAL

119

Area Duration Objectives Skills Assignment

Assessment

methods

- Administration of

uterotonic drugs – oxytocin

, misoprostol

- Administration of

magnesium sulphate.

- Maintenance of labour and

birth records

- SBA module

Operation

theatre

2 week • Prepare and assist

with caesarean

section, MTP,

tubectomy and

other surgical

procedures

- Preparation for caesarean

section and other surgical

procedures

- Assist in caesarean section

- Prepare and assist in MTP

procedures

- Prepare and assist for

tubectomy

• Assist with

caesarean

section – 2

• Case book

recording

Assessment

of skill with

checklist.

Postnatal

ward

5 weeks • Provide nursing

care to postnatal

mother and the

baby

• Counsel and

teach mother

and family for

parenthood

- Examination and

assessment of mother and

the baby

- Identication of deviations

- Care of postnatal mothers

and baby

- Perineal care

- Breast care

- Lactation management

- Breast feeding

- Kangaroo mother care

(KMC)

- Immunization

- Teaching postnatal

mother on mother craft,

post natal care, exercise,

immunization

• Provide

postnatal care

to mothers and

babies – 20

• Health talks – 1

• Case study – 1

• Case

presentation - 1

Assessment

of clinical

performance

with rating scale

Assessment of

each skill with

checklist.

Practical

examination

NICU 4 weeks • Provide nursing

care to newborns

at risk

- Newborn assessment

- Admission of neonates

- Feeding of high-risk

newborn :- katori spoon,

paladai, tube feeding, total

parentral nutrition

- Thermal management of

newborns – kangaroo

mother care, care of baby

in radiant warmer and

incubator.

- Monitoring and care of

neonates

• Case study - 1

• NSSK Module

Assessment

of clinical

performance

with rating scale

Assessment of

each skill with

checklist.

Practical

examination

120

Area Duration Objectives Skills Assignment

Assessment

methods

- Administration of

medications

- Intravenous therapy

- Assisting in diagnostic

procedures

- Assist in exchange

transfusion

- Care of baby in ventilator,

phototherapy,

- Practice infection control

protocols

- Health education and

counselling of parents

- Maintenance of records and

reports

Family

welfare clinic

2 week • Counsel for and

provide family

welfare services.

- Family planning

counselling techniques

- Insertion of IUCD

- Teaching by demonstration

on the use of different

family planning methods

- Arrange for and assist with

family planning operations

- Maintenance of records and

reports

• IUCD insertion

– 5

• Family planning

counselling – 2

Assessment

of clinical

performance

with rating scale

Assessment

of each skill

with checklist.

Practical

examination

Gynaeco-

logy ward

2 weeks • Provide care for

patients with

gynecological

disorders.

• Counsel and

educate patient

and families.

- Assist with gynecological

examination.

- Assist and perform

diagnostic and therapeutic

procedures.

- Teach women on breast self

examination (BSE)

- Health education on

perineal hygiene and

prevention of sexually

transmitted infections

- Pre and post operative care

of women undergoing

gynecological surgeries

- Menopause counseling

• Provide care

to assigned

patients.

• Nursing care

plan- 1.

• Menopause

counseling – 1

• Assess each

skill with

checklist.

• Assess

performance

with rating

scale.

• Evaluation of

care plan.

121

Placement: THIRD YEAR (PART – I ) Total Hours: 90

Course Description:-

This course is designed to help students to practice community health nursing for the individual, family and groups

at both the urban and rural settings by using concepts and principles of health and community health nursing.

General Objective:-

Upon completion of this course, the studentsshallbeable to:

1. Describe the health system and health care services in India.

2. Identify major health problems, national health programmes and specialized community health

services.

3. Explain the concept of health team and describe the nurses’ role at various levels of health care

setting.

4. Demonstrate skills in rendering effective nursing care to the individual, family and groups in all

community health settings.

Total Hours: 90

Unit

Learning

objective

Contents Hr

Teaching

learning

Activities

Assessment

methods

I Explain the

health system in

India

Heath system in India

Organization and administration of health

system in India at

a) Central level

- Union Ministry

- Directorate General of Health Services

- Central Council of Health

b) State level

- State Health Administration

- State Ministry of Health

- State Health Directorate

c) District level

- Sub Divisions

- Tehsils/ Talukas

- Villages

- Municipalities & Corporation

- Panchayats

10 Lecture cum

discussion

Organizational

chart of various

levels

Visit to

Municipality

Ofce, Panchayat

ofce, Health

block ofce,

CHC

Short answer

Objective type

Essay type

COMMUNITY HEALTH NURSING-II

122

Unit

Learning

objective

Contents Hr

Teaching

learning

Activities

Assessment

methods

II Describe the

health care

services in India

and discuss the

role of the nurse

in these services

Health care delivery system

a) Heath care concept and trends

b) Health care services - Public sector, Rural,

Urban

c) Private sector

d) Public Private Partnership (PPP)

e) Other agencies

f) Indigenous systems of medicine Ayurvedha,

yoga, unani, siddha and homeopathy

(AYUSH)

g) Voluntary health services

h) National Health Programmes

i) Nurse role in health care services

8 Lecture cum

discussion

Visit to different

health care

agencies

Short answer

Objective type

Essay type

III Describe health

planning in India

Health planning in India

a) National health planning

b) Five year plans

c) Health Committees and reports

d) National health policy

10 Lecture cum

discussion and

reports

Short answer

Essay type

IV Describe

the different

specialized

community

health services

and the nurse’s

role in these

services

Specialized community health services and

nurse’s role

a) RCH (reproductive health and child care)

b) National Health Mission (rural/ urban)

c) Janani Sishu Suraksha Karaykaram (JSSK)

d) Emergency ambulance services.

e) Government health insurance schemes

f) School health Services

g) Occupational health nursing (including

health care providers)

h) Geriatric nursing

i) Care of differently abled- Physical and

mental

j) Rehabilitation nursing

18 Lecture cum

discussion

Visit to different

agencies of

specialized

services, factory,

Old age home,

Homes for the

differently abled

Short answer

Objective type

Essay type

V Describe the

major health

problems in India

National health problems

Health Problems in India

a) Communicable diseases

b) Non communicable diseases

c) Nutritional problems

d) Environmental sanitation

e) Population

5 Lecture cum

discussion

Quiz

Short answer

Objective type

VI Describe the

national health

and family

welfare programs

in India and the

role of the nurse

National Health programme:

- National ARI program

- Revised national tuberculosis control

program (RNTCP)

- National anti-malaria program

- National larial control program

15 Lecture cum

discussion

Government of

India program

yers.

Short answer

Objective type

123

Unit

Learning

objective

Contents Hr

Teaching

learning

Activities

Assessment

methods

- National guinea worm eradication

program

- National leprosy eradication program

- National AIDS control program

- STD control program

- National program for control of blindness

- Iodine deciency control program

- Expanded program of immunization

- National family welfare program

- National water supply and sanitation

program

- Minimum needs program

- National diabetes control program

- Polio eradication : pulse program

program, NPSP

- National cancer control program

- Yaws eradication program

- National nutritional anemia prophylaxis

program

- 20 point program

- ICDS program

- Mid –day meal program

- National mental health program

- Adolescent health program

- Role of nurse in the national health

programme.

VII Explain the

meaning of

demography

and describe

the national

family welfare

programmes

Demography and family welfare

a) Demography

- Concept

- Trends in the world and in India

- Concept of fertility and infertility

- Small family norm

b) Family Welfare

- Concept, importance, aims & objectives

- Family planning methods

- Family planning counseling

- National family Welfare Policy

- National family Welfare Programme

- Role of a nurse in the family planning

programme

18 Lecture cum

discussion

Show and

explain family

planning devices

Role play

Demonstration

Short answer

Objective type

Essay type

124

Unit

Learning

objective

Contents Hr

Teaching

learning

Activities

Assessment

methods

VIII Describe the

concept and

functions of

health team

and the role

of nursing

personnel at

various levels.

Health Team:

a) Concept

- Composition

- Functions

b) Role of Nursing personnel at various levels:

- District Public Health Nursing Ofcer

- Block health Nurse

- Public Health Nurse

- Lady Health Visitor/ health supervisor

- Health worker female/ ANM

7 Lecture cum

discussion

Interaction with

health team

members: Job

description as per

the Indian Public

Health Standards

(IPHS)

Short answer

Objective type

Essay type

IX Explain the

concept and

uses of health

information

system

Health Information System

a) Concepts, components, uses , sources.

b) Vital Statistics:

- Important rates and indicators

c) Vital health records and their uses.

d) Basic statistical methods

e) Descriptive statistics

6 Lecturer cum

discussion

Exercises

Short answer

Objective type

Exercises

X Describe the

national and

international

health agencies

Health Agencies

a) International:

- WHO

- UNFPA

- UNDP

- World bank

- FAO

- UNICEF

- DANIDA

- European commission (EU)

- Red cross

- USAID

- UNESCO

- ILO

- CARE

b) National:

- Indian Red Cross

- Indian Council for child welfare

- Family Planning association of India

- Other NGOs

3 Lecture cum

discussion

Seminar

Short answer

Objective type

125

Placement: THIRD YEAR- PART I Time: Practical – 160 hours

Area Duration Objectives Skills Assignments

Assessment

Methods

Community

Health

Nursing II-

4 wks

urban /

rural

• Organize and conduct

clinics

- Antenatal

- Postnatal

- Family welfare.

- Under ve.

• Diagnose health

needs and provide

domiciliary care for

antenatal and postnatal

mothers.

• Assess health needs

of family; plan and

carry out treatment

for minor ailments;

identify need for

referral and refer.

• Plan, conduct and

follow up health

education.

• Assist in conducting

camps and participate.

• Maintain records and

reports in PHC.

• Assist in family

welfare services and

conduct need based

health education.

• Participate in school

health programme.

• Counsel and educate

eligible couple, family

and community.

- Assisting in set-up and

conduct of the clinics:

- Providing domiciliary

care to the antenatal and

postnatal cases using

bag and / or Domiciliary

Obstetric Kit.

- Performing nursing care

at home.

- Preparing and conducting

Health Teachings on

Reproductive and Child

Health ( RCH) Care

Issues.

- Assisting in organizing

Camps.

- Maintaining records and

reports at Primary Health

Centre.

- Assisting in activities of

Family Welfare.

- Participating in School

Health Services.

• Health talk- 2

• Family

Health

Nursing care

plan-2

• Group

project-1

• Daily

Dairy-1

• Report on

school health

program

- Internal

examina-tion

(1st& 2nd

term)

- Pre Council

examina-tion

- Assessment

of performa-

nce with

rating scale

- Evaluation of

- Assignme-nts

- Field visit

reports

- Daily diary

COMMUNITY HEALTH NURSING II- PRACTICAL

Area Duration Objectives Skills Assignments Assessment Methods

Urban /

rural

6 weeks Provide

comprehensive care to

individual family and

community

Comprehensive nursing

care to the individual ,

family and community

Integrated

practice and

group project

Health talk – 2

Nursing care plan

– 2

Assessment of

clinical performance

with rating scale

Evaluation of group

project.

Placement- INTERNSHIP (THIRD YEAR PART-II) Time- 288 Hours

126

Placement: Internship (3rd years Part II) Time: 120 Hours

Nursing Education- 20 hours

Introduction to Research- 30 hours

Professional Trends and Adjustment- 30 hours

Nursing Administration and Ward Management- 40 hours

NURSING EDUCATION

Course Description:-

This course is designed to introduce the students to the concept of teaching as an integral part of nursing

practice.

General Objective:-

Upon completion of this course, the students shall able to:

1. Explain the concept of teaching

2. Describe techniques used for teaching.

Total Hours: 20

Unit

Learning

objectives

Contents Hr

Teaching

learning

activities

Method of

Assessment

I Describe the

concept of

education

Introduction

a) Education

- Meaning, aims, scopeand purposes,

2 Lecture cum

discussion

Short answers

Objective type

II Explain the

process of

teaching and

learning

Teaching learning process

a) Basic principles

b) Characteristics of teaching and learning

c) Teaching responsibility of a nurse

d) Preparation of teaching plan

4 Lecture cum

discussion

Short answers

Objective type

Evaluation of

teaching plan

III Narrate the

methods of

teaching Describe

the clinical

teaching methods

Methods of teaching

a) Methods of teaching

b) Clinical teaching methods

- Case method

- Bed side clinic

- Nursing rounds

- Nursing conference ( individual and

group)

- Process recording.

14 Lecture cum

discussion

Short answer

Objective type

Evaluation of

planned as well as

incidental health

teaching

NURSING EDUCATION, INTRODUCTION TO RESEARCH,

PROFESSIONAL TRENDS & ADJUSTMENT & NURSING

ADMINISTRATION & wARD MANAGEMENT

127

INTRODUCTION TO RESEARCH

Course Description:-

This course is designed to develop fundamental abilities and attitude in the students towards scientic

methods of investigation and utilization of research nding so as to improve practice of nursing.

General Objective:-

Upon completion of this course, the students shall able to:

1. Describe the use of research in the practice of nursing

2. Describe the scientic methods of investigation used in nursing.

3. Participate in research activities in the health care settings.

Total Hours: 30

Unit

Learning

Objectives

Contents Hr.

Teaching learning

activities

Assessment

Method

I Discuss the

importance

of research in

Nursing

Introduction

a) Denition

b) Terminology related to research

c) Need and importance of nursing

research

d) Characteristics of good research

3 Lecture cum

discussion

Short answers

Objective type

II Describe the

research process

Research process

a) Purposes and objectives

b) Steps in research process

3 Lecture cum

discussion

Short answer

Essay type

III Describe the

various research

approaches

Research approaches and designs

a) Types

b) Methods

c) Advantages and disadvantages

5 Lecture cum

discussion

Short answer

Essay type

IV Describe the

various data

collection methods

Data collection process

a) Meaning

b) Methods and instruments of data

collection

5 Lecture cum

discussion

Short answer

Essay type

V List the steps

involved in data

analysis

Analysis of data

a) Compilation

b) Tabulation

c) Classication

d) Summarization

e) Presentation and interpretation of data

using descriptive statistic

6 Lecture cum

discussion

Reading the

research articles

Short answer

Essay type

VI Describe the

importance

of statistics in

research

Introduction to statistics

a) Denition

b) Use of statistics

c) Scales of measurement

d) Frequency distribution

e) Mean, median, mode and standard

deviation.

6 Lecture cum

discussion

Short answer

Essay type

VII Describe the

utilization of

research in nursing

practice

Utilization of research in nursing practice

- Evidence based practice

2 Lecture cum

discussion

Short answer

Essay type

128

PROFESSIONAL TRENDS AND ADJUSTMENT

Course Description:-

This course is designed to help students develop an understanding of the career opportunities available for

professional development.

General Objective:-

Upon completion of this course, the students shall able to:

1. Describe nursing as a profession.

2. Identify various professional responsibilities of a nurse.

3. Describe various professional organizations related to nursing.

4. Identify the need for in-service and continuing education in nursing

5. Demonstration skills in application of knowledge of professional etiquettes in the practice of nursing

in any health care setting.

Total Hours: 30 hours

S. No

Learning

objectives

Contents Hr.

Teaching

learning

activities

Assessment

methods

I Describe nursing

as a profession

Nursing as a profession

Denition of profession

b) Criteria of a profession and nursing

profession

c) Evolution of Nursing Profession in India

d) Educational preparation of a professional

nurse

e) Qualities/ Characteristics and role of a

professional nurse

4 Lecture cum

discussion

Short answer

Objective type

Essay type

II Explain various

aspects of

Professional

ethics

Professional ethics

Meaning and relationship of professional

ethics and etiquettes

b) Code of ethics for nurse by ICN

c) Standards for nursing practice (INC)

d) Etiquettes for employment: locating

posting, applying and accepting a

position, resignation from a position.

6 Lecture cum

discussion

Assignment:

Application for

job acceptance &

job resignation

Short answer

Essay type

III Discuss the

importance

of continuing

education in

personal and

professional

development

Personal and professional development

Continuing education

- Meaning and importance

- Scope

- Identifying opportunities

10 Lecture cum

discussion

Short answer

Essay type

129

S. No

Learning

objectives

Contents Hr.

Teaching

learning

activities

Assessment

methods

Career in Nursing

- Opportunities available in Nursing in

Hospital, Community teaching and

other related special organization.

In-service education

Denition

Value

Need participation in committee

procedures

- Nursing in the future

Draw a career

ladder in nursing

in reference to

international

inuence and

nancial aid.

IV Discuss the

signicance of

legislation in

Nursing

Legislation in nursing

Purpose and importance of laws in

Nursing

b) Legal Terms

c) Common legal hazards in Nursing

d) Laws and regulations related to health

care providers in India at different levels

e) Service and institutional rules

f) Regulation of nursing education

g) Registration and reciprocities

5 Lecture cum

discussion

Assignment

V List the various

organizations

related to health

and nursing

profession and

briey describe

their function

Profession and related organizations

Regulatory bodies: Indian Nursing

Council, State Nursing Council

b) Professional organizations:

- Trained Nurses Association of India,

- Students Nurses Association,

- Nurses League of the Christian

Medical Association of India,

- International Council of Nurses (ICN),

- International Confederation of

Midwives etc.

c) Related organization and their

contribution to nursing: World Health

Organization, Red cross and St. john’s

Ambulance, Colombo plan, UNICEF,

World Bank etc.

5 Lecture cum

discussion

Observational

visits to State

Nursing Council

and Local TNAI

ofce

Report of visit to

the council

Short answers

Essay type

130

NURSING ADMINISTRATION AND wARD MANAGEMENT

Course Description:-

This course is designed to help the student to understand the basic principles of administration and its

application to the management of ward and health care unit.

General Objective:-

Upon completion of this course, the students shall able to:

1. Describe the meaning and principles of administration.

2. Apply the principles of administration in practice of nursing

3. Plan the nursing service in the ward and community health settings.

4. Describe the importance of good administration in the day to day nursing service in varied health care

setting.

Total Hours: 40

Unit

Learning

Objectives

Contents Hr

Teaching

learning

activities

Assessment

methods

I Describe the

meaning ,

philosophy and

principles of

administration

Introduction

a) Administration and management

- Meaning

- Philosophy

- Elements and principles

- Signicance

4 Lecture cum

discussion

Short answers

Objective type

Essay type

II Describe the

management

process

Management process

a) Planning

- Importance

- Purpose

- Types of planning

b) Organization

- Principles of organization

- Organization chart of hospital/ward/

PHC/ Sub center

c) Stafng

- Scheduling

- Recruitment, selection, deployment,

retaining, promotion, superannuation

- Personnel management

- Job description

- Job specication

- Staff development and staff welfare

d) Directing

e) Co-ordination and control

- Quality management

f) Budgeting

g) Policies of hospital and various

department of the hospital

15 Lecture cum

discussion

Companion of

organization

charts

Short answers

Essay type

Objective type

Written test

Evaluation of

the organization

chart prepared by

students.

131

Unit

Learning

Objectives

Contents Hr

Teaching

learning

activities

Assessment

methods

IV Explain the

administration of

different health

care units

Administration of hospital/department/

unit/ ward

a) Health centre/ unit physical layout

b) Safety measures for prevention of

accidents and infections

c) Legal responsibilities of a nurse

d) Leadership styles

e) Problem solving : process and

approach, steps and methods of dealing

with complaints of patients and other

health team members.

f) Records and reports: meaning, types,

importance.

9 Lecture cum

discussion

Role play

Group work on

physical layout

Reading notes

Short answers

Objective type

Essay type

V Discuss the

importance of

maintaining

supplies and

equipment

for effective

administration

Management of equipment supplies.

Maintenance of supplies & equipment

(preventive maintenance)

b) Handing over and taking over of

inventory

Indent and ordering of supplies and

equipment

d) Problem solving : process and

approach, steps and methods of dealing

with supplies and equipment.

7 Lecture cum

discussion

Role play

Group project on

problem solving

Short answers

Objective type

Essay type

Evaluation of the

report on Group

project

VI Discuss the cost

and nancing of

health services in

India

Cost and nancing of health care

Cost of health care

b) Health nancing

c) National health plans (annual and ve

year plans) and outlays, role of state

and central government in allocation of

funds

d) Health insurance- types, issues etc.

5 Lecture cum

discussion

Short answer

Test

132