Syllabus

Revised Basic B.Sc. Nursing

Indian Nursing Council

08th Floor, NBCC Centre, Plot No. 2, Community Centre,
Okhla Phase – 1, New Delhi - 110020
 B.Sc NURSING PROGRAM

I. OVERVIEW OF THE PROGRAM

The B.Sc. nursing degree program is a four-year fulltime program comprising

eight semesters, which prepares a student to become a registered nurse qualified to
practice in a variety of settings in either public/ government or private healthcare
settings. It adopts credit system and semester system as per UGC guidelines. The
program encompasses foundational, core and elective courses. The choice-based
system is applicable to electives only and is offered in the form of modules. Modular
learning is also integrated in the foundational as well as core courses that is
mandatory.
The program prepares nurses for generalist nursing practice. Knowledge
acquisition related to wellness, health promotion, illness, disease management and
care of the dying is core to nursing practice. Mastery of competencies is the main
focus. Students are provided with opportunities to learn a whole range of nursing
skills in addition to acquiring knowledge related to nursing practice. This is achieved
through learning in skill lab/simulated labs and clinical environment. Simulation will
be integrated throughout the curriculum wherever feasible to enable them to develop
competencies before entry into real field of nursing practice.
The revised curriculum embraces competency-based approach throughout the
program integrating mastery learning and self-directed learning. Through the
educational process the students assimilate and synthesize knowledge, cultivate
critical thinking skills and develop care strategies. Competencies that reflect practice
standards of Indian Nursing Council (INC) address the areas of cultural diversity,
communication technology, teamwork and collaboration, safety, quality, therapeutic
interventions and evidence- based practice. They are prepared to provide safe and
competent care to patients across life span and influence patient outcomes.

II. PHILOSOPHY

Indian Nursing Council believes that:

Health and wellness are two fundamental concepts that are integrated
throughout the program. Health is a state of well-being that encompasses physical,
psychological, social, economic and spiritual dimensions. Wellness is the individual’s
perception of wellness and is influenced by the presence of disease and individual’s
ability to adapt. Health is a right of all people. Individuals have a right to be active
participants in achieving health as they perceive it. Society consists of dynamic and
interactive systems involving individuals, families, groups and communities. Cultural
diversity, race, caste, creed, socio economic levels, religion, lifestyles, changes in
environment and political factors influence it. Nurses recognize and respect human
differences and diversity of population within society and provide ethical care with
respect and dignity and protect their rights.
Nursing as a profession and a discipline utilizes knowledge derived from arts,
sciences (physical, biological and behavioral), humanities and human experience.
Nursing science incorporates clinical competence, critical thinking, communication,

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teaching learning, professionalism, and caring and cultural competency. Nurses
collaborate with other health disciplines to solve individual and community health
problems. Nursing facilitates evidence-based practice, compassionate caring among
its practitioners in response to emerging issues in healthcare and new discoveries and
technologies in profession. Nursing practice requires personal commitment to
professional development and life-long learning.
Scope of nursing practice encompasses provision of promotive, preventive,
curative and rehabilitative aspects of care to people across the life span in a wide
variety of healthcare settings. Nursing practice is based on acquisition of knowledge,
understanding, attitude, competencies and skills through INC’s curricular and practice
standards and proposed Indian Nursing and Midwifery Council Act (Includes Nurse
Practice Act). The competencies in which the students are trained will guide them in
performing their scope of practice. Nursing offers qualified nurses a wealth of
opportunities in the field of practice, education, management and research in India
and overseas.
The undergraduate nursing program is broad based education within an
academic curricular framework specifically directed to the development of critical
thinking skills, competencies appropriate to human and professional values. The
teaching learning process is focused on mastery learning, modular, self-directed and
self-accountable in choice making in terms of elective courses. The program prepares
its graduates to become exemplary citizens by adhering to code of ethics and
professional conduct at all times in fulfilling personal, social and professional
obligations so as to respond to national aspirations. Health and community orientation
are provided with special emphasis on national health problems, national health
programs and national health policy directives to achieve universal health care for all
citizens of India. The main roles of graduates would be provider of care with
beginning proficiency in delivering safe care, coordinator/manager of care by being
active participant of inter-professional team and member of a profession
demonstrating self-responsibility and accountability for practice as well as to support
the profession.
The faculty has the responsibility to be role models and create learning
environment that facilitates cultivation of critical thinking, curiosity, creativity and
inquiry driven self- directed learning and attitude of life-long learning in students.
Learners and educators interact in a process whereby students gain competencies
required to function within their scope of practice.

III. AIMS

The aims of the undergraduate program are to

•
Produce knowledgeable competent nurses with clear critical thinking skills
who are caring, motivated, assertive and well-disciplined responding to the
changing needs of profession, healthcare delivery system and society.
•
Prepare graduates to assume responsibilities as professional, competent nurses
and midwives in providing promotive, preventive, curative and rehabilitative
healthcare services in hospital or public health settings.
•
Prepare nurses who can make independent decisions in nursing situations
within the scope of practice, protect the rights of individuals and groups and

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 conduct research in the areas of nursing practice and apply evidence-based
practice.
•
Prepare nurses to assume role of practitioner, teacher, supervisor and manager
in clinical or public health settings.
IV. CORE COMPETENCIES FOR NURSING PRACTICE BY
BSC GRADUATE (Figure 1)

The B.Sc. Graduate nurse will be able to:

1. Patient centered care

Provide holistic care recognizing individual patient’s preferences, values
and needs, that is compassionate, coordinated, age and culturally
appropriate safe and effective care.
2. Professionalism
Demonstrate accountability for the delivery of standard-based nursing care
as per INC standards that is consistent with moral, altruistic, legal, ethical,
regulatory and humanistic principles.
3. Leadership
Influence the behavior of individuals and groups within their environment
and facilitate establishment of shared goals.
4. System-based practice
Demonstrate awareness and responsiveness to the context of healthcare
system and ability to manage resources essential to provide optimal
quality of care.
5. Health informatics and Technology
Use technology and synthesize information and collaborate to make
critical decisions that optimize patient outcomes.
6. Communication
Interact effectively with patients, families and colleagues fostering mutual
respect and shared decision making to enhance patient satisfaction and
health outcomes.
7. Teamwork and Collaboration
Function effectively within nursing and interdisciplinary teams, fostering
open communication, mutual respect, shared decision making, team
learning and development.
8. Safety
Minimize risk of harm to patients and providers through both system
effectiveness and individual performance.
9. Quality improvement
Use data to monitor the outcomes of care processes and utilize
improvement methods to design and test changes to continuously improve
the quality and safety of healthcare system.
10. Evidence based practice
Identify, evaluate and use the best current evidence coupled with clinical
expertise and consideration of patient’s preferences, experience and values
to make practical decisions.

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 Guidelines for Establishment of B.Sc (Nursing) College of Nursing:-

1. The following Establishments / Organizations are eligible to establish / Open a B.Sc.

(Nursing) College of Nursing.

a) Registered Private or Public Trust;

b) Organizations Registered under Societies Registration Act including Missionary
Organizations;
c) Companies incorporated under section 8 of Company’s Act;

2. The eligible Organizations / Establishments should have their own 100 bedded Parent
Hospital.
3. In respect of Tribal and Hilly Area the requirement of own Parent Hospital is exempted.
a) Tribal area – Scheduled notified area; [Areas as the President of India may by order
declare to be Scheduled Areas;]
b) Hilly area – North East States, UTs of Jammu & Kashmir and Ladakh, Himachal Pradesh
& Uttrakhand.

4. The eligible Organizations / Establishments should obtain Essentiality Certificate / No

objection Certificate from the concerned State Government where the B.Sc. (Nursing)
College of Nursing is sought to be established. The particulars of the name of the College /
Nursing Institution along with the name of the Trust /Society [as mentioned in Trust Deed or
Memorandum of Association] as also full address shall be mentioned in No Objection
Certificate/Essentiality Certificate.

5. After receipt of the Essentiality Certificate/ No objection Certificate, the eligible institution
shall get recognition from the concerned State Nursing Council for the B.Sc.(Nursing)
programme for the particular academic year, which is a mandatory requirement.

6. The Indian Nursing Council shall after receipt of the above documents / proposal online
would then conduct Statutory Inspection of the recognized training nursing institution under
Section 13 of Indian Nursing Council Act 1947 in order to assess the suitability with regard
to availability of Teaching faculty, Clinical and Infrastructural facilities in conformity with
Regulations framed under the provisions of Indian Nursing Council Act, 1947.

Parent Hospital (Unitary/ Single Hospital)

Parent Hospital for a nursing institution having the same trust which has established nursing
institutions and has also established the hospital.
OR
For a nursing institution (managed by trust) a “Parent Hospital” would be a hospital either
owned and controlled by the trust or managed and controlled by a member of the trust. In
case the owner of the hospital is a member of the Trust that the hospital would continue to
function as a “Parent Hospital” till the life of the nursing institution. The undertaking would
also be to the effect that the Member of the Trust would not allow the hospital to be treated”
Parent/Affiliated Hospital” to any other nursing institution and will be for minimum 30

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 years [i.e., signed by all members of trust] to the undertaking to be submitted from the
Members of the Trust.

Note:

I. Change of Trust/Society:- The trust/ Society cannot be purchased as per Indian

Trust Act, but there can be change of members/trustees. Therefore the purchase of
institution or change of membership will not be considered as continuation of the
programme. The institution which is purchased/ taken over will be considered as
closed. And a fresh Govt. Order is required mentioning the trust/ society name along
with programmes.

The change of membership in society/ change of trust and trustees to be submitted

immediately after incorporating through registrar cooperative societies/Indian trust act.

II. Trust/society can open number of institutions, but it will be considered as one
institution under the ambit of one Trust. Further a trust can open only one nursing
institution in one city/town.

III. Change of Address:- State Nursing Council shall issue a certificate certifying the fact
that the nursing institution is being shifted to the new building/premises at the address
indicated. The certificate issued should indicate clearly total covered area of the
nursing institution, number of rooms along with area specification, provision of
adequate washroom facilities, lighting and ventilation etc of the new building.

Change of location (district/town/city/village) shall be considered under new proposal.

IV. No two institutions will have same name in same city/town.

V. No Institutions / University will modify the syllabi; however they can add
units/subjects if need be.

VI. If, no admission are made for two consecutive academic years then it shall be
considered that the institution is closed. If the institution wants to restart the
programme they have to submit the fees along with a valid justification,
SNRC/University approval for the same to be submitted to Indian Nursing Council
within 5 years i.e, from the year they did not have admissions or else it will be be
come under new Nursing institution definition.

VII. Change of Name of the Institution:- If the Trust/society proposes to change the name
of the institute, a valid reason has to be submitted. In such cases SNRC/University
shall accept the proposal for change of name of the Institute, before submission of the
proposal to INC.

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 MINIMUM REQUIREMENTS FOR B.SC(N) PROGRAMME

PHYSICAL FACILITIES
Teaching Block:

• The college of Nursing should be within 30 Km Distance from its parent hospital
having space for expansion in an institutional area. For a College with an annual
admission capacity of 60 students, the constructed area of the college should be 22800
square feet.

• Adequate hostel/residential accommodation for students and staff should be available

in addition to the above mentioned built up area of the Nursing College respectively.
The details of the constructed area are given below for admission capacity of 60
students:
S.No. Teaching Block Area (Figures in Sq feet)
1. Lecture Hall 4 @ 900 = 3600
2. Skill/ Simulation Laboratory
(i) Nursing foundation lab 1500
(ii) CHN 900
(iii) Nutrition 900
(iv) OBG and Pediatrics lab 900
(v) Pre-clinical science lab 900
3 Computer Lab* 1500
4 A.V. Aids Room 600
5. Multipurpose Hall 3000
6. Common Room (Male and Female) 1000
7. Staff Room 800
8. Principal Room 300
9. Vice Principal Room 200
10. Library 2300
11. One room for each Head of Departments 5 @ 200 = 1000
10. Faculty Room 2400
11. Provisions for Toilets 1000
Total Constructed Area 22800 Sqr. Ft.

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 Note:-1:5 computer student ratio as per student intake.

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/decrease according to the
number of seats approved.

Hostel Block (60 Students):

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

Single Room 12000 (50 sq. ft. for each students)
1.
Double Room
Sanitary One latrine & One Bath room
2.
(for 5 students) – 600× 4 = 2400
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 21100 Sqr. Ft.

Grand Total Constructed Area-

Teaching Block 22800 Sqr. Ft

Hostel Block 21100 Sqr. Ft

Grand Total 43900 Sqr. Ft.

{Note: Day Scholars are allowed, however 30% provision of hostel is mandatory}

CLINICAL FACILITIES for 60 students (for new institution)

I.a College of Nursing should have a 100 bedded Parent/Own Hospital.

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 Note:- The institution offering General Nursing Midwifery programme and found suitable
by INC before 2013-14 are eligible for up-gradation (phasing out GNM programme) will be
exempted from the requirement of parent hospital.

I.b 100 beds is not sufficient to offer clinical experience/ specialities to students as laid down
in the B.Sc (Nursing) syllabus.

II. Additional affiliation of hospital

In addition to Parent Hospital of 100 beds, institution shall take affiliation of the hospital,
if all the required learning experience are not available in the parent hospital. The
students should be sent to affiliated hospital/agencies/Institutions where it is available.
a. Criteria for Affiliation:-
The types of experience for which a nursing college can affiliate are:
• Community Health Nursing
• Communicable Disease
• Mental Health (Psychiatric) Nursing
• Specialty like Cardiology, Neurology, Oncology Nephrology etc.
• Obst, Gynaecology, Paediatrics, Ortho etc.

b. The size of the hospital for affiliation:-

•
Should not be less than 50 beds apart from having own hospital
Bed occupancy of the hospital should be minimum 75%
•

III. Clinical requirements for Nursing program are as given

below:

S. No Areas of Clinical Experience Number of Beds

1 Medical 45
2 Surgical 45
3 Obst. & Gynaecology 45
4 Pediatrics 30
5 Orthopaedics 15
6 Psychiatric 50

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

•
Major OT
•
Minor OT
•
Dental Eye/ENT
•
Burns and Plastic
•
Neonatology care unit
•
Communicable disease
•
Community Health Nursing

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 •
Cardiology
•
Oncology Neurology/Neuro-surgery
•
Nephrology etc.
•
ICU/ICCU
•
Geriatric

Educational Visits will also be conducted as per the B.Sc(N) syllabus (for example: Milk
Treatment plant, Water and Sewage plant, Rehabilitation Centres, Orphanage, Geriatric
Care, Home for Destitute, Professional Organisation etc.)

V. The Nursing Staffing norms in the Parent and affiliated Hospital should be as per the
INC norms.
VI. The Parent/affiliated Hospital should give student status to the candidates of the
nursing programme.
VII. Maximum Distance between affiliated hospitals & institutions should not be more than
30 kms.
VIII. For Hilly & Tribal the maximum distance can be 50 kms. IX. 1:3 student patient ratio
to be maintained.

STAFFING PATTERN

Table –I

Qualifications & experience of teachers of college of Nursing

S.No. POST, QUALIFICATION & EXPERIENCE

1. Principal cum Professor- Essential Qualification:-M.Sc. (N)
Experience:- M.Sc (N), Ph.D. (N) having total 15 years experience with M.Sc. (N) out of
which 10 years after M.Sc. (N) in collegiate progarmme.
Ph.D.(N) is desirable
2. Vice- Principal cum Professor- Essential Qualification:-M.Sc (N)
Experience:-M.Sc (N) Total 12 years experience with M.Sc. (N) out of which 10 years
teaching experience after M.Sc (N) Ph.D.(N) is desirable

3.
Professor- Essential Qualification:- M.Sc (N)
Experience:- M.Sc (N)Total 12 years experience with M.Sc.(N) out of which 10 years
teaching experience after M.Sc (N).
Ph.D.(N) is desirable
4. Associate Professor- Essential Qualification:- M.Sc (N)
Experience:-Total 8 years experience with M.Sc. (N) including 5 years teaching
experience
Ph.D.(N) desirable

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 5. Assistant Professor- Essential Qualification:- M.Sc (N)
Experience:- M.Sc. (N) with total 3 years teaching experience Ph.D.(N)
desirable

6. Tutor- M.Sc.(N) preferable

Experience:- B.Sc.(N)/P.B.B.Sc.(N) with 1 year experience.

Table –II

S.No. Designation B.Sc.(N) 40-60 B.Sc.(N) 61-100

1 Principal 1 1
2 Vice- Principal 1 1
3 Professor 1 1-2
4 Associate Professor 2 2-4
5 Assistant Professor 3 3-8
6 Tutor/Clinical Instructor/Demonstrator 5-10 10-12
Total 13-18 18-28

(For example for 40 students intake minimum number of teacher required is 13 including
Principal, 1- Principal, 1- Vice Principal, 1-Professor, 2- Associate Professor & 3- Assistant
Professor, tutors will be 5)

• Number of Nursing departments = 6 (Six)

i. Nursing Foundation ( Professor or Associate shall head of the department)

ii. Medical-surgical Nursing
iii. Psychiatric Nursing
iv. Paediatric Nursing
v. Midwifery, Obst. & Gynaecology
vi. Community Health Nursing

Minimum one professor from each specialty area shall be appointed as head of the
department except nursing foundation.
• 1:15 teacher student ratio excluding Principal and Vice Principal
• All teacher shall take classes, perform clinical teaching and supervision academic
activities including Principal & Vice Principal
• If the number of students are more than 60 there shall be two sections with minimum 30
students each. Maximum number of students in each section shall be 60 only.

Admission Terms and Conditions

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 • The minimum age for admission shall be 17 years on 31st December of the year in which
admission is sought. The maximum age limit for admission shall be 35 years.
• Minimum Educational Qualification

i. Candidate with Science/Arts/Humanities/Commerce who have passed the 12 th

Standard examination (10+2) and must have obtained a minimum of 45% marks
in the core/elective/academic subjects taken together and passed English
individually. The above candidates should have passed from recognise board
under AISSCE/CBSE/ICSE/SSCE/HSCE or other equivalent Board.
ii. Candidate with Science/Arts/Humanities/Commerce who have passed the 12 th
Standard examination (10+2) and must have obtained a minimum of 45% marks
in the core/elective/academic subjects taken together and passed English
individually. The candidates should have passed from State Open School
recognized by State Government and National Institute of Open School (NIOS)
recognized by Central Government.
iii. Vocational ANM’s/ RANMs are also eligible.
iv. Admission shall be through Entrance examination. Entrance test** shall
comprise of:
a) Aptitude for Nursing 10 marks
b) General Science 50 marks
c) General knowledge 20 marks
d) English 10 marks
e) General ability 10 marks

-Minimum qualifying marks for entrance test shall be 50% marks.

**Entrance test shall be conduct by University/State Government

• Candidate shall be medically fit.

• Candidate shall be admitted once in a year

Reservation policy:
• For disabled candidates: 3% Disability reservation to be considered with a disability of
loco-motor to the tune of 40% to 50% of the lower extremity and other eligibility criteria
with regard to age and qualification will be same as prescribed for each nursing
programme.
• Colour Blind candidates are eligible provided that colour corrective contact lens and
spectacles are worn by such candidates.

Note: A committee to be formed consisting of medical officer authorized by medical board of

State government and a nursing expert in the panel which may decide whether the
candidates have the disability of loco-motor to the tune of 40% to 50% and also for
the color blind candidates.

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In respect of candidates belonging to SC/ST/OBC and candidates with benchmarked
disabilities under the Rights of Persons with Disabilities Act, 2016 (PH) the marks obtained
in core subject stated above shall be 40% instead of 45 % marks for General category
Candidates.

• Foreign Nationals:
 The entry qualification equivalency i.e., 12th standard will be obtained by
Association of Indian Universities, New Delhi. Institution, State Nursing Council
& University will be responsible to ensure that the qualification and eligibility
will be equivalent to what has been prescribed by Indian Nursing Council

• Reservation of seats in Nursing Colleges for SC/ST/OBC/PH/EWSs

Admission under the reserved quota shall be subject to reservation policy and
eligibility criteria for SC/ST/OBC/PH/EWSs prescribed by the Central Govt./ State
Govt./ Union Territory as applicable to the College concerned.

Note:
 Reservations shall be applicable within the sanctioned number of the seats.
 The start of the semester shall be 1st August every year.
 No admission after the cut-off date i.e. 30 th September will be undertaken. Further Hall
tickets/admit card shall not be issued to the candidates who are admitted after 30 th
September.
 The responsibility of obtaining and verifying the requisite documents for admission lies
with the Institution and University.

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 BSC NURSING PROGRAM-Four years (8 semesters) CHOICE
BASED CREDIT SYSTEM (CBCS) & SEMESTER SYSTEM
COMPETENCY BASED CURRICULUM

TEN CORE (Figure1)

COMPETENCIES

II. Core courses

1.Nursing Foundations
2. Community Health Nursing
3. Adult Health Nursing
4. Child Health Nursing
5. Mental Health Nursing
6. Midwifery/OBG Nursing
I. Foundational
courses(Applied III. Elective
basic & behavioral courses
sciences)

COURSES

I& III & V& VII &

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 IV
II Sem Sem VI Sem VIII
Sem

V Semester
III Semester
I Semester 19. Child Health VII
Nursing I

1. General Science 20. Mental Health Semester

10. Applied Microbiology,
2. Communicative and Infection control Nursing I 29. Community

English including Safety 21. Nursing Health Nursing II

3. Applied Anatomy & 11. Pharmacology I Management &
Physiology Leadership 30. Midwifery
12. Pathology I
4. Applied Sociology & 22. Nursing Research and /Obstetrics
Psychology 13. Adult Health (Medical and Statistics & Gynaecology II
Surgical ) Nursing I with
5. Nursing Foundations integrated 23. Health/Nursing
I pathophysiology Informatics &

II Semester 14. Professionalism, technology 24. Introduction to

Professional values &
6. Appliied Ethics including bioethics Forensic Nursing and VIII
Biochemistry Indian Laws

IV Semester
7. Applied Nutrition & VI Semester Semester
Dietetics 15. Pharmacology II

8. Nursing Foundations 16. Pathology II & 25Nursing II . Child Health 31Internship .

II
Genetics
9. Introduction to 26. Mental Health (Intensive
Community Health 17. Adult Health (Medical Nursing II practicum/
Nursing (Including Surgical) Nursing II 27. Community
Health care Policy & including Geriatrics with Health Nursing I Residency
Regulation and integrated including posting)
Environmental science) pathophysiology Epidemiology 18. Educational 28.

Midwifery

Technology/Nursing /Obstetrics &

Education Gynaecology I

Figure2. Curricular Framework

1. PROGRAM STRUCTURE

BSc Nursing Program Structure

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I Semester II Semester III Semester IV Semester
• General Science • Applied Biochemistry • Applied Microbiology • Pharmacology II
(Refresher Course) • Applied Nutrition and and Infection Control • Pathology II &
• Communicative English dietetics including Safety Genetics
• Applied Anatomy & • *Nursing • Pharmacology I • *Adult Health
applied Physiology Foundations II • Pathology I Nursing II including
• Applied Sociology & including First Aid • *Adult Health (Medical Geriatric Nursing
applied Psychology module Surgical) Nursing I with with integrated
• Nursing Foundations I • Introduction to integrated pathophysiology •
Community Health pathophysiology • Educational
Nursing including Professionalism, Technology/ Nursing
Health care Policy & Professional values & education
Regulation and ethics including bioethics
Environmental
Science
Mandatory Module Mandatory Module
*First Aid *BCLS Mandatory Module
*Health Assessment

V Semester VI Semester VII Semester VIII Semester

• *Child Health Nursing I • Child Health Nursing • *Community Health Internship (Intensive
• Mental Health Nursing I II Nursing II practicum/
• Nursing Management & • Mental Health • **Midwifery/Obstetrics Residency posting)
Leadership Nursing II and Gynecology (OBG)
• Nursing Research and • *Community Health Nursing II
Statistics Nursing I (Including
• Health/Nursing epidemiology) •
Informatics & technology Midwifery/ Obstetrics
• Introduction to Forensic and
Nursing & Indian Laws Gynecology (OBG)
Nursing I
Mandatory Modules Mandatory Module * Mandatory Module * Mandatory Module
*PLS/PALS, IMNCI, Standard treatment Standard treatment ACLS
Essential Newborn Care & protocols used in national protocols used in national
Facility Based Newborn Care health programmes (Part health programmes (Part II
(FBNBC) I from NPPHC syllabus- from NPPHC syllabus -
draft) draft)
** SBA module (VI / VII
Sem)

MANDATORY MODULES:

15
 The prepared modules (Health Assessment) and available modules as
National guidelines (First Aid-NDMA, IMNCI, ENBC, FBNBC, SBA module,
and National program treatment protocols will be provided in separate learning
resource package) For BCLS, ACLS, PLS/PALS- Standard
national/international modules can be used

ELECTIVE MODULES

Number of electives to be completed: 4 (Every module=1 credit=20Hours)

III & IV Semesters: To complete any two electives by end of 4th semester across
1st to 4th semesters
• Human values
• Diabetes Care
• Palliative care
• Disaster Management

V & VI Semesters: To complete any one of the following before end of 6th semester
• CBT
• Personality development
• Addiction psychiatry
• Adolescent health
• Sports health
• Accreditation and practice standards
• Developmental psychology
• Menopausal health
• Health Economics

VII & VIII Semesters: To complete any one of the following before end of 8th semester
• Scientific writing skills
• Lactation management
• Sexuality & Health
• Stress management
• Job readiness and employability in health care setting
• Soft Skills

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2. CURRICULUM IMPLEMENTATION: OVERALL PLAN

Duration of the program: 8 semesters

1-7 Semesters

One Semester Plan for the first 7 semesters

Total Weeks per Semester: 26wks/semester

Number of Weeks per Semester for instruction: 20 weeks (40hrs/week x 20

weeks=800hours)

Number of Working Days: Minimum of 100 working days (5 days/weekx20 weeks)

Vacation, Holidays, Examination and Preparatory Holidays-6 Weeks

Vacation: 3 weeks
Holidays-1 week
Examination & preparatory holidays-2 weeks

8th Semester

One semester-22 weeks

Vacation-1 week, holidays- 1 week, Exam & preparatory holidays-2wks

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 4. COURSES OF INSTRUCTION
S.No. SEMESTER COURSE COURSES/ SUBJECTS Theory Lab Clinica Total
NO. (hrs.) (hrs.) l (hrs.) (hrs.)
1 First 1 General Science * 80 80
(Refresher Course)
2 Communicative English* 40 40
3 Applied Anatomy and 100 100
Applied Physiology
4 Applied Sociology & 100 100
Applied Psychology
5 Nursing Foundations I 120 80 160 360
TOTAL 440 80 160 760
2 Second 1 Applied Biochemistry 20 20
2 Applied Nutrition and 40 40
dietetics
3 Nursing Foundations II 120 120 320 560
including First Aid
Module
4 Introduction to 40 80 120
community Health
Nursing* (Including
Health care Policy
& regulation and
Environmental Science)
5 Self study and co 20+20=40 40
curricular

TOTAL 220 120 400 780

3 Third 1 Applied Microbiology 40 40 80
and Infection Control
including
2 Pharmacology I 20 20
3 Pathology I 20 20

4 Medical Surgical Nursing 120 40 480 640

I/ Adult Health Nursing I
with integrated
pathophysiology
including BCLS module
5 Professionalism, 20 20
Professional Values and
Ethics including
Bioethics
6 Self study/Co curricular 20 20

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 TOTAL 220 80 480 800

4 Fourth 1 Pharmacology II 40 40
2 Pathology II and 20 20
Genetics
3 Adult Health Nursing II 120 40 480 640
including Geriatric
Nursing with Health
Assessment Module
4 Educational Technology/ 40 40 80
Nursing education
5 Self study/Cocurricular 20 20
TOTAL 220 80 480 800
5 Fifth 1 Child Health Nursing I 80 40 160 280
including FBNC,
Essential Newborn
Care(ENBC), IMNCI
and PLS/PALS, modules
2 Mental Health Nursing I 80 80 160
3 Nursing Management 60 80 140
and Leadership
4 Nursing Research and 40 80(Proj 120
Statistics ect)
5 Health/ Nursing 30 20 50
Informatics and
technology
6 Introduction to Forensic 20 20
Nursing and Indian laws
7 Self study/Cocurricular 20 20

TOTAL 310 60 400 790

6 Sixth 1 Child Health Nursing II 20 80 100

2 Mental Health Nursing II 20 160 180

3 Community Health 100 160 260
Nursing I including
Epidemiology and
standard treatment
protocols
4 Midwifery /Obstetrics 40 40 160 240

19
 and Gynecology (OBG)
Nursing I including SBA
module

5 Self study/Cocurricular 20 20

TOTAL 180 40 560 800

7 Seventh 1 Community Health 40 80 120

Nursing II
2 Midwifery/ Obstetrics 80 40 560 680
and Gynecology (OBG)
Nursing II
3 Self study/Cocurricular 20 20

TOTAL 120 40 640 820

8 Eight 1 Community Health
(Internship) Nursing- 4 weeks
-22 weeks 2 Adult Health Nursing- 6
weeks
3 Child Health Nursing- 4
weeks
4 Mental Health Nursing- 4
weeks
5 Midwifery- 4 weeks

TOTAL 22× 88 hrs/week 1056

1 credit theory- 1hour/week/semester

1credit practical/lab- 2hrs/week/semester
1credit clinical – 4hrs/week/semester

Total Semesters=8

Total number of credits-160 (Excludes electives)

Total number of hours- 6606 hours

Theory-1690
Lab-520
Clinical-4176

20
Self study/cocurricular-220

Electives: 4 {One elective course -1credit (20Hrs)}

Total credits=164 (Includes Electives)

5. SCHEME OF EXAMINATION

The distribution of marks in internal assessment, End semester College exam, and End semester
University exam for each course is shown below.

I SEMESTER

S.No Course Assessment (Marks)

Internal End End semester Hours Total
semester marks
College University
exam Exam
Theory

1 General Science 25 25 1 50
2 Communicative English 25 25 1 50

3 Applied Anatomy & 25 75 3 100

Physiology

4 Applied Sociology & 25 75 3 100

Psychology

5 Nursing Foundations I *25

Practical

6 Nursing Foundations I *25

* Will be added to the internal marks of Nursing Foundations I& II Theory and Practical respectively
in the next semester (Total weightage remains the same)

Example:

21
 Nursing Foundations Theory
Nursing Foundations I theory in I semester Internal marks will be added to Nursing Foundations I & II
Theory Internal in the second semester and average of the two semester will be taken.

II SEMESTER

S.No Course Assessment (Marks)

Internal College University Hour Total
exam* Exam* s marks
Theory
1 Applied Biochemistry 25 75 3 100
and applied Nutrition &
Dietetics
2 Nursing Foundations (I 25 75 3 100
& II) I Sem-25 & II
Sem-25 (with
average of both)
3 Introduction to 25 25 1 50
Community Health
Nursing (Including
Health Care Policy and
Regulation and
Environmental Science)
Practical
4 Nursing Foundations (I 50 50 100
& II) I Sem-25 & II
Sem-25
* End Semester
III SEMESTER

S.No Course Assessment (Marks)

22
 Internal End End semester Hours Total

Semester University marks

College Exam exam
Theory
1 Applied Microbiology 25 75 3 100
and Infection Control
including Safety
2 Pharmacology I and *25
Pathology I

2 Adult Health Nursing 25 75 3 100

(Medical Surgical
Nursing) I

3 Professionalism, Ethics & 25 25 1 50

Professional values
Practical

4 Adult Health Nursing I 50 50 100

* Will be added to the internal marks of Pharmacology II and Pathology II & Genetics in the next semester
(Total weightage remains the same).

IV SEMESTER

S.No Course Assessment (Marks)

Internal End End Hours Total
Semester Semester marks
College University
exam Exam
Theory
1 Adult Health Nursing II 25 75 3 100

2 Pharmacology & Pathology (I 25 75 3 100

& II) & Genetics III Sem-25
&
IV Sem-25
with average
of both)
3 Educational 25 75 3 100
Technology/Nursing education

23
 Practical

4 Adult Health Nursing II 50 50 100

V SEMESTER
S.No Course Assessment (Marks)
Internal End End Hours Total
Semester Semester marks
College University
exam Exam
Theory
1 Child Health Nursing I *25
2 Mental Health Nursing I *25

3 Nursing Management and 25 75 3 100

Leadership
4 Nursing Research and 25 75 3 100
Statistics
5 Health/Nursing Informatics & 25 25 1 50
technology
6 Introduction to Forensic 25 25 1 50
Nursing and Indian Laws
Practical
7 Child Health Nursing I *25

8 Mental Health Nursing I *25

* Will be added to the internal marks of Child Health Nursing I & II and Mental Health Nursing I & II in
both theory and practical respectively in the next semester (Total weightage remains same).

VI SEMESTER

S.No Course Assessment (Marks)

Internal End End Semester Hours Total
Semester marks
College University
exam Exam
Theory
1 Child Health Nursing (I&II) 25 75 3 100
Sem V-25

24
 &Sem VI-
25 (with
average of
both)
2 Mental Health Nursing (I&II) 25 75 3 100
Sem V-25
&Sem VI-
25(with
average of
both)
3 Community Health Nursing I *25
4 Midwifery/Obstetrics and *25
Gynecology I

Practical
4 Child Health Nursing (I&II) 50 50 100
(Sem V-25
&Sem VI-
25)
5 Mental Health Nursing 50 50 100
(I&II) (Sem V-25
&Sem VI-
25)
Practical
Community Health Nursing I *25

Midwifery/Obstetrics and *25

Gynecology I

* Will be added to Community Health Nursing I&II and Midwifery I&II theory and practical respectively in
the next semester.

VII SEMESTER

S.No Course Assessment (Marks)

Internal End End Hours Total
Semester Semester marks

25
 college University
exam Exam
Theory
1 Community Health Nursing 25 75 3 100
(I&II) Sem VI-
25 &
Sem VII-
25 (with
avg. of
both)
2 Midwifery /Obstetrics and 25 75 3 100
Gynecology (OBG) Nursing Sem VI-
(I&II) 25 &
Sem VII-
25(with
avg. of
both)
Practical
3 Community Health Nursing 50 50 100
(I&II) (Sem
VI25 &
Sem VII-
25)
4 Midwifery/Obstetrics and 50 50 100
Gynecology (OBG) Nursing (Sem
(I&II) VI25 &
Sem VII-
25)

VIII SEMESTER
S.No Course Assessment (Marks)
Internal End End Hours Total
Semester Semester marks
College University
exam Exam
Practical

1 Competency assessment 100 100 200

26
 EXAMINATION REGULATIONS

The student has to pass in all mandatory modules and allotted percentage of marks will be included
in the internal assessment of college /university exam. Pass mark for the module is C -50%
minimum.

Note:
1. Applied Anatomy and Applied Physiology-Question paper will consist of Section A Applied
Anatomy of 37 marks and B applied Pysiology should be of 38 marks.
2. Applied Nutrition and Dietetics and Biochemistry and- Question paper will consist of Section
A Applied Nutrition and Dietetics of 50 marks and Section B of Biochemistry of 25 marks.
3. Pharmacology, genetics, pathology: Section A of Pharmacology with 38 marks, Section B of
Pathology of 25 and Genetics with 12 marks.
4. Nursing Research and Statistics-Nursing Research should be of 55 marks and Statistics of 20
marks
5. Following exams shall be conducted as College exam and minimum pass is C grade (5 point)
and to be sent to the University for inclusion in the marks sheet and shall not be considered for
calculating aggregate.

i. Health and Nursing Informatics

ii. Introduction of Forensic nursing
iii. Communicative English
iv. Introduction to Community Health Nursing
6. Minimum pass marks shall be 40% (P grade/4 point) for English only
7. Minimum pass marks shall be 50 % in each of the Theory and practical papers separately.
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 he/ she has to re-appear for both the
papers (Theory and practical).
10. Candidate shall appear for exams in each semester:-
a) The candidate shall have cleared all the previous examination before appearing
for fifth semester examination. However the candidates shall be permitted to
attend the consecutive semesters.
b) The candidate shall have cleared all the previous examination before appearing
seventh semester examination. The candidates shall permitted to attend the
consecutive semesters.
c) The maximum period to complete the course successfully should not exceed 8
years.
11. Candidate has to pass separately in internal and external examination. No institution
shall submit average internal marks of the test students more than 75% is if 40 students

27
 are admitted in a course the average score of the 40 students shall not exceed 75% of
total internal marks
12. At least 50% of the Non-nursing subjects like Anatomy & Physiology, Biochemistry,
Biophysics, Psychology, Microbiology, Pharmacology Genetics, Nutrition, Sociology,
English and Computer Science should be taught by the Nursing teachers. Teachers who
are involved in teaching non-nursing subjects can be the examiners for the programme.
13. Teaching shall be done by the Nursing faculty and will be supplemented by the guest
faculty who are doctors/ PG qualification in the requisite subject.
14. Maximum number of candidates for practical examination should not exceed 25 per day.
Particular year and of same institution batch shall be examined by the same set of
examiners.
15. All practical examinations must be held in the respective clinical areas.
16. One internal and One external examiners should jointly conduct practical examination for
each student
17. An examiner should be a Lecturer/ Assistant Professor or above in a college of Nursing
with M.Sc(N) in concerned subject and minimum 3 years of teaching experience. To be an
examiner for nursing foundation course faculty having M.Sc.(N) with any specialty shall
be considered.

28
VI. ASSESSMENT GUIDELINES

1. GRADING OF PERFORMANCE
Based on the performance, each student shall be awarded a final grade at the end of the semester
for each course. Absolute grading is used by converting the marks to grade, based on
predetermined class intervals.
UGC 10point grading system is used with pass grade modified.

Letter grade Grade point Percentage of marks

O (outstanding) 10 100%
A+ (Excellent) 9 90-99.99%
A (Very Good) 8 80-89.99%
B+ (Good) 7 70-79.99%
B (Above average) 6 60-69.99%
C (Average) 5 50-59.99%
P (Pass) 4 40-49.99%
F (Fail) 0

For Nursing Courses and all other courses - Pass is at C Grade (5 grade point) 50 % and above For
English and electives- Pass at P Grade (4 Grade point) 40 % and above

Computation of Semester Grade Point Average (SGPA) and Cumulative Grade Point average
(CGPA)

SPGA- Is the weighted average of the grade points obtained in all courses by the student during the
semester (All courses excluding English and electives)

Ex. SGPA computation

Course Credit/s Letter grade Grade point Credit point

Number (Credit X grade)
1 3 (C1) A 8 (G1) 3x8=24

2 4 (C2) B+ 7 (G2) 4x7=28

3 3 (C3) B 6 (G3) 3x6=18

SGPA= C1G1+C2G2+C3G3
C1+C2+C3

= 70 =7 (rounded off to two decimal points)

10

Computation of CGPA

29
CGPA is calculated with SGPA of all semesters to two decimal points and is indicated in final grade
in mark card/transcript showing grades of all 8 semesters and their courses/subjects.

CGPA reflects the failed status in case of fail till the course/s are passed

Semester I Semester 2 Semester 3 Semester 4

Credit-Cr
Cr: 20 Cr: 22 Cr: 25 Cr: 26

SGPA: 6.5 SGPA: 7.0 SGPA: 5.5 SGPA: 6.0

CrxSGPA=20x6.5

CGPA=20x6.5+22x7+25x5.5+26x6
93
=577.5 =6.2
93

Transcript Format:

Based on the above recommendation on letter grades, grade points, SPGA and CGPA, the
transcript shall be issued for each semester with a consolidated transcript indicating the
performance in all semesters.

Declaration of Pass

First Class with Distinction- CGPA of 7.5 and above

First Class- CGPA of 6.00-7.49
Second Class-CGPA of 5.00-5.99

2. INTERNAL ASSESSMENT AND GUIDELINES

The marks distribution of internal assessment is shown in Appendix 2 and the specific guidelines in
Appendix 3

3. UNIVERSITY THEORY AND PRACTICAL EXAMINATION PATTERN

The theory question paper pattern and practical exam pattern are shown in Appendix 4

30
 SYLLABUS

GENERAL SCIENCE

PLACEMENT: I SEMESTER THEORY: 4Credits ( 80 hours)

DESCRIPTION: The course is designed to enable students to refresh their knowledge and
understanding gained during the previous education that will enhance their ability to apply the
same in nursing practice.

31
 COMPETENCIES

On completion of the course, the students will be able to

1. Recal and refresh their knowledge and understanding of concepts, principles and application of
Physics and identify its relevance to nursing.
2. Recall and refresh their knowledge and understanding of concepts, principles and application of
Chemistry and identify its relevance to nursing.
3. Recall and refresh their knowledge and understanding of concepts, principles and application of
Chemistry and identify its relevance to nursing.

COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING/ ASSESSMENT
OUTCOMES LEARNING METHODS
ACTIVITIES
I-X 20 Review and PHYSICS • Lecture cum • MCQ
hours recall the I. Physical World and discussion
knowledge and Measurement • Short answer
application of • Self-directed
concepts and • Physical world
learning • Evaluation
principles of • Units and Measurements
Physics II. Kinematics of
• Assignments assignments
• Motion in a straight line
• Motion in a plane
• Uniform circular motion
III. Laws of motion
• Laws of conservation of
linear momentum and its
applications
• Laws of friction
IV. Work, energy and power
• kinetic energy,
workenergy, power.
• conservation of
mechanical energy
(kinetic and
potential energies)
V. Motion of system of

32
 particles and rigid body-
System of particles
and rotational motion
VI. Gravitation
VII. Properties of bulk
matter-
• Mechanical properties of
solids, fluids
• Thermal properties
of matter
VIII. Thermodynamics
IX. Behaviour of perfect
gases and kinetic
theory of gases
X. Oscillation of waves
• Oscillations
• Waves
I- 20 Review and CHEMISTRY • Lecture cum • MCQ
XIV hours recall the I. Some basic concepts discussion
knowledge and of chemistry • Short answer
application of II. Structure of atom • Self-directed
concepts and learning • Evaluation of
principles of III. Classification of
assignments
Chemistry elements and Assignments
•
periodicity in
properties
IV. Chemical bonding
and molecular
structure
V. States of
matter:
gases and liquids
VI. Chemical
thermodynamics
VII. Equilibrium
VIII. Redox reactions
IX. Hydrogen X. S-Block
elements
XI. P-Block elements
XII. Organic
chemistrysome basic
principles and techniques
XIII. Hydrocarbons
XIV. Environmental
chemistry
33
34
I-X 40 Review and BIOLOGY • Lecture cum • MCQ
hours recall the I. Diversity in Living discussion
knowledge and World • Short answer
application of • Self-directed
concepts and • Biodiversity learning • Evaluation of
principles of • Salient features and
assignments
Biology classification of plants • Assignments
and animals
II. Structural
Organization in
Animals and Plants:
• Plant tissues-
Morphology, anatomy
and functions of different
parts of flowering plants •
Animal tissues; Morphology,
anatomy and functions of
different systems
III. Cell Structure and
Function
• Plant cell and animal cell-
structure and functions
• Cell division: Cell cycle,
mitosis, meiosis and their
significance
IV. Plant Physiology •
Transport in plants
• Transport of food:
Mineral nutritionEssential
minerals, macro and
micronutrients and their
role
• Nitrogen metabolism
• Photosynthesis- Factors
affecting photosynthesis
• Respiration: Exchange of
gases; Cellular
respiration, Energy
V. Human Physiology
• Digestion and absorption •
Breathing and
Respiration: Respiratory

35
36
 system in humans;
Mechanism of breathing
and its regulation in
humans,
• Body fluids and
circulation
• Human circulatory system
• Human excretory system–
structure and functions
• Locomotion and
Movement
• Skeletal system and its
function
• Nervous system in
humans
• Sense organs -eye and ear.
• Human endocrine system
VI. Reproduction
• Sexual reproduction in
flowering plants
• Human Reproduction:
Male and female
reproductive systems,
Reproductive health
VII. Genetics and
Evolution
• Chromosomes and genes
• Sex determination in
humans
• Structure of DNA and
RNA, Gene expression
and regulation
VIII. Biology and Human
Welfare
• Health and Disease:
Pathogens; parasites
causing human diseases
• Basic concepts of
immunology, Microbes in
human welfare

37
 • Sewage treatment, energy
generation and
biofertilizers
IX. Biotechnology and
Its Applications
• Biotechnology in health and
agriculture
X. Ecology and
environment
• Population and ecological
adaptations
• Air pollution and its
control; Water pollution
and its control
• Solid waste management,
Radioactive waste
management,
Greenhouse effect and
global warming, Ozone
depletion, Deforestation

COMMUNICATIVE ENGLISH

38
PLACEMENT: I SEMESTER THEORY: 2 Credits ( 40 hours)

DESCRIPTION:

The course is designed to enable students to enhance ability to speak and write the language
(and use English) required for effective communication in their professional work. Students will
practice their skills in verbal and written English during clinical and classroom experience.

COMPETENCIES

On completion of the course, the students will be able to

1. Identify the significance of Communicative English for healthcare professionals

2. Apply the concepts and principles of English Language use in professional development such as
pronunciation, vocabulary, grammar, paraphrasing, voice modulation, Spelling, pause and silence
3. Demonstrate attentive listening in different hypothetical situations
4. Converse effectively, appropriately and timely within the given context as an individual or to the
team they are communicating with either face to face or by other means
5. Read, interpret and comprehend content in text, flow sheet, framework, figures, tables, reports,
anecdotes etc…
6. Analyse the situation and apply critical thinking strategies
7. Enhance expressions through writing skills
8. Apply LSRW (Listening, Speaking, Reading and Writing) Skill in combination to learn, teach,
educate and share information, ideas and results.

39
 COURSE OUTLINE

UNIT TIME LEARNING CONTENT TEACHING/ ASSESSMENT METHODS

OUTCOMES LEARNING
ACTIVITIES
I 3 Identify the Communication • Definitions • Checking for understanding
hours significance of • What is with examples, through
communicative communication? illustrations and tasks
English • What are explanations
communication • Identifying
roles of listeners, competencies/
communicative
speakers, readers strategies in
and writers as LSRW
healthcare • Reading
professionals? excerpts on the
above and
interpreting them
through tasks
II 5 Describe concepts Introduction to • Exercises • Through ‘check your
hours and principles of LSRGW on listening to understanding’ exercises’
Language (English) • L- Listening: news,
use in professional Different types of announcements,
development such as listening telephone
• S-Speaking: conversations and
pronunciation,
Understanding instructions from
vocabulary, grammar,
Consonants, others
paraphrasing, voice • Informatio
Vowels, Word and
modulation, spelling, n on fundamentals
Sentence Stress,
pause and silence of Speech- C, V,
Intonation
Stress and
• R-
Intonation with
Reading:
tasks based on
Medical vocabulary, these through
• Gr-Grammar: audio/ video and
Understanding texts
tenses, linkers • Reading
• W- writing a
simple sentences and
medical
short
paragraphs - dictionary/
glossary of
emphasis on correct
medical terms
grammar
with matching
exercises
• Informatio
n on tenses and
basic concepts
of correct
grammar
40
 through fill in the
blanks, true/false
questions

III 5 Demonstrate Attentive Listening • Listening to Checking individually against

hours attentive listening in • Focusing announcements, correct answers
different hypothetical on listening in news, • Listening for specific
situations different situations- documentaries information
announcements, • Listening for overall
with tasks based
descriptions, meaning and instructions
narratives, instructions, on listening p
discussions, • With • Listening to attitudes and
demonstrations multi opinions
• Reproducing choice, Yes/No and • Listening to audio, video
Verbatim fill in the and identify key points
• Listening to blank activities
academic talks/
lectures
• Listening to
presentation

41
IV 9 Converse effectively, Speaking-Effective • Different Individual and group/ peer
hours appropriately and Conversation types of assessment through live
timely within the • Conversation speaking speaking tests
given context and the situationsinformal, activities • Presentation of Situation
individual or team formal in emergency and routine
related to the
they are and neutral • Handoff
content
communicating with • Reporting in
• Factors • Guided with
either face to face or doctors/nurses’ rounds
influencing way prompts
other means • Case presentation
of speaking- and free • Face to face
setting, topic, discussions oral communication
social relationship, • Presentation • Speaking individually
attitude and techniques (Nurse to
language • Talking to nurse/patient/doctor) and
• Greetings, peers and other to others in the group
Introductions, adults. • Telephonic talking
requesting, asking • Talking
for and to
giving permission, patients and
speaking Patient attenders •
personally Talking to other
and casual healthcare
conversations professionals
• Asking for • Class room
Information, conversation
Giving instructions scenario based
and directions learning tasks

42
 • Agreeing and
disagreeing, giving
opinions
• Describing people,
places, events and
things, narrating,
reporting &
reaching
conclusions
• Evaluating
and comparing
• Complaints and
suggestions
• Telephone
conversations
• Delivering
presentations

V 5 hours Read, interpret and Reading • Detailed Reading/summarizing/Justifyi

comprehend content in • Reading tasks and exercises ng answers orally • Patient
text, flow sheet, strategies, on reading for document
framework, figures, information, • Doctor’s Prescription of
reading notes and
tables, reports, inference and care
anecdotes messages • Journal/news reading and
evaluation
• Reading relevant interpretation
• Vocabulary
articles and news games and puzzles • Notes/Reports
items for
• Vocabulary medical lexis
for everyday • Grammar
activities, activities
abbreviations
and medical
vocabulary
• Understanding
visuals, graphs,
figures and notes
on Instructions
• Reading reports
and interpreting
them
• Using idioms and
phrases, spotting
errors, vocabulary
for

43
 presentations
• Remedial
Grammar
VI 5 Enhance expressions Writing Skills • Writing Paper based assessment by
hours through writing skills • Writing patient tasks with focus on the teacher/trainer against set
story task fulfilment, band descriptors
• Note taking coherence and • Presentation of situation
• Summarising cohesion, • Documentation
• Anecdotal appropriate • Report writing
records vocabulary and • Paper writing skills
• Letter writing correct grammar • • Verbatim reproducing
• Diary/ Journal Guided and free • Letter writing
tasks • Resume/CV
iting
• Different
• Report writing
kinds of letter
• Paper writing
writing tasks
skills
• Abstract writing
VII 8 Apply LSRW Skill in LSRW Skills • Valuating • Consolidated assessment
hours combination to learn, • Critical different orally and through written
teach, educate and thinking strategies for options/ tasks/ exercises
share information, listening and reading multiple
ideas and results • Oral reports, answers and
presentations interpreting
• Writing decisions
instructions, letters through
and reports situational
• Error analysis activities
regarding LSRW • Demonstration
-individually
and in groups
• Group
Discussion
• Presentation
• Role Play
• Writing reports

44
 APPLIED ANATOMY& APPLIED PHYSIOLOGY
PLACEMENT: I SEMESTER THEORY: 5 Credits (100 hours)

Anatomy -50 hours & Physiology -50 hours

APPLIED ANATOMY THEORY: 2.5 Credits (50 hours)

DESCRIPTION: The course is designed to assists student to acquire the knowledge

of the normal structure of human body, identify alteration in anatomical structure with
emphasis on clinical application to practice nursing.

COMPETENCIES:
On completion of the course, the students will be able to

1. Describe anatomical terms

2. Explain the general and microscopic structure of each system of the body
3. Identify relative positions of the major body organs as well as their general
anatomic locations
4. Explore the effect of alterations in structure
5. Apply knowledge of anatomic structures to analyze clinical situations and
therapeutic applications

COURSE OUTLINE
UN TIME LEARNING CONTENT TEACHING ASSESSMENT
IT (HRS) OUTCOMES LEARNING METHODS
ACTIVITIES
I 6 Introduction to anatomical • Lecture • Quiz
Define the terms terms and organization of the cum • MCQ
relative to the human body Discussion • Short
anatomical • Introduction to anatomical Answer
position terms relative to position- • Use of questions
anterior, ventral, Posterior models
dorsal, superior, inferior,
median, lateral, proximal,
distal, superficial, deep,
prone, supine, palmar and
plantar
Describe the
anatomical planes • Anatomical planes
(axial/transverse/ horizontal, • Video
sagittal/vertical plane and demonstration
Define and
coronal/frontal/oblique
describe the terms
plane) • Use of
used to describe
movements • Movements (flexion, microscopic
extension, abduction, slides
adduction, medial rotation,
45
 lateral rotation, inversion,
eversion, supination,

Organization of pronation, plantar flexion, •

human body and dorsal flexion and Lecture cum
structure of cell, circumduction. • discussion
tissues Video slides
membranes and • Cell structure, Cell division •
glands • Tissue-definition, types, Anatomical
characteristics, classification, Torso
location
• Membrane, glands-
classification and structure
Describe the • Identify major surface and
types of cartilage bony landmarks in each body
region, Organization of
Compare and human body
contrast the
features of • Hyaline, fibro cartilage,
skeletal, smooth elastic cartilage
and cardiac
muscle
• Features of skeletal, smooth
and cardiac muscle

•Application and implication in

nursing
II 5 Describe the The Respiratory system • •
structure of • Structure of the organs of Lecture cum Short answer
respiratory respiration • discussion questions
system Models Objective type
• Muscles of respiration •
Identify the Video slides
muscles of
• Application and implication in
respiration and
nursing
examine t hei
contribution ther to
mechanism of
breathing
III 5 The Digestive system • •
Describe the • Structure of alimentary canal Lecture cum • Short answer
structure of and accessory organs of • discussion Objective type
digestive system digestion • Video slides
• Application and implications Anatomical
in nursing Torso

46
IV 5 Describe the The Circulatory and lymphatic • Lecture • Short answer
structure of system • Models • MCQ
circulatory and • Structure of blood Video /slides
lymphatic system. components, blood
vesselsArterial and Venous
system
• Position of heart relative to
the associated structures
• Chambers of heart, layers of
heart
• Heart valves,
coronary
arteries
• Nerve and blood supply to
heart
• Lymphatic tissue
• Veins used for IV injections
• Application and implication in
nursing
V 4 Identify the major The Endocrine system • Lecture • Short answer
endocrine glands Structure of Hypothalamus, questions
and describe the Pineal Gland, Pituitary gland, • Objective type
structure of Thyroid, Parathyroid, Thymus,
endocrine Glands Pancreas and Adrenal glands
VI 3 Describe the The Sensory organs • Lecture • Short answer
structure of • Structure of skin, eye, ear, • Explain • MCQ
various sensory nose and tongue with
organs • Application and implications Video/models/
in nursing charts
VII 8 Describe The Musculoskeletal system: Review – • Short answer
anatomical The skeletal system • discussion questions
position and • Anatomical positions Objective type
structure of bones • Bones- Types, structure, Lecture
•
and joints growth and ossification
• Axial and Discussions
Identify •
Appendicular skeleton
major bones Explain using
that make up the • Joints- classification, major charts, skeleton
axial and joints and structure and loose
appendicular bones
• Application and implications
skeleton and torso
in nursing
Classify the joints
Identify the The Muscular System
application and
implications in • Types and structure
of
47
 nursing Muscles
• Muscle groups-muscles of the
Describe the head, neck, thorax, abdomen,
structure of pelvis, upper limb and lower
muscle limbs
• Principal muscles- deltoid,
biceps, triceps, respiratory,
Apply the abdominal, pelvic floor,
knowledge in pelvic floor muscles, gluteal
performing muscles and vastus lateralis
nursing • Major muscles involved in
procedures/skills nursing procedures
VIII 4 Describe the The Renal System • Lecture • MCQ
structure of renal • Structure of kidney, ureters,
system bladder, urethra • Short answer
• Application and implication in
nursing
IX 4 Describe the The Reproductive System • Lecture • MCQ
structure of • Structure of male
reproductive reproductive organs Short answer
•
system • Structure of female
reproductive organs
• Structure of breast
X 6 The Nervous system • Lecture • MCQ
Describe the • Review Structure of neurons
structure of • CNS, ANS and PNS • Explain • Short answer
nervous system (Central, autonomic and with
including the peripheral) models
distribution of the • Structure of brain, spinal •
nerves, nerve cord, cranial nerves, spinal Video slides
plexuses nerves, peripheral nerves,
functional areas of cerebral
cortex

Describe the • Ventricular system,

ventricular formation, circulation, and
system drainage
Application and implication
in nursing

48
 APPLIED PHYSIOLOGY THEORY: 2.5 Credits (50 hours)

DESCRIPTION: The course is designed to assists student to acquire comprehensive

knowledge of the normal functions of the organ systems of the human body to
facilitate understanding of physiological basis of health, identify alteration in
functions and provide the student with the necessary physiological knowledge to
practice nursing.

COMPETENCIES

On completion of the course, the students will be able to

1. Develop understanding of the normal functioning of various organ systems of the

body
2. Identify the relative contribution of each organ system towards maintenance of
homeostasis
3. Describe the effect of alterations in functions
4. Apply knowledge of physiological basis to analyze clinical situations and therapeutic
applications
COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING LEARNING ASSESSMEN
(HRS) OUTCOME ACTIVITIES T METHODS
S

49
I 3 hrs Describe the General Physiology-Basic • Review – discussion • Quiz
physiology concepts • MCQ
of cell, • Cell physiology including • Lecture cum discussion • OSPE •
tissues, transportation across cell Short Answer
membranes and membrane • Video demonstrations questions
glands • Body fluid compartments,
Distribution of total body
fluid, intracellular and
extracellular compartments,
major electrolytes and
maintenance of homeostasis
• Cell cycle
• Tissue- formation, repair
• Membranes and glands-
functions
• Application and implication
in nursing

II 5hrs Describe the Respiratory system Lecture Essay

physiology • Functions of respiratory • • Short
and organs Video slides answer
mechanism of • Physiology of respiration • MCQ
respiration • Pulmonary circulation-
functional features •
• Pulmonary ventilation,
Identify the Exchange of gases •
muscles of • Carriage of oxygen and
respiration and
Carbon- dioxide, Exchange
examine their
of gases in tissue
contribution to
the mechanism • Regulation of respiration
of breathing • Hypoxia, cyanosis,
dyspnoea, periodic
breathing
• PFT
• Respiratory changes during
exercise
• Aging changes
• Application and implication
in nursing

50
III 6hrs Describe the Digestive system • Lecture cum discussion • Essay
functions of • Functions of the organs of • Short
digestive system digestive tract Video slides answer
•
• Saliva-composition, • MCQ
regulation of secretion and
functions of saliva
• Composition and function
of gastric juice, mechanism
and regulation of gastric
secretion
• Composition of pancreatic
juice, function, regulation
of pancreatic secretion
• Functions of liver, gall
bladder and pancreas
• Composition of bile and
function
• Secretion and Function of
small and large intestine
• Movements of alimentary
tract
• Digestion in mouth,
stomach, small intestine,
large intestine, Absorption
of food
• Metabolism of CHO, fat
and proteins
• Application and

implications in nursing

51
IV 5hrs Explain the Circulatory and lymphatic • Lecture
functions of the system • Discussion
heart, and • Functions of heart, • Video/slides •
physiology of conduction system, cardiac
circulation cycle, Stroke volume and •
cardiac output
• Blood pressure and Pulse Short
• Circulation- principles, answer
factors influencing blood MCQ
pressure, pulse
• Coronary circulation,
Pulmonary and systemic
circulation
• Heart rate-regulation of
heart rate,
Normal value and
variations
• Cardiovascular
homeostasis in exercise
and posture
• Aging changes
• Application and
implication in nursing
V 4hrs Describe the Blood • Lecture • Essay Short
composition and • Blood-Functions, Physical • Discussion • answer
functions of characteristics, Videos MCQ
blood •
Components •
• Formation of blood cells
• Erythropoiesis, Functions
of RBC, RBC life cycle
• WBC- types, functions
• Platelets-Function and
production of platelets
• Clotting mechanism of
blood, clotting time,
bleeding time, PTT
• Hemostasis –role of
vasoconstriction, platelet
plug formation in
hemostasis, coagulation
factors, intrinsic and
extrinsic pathways of
coagulation
• Blood groups and types
• Functions of
reticuloendothelial system,
Immunity
• Application in nursing
52
VI 4hrs Identify the major The endocrine system • Lecture • Short
endocrine glands • Functions and hormones of • Explain using answer
and describe their Pineal Gland, Pituitary charts • MCQ
functions gland, Thyroid, Parathyroid,
Thymus, Pancreas and
Adrenal glands.
• Other hormones
• Alterations in disease
• Application and implication
in nursing

VII 4hrs Describe the The sensory Organs • Lecture • Short

structure of • Functions of skin • Video answer
various sensory • Vision, hearing, taste and • MCQ
organs smell
• Errors of refraction, aging
changes
• Application and
implications in nursing
VIII 4hrs Describe the Musculo-skeletal system •
functions of • Bones- Functions, • Lecture
bones, joints, movements of bone s of • Structured
various types of axial and appendicular • Discussion essay Short
muscles, its skeleton, Bone healing • answer
special properties • Joints and joint movements MCQ
and nerves • Alteration of joint disease • Video presentation
supplying them • Properties and Functions of
skeletal muscles –
mechanism of muscle
contraction
• Structure and properties of
cardiac muscles and smooth
muscles
• Application and implication
in nursing
IX 4hrs Describe the Renal system • Lecture • Short answer
physiology of • Functions of kidney in • Charts and models MCQ
renal system maintaining homeostasis •
• GFR
• Functions of ureters,
bladder and urethra
• Micturition
• Regulation of renal function
• Application and implication
in nursing

53
X 4hrs Describe the The Reproductive System • Lecture • Short
structure of • Female reproductive • Explain using charts, answer
reproductive system- Menstrual cycle, models, specimens • MCQ
system function and hormones of
ovary, oogenesis,
fertilization, implantation,
Functions of breast
• Male reproductive system-
Spermatogenesis,
hormones and its functions,
semen
• Application and
implication in providing
nursing care
XI 7hrs Describe the Nervous system • Brief
functions of • Overview of nervous Lecture cum • structured
brain, system Discussion essays Short
physiology of • Review of types, structure • answer
nerve stimulus, and functions of neurons Video slides • MCQ
reflexes, cranial • Nerve impulse Critical
and spinal • Review functions of • reflection
nerves BrainMedulla, Pons, •
Cerebrum,
Cerebellum
• Sensory and Motor
Nervous system
• Peripheral Nervous system
• Autonomic Nervous
system
• Limbic system and higher
mental
FunctionsHippocampus,
Thalamus,
Hypothalamus
• Vestibular apparatus
• Functions of cranial nerves
• Autonomic functions
• Physiology of
Painsomatic, visceral and
referred
• Reflexes
• CSF formation,
composition, circulation of
CSF, blood brain barrier
and blood CSF barrier
• Application and
implication in nursing

54
 APPLIED SOCIOLOGY AND PSYCHOLOGY

PLACEMENT: I SEMESTER

THEORY: 5 Credits (100 Hours)

Sociology-2 credits (40hrs) & Psychology -3 credits (60hrs)

DESCRIPTION: This course is designed to enable the students to develop

understanding about basic concepts of sociology and psychology and its application in
personal and community life, health, illness and nursing. It further provides students
opportunity to recognize the significance and application of soft skills and
selfempowerment in the practice of nursing.

COMPETENCIES

On completion of the course, the students will be able to

1. Identify the scope and significance of sociology in nursing
2. Apply the knowledge of social structure and different culture in a society in
identifying social needs of sick clients
3. Identify the impact of culture on health and illness
4. Develop understanding about types of family, marriage and its legislation
5. Identify different types of caste, class, social change and its influence on health and
health practices
6. Develop understanding about social organization and disorganization and social
problems in India
7. Integrate the knowledge of clinical sociology and its uses in crisis intervention
8. Identify the importance of psychology in individual and professional life
9. Develop understanding of the biological and psychological basis of human behaviour
10. Identify the role of nurse in promoting mental health and dealing with altered
personality
11. Perform the role of nurses applicable to the psychology of different age groups
12. Identify the cognitive and affective needs of clients
13. Integrate the principles of motivation and emotion in performing the role of nurse in
caring for emotionally sick client.
14. Demonstrate basic understanding of psychological assessment and nurse’s role 15.
Apply the knowledge of soft skills in workplace and society
16. Apply the knowledge of self-empowerment in workplace, society and personal life

55
 COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING ASSESSMENT
(HRS) OUTCOMES LEARNING METHODS
ACTIVITIES
I 1hr Describe the scope Introduction • Lecture • Essay
and significance • Definition, nature and • Discussion • Short answers
of sociology in scope of sociology
nursing • Significance of sociology in
nursing
Describe the Social structure • Lecture cum • Essay type
II 10hrs individualization, • Basic concept of society, Discussion • Short answers
Groups, processes community, association and • objective type
of institution
Socialization, social • Individal and society
change and its • Personal disorganization
importance
• Social group- meaning,
characteristics, and
classification.
• Social processes- definition
and forms, Co-operation,
competition, conflict,
accommodation,
assimilation, isolation
• Socialization-
characteristics, process,
agencies of socialization
• Social change- nature,
process, and role of nurse
• Structure and characteristics
of urban, rural and tribal
community.
• Major health problems in
urban, rural and tribal
communities
• Importance of social
structure in nursing
profession
III 5hrs Describe culture Culture • Lecture • Essay
and its impact on • Nature, characteristic and • Short answer
health and disease evolution of culture • Panel discussion
• Diversity and uniformity of
culture
• Difference between culture
and civilization
• Culture and socialization
• Transcultural society
• Culture, Modernization and
56
 its impact on health and
disease

IV 5hrs Explain family, Family and Marriage Lecture • Essay,

marriage and • Family- characteristics, • • Short answer
legislation related basic need, types and Family case Case study
to marriage •
functions of family study report
•
• Marriage- forms of
marriage, social custom
relating to marriage and
importance of marriage
• Legislation on Indian
marriage and family.
• Influence of marriage and
family on health and
health practices
V 5hrs Explain different Social stratification- Lecture Essay type
types of caste and • Introduction- • • Short answer
classes in society Characteristics & forms of Panel discussion • Objective type
and its influence on stratification •
Community •
health • Function of stratification Report of
• Indian caste system- origin Survey community
• •
and characteristics survey
• Positive and negative
impact of caste in society.
• Class system and status
• Social mobility-meaning
and types
• Race- concept, criteria of
racial classification
• Influence of class, caste
and race system on health.

57
VI 12hrs Explain social social organization and Lecture Essay type
organization, disorganization- • • Short answer,
disorganization, • Social organization- group • • Objective
social problems and meaning, elements and • Discussion type question
role of nurse in types
• • Visit report
reducing social • Voluntary associations Observational
problems • Social system- definition, visit
types, role and status as •
structural element of social
system.
• Interrelationship of
institutions
• Social control- meaning,
aims and process of social
control
• Social norms, moral and
values
• Social disorganization-
definition, causes, Control
and planning

• Major social
problemspoverty, housing,
food supplies, illiteracy,
prostitution, dowry, Child
labour, child abuse,
delinquency, crime,
substance abuse,
HIV/AIDS
• Vulnerable group- elderly,
handicapped, minority and
other marginal group.
• Fundamental rights of
individual, women and
children
• Role of nurse in reducing
social problem and
enhance coping
• Social welfare
programmes in India
VII 2hrs Explain clinical Clinical sociology • Lecture, • Essay
sociology and its • Introduction to clinical • Group discussion • Short answer
application in the sociology
hospital and • Sociological strategies for • Role play
community developing services for the
abused
• Use of clinical sociology

58
 in crisis intervention

APPLIED PSYCHOLOGY

VIII 2hrs Describe Introduction • Lecture cum • Essay

scope, • Meaning of Psychology Discussio • Short
branches and • Development of psychology - Scope, n answer
significance of branches and methods of psychology
psychology in • Relationship with other subjects
nursing. • Significance of psychology in nursing
• Applied psychology to solve everyday
issues
IX 3hrs Describe biology of Biological basis of behaviour- • Lecture • Essay and
human behaviour Introduction • Discussio short
• Body mind relationship n answer
• Genetics and behaviour • Inheritance of type
behaviour
• Brain and behaviour.
• Psychology and sensation- sensory
process -normal and abnormal

X 5hrs Explain mentally Mental health and mental hygiene • Essay type
healthy person and • Concept of mental health and mental • Lecture • Short
defence hygiene answer
mechanisms • Characteristic of mentally healthy • Case • Objective
person discussio type
• Warning signs of poor mental health n
• Promotive and preventive mental health
strategies and services • Role play
• Defense mechanism and its implication
• Frustration and conflict- types of
conflicts and measurements to
overcome
• Role of nurse in reducing frustration
and conflict and enhancing coping.
XI 5hrs Describe Developmental psychology • Essay
psychology of • Psychological needs of various groups • Lecture • Short
people in different in health and sickness- Infancy, answer
age groups and childhood, adolescence, adulthood and • Group
role of nurse old age • discussio
• Introduction to child psychology and n
role of nurse in meeting the
psychological needs of children
• Psychology of vulnerable individuals-
challanged, women, sick etc.
59
 • Role of nurse with vulnerable group
XII 4hrs Explain personality Personality Lecture Essay and
and role of nurse in • Meaning, definition of personality Discussion short answer
identification and • Classification of personality Demonstratio type
improvement in • Measurement and evaluation of n Objective
altered personality personality-Introduction type
• Alteration in personality
• Role of nurse in Identification of
individual personality and improvement
in altered personality.
XIII 14hrs Explain cognitive Cognitive process • Lecture • Essay and
process and their • Attention- definition, types, • Discussio short
applications determinants, duration, degree and n answer
alteration in attention type
• Perception - Meaning of Perception, • Objective
principles, factor affecting perception, type
• Intelligence - Meaning of
intelligence - Effect of heredity and
environment in
intelligence, classification,
Introduction to measurement of
intelligence tests - Mental deficiencies
• Learning -Definition of learning, types
of learning, Factors influencing
learning - Learning process, Habit
formation

• Memory-meaning and nature of

memory, factors influencing memory,
methods to improve memory, forgetting
• Thinking- types, level, reasoning and
problem solving.
• Aptitude- concept, types, individual
differences and variability
• Psychometric assessment of cognitive
processes-Introduction
• Alteration in cognitive processes

60
XIV 6hrs Describe motivation, Motivation and emotional processes • Lecture • • Essay and
emotion, attitude and • Motivation- meaning, concept, types, Group short answer
role of nurse in theories of motivation, motivation Discussio type
emotionally sick cycle, biological and special motives n • Objective
client. • Emotions - Meaning of emotions, type
development of emotions, alteration of
emotion, emotions in sickness -
handling emotions in self and other
• Stress and adaptation- stress, stressor,
cycle, effect, adaptation and coping
• Attitudes - Meaning of attitudes,
nature, factor affecting attitude,
attitudinal change, Role of attitude in
health and sickness
• Psychometric assessment of emotions
and attitude-Introduction
• Role of nurse in caring for emotionally
sick client
XV 4hrs Explain Psychological assessment and tests • Lecture • Short answer
psychological introduction • Discussion type
assessment and tests • Types, development, characteristics, • Demonstrati • Assessment
and role of nurse principles, uses, interpretation on of practice
• Role of nurse in Psychological
assessment
XVI 12hrs Explain concept of Application of soft skill • Essay and
soft skill and its • Concept of soft skill • Lecture short
application in work • Types of soft skill – visual, aural and • Group answers
place and society communication skill Discussio n
• The way of communication • Role
• Building relationship with client and play
society
• Interpersonal Relationships (IPR):
Definition, Types, and Purposes,
Interpersonal skills, Barriers,
Strategies to overcome barriers
• Survival strategies- managing time,
coping stress, resilience, work- life
balance
• Applying soft skill to workplace and
society
• Use of soft skill in nursing
XVII 5hrs Explain self- Self-empowerment • Lecture • Short
empowerment • Dimensions of self-empowerment • Discussio answers
• Self-empowerment development n • Objective
• Importance of women’s empowerment type
in society
• Professional etiquette and personal
61
 grooming
• Role of nurse in empowering others

62
 NURSING FOUNDATIONS I
st
PLACEMENT: 1 SEMESTER THEORY: 6 Credits (120 Hours)
(Skill Lab): 2 Credits (80 hours)

DESCRIPTION: This course is designed to help novice nursing students

develop knowledge and competencies required to provide evidence-based,
comprehensive basic nursing care for adult patients, using nursing process
approach.

COMPETENCIES On completion of the course, the

students will be able to

1.
Develop understanding about the concept of health, illness and scope of nursing
within health care services
2.
Apply values, code of ethics and professional conduct in professional life
3.
Apply the principles and methods of effective communication in establishing
communication links with patients, families and other health team members
4.
Develop skill in recording and reporting
5.
Demonstrate competency in monitoring and documenting vital signs
6.
Develop understanding about fundamentals of health assessment and perform
health assessment in supervised clinical settings
7.
Describe the principles and techniques of infection control and biomedical waste
management
8.
Identify and meet the comfort needs of the patients
9.
Perform admission, transfer, and discharge of a patient under supervision
applying the knowledge
10.
Demonstrate understanding and application of knowledge in caring for patients
with restricted mobility
11.
Identify the educational needs of patients and demonstrate basic skills of patient
education.
COURSE OUTLINE
TIME LEARNING TEACHING ASSESSMENT
UNIT (HRS) OUTCOMES CONTENT LEARNING METHODS
T & ACTIVITIES
L/SL
I 5T Describe the Introduction to health and illness • Lecture • Essay
concept of health • Concept of Health: Definitions • Discussion • Short answers
and illness (WHO), Dimensions • Objective type
• Maslow’s hierarchy of needs
• Health - Illness continuum • Factors
influencing health
• Causes and risk factors for
developing illnesses
• Illness: Types, Illness behavior
• Impact of illness on patient and
family
II 5T Describe the Health Care delivery Systems: • Lecture • Essay •
63
 2L levels of Illness Introduction of basic concepts & • Discussion Short
prevention and meanings • Experiential Answers
care, health care • Levels of Illness Prevention- learning – Visit • Objective

services primary (health promotion), secondary to Primary type

and tertiary Health Centre
• Levels of care-Primary, Secondary and (observation of • Visit report
Tertiary real settings)
• Types of health care agencies/ Services-
Hospitals, clinics, Hospice,
rehabilitation centres, extended care
facilities
• Hospitals: Types, Organization and
Functions
• Health care teams in hospitals-members
and their
Role
III 12 T History of Nursing and Nursing as a
Trace the history of profession • Lecture
Nursing • Discussion • Essay
• History of Nursing, History of Nursing • Case discussion • Short
Explain the in India answers
• Role plays
concept, nature and • Contributions of Florence Nightingale • Objective
scope of nursing • Nursing: type
Definition- Nurse, Nursing,
Describe values, Concepts, philosophy, objectives,
code of ethics and Characteristics, nature and Scope of
professional Nursing/ Nursing practice, Functions
conduct for nurses of nurse, Qualities of a nurse,
in India Categories of nursing personnel
• Nursing as a profession-
Definition and Characteristics/ criteria
o f profession
• Values: Introduction-meaning and
importance
• Code of ethics and professional conduct
for nurses-Introduction

64
IV 8T Communication and Nurse • Lecture • Essay
3L Describe the patient relationship • Discussion • • Short
process, • Communication: Levels, Elements and Role play and Answers
principles, and Process, Types, Modes, video film on • Objective
types of Factors influencing Therapeutic type
communication communication Communication
• Methods of effective communication/
Therapeutic Communication
Techniques
Explain
• Barriers to effective communication /
therapeutic, non
Nontherapeutic Communication
therapeutic and
techniques
professional
communication • Professional communication
• Helping Relationships (Nurse Patient
Relationship): Purposes and Phases
Communicate
• Communicating effectively with
effectively with patient, families and team members
patients, their • Maintaining effective human relations
families and team

members and communication with vulnerable

groups (children, women, physically
and mentally challenged and elderly)
V 4T Documentation and Reporting • Lecture • Essay
2L Describe the • Documentation: Purposes of Reports • Discussion • Short
purposes, types and Records • Demonstration Answers
and techniques of • Confidentiality • Objective
recording and • Types of Client records/ Common type
reporting Record-keeping forms
• Methods/ Systems of documentation/
Maintain records Recording
and reports • Guidelines for documentation
accurately • Do’s and Don’ts of documentation/
Legal guidelines for Documentation/
Recording
• Reporting: Change-of shift reports,
Transfer reports, Incident reports

65
VI 15 T Vital signs
20 L Describe • Guidelines for taking vital signs  • Lecture • Essay
principles and Body temperature: • Discussion • Short
techniques of o Definition, Physiology, Regulation, answers
• Demonstration
monitoring and
Factors affecting body temperature and • Objective
maintaining vital
signs o Assessment of body temperature: Redemonstration type
sites, equipment and technique • Document
the given
o Temperature alterations: values of
Hyperthermia, Heat Cramps, Heat temperatur
Exhaustion, Heatstroke, e, pulse,
Hypothermia o Fever/ Pyrexia- and
Definition, Causes, Stages, Types, respiration
• Nursing Management o Hot in the
and Cold applications  graphic
sheet
Assess and Pulse:
record vital signs o Definition, Physiology and
accurately Regulation, Characteristics, Factors
affecting pulse
o Assessment of pulse: sites,
equipment and technique
o Alterations in pulse 
Respiration:
o Definition, Physiology and
Regulation, Mechanics of breathing,
Characteristics, Factors affecting
respiration
o Assessment of respirations:
technique
o Arterial Oxygen saturation o
Alterations in respiration
 Blood pressure:
o Definition, Physiology and
Regulation, Characteristics, Factors

affecting BP
o Assessment of BP: sites,
equipment and technique, Common
Errors in BP Assessment o
Alterations in Blood
Pressure
• Documenting Vital Signs

66
VII 25 T Describe the Health assessment • Essay •
10 L purpose and • Interview techniques • Modular Short
process of health learning Health Answers
• Observation techniques
assessment assessment module • Objective
• Purposes of health assessment
• Lecture cum type
• Process of Health assessment o Health
Discussion
history o Physical examination:
• Demonstration
 Methods- Inspection,
Palpation, Percussion,
Auscultation, Olfaction
 Preparation for examination:
patient and unit
 General assessment
 Assessment of each body
system
 Documenting health
assessment findings
VIII 3 T Maintain Equipment and Linen
equipment and • Types: Disposables and reusable o
linen Linen, rubber goods, glassware,
metal, plastics, furniture
• Introduction: Indent, maintenance,
Inventory
IX 10 T Describe the basic Introduction to Infection control • Lecture
4L principles and in Clinical setting Infection • Discussion • Essay
techniques of • Nature of infection, • Demonstration • Short
infection control • Chain of infection • Observation of answers
and biomedical • Types of infection autoclaving and • Objective
waste • Stages of infection
management other sterilization type
• Factors increasing susceptibility to techniques
infection
• Body defenses against infection: • Visit to
Inflammatory response & Immune Infection
response Control
• Health care associated infection Department
(Nosocomial infection)
Introductory concept of Asepsis:
Medical & Surgical asepsis
Precautions
• Hand Hygiene
• ( Hand washing and use of hand
Rub)
• Use of Personal Protective
Equipment (PPE)
• Standard precautions
Biomedical Waste management- Types

67
 of hospital waste, waste segregation and
hazards

X 12 T Identify and meet Comfort, Rest & Sleep and Pain • Lecture • Essay
20 L the comfort needs • Comfort – o Factors • Discussion • Short
of the patients Influencing • Demonstration answers
Comfort o Types of and re • Objective
beds & bed making demonstration type
o Therapeutic positions o Comfort
devices
• Sleep and Rest - o
Physiology of sleep o
Factors affecting sleep o
Promoting Rest and sleep
o Sleep Disorders
• Pain (Discomfort) o
Physiology o Common
cause of pain o Types o
Assessment
o Pharmacological and Non-
pharmacological pain relieving
measures
o Invasive techniques of pain
management
o CAM (Complementary &
Alternative healing Modalities)

XI 3 T 5 Describe the Promoting Safety in Health Care • Lecture • Essay

L concept of patient Environment • Discussion • Short
environment • Physical environment: Temperature, • Demonstration answers
Humidity, Noise, Ventilation, Light, • Objective
Odor, Pest control
type

• Reduction of Physical hazards: fire,

accidents
• Fall Risk Assessment
• Role of nurse in providing safe and
clean environment
• Safety devices:
o Restraints- Types, Purposes,
Indications, Legal Implications and
Consent, Application of Restraints-
Skill and Practice guidelines
Other Safety Devices: Side rails, Grab
bars, Ambu alarms, non-skid slippers etc.

68
XII 6 T Explain and Hospital Admission and • Lecture
2L perform discharge • Discussion • Essay
admission, • Admission to the hospital Unit • Demonstration • Short
transfer, and and preparation of unit • answers
discharge of o Admission bed o Admission • Objective
a procedure o Medico-legal type
patient issues o Roles and
Responsibilities of the nurse
• Discharge from the hospital o
Types: Planned discharge,
LAMA and Abscond,
Referrals and transfers o
Discharge Planning o Discharge
procedure o Medico-legal issues
o Roles and Responsibilities of
the nurse o Care of the unit after
discharge
XIII 8 T Demonstrate skill Mobility and Immobility • Lecture • Essay
10 L in caring for • Elements of Normal Movement, • Discussion • Short
patients with Alignment & Posture, Joint Mobility, • Demonstration answers
restricted mobility Balance, Coordinated Movement & Re- • Objective
• Principles of body mechanics demonstration type
• Factors affecting Body Alignment and
activity
• Exercise- Types and benefits
• Effects of Immobility
• Maintenance of normal Body Alignment
and Activity
• Alteration in Body Alignment and
mobility
• Nursing interventions for impaired Body
Alignment and Mobility: assessment,
types, devices used, method o Range of
motion exercises o Muscle
strengthening exercises o Maintaining
body alignment:
positions
o Moving o Lifting o
Transferring
o Walking
• Assisting clients with ambulation
• Care of patients with Immobility using
Nursing process approach
• Care of patients with casts and splints
Patient education • Essay
Describe the principles • Patient Teaching: Importance, • Short
XIV 4 T and practice of patient Purposes, Process answers
2L education • Integrating nursing process in patient • Discussion • Objective
69
 teaching Role plays type

APPLIED BIOCHEMISTRY

PLACEMENT: II SEMESTER THEORY: 1credit (20 hours)

DESCRIPTION: The course is designed to assist the students to acquire knowledge of the
normal biochemical composition and functioning of human body, its alterations in disease
conditions and to apply this knowledge in the practice of nursing.

COMPETENCIES

On completion of the course, the students will be able to

1. Describe the metabolism of carbohydrates and its alterations
2. Explain the metabolism of lipids and its alterations
3. Explain the metabolism of proteins and amino acids and its alterations
4. Explain clinical enzymology in various disease conditions
5. Explain acid base balance, imbalance and its clinical significance
6. Describe the metabolism of hemoglobin and its clinical significance
7. Explain different function tests and interpret the findings
8. Illustrate the immunochemistry

COURSE OUTLINE
UNIT TIM LEARNING CONTENT TEACHING/ ASSESSMENT
E OUTCOMES LEARNING METHODS
ACTIVITIES
I. 5 Describe the Carbohydrates • Lecture cum • Essay
hours metabolism of • Digestion, absorption and discussion using
carbohydrates metabolism of carbohydrates and charts and • Short answers
and its related disorders slides
alterations • Regulation of blood glucose • Very short
• Diabetes Mellitus - type 1 & type • Demonstration answers
2, symptoms, complications of laboratory
& management in brief tests
• Investigations of Diabetes
Mellitus o OGTT: Indications,
Procedure, Interpretation and
types of GTT curve
o Mini GTT, extended GTT,
GCT, IV GTT o HbA1c
(Only definition)
• Hypoglycemia-definition &
causes

70
 II. 4 Explain the Lipids • Lecture, • Essay
hours metabolism of • Fatty acids: Definition, • Discussion
lipids and its classification • Short

alterations • Definition & Clinical significance • Explain using answers

of MUFA & PUFA, Essential Charts/ Slides •
fatty acids, Trans fatty acids Very short
• Digestion, absorption & • Demonstration answers
metabolism of lipids & related of laboratory
disorders tests
• Compounds formed from
cholesterol
• Ketone bodies (name, types &
significance only)
• Lipoproteins – types & functions
(metabolism not required)
• Lipid profile
• Atherosclerosis (in brief)

III. 5hour Explain the Proteins • Lecture cum • Essay

s metabolism of • Classification of amino acids Discussion
amino acids based on nutrition, Short answers
•
and proteins metabolic rate with examples • Explain using Very short
• Digestion, absorption & charts, models answers
•
Identify metabolism of protein & related Slides
alterations in disorders
disease • Biologically important
conditions compounds synthesized from
various amino acids (only names)
• In born errors of amino acid
metabolism – only aromatic
amino acids (in brief)
• Plasma protein – types, function
& normal values
• Causes of proteinuria,
hypoproteinemia, hyper-gamma
globinemia
• Principle of electrophoresis,
normal & abnormal
electrophoretic patterns (in brief)

71
IV 1 hour Explain Clinical Enzymology • Lecture cum • Essay
clinical • Isoenzymes – Definition & Discussion
enzymology in properties Short answers
•
various disease • Enzymes of diagnostic • Explain using
conditions importance in Charts & slides Very short
o Liver Diseases-ALT, AST, ALP, • answers
GGT
o Myocardial infarction-CK,
cardiac troponins, AST, LDH
o Muscle diseases-CK, Aldolase o
Bone diseases-ALP o Prostate
cancer-PSA, ACP
V 2 Explain acid Acid base maintenance • Lecture cum • Short
hours base balance, • pH - definition, normal value Discussion answers
imbalance and • Regulation of blood pH – blood
its clinical buffer, respiratory & renal • Explain using • Very short
significance • ABG – normal values Charts/ slides answers
• Acid base disorders –types,
definition & causes
VI 1 Describe the Heme catabolism • Lecture cum • Short
hours metabolism of • Heme degradation pathway Discussion answers
hemoglobin • Jaundice – type, causes, urine &
and its clinical blood investigations (van den • Charts/ slides • Very short
significance berg test) answers
VII 1hour Explain Organ function tests (biochemical • Lecture cum • Short
different parameters & normal values only) Discussion answers
function tests • Renal • Visit to Lab
and interpret • Liver • Explain using • Very short
the findings • Thyroid Charts/slides answers
VIII 1 Illustrate the Immunochemistry • Lecture cum • Short
hour immunochemis • Structure & functions of Discussion answers
try immunoglobulin • Explain using
• Investigations & Charts/ slides • Very short
interpretationELISA • Demonstration of answers
Lab tests

72
 APPLIED NUTRITION AND DIETETICS

PLACEMENT : II SEMESTER
THEORY & LAB : 2 credits (40 hours) Theory: 34 hours
Lab : 6 hours

DESCRIPTION: The course is designed to assist the students to acquire basic

knowledge and understanding of the principles of Nutrition and Dietetics and apply this
knowledge in the practice of Nursing.

COMPETENCIES
On completion of the course, the students will be able to
1. Identify the importance of nutrition in health and wellness.
2. Apply nutrient and dietary modifications in caring patients.
3. Explain the principles and practices of Nutrition and Dietetics.
4. Identify nutritional needs of different age groups and plan a balanced diet for them.
5. Identify the dietary principles for different diseases.
6. Plan therapeutic diet for patients suffering from various disease conditions.
7. Prepare meals using different methods and cookery rules.

COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING/ ASSESSMENT
in OUTCOMES LEARNING METHODS
hours ACTIVITIES

73
I T-2 Define nutrition Introduction to Nutrition • Lecture cum • Essay
and its Concepts: Definition of Nutrition & Health • Discussion • Short answers
relationship to • Malnutrition- Under Nutrition & Over • Very short
Health Nutrition answers
• Role of Nutrition in maintaining health • Charts/
• Factors affecting food and nutrition Slides
Nutrients
Classification
• Macro & Micronutrients
• Organic & Inorganic
• Energy Yielding & Non-Energy
Yielding
Food
• Classification-Food groups
• Origin
II T-2 Describe the Carbohydrates • Lecture cum • Essay
classification, • Composition -starches, sugar Discussion • Short answers
functions, and cellulose • Very short
sources and • Recommended Daily Allowance (RDA) • Charts/ answers
recommended • Dietary sources Slides
daily • Functions • Models
allowances

(RDA) of Energy • Display of food

carbohydrates • Unit of energy-Kcal items
• Basal Metabolic Rate (BMR)
• Factors affecting BMR
Explain BMR
and factors
affecting BMR

III T-3 Describe the Proteins • Lecture cum • Essay

classification, • Composition Discussion • Short
Functions, • Eight essential amino acids answers Very
sources and RDA • Functions • Charts/ Slides • short answers
of • Dietary sources • Models
proteins. • Display of
• Protein requirements-RDA
food items
IV T-2 Describe the Fats • Lecture cum • Essay
classification, • Classification-saturated & unsaturated Discussion
Functions, • Calorie value Short Answers
•
sources and RDA • Functions • Charts/ Very Short
of fats slides •
• Dietary sources of fats and fatty acids answers
• Fat requirements-RDA • Models
• Display of
food items

74
V T-3 Describe the Vitamins • Lecture cum • Essay
classification, • Classification-fat soluble Discussion
functions, & water • Short Answers
sources and soluble • Charts/
RDA of vitamins • Fat soluble-Vitamins A, D, E, and K slides Very Short
• Answers
• Water soluble-Thiamine (vitamin B1), • Models
Riboflavin (vitamin B2), Nicotinic acid,
Pyridoxine ( vitamin B6), Pantothenic • Display of
acid, Folic acid, Vitamin B12, Ascorbic food items
acid (vitamin C)
• Functions, Dietary Sources
&
Requirements-RDA of every vitamin

VI T-3 Describe the Minerals • Lecture cum • Short Answers

classification, Discussion
• Classification- Major minerals (Calcium,
functions , • Very Short
phosphorus, sodium, potassium, and
sources and • Charts/ Answers
magnesium) and
RDA of minerals Trace elements slides
• Functions • Models
• Dietary Sources • Display of
• Requirements- RDA food items

VII T-4 Describe and Balanced diet Lecture cum Short Answers
L-3 plan balanced • Definition, principles, steps Discussion
diet for • Food guides – Basic Four Food Groups Very Short
different age • RDA – Definition, limitations, uses Meal planning Answers
groups, • Food Exchange System
pregnancy, and • Calculation of nutritive value of foods Lab session on
lactation • Dietary fibre Preparation of
Nutrition across life cycle balanced diet
• Meal planning/Menu planning for different
– categories and
Definition, principles, steps low cost
• Infant and Young Child Feeding (IYCF) nutritious dishes
guidelines- breast feeding, infant foods
• Diet plan for different age groups-
Children, adolescents and elderly
• Diet in pregnancy- nutritional
requirements and balanced diet plan
• Anemia in pregnancy-diagnosis, diet for
anemic pregnant women, iron & folic
acid supplementation and counseling
• Nutrition in lactation-nutritional
requirements, diet for lactating mothers,
complementary feeding/weaning
75
VIII T-4 Classify and Nutritional deficiency disorders • Lecture cum • Essay
describe the • Protein energy malnutrition- magnitude discussion • Short Answer
common of the problem, causes, classification, • Very Short
nutritional signs & symptoms, Severe acute • Charts/slide Answer
deficiency malnutrition (SAM), management & s/models
disorders and prevention, nurses’ role
identify nurses’ • Childhood obesity-Signs & symptoms,
role in assessment, management & prevention
assessment, and nurses’ role
management • Vitamin deficiency disorders- vitamin
and prevention A, B, C & D deficiency disorders:
causes, signs & symptoms, management
& prevention and nurses’ role
• Mineral deficiency diseases-iron, iodine
and calcium deficiencies: causes, signs
& symptoms, management & prevention
and nurses’ role
IX T-4 Principles of Therapeutic diets • Lecture cum • Essay
L-3 diets in various • Definition, Objectives, Principles • Discussion • Short Answer
diseases Modifications – Consistency, Nutrients, • Meal • Very Short
• Feeding techniques. planning Answer
• Diet in Diseases – Obesity, Diabetes • Lab session
Mellitus, CVD, Underweight, Renal on
diseases, Hepatic disorders preparation
Constipation, Diarrhea, Pre and Post of
operative period therapeutic
diets
X T-3 Describe the Cookery rules and preservation • Lecture cum • Essay
rules and of nutrients Discussion • Short Answer
preservation of • Cooking – Methods, Advantages and Very Short
•
nutrients Disadvantages
• Preservation of nutrients • Charts/ slides
• Measures to prevent loss of nutrients
during preparation
• Safe food handling and Storage of foods
• Food preservation
• Food additives and food adulteration
• Prevention of Food Adulteration Act
(PFA)
• Food standards
XI T-2 Explain the Nutrition assessment and • Lecture cum • Essay
methods nutrition education discussion • Short Answer
nutritional • Objectives of nutritional assessment • Demonstrati Evaluation of
•
assessment and • Methods of assessment-clinical on Writing Nutritional
nutrition examination, anthropometry, laboratory • nutritional assessment
education & biochemical assessment, assessment of assessment report
dietary intake including Food frequency report
76
 questionnaire (FFQ) method
• Nutrition education-purposes, principles
and methods
XII T-2 Describe National Nutritional Programmes and role • Lecture cum • Essay
nutritional of nurse Discussion • Short Answer
problems in • Nutritional problems in India Very Short
•
India and • National nutritional policy Answer
nutritional • National nutritional A
programs programmes:Vitamin Supplementation,
Anemia Mukt Bharat
Programme, Integrated Child Development
Services (ICDS), Mid-day Meal Scheme
(MDMS), National Iodine Deficiency
Disorders Control Programme (NIDDCP),
Weekly
Iron Folic Acid Supplementation (WIFS) and
others
as introduced
• Role of nurse in every programme
Food born diseases and food safety are dealt in Introduction to Community Health Nursing

77
 NURSING FOUNDATIONS - II

NURSING FOUNDATIONS II (SEMESTER II)

THEORY: 6 Credits (120 Hours)

(Lab-L/Skill Lab-SL): 3 Credits (120hours)

1. Identify and meet the hygienic needs of patients

2. Demonstrate fundamental skills of assessment, planning, implementation and
evaluation of nursing care using Nursing process approach in supervised clinical
settings
3. Assess the Nutritional needs of patients and provide relevant care under supervision
4. Identify and meet the elimination needs of patient
5. Interpret findings of specimen testing applying the knowledge of normal values
6. Promote oxygenation based on identified oxygenation needs of patients under
supervision
7. Review the concept of fluid, electrolyte balance integrating the knowledge of applied
physiology
8. Apply the knowledge of the principles, routes, effects of administration of medications
in administering medication
9. Calculate conversions of drugs and dosages within and between systems of
measurements
10. Demonstrate knowledge and understanding in caring for patients with altered
functioning of sense organs and unconsciousness
11. Explain loss, death and grief
12. Describe sexual development and sexuality
13. Identify stressors and stress adaptation modes
14. Integrate the knowledge of culture and cultural differences in meeting the spiritual
needs
15. Explain the introductory concepts relevant to models of health and illness in patient
care
16. Perform first aid measures during emergencies *Module used in teaching/learning:
II Semester: First Aid-40 Hours (including Basic CPR)

78
 COURSE OUTLINE
TIME LEARNING TEACHING ASSE
UNIT (HRS) OUTCOMES CONTENT LEARNING ME
T & ACTIVITIES
L/SL

5T Identify and meet Hygiene • Lecture • Essa

15 L the hygienic needs • Factors Influencing Hygienic Practice • Discussion • Shor
of patients • Hygienic care: Indications and purposes, • Demonstration Obje
effects of neglected care o Care of the type
Skin- (Bath, feet and nail, Hair Care)
o Care of pressure points o
Assessment of Pressure
Ulcers using Braden Scale
and Norton Scale
o Pressure ulcers- causes,
stages and manifestations,
care and prevention
o Perineal care/Meatal care
o Oral care, Care of Eyes,
Ears and Nose including
assistive devices (eye glasses,
contact lens,
I dentures, hearing aid)

Describe The Nursing Process • Lecture • Essa

II 14 T assessment, • Critical Thinking Competencies, • Discussion • Shor
7L planning, Attitudes for Critical Thinking, • Demonstration answ
implementation and Levels of critical thinking in Supervised • Obje
evaluation of Nursing Clinical type
nursing care using • Nursing Process Overview o practice Eval
Nursing Assessment care
process  Collection of Data: Types, Sources,
approach Methods
 Organizing Data
 Validating Data  Documenting
Data o Nursing Diagnosis
 Identification of client problems,
risks and strengths
 Nursing diagnosis statement- parts,
Types, Formulating, Guidelines for
formulating Nursing Diagnosis
 NANDA approved diagnoses

79
  Difference between medical and
nursing diagnosis
o Planning
 Types of planning
 Establishing Priorities
 Establishing Goals and Expected
Outcomes- Purposes, types,
guidelines, Components of goals and
outcome statements
 Types of Nursing Interventions,
Selecting interventions: Protocols
and Standing Orders
 Introduction to Nursing
Intervention Classification and
Nursing Outcome Classification
 Guidelines for writing care plan
o Implementation
 Process of Implementing the plan
of care
 Types of care - Direct and
Indirect
o Evaluation
 Evaluation Process, Documentation
and Reporting
III 5T Identify and meet Nutritional needs
5L the Nutritional • Importance • Lecture
needs of patients • Factors affecting nutritional needs • Discussion • Essa
• Assessment of nutritional status • Demonstration • Shor
• Review: special diets- Solid, Liquid, • Exercise • Obje
Soft • Supervised type
• Review on therapeutic diets Clinical practice • Eval
• Care of patient with Dysphagia, nutri
Anorexia, Nausea, Vomiting asses
• Meeting Nutritional needs: Principles,
& di
equipment, procedure, indications
plan
o Oral
o Enteral: Nasogastric/ Orogastric, o
Introduction to other enteral feeds-
types, indications, Gastrostomy,
Jejunostomy o
Parenteral- TPN
IV 10 T Identify and Elimination needs • Lecture
10 L meet the • Urinary Elimination o Review of • Discussion • Essa
elimination Physiology of Urine Elimination, • Demonstration • Shor
needs of Composition and • Obje
patient characteristics of urine type
o Factors Influencing

80
 Urination o Alteration in Urinary
Elimination o Facilitating urine
elimination:

81
 assessment, types, equipment,
procedures and special
considerations
o Providing urinal/bed pan
o Care of patients with
 Condom drainage
 Intermittent Catheterization
 Indwelling Urinary catheter and
urinary drainage
 Urinary diversions
 Bladder irrigation

• Bowel Elimination o Review of

Physiology of Bowel Elimination,
Composition and
characteristics of feces
o Factors affecting Bowel
elimination
o Alteration in Bowel Elimination o
Facilitating bowel
elimination: Assessment,
equipment, procedures
 Enemas
 Suppository
 Bowel wash
 Digital Evacuation of impacted
feces
 Care of patients with Ostomies
(Bowel Diversion Procedures)

V 4 T 3 Explain various Diagnostic testing • Lecture

L types of • Phases of diagnostic testing (pre-test, • Discussion • Essa
specimens and intra-test & post-test) in Common • Demonstration • Shor
identify normal investigations and clinical implications • Obje
values of tests o Complete Blood Count o Serum type
Electrolytes o LFT
Develop skill in o Lipid/Lipoprotein profile o Serum
specimen Glucose- AC, PC, HbA1c o Monitoring
collection, Capillary Blood Glucose
handling and (Glucometer Random Blood Sugar-
transport GRBS) o Stool Routine
Examination o Urine Testing-
Albumin, Acetone, pH, Specific
Gravity
o Urine Culture, Routine, Timed
Urine Specimen
o Sputum culture
o Overview of Radiologic &

82
Endoscopic Procedures

83
VI 11 T Assess patients Oxygenation needs • Lecture • Essay
10 L for oxygenation • Review of Cardiovascular and • Discussion • Short
needs, promote Respiratory Physiology • Demonstration & answers
oxygenation and • Factors affecting respiratory Redemonstration • Objectiv
provide care functioning
during oxygen • Alterations in Respiratory
therapy Functioning
• Conditions affecting o airway o
movement of air o diffusion o
Oxygen transport
• Alterations in oxygenation
• Nursing interventions to promote
oxygenation: assessment, types,
equipment used & procedure o
Maintenance of patent airway o
Oxygen administration o Suctioning-
oral, tracheal o Chest physiotherapy-
Percussion, Vibration &
Postural drainage o Care of
Chest drainage- principles
& purposes o Pulse Oximetry-
Factors affecting measurement of
oxygen saturation
using pulse oximeter,
Interpretation

• Restorative & continuing care o

Hydration o Humidification o
Coughing techniques o Breathing
exercises o Incentive spirometry

VII 7T Fluid, Electrolyte, and Acid – Base • Lecture

8L Describe the Balances • Discussion • Essay
concept of fluid, • Review of Physiological Regulation of • Demonstration • Short ans
electrolyte Fluid, Electrolyte, and Acid – Base • Objectiv
balance Balances • Problem
• Factors Affecting Fluid, Electrolyte, solvingca
and Acid – Base Balances s
• Disturbances in fluid volume:
o Deficit-
 Hypovolemia
 Dehydration o Excess-
 Fluid overload
 Edema
• Electrolyte imbalances (hypo and
hyper) o Acid-base imbalances
 Metabolic- acidosis & alkalosis

84
85
  Respiratory- acidosis & alkalosis o
Intravenous therapy
 Peripheral venipuncture sites
 Types of IV fluids
 Calculation for making IV fluid plan
 Complications of IV fluid therapy
 Measuring fluid intake and output 
Administering Blood and Blood
components
 Restricting fluid intake
 Enhancing Fluid intake

VIII 22 T Administration of Medications • Lecture

20 L Explain the • Introduction-Definition of Medication, • Discussion • Essa
principles, routes, Administration of Medication, Drug • Demonstration & • Shor
effects of Nomenclature, Effects of Drugs, Forms Redemonstration • Obje
administration of of Medications, Purposes,
medications type
Pharmacodynamics and
Pharmacokinetics
Calculate
• Factors influencing Medication Action
conversions of
drugs and • Medication orders and Prescriptions
dosages within • Systems of measurement
and between • Medication dose calculation
systems of • Principles, 10 rights of Medication
measurements Administration
• Errors in Medication administration
• Routes of administration
• Storage and maintenance of drugs and
Administer oral Nurses responsibility
and topical • Terminologies and abbreviations used in
medication and prescriptions and medications orders
document • Developmental considerations
accurately • Oral, Sublingual and Buccal routes:
under Equipment, procedure
supervision • Introduction to Parenteral Administration
of Drugs- Intramuscular, Intravenous,
Subcutaneous, Intradermal: Location of
site, Advantages and disadvantages of
the specific sites, Indication and
contraindications for the different routes
and sites.
• Equipment- Syringes & needles,
cannulas, Infusion sets - parts, types,
sizes
• Types of vials and ampoules, Preparing
Injectable medicines from vials and
ampoules
o Care of equipment: decontamination and
disposal of syringes, needles, infusion sets

86
o Prevention of Needle-Stick Injuries

87
 • Topical Administration: Types, purposes,
site, equipment, procedure
o Application to skin & mucous membrane
o Direct application of liquids,
Gargle and swabbing the throat o
Insertion of Drug into body cavity:
Suppository/ medicated packing in
rectum/vagina
o Instillations: Ear, Eye, Nasal,
Bladder, and Rectal o
Irrigations: Eye, Ear, Bladder,
Vaginal and Rectal o
Spraying: Nose and throat
• Inhalation: Nasal, oral, endotracheal/
tracheal (steam, oxygen and
medications)- purposes, types,
equipment, procedure, recording and
reporting of medications administered
• Other Parenteral Routes: Meaning of
epidural, intrathecal, intraosseous,
intraperitoneal, intrapleural, intraarterial

IX 7 Provide care to Sensory needs • Lecture

T patients with • Introduction • Discussion • Essa
altered • Components of sensory experience-
4 • Demonstration • Shor
functioning of Reception, Perception & Reaction
L sense organs • Obje
• Arousal Mechanism type
and
unconsciousne • Factors affecting sensory function
ss in • Assessment of Sensory alterations-
supervised sensory deficit, deprivation, overload &
sensory poverty
clinical
• Management o Promoting meaningful
practice
communication (patients with
Aphasia, artificial airway &
Visual and Hearing impairment)

Care of Unconscious Patients

• Unconsciousness: Definition, causes &
risk factors, pathophysiology, stages of
Unconsciousness, Clinical
Manifestations
• Assessment and nursing management of
patient with unconsciousness,
complications

Care of Terminally ill, death and dying • Lecture • Essa

X 5T Explain loss, • Loss- Types • Discussion • Shor
5L death and grief • Grief, Bereavement & Mourning • Case discussions
• Types of Grief responses

88
• Manifestations of Grief

89
 • Factors influencing Loss & Grief • Obje
Responses
• Theories of Grief & Loss-Kubler Ross
5 Stages of Dying
• The R Process model (Rando’s)
• Death- Definition, Meaning, Types
(Brain & Circulatory Deaths)
• Signs of Impending Death
• Death care/last
• Dying patient’s Bill of Rights
office
• Care of Dying Patient
• Physiological changes occurring after
Death
• Death Declaration, Certification,
Autopsy,
Embalming
• Last office/Death Care
• Counseling & supporting grieving
relatives
• Placing body in the Mortuary
• Releasing body from Mortuary

• Overview- Medico-legal Cases, Advance

directives, DNI/DNR, Organ Donation,
Euthanasia
PSYCHOSOCIAL NEEDS (A-D)
• Lecture
XI 3T Develop basic A. Self-concept • Discussion • Essa
understanding of • Introduction • Demonstration • Shor
self- concept • Components (Personal Identity, Body • Case • Obje
Image, Role Performance, Self Esteem) Discussion/ type
• Factors affecting Self Concept Role play
• Nursing Management
XII 2 Describe sexual B. Sexuality • Lecture • Essa
T development • Sexual development throughout life • Discussion • Sho
and sexuality • Sexual health • Demonstration answ
• Sexual orientation • Obje
• Factors affecting sexuality type
• Prevention of STIs, unwanted pregnancy,
avoiding sexual harassment and abuse
• Dealing with inappropriate sexual
behavior

XIII C. Stress and Adaptation-Introductory • Lecture • Essa

3 Describe stress concepts • Discussion • Sho
T and • Introduction • Demonstration answ
• Sources, Effects, Indicators & Types of • Obje
3 adaptation
Stress
L type

90
• Types of stressors
• Stress Adaptation- General Adaptation
Syndrome (GAS), Local Adaptation
Syndrome (LAS)
Manifestation of stress- Physical &
psychological

91
 • Coping strategies/ Mechanisms
• Stress Management o Assist with coping
and adaptation
o Creating therapeutic environment
• Recreational and diversion therapies

XIV 6 Explain culture D. Concepts of Cultural Diversity and • Lecture • Essa

T and cultural Spirituality • Discussion • Shor
norms • Cultural diversity o Cultural answ
Concepts- Culture,
• Obje
Subculture, Multicultural, Diversity, type
Integrate Race, Acculturation, Assimilation
cultural o Transcultural Nursing o Cultural
Competence
differences and
o Providing Culturally Responsive Care
spiritual needs
• Spirituality o Concepts- Faith,
in providing
Hope, Religion,
care to patients Spirituality, Spiritual Wellbeing o
under Factors affecting Spirituality
supervision o Spiritual Problems in Acute, Chronic,
Terminal illnesses & Near-Death
Experience o Dealing
with Spiritual
Distress/Problems

XV 6 Explain the Nursing Theories: Introduction • Lecture • Essa

T significance of • Meaning &Definition, Purposes, Types of • Discussion • Shor
nursing theories theories with examples, Overview of answ
selected nursing theories- Nightingale, • Obje
Orem, Roy
type
• Use of theories in nursing practice
XVI 20 T Explain and First Aid & Emergencies * • Lecture
20 L apply • Definition, Basic Principles, Scope & • Discussion • Essa
principles of Rules • Demonstration & • Shor
First Aid • First Aid Management o Wounds, Re-
during • Obje
Hemorrhage & Shock o demonstration type
emergencies
Musculoskeletal Injuries: Fractures, • Module • OSC
Dislocation, Muscle injuries o completion
National
Transportation of Injured persons
Disaster
o Respiratory Emergencies & Basic
Management
CPR o
Authority
Unconsciousness
(NDMA) First
o Foreign Bodies- Skin, Eye, Ear,
aid module
Nose, Throat & Stomach o
Burns & Scalds o Poisoning,
Bites & stings o Frostbite &
Effects of Heat

92
o Community Emergencies

93
 NURSING FOUNDATIONS I & II – (SKILL LAB & CLINICAL)

PLACEMENT: Semester I & II

Skill Lab: 200 (80+120) hours
Clinical: 480 (160 + 320) hours

Semester I- Lab 80 Hours (2 Credits), Clinical- 160 Hours (2 Credits)

Semester II- Lab- 120 Hours (3 Credits), Clinical- 320 Hours (4 Credits)

COMPETENCIES

SEMESTER I

On completion of the course, the students will be able to

1. Maintain effective human relations (projecting professional image)

2. Communicate effectively with patient, families and team members
3. Demonstrate skills in techniques of recording and reporting
4. Demonstrate skill in monitoring vital signs
5. Care for patients with altered vital signs
6. Perform health assessment of each body system
7. Demonstrate skill in implementing standard precautions and use of PPE
8. Demonstrate skill in meeting the comfort needs of the patients
9. Provide safe and clean environment
10. Demonstrate skill in admission, transfer, and discharge of a patient
11. Demonstrate skill in caring for patients with restricted mobility
12. Plan and provide appropriate health teaching following the principles.

SEMESTER II

13. Implement basic nursing techniques in meeting hygienic needs of patients

14. Develop skills in assessment, planning, implementation and evaluation of nursing care
using Nursing process approach
15. Identify and meet the Nutritional needs of patients
16. Plan and Implement care to meet the elimination needs of patient 17. Develop skills in
instructing and collecting samples for investigation.
18. Perform simple lab tests and analyze & interpret common diagnostic values
19. Identify patients with impaired oxygenation and demonstrate skill in caring for patients
with impaired oxygenation
20. Identify and demonstrate skill in caring for patients with fluid, electrolyte and acid –
base imbalances
21. Assess, plan, implement & evaluate the basic care needs of patients with altered
functioning of sense organs and unconsciousness
94
 22. Care for terminally ill and dying patients
23. Identify stress and assist patients to adopt various coping strategies
24. Acquire skills in assessing and performing First Aid during emergencies

Skill Lab
Use of mannequins and simulators

S. NO COMPETENCIES MODE OF DEMONSTRATION

Semester I
1. Therapeutic Communication and Role Play
Documentation
2. Vital signs Simulator/ Standardized patient
3. Physical Examination Simulator/ Mannequin /
Standardized patient
4. Medical and Surgical Asepsis -
5. Pain Assessment Standardized patient
6. Comfort Devices Mannequin
7. Therapeutic Positions Mannequin
8. Physical Restraints and Side rails Mannequin
9. ROM Exercises Standardized patient
10. Ambulation Standardized patient
11. Moving and Turning patients in bed Mannequin
12. Changing position of helpless patients Mannequin/ Standardized patient
13. Transferring patients bed to stretcher/ Mannequin/ Standardized patient
wheel chair
14. Admission, Transfer, Discharge & Role Play
Health Teaching
Semester II
15. Sponge bath, oral hygiene, perineal care Mannequin
16. Nutritional Assessment Standardized Patient
17. Nasogastric tube feeding Trainer/ Simulator
18. Providing bed pan & urinal Mannequin
19. Catheter care Catheterization Trainer
20. Bowel wash, enema, insertion of Simulator/ Mannequin
suppository
21. Oxygen administration- face mask, Mannequin
venture mask, nasal prongs
22. Administration of medication through IM injection trainer, ID injection
Parenteral route- IM, SC, ID, IV trainer, IV arm (Trainer)
23. Last Office Mannequin
24. CPR CPR Mannequin

95
 SEMESTER I- 10 weeks- 16 hours/ week CLINICAL
POSTINGS- General Medical/Surgical Wards
Clinical Duration Learning Outcomes Procedural Clinical Assessment
Unit in Weeks Competencies/Clinical Requirem Methods
Skills (Supervised clinical ents
practice)
General 2 Maintain effective Communication and Nurse
Medical human relations patient relationship • OSCE
/ (projecting
Surgical professional image) • Maintaining
wards Communication with
Communicate patient and family and
effectively with interpersonal relationship
patient, families and
team members • Documentation and
Reporting
Demonstrate skills in
o Documenting patient
techniques of
care and procedures
recording and o Verbal report o
reporting
Written report
’’ ’’ ’’ Vital signs
Care of • Assessment
Demonstrate skill in • Monitor/measure and patients with of clinical
document vital signs in a alterations in skills using
monitoring vital signs
graphic sheet vital signs- 2 checklist
o Temperature (oral, • OSCE
Care for patients with tympanic, axillary)
altered vital signs o Pulse (Apical and
peripheral pulses)
o Respiration o
2 Blood pressure o
Pulse oximetry
• Interpret and report alteration
• Cold Applications- Cold
Compress, Ice cap, Tepid
Sponging
• Care of equipment –
thermometer, BP apparatus,
Stethoscope, Pulse oximeter

96
’’ ’’ Health assessment
2 & Infection control in • Assessment
Perform health Clinical settings of clinical
• History skills using
assessment of each
checklist
body system Health Assessment Taking- 2
• OSCE
• Nursing/ Health • Physical
history taking examination-
• Perform physical 2
examination: o
General o Body
systems

• Use various methods of

physical examination-
Inspection, Palpation,
Percussion, Auscultation,
Demonstrate skill in
Olfaction
implementing standard • Assessment
• Identification of system wise of clinical
precautions and use of
deviations skills using
PPE • Documentation of findings checklist
• OSCE
Infection control in
Clinical settings
• Hand hygiene
• Use of PPE

97
 Demonstrate skill in Comfort, Rest & Sleep,
meeting the comfort Pain and Promoting
needs of the patients Safety in Health Care
Environment

Comfort, Rest & Sleep • Assessment

• Bed making- o of clinical
Open o Closed skills using
o Occupied o checklist
Post-operative o • OSCE
Cardiac bed o
Fracture bed
• Comfort devices
2 o Pillows
o Over bed table/cardiac
table o Back rest o Bed
Cradle
• Therapeutic Positions o
Supine
o Fowlers (low, semi, high)
o Lateral o Prone o Sim’s
o Trendelenburg o Dorsal
recumbent o Lithotomy o
Knee chest Pain
• Pain assessment and provision
for comfort

Provide safe and clean Promoting Safety in Health Care • Presentation • Assessment
environment Environment on Physical of clinical
restraints- 1 skills using
• Fall risk checklist
• Care of Patient’s Unit
assessment - • OSCE
• Use of Safety devices:
2
o Side Rails
• Restraints (Physical)
• Fall risk assessment and Post
Fall Assessment

Demonstrate skill in Hospital Admission and • Assessment

admission, transfer, discharge, of clinical
and discharge of a Mobility and skills using
Immobility and Patient checklist
patient
education • OSCE
2
Hospital Admission and
discharge
Perform & Document:
• Admission
• Transfer

98
 • Planned Discharge
Demonstrate skill in Mobility and Immobility • Assessment
caring for patients with of clinical
restricted mobility • Range of Motion Exercises • skills using
Assist patient in: o Moving o checklist
Turning o Logrolling • OSCE
• Changing position of helpless
patient
• Transferring (Bed to and
from chair/ wheelchair/
stretcher)
Plan and provide Patient education • Individual • Assessment
appropriate health teaching - 1 of clinical
teaching following the skills using
checklist
principles
• OSCE
SEMESTER II (16
weeks x 20 hours/week)
• Nursing care
plan
Hygiene & The Nursing Patient with
Implement basic Process Pain1 • Assessment
nursing techniques in Patient with of clinical
meeting hygienic skills using
Hygiene Fever-1
needs of patients checklist
• Care of Skin & Hair:
• OSCE
-Sponge Bath/ Bed bath -
Care of pressure points &
back massage
- Pressure sore risk
assessment using Braden/
Norton scale
4
-Hair wash
-Pediculosis treatment
Develop skills in • Oral Hygiene • Evaluation
assessment, planning, • Perineal Hygiene of
implementation and • Catheter care Nursing
evaluation of nursing The Nursing Process process
care using Nursing • Prepare Nursing care plan for with
process approach the patient based on the given criteria
case

99
 Nutritional needs, • Nutritional • Assessment
Identify and meet the Elimination needs& Assessment- 1 of clinical
Nutritional needs of Diagnostic testing • Clinical skills using
patients Presentation on checklist
Nutritional needs Care of patient
with Nasogastric • OSCE
• Nutritional Assessment tube feeding-
• Preparation of Nasogastric 1
tube feed
• Nasogastric tube feeding

Plan and Implement Elimination needs

• Clinical
care to meet the Providing Presentation on
elimination needs of -Urinal Care of patient
patient -Bedpan with Constipation-
• Insertion of Suppository 1
• Enema
3
• Urinary Catheter care
• Care of urinary drainage
• Assessment
Develop skills in of clinical
Diagnostic testing skills using
instructing and • Specimen Collection o • Lab
checklist
collecting samples for Urine routine and culture o valuesinterpretation
investigation. Stool routine • OSCE
o Sputum Culture
Perform simple lab
tests and analyze & • Perform simple Lab Tests
interpret common using reagent strips
diagnostic values o Urine- Glucose, Albumin,
Acetone, pH, Specific
gravity
• Blood-GRBS Monitoring
Oxygenation needs, Fluid, • Presentation on • Assessment
3 Identify patients with Electrolyte, and Acid – Base methods of clinical
impaired oxygenation Balances of Oxygen skills using
and demonstrate skill administration checklist
in caring for patients Oxygenation needs
with impaired • Oxygen administration • OSCE
oxygenation Methods o Nasal
Prongs o Face
Mask/ Venturi Mask
• Steam inhalation
• Chest Physiotherapy •
Deep Breathing &
Coughing Exercises
• Oral Suctioning

Fluid, Electrolyte, and Acid –

Base Balances • Assessment

100
 of clinical
Identify and • Maintaining intake output • Presentation on skills using
demonstrate skill in chart Blood & Blood checklist
caring for patients • Identify & report Component therapy
with fluid, • OSCE
electrolyte and

acid – base imbalances complications of IV therapy

• Observe Blood & Blood
Component therapy
• Identify & Report
Complications of Blood &
Blood Component therapy
Administration of • Assessment
3 • Explain the Medications of clinical
principles, routes, effects skills using
of administration of checklist
• Calculate Drug Dosages
medications • Preparation of lotions &
• Calculate • OSCE
solutions
conversions of drugs • Administer Medications o
and dosages within Oral o Topical o Inhalations
and between o Parenteral
systems of  Intradermal
Measurements •  Subcutaneous
Administer  -Intramuscular
drugs by the following  Instillations o
routes-Oral, Eye, Ear, Nose-
Intradermal, instillation of
Subcutaneous, medicated drops, nasal
Intramuscular, Intra sprays, irrigations
Venous Topical,
inhalation

101
 Sensory Needs and Care of
Assess, plan, Unconscious patients, Care of • Nursing • Assessment
implement & evaluate Terminally ill, death and rounds on of clinical
the basic care needs of dying& Stress and Adaptation care of skills using
patients with altered patient with checklist
functioning of sense Sensory Needs and Care of altered
organs and Unconscious patients sensorium • OSCE
unconsciousness • Assessment of Level of
Consciousness using
Glasgow Coma Scale
Presentation
on dying
patient’s bill
of rights
2 Terminally ill, death and dying
Presentation • Assessment
Care for terminally • Death Care on Relaxation of clinical
ill and dying patients techniques skills using
Stress and Adaptation checklist

Identify stress and

assist patients to adopt
various coping
strategies

Demonstrate skills in First aid and Emergencies • Mock drill- • Assessment

assessing and performing • Bandaging Techniques o Fire Safety of clinical
First Aid during Basic Bandages: skills using
 Circular checklist
emergencies • Module
 Spiral completion
National • OSCE
 Reverse-Spiral
 Recurrent  Figure of Disaster (first aid
Eight o Special Management competenci
Bandages: Authority es)
1  Caplin (NDMA) First
 Eye / Ear Bandage aid module
 Jaw Bandage
 Shoulder Spica
 Thumb spica
 Triangular Bandage/
Sling (Head & limbs)
 Binders
 Basic CPR

102
 INTRODUCTION TO COMMUNITY HEALTH NURSING

PLACEMENT : II SEMESTER

THEORY : 2 Credits (40 Hours)

PRACTICUM: Clinical-1 Credit (80 Hrs)

DESCRIPTION: This course is designed to help students develop broad perspectives

of health, its determinants, about community health nursing and understanding about
the health care delivery services, health care policies and regulations in India. It helps
the students to develop knowledge and understanding of environment, environmental
health and sanitation, nutrition and food safety. It further helps them to apply the
principles and concepts of BCC and health education for health promotion and
maintenance of health within the community in wellness and illness continuum.

COMPETENCIES:

On completion of the course, the students will be able to

1. Explore the evolution of public health in India and community health nursing
2. Explain the concepts and determinants of health
3. Identify the levels of prevention and health problems of India
4. Develop basic understanding about the health care planning and the present health care delivery
system in India at various levels
5. Locate the significance of primary health care and comprehensive primary health care as part of
current health care delivery system focus
6. Discuss health care policies and regulations in India
7. Demonstrate understanding about an overview of environmental science
8. Identify the role and significance of environmental protection and preservation
9. Relate the influence of environmental factors and sanitation on health and disease
10. Demonstrate skill in nutritional assessment for different age groups in the community and
provide appropriate nutritional counseling
11. Identify the importance of food safety in prevention of food borne diseases
12. Discuss basic issues and concepts of Behavior Change Communication (BCC) and Social
Behavior Change Communication (SBCC) and identify the methods of BCC to target the
audience
13. Provide health education to individuals and families applying the principles and techniques of
behavior change appropriate to community settings

COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING / ASSESSMENT
(Hours) OUTCOMES LEARNING METHODS
ACTIVITIES
I 4T Define public health, Concepts of Community • Lecture,
community health and Health and Community Discussion • Short
community health nursing Health Nursing • Explain using answers
chart, graphs • Essay type
Explain the evolution of • Definition of public • Community and

103
 public health in India health, community needs objective
and scope of health and community assessment type
community health health nursing (Field survey on • Survey
nursing identification of report
• Public health in India and demographic
Explain various concepts of its evolution and Scope characteristics,
health and disease, of community health
dimensions and health nursing determinants
determinants of health and resources of
a rural and an
Explain the natural history urban
• Review: Concepts of community)
of disease and levels of health &
prevention Illness/diseaseDefinition,
dimensions and
Explain using
determinants of
Discuss the health problems health and disease examples
of India

• Natural history of disease

• Levels of
preventionPrimary,
Secondary &
tertiary
preventionReview
• Health problems
(Profile) of India •
II 8T Health Care Planning and Lecture
Organization of Health Discussion
Describe health planning Care at various levels Field visits to • Short
and its steps, and various • Health planning steps • CHC, PHC, SC/ answers
health plans, and • Health planning in India Health Wellness • Essay type
•
committees –various committees and Centers (HWC)
•
commissions on health
and family welfare and • Evaluation
Five Year plans of Field visit
Discuss health care delivery • Participation of reports &
system in India at various community and presentation
levels stakeholders in health
planning
• Health care delivery
system in India-
Describe SDGs, primary Infrastructure and Health
health care and sectors, Delivery of
comprehensive primary health services at sub
health care (CPHC) centre (SC)PHC, CHC,
District level, state level
and national level, Directed

104
Explain health care policies
and regulations in India • Sustainable development
goals (SDGs), Primary
•

Health Care and reading

Comprehensive Primary
Health Care (CPHC)-
elements, principles
• CPHC through
SC/Health Wellness
Center (HWC)

• National Health Care

Policies and Regulations
o National Health Policy
(1983, 2002, 2017) o
National Health Mission
(NHM): National Rural
Health Mission
(NRHM), National
Urban Health Mission
(NUHM), NHM o
National Health
Protection Mission
(NHPM) o
Ayushman Bharat o
Universal Health
Coverage

105
III 15 T Environmental Science,
Environmental Health,
Identify the role of an and Sanitation
individual in the • Lecture • Short
conservation of natural • Natural resources: • Discussion answers
resources Renewable and • Debates on • Essay type
nonrenewable environmental
resources, natural protection and
resources and preservation
associated problems- • Explain using • Field
Describe ecosystem, its Forest resources, water Charts, graphs, visit reports
structure, types and resources, mineral Models, films,
functions resources, food slides
resources, energy
Explain the classification, resources and land
value and threats to resources
biodiversity Role of individuals in
conservation of natural
Enumerate the causes, resources, and equitable
use of resources for
effects and control
sustainable lifestyles
measures of environmental
pollution • Ecosystem: Concept,
structure and functions
Discuss about climate of ecosystems, Types
change, global warming, & Characteristics-
Forest ecosystem,
Grassland

106
acid rain, and ozone layer ecosystem, Desert
depletion ecosystem, Aquatic
ecosystem, Energy flow
Enumerate the role of an in ecosystem
individual in creating • Biodiversity:
awareness about the social classification, value of
issues related to bio-diversity, threats to
environment biodiversity, conservation
of
List the acts relation to biodiversity
environmental protection
and preservation • Environmental pollution:
Introduction, Causes, • Directed
effects and control reading
Describe the concept of measures of: •
environmental health and Air pollution, Water Visits to water
sanitation pollution, Soil pollution, supply &
Marine pollution, Noise purification
pollution, Thermal sites
pollution, nuclear
hazards & their impact • Observe rain
on health water harvesting
Describe water plants
conservation, rain water
harvesting and water shed • Climate change, global
warming-eg. heat wave, • Visit to Sewage
management
acid rain, ozone layer disposal and
depletion, waste land treatment sites,
Explain waste management and waste
reclamation & its impact
on health disposal sites

• Social issues and

environment: sustainable
development, urban
problems related to
energy, water and
environmental ethics

• Acts related to
environmental protection
and preservation

Environmental health &

Sanitation
• Concept of environment
health and sanitation
• Concept of safe water,
sources of water,
waterborne diseases,
water purification
107
 processes, household

purification of water
• Physical and chemical
standards of drinking
water quality and tests
for assessing
bacteriological quality of
water
• Concepts of water
conservation-rain water
harvesting and water
shed management
• Concept of Pollution
prevention
• Air & noise pollution
• Role of nurse in
prevention of pollution
• Solid waste management,
human excreta disposal
& management and
sewage
disposal and
management
• Commonly used
insecticides and
pesticides

108
IV 4T Nutrition Assessment and •
Describe the various Nutrition Lecture • Performance
•
nutrition assessment Education Discussion assessment
•
methods at the community • Review of Nutrition o Demonstration of nutrition
level Concepts, types o Meal • assessment
Role play
planning -aims, steps & • Market visit for different
diet plan for different age • Nutritional age groups
Plan and provide diet plans groups assessment for
for all age groups including o Nutrition assessment of different age • Evaluation
therapeutic diet individuals, families and groups on
community by using nutritional
Describe the national appropriate methods assessment
nutrition programs • Planning suitable reports
and provide nutrition diet for
counseling and education to individuals and
all age groups families
according to
local availability
of foods, dietary
habits and
Identify early the food economic status
3T borne diseases, and perform • General
initial management and
nutritional
referral appropriately

109
 advice • •
• Nutrition •
educationpurpose, •
principles & methods and Lecture
Rehabilitation Discussion
• Review- Short
Nutritional deficiency answers
disorders Essay type
• National
nutritional policy
Discuss the importance of & programs in
food hygiene and food India
safety Food Borne Diseases and
Explain the Acts related to Food Safety
food safety Food borne diseases
• Definition, & burden,
Causes and classification
• Signs & Symptoms
•
• Transmission of food
borne pathogens & toxins Field visits to
• Early identification, milk purification
initial management and plants,
referral slaughterhouse
•
Food poisoning & food Refer Nutrition
intoxication moduleBPCCHN
• Epidemiological Block 2-unit I •
features/clinical & UNIT 5
characteristics, Types of
food poisoning Field visit
• Food reports
intoxicationfeatures,
preventive & control
measures
• Public health response to
food borne diseases
Food safety
• Definition, Food safety
considerations &
measures
• Food safety regulatory
measures in
IndiaRelevant Acts
• Five keys to safer food
• Food storage, food
handling and cooking
• General principles of

110
 food storage of food items
(ex. milk, meat)
• Role of food handlers in
food borne diseases
• Essential steps in safe
cooking practices
V 6T Communication management
Describe behaviour change and • Lecture • Short
communication skills Health Education answers
• Discussion
• Behaviour change • Role play • Essay type
communication skills
• Demonstration
o communication o
• Supervised field
Human behaviour o
practice
Health belief model-
• Workshop/Refer-
concepts &
BCC/SBCC
definition, ways to
influence behaviour
module (MoHFW
o Steps of behaviour
&
USAID)
change
Counsel and provide health o Techniques of
education to individuals, behaviour change- • Performance
families and community for Guiding principles evaluation of
promotion of healthy life in planning BCC health
style practices using activity education
appropriate methods and o Steps of BCC o
sessions to
media Social and
individuals
Behaviour Change
Communication and families
strategies (SBCC)-
techniques to collect
social history from
clients
o Barriers to effective
communication, and
methods to
overcome them
• Health promotion and
Health education-
methods/technique
s, and audio-visual
aids

NOTE: To Environmental Studies Module by UGC is incorporated INTRODUCTION TO COMMUNITY

HEALTH NURSING I – PRACTICUM

CLINICAL: 2 Credits (80 Hours) = 2 weeks x 40 hours/week

111
 CLINICAL POSTINGS

CLINICAL DURATION LEARNING PROCEDURAL CLINICAL ASSESSMENT

AREA IN WEEKS OUTCOMES COMPETENCIES/ REQUIREMENTS METHODS
CLINICAL SKILLS
Urban & 1 week Build and maintain • Interviewing skills • Community needs
Rural rapport (using assessment/Survey
communication and -
Identify the interpersonal Rural-1
sociodemographic relationship) Urban-1 • Evaluation
characteristics, health of survey
determinants and • Observation skills • Nutrition report
resources of a rural assessment of an
and an urban • Conducting individual (adult)-
community community needs 1 • Assessment
assessment/survey to • Individual health of clinical
Perform nutritional identify health teaching (Adult) -1
assessment and plan performanc
determinants of a • Use of audiovisual
diet plan for adult e
community aids
Educate • Nutrition assessment - Flash cards
individuals/family on • Health talk
skills - Posters
- Nutrition evaluation
- Flannel graph
- Hygiene
- Flip charts
- Food hygiene • Skill in teaching
- Healthy life style individual/family on:
- Health promotion
o Nutrition,
including food
hygiene and safety
o Healthy life style o
Health promotion

112
Field 1 week Observe the setup, • o Observational skills: • Visit to SC/HWC, • Evaluation
visits functions and Water resources and PHC, CHC of field visit
services of CHC, water purification and
PHC, and SCs/HWCs o sites observation
in urban/rural areas Water quality tests reports
o
Milk diary
o
Observe the national Slaughterhouse
• Observation of
nutrition programs nutrition
programs
Learn the availability
and cost of common • Visit to market
food items

Observe the various

methods of water
purification • Observational
Learn the standards of visit to water
water quality and purification site
the water quality tests

Observe the methods

of purification of
milk • Observational
visit to milk diary
Observe the hygienic
practices in • Observational visit
slaughterhouse with to slaughterhouse
regard to meat
hygiene

APPLIED MICROBIOLOGY AND INFECTION CONTROL

INCLUDING SAFETY

PLACEMENT : III SEMESTER

SECTION A & SECTION B THEORY: 2 Credits (40 Hrs)

PRACTICAL: 1 Credit (40 Hrs)
(Lab/Experiential learning- L/E)

SECTION A: APPLIED MICROBIOLOGY

THEORY: 1 Credit (20 hours)

PRACTICAL: ½ Credit (20 hours)
(Lab/Experiential learning- L/E)

113
SECTION B: INFECTION CONTROL & SAFETY
THEORY: 1Credit (20hours)
PRACTICAL: ½ credit (20 hours)
(Lab/experiential learning - L/E)

SECTION A: APPLIED MICROBIOLOGY

DESCRIPTION: This course is designed to enable students to acquire understanding

of fundamentals of Microbiology, compare and contrast different microbes and
comprehend the means of transmission and control of spread by various
microorganisms. It also provides opportunities for practicing infection control
measures in hospital and community settings.

COMPETENCIES

On completion of the course, the students will be able to:

1. Identify the ubiquity and diversity of microorganisms in the human body and the environment
2. Classify and explain the morphology and growth of microbes
3. Identify various types of microorganisms
4. Explore mechanisms by which microorganisms cause disease
5. Develop understanding of how the human immune system counteracts infection by specific and
non-specific mechanisms
6. Apply the principles of preparation and use of vaccines in immunization
7. Identify the contribution of the microbiologist and the microbiology laboratory to the diagnosis
of infection

SECTION B: INFECTION CONTROL & SAFETY

THEORY: 1Credit (20hrs)

PRACTICAL: ½ credit (20 hrs)
(Lab/experiential learning - L/E)

DESCRIPTION: This course is designed to help students to acquire knowledge and

develop competencies required for fundamental patient safety and infection control in
delivering patient care. It also focuses on identifying patient safety indicators,
preventing and managing hospital acquired infections, and in following universal
precautions.

114
 COMPETENCIES

The students will be able to:

1. Develop knowledge and understanding of Hospital acquired Infections (HAI) and
effective practices for prevention
2. Integrate the knowledge of isolation (Barrier and reverse barrier) techniques in
implementing various precautions
3. Demonstrate and practice steps in Hand washing and appropriate use of different
types of PPE
4. Illustrate various disinfection and sterilization methods and techniques
5. Demonstrate knowledge and skill in specimen collection, handling and transport to
optimize the diagnosis for treatment
6. Incorporate the principles and guidelines of Bio Medical waste management
7. Apply the principles of Antibiotic stewardship in performing the nurses’ role
8. Identify patient safety indicators and perform the role of nurse in the patient safety
audit process
9. Apply the knowledge of International Patient Safety Goals (IPSG) in the patient
care settings
10. Identify employee safety indicators and risk of occupational hazards
11. Develop understanding of the various safety protocols and adhere to those
protocols

COURSE OUTLINE
(Theory-T, Lab/Experiential Learning-L/E)
UNIT TIME LEARNING CONTENT TEACHING/ ASSESSMENT
(Hours) OUTCOMES LEARNING METHODS
T P ACTIVITIES
I 3 Explain concepts Introduction: • Lecture cum • Short answer
and principles of • Importance and Discussion questions
microbiology and relevance to nursing • Objective
its importance in type
• Historical perspective
nursing
• Concepts and
terminology
• Principles of
microbiology

115
II 10 10 Describe structure, General characteristics of • Lecture cum • Short
(L/E) classification Microbes: Discussion answer
morphology and • Structure and questions
growth of bacteria • Demonstration • Objective
classification of
type
Microbes
• Experiential
• Morphological types
Learning through
• Size and form visual
of
bacteria
• Motility
• Colonization
• Growth and nutrition of
Identify microbes
Microorganisms
• Temperature
• Moisture
• Blood and body fluids

• Laboratory methods for

Identification of
Microorganisms
• Types of Staining -
simple, differential
(Gram’s, AFB), special
– capsular staining
(negative), spore, LPCB,
KOH mount.
• Culture and media
preparation – solid and
liquid. Types of media –
semi synthetic, synthetic,
enriched,
enrichment, selective
and differential media.
Pure culture techniques
– tube dilution, pour,
spread, streak plate.
Anaerobic cultivation
of bacteria

116
III 4 6 Describe the Pathogenic organisms • Lecture cum • Short
(L/E) different disease • Micro-organisms Discussion answer
producing - • Objective
organisms Cocci — gram positive • Demonstration type
and gram negative;
Bacilli— gram positive • Experiential
learning through
and gram negative
visual
• Viruses
• Fungi -Superficial and
Deep mycoses
• Parasites
• Rodents & vectors o
Characteristics,
Source, portal of
entry, transmission of
infection,
Identification of
disease producing
micro-organisms
IV 3 4(L/E) Explain the Immunity • Lecture • Short
concepts of • Immunity-Types, • Discussion answers
immunity, hyper classification • Objective
sensitivity and • Demonstration type
• Antigen and antibody
immunization
reaction
• Hypersensitivity
reactions • Visit to observe
• Serological tests vaccine storage
• Immunoglobulins – Visit report
Clinical practice •
structure, types &
properties
• Vaccines -types
&
Classification, storage
and handling, cold
chain, Immunization
for various diseases
• Immunization
Schedule

SECTION B: INFECTION CONTROL & SAFETY

117
 COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING/ ASSESSMENT
(Hours) OUTCOMES LEARNING METHODS
ACTIVITIES
T P
I 2 2(E) Summarize the HAI (Hospital acquired • Lecture & • Knowledge
evidence based and Infection) Discussion assessment-
effective patient care • Hospital acquired infection • • Experiential MCQ, Short
practices for the Bundle approach learning answer type
prevention of common - Prevention of Urinary Tract
healthcare associated Infection (UTI)
infections in the - Prevention of Surgical Site
healthcare setting Infection (SSI)
- Prevention of Ventilator
Associated events (VAE)
- Prevention of Central Line
Associated Blood Stream
Infection (CLABSI)
• Surveillance of HAI – Infection
control team &
Infection control committee

II 3 4( Demonstrate Isolation Precautions and use of • Lecture • Performance

L) appropriate use Personal Protective Equipment • Demonstration assessment
different types of PPEs (PPE) &
and the critical use of • Types of isolation system, Re-
risk assessment standard precaution and Demonstration
transmission-based
precautions (Direct Contact,
Droplet, Indirect)
• Epidemiology & Infection
prevention – CDC guidelines
• Effective use of PPE

III 1 2( Demonstrate the hand Hand Hygiene • Lecture • Performance

L) hygiene practice and its • Types of Hand hygiene. • Demonstrat assessment
effectiveness on • Hand washing and use of ion &
infection control alcohol hand rub Redemonstrati
• Moments of Hand Hygiene on
• WHO hand hygiene promotion

IV 1 2 Illustrates disinfection Disinfection and sterilization • Lecture • Short

(E) and sterilization in the • Definitions Discussion answers
healthcare setting • Types of disinfection and • Experiential • Objective

118
 sterilization learning type
• Environment cleaning through visit
• Equipment Cleaning
• Guides on use of disinfectants
• Spaulding’s principle

V 1 Illustrate on what, Specimen Collection (Review) • Discussion • Knowledge

when, how, why • Principle of specimen evaluationQuiz
specimens are collected collection & Performance
to optimize the • Types of specimens assessment -
diagnosis for treatment • Collection techniques and Checklist
and management. special considerations
• Appropriate containers
• Transportation of the sample
• Staff precautions in handling
specimens

VI 2 2 Explain on Bio BMW (Bio Medical Waste • Discussion • Knowledge

(E) Medical waste Management) Demonstration assessment by
management & laundry • Experiential short answers,
management Laundry management process learning objective type
and infection control and through visit • Performance
prevention assessment
•
Waste management
process and infection
prevention
•
Staff precautions
•
Laundry management
•
Country ordinance and BMW
National guidelines
2017: Segration of wastes,
Colour coded waste
containers, waste
collection & storage,
Packaging & labeling,
Transportation

VII 2 Explain in detail about Antibiotic stewardship Lecture & Short answers,
Antibiotic stewardship, Discussion Objective type
AMR
•
Importance of Antibiotic
• Written
Stewardship
assignment-
Describe •
Anti Microbial Resistance • • Assessment of
MRSA/MDRO and its Recent AMR
Prevention of MRSA, assignment
prevention guidelines
MDRO in healthcare setting

119
VIII 2 4 Enlist the patient safety Patient Safety Indicators • • Lecture • Knowledge
(L/E) indicators followed in a • Demonstration assessment
health care • Care of Vulnerable patients Experiential • Checklist
organization and the • Prevention of Iatrogenic injury learning
role of nurse in the
• Care of lines, drains and
patient safety audit
tubing’s
process
• Restrain policy and care –
Physical and Chemical
• Blood & blood transfusion
policy
• Prevention of IV Complication
• Prevention of Fall
• Prevention of DVT
• Shifting and transporting of
patients
• Surgical safety
• Care coordination event related
to medication reconciliation
and administration
• Prevention of communication
errors
• Prevention of HAI
• Documentation

IX 1 1 Captures and analyzes Incidents and adverse Events • Lecture • Knowledge

(E) incidents and events • Capturing of incidents assessment
for quality • RCA Role-play
• - short
improvement • CAPA Inquiry-Based answers,
•
• Report writing Learning objective
type
X 1 Enumerate IPSG and IPSG (International Patient • Lecture • Objective type
application of the goals safety Goals) • Role play
in the patient care • Identify patient correctly
settings. • Improve effective
communication
• Improve safety of High Alert
medication
• Ensure safe surgery
• Reduce the risk of health care
associated infection
• Reduce the risk of patient harm
resulting from falls
• Reduce the harm associated
with clinical alarm system

120
XI 2 3 Enumerate the various Safety protocol • Lecture • Mock drills
(L/E)safety protocols and its • 5S
applications • Radiation safety Demonstration/ • Post tests
•
• Laser safety Experiential • Checklist
• Fire safety learning
- Types and classification of
fire
- Fire alarms
- Firefighting equipment
• HAZMAT safety
- Types of spill
- Spillage management
- MSDS
• Environmental safety -
Risk assessment
- Aspect impact analysis
- Maintenance of Temp and
Humidity (Department wise)
- Audits
• Emergency Codes
• Role of Nurse in times of
disaster

XII 1 Explain importance of Employee Safety Indicators • Lecture • Knowledge

employee safety • Vaccination • Discussion assessment by
indicators • NSI prevention short answers,
• Fall prevention objective type
• Radiation safety
• Annual health check

Healthcare Worker Lecture • Short answer

XIII 1 Identify risk of Immunization Program and method
occupational hazards, management of occupational •
prevention and post exposure Journal review
exposure prophylaxis.
• Occupational health ordinance
• Vaccination program for •
healthcare staff
• Needle stick injuries and
prevention
• Post exposure prophylaxis

121
*Experiential learning:

Experiential learning is the process by which knowledge is

created through the process of experience in the clinical field.
Knowledge results from the combination of grasping and
transforming experience. (Kolb, 1984). The experiential
learning cycle begins with an experience that the student has
had, followed by an opportunity to reflect on that experience.
Then students may conceptualize and draw conclusions
about what they experienced and observed, leading to future actions in which the
students experiment with different behaviors. This begins the new cycle as the
students have new experiences based on their experimentation. These steps may
occur in nearly and order as the learning progresses. As per the need of the learner,
the concrete components and conceptual components can be in different order as
they may require a variety of cognitive and affective behaviors.

122
 PHARMACOLOGY I

PLACEMENT : III Semesters

THEORY: Pharmacology I (III Semester): 1 Credit (20 Hours) - Units I-VIII

DESCRIPTION: This course is designed to enable students to acquire understanding

of Pharmaco-dynamics, Pharmaco-kinetics, principles of therapeutics & nursing
implications.

COMPETENCIES
On completion of the course, the students will be able to
1. Describe pharmacokinetics and pharmacokinetics
2. Review the principles of drug calculation and administration
3. Explain the commonly used antiseptics and disinfectants
4. Describe the pharmacology of drugs acting on the GI system
5. Describe the pharmacology of drugs acting on the respiratory system
6. Describe drugs used in the treatment of cardiovascular and blood disorders
7. Explain the drugs used in the treatment of endocrine system disorders
8. Describe the drugs acting on skin and drugs used to treat communicable diseases
9. Explain the drugs used in the treatment of ear, nose, throat and eye disorders
10. Explain the drugs used in the treatment of urinary system disorders
11. Describe the drugs used in the treatment of nervous system disorders
12. Explain the drugs used for hormonal replacement and for the pregnant women during antenatal,
intra natal and postnatal period
13. Explain the drugs used to treat emergency conditions and immune disorders
14. Discuss the role and responsibilities of nurses towards safe administration of drugs used to treat
disorders of various systems with basic understanding of pharmacology
15. Demonstrate understanding about the drugs used in alternative system of medicine
COURSE OUTLINE
TEACHING
UNIT TIME LEARNING ASSESSMENT
CONTENT LEARNING
NO. (HRS) OUTCOMES METHODS
ACTIVITIES
I 3 Describe Introduction to pharmacology • Lecture cum
Pharmacodynamics, • Definitions & Branches Discussion
Pharmacokinetics, • Nature & Sources of drugs • Guided • Short answer
Classification, • Dosage Forms and Routes of reading and • Objective ty
principles of drug administration written
administration of drugs. • Terminology used assignment
• Classification, Abbreviations, on schedule
Prescription, Drug K drugs

123
 Calculation, Weights and • Assessment
Measures of
• Pharmacodynamics: Actions, assignments
Drug Antagonism,
Synergism, Tolerance,
Receptors, Therapeutic,
adverse, toxic effects,
pharmacovigilance
• Pharmacokinetics:
Absorption, Bioavailability,
Distribution, Metabolism,
Interaction, Excretion
• Review-Principles of drug
administration and treatment
individualization o Factors
affecting dose, route etc
• Indian Pharmacopoeia: Legal
Issues, Drug Laws, Schedule
Drugs
• Rational Use of Drugs
• Principles of Therapeutics
II 1 Describe antiseptics, Pharmacology of commonly used • Lecture cum • Short answer
and disinfectant & antiseptics and disinfectants • Discussion • Objective
nurse’s responsibilities Antiseptics and Disinfectants • Drug study/ type
• Composition, action, dosage, presentation
route, indications,
contraindications, Drug
interactions, side effects,
adverse effects, toxicity and role
of nurse
III 2 Describe drugs acting Drugs acting on G.I system • Lecture cum • Short answer
on gastro-intestinal • Pharmacology of commonly Discussion • Objective
system & nurse’s used drugs • Drug study/ type
responsibilities o Emetics and Antiemetics o presentation
Laxatives and Purgatives o
Antacids and antipeptic
ulcer drugs
o Anti diarrhoeals – Fluid and
electrolyte therapy,
Furazolidone, dicyclomine
• Composition, action, dosage,
route, indications,
contraindications, drug
interactions, side effects,
adverse effects, toxicity and
role of nurse

124
IV 2 Describe drugs acting Drugs acting on respiratory • Lecture cum • Short answer
on respiratory system system Discussion • Objective
& nurse’s • Pharmacology of commonly used • Drug study/ type
responsibilities o Antiasthmatics – presentation
Bronchodilators (Salbutamol
inhalers)
o Decongestants
o Expectorants, Antitussives and
Mucolytics o Broncho-
constrictors and
Antihistamines
• Composition, action, dosage,
route, indications,
contraindications, drug
Interactions, side effects, adverse
effects toxicity and role of nurse
V 4 Describe drugs used on Drugs used in treatment of • Lecture cum • Short answer
cardio-vascular system Cardiovascular system and blood Discussion • Objective
& nurse’s disorders • Drug study/ type
responsibilities • Haematinics, & treatment of presentation
anemia
• and antiadrenergics
• Cholinergic and anti-cholinergic
• Adrenergic Drugs for CHF &
vasodilators
• Anti anginals
• Antiarrhythmics
• Antihypertensives
• Coagulants & Anticoagulants
• Antiplatelets & thrombolytics
• Hypolipidemics
• Plasma expanders & treatment of
shock
• Drugs used to treat blood disorders
• Composition, action, dosage,
route, indications,
contraindications, drug
Interactions, side effects, adverse
effects, toxicity and role of nurse

125
 VI 2 Describe the drugs used Drugs used in treatment of • Lecture cum • Short answer
in treatment of endocrine system disorders • Discussion • Objective
endocrine system Insulin & oral hypoglycemics • Drug study/ type
disorders • Thyroid and anti thyroid drugs presentation
• Steroids o Corticosteroids o
Anabolic steroids
• Calcitonin, parathormone, vit.
D3, calcium metabolism
o Calcium salts

VII 1 Describe drugs used in Drugs used in treatment of • Lecture cum • Short answer
skin diseases & nurse’s integumentary system Discussion • Objective type
responsibilities • Antihistaminics and antipruritics • • Drug study/
Topical applications for presentation
skinBenzylbenzoate, Gamma
BHC,
Clotrimazole, Miconazole, Silver
Sulphadiazine (burns)
• Composition, action, dosage,
route, indications,
contraindications, drug
interactions, side effects, adverse
effects toxicity and role of nurse
VIII 5 Explain drug Drugs used in treatment of • Lecture cum • Short answer
therapy/chemotherapy of communicable diseases (common Discussion • Objective type
specific infections & infections, infestations) • Drug study/
infestations & nurse’s • General Principles for use of presentation
responsibilities Antimicrobials
• Pharmacology of commonly
used drugs:
o Penicillin, Cephalosporin’s,
Aminoglycosides, Macrolide
& broad spectrum antibiotics,
Sulfonamides, quinolones,
Misc. antimicrobials
• Anaerobic infections
• Antitubercular drugs,
• Anti leprosy drugs
• Antimalarials
• Antiretroviral drugs
• Antiviral agents
• Antihelminthics, Anti scabies
agents
• Antifungal agents
• Composition, action, dosage,
route, indications,

126
 contraindications, Drug
Interactions, side effects,
adverse effects, toxicity and
role of nurse

ADULT HEALTH NURSING I WITH INTEGRATED

PATHOPHYSIOLOGY (including BCLS module)

PLACEMENT : III SEMESTER

THEORY- 6 Credits (120 hrs)

PRACTICAL- Lab/Skill lab- 1 Credit (40 hrs)
Clinical- 6 Credits (480 hrs)

DESCRIPTION: This course is designed to equip the students to review and apply
their knowledge of Anatomy, Physiology, Biochemistry and Behavioral sciences in
caring for adult patients with Medical / Surgical disorders using nursing process
approach and critical thinking. It also intends to develop competencies required for
assessment, diagnosis, treatment, nursing management, and supportive /palliative care
to patients with various Medical Surgical disorders.

COMPETENCIES

On completion of Medical Surgical Nursing I course, students will be able to

1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments
and complications of common medical and surgical disorders
2. Perform complete health assessment to establish a data base for providing quality
patient care and integrate the knowledge of anatomy, physiology and diagnostic tests in
the process of data collection
3. Identify diagnoses, list them according to priority and formulate nursing care plan
4. Perform nursing procedures skillfully and apply scientific principles while giving
comprehensive nursing care to patients
5. Integrate knowledge of pathology, nutrition and pharmacology in caring for patients
experiencing various medical and surgical disorders
6. Identify common diagnostic measures related to the health problems with emphasis on
nursing assessment and responsibilities
7. Demonstrate skill in assisting / performing diagnostic and therapeutic procedures

127
 8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical
disorders
9. Identify the drugs used in treating patients with medical surgical conditions
10. Plan and give relevant individual and group education on significant medical surgical
topics
11. Maintain safe environment for patients and the health care personnel in the hospital
12. Integrate evidence-based information while giving nursing care to patients

COURSE CONTENT

UNIT HRS. LEARNING CONTENT TEACHING ASSESSMENT

OUTCOMES LEARNING METHODS
ACTIVITIES
I 6 Narrate the evolution of Introduction Lecture cum
(T) medical surgical nursing • Evolution and trends of • discussion
4 Apply nursing process in medical and surgical nursing Demonstration & • OSCE
(L/S caring for patients with • International classification of • Practice session
L) medical surgical diseases Role play
problems Visit to outpatient
• Roles and responsibility of a •
nurse in medical and • department, in
surgical settings o patient and
Execute the role of a Outpatient department intensive care unit
nurse in various medical o In-patient unit o
surgical setting
Intensive care unit
• Introduction to medical and
surgical asepsis
o Inflammation, infection
o Wound healing – stages,
influencing factors
Develop skills in
o Wound care and dressing
assessment and care of
technique
wound
• Care of surgical patient o
Develop competency in pre-operative o post-
providing pre and operative
postoperative care • Alternative therapies used in
caring for patients with
Medical Surgical Disorders

128
II 11 Explain organizational Intraoperative Care Lecture cum
(T) set up of the operating • Organization and physical set Discussion
4 theatre up of the operation theatre o • Demonstration, • Caring for
(L/S Classification o O.T Design Practice session, patient
L) o Staffing • and Case intra
o Members of the OT team o Discussion operatively
Duties and • Submit a
Differentiate the role of list of
responsibilities of the
scrub nurse and nurse in OT disinfectant
circulating nurse • Position and draping for s used for
common surgical procedures instruments
with the
• Instruments, sutures and Visit to receiving
Describe the different action and
suture materials, equipment bay
positioning for various precaution
for common surgical
surgeries procedures •
• Disinfection and sterilization
Apply principles of of equipment
asepsis in handling the
sterile equipment • Preparation of sets for

Demonstrate skill in common surgical procedures

scrubbing procedures • Scrubbing procedures –
Gowning, masking and
Demonstrate skill in gloving
assessing the patient and • Monitoring the patient
document accurately the during the procedures
surgical safety checklist • Maintenance of the
therapeutic environment in
Develop skill in assisting OT
with selected surgeries • Assisting in major and minor
operation, handling specimen
Explain the types, • Prevention of accidents and
functions, and nursing hazards in OT
considerations for • Anaesthesia- types, methods
different types of of administration, effects and
anaesthesia stages, equipment & drugs
• Legal aspects

III 6 (T) Identify the signs and Nursing care of patients with • Lecture, • Short
4 symptoms of shock and common signs and symptoms discussion, answer
(L/S electrolyte imbalances and management demonstration Case • MCQ
L) Develop skills in • discussion Case report
•
managing fluid and • Fluid and electrolyte
electrolyte imbalances imbalance
Perform pain assessment • Shock
and plans for the nursing

129
 management • Pain
IV 16 Nursing Management of Lecture, Essay
(T) Demonstrate skill in patients with respiratory discussion, • • Short
4 (L) respiratory assessment problems Demonstration Answer
• Review of anatomy and Practice session • OSCE
Differentiates different physiology of respiratory • Case presentation
breath sounds and lists system Visit to PFT Lab
the indications • Nursing Assessment – •
history taking, physical
•
Explain the etiology, assessment and diagnostic
pathophysiology, clinical tests •
manifestations, • Common respiratory •
diagnostic tests, and problems:
medical, surgical, o Upper respiratory tract
nutritional, and nursing infections
management of common o Chronic obstructive
respiratory problems pulmonary diseases
o Pleural effusion,
Describe the health Empyema o
behaviour to be adopted
Bronchiectasis o
in preventing respiratory
Pneumonia o
illnesses
Lung abscess

o Cyst and tumors o

Chest Injuries o Acute
respiratory distress
syndrome
o Pulmonary embolism
• Health behaviours to prevent
respiratory illness

130
V 15 Explain the etiology, Nursing Management of Lecture, • Quiz
(T) pathophysiology, clinical patients with disorders of Discussion
5 (L) manifestations, diagnostic digestive system Demonstration, OSCE
•
tests, and medical, • Review of anatomy and Role play Problem
surgical, nutritional, and physiology of GI system • Based
nursing management of • Nursing assessment – History Learning Visit
gastrointestinal disorders and physical assessment • to stoma
• GI investigations • • clinic
Demonstrate skill in • Common GI disorders:
gastrointestinal
o Oral cavity-lips, gums •
assessment
and teeth
o GI - Bleeding,
Prepare patient for upper
and lower Infections,
gastrointestinal Inflammation, tumors,
investigations Obstruction, Perforation
& Peritonitis o Peptic &
duodenal ulcer, o Mal-
absorption,
Appendicitis, Hernias
o Hemorrhoids, fissures,
Fistulas o Pancreas-
inflammation, cysts, and
Demonstrate skill in tumors
gastric decompression, o Liver-inflammation,
gavage, and stoma care cysts, abscess, cirrhosis,
Demonstrate skill in portal hypertension,
different feeding hepatic failure, tumors
o Gall bladder-
techniques
inflammation,
Cholelithiasis, tumors
• Gastric decompression,
gavage and stoma care,
different feeding techniques
• Alternative therapies, drugs
used in treatment of
disorders of digestive
system
VI 15 Explain the etiology, Nursing Management of
(T) pathophysiology, clinical patients with cardiovascular
5 (L) manifestations, diagnostic problems •
tests, and medical, • Review of anatomy and • • Care plan
surgical, nutritional, and physiology of cardio- • Lecture, discussion Drug
nursing Demonstration record

131
 management of vascular system • Practice session
cardiovascular disorders • Nursing Assessment-History • Case Discussion
and Physical assessment Health education
•
Demonstrate skill in • Disorders of vascular system- Drug Book/
cardiovascular Hypertension, • presentation
assessment arteriosclerosis, Raynaud’s
disease, aneurysm and
Prepare patient for peripheral vascular disorders
invasive and noninvasive • Coronary artery diseases--
cardiac coronary atherosclerosis,
procedures Angina pectoris, myocardial
infarction
Demonstrate skill in • Valvular disorders -
monitoring and congenital and acquired
interpreting clinical • Rheumatic heart disease - BCLS Module
signs related to cardiac pericarditis, myocarditis, •
disorders endocarditis,
cardiomyopathies
BLS/BCLS
• Cardiac dysrrhythmias, heart
VII block evaluation
7 (T) • Congestive heart failure,
3 (L) corpulmonale, pulmonary Field visit to blood
Explain the etiology, edema, cardiogenic shock, bank
pathophysiology, clinical cardiac tamponade
•
manifestations, diagnostic • Cardiopulmonary arrest Counseling
tests, and medical,
surgical, nutritional, and Nursing Management of • Interpretati
nursing management of •
patients with disorders of on of blood
hematological disorders blood reports
• Visit report
Interpret blood reports
•Review of Anatomy and
Physiology of blood, nursing
Prepare and provides assessment- history, physical
health education on blood assessment & Diagnostic
donation tests
• Anemia, Polycythemia
• Bleeding Disorders – clotting
factor defects and platelets
defects, thalassemia,
leukemias, leukopenias,
agranulocytosis
• Lymphomas, myelomas
Explain the etiology, Nursing management of Lecture,
VIII 8 (T) pathophysiology, clinical patients with disorders of discussion,
2 (L) manifestations, diagnostic endocrine system demonstration • Prepare health
tests, and medical, • Review of anatomy and • Practice session education
surgical, nutritional, and physiology of endocrine on self-
system

132
 nursing management of • Nursing Assessment – • administrat

endocrine disorders History and Physical • Case Discussion • ion of

assessment • Health education insulin
Demonstrate skill in • Disorders of thyroid and Submits a
assessment of endocrine Parathyroid, Adrenal and diabetic diet
organ dysfunction Pituitary (Hyper, Hypo, plan
tumors)
Prepare and provides • Diabetes mellitus
health education on
diabetic diet
Demonstrate skill in
insulin administration
IX 8 (T) Explain the etiology, Nursing management of Lecture, discussion •
2 (L) pathophysiology, clinical patients with disorders of Demonstration •
manifestations, Integumentary system Practice session
diagnostic tests, and • Review of anatomy and • Case Discussion Drug report
medical, surgical, physiology of skin Preparation
nutritional, and nursing • Nursing Assessment – of Home
•
management of disorders History and Physical care plan
of integumentary system •
assessment
• Infection and infestations; •
Demonstrate skill in Dermatitis
integumentary • Dermatoses; infectious and
assessment Non infectious
• Acne, Allergies, Eczema &
Demonstrate skill in Pemphigus
medicated bath
• Psoriasis, Malignant
melanoma, Alopecia
Prepare and provide
• Special therapies,
health education on skin alternative therapies
care
• Drugs used in treatment of
disorders of integumentary
system
X 11 Explain the etiology, Nursing management of Lecture / •
(T) pathophysiology, clinical patients with musculoskeletal Discussion
4 manifestations, problems Demonstration Nursing
(L) diagnostic tests, and • Review of Anatomy and • Case Discussion care plan
medical, surgical, physiology of the Health education
nutritional, and nursing •
musculoskeletal system
management of • Nursing Assessment- History •
musculoskeletal disorders and physical assessment, • •
diagnostic tests •
Demonstrate skill in • Musculoskeletal trauma: Prepare
musculoskeletal Dislocation, fracture, sprain, health
assessment strain, contusion, amputation teaching on
• Musculoskeletal infections care of

133
 Prepare patient for and tumors: Osteomyelitis, patient with
radiological and non- benign and malignant cast
radiological tumour
• Orthopedic modalities: Cast,
investigations of splint, traction, crutch
musculoskeletal system walking
• Musculoskeletal
Demonstrate skill in inflammation: Bursitis,
crutch walking and synovitis, arthritis
splinting • Special therapies, alternative
therapies
• Metabolic bone disorder:
Osteoporosis, osteomalacia
and Paget’s disease
Demonstrate skill in care • Spinal column defects and
of patient with deformities – tumor,
replacement surgeries prolapsed intervertebral disc,
Pott’s spine
Prepare and provide • Rehabilitation, prosthesis
health education on bone • Replacement surgeries
healing
XI 17 Explain the etiology, Nursing management of Lecture, •
(T) pathophysiology, clinical patients with Communicable discussion,
3 (L) manifestations, diseases demonstration
diagnostic tests, and • Overview of infectious • Practice session Prepares
medical, surgical, diseases, the infectious Case Discussion / and submits
nutritional, and nursing process seminar protocol on
management of patients • Nursing Assessment – • • Health education various
with communicable History and Physical Drug Book/ • isolation
diseases assessment, Diagnostic tests presentation techniques
•
• Tuberculosis • Refer TB control
• Diarrhoeal diseases, hepatitis
A-E, Typhoid & Management
• Herpes, Chickenpox, module
•
Smallpox, Measles, Mumps,
Influenza
• Meningitis
• Gas gangrene
• Leprosy
• Dengue, Plague, Malaria,
Demonstrate skill in Chikungunya, swine flu,
barrier and reverse Filariasis
barrier techniques • Diphtheria, Pertussis,
Tetanus, Poliomyelitis
• Special infection control
Demonstrate skill in measures: Notification,
execution of different Isolation, Quarantine,
isolation protocols

134
Immunization,

135
 CLINICAL PRACTICUM

CLINICAL PRACTICUM : 6 Credits (480 Hrs) - 18 weeks x 27 hrs

PRACTICE COMPETENCIES

On completion of the clinical practicum, the students will be able to apply

nursing process and critical thinking in delivering holistic nursing care including
rehabilitation to the adult patients undergoing surgery, with shock and fluid and
electrolyte imbalance and with selected medical & surgical conditions i.e.,
Gastrointestinal, Respiratory, Endocrine, Orthopedic, Dermatology and
Cardiovascular disorders.

The students will be competent to:

1. Utilize the nursing process in providing care to the sick adults in the hospital
a. Perform complete health assessment to establish a data base for
providing quality patient care
b. Integrate the knowledge of diagnostic tests in the process of data
collection
c. Identify nursing diagnoses and list them according to priority
d. Formulate nursing care plan, using problem solving approach
e. Apply scientific principles while giving nursing care to patients
f. Perform nursing procedures skillfully on patients
g. Establish /develop interpersonal relationship with patients and family
members
h. Evaluate the expected outcomes and modify the plan according to the
patient needs
2. Provide comfort and safety to adult patients in the hospital
3. Maintain safe environment for patients during hospitalization
4. Explain nursing actions appropriately to the patients and family members
5. Ensure patient safety while providing nursing procedures
6. Assess the educational needs of the patient and their family related to medical
and surgical disorders and provide appropriate health education to patients 7.
Provide pre, intra and post-operative care to patients undergoing surgery
8. Integrate knowledge of pathology, nutrition and pharmacology for patients
experiencing various medical and surgical disorders
9. Integrate evidence-based information while giving nursing care to patients
10. Demonstrate the awareness of legal and ethical issues in nursing practice

136
 I. NURSING MANAGEMENT OF PATIENTS WITH
MEDICAL CONDITIONS

A. Skill Lab Use of manikins and simulators

• Intravenous therapy
• Oxygen through mask
• Oxygen through nasal prongs
• Venturi mask
• Nebulization
• Chest physiotherapy
B. Clinical Postings

Clinical Duration Learning Procedural competencies/Clinical Clinical Assessment

area/unit in Outcomes skills Requirements methods
weeks
General Develop skill • Intravenous therapy o IV • Care Study – 1 • Clinical
medical 4 in cannulation • Health evaluation
intravenous o IV maintenance and education • OSCE
injection monitoring • Clinical • Care Study
administration o Administration of presentation evaluation •
IV medication / Care Note/
and IV
• Care of patient with Central Care note) - 1 Clinical
therapy
line presentation

Assist with • Preparation and assisting and

monitoring of patients
diagnostic
undergoing diagnostic
procedures procedures such as
thoracentesis, Abdominal
Develop skill paracentesis
in the Management patients with
Management respiratory problems
of patients • Administration of oxygen
with through mask, nasal prongs,
Respiratory venturi mask
problems
• Pulse oximetry
• Nebulization
• Chest physiotherapy
• Postural drainage
• Oropharyngeal suctioning
• Care of patient with chest
drainage

137
 Develop skill • Diet Planning o High Protein
in managing diet o Diabetic diet
patients with • Insulin administration
metabolic • Monitoring GRBS
abnormality

II. NURSING MANAGEMENT OF PATIENTS WITH SURGICAL

CONDITIONS

A. Skill Lab Use of manikins and simulators

• Nasogastric aspiration
• Surgical dressing
• Suture removal
• Colostomy care / ileostomy care
• Enteral feeding

B. Clinical postings

Clinical Duration in Learning Procedural Clinical Requirements Assessment

area/unit weeks Outcomes competencies/Clinical skills methods

138
General 4 Develop skill in • Pre-Operative care • Clinical
surgical caring for patients • Immediate • Care study – 1, evaluation,
wards during pre and Postoperative care • Care Note – 1 OSCE
post- operative • Health teaching • Care study
• Post-operative
period • Clinical • Care note/
exercise
Presentation / Clinical
• Pain assessment Care note) - 1 presentation
Assist with • Pain Management
diagnostic • Assisting diagnostic
procedures procedure and after
care
of patients
undergoing o
Develop skill in Colonoscopy o ERCP
managing patient o Endoscopy o Liver
with Gastro- Biopsy
intestinal • Nasogastric aspiration
Problems • Gastrostomy /
Develop skill in Jejunostomy feeds
wound • Ileostomy / Colostomy
management care
• Surgical dressing
• Suture removal
• Surgical soak
• Sitz bath
• Care of drain

III. NURSING MANAGEMENT OF PATIENTS WITH CARDIAC

CONDITIONS

A. Skill Lab

Use of manikins and simulators

• Cardiovascular assessment
• Interpreting ECG
• CPR
• ABG analysis
• Taking blood sample
• Arterial blood gas analysis – interpretation

139
 B. Clinical postings

Clinical Duration Learning Procedural Clinical Assessment

area/unit in weeks Outcomes competencies/Clinical skills Requirements methods
Cardiology Develop skill in • Cardiac monitoring • Cardiac • Clinical
wards 2 Management of • Recording and interpreting assessment – 1 evaluation
patients with ECG • Drug • Drug
cardiac problems • Arterial blood gas analysis – presentation - 1 presentati
interpretation on
• Administer cardiac drugs
• Preparation and after care of
patients for cardiac
catheterization
Develop skill in
• CPR
management of
patients with
• Collection of blood sample
disorders of Blood for
• Blood grouping/cross
matching
• Blood sugar
• Serum electrolytes
• Assisting with blood
transfusion
• Assisting for bone marrow
aspiration
• Application of antiembolism
stockings (TED hose)
• Application / maintenance of
sequential Compression
device

IV. NURSING MANAGEMENT OF PATIENTS WITH DISORDERS

OF INTEGUMENTARY SYSTEM

A. Skill Lab

Use of manikins and simulators

Application of topical medication

B. Clinical postings

Clinical Duration Learning Outcomes Procedural Clinical Assessment

140
area/unit in competencies/Clinical skills Requirements methods
weeks
Dermatology 1 Develop skill in • Intradermal • Clinical
wards management of patients injection- evaluation
with disorders of Skin allergy testing
Integumentary system • Application of
topical medication
• Medicated bath

V. NURSING MANAGEMENT OF PATIENTS WITH

COMMUNICABLE DISEASES

A. Skill Lab

• Barrier Nursing
• Reverse Barrier Nursing
• Standard precautions

B. Clinical postings

Clinical Duration Learning Outcomes Procedural Clinical Assessment

area/unit in competencies/Clinical skills Requirements methods
weeks
Isolation Develop skill in the • Barrier Nursing • Care • Clinical
ward 1 management of patients • Reverse barrier nursing Note – 1 evaluation
requiring isolation • Standard precautions • Care note
(Universal precaution)
Use of PPE, needle stick
and sharp injury
prevention, Cleaning and
disinfection, Respiratory
hygiene, waste disposal
and safe injection
practices)

VI. NURSING MANAGEMENT OF PATIENTS WITH MUSCULOSKELETAL

PROBLEMS

A. Skill Lab

141
 Use of manikins and simulators
• Range of motion exercises
• Muscle strengthening exercises
• Crutch walking

B. Clinical postings

Clinical Duration Learning Procedural Clinical Assessment

area/unit in Outcomes competencies/Clinical skills Requirements methods
weeks
Orthopedic Develop skill in • Preparation of patient with • Care • Clinical
wards 2 management of Myelogram / CT / MRI Note – 1 evaluation,
patients with • Assisting with application & • Care note
musculoskeletal removal of POP / Cast
problems • Preparation, assisting and after
care of patient with Skin
traction / skeletal traction
• Care of orthotics
• Muscle strengthening
exercises
• Crutch walking
• Rehabilitation

VII. NURSING MANAGEMENT OF PATIENTS IN THE OPERATING ROOMS

A. Skill Lab Use of manikins and simulators

• Scrubbing, gowning and gloving

• Orient to instruments for common surgeries
• Orient to suture materials
• Positioning

B. Clinical postings
Clinical Duration Learning Procedural competencies/Clinical Clinical Assessment
area/unit in Outcomes skills Requirements methods

142
 weeks
Operation Develop skill • Position and draping • Assist as Clinical
theatre 4 in caring for • Preparation of operation table circulatory evaluation,
intraoperative • Set up of trolley with instrument nurse - 5 OSCE
patients • Assisting in major and minor • Positioning &
operation draping - 5
• Disinfection and sterilization of • Assist as
equipment scrub nurse in
• Scrubbing procedures – Gowning, major
masking and gloving surgeries - 5
• Intra operative monitoring • Assist as
scrub nurse in
minor
surgeries – 5

143
 PHARMACOLOGY II
PLACEMENT-IV Semester Theory: 2 Credits (40 Hours)

IX 4 Describe drugs used in Drugs used in disorders of ear, • Lecture cum • Short answer
disorders of ear, nose, nose, throat & Eye • Discussion • Objective
throat and eye and Antihistaminics • Drug study/ type
nurses’ responsibilities • Topical applications for eye presentation
(Chloromphenicol, Gentamycin
eye drops), ear (Soda glycerine,
boric spirit ear drops), nose and
buccal cavity-chlorhexidine
mouthwash
• Composition, action, dosage,
route, indications,
contraindications, drug
Interactions, side effects,
adverse effects, toxicity and role
of nurse
X 4 Describe drugs acting Drugs used on urinary system • Lecture cum • Short answer
on urinary system & • Pharmacology of commonly Discussion • Objective
nurse’s responsibilities used drugs • Drug study/ type
o Renin angiotensin system o presentation
Diuretics and antidiuretics o
Drugs toxic to kidney o
Urinary antiseptics o
Treatment of UTI –
acidifiers and alkalinizers
• Composition, action, dosage,
route, indications,
contraindications, Drug
Interactions, side effects,
adverse effects toxicity and role
of nurse

144
XI 10 Describe drugs used on Drugs acting on nervous system • Lecture cum • Short answer
nervous system & • Basis & applied pharmacology Discussion • Objective
nurse’s responsibilities of commonly used drugs • Drug study/ type
• Analgesics and anaesthetics o presentation
Analgesics- Non steroidal
antiinflammatory(NSAID)drug
s
o Antipyretics o Opioids
& other central analgesics
 General (techniques of GA, pre
anesthetic medication) & local
anesthetics
 Gases: oxygen, nitrous, oxide,
carbon-dioxide & others
• Hypnotics and sedatives
• Skeletal muscle relaxants
• Anti psychotics

o Mood stabilizers •
Antidepressants
• Anti Anxiety Drugs
• Anticonvulsants
• Drugs for neurodegenerative
disorders & miscellaneous drugs
• Stimulants, ethyl alcohol and
treatment of methyl alcohol
poisoning
• Composition, action, dosage,
route, indications,
contraindications, drug
Interactions, side effects,
adverse effects toxicity and role
of nurse

145
XII 5 Describe drugs used for Drugs used for hormonal, • Lecture cum • Short answer
hormonal disorder & disorders and supplementation, Discussion • Objective type
supplementation, contraception and medical • Drug study/
contraception & termination of pregnancy • presentation
medical termination of Estrogens and progesterones o Oral
pregnancy & nurse’s contraceptives and hormone
responsibilities replacement therapy
• Vaginal contraceptives
• Drugs for infertility and medical
termination of pregnancy
o Uterine stimulants and relaxants
• Composition, actions dosage route
indications contraindications,
drugs interactions, side effects,
adverse, effects, adverse effects,
toxicity and role of nurse

XIII 3 Develop understanding Drugs used for pregnant women • Lecture cum • Short answer
about important drugs during antenatal, labour and Discussion • Objective type
used for women before, postnatal period • Tetanus • Drug study/
during and after labour prophyaxis presentation
• Iron and Vit K1 supplementation
• Oxytocin, Misoprostol
• Ergometrine
• Methyl prostaglandin F2-alpha
• Magnesium sulphate
• Calcium gluconate

XIV 10 Describe drugs used in Miscellaneous • Lecture cum • Short answer

deaddiction, emergency, • Drugs used for deaddiction Discussion • Objective type
poisoning, vitamins & • Drugs used in CPR and • Drug study/
minerals emergency-adrenaline, presentation
supplementation, drugs Chlorpheniramine,
used for immunization hydrocortisone, Dexamethasone
& immune-suppression • IV fluids & electrolytes
& nurse’s replacement
responsibilities • Common poisons, drugs used
for treatment of poisoning o
Activated charcoal
o Ipecac o Antidotes,
o Anti-snake venom
(ASV)
• Vitamins and minerals
supplementation
• Vaccines & sera (Universal
immunization program
schedules)
146
 • Anticancer
drugsChemotherapeutic drugs
commonly used
• Immuno-suppressants and
Immunostimulants
Introduction to drugs used in
XV 4 Demonstrate awareness alternative systems of medicine: • Lecture cum • Short answer
of common drugs used Discussion • Objective type
in alternative system of • Ayurveda, homeopathy, unani • Observational
medicine. and siddha etc. visit
• Drugs used for common
ailments

ADULT HEALTH NURSING II WITH INTEGRATED PATHOPHYSIOLOGY

INCLUDING GERIATRIC NURSING (with Health
Assessment module)

PLACEMENT : IV SEMESTER

THEORY - 120 hours (6 Credits)

PRACTICUM - Lab/Skill lab- 40 hrs (1 Credit)
Clinical - 480 hours (6 Credits)

DESCRIPTION: This course is designed to equip the students to review and

apply their knowledge of Anatomy, Physiology, Biochemistry and Behavioral
sciences in caring for adult patients with Medical / Surgical disorders using
nursing process approach. It also intends to develop competencies required for
assessment, diagnosis, treatment, nursing management, and supportive /palliative
and rehabilitative care to adult patients with various Medical Surgical disorders.

COMPETENCIES

On completion of the course the students will apply nursing process and critical
thinking in delivering holistic nursing care with selected Medical & Surgical
conditions.

At the completion of Adult Health Nursing II course, students will

1. Explain the etiology, pathophysiology, manifestations, diagnostic studies,
treatments and complications of common medical and surgical disorders.
2. Perform complete health assessment to establish a data base for providing quality
patient care and integrate the knowledge of diagnostic tests in the process of data
collection
3. Identify diagnoses, list them according to priority and formulate nursing care plan
4. Perform nursing procedures skillfully and apply scientific principles while giving
comprehensive nursing care to patients
147
 5. Integrate knowledge of anatomy, physiology, pathology, nutrition and
pharmacology in caring for patients experiencing various medical and surgical
disorders
6. Identify common diagnostic measures related to the health problems with emphasis
on nursing assessment and responsibilities
7. Demonstrate skill in assisting / performing diagnostic and therapeutic procedures
8. Demonstrate competencies/skills to patients undergoing treatment for medical
surgical disorders
9. Identify the drugs used in treating patients with medical surgical conditions
10. Plan and provide relevant individual and group education on significant medical
surgical topics
11. Maintain safe environment for patients and the health care personnel in the hospital

COURSE OUTLINE

TIME TEACHING /
LEARNING ASSESSMENT
UNIT CONTENT LEARNING
OUTCOMES METHODS
(HRS) ACTIVITIES
I 10(T) Explain etiology, the Nursing management of • Lecture and • MCQ
4(L) pathophysiology, patient with disorders of discussion • Short answers
clinical manifestations, Ear, Nose and Throat • Demonstration • Essay
diagnostic measures (Includes etiology, of hearing aids, • OSCE
medical, surgical, pathophysiology, clinical nasal packing,
nutritional nursing manifestations, diagnostic • Assessment of
medication
management patients and measures and medical, administration skill (using
with ENT disorders surgical, nutritional and • Visit to checklist)
and nursing management) audiology and • Quiz
• Review of anatomy and speech clinic • Drug book
of physiology of the ear,
nose and throat
• History, physical
assessment, and
diagnostic tests
• Ear
o External ear:
deformities otalgia,
foreign bodies and
tumors
o Middle year- impacted
wax, tympanic,
membrane perforation,
otitis media, and
tumors. o Inner ear-
Meniere’s disease,
labyrinthitis,
ototoxicity tumors

148
 • Upper respiratory
airway infections –
Rhinitis, sinusitis,
tonsillitis, laryngitis
• Epistaxis, Nasal
obstruction, laryngeal
obstruction
• Deafness and its
management
II 10(T) Explain the Nursing management of • • MCQ
Lecture and
4(L) etiology, patient with disorder of eye • Short Essay
discussion
• Review of anatomy • Demonstration • OSCE
pathophysiology, physiology of the eye • Drug book
of visual aids,
clinical manifestations, • History, physical
lens, medication
assessment, diagnostic
diagnostic administration
assessment •
measures and Visit to eye bank
Eye Disorders

management of • Refractive errors

patients with • Eyelids –
disorders of eye infection, deformities
• Conjunctiva –
inflammation and
infection bleeding
Describe eye
donation, banking • Cornea- inflammation
and infection
and transplantation
• Lens- cataract
• Glaucoma
• Retinal detachment
• Blindness
• Eye banking,
Eye donation

149
III 9(T) Explain the Nursing management of Lecture cum •
4 (L) etiology, patient with Kidney and Discussion •
pathophysiology, Urinary problems • Demonstration MCQ
clinical •
• Review of Anatomy and Case Discussion Short Note
manifestations, physiology of the •
• • Health education Long essay
diagnostic tests, genitourinary system • Case report
and medical, • • Drug book &
• History, physical Submits health
surgical, assessment, diagnostic • Field visit- Visits
nutritional, and hemodialysis teaching on
tests prevention of
nursing unit
• Urinary tract urinary calculi
management of
infectionsacute, chronic,
Kidney and urinary
lower, upper
system disorders
• Nephritis, nephrotic
• Demonstrate
syndrome,
skill in
• Renal calculi
genitourinary
assessment • Acute and chronic renal
failure
• Prepare patient
for • Disorders of ureter,
genitourinary urinary bladder and
investigations Urethra
• Prepare and • Disorders of prostate -
inflammation, infection,
provide health
stricture, obstruction, and
education on
Benign Prostate
prevention of
Hypertrophy
renal calculi
IV Explain the Nursing management of •
5 (T) etiology, disorders of male
pathophysiology, reproductive system • Short essay
clinical • Review of Anatomy and Lecture,
manifestations, physiology of the • Discussion
diagnostic tests, male reproductive system • • Case Discussion
and medical, History, Physical Health
surgical, Assessment, Diagnostic education

nutritional, and tests

nursing • Infections of testis, penis
management of and adjacent structures –
male reproductive Phimosis,
disorders Epididymitis, and
Orchitis
• Sexual dysfunction,
infertility, contraception
• Male Breast Disorders -
gynecomastia, tumor,
climacteric changes

150
V 8(T) Explain theNursing management of • Lecture and • OSCE
4(L) etiology, patient with burns, discussion • Short
pathophysiology, reconstructive and • Demonstration notes
cosmetic surgery of burn wound
clinical
• Review of anatomy and assessment,
manifestations, vacuum dressing
physiology of the skin
types, diagnostic and connective tissues and fluid
measures and • History, physical calculations Visit
management of assessment, assessment of • to burn
patients with burns and fluid & rehabilitation
disorders of electrolyte loss centers
burns/cosmetic • Burns
surgeries and its • Reconstructive and
significance cosmetic surgery for
burns, congenital
deformities, injuries and
cosmetic purposes,
gender reassignment
• Legal and ethical aspects
• Special therapies: LAD,
vacuumed dressing.
Laser, liposuction, skin
health rejuvenation, use
of derma filters
VI 16(T) Explain the Nursing management of • Lecture and • OSCE, short
4(L) etiology, patient with neurological discussion notes, Essay
pathophysiology, disorders • Demonstration
• Drug book
• Review of anatomy and of
clinical
physiology of the physiotherapy,
manifestations, neuro
neurological system
diagnostic assessment,
• History, physical,
measures and neurological assessment, tracheostomy
management of diagnostic tests care
patients with • Headache, Head injuries • Visit to
neurological • Spinal injuries – rehabilitation
disorders center, long term
Paraplegia, Hemiplegia,
care clinics,
Quadriplegia
EEG, NCV study
• Spinal cord compression –

151
 herniation of in vertebral unit,
disc
• Intra cranial and cerebral
aneurysms
• Meningitis, encephalitis,
brain, abscess,
neurocysticercosis
• Movement disorders –
Chorea, Seizures &
Epilepsies
• Cerebro-vascular disorders-
CVA
• Cranial, spinal neuropathies
– Bell’s
palsy, trigeminal neuralgia
• Peripheral Neuropathies
• Degenerative diseases -
Alzheimer’s disease,
Parkinson’s disease
• Guillain-Barré syndrome,
Myasthenia gravis &
Multiple sclerosis
• Rehabilitation of patient
with neurological deficit
VII 12 (T) Explain the etiology, Nursing management of Lecture,
4 (P) pathophysiology, patients with • discussion Case
clinical Immunological problems Discussion
manifestations, • Review of Immune / seminar
•
diagnostic tests, and system Refer Module on
medical, surgical, • Nursing Assessment –
• HIV/AIDS
nutritional, and History and Physical
nursing assessment
management of • HIV & AIDS:
immunological Epidemiology,
disorders Transmission, Prevention
• Prepare and of Transmission • Role of
provides health Nurse; Counseling, Health
education on education and home care
prevention of HIV consideration
infection
• National AIDS Control
• Describe the Program – NACO,
national infection various national and
control international agencies,
programmes Infection control
• Describe the drug programs
therapy for AIDS • Rehabilitation

152
VIII 10(T) Explain the Nursing management of • Lecture and • • OSCE
4(L) etiology, patient with Oncological discussion • • Essay
pathophysiology, conditions • Demonstration
of chemotherapy • Quiz
types, Drug book
• Structure and preparation and
clinical administration, Counseling,
characteristics of normal
manifestations, Visit to BMT, health teaching
and cancer cells •
staging, diagnostic • History, physically radiotherapy
measures and assessment, diagnostic units (linear
management of tests. accelerator,
patients with brachytherapy,
• Prevention screening early
etc.), nuclear
different detections warning sign of
medicine unit,
cancer, cancer
treatment • Epidemiology, etiology
modalities classification,
including newer Pathophysiology, staging
clinical manifestations,
treatments
diagnosis, treatment
modalities and medical
and surgical nursing
management of
Oncological condition
• Common malignancies of
various body system eye,
ear, nose, larynx, breast,
cervix, ovary, uterus,
sarcoma, renal, bladder,
kidney, prostate Brain,
Spinal cord.
• Oncological emergencies
• Modalities of treatment -
Chemotherapy,
Radiotherapy - Radiation
safety, AERB
regulations, Surgical
intervention, Stem cell
and bone marrow
transplant,
Immunotherapy, Gene
therapy
• Psychological aspects of
cancer-anxiety,
depression, insomnia,
anger
• Palliative care
• Supportive care
• Hospice care

153
IX 15(T) Explain the types, Nursing management of • Lecture and • OSCE
4(L) policies, patient in Emergency and discussion • Case
guidelines, Disaster situations • Demonstration of presentations
prevention and Disaster Nursing disaster
and case study
• Concept and principles of preparedness
management of
disaster nursing, Related (Mock drill) and
disaster the triaging Filed
Policies
etiology, visit to local
• Types of disaster; •
pathophysiology, disaster
Natural and manmade
clinical management
• Disaster preparedness -
manifestations, centers or demo
Team, guidelines, by fire
diagnostic protocols, equipment,
extinguishers
measures and resources
• Group
management of • Etiology, classification, presentation
patients with acute Pathophysiology, staging, (role play, skit,
emergencies clinical manifestation, concept mapping)
staging, clinical on different
manifestation, diagnosis, emergency care
treatment modalities and Refer Trauma
medical and surgical care
nursing management of •
management/
patient with medical and ATCN module
surgical emergencies – Guided reading
Poly trauma, Bites, on National
Poisoning and Thermal • Disaster
emergencies Management
• Principles of emergency Authority
management
(NDMA)
• Medico legal aspects guidelines

X 8(T) Explain the Nursing care of the elderly • Lecture and •• OSCE
Concept, • History and physical discussion Case
physiological assessment • Demonstration of
• presentations
changes, and • Aging process and communication
Assignment on
agerelated body changes with visual and
psychosocial family systems
and psychosocial aspects hearing impaired
problems of ageing of India
• Stress and coping in elder Field visit to old
Describe the • focusing
patient age homes
nursing management on
• Psychosocial and sexual
of the elderly abuse of elderly geriatric
• Role of family and formal population
and non-formal caregivers
• Use of aids and prosthesis
(hearing aids, dentures)
• Legal and ethical issues

154
 • National programmes for
elderly, privileges,
community programs and
health services
• Home and institutional
care
XI 12(T) Explain etiology, the Nursing management of • Lecture and Objective
8(L) pathophysiology, patients in critical Care discussion questions and short
clinical units • Demonstration of notes
manifestations, • Principles of critical care ACLS, Case presentations
nursing mechanical
diagnostic Assessment of skill
• Organization: physical ventilators,
measures on
set-up, policies, staffing cardiac monitors
management and norms BLS/ACLS,
• Clinical practice
patients in critical
of • Protocols, equipment, and in different ICUs monitoring of
care units supplies, patients in ICU.
• Special equipment: Written
ventilators, cardiac assignment on
monitors, defibrillators, ethical and legal
infusion pump, issues in critical
Resuscitation equipment care
• Advanced Cardiac Life
support
• Nursing management of
critically ill patient
• Transitional care
• Ethical and Legal
Aspects
• Breaking Bad News to
Patients and/or their
families—
Communication with
patient and family
• End of life care
XII 5(T) Describe the Nursing management • Lecture and • Assignment on
etiology, of patients discussion industrial
pathophysiology, occupational and health hazards
• Industrial visit
clinical industrial disorders •
manifestations, History, physical
examination, Diagnostic
diagnostic
tests
measures and
• Occupational diseases
management of
and management
patients with
occupational/indus
trial health
disorders

155
 ADULT HEALTH NURSING II - CLINICAL PRACTICUM

CLINICAL PRACTICUM: 6 Credits (480 Hours)

PRACTICE COMPETENCIES
On completion of the clinical practicum, the students will develop proficiency in
applying nursing process and critical thinking in rendering holistic nursing care
including rehabilitation to the adult / geriatric patients admitted in Critical Care Units,
undergoing cosmetic and reconstructive surgery and with selected medical & surgical
disorders of ear, nose, throat, eye, Genitourinary, reproductive, immunologic, nervous
systems and in emergency / disaster conditions.

The students will be competent to

1. Utilize the nursing process in providing care to the sick adults in the hospital
a. Perform complete health assessment to establish a data base for providing quality
patient care
b. Integrate the knowledge of diagnostic tests in patient assignment
c. Identify nursing diagnoses and list them according to priority
d. Formulate nursing care plan, using problem solving approach
e. Apply scientific principles while giving nursing care to patients
f. Develop skill in performing nursing procedures applying scientific principle
g. Establish /develop interpersonal relationship with patients and family members
h. Evaluate the expected outcomes and modify the plan according to the patient needs
2. Provide comfort and safety to adult patients in the hospital
3. Maintain safe environment for patients during hospitalization
4. Explain nursing actions appropriately to the patients and family members
5. Ensure patient safety while providing nursing procedures
6. Assess the educational needs of the patient and their family related to medical and surgical
disorders and provide appropriate health education to patients
7. Provide pre, intra and post-operative care to patients undergoing surgery
8. Integrate knowledge of pathology, nutrition and pharmacology for patients experiencing selected
medical and surgical disorders
9. Integrate evidence-based information while giving nursing care to patients
10. Demonstrate the awareness of legal and ethical issues in nursing practice

I. Nursing Management of Patients with ENT disorders

A. Skill Lab

Use of manikins and simulators

• Tracheostomy care
• Instilling Ear and Nasal medications

156
 • Bandage application

B. Clinical postings
Clinical Duration Learning Outcomes Procedural Clinical Requirements Assessment
area/unit in competencies/Clinica methods
weeks l skills
Ophthalmol 2 Develop skill in • History taking, • Eye assessment – 1 • Clinical
ogy unit providing care to Examination of • Health teaching evaluation
patients with Eye eyes and • Case study/Clinical • OSCE
disorders • Clinical
interpretation Presentation– 1
• Assisting presentation

Clinical Duration Learning Procedural Clinical Assessment

area/unit in weeks Outcomes competencies/Clinical skills Requirements methods
ENT 2 Provide care to • Examination of ear, nose, • ENT • Clinical
Ward & patients with ENT throat and History taking assessment -1 evaluation
OPD disorders • Applying bandages to Ear, • Case • OSCE
Nose study/Clinical • Case report
• Tracheostomy care presentation -1 study /
• Preparation of patient, • Drug Book Clinical
assisting and monitoring of presentation
patients undergoing • Drug Book
diagnostic procedures o
Educate the Auditory screening tests o
patients and their Audiometric tests
families • Preparing the patient and
assisting in special
procedures like Anterior/
posterior nasal packing, Ear
Packing and Syringing
• Preparation and after care of
patients undergoing ENT
surgical procedures
• Instillation of
drops/medication

II. Nursing Management of Patients with Eye Conditions

157
 A. Skill Lab Use of manikins and simulators
• Instilling Eye medications
• Eye irrigation
• Eye bandage

B. Clinical postings

III. Nursing Management of Patients with kidney and urinary system disorders

Clinical Duration Learning Procedural Clinical Assessment

area/unit in Outcomes competencies/Clinical skills Requirements methods
weeks
Renal ward/ Develop skill • Assessment of kidney and • Assessment - 1, • Clinical
nephrology in urinary system o History taking • Drug evaluation
ward 2 Management o Physical examination o presentation - 1 • Care plan
including of patients with Testicular self-examination o • Care • OSCE
Dialysis unit urinary, male digital rectal exam study/Clinical • Quiz
reproductive • Preparation and assisting with presentation - 1 • Drug
problems diagnostic and therapeutic • Preparing and presentatio
procedures o assisting in n
Cystoscopy, hemodialysis
Cystometrogram, o
Contrast studies-IVP etc o
Peritoneal dialysis o
Hemodialysis, o
Lithotripsy
o Specific tests-Semen
analysis, gonorreoea test,
Renal/ Prostate Biopsy etc
• Catheterization -care
procedures o
Educate the patients and Visual acuity
their families o Fundoscopy,
retinoscopy,
ophthalmoscopy,
tonometry,
o Refraction tests
• Pre and
postoperative care
• Instillation
of
drops/medication
• Eye irrigation
• Application of eye
bandage
• Assisting with

158
 foreign body
removal
A. Skill Lab Use of manikins and simulators
• Assessment-kidney & urinary system
• Preparation –dialysis
• Catheterization and care

B. Clinical postings

IV. Nursing Management of Patients with Burns and Reconstructive Surgery

A. Skill Lab Use of manikins and simulators

• Assessment of burns wound
• Wound dressing

B. Clinical Postings
• Bladder irrigation

• I/O recording and monitoring

• Ambulation and exercise

Clinical Duration Learning Procedural Clinical Assessmen

area/unit in Outcomes competencies/Clinical skills Requirements t methods
weeks
Burns Develop skill in • Assessment of burns • burn wound • Clinical
unit/reconstru 2 burns assessment • First aid of burns assessment – 1 evaluati
ctive surgical and providing care • Fluid & electrolyte • care study/case on,
unit to patients with replacement therapy presentation -1 • Care
different types of • Skin care study/c
burns • Care of Burn wounds ase
Develop skill in − Bathing report
providing care to − Dressing
patients with • Pre-operative and
different types of postoperative care of
cosmetic and patients
reconstructive • Caring of skin graft and
surgeries post cosmetic surgery
• Rehabilitation

V. Nursing Management of Patients with neurological disorders

A. Skill Lab

Use of manikins and simulators

• Range of motion exercises
• Muscle strengthening exercises

159
 • Crutch walking

B. Clinical postings

Clinical area/unit Duration Learning Procedural Clinical Assessment

in Outcomes competencies/Clinical Requirements methods
weeks skills
Neurologymedical Develop • History taking; • Neuro- • Clinical
/ Surgery wards 3 skill in Neurological assessment –1 evaluation
Management Examination • Case • Neuro
of patients • Patient monitoring study/ case assessment
with • Prepare and assist for presentation- 1 • OSCE
various invasive and • Drug • Case
Neurological
noninvasive diagnostic presentation -1 report/
problems
procedures presentations
• Range of motion
exercises, muscle
strengthening
• Care of medical,
surgical and
rehabilitative patients

VI. Nursing Management of Patients with Immunological Disorders

A. Skill Lab
• Barrier Nursing
• Reverse Barrier Nursing

B. Clinical postings
Clinical Duration Learning Procedural Clinical Assessment
area/unit in weeks Outcomes competencies/Clinical skills Requirements methods
Isolation Develop skill • History taking • Assessment of
ward/Medic 1 in the • Immunological status immune status • Care note
al ward Management assessment (e.g. HIV) and • Teaching of • Quiz
of patients Interpretation of specific isolation to • Health Teaching
tests patient and
with
• Caring of patients with family
immunologica
low immunity care givers
l disorders
• Practicing of standard • Nutritional
safety measures, management
160
 precautions/ barrier • Care Note – 1
nursing / reverse
barrier/isolation skills

VII. Nursing Management of Patients with disorders of Oncological conditions

A. Skill Lab Use of manikins and simulators

• Application of topical medication
• Administration of chemotherapy

B. Clinical postings
Clinical Duration Learning Procedural Clinical Requirements Assess
area/unit in Outcomes competencies/Clinical ment
weeks skills method
s
Oncology 3 Develop skill • History taking & • Assessment – 1 • Clinical
wards in physical examination of • Care study/clinical evaluation
(including day cancer patients presentation -1 • Care study
care providing care • Screening for common • Quiz
radiotherapy to cancers – TNM • Pre and post-operative • Drug book
unit) patients with classification care of patient with
oncological • Preparation, assisting various modes of
disorders and after care patients cancer treatment
undergoing diagnostic
procedures − • Teaching on BSE to
Biopsies/FNAC family members
− Pap smear
− Bone-marrow
aspiration
• Various modalities of
treatment
− Chemotherapy
− Radiotherapy
− Pain management
− Stoma therapy
− Hormonal therapy
− Immuno therapy
− Gene therapy
− Alternative therapy
• Stoma care and
feeding
• Caring of patients
treated with nuclear
medicine
• Rehabilitation

161
 VIII. Nursing Management of Patients in emergency conditions

A. Skill Lab Use of manikins and simulators

• Assessment –primary and secondary survey
• Trauma care-bandaging, wound care, splinting, positions

B. Clinical postings

Clinical Duration Learning Procedural competencies/Clinical Clinical Assessment

area/unit in weeks Outcomes skills Requirement methods
s
Emergency 2 Develop skill in • Practicing ‘triage’ • Triage • Clinical
room week providing care • Primary and secondary survey in • Immediate evaluation
to patients with emergency care • Quiz
emergency • Examination, investigations & • Use of
health problems their interpretations, in emergenc
emergency & disaster situations y trolley
• Emergency care of medical and
traumatic injury patients
• Documentations, assisting in
legal procedures in emergency
unit
• Managing crowd
• Counseling the patient and
family in dealing with grieving
& bereavement

IX. Nursing Management of Patients in critical care units

A. Skill Lab Use of manikins and simulators
• Assessment critically ill
• ET tube set up –suction
• TT suction
• Ventilator set up
• Chest drainage
• Bag mask ventilation
• Central & Peripheral line
• Pacemaker

B. Clinical postings
Clinical Duration Learning Procedural Clinical Assessment
area/unit in Outcomes competencies/Clinical skills Requirements methods
weeks
Critical 2 Weeks Develop skill in • Assessment of critically ill • Hemodynamic • Clinical
patients monitoring evaluation
162
Care Unit assessment of • Assisting in arterial • Different scales • OSCE
critically ill and puncture, ET tube intubation used in ICU • RASS scale
providing care to & extubation • Communicating assessment
patients with • ABG analysis & with critically ill • Use of VAE
critical health interpretation - respiratory patients bundle
conditions acidosis, respiratory
VAP, CAUTI,
alkalosis, metabolic
BSI
acidosis, metabolic
alkalosis • Case
• Setting up of Ventilator Presentation
modes and settings and
care of patient on a
ventilator
• Set up of trolley with
instruments Monitoring
• and maintenance of
Chest drainage system
Bag and mask ventilation
• • Assisting and maintenance
of Central and peripheral
lines invasive
• Setting up of infusion
pump, defibrillator, Drug
• administrationinfusion,
intracardic,
intrathecal, epidural,
Monitoring pacemaker
•
ICU care bundle
•
Management of the dying
• patient in the ICU

X. Nursing Management of Patients with geriatric illness

A. Skill Lab

Use of manikins and simulators

• Use of assistive safety devices

B. Clinical postings

Clinical Duration Learning Procedural Clinical Requirements Assessment

area/unit in weeks Outcomes competencies/Clinical methods
skills

163
Geriatric 1 week Develops kill in • History taking and • Geriatric assessment • Clinical
ward geriatric assessment of –1 evaluation
assessment and Geriatric patient • Care of normal and • Care plan
providing care to geriatric patient with
patients with illness
geriatric illness • Fall risk assessment 1
• Functional status
assessment -1

EDUCATIONAL TECHNOLOGY IN NURSING EDUCATION

PLACEMENT : IV SEMESTER

THEORY: 2 credits (40 hrs)

PRACTICUM: 1credit (40 hrs)

DESCRIPTION: This course is designed to help the students to develop knowledge,

attitude and beginning competencies essential for applying basic principles of
teaching and learning among individuals and groups both in educational and clinical
settings. It also introduces basics of curriculum planning and organization. It further
enables students to participate actively in team and collaborative learning.

COMPETENCIES

On completion of the course, the students will be competent to

1. Develop basic understanding of theoretical foundations and principles of teaching and

learning
2. Initiate self- assessment to identify one’s own learning styles
3. Demonstrate understanding of various teaching styles that can be used, based on the
learners’ readiness and needs
4. Develop understanding of basics of curriculum planning, and organizing
5. Analyze and use different teaching methods effectively that are relevant to student
population and settings
6. Make appropriate decisions in selection of teaching learning activities integrating basic
principles
7. Utilize active learning strategies that enhance critical thinking, team learning and
collaboration
8. Engage in team learning and collaboration through inter professional education
9. Integrate the principles of teaching and learning in selection and use of educational
media/technology
10. Apply the principles of assessment in selection and use of assessment and evaluation
strategies
11. Construct simple assessment tools/tests integrating cognitive, psychomotor and affective
domains of learning that can measure knowledge and competence of students

164
 12. Develop basic understanding of student guidance through mentoring and academic
advising
13. Identify difficult situations, crisis and disciplinary/grievance issues experienced by
students and provide appropriate counseling
14. Engage in ethical practice in educational as well as clinical settings based on values,
principles and ethical standards
15. Develop basic understanding of evidence-based teaching practices
16. Analyze the current health care trends that are applicable to nursing education

COURSE OUTLINE
THEORY & PRACTICAL (LAB)

UNIT TIME LEARNING OUTCOMES CONTENT TEACHING ASSESSMEN

(Hours) LEARNING T METHODS
ACTIVITIES
T P

165
I Introduction and
4 2 Explain the definition, aims, theoretical foundations: • Lecture cum • Quiz
types, approaches and scope discussion
of educational technology Education and educational
technology
Compare and contrast the • Definition, aims
various educational • Approaches and scope of
philosophies educational
technology

Educational philosophy:
• Definition of philosophy, Assessment
Explain the teaching education and philosophy of
• Comparison of Group exercise: Assignment:
learning process, nature,
educational philosophies Preparation of
characteristics and • Philosophy of nursing comparison table
principles education for different • Learning
educational theories-
Teaching learning process: philosophies analysis
• Definition of teaching & of any
learning one
• Teaching learning as a
process
• Nature and
characteristics of
teaching
• Principles of teaching
• Barriers to teaching
• Nature and
characteristics of learning
• Characteristics of adult
learners
• Principles of learning
• Learning theories
• Barriers to learning

Assessment and Planning

II 5 5 Identify essential • Lecture cum • Short
qualities/attributes of a Assessment of teacher Answer
discussion
teacher • Essential qualities of a • Objective
teacher type
Describe the teaching styles • Teaching styles-Formal
of faculty authority, demonstrator,
facilitator, delegator

Assessment of learner

166
 Explain the determinants of • Types of learners Selfassessment
learning and initiates • Determinants of exercise:
selfassessment to identify learning-learning needs, • Identify your
own learning style readiness to learn,
learning styles learning style
using any
• Emotional intelligence
Identify the factors that learning style
of the learner
motivate the learner inventory (ex.
Kolb’s
learning style
Define curriculum and inventory)
classify types • Motivational
factorspersonal factors,
environmental factors • Lecture cum
Identify the factors
influencing curriculum and support system discussion
development
Curriculum Planning Individual/gr
Develop skill in writing • Curriculum –definition, oup exercise:
learning outcomes, and types • Writing
lesson plan • Curriculum learning
designcomponents, Assessment
approaches outcomes
of
• Curriculum • Preparation
Assignment:
development- factors of a lesson
influencing curriculum plan
development, facilitators • Individual
and barriers /Group
• Writing learning
outcomes/ behavioral
objectives
• Basic principles of
writing course plan, unit
plan and lesson plan

III 8 15 Explain the principles and Implementation • Lecture cum • Short Answer
strategies of classroom Teaching in Classroom and Discussion • Objective
management Skill lab: Teaching type
Methods
• Classroom
management-principles
Describe different methods/ and strategies
strategies of teaching and • Classroom
develop beginning skill in communication
using various teaching
methods o Facilitators and
Barriers to classroom
communication • Practice
teaching/ Micro
o Information
teaching
communication • Exercise (Peer
technology (ICT)- ICT teaching) • Assessment
used in education of

167
 • Patient microteaching
Teaching methods:
Features, advantages and
disadvantages
• Lecture, Group

discussion, teaching session

Explain active learning microteaching
strategies and participate • Skill lab- simulations,
actively in team and Demonstration & re
collaborative learning demonstration
• Symposium, panel
discussion, seminar,
scientific workshop, • Construction of
exhibitions game-puzzle
• Role play, project
• Field trips •
Teaching in
• Self-directed
groupsinterdisciplinar
learning (SDL)
• Computer y
assisted learning
• One- to- one
instruction

Active learning strategies

• Team based learning
• Problem based
learning
• Peer sharing
• Case study analysis
• Journaling
• Debate
• Gaming
• Inter professional
education

168
 Lecture cum •
IV 3 3 Enumerate the factors Teaching in the clinical discussion
influencing selection of setting: Teaching • Short answer
clinical learning methods Debate: which
experiences • Clinical learning clinical
environment • education model is
Compare the advantages of • Factors influencing the best?
different clinical education selection of clinical
models learning experiences Writing clinical
• Models of clinical outcomes-
Develop skill in using education-traditional assignments in
different clinical teaching mode, collaborative pairs
strategies model, preceptor •
model, integration of Written assignment
education and on preceptorship
practice model,
• Characteristics of
effective clinical
teacher
• Writing clinical •
learning
outcomes/practice •
competencies Assessment
• Clinical teaching of
strategies- patient
assignment- clinical written
conference, clinical assignment
presentation /bedside
clinic, Case
study/care

study, nursing rounds,

concept mapping,
project, debate, game,
role play, clinical
simulation, PBL,
questioning, written
assignment, process
recording

169
 Educational/Teaching
V 5 5 Explain the purpose, media • Lecture cum • Short Answer
principles and steps in the • Media use- Purpose, discussion • Objective
components, principles
use of media and steps type
• Types of media-
Categorize the different Still visuals
types of media and describe o Non projected- drawings
its advantages and & diagrams, charts,
disadvantages graphs, posters,
cartoons, board devices
(chalk/white board,
bulletin board, flannel
Develop skill in preparing
board, flip charts, flash
and using media cards, still
pictures/photographs,
printed materialshandout,
leaflet,
brochure, flyer • Assessme
o Projected –film stripes, • Preparation of nt of the
microscope, power point different teaching
slides, overhead media
teaching aids-
projector prepared
Moving visuals (Integrate with
o Video learning practice teaching
resources-videotapes & sessions)
DVD, blu-ray, USB
flash drive
o Motion pictures/films
Realia and models o
Real objects & Models
Audio aids/audio media
o Audiotapes/Compact
discs
o Radio & Tape recorder
o Public address system
o Digital audio
Electronic media/computer
learning resources o
Computers
o Web-based
videoconferencing
o E-learning, Smart
classroom
Telecommunication
(Distance education)
o Cable TV,
satellite
broadcasting,

170
 videoconferencing
Telephones-
Telehealth/telenursing
Mobile technology

VI 5 3 Describe the purpose, scope, Assessment/Evaluation • Lecture cum • Short

principles in selection of Methods/strategies Discussion Answer
evaluation methods and • Purposes, scope and • Objective
barriers to evaluation principles in selection of type
assessment methods and
Explain the guidelines to types
develop assessment tests • Barriers to evaluation
• Guidelines to develop
Develop skill in assessment tests
construction of different
tests Assessment of knowledge: • Exercise on
• Essay type questions, constructing
• Short answer assessment
questions (SAQ), tool/s • Assessment
Identify various clinical • Multiple choice of tool/s
evaluation tools and questions (MCQ- single prepared
demonstrate skill in selected response &
tests multiple response)

Assessment of skills:
Clinical evaluation-
• Observation (checklist,
rating scales, videotapes)
• Written communication-
progress notes, nursing
care plans, process
recording, written
assignments
• Verbal
communication
(oral examination)
• Simulation
• Objective Structured
Clinical Examination
(OSCE)
• Self-evaluation
• Clinical portfolio,
clinical logs
Assessment of Attitude:
• Attitude scales
Assessment tests for higher
learning-

171
 • Interpretive questions,
hot spot questions, drag
and drop and ordered
response questions

Guidance/academic
VII 3 3 Explain the scope, purpose advising, counseling and • Assessment
discipline Guidance of
and principles of guidance
• Definition, objectives, performance
scope, purpose and • Lecture cum
Differentiate between discussion in role play
principles scenario
guidance and counseling
• Roles of academic
advisor/faculty in
Describe the principles, types, guidance
and counseling
process • Evaluation
Counseling
• Difference between of
Develop guidance and counseling assignment
basic skill of counseling and • Definition, objectives,
guidance scope, principles, types,
process and steps of
counseling • Role play on
• Counseling skills/ student
techniques-basics counseling in
• Roles of counselor different
Recognize the importance of situations
preventive counseling and • Organization of
develop skill to respond to counseling services
• Assignment
disciplinary problems and • Issues for counseling in
nursing students on identifying
grievance among students situations
Discipline and requiring
grievance in students counseling
Managing
disciplinary/grievance
problems-preventive
guidance & counseling
• Role of students’
grievance redressal
cell/ committee

172
 Ethics and Evidence
VIII 5 2 Recognize the importance Based Teaching (EBT) in • Short answer
of value- based education nursing education Ethics-
Review
• Value • Evaluation
• Definition of terms
• Value based education in clarificatio of case
Develop skill in ethical nursing n exercise study
decision making and • Value development analysis
maintain ethical standards
strategies • Case study
for students
• Ethical decision making analysis (student
• Ethical standards encountere d
for scenarios)
students
• Student-faculty
relationship
Introduce knowledge of EBT Evidence based teaching- and suggest
and its application in nursing Introduction ethical
education • Evidence based education decisionmakin
process and its g steps
application to nursing
education • Lecture cum
discussion • Quiz-MCQ

IX 2 2 Orient towards recent trends Emerging trends in • Evaluation

in nursing education healthcare and nursing of term
education
Analysis of paper
NHP 2017- to
• Emerging trends in
healthcare in India identify policy
• Trends in influencing nursing
nursing education education and write
term
paper

173
 CHILD HEALTH NURSING I

PLACEMENT: V SEMESTER

THEORY: 2 Credits (80 Hours)

Skill Lab: 1 Credit (40 Hrs)
Clinical: 2 Credits (160 Hrs)

DESCRIPTION: This course is designed for developing an understanding of the

modern approach to child-care, identification, prevention and nursing management of
common health problems of neonates and children.

COMPETENCIES
On completion of the course, the students will be able to
1. Develop understanding of the history and modern concepts of child health and child-
care
2. Explore the national child welfare services, national programs and legislation in the
light of National Health Policy 2017
3. Describe the role of preventive pediatrics and perform preventive measures towards
accidents
4. Identify the developmental needs of children and provide parental guidance
5. Participate in national immunization programs /Universal Immunization program (UIP)
6. Demonstrate competencies in newborn assessment, planning and
implementation of care to normal and high-risk newborn including neonatal
resuscitation
7. Apply the principles and strategies of Integrated management of neonatal and
childhood illness (IMNCI)
8. Apply the knowledge of pathophysiology and provide nursing care to children with
common childhood diseases
9. Identify and meet childhood emergencies and perform child CPR

COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING ASSESSMENT
NO. (HRS) OUTCOMES LEARNING METHODS
ACTIVITIES
I. T10 Introduction: • Lecture • Short answers
L10 Explain the modern Modern concepts of child-care Discussion • Objective type
concept of childcare • Historical development of • Demonstration • Assessment of skills
child health of common with checklist
Describe National • Philosophy & Modern concept pediatric
policy, programs & of child- care procedures
legislation in • Cultural and religious
relation to child considerations in child-care
health & welfare
• National policy and
legislations in relation to child
health and welfare.

174
• National programs and

175
 agencies related to welfare
Describe role of services to the children.
preventive • Internationally accepted rights
pediatrics of the child
• Changing trends in hospital
care, preventive, promotive
and curative aspect of child
health
• Preventive pediatrics:
List major causes of o Concept o Immunization
death during o Immunization programs and
infancy, early & cold chain.
late childhood o Care of under-five and Under-
five Clinics /Wellbaby clinics
Differentiate o Preventive measures towards
between an adult accidents
and child in terms
of illness and
response • Child morbidity and mortality
rates
• Difference between an adult
Describe the major and child which affect
functions & role of response to illness o
the pediatric nurse Physiological o
in caring for a Psychological o Social o
hospitalized child. Immunological

• Hospital environment for sick

child
Describe the • Impact of hospitalization on
principles of child the child and family
health nursing and • Communication techniques
perform child for children
health nursing • Grief and bereavement
procedures
• The role of a child health
nurse in caring for a
hospitalized child

• Principles of pre and

postoperative care of infants
and children. Child Health
Nursing procedures:
• Administration of medication:
oral, I/M, & I/V
• Calculation of fluid
requirement

176
 • Application of restraints
• Assessment of pain in
children.
o FACES pain rating scale
o FLACC scale
o Numerical scale

II. T12 The healthy child • Lecture • Short answers

Describe the • Definition and principles of Discussion • Objective type
normal growth and growth and development. • Demonstration • Assessment of field
development of • Factors affecting growth and • Developmental visits and
children at different development. study of infant developmental
ages • Growth and development and children study reports
from birth to adolescence • Observation
• Growth and developmental study of normal
Identify the needs theories (Freud, Erickson, & sick child
of children at Jean Piaget, Kohlberg) • Field visit to
different ages & Anganwadi,
provide parental child guidance
guidance clinic
• The need of normal children
through the stages of • Videos on
developmental and parental breast feeding
Identify the guidance • Clinical
nutritional needs of practice/field
children at different
ages & ways of
meeting needs • Nutritional needs of children
and infants.
- breast feeding
Identify the role of
play for normal & - exclusive breast
sick children feeding
- Supplementary /
artificial feeding and
weaning
• Baby friendly hospital
concept
• Types and value of play and
selection of play material

177
III. T15 Nursing care of neonate: • Modular based • OSCE
L20 Provide care to • Appraisal of Newborn teaching:
normal and high- • Nursing care of a normal ENBC and
risk neonates newborn / essential FBNC module
newborn care. (oral drills, • Short answers
Perform neonatal • Neonatal resuscitation videos, self • Objective type
resuscitation • Nursing management of evaluation
low birth weight baby. exercises)
Recognize and • Kangaroo mother care • Workshop on
manage common • Nursing management of neonatal
neonatal problems common neonatal disorder. resuscitation:
- Hyperbilirubinemia NRP module
- Hypothermia, • Demonstration
hyperthermia • Practice Session
- Metabolic disorder • Clinical
- Neonatal infections practice
- Neonatal seizures
- Respiratory distress • Lecture
syndrome Discussion
- Retinopathy of
Prematurity
• Organization of neonatal
care unit
• Neonatal equipment
IV. T10 Apply principles Integrated management of Modular based • OSCE
L 05 and strategies of neonatal and childhood teaching:
IMNCI Illnesses IMNCI module
• Clinical
practice/field
V. 28 Describe the Nursing management in • Lecture • Short answers
etiology, common childhood diseases. Discussion • Objective type
pathophysiology, Respiratory system: • Demonstration • Assessment of
clinical • Identification and Nursing • Practice session skills with checklist
manifestation and management of congenital • Clinical
nursing malformations practice
management of • Congenital disorders:
children with Tracheoesophageal fistula,
disorders of Diaphragmatic hernia
respiratory,
• Others: Acute naso-
cardiovascular,
pharyngitis, Tonsillitis, Croup,
gastrointestinal,
Bronchitis,
genitourinary,
Bronchiolitis, Pneumonia,
nervous and
endocrine system Asthma
Cardiovascular system:
• Identification and Nursing
management of congenital
malformations

178
 • Congenital heart diseases:

Cyanotic and Acyanotic

(ASD,VSD, PDA,TOF)
• Others: - Rheumatic fever and
Rheumatic heart disease,
Congestive cardiac failure
• Hematological conditions:
a) Congenital: Hemophilia,
Thalassemia.
b) Others: Anemia,
Leukemia, Idiopathic
thrombocytopenic purpura,
Hodgkins and non-hodgkins
lymphoma
Gastro-intestinal system:
• Identification and Nursing
management of congenital
malformations.
• Congenital: Cleft lip, Cleft
palate, Congenital
hypertrophic pyloric stenosis,
Hirschsprungs disease
(Megacolon), Anorectal
malformation,
Malabsorption syndrome,
Abdominal wall defects,
Hernia
Others: Gastroenteritis,
Diarrhea, Vomiting, Protein energy
malnutrition, Intestinal
obstruction, Hepatic diseases,
intestinal parasites
Genitourinary urinary system:
• Identification and Nursing
management of congenital
malformations.
• Congenital: Wilms tumor,
Extrophy of bladder,
Hypospadiasis, Epispadiasis,
Obstructive uropathy
• Others: Nephrotic syndrome,
Acute glomerulo nephritis,
renal failure
Nervous system:
• Identification and Nursing
management of congenital
malformations

179
 a) Congenital: Spinabifida,
Hydrocephalous.
b) Others: Meningitis,
Encephalitis, Convulsive
disorders (convulsions and
seizures), Cerebral palsy head
injury.
Endocrine system: Juvenile
Diabetes mellitus,
Hypothyroidism

VI T5 Develop ability to • Child health emergencies: • Lecture OSCE

L5 meet child- hood Accidents -causes and • Discussion
emergencies and prevention, Poisoning, Demonstratio •
Foreign bodies, Hemorrhage, •
perform child CPR n
Burns and Drowning
Workshop
•
• NALS/PLS/PALS (AHA
Guidelines)

180
 CHILD HEALTH NURSING- I CLINICAL

PLACEMENT: V SEMESTER- 2 credits (160 Hrs)

CLINICAL- 3 Credits (240 Hours) 8 weeks x 30 hours/week (5 weeks + 3 weeks)

PRACTICE COMPETENCIES

On completion of the course, the students will be able to

1. Perform assessment of children: health, developmental & anthropometric

2. Provide nursing care to children with various medical disorders
3. Provide pre & postoperative care to children with common pediatric surgical conditions/
malformation
4. Perform immunization as per NIS
5. Provide nursing care to critically ill children
6. Give health education/ nutritional education to parents
7. Counsel parents according to identified counseling needs

CLINICAL POSTINGS
Clinical Duration Learning Procedural Clinical Assessment
area/unit (in weeks) Outcomes competencies/Clinical skills Requirements Methods
Pediatric V Sem - 2 • Provide nursing • Taking pediatric history • Nursing care • Assess
Medical Weeks care to children • Physical examination & plan- 1 performance
Ward with various assessment of children • Health talk - 1 with rating
medical • Administration of oral, I/M, scale
disorders & I/V. medicine/ fluids • Assess each
• Calculation of fluid skill with
replacement checklist
• Preparation of different OSCE/
strengths of I/V fluids OSPE
• Baby bath/sponge bath • Evaluation
• Feeding children by Katori of case
spoon, Paladai cup study/
• Teaching mothers/ parents presentation
 Malnutrition & health
 Oral rehydration therapy education
 Feeding & Weaning session
 Immunization schedule • Completion
• Play therapy of activity
record.
181
 Clinical Duration (in Learning Procedural Clinical Assessment
area/unit weeks) Outcomes competencies/Clinical skills Requirements Methods
Pediatric V Sem- 2 • Recognize • Calculation, preparation & • Case study/ • Assess
Surgical Weeks different administration of I/V fluids presentation performance
Ward pediatric • Feeding –1 with rating
surgical  Naso-gastric scale
conditions/  Gastrostomy  • Assess each
malformations Jejunostomy skill with
• Provide pre & • Care of surgical wounds checklist
post operative  Dressing OSCE/
care to children Suture removal OSPE
with common • Evaluation
paediatric of case
surgical study/
conditions/ presentation
malformation • Completion
Counsel & of activity
educate parents record.
Pediatric V Sem- • Perform • Assessment of children  • Growth and • Assess
OPD/Im 1 Week assessment of Health assessment Developme performance
munizati children: health,  Developmental ntal study: with rating
on room developmental assessment  Infant -1 scale
& Anthropometric Toddler-1 • Completion
anthropometric assessment Preschooler of activity
• Perform  Nutritional -1 record.
immunization assessment Schooler-1
• Give health • Immunization Adolescent1
education/ • Health / Nutritional education
nutritional
education
Skill Lab

Use of Manikins and Simulators

NALS, PLS/PALS, CPAP, Endotracheal Suction

Pediatric Nursing Procedures:

• Administration of medication-oral, IM & IV
• Oxygen administration
• Application of restraints
• Specimen collection
• Urinary catheterization and drainage
• Ostomy care
• Feeding-NG, gastrostomy, Jejunostomy
• Wound dressing

182
 • Suture removal

INTERNSHIP (INTEGRATED PRACTICE)

CHILD HEALTH NURSING – PRACTICAL

Placement: VIII Semester Time: Internship – 4 weeks

Duration Procedural
Clinical
Learning Outcomes competencies/Clinical Assessment
area/unit (in
skills methods
weeks)
Pediatric 1 • Provide • Integrated Practice • Assess clinical
Medical Comprehensive performance with
Ward/ICU care to children rating scale
with various
medical conditions
Pediatric 1 • Provide • Integrated Practice • Assess clinical
Surgical Comprehensive performance with
Ward/ICU care to children rating scale
with various
surgical conditions
NICU 2 • Provide Intensive • Integrated Practice • Assess clinical
care to neonates performance with
rating scale

MENTAL HEALTH NURSING I

PLACEMENT: V SEMESTER THEORY: 4 Credits (80 Hours)

Clinical: 1 Credit (80 Hours)

DESCRIPTION: This course is designed to develop basic understanding of the

principles and standards of mental health nursing and skill in application of nursing
process in assessment and care of patients with mental health disorders.

COMPETENCIES:
On completion of the course, the students will be competent to
1. Trace the historical development of mental health nursing and discuss its scope

183
 2. Identify the classification of the mental disorders
3. Develop basic understanding of the principles and concepts of mental health nursing
4. Apply the INC practice standards for psychiatric mental health nursing in supervised
clinical settings
5. Conduct mental health assessment
6. Identify and maintain therapeutic communication and nurse patient relationship
7. Demonstrate knowledge of the various treatment modalities and therapies used in
mental disorders
8. Apply nursing process in delivering care to patients with mental disorders
9. Provide nursing care to patients with schizophrenia and other psychotic disorders based
on assessment findings and treatment/therapies used
10. Provide nursing care to patients with mood disorders based on assessment findings and
treatment/therapies used
11. Provide nursing care to patients with neurotic disorders based on assessment findings
and treatment/therapies used
12. Demonstrate skills in caring for patients with substance use disorders
13. Identify the needs of patients with personality and sexual disorders and provide
appropriate care
14. Provide nursing care to patients with childhood and adolescent disorders based on
assessment findings and treatment/therapies used

COURSE OUTLINE

UNIT TIME LEARNING CONTENT EACHING ASSESSMENT

(HRS) OUTCOMES LEARNING METHODS
ACTIVITIES

184
I 6 (T) Introduction • Lecture cum
Describe the • Perspectives of Discussion
historical Mental Health and
development & Mental Health
current trends Nursing, evolution
in mental of mental health
health nursing services, treatments
and nursing
Discuss the practices
scope of • Mental health team
mental health • Nature & scope of
nursing mental health nursing
• Role & functions of
Describe the mental health nurse
concept of in various settings
normal & and factors affecting
abnormal the level of nursing
behaviour practice
• Concepts of normal
and abnormal
behaviour

II 10 Define the Principles and • Lecture

various terms Concepts of Mental discussion
used in mental Health Nursing • Explain
health Nursing • Definition: mental using Charts
health nursing and • Review of
Explain the terminology used personality
classification of • Classification of development
mental mental disorders:
disorders ICD & DSM
• Review of
Explain the personality
psychodynami development,
cs of defense mechanisms
maladaptive • Etiology bio-psycho-
behaviour
social factors
• Psychopathology of
Discuss the
mental disorders:
etiological
review of structure
factors &
and function of brain,
psychopatholo
limbic system and
gy of mental
abnormal

185
 disorders neurotransmission
• Principles of Mental
Explain the health Nursing
principles and • Ethics and
standards of responsibilities
Mental health • Practice Standards
Nursing for Psychiatric
Mental health
Describe the Nursing (INC
conceptual standards)
models of • Conceptual models
mental health and the role of
nursing nurse:
• Existential model
• Psychoanalytical
models
• Behavioural model
• Interpersonal model
III 6 Describe Mental Health • Lecture
nature, purpose Assessment discussion
and process of • History taking • Demonstrati
assessment of • Mental status on Practice
mental health examination • session
status • Mini mental status Clinical
examination • practice
• Neurological
examination
• Investigations:
Related Blood
chemistry, EEG, CT
& MRI
• Psychological tests
IV 6 Identify Therapeutic • Lecture
therapeutic communication and discussion
communication nurse-patient • Demonstrati
& techniques relationship on Role
• Therapeutic • • play
Describe communication: Process
therapeutic Types, techniques, • recording
relationship characteristics and Simulation
barriers (video)
• Therapeutic
Describe nursepatient
therapeutic relationship
impasses and • Interpersonal
its relationship-
interventions Elements of nurse

186
 patient contract,
Review of technique
of IPR- Johari

window
• Therapeutic impasse
and its management

V 10 Explain Treatment modalities • Lecture • • Essay type

treatment and therapies used in discussion Short answers
modalities and mental disorders • Demonstrati • Objective
therapies used in Physical therapies: on type
mental disorders Psychopharmacology, • • Group work
Electro Convulsive Practice
and role of the
therapy
nurse • session
Psychological Clinical
Therapies:
practice
Psychotherapy,
Behaviour therapy,
CBT,
Psychosocial: Group
therapy, Family therapy,
Therapeutic
Community,
Recreational therapy,
Art therapy (Dance,
Music etc),
Occupational therapy
Alternative &
Complementary: Yoga,
meditation, Relaxation
Consideration for
special populations

187
VI 8 Nursing management • Lecture • • Essay type
Describe the of patient with discussion Short
etiology, Schizophrenia, and • Case • answers
psychodynamics other psychotic discussion Assessment
/ pathology, disorders • Case of patient
clinical • Prevalence and presentation management
manifestations, incidence • Clinical problems
diagnostic • Classification practice
criteria and • Etiology,
management of psychodynamics,
patients with clinical
Schizophrenia, manifestation,
and other diagnostic
psychotic criteria/formulations
disorders Nursing process •
Nursing
Assessment-History,
Physical and mental
assessment
• Treatment modalities
and

nursing management
of patients with
Schizophrenia and
other psychotic
disorders
• Geriatric
considerations and
considerations for
special populations
• Follow up and home
care and
rehabilitation

188
VII 6 Describe the Nursing management • Lecture • • Essay type
etiology, of patient with mood discussion Short
psychodynamics disorders • Case • answers
, clinical • Prevalence and discussion Assessment
manifestations, incidence • Case of patient
diagnostic • Mood disorders: presentation management
criteria and Bipolar affective • problems
Clinical
management of disorder, mania practice
patients with depression and
mood disorders dysthymia etc.
• Etiology, psycho
dynamics, clinical
manifestation,
diagnosis
• Nursing Assessment
History, Physical and
mental assessment
• Treatment modalities
and nursing
management of
patients with mood
disorders
• Geriatric
considerations/consi
derations for special
populations
• Follow-up and home
care and
rehabilitation
VIII 8 Describe the Nursing management • Lecture • • Essay type
etiology, of patient with discussion Short
psychodynamics neurotic, stress related • Case • answers
, clinical and somatisation discussion Assessment
manifestations, disorders • Case of patient
diagnostic • Prevalence and presentation management
incidence • Clinical problems

189
 criteria and • classifications practice
management of • Anxiety disorder,
patients with Phobias,
neurotic, stress Disassociative and
related and Conversion disorder
somatization • Etiology,
disorders psychodynamics,
clinical
manifestation,
diagnostic
criteria/formulations
• Nursing Assessment:
History, Physical and
mental assessment
• Treatment modalities
and nursing
management of
patients with neurotic
and stress related
disorders
• Geriatric
considerations/Consi
derations for special
populations
• Follow-up and home
care and
rehabilitation
IX 6 Describe the Nursing management • Lecture • • Essay type
etiology, patients with discussio n Short
psychodynamics, Substance use • Case • answers
clinical disorders discussio Assessment
manifestations, • Prevalence and n of patient
diagnostic incidence • Case management
criteria and • Commonly used presentat problems
management of psychotropic ion
patients with substance: • Clinical
substance use classifications, practice
disorders forms, routes, action,
intoxication and
withdrawal
• Psychodynamics/eti
ology of substance
use disorder
(Terminologies -
Substance Use,
Abuse, tolerance,
Dependence,
Withdrawal)

190
 • Diagnostic
criteria/formulations
• Nursing
Assessment-History
(substance history),
Physical, mental
assessment and drug
and drug assay •
Treatment
(detoxification,
antabuse and
narcotic antagonist
therapy and harm
reduction, Brief
interventions, MET,
refusal skills,
maintenance
therapy) and nursing
management of
patients with
substance use
disorders
• Special
considerations for
Vulnerable
population
• Follow-up and home
care and
rehabilitation
X 6 • Describe the Nursing management • Lecture • Essay type
etiology, of patient with discussio • Short
psychodynamics Personality and Sexual n Case answers
, clinical disorders • discussio • Assessment
manifestati ons, • Prevalence and n Case of patient
diagnostic incidence management
presentat
criteria and • Classification of • ion problems
manageme disorders Clinical
nt of patients • Etiology,
with personality, practice
psychopathology, •
Sexual and characteristics,
Eating disorders diagnosis
• Nursing
Assessment-History,
Physical and mental
assessment
• Treatment modalities
and nursing

191
 management of
patients with
Personality, Sexual
and Eating disorders
• Geriatric
considerations
• Follow-up and home
care and
rehabilitation
XI 8 Describe the Nursing management • Lecture • Essay type
etiology, of Behavioural & discussio • Short
psychopathology, Emotional disorders n Case answers
clinical occurring during • discussio • Assessment
manifestations, childhood and n Case of patient
diagnostic adolescence management
presentat
criteria and (Intellectual disability, • ion problems
management of autism, attention deficit,
Clinical
childhood and hyperactive disorder,
practice
adolescent disorders eating disorder, learning •
including mental disorder)
deficiency
• Prevalence and
incidence
• Classifications
• Etiology,
psychodynamics,
Characteristics,
diagnostic
criteria/formulations
• Nursing
Assessment-History,
Physical, mental
status examination
and IQ assessment
• Treatment modalities
and nursing
management of
childhood disorders
including intellectual
disability
• Follow-up and home
care and
rehabilitation

NURSING MANAGEMENT AND LEADERSHIP

PLACEMENT: V Semester THEORY: 3credits (60 hours)

192
 2 credits (80 hours)
Lab: 10 hours
Clinical: 70 hours

DESCRIPTION: This course is designed to enable students to acquire knowledge

and competencies in areas of administration, and management of nursing services and
education. Further prepares the students to develop leadership competencies and
perform their role as effective leaders in an organization.
COMPETENCIES
On completion of the course, the students will be able to
1. Analyze the health care trends influencing development of nursing services and education in
India
2. Describe the principles, functions and process of management applied to nursing
3. Develop basic understanding and beginning competencies in planning and organizing
nursing services in a hospital
4. Apply the concept of human resource management and identify the job description for all
categories of nursing personnel including in service education
5. Discuss the principles and methods of staffing and scheduling in an individual
hospital/nursing unit
6. Develop skill in management of materials and supplies including inventory control
7. Develop team working and inter professional collaboration competencies
8. Identify effective leadership styles and develop leadership competencies
9. Utilize the knowledge of principles and line of control and participate in quality management
and evaluation activities
10. Utilize the knowledge related to financial planning in nursing services and education during
budgetary process
11. Apply the knowledge of nursing informatics in maintenance of records and reports relevant
to patient information, nursing care and progress
12. Demonstrate understanding of the INC guidelines for establishment and accreditation of
educational institutions in terms of faculty norms, physical infrastructure and clinical
facilities
13. Demonstrate beginning competencies in planning, organizing and staffing at college
including implementation and evaluation of curriculum
14. Identify the legal issues and laws relevant to nursing practice and education
15. Apply the knowledge and utilize the various opportunities for professional advancement
COURSE OUTLINE
THEORY: 60 Hours (3 Credits)
TIME LEARNING CONTENT TEACHING/ ASSESSMENT
UNIT (Hours) LEARNING METHODS
T P OUTCOMES ACTIVITIES
I 1 Explore Health care and development Lecture cum
193
 the of nursing services in India • discussion • Short answer
health • Current health care delivery Directed type
care, system of India-review • reading and • Assessment
development of • Planning and development of assignment
nursing of nursing services and written
services education at global and assignment
and national scenario
education in • Recent trends and issues of
India and nursing service and
trends management
II 2 Explain the Management basics applied to Lecture &
principles and Nursing • Discussion • MCQ
functions of • Definitions, concepts and • Short answer
management theories of management type
applied to • Importance, features and
nursing levels of management
• Management and
administration
• Functions of management
• Principles of management
• Role of a nurse as a manager
Introduction to Management
process
• Planning
Describe the • Organizing
introductory • Staffing
concepts of • Directing/Leading
management as • Controllin
a process

MANAGEMENT OF
NURSING SERVICES

194
III 4 Describe the Planning nursing services • Lecture & • Formulate
essential of • Vision, Mission, philosophy, Discussion Mission &
elements objectives • Visit to specific Vision
planning • Nursing service policies, hospital/ patient Statement
procedures and manuals care units for the
• Functional and operational • Demonstration nursing
planning of disaster drill department/
• Strategic planning in the unit
• Program planning: Gantt respective • Assessment of
chart & milestone chart setting problemsolvin
g exercises
• Budgeting- concepts,
principles, types, • Visit Report
• Budget proposal, cost
benefit analysis
• Planning hospital and
patient care unit (Ward)
• Planning for emergency and
disaster

IV 4 2 Discuss the Organizing • Lecture cum • Short answer

concepts of • Organizing as a discussion • Assessment of
organizing processassignment, • Comparison of assignment
including delegation and coordination organizational
hospital • Hospital –types, functions structure of various
organization & organization organizations
• Organizational development • Nursing care
• Organizational structure delivery systems –
• Organizational charts assignment
• Organizational effectiveness • Preparation of
Organizational
• Hospital administration,
chart of hospital/
Control & line of authority
Nursing services
• Hospital statistics including
hospital utilization indices
• Nursing care delivery
systems and trends
• Role of nurse in
maintenance of effective
organizational climate

V 8 2 Identify the Staffing (Human

significance of resource management)
human • Definition, objectives, • •
resource components and functions Lecture & Formulate Job
management Staffing & Scheduling Discussion, role description at
(HRM) and • Staffing-Philosophy, play different levels
material of care &

195
management staffing activities • Games self- • compare
and discuss its • Recruiting, selecting, assessment, Case with
elements deployment discussion and existing system
• Training, development, practice session Preparation of
credentialing, duty roster
retaining, promoting, transfer, • Calculation of
terminating, superannuation staffing
• Staffing units- Projecting requirements for a
staffing requirements specified ward
/calculation of requirements
of staff resources Nurse
patient ratio, Nurse
Population ratio as per
SIU norms/IPH Norms, and
Patient classification system
• Categories of nursing
personnel including job
description of all levels
• Assignment and nursing
care responsibilities
• Turnover and absenteeism
• Staff welfare
• Discipline and grievances
In-service education
• Nature and scope of • Preparation
inservice education program of
Explain • Principles of adult MMF/recor
procedural learningreview ds
steps • Planning and organizing • Preparation
Visit to inventory store
material inservice educational of log book
of the institution
managemen program &
t • Methods, techniques and condemnati
the evaluation on
documents
Develop of • Preparation of report
managerial • Visit Report
skill Material resource
inventory management
control • Procurement, purchasing
actively process, inventory control
participate in & role of nurse
procurement • Auditing and maintenance in
process and hospital and patient care unit

in

196
VI 5 6 Describe Directing and leading • • Lecture & • Assignment on
the Definition, principles, Discussion Reports &
important elements of directing • Demonstration of Records
methods of • Supervision and guidance record & report maintained in
supervision and • Participatory management maintenance in nursing
guidance • Inter professional specific wards/ department/
collaboration departments • Preparation of
• Management by objectives protocols and
• Team management manuals
• Assignments, rotations
• Maintenance of discipline
• Leadership in management

VII 4 Discuss the Leadership • Lecture • Short answer of

significance • Definition, concepts, and cum discussion • Essay
and changing theories • Self-assessment • • Assessment
trends of • Leadership principles and Report on types of exercise/report
nursing competencies leadership adopted at
leadership • Leadership styles- different levels of
Situational leadership, health care in the given
Analyze the Transformational leadership setting
different • Methods of leadership • Problem
leadership development solving/ Conflict
styles and • Mentorship/ preceptorship in management exercise •
develop nursing Observation of
leadership • Delegation, power & managerial roles at
competencies politics, empowerment, different levels (middle
mentoring and coaching level mangers-ward
incharge, ANS)
• Decision making and
problem solving
• Conflict management and
negotiation
• Implementing planned
change

VIII 3 Explain the Controlling • Lecture cum • Assessment of

process of • Implementing standards, discussion prepared
controlling and policies, procedures, • Preparation of protocols
its activities protocols and practices policies/protocols
• Nursing performance audit, for nursing
patient satisfaction units/department
• Nursing rounds,
Documentation-records and
reports
• Total quality
managementQuality
assurance, Quality and
197
 safety
• Performance appraisal

• Program evaluation review

technique (PERT)
• Bench marking, Activity
plan (Gantt chart)
• Critical path analysis

IX 3 Explain the Organizational behavior and • Lecture & Short

concepts of human relations Discussion • answer
organizational and • Concepts and theories of • OSCE
behavior group organizational behavior • Role play/exercise-
dynamics • Group dynamics Group dynamics &
• Review: Interpersonal human relations
relationship
• Human relations
• Public relations in the
context of nursing
• Relations with professional
associations and employee
unions
• Collective bargaining
• Review: Motivation and
morale building
• Communication in the
workplace-assertive
communication
• Committees- importance in
the organization,
functioning
X 2 Describe the Financial management Lecture cum • Short answer
financial • Definition, objectives, • discussion type
management elements, functions, principles Budget • Essay
related to & scope of financial • proposal • Assessment of
nursing services management review assignment
• Financial planning • Preparation of
(budgeting for nursing budget proposal for a
department) specific
• Proposal, projecting department
requirement for staff,
equipment and supplies for:
Hospital & patient care units &
emergency and disaster units
• Budget and
Budgetary process
• Financial audit

198
XI 1 Review the Nursing • Review to • Short answer
concepts, informatics/Information • Practice session type
principles and management -Review Visit departments
•
methods and • Patient records
use of nursing • Nursing records
informatics • Use of computers in
hospital, college and
community
• Telemedicine & Tele
nursing
• Electronic Medical Records
(EMR), EHR
XII 1 Review personal Personal Management-review • Review •
management in • Emotional intelligence Discussion
terms of • Resilience building
management of • Stress and time
emotions, stress management-de stressing
and resilience • Career planning

XIII 4 Describe the Establishment of nursing • Lecture & • Visit report

process of educational institutions discussion
establishing • Indian Nursing Council • Visit to one of the
educational norms and guidelines- regulatory bodies
institutions and Faculty norms, physical
its accreditation facilities, clinical facilities,
guidelines curriculum implementation,
and evaluation/examination
guidelines
• Coordination with regulatory
bodies- INC and State
Nursing Council
• Accreditation-Inspections
• Affiliation with
university/State council/
board of examinations
XIV 4 Explain the Planning and organizing
planning and • Philosophy, objectives and • Directed • Short answer
organizing mission of the college readingINC • Essay
functions of a • Organization structure of Curriculum • Assessment
nursing college school/college • Preparation of of assignment
• Review: Curriculum organizational
planning structure of the
• Planning teaching and college
learning experiences, clinical • Written
facilities- master plan, time assignmentwriting
table and clinical rotation philosophy of a

199
 • Budget planning-faculty, teaching department
• Preparation of master
plan, time
staff, equipment & supplies, table and clinical
AV aids, Lab equipment, rotation
library books, journals,
computers and maintenance
• Infrastructure
facilitiescollege, classrooms,
hostel, library, labs,
computer lab, transport
facilities
• Records & reports for
students, staff, faculty and
administrative
• Committees and functioning
• Clinical experiences

XV 4 Develop Staffing and Student • Guided reading • Short

understanding selection • Faculty/staff on faculty norms answer
of staffing theselection, recruitment and • Faculty welfare • Activity
college andplacement, job description • activities report report
selecting the Performance appraisal • Writing job • Assessment
students description of
• Faculty development of job
• Faculty/staff welfare tutors description
• Student recruitment,
admission, clinical
placement

XVI 4 Analyze the Directing and controlling • Review principles • Short answer
leadership and • Review: Curriculum of evaluation • Assessment of
management implementation and • Assignment- assignment and
activities in an evaluation Identify record
educational • Leadership and motivation, disciplinary
organization supervision-review problems among
• Guidance and counseling students
• Quality management- • Writing student
educational audit record
• Program evaluation,
evaluation of performance
• Maintaining discipline
• Institutional records and
reports- administrative,
faculty, staff and students

XVII 4 Identify PROFESSIONAL

various legal CONSIDERATIONS
200
 issues and Review: Legal and Ethical
laws relevantissues • Nursing as a profession:
to Characteristics of a professional nurse
nursing
• Nursing practice- philosophy, aim and
practice
objectives
• Regulatory bodies –INC and SNC
constitution and functions
Review: Professional ethics
• Code of ethics and professional
conduct-INC & ICN
• Practice standards for nursing-INC
• International Council for Nurses
(ICN) Legal aspects in nursing:
• Consumer protection act, patient
rights
• Legal terms related to practice, legal
system-types of law, tort law &
liabilities
• Laws related to nursing
practicenegligence, malpractice,
breach, penalties,
• Invasion of privacy, defamation of
character
• Nursing regulatory mechanisms-
registration, licensure, renewal,
accreditation, nurse practice act,
regulation for nurse
practitioner/specialist nursing
practice
XVIII 2 Explain Professional advancement • Prepare journal list • Assessment
various • Continuing Nursing Education available in India of
opportunities • Career opportunities • Write an assignments
for • Membership with professional articleresearch/
professional organizations-national and clin ical
advancement international
• Participation in research activities
• Publications-journals, newspaper

70 Clinical
hrs posting-
Management
experience in
hospital/college

201
80 hrs (Lab-10 and clinical-70 hrs)

Practice competencies:
Hospital
1. Prepare organizational chart of hospital/ Nursing services/nursing department
2. Calculate staffing requirements for a particular nursing unit/ward
3. Formulate Job description at different levels of care
4. Prepare duty roster for staff/ students at different levels
5. Participate in procuring/purchase of equipment & supplies
6. Prepare log book/MMF for specific equipment/ materials
7. Maintain and store inventory and keep daily records
8. Prepare and maintain various records & reports of the settings-incident reports/adverse
reports/audit reports
9. Prepare and implement protocols & manuals
10. Participate in supervision, evaluation and conducting in service education for the staff
College & Hostel
1. Prepare organizational chart of college
2. Formulate job description for tutors
3. Prepare Master plan, time table and clinical rotation
4. Prepare student anecdotes
5. Participate in planning, conducting and evaluation of clinical teaching
6. Participate in evaluation of students’ clinical experience
7. Participate in planning and conducting practical examination OSCE-end of posting

202
 NURSING RESEARCH AND STATISTICS

PLACEMENT: V SEMESTER THEORY - 2 Credits (40 Hours)

1 Credits (80 Hours)

Lab: 30hrs
Clinical project-50hrs

DESCRIPTION: The Course is designed to enable students to develop an understanding of

basic concepts of research, research process and statistics. It is further, structured to conduct/
participate in need-based research studies in various settings and utilize the research findings
to provide quality nursing care. The hours for practical will be utilized for conducting
individual/group research project.

COMPETENCIES

On completion of the course, students will be competent to

1. Identify research priority areas

2. Formulate research questions/problem statement/hypotheses
3. Review related literature on selected research problem and prepare annotated bibliography
4. Prepare sample data collection tool
5. Analyze and interpret the given data
6. Practice computing, descriptive statistics and correlation
7. Draw figures and types of graphs on given select data
8. Develop a research proposal
9. Plan and conduct a group/individual research project

203
 TIME LEARNING TEACHING/ LEARNING ASSESSMENT
UNIT (HRS) OUTCOMS CONTENT ACTIVITIES METHODS

T P
I 6 Describe the Research and research • Lecture Discussion • Short answer
concept of research, Process • Narrate steps of
terms, need and research process • Objective type
areas of research in • Introduction and followed from examples
nursing need for nursing
of published
research
studies
• Definition of
• Identify research
Research priorities on a given
Explain the steps & nursing research area/specialty
of research • Steps of scientific List examples of
process method
Evidence Based Practice
• Characteristics of
good research

State the • Steps of Research

purposes and process-overview •
steps of Evidence Based
Evidence Practice: Concept,
Based Meaning, Purposes,
Practice Steps of EBP Process
and Barriers
II 2 6 Identify and state Research • Lecture Discussion • Short answer
the research Problem/Question • Exercise on writing • Objective
problem and statement of problem type
objectives and objectives • Formulatio n
of
• Identification of research
problem area questions/o
• Problem statement bjectives/hy
• Criteria of a good pothesis
research problem.
• Writing objectives and
hypotheses

204
III 2 6 Review the related Review of Literature • Lecture cum Discussion • Short answer
literature • Location • Exercise on reviewing • Objective
• Sources one research report/ type
• On line search; article for a selected • Assessment
CINHAL, research problem. of review of
COCHRANE etc • Prepare annotated literature on
• Purposes Bibliography given topic
• Method of review presented

IV 4 Describe the Research approaches • Lecture Discussion • Short answer

Research and designs • Identify types of • Objective type
approaches and • Historical, survey and research approaches
designs experimental used from examples of
• Qualitative and published and
Quantitative designs unpublished research
Studies with rationale

V 6 4 Sampling and data • Short answer

Explain the Collection • Lecture Discussion /Objective type
Sampling process • Definition of • Reading assignment on • Developing
Population, Sample, examples of data questionnaire/
collection tools Interview
• Preparation of sample Schedule/
• Sampling criteria, data collection tool Checklist
factors influencing • Conduct group research
Describe the sampling process, types project
methods of data of sampling techniques.
collection • Data- why, what, from
whom, when and where
to collect.
• Data collection methods
and instruments-

o Methods of data
collection
o Questioning,
interviewing
o Observations, record
analysis and
measurement
o Types of
instruments,
Validity &
Reliability of the
Instrument
• Research ethics
• Pilot study

205
 • Data collection
procedure
VI 4 4 Analyze, Interpret Analysis of data: • Lecture Discussion • Short answer
and summarize the • Preparation of sample • Objective
• Compilation, type
research data tables.
Tabulation, • Analyze and
classification, interpret
summarization, given data
presentation,
interpretation of
data
VII 12 6 Explain the use of Introduction to statistics • Lecture Discussion • Short answer
statistics, scales of • Definition, use of • Practice on graphical • Objective
measurement and statistics, scales of presentations type
graphical
measurement. • Practice on computation • Computatio
presentation of data.
• Frequency of measures of central n of
Describe the distribution and descriptive
measures of graphical statistics
central tendency presentation of data
and variability and • Mean, Median,
methods of Mode, Standard
Correlation. deviation
• Normal Probability
and tests of
significance
• Co-efficient of
correlation
• Statistical packages and tendency, variability
its application & correlation
VIII 4 4 Communicate and Communication and • Lecture Discussion • Short answer
utilize the research utilization of • Read/Presentations o f • Objective type
50hrs findings. Research a sample published/ • Oral
(Project) • Communication of unpublished research Presentation
research findings report • Development
Plan, conduct and Write of research
• Verbal report
individual/group proposal
• Writing research report
research project Assessment of
• Writing scientific
article/paper research
Project.
• Critical review of
published research
including publication
ethics
• Utilization of research
findings
• Conducting group
research project

206
 HEALTH AND NURSING INFORMATICS AND TECHNOLOGY

PLACEMENT: V SEMESTER THEORY: 1.5 Credits (30 Hours)

PRACTICAL: Lab- 0.5 Credit (20 Hours)

DESCRIPTION: This course is designed to equip novice nursing students with

knowledge and skills necessary to deliver efficient informatics- led health care
services.

COMPETENCIES

On completion of the course, the students will be able to

1. Develop a basic understanding of computer application in patient care and nursing
practice
2. Apply the knowledge of computer and information technology in patient care and
nursing education, practice, administration and research
3. Describe the principles of health informatics and its use in developing superior
healthcare
4. Demonstrate the use of information system in healthcare for patient care and utilization
of nursing data
5. Demonstrate the knowledge of using EHR system in clinical practice
6. Apply the knowledge of interoperability standards in clinical setting
7. Apply the knowledge of information and communication technology in public health
promotion
8. Utilize the functionalities of NIS system in nursing
9. Demonstrate the skills of using data in management of health care
10. Apply the knowledge of the principles of digital ethical and legal issues in clinical
practice
11. Utilize evidence-based practices in informatics and technology for providing quality
patient care
12. Update and utilize evidence-based practices in nursing education, administration, and
practice.

COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING ASSESSMENT
(Hrs) OUTCOMES LEARNING METHODS
T P ACTIVITIES
I 10 10 Describe the Introduction to • Lecture Discussion (T)
importance computer applications • Practice session • Short answers
computer and for patient care delivery • Supervised clinical • Objective type
technology in system and nursing practice on EHR • Visit reports
patient care and practice use • Assessment of
nursing practice • Use of computers in
• Participate in data assignments
teaching, learning,
analysis using
research and nursing
statistical package
practice
with statistician

207
 • Windows, MS office: • Visit to hospitals
Demonstrate the Word, Excel, Power with different
use of computer Point hospital (P)
and technology in Internet management
• • Assessment
patient care, • Literature search systems
of skills using
nursing education, • Statistical packages checklist
practice, • Hospital management
administration and information system
research.
II 3 2 Describe the Principles of Health • Lecture (T)
principles of health Informatics Discussion • Essay
informatics • Health informatics- • Practical session • Short answers
needs, objectives and • Work in groups • Objective
Explain the ways limitations with health type
data, knowledge • Use of data, informatics team • Assessment
and information information and in a hospital to of report
can be used for knowledge for more extract nursing
effective healthcare effective healthcare data and prepare a
and better health report
III 2 2 Describe the Information Systems in • Lecture (T)
concepts of Healthcare Discussion • Essay
information system • Introduction to the • Demonstration • Short answers
in health role and architecture Practical session
• • Objective
of information Work in groups type
Demonstrate the •
systems in modern with nurse leaders
use of health healthcare to understand the
information system environments hospital
in hospital setting • Clinical Information information
System (CIS)/Hospital system
information System
(HIS)
IV 2 2 Explain the use of Shared Care & • Lecture (T)
electronic health Electronic Health Discussion • Essay
records in nursing Records • Practice on • Short answers
practice • Challenges of Simulated EHR • Objective
capturing rich patient system type
Describe the latest histories in a • • Practical session (P)
trend in electronic computable form Visit to health • Assessment
health records • Latest global informatics of skills using
standards and developments and department of a checklist
interoperability standards to enable hospital to
lifelong electronic understand the
health records to be use of EHR in
integrated from •
nursing practice
disparate systems.
Prepare a report
on current EHR

208
 standards in
Indian setting
V 2 Describe the Patient Safety & Clinical • Lecture (T) •
advantages and Risk Discussion Essay

limitations of health •Relationship between • Short answers

informatics in patient safety and • Objective
maintaining patient informatics type
safety and risk •Function and
management application of the risk
management process
VI 2 2 Explain the Clinical Knowledge & • Lecture (T)
importance of Decision Making Discussion • Essay
knowledge • Role of knowledge • Demonstration • Short answers
management management in • • Practical session • Objective
improving Work in groups to type
Describe the decisionmaking in both prepare a report
standardized the clinical and policy on standardized
languages used in contexts languages used in
health informatics • Systematized health
Nomenclature of • informatics. Visit
Medicine, Clinical health
Terms, SNOMED CT informatics
to ICD-10-CM Map, department to
standardized nursing understand the
terminologies standardized
(NANDA, NOC), languages used in
Omaha system. hospital setting
VII 2 Explain the use of eHealth: Patients and • Lecture • Essay
information and the Internet Discussion • Short answers
communication • Use of information and • Demonstration • Objective
technology in communication type
patient care technology to improve • Practical
or enable personal and
exam
Explain the public healthcare
application of • Introduction to public
public health health informatics and
informatics role of nurses
VIII 3 2 Describe the Using Information in • Lecture (T)
functions of Healthcare Management Discussion • Essay
nursing • Components of Nursing Demonstration • Short answers
•
information system Information system(NIS) on simulated NIS • Objective
• Evaluation, analysis and software Visit to type
Explain the use of health
presentation of •
healthcare data in informatics
healthcare data to
management of department of the
inform decisions in the
health care hospital to
209
 organization management of understand use of
healthcare healthcare data in
organizations decision making
IX 2 Describe the Information Law & • Lecture (T)
ethical and legal Governance in Clinical Discussion • Essay
issues in healthcare Practice • Case • Short answers
informatics • Ethical-legal issues discussion/role
pertaining to healthcare play • Objective
Explains the ethical information in type
and legal issues contemporary clinical (P)
related to nursing practice • OSCE
informatics • Ethical- legal issues
related to digital health
applied to nursing
X 2 Explain the Healthcare Quality & • Lecture (T)
relevance of Evidence Based Practice Discussion • Essay
evidence-based • Use of scientific evidence • Case study • Short answers
practices in in improving • Objective
providing quality the quality of type
healthcare healthcare and
technical and
professional
informatics standards

SKILLS
• Utilize computer in improving various aspects of nursing practice
• Use technology in patient care and professional advancement
• Use data in professional development and efficient patient care • Use information system in
providing quality patient care.
• Use the information system to extract nursing data
• Conducting literature review
INTRODUCTION TO FORENSIC NURSING AND INDIAN LAWS

PLACEMENT: V SEMESTER THEORY: 1 Credit (20 Hours)

DESCRIPTION

This course is designed to help students to know the importance of forensic science in
Total patient care and to recognize forensic nursing as a specialty discipline in
Professional nursing practice.

COMPETENCIES

210
 On completion of the course, the students will be able to

1. Identify forensic nursing as an emerging specialty in healthcare and nursing practice

2. Explore the history and scope of forensic nursing practice

3. Identify forensic team, role and responsibilities of forensic nurse in total care of victim of
violence and in preservation of evidence

4. Develop basic understanding of the Indian judicial system and legal procedure

COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING/ ASSESSMENT
(Hrs) OUTCOMES LEARNING METHODS
ACTIVITES
I 3 Describe the Forensic science • Lecture cum • Quiz-MCQ
nature of forensic • Definition discussion
science and discus • History
issues concerning • Importance in medical
violence science • Visit to regional/state • Write visit report
• Forensic science forensic science
laboratory laboratory
Violence
• Definition
• Epidemiology
• Source of data Sexual
abuse-child and women

I 2 Explain concepts Forensic nursing • Lecture cum • Short answer

of forensic nursing • Definition discussion Objective type
and scope of • History and
practice for development
forensic nurse • Scope - setting of
practice, areas of
practice and
subspecialties
• Ethical issues
• Roles and
responsibilities of nurse
• INC & SNC Acts

211
III 7 Identify Forensic team • Lecture cum
members of • Members and their Discussion
forensic team roles • Objective type
and describe role Comprehensive forensic • Short answer
of forensic nurse nursing care of victim
and family • Hypothetical/real
• Physical aspects case presentation
• Psychosocial aspects
• Cultural and spiritual
aspects
• Legal aspects
• Assist forensic team in
care beyond scope of her
practice Observation of
• Admission and • postmortem
discharge/referral/death
of victim of violence
• Responsibilities of nurse
as a witness Evidence
preservationrole of
nurses
• Observation Visit to department of
• Recognition • forensic medicine
• Write report
• Collection
• Preservation
• Documentation of
Biological and other
evidence related to
criminal/traumatic
event
• Forwarding biological
samples for forensic
examination
IV 3 Describe Introduction of Indian • Lecture cum • Short answer
fundamental rights constitution discussion
and human rights
commission Fundamental rights • Written Assignment • Assessment of
• Rights of victim written
• Rights of accused assignment

Human rights • Visit to prison

commission Write visit report

212
V 5 Explain Indian Sources of laws and • Quiz
judicial system and lawmaking powers
laws • Lecture cum
Overview of Indian judicial discussion
system
• JFMC
• District • Guided reading • Short answer
• State
• Apex
Civil and criminal case
procedures
• IPC
• ICPC
• IE Act

Discuss the Overview of POSCO Act Lecture cum discussion

importance of
POSCO Act

213
 CHILD HEALTH NURSING II

PLACEMENT: VI SEMESTER

THEORY: 20 Hours
Clinical: 80 Hours

DESCRIPTION: This course is designed for developing an understanding of the modern

approach to child-care, identification, prevention and nursing management of common health
problems of neonates and children.

COMPETENCIES

On completion of the course, the students will be able to

1. Apply the knowledge of pathophysiology and provide nursing care to children with
orthopedic disorders, eye, ear and skin disorders and communicable diseases
2. Provide care to children with common behavioural, social and psychiatric problems
3. Manage challenged children
4. Identify the social and welfare services for challenged children

COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING ASSESSMENT
NO. (HRS) OUTCOMES LEARNING METHODS
ACTIVITIES
VII T110 Describe the Orthopedic disorders: • Lecture • Short answers
etiology, • Club foot Discussion • Objective type
pathophysiology, • Hip dislocation and • Demonstration • Assessment of
clinical • Fracture • Practice session skills with
manifestation and checklist
Disorder of eye, ear and skin: • Clinical practice
nursing
management of • Refractory errors
children with • Otitis media and
Orthopedic • Atopic dermatitis
disorders, eye, ear
and skin disorders

Explain the Communicable diseases in

preventive children, their
measures and identification/diagnosis,
strategies for nursing management in
children with hospital, in home, control
communicable & prevention: •
diseases Tuberculosis
• Diphtheria

214
 • Tetanus
• Pertussis
• Poliomyelitis
• Measles

UNIT TIME LEARNING CONTENT TEACHING ASSESSMENT

NO. (HRS) OUTCOMES LEARNING METHODS
ACTIVITIES
• Mumps, and
• Chickenpox
• HIV/AIDS
• Dengue fever
VIII T Describe the Management of behavior and • Lecture • Short answers
10 management of social problems in children. Discussion • Objective type
children with • Child Guidance clinic • Field visits to • Assessment of
behavioral & social • Common behavior child guidance field reports
problems disorders in children and clinics, school for
management mentally &
Identify the social o Enuresis and physically,
& welfare services Encopresis socially
for challenged challenged
o Nervousness o Nail
children biting o Thumb sucking o
Temper tantrum o Stealing
o Aggressiveness o
Juvenile delinquency o
School phobia o Learning
disability
• Psychiatric disorders in
children and management
o Childhood
schizophrenia o Childhood
depression o Conversion
reaction o Posttraumatic
stress disorder
o Autistic spectrum
disorders
• Eating disorder in children
and management
o Obesity o
Anorexia nervosa o
Bulimia

215
 • Management of challenged
children.
o Mentally o
Physically o
Socially o Child
abuse, o substance
abuse
• Welfare services for
challenged children in
UNIT TIME LEARNING CONTENT TEACHING ASSESSMENT
NO. (HRS) OUTCOMES LEARNING METHODS
ACTIVITIES
India

CHILD HEALTH NURSING II

PLACEMENT: VI SEMESTER 1 Credit (80 Hrs)

THEORY: 20 Hours
Clinical: 80 Hours

216
Pediatric • Counsel & • Application of restraints • Case study/ • Assess
Medical VI Sem- 1 educate parents • Administration of O2 presentation –
Ward Week inhalation by different 1 performance
methods with rating scale
•
• Collection of specimens for • Assess each
common investigations skill with
• Assisting with common checklist
diagnostic procedures OSCE/
OSPE
• Evaluation of
case study/
presentation &
health
education
session
• Completion of
activity record.

Pediatric • Recognize • Bowel wash, insertion of • Nursing care • Assess

Surgical different suppositories plan- 1 performance
Ward VI Sem- 1 pediatric • Care for ostomies: with rating
Weeks surgical  Colostomy Irrigation scale
conditions/  Ureterostomy • Assess each
malformations  Gastrostomy skill with
• Provide pre &  Enterostomy checklist
post operative • Urinary catheterization & OSCE/
care to children drainage OSPE
with common • Evaluation of
paediatric case study/
surgical presentation
conditions/ • Completion of
malformation activity record.
• Counsel &
educate parents

NICU & VI Sem-1 • Provide nursing • Care of a baby in incubator / • Newborn • Assess
PICU Week care to critically warmer assessment- performance
ill • Care of a child on ventilator, 1 with rating
children CPAP • Nursing Care scale
• Endotracheal Suction Plan-1 • Evaluation of
• Chest Physiotherapy observation
• Administration of fluids with report
infusion pumps • Completion of
activity record.

217
• Total Parenteral Nutrition
• Phototherapy
• Monitoring of babies
• Recording & reporting
• Cardiopulmonary
Resuscitation
(NALS,PLS,PALS)

218
 MENTAL HEALTH NURSING II

PLACEMENT: VI SEMESTER TEORY: 1credit (20 Hours)

PRACTICAL:
Clinical: 2 Credits (160 Hours)

DESCRIPTION: This course is designed to provide the students with basic understanding and skills essential
to meet psychiatric emergencies and perform the role of community mental health nurse.

COMPETENCIES

On completion of the course, the students will be able to

1. Apply nursing process in providing care to patients with organic brain disorders
2. Identify and respond to psychiatric emergencies
3. Carry out crisis interventions during emergencies under supervision
4. Perform admission and discharge procedures as per MHCA 2017
5. Explore the roles and responsibilities of community mental health nurse in delivering
community mental health services

UNIT TIME LEARNING CONTENT TEACHING ASSESSMENT

(HRS) OUTCOMES LEARNING METHODS
ACTIVITIES
XII 5 Describe the Nursing management • Lecture • Essay type
etiology, of organic brain discussion • Short
psychopathology, disorders (Delirium, • Case answers
clinical Dementia, amnestic discussion • Assessment
manifestations, disorders) of patient
• Case
diagnostic criteria • Prevalence management
presentation
and management of and incidence • problems
• Clinical
organic brain Classificatio n
practice
disorders. • Etiology,
psychopathology,
clinical features,
diagnosis and
Differential
diagnosis •
Nursing
AssessmentHistory
,

Physical, mental

219
 and
neurological
assessment •
Treatment
modalities and
nursing
management of
organic brain
disorders
• Follow-up
and home
care and
rehabilitation
XIII 6 • Identify Psychiatric • Lecture • Short
psychiatric emergencies and discussion answers
emergencies and crisis intervention • • Case • Objective
carry out crisis Types of psychiatric discussion type
intervention emergencies • Case
(Attempted suicide, presentation
violence/aggressi • Clinical
on, stupor, delirium
practice
tremens and other
psychiatric
emergencies) and
their
managements •
Maladaptive
behaviour of
individual and
groups, stress,
crisis and
disaster(s) •
Types of crisis
• Crisis
intervention:
Principles,
Techniques and
Process
-Stress reduction
interventions as
per stress
adaptation model
-Coping
enhancement -
Techniques of
counseling

220
XI 4 • Explain legal Legal issues in • Lecture • Short
V aspects applied Mental Health discussion answers
in mental health Nursing • Case • Objective
settings and role • Overview of discussion type
of the nurse Indian Lunacy
Act and The
Mental Health
Act 1987
• (Protection of
Children from
Sexual Offence)
POSCO Act
• Mental
Health Care Act
(MHCA) 2017 •
Rights of
mentally ill
clients
• Forensic
psychiatry •
Acts related to
narcotic and
psychotropic
substances and
illegal drug
trafficking
• Admission and
discharge
procedures as per
MHCA 2017
• Role and
responsibilities of
nurses in
implementing
MHCA 2017
XV 5 • Describe the Community Mental • Lecture • Short
model of Health Nursing • discussion answers
preventive Development of • Clinical/fiel • Objective
psychiatry • Community d practice type
Describes
Mental Health • Field visits • Assessment
Services: to mental of the field
Community
• National health visit reports
Mental health
mental health service
services and
policy viz. agencies
role of the nurse National Health
Policy
• National
Mental Health
Programme

221
• Institutionali
zation Versus
Deinstitutionaliz ation
• Model of
Preventive psychiatry
• Mental
Health Services
available at the
primary, secondary,
tertiary levels
including
rehabilitation and
nurses’
responsibilities
• Mental
Health Agencies:
Government and
voluntary, National
and
International
• Mental
health nursing issues
for special
populations:
Children,
Adolescene,
Women Elderly,
Victims of violence
and abuse,
Handicapped,
HIV/AIDS etc.

222
 CLINICAL - MENTAL HEALTH NURSING - II

SEMESTER V & VI

MENTAL HEALTH NURSING I & II-PRACTICAL: 3 Credits (240 Hours) - 35 hrs

7 weeks (MENTAL HEALTH NURSING I – 2 Credits (160 Hours) & MENTAL
HEALTH NURSING II – 1 Credit (80 Hours)

PRACTICE COMPETENCIES:

On completion of the course, the students will be able to:

1. Assess patients with mental health problems/disorders

2. Observe and assist in various treatment modalities or therapies
3. Counsel and educate patients and families
4. Perform individual and group psycho-education
5. Provide nursing care to patients with mental health problems/disorders
6. Motivate patients in the community for early treatment and follow up 7. Observe the
assessment and care of patients with substance abuse disorders in dead diction centre

CLINICAL POSTINGS
Areas Duration Learning Skills/Procedural Clinical Assessments
(in Outcomes competencies requirements Methods
weeks)
Psychiatric 1 • Assess • History taking • • History taking • Assess
OPD patients with Perform mental and Mental performance
mental status examination status with rating
health (MSE) examination-2 scale
problems • • Observe/practice • Health • Assesss
Observe and Psychometric education-1 each skill
assist in assessment • • Observation with checklist
therapies Perform report of OPD • Evaluatio
• Counsel Neurological n of health
and educate examination education
patients, and • Observing and • Assessme
families assisting in therapies nt of
• Individual and observation
group report
psychoeducation • Completi
 Mental on of activity
hygiene practice

education record
 Family
psychoeducation

223
Child 1 • Assessment • History & mental • Case work- • Assess
Guidance of children status examination 1 performance
clinic with various • Observe/practice • Observation with rating
psychometric report of scale
mental health
problems • assessment • different • Assess
Observe and therapies-1 each skill
Counsel and with
assist in various
educate checklist
therapies
children, • Evaluatio
• Parental teaching
families and n of the
for child with mental
significant deficiency observation
others report

Inpatient 4 • Assess • History taking • Give care to 23 • Assess

ward patients with • Mental status patients with performance
mental health examination (MSE) various mental with rating
problems • Neurological disorders scale
• To provide examination • • Case study-1 • Assess
nursing care • Care plan- 2 each skill
Assisting in
for patients • Clinical with checklist
psychometric
with various presentation1 • Evaluatio
assessment •
mental health • Process n of the case
Recording
problems • therapeutic recording 2 study, care
Assist in • Maintain drug plan, clinical
communication • presentation,
various book
Administration of process
therapies
medications • recording
• Counsel
Assist • Completi
and educate
Electroconvulsive
patients, on of activity
Therapy
families and record
(ECT)
significant
others • Participating in
all therapies •
Preparing
patients for
Activities of Daily
living (ADL) •
Conducting
admission and
discharge
counselling •
Counseling and
teaching patients and
families

224
Community 1 • To identify • Conduct home • Case work-1 • Assess
psychiatry patients with visit and case work • • Observation performance
& various mental Identifying report on field with rating
Deaddiction disorders individuals with visits scale
centre • To mental health • Visit to • Evaluati
motivate problems deaddiction o n of case
patients for early • Assisting in centre work and
treatment and organizations of observation
follow up • To Mental Health camp • report
assist in follow Conducting awareness • Completi
up clinic • meetings for mental on of activity
Counsel and health & mental record
educate patient, illness • Counseling
family and and Teaching family
community • members, patients and
Observe the community •
assessment and Observing
care of patients deaddiction care
at deaddiction
centre

INTERNSHIP
Area Duration Objective Skills Assessment
Psychiatry ward 4 weeks • Provide • Integrated • Assess clinical
comprehensive care Practice performance with
to patients with rating scale
mental health
problems • Carry
out Specific
Nursing
interventions for
the clients with
different mental
disorders

COMMUNITY HEALTH NURSING -I INCLUDING EPIDEMIOLOGY

PLACEMENT: VI SEMESTER THEORY: 5 Credits (100 Hours)

Clinical: 2 Credits (160 Hours)

DESCRIPTION: This course is designed to help students to practice Community

Health Nursing for the individuals, family and groups at rural, urban and tribal
settings by applying principles of community health nursing and epidemiological
approach. It also helps the students to develop knowledge and competencies required
to screen, assess, diagnose, manage and refer clients appropriately in various health
care settings. It prepares the students to provide primary healthcare to clients of all
ages in the community, DH, PHC, CHC, SC/HWC and develop beginning skills in
participating in all the National Health Programs.

225
 COMPETENCIES

On completion of the course, the students will be able to

1. Describe community health nursing approaches and concepts
2. Describe the role and responsibilities of community health nursing personnel
3. Utilize the knowledge and skills in providing comprehensive primary health care
across the life span at various settings
4. Make effective home visits applying principles and methods used for home visiting
5. Use epidemiological approach in community diagnosis
6. Utilize the knowledge of epidemiology, epidemiological approaches in caring for
people with communicable and non-communicable diseases
7. Describe the methods of collection and interpretation of demographic data
8. Investigate an epidemic of communicable diseases
9. Assess, diagnose, manage and refer clients for various communicable and non-
communicable diseases appropriately at the primary health care level
10. Provide maternal, newborn and child care, and reproductive health including
adolescent care in the urban and rural health care settings
11. Demonstrate beginning practice competencies/skills relevant to provide
comprehensive primary health care/community-based care to clients with common
diseases and disorders including emergency and first aid care at home/clinics/centres
as per predetermined protocols/drug standing orders approved by MOH&FW
12. Identify and perform the roles and responsibilities of nurses in implementing various
national health programs in the community for the prevention, control and
management of communicable and non-communicable diseases particularly in
screening, identification, primary management and referral to a health facility/First
Referral Unit (FRU)
13. Explain population control & its impact on the society and describe the approaches
towards limiting family size

COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING/LEARNING ASSESSMENT
(Hours) OUTCOMES ACTIVITIES METHODS

226
I 7T Describe Community health field
community health nursing approaches,
nursing concepts, roles and
approaches and responsibilities of
concepts community health
nursing personnel
• Lecture • Short
• Approaches: answers
• Discussion
Describe and o Nursing process o • Essays
• Demonstration
identify the Epidemiological
approach • Role plays
activities of
community health o Problem solving
nurse to promote approach
and maintain o Evidence based
family health approach
through home o Empowering people to
care for themselves
visits • Review -Primary health
care and • Supervised • Assessment
Comprehensive practice of
Primary Health Care supervised
(CPHC) field
practice
Home Visits:
• Concept, Principles,
Process, &
Techniques: Bag
technique
• Qualities of
Community Health
Nurse
• Roles and
responsibilities of
community health
nursing personnel in
family health services
• Review: Principles &
techniques of
counseling
II 10 T Explain the Assisting
specific activities individuals and
of community families to
health nurse in • Lecture • Short
promote and • Discussion answers
assisting
individuals and maintain their • Demonstration • Essay type
groups to health • Role plays • Assessment
promote and A. Assessment of of clinical
maintain their individuals and families performance
health (Review from Child in the field
helath nursing, Medical practice area
surgical nursing and

227
 OBG Nursing) •
• Assessment of
children, women,
adolescents, elderly
etc
• Children-Monitoring
growth and
development,
milestones
• Anthropometric
measurements, BMI Assessment
• Social development of
• Temperature and procedural
Provide primary Blood pressure skills in lab
care at monitoring procedures
•
home/health • Menstrual cycle
centers (HWC) • Breast self
using standing examination
orders/protocols as (BSE) and
per public health testicles self
standards/approved examination
by MOH&FW and (TSE)
INC regulation • Warning Signs of
various diseases
• Tests:Urine for sugar •
and albumin, blood Evaluation
sugar, Hemoglobin B. of records
Provision of health and reports
services/ primary
health care:
• Routine check- up,
Immunization,
counseling, and
Develop skill in diagnosis
maintenance of
records and reports • Management of Document and maintain:
common diseases at • Individual records
home and health Evaluation
• Family records of field visit
centre level
• Health center records reports
o Care based on standing
orders/protocols
approved by
MOH&FW
Develop beginning o Drugs dispensing and
skills in handling injections at health
social issues centre
affecting the health
C. Continue medical care
and development
of the family and follow up in
community for various

228
 diseases/ disabilities D. •
Identify and assist Carry out therapeutic Field visits
the families to procedures as
utilize the prescribed/required for
community client and family
resources
appropriately E. Maintenance of health
records and reports
• Maintenance of client
records
• Maintenance of health
records at the facility
level
• Report writing and
documentation of
activities carried out
during home visits, in
the clinics/centers and
field visits
F. Sensitize and handle
social issues affecting
health and development of
the family
• Women empowerment
• Women and child abuse
• Abuse of elders
• Female foeticide
• Commercial sex
workers
• Substance abuse G.
Utilize community
resources for client and
family
• Trauma services
• Old age homes
• Orphanages
• Homes for physically
challenged individuals
• Homes for destitute
• Palliative care centres
• Hospice care centres
• Assisted living facility

229
III 10 T Describe the Introduction to • •
concepts, Epidemiology- • Short
approaches and Epidemiological Lecture, • answers
methods •
of Approaches, and Discussion Essay type
epidemiology an Processes •
Demonstration
of • Epidemiology- Role play
Concept and •
Definition Field visits-
• Distribution and communicable disease •
frequency of disease hospital & Entomology Report on
office visit to
• Aims & uses of
epidemiology communica
ble
• Epidemiological
models of causation of •
disease disease
hospital
• Concepts of disease Report on
transmission
visit to
• Modes of
entomology
transmission-Direct,
office
Indirect and chain of
infection
• Time trends or
Investigate fluctuations in disease • Investigation of an
epidemic occurrence
epidemic of
communicable • Epidemiological •
communicable disease
disease approaches-
Descriptive, analytical
Report and
and experimental
presentation
Principles of control
• on
measures/ levels Investigatin
of
g an
prevention of disease
epidemic of
• communica
Investigation of an ble disease
epidemic of
communicable disease
•
Use of basic
epidemiological tools
to make community
diagnosis for effective
planning and
intervention
IV 15 T Communicable diseases
Explain and National health
the programs
epidemiology
of 1. Communicable
specific • Lecture
communicable Diseases – Vector borne • Discussion, Field visit
diseases diseases (Every disease • Demonstration • reports
will be dealt under the • Role play Assessment
Describe
the following headlines) • Suggested field • of family

230
various methods of • Epidemiology of the • visits case study
prevention, control following vector born • Field practice •
and management diseases Assessment of OSCE
of communicable • Prevention & control clients with non- assessment
diseases and the measures communicable •
role of nurses in • Screening, and Short
diseases
screening, diagnosing the • answers
diagnosing, following conditions, Essay type
primary
primary
management and
management, referral
referral to a health
and follow up
facility
o Malaria o Filaria o
Kala-azar
o Japanese encephalitis
o Dengue
o Chickungunya

2. Communicable
diseases: Infectious
diseases (Every disease
will be dealt under the
following headlines)
• Epidemiology of the
following infectious
diseases
• Prevention &
Control measures
• Screening,
diagnosing the
following conditions,
primary
management,
referral and follow
up
o Leprosy o
Tuberculosis o Vaccine
preventable diseases-
Diphtheria,
whooping cough,
tetanus, poliomyelitis
and measles
o Enteric fever o Viral
hepatitis
o HIV/AIDS/RTI
infections-
o HIV/AIDS, and
Sexually Transmitted
Diseases/Reproductive

231
 tract infections
(STIs/R TIs) o
Diarrhoea o Respiratory
Identify the tract infections
relevant national o Helminthic –soil & food
health programmes transmitted and
and explain the parasitic infections-
role of nurses in Scabies and
implementation of pediculosis
these programmes 3. Communicable
diseases: Zoonotic
diseases
• Epidemiology of
Zoonotic diseases
• Prevention & control
measures
• Screening and
diagnosing the
following conditions,
primary
management,
referral and follow
up
o Rabies: Identify,
suspect, primary
management and
referral to a health
facility

• Role of a nurses in
control of
communicable
diseases

National Health
Programmes
1. UIP-Universal
Immunization
Programme
(Diphtheria,
Whooping cough,
Tetanus, Poliomyelitis,
Measles and Hepatitis
B)
2. National Leprosy
Eradication
Programme (NLEP)
3. Revised National
Tuberculosis Control

232
 Programme (RNTCP)
4. Integrated
Disease
Surveillence
Programmme
(IDSP)Enteric fever,
Diarrhea, Respiratory
infections and Scabies
5. National Aids Control
Organization (NACO)
6. National Vector Borne
Disease Control
Programme
7. National Air Quality
Monitoring
Programme
8. Any other newly added
programmes
V 15 T Describe the Non- Communicable • Lecture, • Field visit
national health diseases and National • Discussion, reports
programmes for Health Demonstration • Assessment
the control of programmes(NCD) • of family
Role play
noncommunicable • National response to • case study
Suggested field visits
diseases and the NCDs • Field practice
role of nurses in (Every disease will be • Assessment of clients
screening, dealt under the following
• with non-
identification headlines OSCE
communicable diseases •
primary • Epidemiology of assessment
management and specific diseases
referral to a health • Prevention and Short
•
facility control measures answers
• Screening, • Essay type
diagnosing/
identification and
primary management,
referral and follow
up care

NCD-1
o Diabetes Mellitus
o Hypertension o
Cardiovascular diseases
o Stroke & Obesity o
Blindness-Categories of
visual impairement and
national programme for
control of blindness
o Deafness-
national

233
 programme for Participation in national
prevention and control health programmes
of deafness
o Thyroid diseases o
Injury and accidentsRisk
factors for Road traffic
injuries and operational
guidelines for trauma care
facility
on highways

NCD-2 Cancers o
Cervical Cancer o
Breast Cancer
o Oral cancer
o Epidemiology of
specific cancers, Risk
•
factors/Causes,
Prevention, Screening,
diagnosis- signs, Signs
& symptoms, and
early management &
referral
o Palliative care o
Role of a nurse in non-
communicable disease
control programme
National Health
Programmes
• National programme
for prevention and
control of cancer,
Diabetes,
Cardiovascular
Diseases and Stroke
(NPCDCS)
• National programme
for control of
blindness
• National programme
for prevention and
control of deafness
• National tobacco
control programme

• Standard treatment
protocols used in
National Health
Programmes

234
VI 10 T Explain nurses’ Management of common • •
role in identifying, conditions and •
primary emergencies including Lecture, • Short
management and first aid •
Discussion, • answers
referral of clients • Standing orders: • Essay type
Demonstration
with common Definition, uses • Field visit
Role play
disorders/ Screening, • reports
Suggested field visits •
conditions and diagnosing/identification, • Field practice
emergencies primary care and OSCE
Assessment of clients
including first aid referral of assessment
with common
Gastrointestinal system: conditions and provide
o Abdominal pain o referral
Nausea and vomiting o
Diarrhea o Constipation
o Jaundice o GI bleeding
o Abdominal distension
o Dysphagia and
dyspepsia
o Aphthous ulcers
Respiratory System:
o Acute upper respiratory
infections- Rhinitis,
Sinusitis,
Pharyngitis,
Laryngitis, Tonsillitis
o Acute lower respiratory
infections-
o Bronchitis, pneumonia
and bronchial asthma
o Hemoptysis, Acute
chest pain Heart &
Blood
o Common heart
diseases- Heart
attack/coronary artery
disease, heart failure,
arrhythmia
o Blood-anemia, blood
cancers, bleeding
disorders
Eye & ENT conditions
Eye-local infections,
redness of eye,
conjunctivitis, stye,
trachoma and refractive
errors
ENT-Epistaxis, ASOM,
sore throat, deafness

235
 Urinary system
Urinary tract infectionscystitis,
pyelonephritis, prostatitis, UTIs in
children
First aid in common emergency
conditions -
Review
High fever, low blood sugar, minor
injuries, fractures, fainting,
bleeding, shock, stroke, bites, burns,
choking, seizures, RTAs, poisoning,
drowning and foreign
bodies

VII 20 T Provide Reproductive, maternal, •

reproductive, newborn, child and adolescent •
maternal, Health (Review from OBG Lecture Short
newborn and Nursing and application in •
Discussion answers
child care, community setting) • Essay type
Demonstration
including • Present situation of • •
Role play
adolescent care reproductive, maternal and child Suggested field
in the urban and health in • visits, and field • OSCE
rural India practice assessment
health care Antenatal care Assessment of
settings • Objectives, antenatal visits and antenatal, postnatal, •
examination, nutrition during newborn, infant,
pregnancy, counseling preschool child,
• Calcium and iron • school child, and
supplementation in pregnancy adolescent
• Antenatal care at health
centre level
• Birth preparedness
• High risk approach-
Screening/early identification
and primary management
of
complicationsAntepartum
hemorrhage, pre-
eclampsia, eclampsia, Anemia,
Gestational diabetes mellitus,
Hypothyroidism,
Syphilis
• Referral, follow up

236
 and maintenance of Screen,
records and reports manage and
Intra natal care refer
• Normal labour- adolescents
process, onset, stages Counsel
of labour adolescents
• Monitoring and active
management of
different stages of
labour
• Care of women after
labour
• Early identification,
Promote primary management,
referral and follow
adolescent health
uppreterm labour, fetal
distress, prolonged and
obstructed labour,
vaginal & perennial
tears, ruptured uterus •
• Care of newborn
immediately after birth
• Maintenance of records
and reports •
• Use of Safe child birth
check list
• SBA module-Review
• Organization of labour
room
Postpartum care
• Objectives, Postnatal
visits, care of mother
and baby, breast
feeding, diet during
lactation, and health
counseling
• Early identification,
primary management,
referral and follow up
of complications,
Danger signs-
postpartum hemorrhage,
shock, puerperal
sepsis, breast conditions,
post
partum depression
• Postpartum visit
by health care
provider
Newborn and child care

237
• Review: Essential
newborn care
• Management of
common neonatal
problems
• Management of
common child health
problems: Pneumonia,
Diarrhoea, Sepsis,
screening for
congenital anomalies
and referral
• Review: IMNCI
Module
• Under five clinics
Adolescent Health
• Common health
problems and risk
factors in adolescent
girls and boys
• Common
Gynecological
conditions-
dysmenoorhea,
Premenstrual
Syndrome (PMS),
Vaginal discharge,
Mastitis, Breast lump,
pelvic pain, pelvic
organ prolapse
• Teenage pregnancy,
awareness about legal
age of marriage,
nutritional status of
adolescents National
Menstrual Hygiene
scheme
• Counseling for parents
and teen agers
National programmes
• RMNCH +A
Approach- Aims,
Health systems
strengthening,
RMNCH+A strategies,
Interventions across
life stages, programme
management,

238
 monitoring and
evaluation systems
• Universal
Immunization
Programme as per
Government of India
guidelines-Review
• Rashtriya Bal
Swasthya Karyakaram
(RSBK) -children
• Rashtriya Kishor
Swasthya Karyakram
(RKSK) -adolscents
• Other new
programmes
VIII 4T Enumerate the School Health Services • Lecture • Short
school health • Objectives • Discussion answers
activities and the • Health problems Demonstration • • Essay type
•
role functions of a of school children Role play Evaluation
• of health
school health nurse • Components of school Suggested field visits
health services • Field practice counseling
• Maintenance of school • to school
health records • children
• Initiation and planning Screen,
of school health diagnose,
services manage and
• Role of a school health refer school
nurse children
• OSCE
assessment
Lecture
IX 3T Discuss the Demography, Discussion
concepts and scope Surveillance and Demonstration
of demography Interpretation of Data Role play •
• Demography and vital • Suggested field visits Short
statistics-demographic Field practice • answers
•
cycle, world Essay type
population trends, vital •
statistics •
• Sex ratio and child sex •
ratio, trends of sex •
ratio in India, The
causes and social
implications
• Sources of vital
statistics- Census,
registration of vital
events, sample

239
 registration system
• Morbidity and
mortality indicators:
Definition, calculation
and interpretation
• Surveillance,
Integrated disease
surveillance project
(IDSP), Organization
of IDSP, flow of
information and
mother and child
tracking system
(MCTS) in India
• Collection, analysis,
interpretation, use of
data
• Review- Common
sampling techniques-
random and
nonrandom techniques
Disaggregation of data
X 6T Discuss population Population and its • •
explosion and its Control • Lecture Short
impact on social • Population Explosion Discussion • answers
and economic •
and its impact on Demonstration Essay type
development of Social, Economic •
Role play
India development of • Suggested field visits
individual, society and • Field practice
Describe the country. •
various methods of • Population Control – OSCE
population control Women assessment
Empowerment; Social,
Economic and
Educational •
Development Counseling
• Limiting Family Size – on
Promotion of small
family norm, family
Temporary Spacing planning
Methods (natural,
biological, chemical,
mechanical methods
etc), Terminal
Methods (Tubectomy,
Vasectomy)
• Emergency
Contraception
• Counseling in
reproductive, sexual
health including
problems of
adolescents

240
• Medical
Termination of
pregnancy and MTP
Act
• National Population
Stabilization Fund/JSK
(Jansankhya Sthirata
Kosh)
• Family planning 2020

• National Family
Welfare Program
• Role of a nurse in
Family Welfare
Program

241
 COMMUNITY HEALTH NURSING I

CLINICAL POSTINGS: 4 Weeks x 40 hours/week

Total hours:
160 hours

CLINICAL DURATION LEARNING PROCEDURAL CLINICAL ASSESSMEN

AREA/UNIT IN WEEKS OUTCOMES COMPETENCIES/ REQUIREMENTS T METHODS
CLINICAL
SKILLS
Urban 2 weeks
Rural 2 Weeks Identify prevalent • Investigating an • Community
communicable and epidemic health survey to
non- Community investigate an
communicable health survey epidemic-1
diseases

Perform health • Health assessment

assessment for clients including • Health assessment
of various age groups nutritional of woman-1, • Clinical
assessment for infant/under five- performanc
clients of different 1, adolescent-1, e
age adult-1 assessment
groups • Growth
monitoring of
under- five • OSCE
Screen, diagnose, children- 1 during
manage and refer posting
clients with common
• Final
health problems in
the community and clinical
• Screening, Screening, examinatio
refer high risk clients diagnosing, diagnosing and n
primary primary (University
management of management and )
common health referral:
problems in the • Communicable
community and disease- 1
referral of highrisk • Non-
clients to communicable
FRUs diseases- 1
• Dental problems-
Assess and provide 1
antenatal, • Eye problems- 1
intrapartum, postnatal • Ear, nose, and
and new- born care throat problems-
1
• High risk

Participate in school
health programme

242
Counsel and educate • Assessment pregnant
individual, family (physical & woman- 1
and community nutritional) of High risk
antenatal, neonate- 1
Provide family intrapartum, Emergencies- 1
postnatal and •
welfare services Minor ailments-
newborn 2 Primary
• •
• Conduction of management
normal delivery at and care based
health center • on standing
• Newborn care orders/protocols
approved by
Participation in MOH&FW
• school health
programme Assessment of
Participate in antenatal-1, Evaluation
implementation of intrapartum-1, of Group
national health Health • postnatal-1 and health
programmes • counselling to education
newborn-1
different Conduction of
Maintain records and clients Group normal delivery
• health at health center
reports
education • and
documentation-
• Family
2
• Family planning Immediate Case study
counselling newborn care evaluation
• Insertion and and
removal of • documentation-
IUCD 1

Participation in
school health
programme-1 •
•
• Health
Participation in counseling
National Health for Adult with
Programmes • o Communicable
diseases/NCD-1
• Adolescent
Documentation o Group health
skills • Education - 1
(Rural/Urban)

Family
• planning
counselling- 1
• Insertion of

243
 IUCD-1
• Removal of
IUCD-1

• Family case study- 1

(Rural/Urban)

• Participation in any
two National Health
programmes

• Document and
maintain: o Individual
record o Family record
o Health center record
• Writing report on
Health center
activities

Reference: Modules used in Certificate programme for community Health for nurses (Bridge
Programme)

MIDWIFERY / OBSTETRIC AND GYNECOLOGY NURSING- I

PLACEMENT: VI SEMESTER THEORY: 2 Credits (40 Hours)

Skill lab : 1 Credit (40 Hours)

Clinical : 2 Credits (160 Hours)

DESCRIPTION: This course is designed for students to develop knowledge and

competencies on the concepts and principles of midwifery. It helps them to acquire
knowledge and skills in rendering respectful maternity care to woman during
antenatal, natal and postnatal periods in hospitals and community settings. It further
helps to develop skills in managing normal neonates and participate in family welfare
programme.

COMPETENCIES
On completion of the program, the students will be able to:

1. Demonstrate professional accountability for the delivery of nursing care as per INC
standards/ICM competencies that are consistent with moral, altruistic, legal, ethical,
regulatory and humanistic principles in midwifery practice.
2. Communicate effectively with individuals, families and professional colleagues fostering
mutual respect and shared decision making to enhance health outcomes.
3. Recognize the trends and issues in midwifery/obstetrical nursing.

244
 4. Review and describe the anatomy and physiology of human reproductive system and
conception
5. Describe and apply the physiology in the management of normal pregnancy, birth and
puerperium.
6. Demonstrate competency in providing respectful maternity care for the women during the
antenatal, intranatal and postnatal period.
7. Conduct normal deliveries and provide essential newborn care
8. Apply nursing process in caring for women and their families

COURSE OUTLINE
UNIT TIME LEARNING CONTENT TEACHING/ ASSESSMENT
(Hours)OUTCOMES LEARNING METHODS
ACTIVITIES
I T- 4 Identify the Introduction to midwifery
trends and • History of midwifery in India
issues in • Current scenario: Midwifery in
midwifery India- Transformative education
for relationship based and
transformative midwifery practice
in India, National health
programs related to RMNCH

245
 • Current trends in midwifery and • • Discussion • Short answers
gynecology nursing: • • Demonstration • Objective type
o Respectful maternity and Role play • Essay
newborn care (RMNC) Directed • Quiz
o Midwife led care units reading
(MLCU) and
o Birthing centers, water • assignment:
birth, lotus birth ICM
o Essential competencies for competencies
Scenario based
basic midwifery practice
learning
(ICM) o Universal rights of
childbearing women
o Sexual and reproductive
health and rights
• Legal provisions in midwifery
practice in India:
INC/MOH&FW regulations
• Ethical issues in maternal and
neonatal care
• Adoption laws, MTP act,
PreNatal Diagnostic Test
(PNDT)Act, Surrogate mothers
-Roles And responsibilities of a
midwife in different settings
(hospital / community)
II T- 4 L- Maternal, Fetal & Newborn •• Lecture • Quiz
4 Describe / physiology: • Discussion • Simulation
Review the Anatomy and physiology of Selfdirected • Short answers
anatomy and human reproductive system learning • OSCE
physiology of and conception • Models
human Review: Videos &
•
reproductive • Female organs of reproduction films
system
• Female pelvis –bones, joints,
ligaments, planes, diameters,
landmarks, inclination,
variations in pelvis shape
• Foetal skull- bones, sutures,
fontanelles, diameters,
moulding
• Fetopelvic relationship
• Physiology of menstrual cycle,

246
 menstrual hygiene
• Fertilization, conception and
implantation
• Embryological development
• Placental development
• Placental function: blood brain
barrier
• Fetal growth and development
Fetal circulation & Fetal nutrition
III T – 10 Assessment and management • Lecture
L - 10 Provide of normal • Discussion • Short answers
C - 40 preconception pregnancy(antenatal) • Demonstration • Objective type
care to eligible Pre pregnancy Care • Health talk • Assessment of
couples • Review of sexual development • Role play skills with check
(Self Learning) • Counselin g list
Describe the • Socio-cultural aspects of human session • Case study
physiology, sexuality (Self Learning) • Case evaluation
assessment and • Preconception care discussion/ • OSCE
management of • Pre-conception counseling presentation
normal (including awareness regarding
normal births), Genetic • Simulation •
pregnancy Supervised
counseling (Self Learning)
including pre Clinical
• Planned parenthood
pregnancy care practice
Pregnancy assessment and
antenatal care (I, II & III
Demonstrate Trimesters)
knowledge of Normal pregnancy
midwifery
practice • Assess and confirm pregnancy:
throughout Diagnosis of pregnancy - Signs,
1st,2nd and 3rd differential
trimesters diagnosis and confirmatory
tests
• Review of maternal nutrition &
malnutrition
• Building partnership with • Refer SBA
women following RMC module &
protocol Safe
• Fathers engagement in motherhoo
maternity care d booklet
• Physiological changes during
pregnancy. - Reproductive
system, Cardio-vascular system
Respiratory system Urinary
system, Gastero

247
 intestinal system, Metabolic
changes, Skeletal changes,
Skin changes Endocrine
system & psychological
changes Ante-
natal care:
I Trimester
• Antenatal assessment: History
taking, physical examination,
breast examination laboratory
investigation
•
• Identification and management
of minor discomforts of
pregnancy Lab
• Antenatal care and counseling testsperforman
(lifestyles in pregnancy, ce, and
nutrition, shared decision • interpretati
making, risky behavior in
on
pregnancy, counseling regarding
sexual life during pregnancy Refer
etc) Guidelines
• Danger signs during pregnancy for
• Birth preparedness and calcium
complication readiness supplemen
(including promoting normalcy tation
during pregnancy)
• Respectful care and
compassionate communication
• Recording and reporting:
Clinical procedures as per the
GoIs guideline
• GoI current model of ANC
provision
• Role of Doula/ASHAs
II Trimester
• Education and management of
physiological changes and •
discomforts of 2nd trimester
• Rh Demonstra
negative tion of
and • birthing
prophylacti positions
c anti D
Scenario
• Second • based
trimester learning
tests and Workshop on
health alternative
education birthing

248
• Interpreting screening results positions
• Health education on IFA,
calcium and vitamin D
supplementation, glucose
tolerance test,
immunization etc
• Antenatal assessment:
abdominal palpation, fetal
assessment, auscultate fetal
heart rate -Doppler and
pinnard’s stethoscope,
• Assessment of fetal wellbeing:,
DFMC, biophysical profile,
Non stress test,
cardiotocography, USG, Vibro
acoustic stimulation,
biochemical tests.
• Antenatal care
• Women centered care
• Respectful care and
compassionate communication
• Referral and collaboration,
empowerment
• Ongoing risk assessment
Maternal Mental Health
III Trimester
• Education and management of
physiological changes and
discomforts of 3rd trimester
• Third trimester tests and
screening
• Fetal engagement in late
pregnancy
• 3rd trimester antenatal
education classes
• Birth preparedness and
complication readiness
• Health education on exclusive
breastfeeding
• Danger signs of pregnancy-
recognition of ruptured
membranes
• Ongoing risk assessment
• Cultural needs
• Women centered care
• Respectful and compassionate
communication
• Alternative birthing positions-

249
 women’s preferred choices

• Role of Doula / ASHA’s

IV T - 10 Apply the Physiology, management and • Lecture • Essay type

L - 12 physiology of care during labour Review • Discussion • Short answers
C - 60 labour of • Demonstration • Objective type
• Normal labour and birth • Bedside clinics • Case study
Describe the • Onset of birth/ labour • Case discussion/ evaluation
management and • Per vaginal examination presentation • Assessment of
care during • Stages of labour skills with check
labour • Organization of labor room- list
Triage, preparation for birth
• OSCE
• Positive birth environment
• Respectful care and
communication
• Simulated
Discuss how to • Drugs used in labour
practice
maintain an Fist Stage • Supervised
environment for
labour in which • Physiology of normal labour Clinical practice
the woman feels • Monitoring progress of labour – Per vaginal
safe using Partograph examination,
• Assessing and monitoring fetal Conduction of
well being deliveries
Work effectively • Care during 1st stage of normal • SBA module
with pain during labour
• LaQshyaguide
labour • Pain relief in labour (non- lines
pharmacological and
pharmacological) • Dakshitha
• Psychological support- guidelines
Managing fear
• Activity and positioning during
first stage of labour
• Nutrition during labour
• Promote positive childbirth
experience for women
• Birth companion for labour
• Role of Doula / ASHA’s
Second stage
• Physiology (Mechanism of
Discuss how the labour)
midwife • Signs of imminent labour
provides care • Intrapartum monitoring
and support for • Birth position of choice
the women • Vaginal examination
• Psychological support

250
during birth to • Non-directive coaching Demonstration
enhance • Management of Group work
physiology birth/Conduction of Scenario based
•
and deliverypreparation and learning
promote normal supporting physiological •
birth birthing •
• Essential newborn care
Assess and (ENBC)
provide care of • Assessment and care of the
the newborn newborn immediately
immediately following birth
following birth • Role of Doula / ASHA’s
Third Stage
• Physiology - placental
separation and expulsion,
homeostasis
• Physiological management of
third stage of labour
• Active management of third
stage of labour
• Examination of placenta,
membranes and vessels
• Assess perineal, vaginal tear /
injuries and suture if required
• Insertion of postpartum IUCD
• Immediate perineal care
• Initiation of breast feeding
Discuss the • Skin to skin contact
impact of labour
• Vitamin K prophylaxis
and birth as a
transitional event • Newborn resuscitation
in the woman's
Fourth Stage
life
Care during 4th Stage of labour
Ensure initiation
Observation, Critical Analysis and
of breast feeding
Management of mother and
and adequate
newborn
latching
• Maternal assessment,
observation fundal height,
uterine consistency, urine
output, blood loss
• Documentation and Record of
birth
• Breastfeeding and latching
• Managing uterine cramp
• Alternative/complementary
therapies
• Role of Doula / ASHA’s

251
 • Various childbirth practices
• Safe environment for mother and
newborn to promote bonding
• Maintaining records and reports

V T- 6 Describe the Postpartum care/Ongoing care of • Lecture • Essay type

L- 6 physiology, women • Discussi on • Short answers
C- 30 management and • Normal puerperium- Physiology, • Demonstration • Objective type
care of normal duration • Health talk • Assessment of
puerperium • Simulated
• Physiology of puerperium skills with
• Post-natal assessment and care- practice checklist
facility and home-based care • Supervised • OSCE
• Perineal hygiene and care Clinical practice
• Bladder and bowel function • Refer SBA
• Minor disorders of puerperium module
and its management
• ENBC module
• Physiology of lactation and
lactation management
• Postnatal counseling and
psychological support
• Normal postnatal baby blues and
recognition of post-natal
depression
• Transition to parenthood
• Care for the mother from 72
hours to 6 weeks after the
delivery
o Cultural competence (Taboos
related to postnatal diet and
practices)
• Diet during lactation-review
• Post-partum family planning
• Follow – up of postnatal
mothers.
• Drugs used in the postnatal
period
Records and reports
VI T- 6 Discuss the need Assessment and ongoing care  Lecture  Essay type
L- 8 for of normal neonates • Family  Discussi on  Short answers
C- 30 compassionate, centred care  Demonstration  Objective type
family centered  Assessment of
• Respectful care and  Simulated
midwifery care skills with
communication practice session
of the newborn checklist
• Normal Neonate -
and how this is

252
provided Physiological adaptation  Supervised  OSCE
Newborn assessment and care clinical practice
Describe the Screening for congenital  Refer safe
assessment and anomalies deliver app
management of • • Care of newborn from 72 hours modulenewborn
normal neonate to 6 weeks after the delivery management
• (Routine care of newborn)
Skin to skin contact and
thermoregulation Infection
• prevention
(asepsis and hand washing)
• Immunization
Minor disorders of newborn and
• its management
•

253
 (Skill lab & Clinical)

PLACEMENT: VI SEMESTER Total Hours: 200hrs

Skill Lab: 1 Credit (40 Hours)
Clinical: 2 Credits (160 Hours)

Practice Competencies:

On completion of the course, the students will be able to:

1. Counsel women and their families on pre-conception care
2. Demonstrate lab tests Eg. urine pregnancy test
3. Perform antenatal assessment of pregnant women
4. Assess and care for normal antenatal mothers
5. Assist and perform specific investigations for antenatal mothers
6. Counsel mothers and their families on antenatal care and preparation for parenthood
7. Conduct childbirth education classes
8. Set up and manage a delivery unit
9. Prepare and provide respectful maternity care for mothers in labour
10. Perform per-vaginal examination for a woman in labour if indicated
11. Conduct normal delivery with essential newborn care
12. Demonstrate skills in resuscitating the newborn
13. Assist women in the transition to motherhood
14. Assess and care for normal postnatal mothers
15. Provide care for postnatal mothers and their newborn
16. Perform postnatal and newborn assessment 17. Counsel mothers on postnatal and newborn
care SKILL LAB:

Procedures/ Skills for demonstration and return demonstration:

1. Urine pregnancy test
2. Calculation of EDD, Obstetrical score, gestational weeks
3. Antenatal assessment
4. Counseling antenatal mothers – micro birth planning
5. PV examination
6. Plotting and interpretation of partograph
7. Preparation for delivery – setting up labour room, articles, equipment
8. Mechanism of labour – normal
9. Conduction of delivery with essential newborn care
10. Active management of third stage of labour
11. Placental examination
12. Newborn resuscitation
13. Monitoring during fourth stage of labour
14. Postnatal assessment
15. Newborn assessment
16. Kangaroo mother care
CLINICAL POSTINGS 4 weeks x 40hours/week
CLINICAL DURATION CLINICAL PROCEDURAL CLINICAL ASSESSMENT
AREA IN WEEKS LEARNING COMPETENCIES REQUIREMENTS METHODS
OUTCOMES /CLINICAL
SKILLS
Antenatal 1 week Perform antenatal • History • Antenatal palpation • OSCE
assessment collection • Health talk • Case

254
OPD and antenatal • Physical • Case study presentation
examination
Antenatal
Perform laboratory • Obstetric
ward tests for antenatal examination
women and assist in
• Pregnancy
selected antenatal
confirmation
diagnostic test
procedure
• Urine testing
s • Blood
testing
for
Counsel Hemoglobin
women • Blood test for
malaria
• Blood test for
grouping and
typing
• Kick chart
/DFMC /NST /
CTG / USG
• Antenatal
counseling
• Preparation for
childbirth
• Birth
preparedness
and
complication
readiness
Post-partum 1 week Perform • Postnatal • Postnatal assessment • Assignment
postnatal assessment • Newborn • case study
clinic /
assessment • Care of assessment • case
PTCT postnatal presentation
Provide care to • Case study
Centre and mothers –
normal postnatal • Case
normal
Postnatal mothers and presentation
• Care of normal
newborn newborn • Cu-T insertion and
Ward
Postnatal • Lactation removal
counseling management
Provide family • Postnatal
welfare services counselling
• Health
teaching
on
postnatal
and
newborn care
• Family welfare
counseling

255
Labour 2 weeks Monitor labour • Assessment of • ••
room using partograph woman Partograph • Assignment
in case study
• • recording PV
• • labour examination Case
Partograph presentation
Per vaginal Assisting /
Provide care to Conduction
• examination if
women during indicated • • of
labour • Obstetric normal delivery
examination Case study
Care during • Case
Conduct normal • first stage of presentation
delivery, provide labour Pain
management • Episiotomy and
care to mother and suturing
techniques
immediate care of •
Positions Newborn
newborn in labour
• resuscitation
Preparation for
labour –
articles,
physical,
• psychological
Conduction of
normal delivery
Essential
•
newborn care
Newborn
•
resuscitation
Active
• management of
third stage of
labour
Monitoring and
• care during
fourth stage of
labour

COMMUNITY HEALTH NURSING – II

PLACEMENT: VII SEMESTER THEORY: 2 Credits (40 Hours)

Clinical: 1 Credit (80 Hours)

DESCRIPTION: This course is designed to help students gain broad perspective of

specialized roles and responsibilities of community health nurses and to practice in
various specialized health care settings. It helps students to develop knowledge and
competencies required for assessment, diagnosis, treatment, and nursing management
of individuals and families within the community in wellness and illness continuum.

256
 COMPETENCIES
On completion of the course, the students will be able to

1. Describe occupational health hazards, occupational diseases and the role of nurses
in occupational health programmes
2. Identify health problems of older adults and provide primary care, counseling and
supportive health services
3. Participate in screening for mental health problems in the community and providing
appropriate referral services
4. Discuss the methods of data collection for HMIS, analysis and interpretation of data
5. Discuss about effective management of health information in community diagnosis
and intervention
6. Describe the management system of delivery of community health services in rural
and urban areas
7. Describe the leadership role in guiding, supervising, and monitoring the health
services and the personnel at the PHCs, SCs and community level including
financial management and maintenance of records & reports
8. Describe the roles and responsibilities of Mid-Level Health Care Providers
(MHCPs) in Health Wellness Centers (HWCs
9. Identify the roles and responsibilities of health team members and explain their job
description
10. Demonstrate initiative in preparing themselves and the community for disaster
preparedness and management
11. Demonstrate skills in proper bio-medical waste management as per protocols
12. Explain the roles and functions of various national and international health agencies

COURSE OUTLINE

UNIT TIME LEARNING CONTENT TEACHING / ASSESSMENT

OUTCOMES LEARNING METHODS
ACTIVITIES
I 4 Describe Occupational Health • Lecture, • Essay type
occupational health • Occupational health • Discussion, • Short answers
hazards, hazards Demonstration, • Clinical
occupational • Occupational diseases • Role play performance
diseases and the role • ESI Act • Suggested field evaluation
of nurses in • National/ State visits, Field
occupational health Occupational Health practice
programmes Programmes
• Role of a nurse in
occupational health
services- Screening,
diagnosing, management
and referral of clients with
occupational health
problems

257
II 5 Identify health Geriatric Health Care • Lecture
problems of older • Health problems of older • Discussion • Visit report on
adults and provide adults • Demonstration elderly home
primary care, • Management of common
counseling and geriatric ailments: • Essay type
supportive health counseling, supportive
services treatment of older adults • Short answers
• Organization of geriatric
health services
• National programme for
health care of elderly
(NPHCE)
• State level programmes/
Schemes for older adults
• Role of a community
health nurse in geriatric
health services-
Screening, diagnosing,
management and referral
of older adults with health
problems

III 4 Describe screening Mental Health Disorders • • Essay type

hours for mental health • Screening, management, Lecture •
problems in the prevention and referral • • Discussion, Short answers
community, take for mental health Demonstration •
preventive measures disorders Role play Counseling report
and provide • Review: Health •
appropriate referral o Depression, anxiety, • counseling on
services acute psychosis, promotion of
Schizophrenia mental health
o Dementia o Suicide Suggested field
o Alcohol and substance visits, Field
abuse practice
o Drug deaddiction
programme
o National Mental Health
Programme o
National Mental Health
Policy o National
Mental Health Act
• Role of a community health
nurse in screening,
initiation of treatment
and follow up of mentally
ill clients

258
IV 4 Discuss about Health Management • Lecture • Group
hours effective Information System • Discussion project
management of (HMIS) Demonstration, • report Essay
health information •
• Introduction to health
••
Role play • type
in management system: Suggested Short answers
community data elements, recording field visits,
diagnosis and and reporting formats, Field practice
intervention data quality issues •
Group project
• Review: on community
o Basic Demography and diagnosis-data
vital statistics management
o Sources of vital statistics
o Common sampling
techniques, frequency
distribution
o Collection, analysis,
interpretation of data
• Analysis of data for
community needs
assessment and
preparation of
health action plan
V 5 Describe the Delivery of community • Lecture • Essay type
hours system health services: • Discussion • Short answers
management of • Planning, budgeting and •
Visits to various
•
Filed visit reports
delivery of material management of health care
community health CHC, PHC, SC/HWC
services in rural
and

urban areas • Manpower planning as • delivery

per IPHS standards systems
• Rural: Organization, Supervised field
staffing and material practice
management of rural
health services provided
by Government at village,
SC/HWC, PHC, CHC,
hospitals- district, state
and central
• Urban: Organization,
staffing, and functions of
urban health services
provided by Government
at slums, dispensaries,
special clinics, municipal
and corporate hospitals
• Defense services
• Institutional services
• Other systems of
medicine and health:
Indian system of

259
 medicine, AYUSH
clinics, Alternative health
care system referral
systems, Indigenous
health services
VII 8 Describe the Leadership, Supervision • • Lecture, • Report on
leadership role in and Monitoring Discussion interaction with
guiding, • Understanding work • • Demonstration MPHWs, HVs ,
supervising, and responsibilities/job Role play ASHA, AWWs
monitoring the description of DPHN, • Suggested field
health services and Health Visitor, PHN, visits • Participation in
the personnel at MPHW (Female), Field practice training
the PHCs, SCs Multipurpose health programmes
and community Worker (Male), AWWs
level including and ASHA • Essay Type
financial
management • Short answers

Describe the roles

and responsibilities
of Mid-Level Health • Roles and responsibilities
Care Providers of Mid -Level Health
(MHCPs) in Health Care Providers (MLHPs)
Wellness Centers • Village Health Sanitation
(HWCs and Nutrition Committees
(VHSNC) : objectives,
composition and roles &
responsibilities
• Health team management

260
• Review: Leadership &
supervision-concepts,
principles & methods
• Leadership in health:
leadership approaches in
healthcare setting, taking
control of health of
community and
organizing health camps,
village clinics
• Training, Supportive
supervision and
monitoring-concepts,
principles and process Eg.
performance of frontline
health workers
• Financial Management
and Accounting &
Computing at Health
Centers (SC) o
Activities for which funds are
received
o Accounting and book
keeping
requirementsaccountin
g principles & policies,
book of accounts to be
maintained, basic
accounting entries,
accounting process,
payments &
expenditure, fixed
asset, SOE reporting
format, utilization
certificate (UC)
reporting
o Preparing a budget o
Audit
Records & Reports:
• Concepts of records and
reports-importance, legal
implications, purposes,
use of records, principles
of record writing, filing of
records
• Types of
recordscommunity
related records, registers,
guidelines for maintaining
• Report writing-
purposes, documentation
of activities, types of
reports

261
 • Medical Records
Department- functions,
filing and retention of
medical records
• Electronic Medical
Records (EMR)-
capabilities and
components of EMR,
electronic health record
(EHR), levels of
automation, attributes,
benefits and disadvantages
of EHR
• Nurses’ responsibility in
record keeping and
reporting
VII 4 Demonstrate Disaster Management • Lecture, •
hours initiative in • Disaster types and Discussion,
preparing magnitude Demonstration,
themselves and the • Disaster preparedness Role play
community for • Emergency preparedness • Suggested
disaster • Common problems during field visits, and
preparedness disasters and methods to field practice
and management overcome • Mock drills
• Basic disaster supplies kit • Refer-Disaster
• Disaster response module
including emergency relief (NDMA)
measures and Life saving National
techniques Disaster /INC –
• Use disaster management Reaching out in
module emergencies
VIII 3 Describe the Bio-Medical Waste • Lecture cum • Field visit report
hours importance of Management Discussion
biomedical waste • Waste collection, • Field visit to
management, its segregation, transportation waste
process and and management in the management
management community site
• Waste management in
health center/clinics
• Bio-medical waste
management guidelines –
2016, 2018 (Review)
IX 3 Explain the roles and Health agencies • Lecture • Essay type
hours functions of various International • Discussion • Short answers
national and • WHO, UNFPA, UNDP, •
Field visits
international health World Bank, FAO,
agencies UNICEF, European
Commision, Red cross,
USAID, UNESCO,
ILO, CAR, CIDA,
JHPIEGO, any other

262
• National: Indian Red cross,
Indian Council for Child
Welfare, Family Planning
Association of India,
Tuberculosis
Association of India,
Central Social Welfare
Board, All India
Women’s Conference,
Blind Association of
India, any other Voluntary
Health
Association of
India(VHA)

263
 COMMUNITY HEALTH NURSING II

CLINICAL POSTINGS 2 Weeks x 40 hrs/week

Total hours: 80 hours

CLINICAL DURATIO LEARNING PROCEDURAL CLINICAL ASSESSMENT

AREA N IN OUTCOMES COMPETENCIES/ REQUIREMENTS METHODS
WEEKS CLINICAL SKILLS
Urban 1week • Participate in • Participation in • Group project:
community Community Community
diagnosis -data diagnosis-data diagnosis-data
Rural 1 Week management management management
• Assignment
• Screen, diagnose, • Screening, • Screening, evaluation
manage and diagnosing, diagnosing,
• Field visit
refer clients management and management and
report
with referral of clients referral of clients
occupational with occupational with occupational • Clinical
health problem health problems health problems-1 performance
assessment
• Screen, diagnose, • Mental health • Mental health • OSCE during
manage and screening screening survey- posting
refer clients 1 • Final clinical
who are examination
mentally • Health assessment of • Health assessment (University)
unhealthy elderly (Physical &
nutritional) of
• Screen, assess elderly- 1
and manage • Writing health center
elderly with activity report • write report on
health problems health center
and refer • Organizing and activities- 1
appropriately conducting
clinics/camp • Organizing and
• Participate in conducting:
health centre o Antenatal/underfi ve
activities • Participation in clinic/Health camp-
disaster mock drills 1
• Organize and
conduct • Participation in
clinics/health disaster mock drills
camps in the
community • Field visit to
• Prepare for biomedical waste
disaster management site
preparedness • Visit to AYUSH
and clinic
management

Reference: Modules used in Certificate programme for community Health for nurses (Bridge Programme)
MIDWIFERY / OBSTETRIC AND GYNECOLOGY NURSING- II

264
 PLACEMENT: VII SEMESTER THEORY : 4 Credits (80 hours)

Skill lab : 1 Credit (40 hours)

Clinical : 7 Credits (560 hours)

DESCRIPTION: This course is designed for students to develop knowledge and

competencies on the concepts and principles of obstetrical and gynecology nursing. It
helps them to acquire knowledge and skills in rendering respectful maternity care to
high risk woman during antenatal, natal and postnatal periods in hospitals and
community settings and help to develop skills in initial management and referral of
high risk neonates and participate in family welfare programme. It would also help
students to gain knowledge, attitude and skills in caring for women with
gynecological disorders.

COMPETENCIES

On completion of the course, the students will be able to:

1. Describe the assessment, initial management, referral and respectful maternity care of
women with high risk pregnancy.
2. Demonstrate competency in identifying deviation from normal pregnancy.
3. Describe the assessment, initial management, referral and nursing care of women with high
risk labour.
4. Assist in the conduction of abnormal vaginal deliveries and caesarean section.
5. Describe the assessment, initial management, referral and nursing care of women with
abnormal postnatal conditions.
6. Demonstrate competency in the initial management of complications during the postnatal
conditions.
7. Demonstrate competency in providing care for high risk newborn.
8. Apply nursing process in caring for high risk women and their families.
9. Describe the assessment and management of women with gynecological disorders.
10. Demonstrate skills in performing and assisting in specific gynecological procedures.
11. Counsel and care for couples with infertility
12. Describe artificial reproductive technology
13. Describe the drugs used in obstetrics and gynecology
14. Demonstrate skills in implementing various government programs related to MNCH care.
15. Identify the role of a midwife in vital statistics and health information management
16. Recognize the importance of family welfare programme and describe the methods of
contraception and role of nurse in family welfare

COURSE OUTLINE

UNI TIM LEARNING CONTENT TEACHING/ ASSESSME

T E OUTCOMES LEARNING NT
ACTIVITIES METHODS

265
I Describe the Recognition and • Lecture • Essay type
T- 20 assessment, Management of problems • Discussion • Short
L- initial during Pregnancy • Demonstration answers
10 management, • Video & films • Objectiv e
• Assessment of high-risk
• Scan reports type
C- and referral of pregnancy
• Problems/complication • Case discussion • Assessme
120 women
s of pregnancy • Case presentation nt of
with
o Hyper-emesis • Drug presentation skills
abnormal/proble
gravidarum, • Health talk with
ms during check
o Bleeding in early • Simulation
pregnancy list
pregnancy: abortion, • Role play
• Supervised Clinical • OSCE
Support women ectopic pregnancy,
practice
with complicated vesicular mole • SBA module
pregnancy and o Bleeding in late • WHO midwifery
facilitate safe pregnancy placenta previa, toolkit
and positive abruption • GoI guideline –
birthing outcome screening for
placenta, trauma
o Medical conditions hypothyroidism,
screening for
complicating pregnancy: syphilis, deworming
Anemia, PIH, GDM, during pregnancy,
cardiac disease, pulmonary diagnosis and
disease, thyrotoxicosis, management of
GDM
STDs,
HIV, Rh incompatibility o
Infections in pregnancy -
urinary tract infection,
bacterial, viral, protozoal,
fungal
o Surgical conditions
complicating pregnancy:
appendicitis, acute abdomen
o Hydramnios o
Multiple
pregnancy o
Abnormalities of
placenta and cord o
Intra uterine
growth

266
 restriction
o Intra uterine fetal
death
o Gynaecological
conditions complicating
pregnancy

o Mental health issues

during pregnancy
o Adolescent
pregnancy, elderly primi,
grand multiparity
o Management and care
of conditions as per
the protocol
o Policy for the referral
services
o Drugs used in
management of high-
risk pregnancies
o Maintenance of
records and reports
II T- Identify, provide Recognition of deviations • Lecture • Essay type
20 initial from the normal and • Discussion • Short
L– management and management during labour • Demonstration answers
refer women • Case discussion/ • Objectiv e
15
with problems • Preterm labour: Prevention
presentation • type
C- during labour and management of preterm
Simulation • Assessme
120 within the scope labour;(Use of antenatal • Role play nt
of midwifery corticosteroids in preterm • Drug presentation ofskills
practice. labour) • Supervised Clinical with
• Premature rupture practice check list
of membranes • SBA module • OSCE
• Malposition’s and • WHO midwifery
abnormal presentations toolkit
(breech, brow, face, • GoI guidelines- use
shoulder) of
• Contracted Pelvis, uterotonics
Cephalo Pelvic during labour
Disproportion (CPD)
• Disorders of uterine
action- Prolonged labour,
Precipitate labour,

267
 Dysfunctional labour
• Complications of third
stage: Retained placenta,
Injuries to birth canal,
Postpartum hemorrhage
(bimanual compression
of the uterus, aortic
compression, uterine
balloon tamponade)
• Obstetric emergencies-
Ruptured uterus,
Obstetrical shock,
Amniotic fluid
embolism, Foetal
distress, Cord prolapse,
Shoulder dystocia,
Uterine inversion, Vasa
previa
• Episiotomy and suturing
• Obstetric procedures-
Forceps delivery,
Vacuum delivery,
Version
• Manual removal of the
placenta
• Induction of labour-
Medical & surgical
• Caesarean section:
indications and
preparation
• Nursing management of
women undergoing
Obstetrical operations
and procedures
• Drugs used in
management of abnormal
labour
• Anesthesia and analgesia
in obstetrics
III T- Describe the Recognition and • Lecture • Quiz
10 assessment, Management of postnatal • • Demonstration • Simul
L – 5 initial problems Case discussion/ ation
C- management, • Physical examination, • • presentation • Short
80 referral and Drug
identification of answ
• presentation
nursing care of deviation from normal ers
women with Supervised Clinical
• Puerperal practice • OSC
complications GoI guidance note

268
 abnormal and its management on prevention and E
postnatal o Puerperal pyrexia o management of PPH
conditions. Puerperal sepsis o
Urinary complications o
Secondary Postpartum
hemorrhage
o Vulval hematoma o
Breast engorgement
including mastitis/breast
abscess, feeding problem
o Thrombophlebitis
o DVT
o Uterine sub involution
o Vesico vaginal fistula
(VVF), Recto vaginal
fistula (RVF)
o Postpartum blues /
psychosis
• Drugs used in abnormal
puerperium
• Policy about referral
IV T-7 Describe high Assessment and • Lecture • Short
L-5 risk neonates and management of Highrisk • Discussion answers
C– their nursing newborn (Review) • Demonstration • Objectiv e
40 management • Models of newborn care • Simulation type
in India – NBCC; SNCUs • Case discussion/
• Assessm
• Screening of high- presentation
risk newborn ent of
• Drug presentation
skills with
• Protocols, levels of • Supervised
check
neonatal care, infection Clinical
control practice list
• OSCE
• Prematurity, Postmaturity
• Low birth weight o
Kangaroo Mother Care
• Birth asphyxia / Hypoxic
encephalopathy
• Neonatal sepsis
• Hypothermia
• Respiratory distress
• Jaundice
• Neonatal infections
• High fever

269
 • Convulsions
• Neonatal tetanus
• Congenital anomalies
• Baby of HIV positive
mothers
• Baby of Rh
negative mothers
• Birth injuries
• SIDS (Sudden Infant
Death Syndrome)
prevention,
Compassionate care
• Calculation of fluid
requirements, EBM /
formula feeds / tube
feeding
• Home based newborn care
program community
facility integration in
newborn care
• Decision making about
management and referral
• Integrated Management of
Neonatal Childhood
Illnesses (IMNCI)
• Bereavement counseling
• Drugs used for high risk
newborns
• Maintenance
of records and
reports

V T - 15 Describe the Assessment and • Lecture • Essay type

L-5 assessment and management of women with • Discussion • Short
C- management of gynecological disorders • Demonstration answers
120 women with • Gynecological • Case discussion/ • Objective
gynecological assessment - History and presentation type
Physical assessment
disorders. • Drug presentation • Assessme
• Breast Self- Examination
• Videos, films nt of skills
• Congenital abnormalities
of female reproductive • Simulated practice with
system • Supervised Clinical check list

270
• Etiology, practice • OSCE
Pathophysiology, clinical • Visit to infertility
manifestations, diagnosis,
clinic and ART
treatment modalities and
centers
management of disorder
of female reproductive
system
o Menstrual
abnormalities
o Abnormal uterine
bleed
o Pelvic inflammatory
disease
o Infections of the
reproductive tract
o Uterine displacement o
Endometriosis o
Uterine and cervical
fibroids and polyps
o Tumors – uterine,
cervical, ovarian,
vaginal, vulval
o Cysts – ovarian, vulval
o Cystocele,
urethrocele, rectocele
o Genitor-urinary
fistulas
o Breast disorders –
infections, deformities,
cysts, tumors
o HPV vaccination o
Disorders of Puberty
and menopause
o Hormonal replacement
therapy
• Assessment and
management of couples
with infertility
o Infertility – definition,
causes
o Counseling the infertile
couple
o Investigations – male
and female
o Artificial reproductive
technology

271
 o Surrogacy, sperm and
ovum donation,
cryopreservation
• Adoption – counselling,
procedures
• Injuries and Trauma;
Sexual violence
• Drugs used in treatment
of gynaecological
disorders
VI T- 8 Describe family Family planning and • Lecture • Essay type
C80 planning and family welfare programs • • Supervised practice • Short
the national Review: Vital indicators - • Field visits answers
programs Maternal mortality ratio, • GoI guidelines – • Objectiv e
related to Infant Mortality injectable type
family Rate, Neonatal contraceptives, oral
• Field visit
welfare, Mortality Rate, contraceptives, male
reports
MNCH+A care perinatal mortality and female
rate, fertility rates sterilization
• Maternal death audit
• National health Mission
• National programs
related to maternal
newborn child health and
adolescent services
• Family welfare services
o Planned Parenthood o
Impact of early / frequent
childbearing
o Comprehensive range of
family planning methods-
Action, effectiveness,
advantages,
disadvantages, myths,
misconception and
medical eligibility criteria
(MEC)for use of various
family planning methods
o Emergency
contraceptives
o Family planning
Counseling using
Balanced Counseling
Strategy (BCS) o
Importance of follow up and
recommended timing

272
 o Unintended or mistimed
pregnancy
o Post abortion counseling

• Recent trends and

research in
contraception

(Skill lab & Clinical)

PLACEMENT: VII SEMESTER Total Hours: 600hrs

Skill Lab – 40 (1 credit)
Clinical - 560 (7 credits)

Practice Competencies:

On completion of the course, the students will be able to:

1. Identify and refer antenatal mothers with complications

2. Conduct labour and delivery
3. Demonstrate skills in resuscitating the newborn 4. Assist and manage complications during
labour
5. Assist in the conduction of abnormal vaginal deliveries and caesarean section.
6. Identify postnatal and neonatal complications and refer them
7. Provide care for high risk antenatal, intranatal and postnatal mothers and their families using
nursing process approach
8. Provide care for high risk newborn
9. Assist in advanced clinical procedures in midwifery
10. Provide family welfare services
11. Provide care for women during their non childbearing period.
12. Provide post abortion care
13. Demonstrate IUCD insertion and removal
14. Participate in national family welfare programs
15. Assess women with gynecological disorders
16. Demonstrate skills in performing and assisting in specific gynecological procedures
17. Counsel and care for couples with infertility

I. SKILL LAB:
Procedures/ Skills for demonstration and return demonstration:
1) Antenatal assessment and identification of complications
2) Counselling antenatal women – complication readiness
3) PV examination
4) Plotting and interpretation of partograph
5) Preparation for delivery – setting up labour room, articles, equipment
6) Mechanism of labour – normal and abnormal

273
 7) Conduction of delivery with essential newborn care
8) Active management of third stage of labour
9) Placental examination
10) Newborn resuscitation
11) Monitoring during fourth stage of labour
12) Postnatal assessment
13) Newborn assessment
14) Kangaroo mother care
15) Management of complications during pregnancy / labour /post partum
(case studies / simulated scenarios)
16) Administration of Magnesium sulphate
17) Starting and maintaining an oxytocin drip
18) Management of PPH - Bimanual compression of uterus 19) Management of PPH
–Balloon tamponade 20) Family planning counselling.
21) PPIUCD insertion
22) Instruments used in obstetrics and gynecology
23) Visual inspection of cervix with acetic acid
24) Cervical biopsy
25) Breast examination

CLINICAL POSTINGS 14 weeks x 40 hours/week

CLINICAL DURATION LEARNING PROCEDURAL CLINICAL ASSESSMENT

AREAS IN WEEKS OUTCOMES COMPETENCIES/ REQUIREMENTS METHODS
CLINICAL
SKILLS
Antenatal 2 weeks Perform antenatal • Pregnancy • Antenatal palpation • Simulation
OPD assessment and confirmation test • Health talk • Case
identify • History collection • Case study presentation
including complications • Physical
infertility during examination
antenatal • Obstetric
clinics /
period examination
Reproductiv
e medicine, • Urine testing
Perform laboratory
• Blood testing for
tests for antenatal

Family / women • Hemoglobin

welfare and Blood test for
Perform and assist • malaria
post- 2 weeks Blood test for
in selected
partum grouping and
advanced
typing
clinic antenatal
•
diagnostic
PTCT Kick chart,
procedures
• DFMC
Centre Assist in
Provide antenatal NST/CTG/USG
care for women •
Antenatal
Care of mothers
274
ward with with
complications of complications in
pregnancy pregnancy
Counsel
antenatal
mothers

• Antenatal
counselling
• Antenatal
interventions
• Preparation for
childbirth
• Birth
preparedness and
complication
readiness
Postnatal 2 wks Perform • Postnatal history • • Health talk • • Role play
postnatal collection and Antenatal • • Assignment
Ward
assessment and physical assessment Case study,
identification of examination
• Postnatal • Case
postnatal • Identify postnatal
assessment • presentation
complications
complications • Newborn Simulation
assessment Vignettes
Provide post • Case studies
Post abortion care •
abortion care and • Case presentation
Post abortion
postnatal • IUCD insertion
counselling •
counselling and removal

Provide postnatal
• Care of postnatal
care mothers – normal,
caesarean section
• Care of normal
newborn
• Lactation
management
• Postnatal

Provide family • counselling Health

welfare services teaching
on postnatal and
newborn care
•
Family
welfare
counselling

275
Labour 4 weeks Conduction of • Assessment of • Partograph •• Assignment
room normal deliveries woman in labour recording • Case study
•• Partograph
• Pain management Case
Conduct / assist in Pervaginal during labour presentation
examination if
abnormal • Conduction of
• indicated
deliveries Obstetric delivery
• examination Care • Assisting in
Monitor labour during first stage abnormal deliveries
using partograph • of labour Pain Managing
•
management complication during
• techniques
labour
Positions in
labour • Case study
•
Preparation for • Case presentation
labour – articles,
Identify and physical,
manage psychological
•
complications Conduction of
during labour normal delivery
•
Essential newborn
• care
Newborn
• resuscitation
Active
management of
third stage of
• labour
Monitoring and
care during fourth
• stage of labour
Identification and
management of
prolonged labour,
cervical dystocia,
CPD, contracted
• pelvis
Assist in the
management of
abnormal
deliveries –
posterior position,
breech deliveries,

twin deliveries,
vacuum
extraction, forceps
delivery, shoulder
dystocia
• Assist in cervical
encerclage
procedures, D&C,
D&E

276
 •Management of
trauma to the birth
canal, retained
placenta, post
partum
hemorrhage,
uterine atony
• Management of
obstetric shock
Neonatal 2 weeks Perform • Neonatal •• Case study • Case
assessment of assessment – • Case presentation presentation
Intensive
newborn and identification of Assignments • Care study
Care Unit •
identify complication, • Care plan
Simulated practice
complications/con Simulation,
congenital •
Vignettes
genital anomalies anomalies.
Perform neonatal • Observation of
resuscitation newborn
• Neonatal
Care of high risk resuscitation
newborn

Provide care for Phototherapy and

•
newborns in management of
ventilator, jaundice in
incubator etc newborn
Assist in
Assist / perform •
Exchange
special neonatal
transfusion
procedures
• Care of baby in
incubator,
ventilator, warmer.
Infection control
in the nursery
•
Neonatal
medications
• Neonatal feeding

– spoon and
katori, paladai,
NG tube
• Starting IV line
for newborn, drug
calculation

277
 • Assist in
advanced
neonatal
procedures

obstetric 1 week Assist in • Observe / Assist in • Assisting in • Assignment

/ gynecological and caesarean obstetric and • Tray set-up
Gynae obstetric surgeries section gynecological for obstetric
operation Management of surgery and
•
theatre retained placenta Tray set-up gynecologic
Gynecological al surgeries
•
surgeries
• Hysterectomy
• Uterine rupture.
Gynecology 2 weeks Care for women • Care of women • Care plan • Case
ward with gynecological with presentation
disorders gynecological Simulation
•
conditions Vaginal
• Vignettes
• douche
application
• Health education

278
CHC, PHC, 1 week Provide MNCH+A • Conduction of • Reports • Assignment
care in the antenatal and • Report
SC /
community postnatal clinics Record maintenance submission
•
Community • Conduction of
midwifery other special Conducting special
clinics and camps • clinics
Provide midwifery – Tubectomy,
care for women in vasectomy Health talk
the community • Tracking every •
pregnancy – RCH Home visit
number •
• Maintaining vital
statistics
• Care of antenatal
and postnatal
mother at home
• Newborn care at
Implement family home
welfare programs Identification of
•
complication and
referral
• Follow up
of mothers
and
newborns
•
Micro birth
planning
•
Conduction of
family welfare
clinics
•
Distribution of
contraceptives
•
Community
health education

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