COURSE PLAN

Required Planned
Hours Hours
Theory 120 Hours 130 Hours
Name of the Course : B.Sc. Nursing Practical 270 Hours 300 Hours

Course Title : Medical Surgical Nursing – II

Course Description: The purpose of this course is to acquire knowledge and develop proficiency in caring for patients with medical
and surgical disorders in varieties of health care settings and at home.
Placement : B.Sc. Nursing 3rd Year
Objectives:
At the end of the course the students will be able to: 

1. Appreciate the trends & issues in the field of Medical Surgical Nursing as a specialty. 
2. Apply concepts & theories related to health promotion. 
3. Appreciate the client as a holistic individual. 
4. Perform physical, psychosocial assessment of Medical - Surgical patients. 
5. Apply Nursing process in providing care to patients. 
6. Integrate the concept of family centered nursing care with associated disorder such as genetic, congenital and long-term illness. 
7. Recognize and manage emergencies with Medical- Surgical patients. 
8. Describe various recent technologies & treatment modalities in the management of critically ill patients. 
9. Appreciate the legal & ethical issues relevant to Medical - Surgical Nursing. 
10. Prepare a design for layout and management of Medical - Surgical Units. 
11. Appreciate the role of alternative systems of Medicine in care of patients. 
12. Incorporate evidence-based Nursing practice and identify the areas of research in the field of Medical - Surgical Nursing. 
13. Recognize the role of Nurse practitioner as a member of the Medical Surgical health team. 
14. Teach Medical - Surgical Nursing to undergraduate nursing students & in-service nurses.

Allocation of Hours Unit Wise

Unit Hours
I 15 Hours
II 15 Hours
III 16 Hours
IV 16 Hours
V 10 Hours
VI 10 Hours
VII 10 Hours
VIII 10 Hours
IX 10 Hours
X 8 Hours

COURSE OUTLINE
Unit Specific Time Content Matter Method of Teaching Evaluation
Objectives (Hours) Teaching Learning Activity
I 15  Nursing management of patient with Lecture cum  Charts, graphs  Essay type
disorders of Ear Nose and Throat discussion  Models, Films,  Short
Power-point answers
 Review of anatomy and physiology of slides  Objective
the Ear Nose and Throat-   Demonstration type
 Nursing Assessment-History and  Practice  Assessment
Physical assessment  session of skills
 Etiology, Pathophysiology, clinical  Case with
manifestations, diagnosis, treatment discussion/ checklist
modalities and medical & surgical Seminar  Assessment
nursing management of Ear Nose and  Health of patient
Throat disorders:  education managemen
o External ear: deformities otalgia,  Supervised t problem
foreign bodies, and tumors clinical
o Middle Ear- Impacted wax, practice
Tympanic membrane perforation,  Drug book/
otitis media, otosclerosis, Presentation
mastoiditis, tumors 
o Inner ear- Meniere's Disease,
labyrinthitis, ototoxicity, tumors
o Upper airway infections- Common
cold, sinusitis, rhinitis, rhinitis,
pharyngitis, tonsilitis adenoiditis,
peritonsillar abscess laryngitis 
 Upper respiratory airway- epistaxis, 
 Nasal obstruction, laryngeal
obstruction, cancer of the larynx 
 Cancer of the oral cavity 
 Speech defects and speech therapy 
 Deafness - 
 Prevention, control and rehabilitation 
  Hearing Aids, implanted hearing
devices 
 Special therapies
 Nursing procedures 
 Drugs used in treatment of disorders of
Ear Nose and Throat 
 Role of nurse Communicating with
hearing impaired and muteness

II 15 Nursing management of patient with  Lecture  Charts, graphs  Essay type

disorders of eye  cum  Models, Films,  Short
discussio Power-point answers
 Review of anatomy and physiology of n slides  Objective
the eye-  Charts,  Demonstration type
 Nursing Assessment-History and graphs  Practice  Assessment
Physical assessment   Models, session of skills
 Etiology, Pathophysiology, clinical Films,  Case with
manifestations, diagnosis, treatment Power- discussion/ checklist
modalities and medical & surgical point Seminar  Assessment
nursing management of eye disorders:  slides  Health of patient
o Refractive errors   Demonstr education managemen
o Eyelids-infection, tumors and ation  Supervised t problem
deformities   Practice clinical
o Conjunctiva- inflammation and session practice
infection, bleeding   Case  Drug book/
o Cornea- inflammation and discussio Presentation
infection  n/  Visit to eye
o Lens-Cataracts  Seminar bank
o Glaucoma   Health  Participation in
o Disorder of the uveal tract,  education eye-camps
o Ocular tumors   Supervise 
o Disorders of posterior chamber and d clinical
practice
 retina: Retinal and vitreous  Drug
problems.  book/
o Retinal detachment  Presentati
o Ocular emergencies and their on
prevention   Visit to
 Blindness  eye bank
 National blindness control   Participat
 Eye Banking  ion in
 Eye prostheses and Rehabilitation eye-
program camps
 Role of a nurse- Communication with
visually impaired patient, Eye camps 
 Special therapies 
 Nursing procedures 
 Drugs used in treatment of disorders of
eye

III 16 Nursing management of patient with  Lecture   Essay type

neurological disorders  cum  Short
discussio answers
 Review of anatomy and physiology of n  Objective
the neurological system  Explain type
 Nursing Assessment-History and using  Assessment
Physical and neurological assessment charts, of skills
and Glasgow coma scale  graphs with
 Etiology, Pathophysiology, clinical  Models, checklist
manifestations, diagnosis, treatment Films,  Assessment
modalities and medical & surgical Power- of patient
nursing management of neurological point managemen
disorders  slides t problem
 Congenital malformations   Demonstr
 Headache  ation
 Head Injuries   Practice
 Spinal Injuries:  session
o Paraplegia   Case
o Hemiplegia  discussio
o Quadriplegia  n/
 Spinal cord compression- herniation of Seminar
intervertebral disc   Health
 Tumors of the brain & spinal cord  education
 Intra cranial and cerebral aneurysms  Supervise
 Infections:  d clinical
o Meningitis, Encephalitis, Brain practice
abscess, neurocysticercosis   Drug
 Movement disorders  book/
o Chorea  Presentati
on
o Seizures 
 Visit to
o Epilepsies 
rehabilita
 Cerebro-Vascular Accidents (CVA) tion
 Cranial, Spinal Neuropathies- Bell's center
palsy, trigeminal neuralgia 
 Peripheral Neuropathies; Guillain-
Barr'e Syndrome
 Myasthenia gravis 
 Multiple sclerosis 
 Degenerative diseases
o Delirium
o Dementia 
o Alzheimer's disease 
o Parkinson's disease 
 Management of unconscious patients
and patients with stroke 
 Role of the nurse in communicating
with patient having neurological deficit
  Rehabilitation of patients with
neurological deficit 
 Role of nurse in long stay facility
(institutions) and at home 
 Special therapies 
 Nursing procedures 
 Drugs used in treatment of
neurological disorders

IV 16  Nursing management of patients  Lecture   Essay type

with disorders of female cum  Short
reproductive system discussio answers
n  Objective
 Review of anatomy and physiology of  Explain type
the female reproductive system  using  Assessment
 Nursing Assessment-History and charts, of skills
Physical assessment  graphs with
 Breast Self-Examination   Models, checklist
 Etiology, Pathophysiology, clinical Films,  Assessment
manifestations, diagnosis, treatment Power- of patient
modalities and medical & surgical point managemen
nursing management of disorder of slides t problem
female reproductive system   Demonstr
 Congenital abnormalities of female ation
reproductive system Sexuality and  Practice
Reproductive Health  session
 Sexual Health Assessment   Case
 Menstrual Disorders; Dysmenorrhea, discussio
Amenorrhea, Premenstrual Syndrome  n/
 Abnormal Uterine Bleeding; Seminar
Menorrhagia, Metrorrhagia   Health
 Pelvic Inflammatory Disease education
 Ovarian and fallopian tube disorders;  Supervise
infections, cysts, tumors  d clinical
 Uterine and cervical disorders; practice
Endometriosis, polyps, Fibroids,  Drug
Cervical and uterine tumors, uterine book/
displacement, Presentati
Cystocele/Urethrocele/Rectocele  on
 Vaginal disorders; Infections and
Discharges, Fistulas 
 Vulvar disorders; Infections, cysts,
tumors 
 Diseases of breasts; Deformities,
Infections, Cysts and Tumors 
 Menopause and Hormonal
Replacement Therapy 
 Infertility 
 Contraception; Types Methods, Risk
and effectiveness 
o Spacing Methods
- Barrier methods, Intra Uterine
Devices, Hormonal, Post
Conceptional Methods etc.
o Terminal methods
- Sterilization
 Abortion -Natural, Medical and
surgical abortion - MTP Act 
 Emergency contraception methods
 Toxic Shock Syndrome 
 Injuries and Trauma; Sexual violence 
 Special therapies 
 Nursing procedures 
 Drugs used in treatment of
 gynecological disorders 
 National family welfare programme 

V 10 Nursing management of patients with  Lecture   Essay type

Burns, reconstructive and cosmetic cum  Short
surgery  discussio answers
n  Objective
 Review of anatomy and physiology of  Explain type
the skin and connective tissues and using  Assessment
various deformities  charts, of skills
 Nursing Assessment-History and graphs with
Physical assessment and Assessment of  Models, checklist
burns and fluid and electrolyte loss  Films,  Assessment
 Etiology, Classification, Power- of patient
Pathophysiology, clinical point managemen
manifestations, diagnosis, treatment slides t problem
modalities and medical & surgical  Demonstr
nursing management of Burns and Re- ation
constructive and Cosmetic · surgery;   Practice
 Types of Re-constructive and Cosmetic session
surgery; for burns, congenital  Case
deformities, injuries and cosmetic discussio
purposes  n/
 Role of Nurse  Seminar
 Legal aspects   Health
 Rehabilitation  education
 Special therapies   Supervise
o Psycho social aspects  d clinical
 Nursing procedures  practice
 Drugs used in treatment of Burns,  Drug
reconstructive and cosmetic surgery  book/
Presentati
on
VI 10 Nursing management of patients with  Lecture   Essay type
oncological conditions  cum  Short
discussio answers
 Structure & characteristics of normal & n  Objective
cancer cells Nursing Assessment-  Explain type
History and Physical assessment  using  Assessment
 Prevention, Screening, Early detection, charts, of skills
Warning signs of cancer  graphs with
 Epidemiology, Etiology, Classification,  Models, checklist
Pathophysiology, Staging, clinical Films,  Assessment
manifestations, diagnosis, treatment Power- of patient
modalities and medical & surgical point managemen
nursing management of oncological slides t problem
conditions   Demonstr
 Common malignancies of various body ation
systems; Oral, larynx, lung, Stomach  Practice
and Colon, Liver, Leukemias and session
lymphomas, Breast, Cervix, Ovary,  Case
Uterus, Sarcoma, Brain, Renal, discussio
Bladder, Prostate etc.  n/
 Oncological emergencies  Seminar
 Modalities of treatment   Health
o Immunotherapy  education
o Chemotherapy   Supervise
o Radiotherapy  d clinical
o Surgical Interventions  practice
o Stem cell and Bone marrow  Drug
transplants  book/
o Gene therapy Presentati
o Other forms of treatment  on
 Psychosocial aspects of cancer. 
  Rehabilitation 
 Palliative care; Symptom and Pain
Management, Nutritional support 
 Home care Hospice care 
 Stomal Therapy 
 Special therapies
o Psycho social aspects 

VII 10  Nursing management of patient in  Lecture   Essay type

EMERGENCY & DISASTER cum  Short
situations discussio answers
 Disaster Nursing:  n  Objective
 Explain type
 Concepts and principles of Disaster using  Assessment
Nursing  charts, of skills
 Causes and Types of Disaster: Natural graphs with
and Man-made   Models, checklist
o Earthquakes, Floods, Epidemics, Films,  Assessment
Cyclones  Power- of patient
o Fire, Explosion, Accidents  point managemen
o Violence, Terrorism; bio- slides t problem
chemical, War   Demonstr
 Policies related to emergency/disaster ation
management; International, national,  Practice
state, institutional  session
 Disaster preparedness  Case
 Team, Guidelines, protocols, discussio
Equipments, Resources  n/
 Coordination and involvement of; Seminar
Community, various govt.  Health
departments, non-govt. organizations education
and international agencies   Supervise
 Role of nurse: working  d clinical
 Legal Aspects of Disaster Nursing  practice
 Impact on Health and after effects;  Drug
Post Traumatic Stress Disorder  book/
 Rehabilitation; physical, psycho- Presentati
social, Financial, Relocation  on
Emergency Nursing 
 Concept, priorities, principles and
Scope of emergency nursing
 Organization of emergency services:
physical setup, staffing, equipment and
supplies, protocols, Concepts of triage
and role of triage nurse 
 Coordination and involvement of
different departments and facilities 
 Nursing Assessment-History and
Physical assessment 
 Etiology, Pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical & surgical
nursing management of patient with
medical and surgical Emergency 
 Principles of emergency management 
 Common Emergencies; Respiratory
Emergencies 
 Cardiac Emergencies 
 Shock and Hemorrhage 
 Pain 
 Poly-Trauma, road accidents, crush
injuries, wound 
 Bites 
 Poisoning; Food, Gas, Drugs &
 chemical poisoning 
 Seizures 
 Thermal Emergencies; Heat stroke &
Cold injuries 
 Pediatric Emergencies 
 Psychiatric Emergencies 
 Obstetrical Emergencies 
 Violence, Abuse, Sexual assault 
 Cardio Pulmonary Resuscitation 
 Crisis Intervention 
 Role of the nurse; Communication and
Inter Personal Relations 
 Medico-Legal Aspects 

VIII 10  Nursing care of the elderly   Lecture   Essay type

cum  Short
 Nursing Assessment-History and discussio answers
Physical assessment  n  Objective
 Ageing;   Explain type
 Demography; Myths and realities  using  Assessment
 Concepts and theories of ageing charts, of skills
 Cognitive Aspects of Ageing  graphs with
 Normal biological ageing Age related  Models, checklist
body systems changes  Films,  Assessment
 Psychosocial Aspects of Aging  Power- of patient
 Medications and elderly  point managemen
slides t problem
 Stress & coping in older adults 
 Demonstr
 Common Health Problems & Nursing
ation
Management; 
 Practice
 Cardiovascular, Respiratory,
session
Musculoskeletal, 
 Case
 Endocrine, Genito-urinary,
 gastrointestinal  discussio
 Neurological, Skin and other Sensory n/
organs  Seminar
 Psychosocial and Sexual   Health
 Abuse of elderly  education
 Role of nurse for care of elderly:  Supervise
ambulation, nutritional, d clinical
communicational, psychosocial and practice
spiritual   Drug
 Role of nurse for caregivers of elderly  book/
 Role of family and formal and non- Presentati
formal caregivers  on
 Use of aids and prosthesis (hearing  Visit to
aids, dentures,  old age
 Legal & Ethical Issues  home
 Provisions and Programs for elderly;
privileges, Community Programs and
health services; 
 Home and institutional care 

IX 10  Nursing management of patient in  Lecture   Essay type

critical care units  cum  Short
discussio answers
 Nursing Assessment-History and n  Objective
Physical assessment   Explain type
 Classification  using  Assessment
 Principles of critical care nursing  charts, of skills
 Organization; Physical setup, Policies, graphs with
staffing norms,   Models, checklist
 Protocols, equipment and supplies  Films,  Assessment
 Special equipments; ventilators, Power- of patient
cardiac monitors, defibrillators,  point managemen
  Resuscitation equipments  slides t problem
 Infection Control Protocols  Demonstr
 Nursing management of critically ill ation
patient;   Practice
 Monitoring of critically ill patient  session
 CPR-Advance Cardiac Life support   Case
 Treatments and procedures.  discussio
 Transitional care  n/
 Ethical and Legal Aspects  Seminar
 Communication with patient and  Health
family education
 Intensive care records   Supervise
 Crisis Intervention  d clinical
practice
 Death and Dying-coping with 
 Drug
 Drugs used in critical care unit 
book/
Presentati
on

X 8 Nursing management of patients adults  Lecture   Essay type

including elderly with Occupational and cum  Short
Industrial disorders  discussio answers
n  Objective
 Nursing Assessment-History and  Explain type
Physical assessment  using  Assessment
 Etiology, Pathophysiology, clinical charts, of skills
manifestations, diagnosis, diagnosis, graphs with
treatment modalities and medical &  Models, checklist
surgical nursing management of Films,  Assessment
occupational and industrial health Power- of patient
disorders  point managemen
 Role of nurse  slides t problem
 Special therapies, alternative therapies   Demonstr
  Nursing procedures  ation
 Drugs used in treatment of  Practice
Occupational and Industrial disorders session
 Case
discussio
n/
Seminar
 Health
education
 Supervise
d clinical
practice
 Drug
book/
Presentati
on

Student Activities
 History taking
 Nursing care plan
 Clinical presentations
 Health Assessment
 Nutritional Assessment
 Health Education related to disease conditions
 Case studies
 Project work