1.

PHILOSOPHY:

The Council believes that:-

Health and wellness are two fundamental concepts that are integrated throughout the
program. Health is a state of wellbeing 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 and midwives
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 behavioural), humanities and human experience. Nursing science
incorporates clinical competence, critical thinking, communication, teaching learning,
professionalism and caring and cultural competency. Nurses collaborate with other health
disciplines to solve individual and community health problems. Nursing facilities 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 and midwifery 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 the Council’s curricular and practice standards. The
competencies in which the students are trained will guide them in performing their scope of
practice. Nursing offers qualified nurses and midwives 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. Blended learning approach comprising of
experiential learning, reflective learning, scenario based learning and simulated learning is
also inbuilt. The teaching learning process encourages 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.

1
 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.

2. AIMS:

The aims of the undergraduate program are to:-

1. Produce knowledgeable competent nurses and midwives with clear thinking skills
who are caring, motivated, assertive and well-disciplined responding to the changing
needs of profession, healthcare delivery system and society.

2. Prepare them to assume responsibilities as professional, competent nurses and

midwives in providing promotive, preventive, curative and rehabilitative healthcare
services in any healthcare setting.

3. Prepare nurses and midwives who can make independent decisions in nursing
situations within the scope of practice, protect the rights of individuals and groups
and conduct research in the areas of nursing practice and apply evidence-based
practice.

4. Prepare them to assume role of practitioner, teacher, supervisor and manager in all
healthcare settings.

3. OBJECTIVES:

On completion of the [Link]. Nursing program, the [Link]. nursing graduates will be able to:-

1. Utilize critical thinking to synthesize knowledge derived from physical, biological,

behavioural sciences, and humanities, in the practice of professional nursing and
midwifery.

2. Practice professional nursing and midwifery competently and safely in diverse

settings, utilizing caring, critical thinking and therapeutic nursing interventions with
individuals, families, populations and communities at any developmental stage and
with varied lived health experiences.

3. Provide promotive, preventive and restorative health services in line with national
health policies and programs.

4. Integrate professional caring into practice decisions that encompass values, ethical,
and moral and legal aspects of nursing.

5. Respect the dignity, worth, and uniqueness of self and others.

6. Apply concepts of leadership, autonomy and management to the practice of nursing

and midwifery to enhance quality and safety in health care.

2
 7. Utilize the latest knowledge and skills related to information and technology to
enhance patient outcomes.

8. Communicate effectively with patients, peers, and all health care providers.

9. Utilize the requisite knowledge, skills and technologies to practice independently

and collaboratively with all health professionals applying the principles of safety and
quality improvement.

10. Integrate research findings and nursing theory in decision making in evidence-based
practice.

11. Accept responsibility and accountability for the effectiveness of one‘s own nursing
and midwifery practice and professional growth as a learner, clinician and leader.

12. Participate in the advancement of the profession to improve health care for the
betterment of the global society.

4. CORE COMPETENCIES FOR NURSING AND MIDWIFERY PRACTICE BY [Link]. GRADUATE

{Is adapted from NLN Model and Massachusetts: Nurse of the Future – Core Competencies
(2016) as shown in figure 1}

The [Link]. 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
the Council standard that is consistent with moral, altruistic, legal, ethical, regulatory
and humanistic principles.

3. Teaching & Leadership:

Influence the behaviour of individuals and groups within their environment and
facilitate Establishment of shared goals through teaching and leadership

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.

3
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.

4
 CORE COMPETENCIES REQUIRED FOR PROFESSIONAL NURSING AND
MIDWIFERY PRACTICE IN ALL PRACTICE SETTINGS

Figure 1 - Core competencies for nursing and midwifery practice by [Link]. Nursing Graduate
{Adapted from NLN Model and Massachusetts: Nurse of the Future – Core Competencies (2016)}

5
 ADMISSION TERMS AND CONDITIONS
1. 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.
2. Minimum Educational Qualification
a) Candidate with Science who have passed the qualifying 12th Standard
examination (10+2) and must have obtained a minimum of 45% marks in
Physics, Chemistry and Biology taken together and passed in English
individually.
b) Candidates are also eligible from State Open School recognized by State
Government and National Institute of Open School (NIOS) recognized by
Central Government having Science subjects and English only.
c) English is a compulsory subject in 10+2 for being eligible for admission to
[Link]. (Nursing).
3. Colour blind candidates are eligible provided that colour corrective contact lens
and spectacles are worn by such candidates.
4. Candidate shall be medically fit.
5. Married candidates are also eligible for admission.
6. Students shall be admitted once in a year.
7. Selection of candidates should be based on the merit of the entrance examination.
Entrance test** shall comprise of:
a) Physics 20 marks
b) Chemistry 20 marks
c) Biology 20 marks
d) English 20 marks
e) Aptitude for Nursing 20 marks
Minimum qualifying marks for entrance test shall be 50% marks.
**Entrance test shall be conducted by University/State Government.
8. Reservation Policy
 Reservation of seats in for admission in Nursing Colleges for
SC/ST/OBC/EWSs/PH
Admission under the reserved quota shall be subject to reservation policy and
eligibility criteria for SC/ST/OBC/EWSs prescribed by the Central Govt./State
Govt./Union Territory as applicable to the College concerned.

6
 In respect of candidates belonging to SC/ST/OBC the marks obtained in 3
subjects Physics, Chemistry, Biology shall be 40% and passed in English
individually.

 Reservation for disability

5% Disability reservation to be considered for disabled candidates with a
disability of loco-motor to the tune of 40% to 50% of the lower extremity
and other eligibility criteria with regard to qualification will be same as
prescribed for General category candidates. The upper age limit shall be
relaxed by 5 years for disabled 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%.

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

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

5. CURRICULUM:-
Curricular Framework:
The [Link]. Nursing program is a four-year program comprising of eight semesters that is
credit and semester based. It is choice based only for elective courses. Competency based
curriculum is the main approach that is based on ten core competencies. The courses are
categorized into foundational courses, core courses and elective courses. The curricular
framework shown in Figure 2 depicts the entire course of curriculum, which is further outlined
in the program structure.

7
 [Link]. NURSING PROGRAM – Four years (8 semesters)
CREDIT SYSTEM & SEMESTER SYSTEM
COMPETENCY BASED CURRICULUM

TEN CORE COMPETENCIES (Figure 1)

1.

Figure 2. Curricular Framework

8
 PROGRAM STRUCTURE:
[Link]. Nursing Program Structure
I Semester III Semester V Semester VII Semester
1. Communicative 1. Applied 1. * Child Health Nursing I 1. Community Health
English Microbiology 2. Mental Health Nursing I Nursing II
2. Applied Anatomy and Infection Control 3. Community Health 2. Nursing Research &
3. Applied Physiology including Safety Nursing I (including Statistics
4. Applied Sociology 2. Pharmacology I Environmental 3. Midwifery/Obstetrics
5. Applied Psychology 3. Pathology I Science & and Gynecology (OBG)
6. *Nursing 4. *Adult Health Epidemiology) Nursing II
Foundation I (Medical Surgical) 4. Educational
Nursing I with Technology/Nursing
integrated Education
pathophysiology 5. Introduction to
Forensic Nursing and
Indian Laws
Mandatory Module Mandatory Modules
*First Aid as part of Mandatory Module Mandatory Modules *Safe delivery app under
Nursing Foundation I *BCLS as part of *Essential Newborn Care OBG Nursing I/II
Course Adult (ENBC), Facility Based (VI/VII Semester)
Health Nursing I Newborn Care (FBNBC),
IMNCI and PLS as part of
Child Health Nursing
II Semester IV Semester VI Semester VIII Semester
1. Applied Biochemistry 1. * Pharmacology II 1. Child Health Nursing II Internship (Intensive
2. Applied Nutrition and 2. Pathology II & 2. Mental Health Nursing II Practicum/Residency
Dietetics Genetics 3. Nursing Management & Posting)
3. * Nursing 3. Adult Health Leadership
Foundation II Nursing II with 4. * Midwifery/Obstetrics
4. Health/Nursing integrated and Gynecology (OBG)
Informatics & pathophysiology Nursing I
Technology including Geriatric
Nursing
4. Professionalism,
Professional
Values & Ethics
including Bioethics
Mandatory Module Mandatory Module Mandatory Module
* Health Assessment *Fundamentals of * SBA Module under OBG
as part of Nursing Prescribing under Nursing I/II
Foundation II Course Pharmacology II (VI/VII Semester)
*Palliative care
module under Adult
Health Nursing II

Note: No institute/University will modify the curriculum. However they can add units/subject in the
syllabus as deemed necessary.

# Modules both mandatory and elective shall be certified by the institution / external agency.
9
a. MANDATORY MODULES
The prepared modules/modules outlined by the Council such as Health Assessment &
Fundamentals of Prescribing and available modules as National Guidelines (First Aid –
NDMA, IMNCI, ENBC, FBNBC), Palliative Care, Safe Delivery App and SBA module will be
provided in separate learning resource package.

For BCLS, PLS – Standard national/international modules can be used.

The mandatory modules are offered during the time allotted for respective courses in the
course content as theory and practicum – lab/clinical

b. ELECTIVE MODULES
Number of electives to be completed : 3 (Every module = 1 credit = 20 hours)
st th
III & IV Semesters: To complete any one elective by end of 4th semester across 1 to 4
semesters
 Human values
 Diabetes care
 Soft skills
th
V & VI Semesters: To complete any one of the following before end of 6 semester
 CBT
 Personality development
 Addiction psychiatry
 Adolescent health
 Sports health
 Accreditation and practice standards
 Developmental psychology
 Menopausal health
 Health Economics
th
VII & VIII Semesters: To complete any one of the following before end of 8 semester

 Scientific writing skills

 Lactation management
 Sexuality & Health
 Stress management
 Job readiness and employability in health care setting

10
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 : 26 weeks per semester
20 weeks
Number of Weeks per Semester for instruction : (40 hours per week × 20 weeks = 800
hours)
Minimum of 100 working days
Number of Working Days :
(5 days per week × 20 weeks)
Vacation, Holidays, Examination and Preparatory
: 6 weeks
Holidays
Vacation : 3 weeks
Holidays : 1 week
Examination and Preparatory Holidays : 2 weeks
th
8 Semester
One semester : 22 weeks
Vacation : 1 week
Holidays : 1 week
Examination and Preparatory Holidays : 2 weeks

11
 3. COURSES OF INSTRUCTION WITH CREDIT STRUCTURE:

Lab /
Lab /
Theory Skill Clinical
Sl. Course Course / Theory Skill Clinical Total Total
Semester Contact Lab Contact
No. Code Subject Title Credits Lab Credits Credits (Hours)
Hours Contact Hours
Credits
Hours
ENGL Communicative
02 40 - - - - - 40
101 English
ANAT Applied
03 60 - - - - - 60
105 Anatomy
PHYS Applied
03 60 - - - - - 60
110 Physiology
SOCI Applied
03 60 - - - - - 60
First 115 Sociology
1
Semester PSYC Applied
03 60 - - - - - 60
120 Psychology
Nursing
N-NF Foundation – I
06 120 02 80 02 160 10 360
(I) 125 including First
Aid Module
SSCC Self-Study / Co-
- - - - - - - 40 + 40
(I) 130 Curricular
20 + 2 640 +
TOTAL 20 80 02 80 02 160 +2= 80 =
24 720

BIOC Applied
02 40 - - - - - 40
135 Biochemistry
Applied
NUTR
Nutrition and 03 60 - - - - - 60
140
Dietetics
Nursing
Second
N-NF Foundation – II
Semester
(II) including Health 06 120 03 120 04 320 - 560
2
125 Assessment
Module
Health / Nursing
HNIT
Informatics 02 40 01 40 - - - 80
145
& Technology
SSCC
Self-Study / Co-
(II) - - - - - - - 40 + 20
Curricular
130
13 + 4 740
TOTAL 13 260 04 160 04 320 +4= +60 =
21 800

12
 Lab /
Lab /
Theory Skill Clinical
Sl. Course Course / Theory Skill Clinical Total Total
Semester Contact Lab Contact
No. Code Subject Title Credits Lab Credits Credits (Hours)
Hours Contact Hours
Credits
Hours
Applied
MICR Microbiology &
02 40 01 40 - - - 80
201 Infection Control
including Safety
PHAR
Pharmacology – I 01 20 - - - - - 20
(I) 205
PATH
Pathology – I 01 20 - - - - - 20
(I) 210
Third
3 Adult Health
Semester
Nursing – I with
integrated
N-AHN
Patho- 07 140 01 40 06 480 - 660
(I) 215
Physiology
including BCLS
Module
SSCC Self-Study /
- - - - - - - 20
(I) 220 Co-Curricular
11 + 2 780 +
TOTAL 11 220 02 80 06 480 +6= 20 =
19 800

Pharmacology–II
PHAR including
(II) Fundamentals 03 60 - - - - - 60
205 of prescribing
Module
PATH
Pathology – II &
(II) 01 20 - - - - - 20
Genetics
210
Adult Health
Nursing – II with
integrated
Fourth
Patho-
Semester N-AHN
4 Physiology
(II) 07 140 01 40 06 480 - 660
including
225
Geriatric
Nursing +
Palliative Care
Module
Professionalism,
Professional
PROF
Values & Ethics 01 20 - - - - - 20
230
including
Bioethics
SSCC Self-Study / Co-
- - - - - - - 40
(II) 220 Curricular
12 + 1 740
TOTAL 12 240 01 40 06 480 +6= +60 =
19 800

13
 Lab /
Lab /
Theory Skill Clinical
Sl. Course Course / Theory Skill Clinical Total Total
Semester Contact Lab Contact
No Code Subject Title Credits Lab Credits Credits (Hours)
Hours Contact Hours
Credits
Hours
Child Health
Nursing – I
including
N-CHN Essential
03 60 01 40 02 160 - 260
(I) 301 Newborn Care
(ENBC), FBNC,
IMNCI and PLS,
Modules
N-MHN Mental Health
03 60 - - 01 80 - 140
(I) 305 Nursing – I
Community
Fifth Health Nursing – I
5 N-
Semester including
COMH 05 100 - - 02 160 - 260
Environmental
(I) 310
Science &
Epidemiology
Educational
EDUC
Technology / 02 40 01 40 - - - 80
315
Nursing Education
N- Introduction to
FORN Forensic Nursing 01 20 - - - - - 20
320 and Indian Laws
SSCC Self-Study / Co- 20 +
- - - - - - -
(I) 325 Curricular 20
760 +
14 + 2 +
TOTAL 14 280 02 80 05 400 40 =
5 = 21
800

N-CHN Child Health

02 40 - - 01 80 - 120
(II) 301 Nursing – II
N-MHN Mental Health
02 40 - - 02 160 - 200
(II) 305 Nursing – II
Nursing
NMLE
Management & 03 60 - - 01 80 - 140
Sixth 330
Leadership
Semester
6 Midwifery /
N-
Obstetrics and
MIDW
Gynaecology
(I) / 03 60 01 40 03 240 - 340
(OBG) Nursing – I
OBGN
including SBA
335
Module
SSCC Self-Study / Co-
- - - - - - - -
(II) 220 Curricular
10 + 1
TOTAL 10 200 01 40 07 560 +7= 800
18

14
 Lab / Lab /
Course / Theory Clinical
Sl. Course Theory Skill Skill Lab Clinical Total Total
Semester Subject Contact Contact
No. Code Credits Lab Contact Credits Credits (Hours)
Title Hours Hours
Credits Hours
N-
Community
COMH
Health 05 100 - - 02 160 - 260
(II)
Nursing – II
401
Nursing 80
NRST
Research & 02 40 02 (Project - - - 120
405
Statistics – 40)
Midwifery /
Obstetrics
Seventh
7 and
Semester N-
Gynaecology
MIDW
(OBG)
(II) / 03 60 01 40 04 320 - 420
Nursing – II
OBGN
including
410
Safe
Delivery App
Module
Self-Study /
SSCC - - - - - - - -
Co-Curricular
10 + 3 +
TOTAL 10 200 03 120 06 480 800
6 = 19
Eighth Community
INTE 04
Semester Health
415 weeks
Internship Nursing
INTE Adult Health 06
420 Nursing weeks
INTE Child Health 04
425 Nursing weeks
8
Mental
INTE 04
Health
430 weeks
Nursing
INTE 04
Midwifery
435 weeks
22
TOTAL
weeks
12 1056
(01 Credit {4 hours x 22 weeks = 88
= 04 hours x 12 credits = 1056
hours per hours}
week per (48 hours per week x 22
semester) weeks)
1 Credit Theory : 1 hour per week per semester
1 Credit Practical / Lab / Skill Lab / Simulation Lab : 2 hours per week per semester
1 Credit Clinical : 4 hours per week per semester
1 Credit Elective Course : 1 hour per week per semester
(Electives can be offered during self-study hours as shown in the following tables)
Total Semesters : 08 Semesters
(a) 07 Semesters : 01 Semester = 20 weeks x 40 hours Per week = 800 hours
th
(b) 8 Semester (Internship) : 01 Semester = 22 weeks x 48 hours Per week = 1056 hours
Total number of Credits including Internship and Electives =156 (141 + 12 + 3)
15
 DISTRIBUTION OF CREDITS AND HOURS BY COURSES, INTERNSHIP AND ELECTIVES

Sl. Theory Lab Clinical Total

Credits Hours
No. (Cr / Hrs) (Cr / Hrs) (Cr / Hrs) Credits
90 Credits per 15 Credits per 36 Credits per
1 Course Credits 141 5280
1800 hours 600 hours 2880 hours
2 Internship - - - 12 1056
3 Electives - - - 03 60
TOTAL - - - 156 6396
12 240
Self-Study and Saturdays (01 Semester = 05 hours per week x
4 35 700
Co-Curricular 20 weeks x 07 Semesters = 700 hours)
47 940

DISTRIBUTION OF CREDITS, HOURS AND PERCENTAGE FOR THEORY AND PRACTICUM

(SKILL LAB & CLINICAL) ACROSS EIGHT SEMESTERS

Sl. Theory & Practicum

Credits Hours Percentage
No. (Skill Lab & Clinical)
1 Theory 90 1800 28
2 Lab / Skill Lab 15 600 10
3 Clinical 36 3936 62
TOTAL 141 6336 100

* Practicum (07 Semesters) excluding Internship

Lab / Skill Lab / Simulation Lab = 600 (17%)

Clinical = 2880 (83%)
Total = 3480
Lab / Skill Lab / Simulation Lab = 17% of the Total Practicum planned

NOTE: Besides the stipulated Lab and Clinical Hours, a maximum of 13% (400 – 450 hours) from the
clinical hours can be used in simulation lab / skill lab for skill lab / simulation learning and
not to exceed 30% of total hours.

16
 4. 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:

FIRST SEMESTER

Assessment (Marks)
End End
Sl.
Course Semester Semester Total
No. Internal Hours
College University Marks
Exam Exam
THEORY
1 Communicative English 25 25 - 02 50
Applied Anatomy &
2 25 - 75 03 100
Applied Physiology
Applied Sociology &
3 25 - 75 03 100
Applied Psychology
4 Nursing Foundation – I *25 - - - -
PRACTICAL
5 Nursing Foundation – I *25 - - - -
* Will be added to the Internal Marks of Nursing Foundation – II Theory and Practical respectively in the next
Semester (Total Weightage remains the same)
Example:
Nursing Foundation Theory:
Nursing Foundation – I Theory Internal Marks in First Semester will be added to Nursing Foundation – II Theory Internal
in the Second Semester and Average of the two semesters will be taken

SECOND SEMESTER

Assessment (Marks)
Sl. End Semester
Course End Semester Total
No. Internal University Hours
College Exam Marks
Exam
THEORY
Applied Biochemistry
1 and Applied Nutrition & 25 - 75 03 100
Dietetics
25
I Sem – 25
Nursing Foundation
2 & II Sem – 25 - 75 03 100
(I & II)
(with average
of both)
Health / Nursing
3 25 25 - 02 50
Informatics & Technology
PRACTICAL
50
Nursing Foundation
4 I Sem – 25 - 50 - 100
(I & II)
& II Sem – 25
17
 THIRD SEMESTER

Assessment (Marks)
End End
Sl.
Course Semester Semester Total
No. Internal Hours
College University Marks
Exam Exam
THEORY
Applied Microbiology
1 and Infection Control 25 - 75 03 100
including Safety
Pharmacology – I and
2 *25 - - - -
Pathology – I
Adult Health
3 25 - 75 03 100
Nursing – I
PRACTICAL
Adult Health
4 50 - 50 - 100
Nursing – I
* Will be added to the internal marks of Pharmacology – II and Pathology – II & Genetics in the next
Semester (Total Weightage remains the same)

FOURTH SEMESTER

Assessment (Marks)
End End
Sl.
Course Semester Semester Total
No. Internal Hours
College University Marks
Exam Exam
THEORY
25
Pharmacology & III Sem - 25
1 Pathology & IV Sem - 25 - 75 03 100
(I & II) and Genetics (with average
of both)
Adult Health
2 25 - 75 03 100
Nursing – II
Professionalism,
3 Ethics and 25 25 - 02 50
Professional Values
PRACTICAL
Adult Health
4 50 - 50 - 100
Nursing – II

18
 FIFTH SEMESTER

Assessment (Marks)
End End
Sl.
Course Semester Semester Total
No. Internal Hours
College University Marks
Exam Exam
THEORY
Child Health
1 * 25 - - - -
Nursing – I
Mental Health
2 * 25 - - - -
Nursing – I
Community Health
Nursing – I
including
3 25 - 75 03 100
Environmental
Science &
Epidemiology
Educational
4 Technology / 25 - 75 03 100
Nursing Education
Introduction to
5 Forensic Nursing 25 25 - 02 50
and Indian Laws
PRACTICAL
Child Health
6 * 25 - - - -
Nursing – I
Mental Health
7 * 25 - - - -
Nursing – I
Community Health
8 50 - 50 - 100
Nursing – I
* Will be added to the Internal Marks of Child Health Nursing – II and Mental Health Nursing – II in
both Theory and Practical respectively in the next Semester (Total Weightage remains same)

19
 SIXTH SEMESTER

Assessment (Marks)
End End
Sl.
Course Semester Semester Total
No. Internal Hours
College University Marks
Exam Exam
THEORY
25
Child Health Nursing V Sem – 25 &
1 - 75 03 100
(I & II) VI Sem - 25
(with average of both)
25
Mental Health V Sem – 25 &
2 - 75 03 100
Nursing (I & II) VI Sem - 25
(with average of both)
Nursing
3 Management & 25 - 75 03 100
Leadership
Midwifery /
4 Obstetrics & * 25 - - - -
Gynecology – I
PRACTICAL
50
Child Health Nursing
5 V Sem – 25 & - 50 - 100
(I & II)
VI Sem - 25
50
Mental Health
6 V Sem – 25 & - 50 - 100
Nursing (I & II)
VI Sem - 25
Midwifery /
7 Obstetrics & * 25 - - - -
Gynecology – I
* Will be added to the Internal Marks of Midwifery – II Theory and Practical respectively in the next Semester
(Total Weightage remains same)

20
 SEVENTH SEMESTER

Assessment (Marks)
Sl.
Course End Semester End Semester Total
No Internal Hours
College Exam University Exam Marks
THEORY
Community Health
1 25 - 75 03 100
Nursing – II
Nursing Research &
2 25 - 75 03 100
Statistics
25
VI Sem - 25
Midwifery / Obstetrics
&
& Gynecology (OBG)
3 VII Sem - 25 - 75 03 100
Nursing
(with
(I & II)
average of
both)
PRACTICAL
Community Health
4 50 - 50 - 100
Nursing – II
Midwifery / Obstetrics 50
& Gynecology (OBG) VI Sem – 25
5 - 50 - 100
Nursing &
(I & II) VII Sem - 25

EIGHTH SEMESTER

Assessment (Marks)
End End
Sl.
Course Semester Semester Total
No. Internal Hours
College University Marks
Exam Exam
PRACTICAL
1 Competency Assessment 100 - 100 - 200

21
5. EXAMINATION REGULATIONS:

NOTE:

1. Applied Anatomy and Applied Physiology: Question paper will consist of Section-A Applied
Anatomy of 37 marks and Section-B Applied Physiology of 38 marks.
2. Applied Sociology and Applied Psychology: Question paper will consist of Section-A Applied
Sociology of 37 marks and Section-B Applied Psychology of 38 marks.
3. Applied Microbiology and Infection Control including Safety: Question paper will consist of
Section-A Applied Microbiology of 37 marks and Section-B Infection Control including Safety
of 38 marks.
4. Applied Biochemistry and Applied Nutrition and Dietetics: Question paper will consist of
Section-A Applied Biochemistry with 25 marks and Section-B Applied Nutrition and Dietetics
with 50 marks.
5. Pharmacology, Genetics and Pathology: Question paper will consist of Section-A of
Pharmacology with 38 marks, Section-B of Pathology with 25 marks and Genetics with 12
marks.
6. Nursing Research and Statistics: Nursing Research should be of 55 marks and Statistics of 20
marks.
7. A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in
theory and practical in each course/subject for appearing for examination.
8. A candidate must have 100% attendance in each of the practical areas before award of
degree.
9. Following exams shall be conducted as College exams. The minimum pass is 50% except for
Communicative English. The marks for all the college exams listed below alongside all other
University exams must be sent to University for inclusion in the marks sheet and shall be
considered for calculating aggregate and ranking for awards by University.
i. Communicative English
ii. Health / Nursing Informatics and Technology
iii. Professionalism, Professional Values and Ethics including Bioethics
iv. Introduction to Forensic Nursing & Indian Laws

Award of rank will not be considered for those who fail in one or more courses and must
have completed the program by 4 years.
The mark sheet with grades and grade point average shall be given by the University for all
courses.

Communicative English and Elective Modules are not included for calculating Semester
Grade Point Average (SGPA).

10. Minimum pass mark shall be 40% for Communicative English and in each of the Elective
module. All Electives modules must be completed as indicated in specified semester and
pass marks sent to university before appearing for final examination.
11. Minimum pass marks shall be 50% in each of the Theory and practical papers separately
except in English.
12. The student has to pass in all mandatory modules placed within courses and the pass mark
for each module is 50%
13. A candidate has to pass in theory and practical exam separately in each of the paper.

22
14. If a candidate fails in either theory or practical, he/she has to re-appear for both the papers
(Theory and Practical).
15. If the student has failed in only one subject and has passed in all the other subjects of a
particular semester and Grace marks of up to 5 marks to theory marks can be added for one
course/subject only, provided that by such an addition the student passes the semester
examination.
16. The candidate shall appear for exams in each semester:
i. The candidate shall have cleared all the previous examinations before appearing for
fifth semester examination. However, the candidates shall be permitted to attend
the consecutive semesters.
ii. The candidate shall have cleared all the previous examinations before appearing for
seventh semester examination. However, the candidates shall be permitted to attend
the consecutive semesters.
iii. The candidate shall have cleared all the previous examination before appearing for
final year examination.
iv. The maximum period to complete the course successfully should not exceed 8
years.
17. The candidate has to pass separately in internal and external examination (shall be reflected
in the marks sheet). No institution shall submit average internal marks of the students not
more than 75% (i.e. if 40 students are admitted in a course the average score of the 40
students shall not exceed 75% of total internal marks).
18. At least 50% of the Non-nursing subjects like Applied Anatomy & Physiology, Applied
Biochemistry, Applied Psychology & Sociology, Applied Microbiology, Pharmacology,
Genetics, Nutrition & Dietetics, Communicative English and Health/Nursing Informatics &
Technology should be taught by the Nursing teachers. Teachers who are involved in teaching
non-nursing subjects can be the examiners for the program.
19. Maximum number of candidates for practical examination should not exceed 20 per day.
Particular year and of same institution batch shall be examined by the same set of examiners.
20. All practical examinations must be held in the respective clinical areas.
21. One internal and one external examiner should jointly conduct practical examination for each
student.
22. An examiner for theory and practical/OSCE examination should be an Assistant Professor or
above in a College of Nursing with [Link]. (Nursing) in concerned subject and minimum 3
years of teaching experience. To be an examiner for Nursing Foundation course, the faculty
having [Link]. (Nursing) with any specialty shall be considered.
23. Examiner for Competency Assessment – VIII Semester: There must be a total of five
examiners, one from each specialty i.e. External examiners – 2 and Internal examiners – 3.
The internal examiners may be from the college faculty or from hospital with the required
qualification and experience i.e. [Link]. (Nursing) in respective specialty with minimum three
years of teaching experience.

23
6. 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 10 point grading system is used with pass grade modified.

Letter Grade Grade Point Percentage of Marks

O Outstanding 10 85% & above
A+ Excellent 09 80% to 84.99%
A Very Good 08 75% to 79.99%
B+ Good 07 65% to 74.99%
B Above Average 06 60% to 64.99%
C Average 05 50% to 59.99%
P Pass - 50% & above
F Fail 00 <50%
Ab Absent 0 0
*Pass for Communicative English and
Electives – 40% and above.
Grade point 4 (40-49.99%)

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

Computation of CGPA:
 CGPA is calculated with SGPA of all semesters to two decimal points and is indicated in final
grade in marks card / transcript showing grades of all 08 semesters and their courses / subjects.
 CGPA reflects the failed status in case of fail till the course / s are passed.

Transcript Format
Based on the above recommendation on letter grades, grade points, SGPA 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

24
 SYLLABUS

COMMUNICATIVE ENGLISH

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

DESCRIPTION:

The course is designed to enable students to enhance their 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 and the individual or
team they arecommunicating 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 shareinformation, ideas and results.

25
 COURSE OUTLINE

T – Theory

Time Learning Teaching / Learning Assessment

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

26
III 5 (T) Demonstrate attentive Attentive Listening  Listening to  Checking
listeningin different  Focusing on listening in announcements, individually
hypothetical different situations news, documentaries against correct
situations – announcements, withtasks based on answers
descriptions, narratives, listening  Listening for
instructions, discussions,  With multiple choice, specific
demonstrations Yes/No andfill in the information
 Reproducing Verbatim blank activities  Listening for
 Listening to academic overall meaning
talks/ lectures and instructions
 Listening to presentation  Listening to
attitudes and
opinions
Listening to
audio, video and
identify key points
IV 9 (T) Converse effectively, Speaking – Effective  Different types of  Individual and
appropriately and Conversation speaking activities group/peer
timely within the given  Conversation situations related to the assessment
context andthe – informal, formaland content through live
individual or team they neutral  Guided with speaking tests
are communicating  Factors influencing way prompts and free  Presentation of
with either face toface of speaking – setting, discussions situation in
or other means topic, social  Presentation emergency and
relationship, attitudeand techniques routine
language  Talking to peers  Handoff
 Greetings, and other adults.  Reporting in
introductions,  Talking to patients doctors/nurses‘
requesting, askingfor and Patient rounds
and giving permission, attenders  Case
speaking personally and  Talking to other presentation
casual conversations healthcare  Face to face oral
 Asking for information, professionals communication
giving instructionsand  Classroom  Speaking
directions conversation individually
 Agreeing and  Scenario based (Nurse to nurse
disagreeing, giving learning tasks / patient /
opinions doctor ) and to
 Describing people, others in the
places, events and group
things,narrating,  Telephonic
reporting & reaching talking
conclusions
 Evaluating and
comparing
 Complaints and
suggestions
 Telephone conversations
 Delivering presentations
27
 V 5 (T) Read, interpret and  Reading  Detailed tasks and  Reading /
comprehend content  Reading strategies, exercises on summarizing /
in text, flow sheet, reading notes and reading for justifying
framework, figures, messages information, answersorally
tables, reports,  Reading relevant inference and  Patient document
anecdotes articles and news items evaluation  Doctor‘s
 Vocabulary for everyday  Vocabulary games prescription of
activities, abbreviations and puzzles for care
and medical vocabulary medical lexis  Journal / news
 Understanding visuals,  Grammar activities reading and
graphs, figures and interpretation
notes on instructions  Notes/Reports
 Reading reports and
interpreting them
Using idioms and
phrases, spotting errors,
vocabulary for
presentations
 Remedial Grammar
VI 5 (T) Enhance Writing Skills  Writing tasks with  Paper based
expressions through  Writing patient history focus on task assessment by
writingskills  Note taking fulfillment, theteacher /
 Summarizing coherence and trainer against
 Anecdotal records cohesion, set band
 Letter writing appropriate descriptors
 Diary/Journal writing vocabulary and  Presentation
 Report writing correct grammar ofsituation
 Paper writing skills  Guided and free  Documentation
 Abstract writing tasks  Report writing
 Different kinds of  Paper writing
letter writing tasks skills
 Verbatim
reproducing
 Letter writing
 Resume / CV
VII 8 (T) Apply LSRW Skill in LSRW Skills  Valuating different  Consolidated
combination to learn,  Critical thinking options/multiple assessment
teach, educate and strategies for listening answers and orallyand
shareinformation, andreading interpreting through written
ideasand results  Oral reports, decisions through tasks / exercises
presentations situational activities
 Writing instructions,  Demonstration –
letters and reports individually and in
 Error analysis regarding groups
LSRW  Group Discussion
 Presentation
 Role Play
 Writing reports
************
28
 APPLIED ANATOMY

PLACEMENT: I SEMESTER THEORY: 3 Credits (60 hours)

DESCRIPTION:

The course is designed to assists student to recall and further 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

29
 COURSE OUTLINE

T – Theory

Time Learning Teaching / Assessment

Unit Content
(Hrs) Outcomes LearningActivities Methods
I 8 (T) Define the terms relative to Introduction to  Lecture cum  Quiz
the anatomical position anatomical terms and Discussion  MCQ
organization of the  Use of models  Short
human body  Video answer
Describe the anatomical  Introduction to demonstration
planes anatomical terms  Use of
relative to position – microscopic
anterior, ventral, slides
Define and describe the posterior dorsal,
terms use d describe superior, inferior,
movements medium, lateral,
proximal, distal,
Organization of human body superficial, deep,
and structure of cell, tissues prone, supine, palmar
membranes and glands and plantar  Lecture cum
 Anatomical planes Discussion
(axial / transverse /  Video / Slides
Describe the types of horizontal, sagittal /  Anatomical Torso
cartilage vertical plane and
coronal / frontal /
Compare and contrast the oblique plane)
features of skeletal, smooth  Movements (flexion,
and cardiac muscle extension, abduction,
adduction, medial
rotation, supination,
pronation, plantar
flexion, dorsal flexion
and circumduction
 Cell structure, Cell
division
 Tissue – definition,
types, characteristics,
classification, location
 Membrane, glands –
classification and
structure
 Identify major surface
and bony landmark in
each body region,
Organization of human
body

30
  Hyaline, fibro
cartilage, elastic
cartilage
 Features of skeletal,
smooth and cardiac
muscle
 Application and
implication in Nursing
II 6 (T) Describe the structureof The Respiratory system  Lecture cum  Short
respiratory system  Structure of the Discussion answer
Identify the musclesof organs of respiration  Models  MCQ
respiration and examine  Muscles of respiration  Video/Slides
their contribution to the  Application and
mechanism of breathing implication in nursing
III 6 (T) Describe the structureof The Digestive system  Lecture cum  Short
digestive system  Structure of Discussion answer
alimentary canal  Video/Slides  MCQ
and accessory  Anatomical
organs of digestion Torso
 Application and
implications in nursing
IV 6 (T) Describe the structureof The Circulatory and  Lecture  Short
circulatory and lymphatic Lymphatic system  Models answer
system.  Structure of blood  Video/Slides  MCQ
components, blood
vessels
– Arterial and Venous
system
 Position of heart
relative to the
associatedstructures
 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 (T) Identify the major The Endocrine system  Lecture  Short
endocrine glands and  Structure of  Models/charts answer
describe the structureof Hypothalamus, Pineal  MCQ
endocrine Glands Gland,Pituitary gland,
Thyroid, Parathyroid,
Thymus, Pancreas
and Adrenal glands
31
VI 4 (T) Describe the structureof The Sensory organs  Lecture  Short
various sensory organs  Structure of skin, eye,  Explain with answer
ear, nose and tongue Video/  MCQ
 Application and models/charts
implications in nursing
VII 10 (T) Describe anatomical The Musculoskeletal  Review –  Short
position and structureof system: discussion answer
bones and joints The Skeletal system  Lecture  MCQ
Identify major bones that  Anatomical positions  Discussions
make up the axialand  Bones –  Explain using
appendicular skeleton types, charts, skeleton
Classify the joints structure, and loose bones
Identify the application growth and and torso
andimplications innursing ossification  Identifying
Describe the structureof  Axial and appendicular muscles
muscle skeleton involved in
 Joints – nursing
classification, procedures in
major joints and lab
structure
 Application and
implications in nursing
VIII 5 (T) Describe the structureof The Renal system  Lecture  MCQ
renal system  Structure of kidney,  Models/charts  Short
ureters, bladder, answer
urethra
 Application and
implication in nursing
IX 5 (T) Describe the structureof The Reproductive  Lecture  MCQ
reproductive system system  Models/charts  Short
 Structure of male answer
reproductive organs
 Structure of female
reproductive organs
 Structure of breast
X 6 (T) Describe the structure of The Nervous system  Lecture  MCQ
nervous system including  Review Structure of  Explain with  Short
the distribution of the neurons models answer
nerves, nerve plexuses  CNS, ANS and PNS  Video slides
(Central, autonomic
andperipheral)
Describe the ventricular  Structure of brain,
system spinal cord, cranial
nerves,spinal nerves,
peripheral nerves,
functional areas of
cerebral cortex
 Ventricular system –
formation,
32
 circulation,and
drainage
 Application and
implication in nursing

Note: Few lab hours can be planned for visits, observation and handling(less than 1 credit lab hours
are not specified separately)

************

33
 APPLIED PHYSIOLOGY

PLACEMENT: I SEMESTER THEORY: 3 Credits (60 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.

34
 COURSE OUTLINE

T – Theory

Teaching/ Assessme
Time Learning
Unit Content Learning nt
(Hrs) Outcomes
Activities Methods
I 4 (T) Describe the General Physiology – Basic  Review –  Quiz
physiology of cell, concepts discussion  MCQ
tissues,  Cell physiology including  Lecture cum  Short answer
membranes and transportationacross cell Discussion
glands membrane  Video
 Body fluid compartments, demonstrations
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 6 (T) Describe the Respiratory system  Lecture  Essay
physiology and  Functions of respiratory  Video slides  Short answer
mechanism of organs  MCQ
respiration  Physiology of respiration
 Pulmonary circulation –
functional features
 Pulmonary ventilation,
exchange of gases
Identify the  Carriage of oxygen and
muscles of carbon-dioxide,Exchange
respiration and of gases in tissue
examine their  Regulation of respiration
contribution to  Hypoxia, cyanosis,
themechanism dyspnea, periodic
of breathing breathing
 Respiratory changes
during exercise
 Application and
implication in nursing
III 8 (T) Describe the Digestive system  Lecture  Essay
functions of  Functions of the organs cum  Short answer
digestive system of digestive tract Discussion  MCQ
 Saliva – composition,  Video slides
35
 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 largeintestine
 Movements of alimentary
tract
 Digestion in mouth,
stomach, small intestine,
large intestine, absorption
of food
 Application and
implications in nursing
IV 6 (T) Explain the Circulatory and Lymphatic  Lecture  Short answer
functions of the system  Discussion  MCQ
heart, and  Functions of heart,  Video/Slides
physiology of conduction system,
circulation cardiac cycle, Stroke
volume and cardiacoutput
 Blood pressure and Pulse
 Circulation – principles,
factors influencingblood
pressure, pulse
 Coronary circulation,
Pulmonary andsystemic
circulation
 Heart rate – regulation of
heart rate
 Normal value and
variations
 Cardiovascular
homeostasis in exercise
andposture
 Application and
implication in nursing

36
 V 5 (T) Describe the Blood  Lecture  Essay
composition and  Blood – Functions,  Discussion  Short answer
functions of blood Physical characteristics  Videos  MCQ
 Formation of blood cells
 Erythropoiesis –
Functions of RBC, RBC life
cycle
 WBC – types, functions
 Platelets – Function and
production ofplatelets
 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
VI 5 (T) Identify the major The Endocrine system  Lecture  Short answer
endocrine glands  Functions and hormones  Explain using  MCQ
and describe their of Pineal Gland,Pituitary charts
functions gland, Thyroid,
Parathyroid, Thymus,
Pancreas and Adrenal
glands.
 Other hormones
 Alterations in disease
 Application and
implication in nursing
VII 4 (T) Describe the The Sensory Organs  Lecture  Short answer
structure of  Functions of skin  Video  MCQ
various sensory  Vision, hearing, taste and
organs smell
 Errors of refraction, aging
changes
 Application and
implications in nursing
VIII 6 (T) Describe the Musculoskeletal system  Lecture  Structured
functions of  Bones – Functions,  Discussion essay
bones, joints, movements of bones of  Video  Short answer
various types of axial and appendicular presentation  MCQ
muscles, its skeleton, Bone healing
37
 special properties  Joints and joint
and nerves movements
supplying them  Alteration of joint disease
 Properties and Functions
of skeletal muscles –
mechanism of muscle
contraction
 Structure and properties
of cardiac musclesand
smooth muscles
 Application and
implication in nursing
IX 4 (T) Describe the Renal system  Lecture  Short answer
physiology of  Functions of kidney in  Charts and  MCQ
renal system maintaininghomeostasis models
 GFR
 Functions of ureters,
bladder and urethra
 Micturition
 Regulation of renal
function
 Application and
implication in nursing
X 4 (T) Describe the The Reproductive system  Lecture  Short answer
structure of  Female reproductive  Explain using  MCQ
reproductive system – Menstrualcycle, charts, models,
system function and hormones of specimens
ovary, oogenesis,
fertilization, implantation,
Functions of breast
 Male reproductive system
– Spermatogenesis,
hormones and its
functions, semen
 Application and
implication in providing
nursing care
XI 8 (T) Describe the  Nervous system  Lecture cum  Brief
functions of brain,  Overview of nervous Discussion structured
physiology of system  Video slides essays
nerve stimulus,  Review of types, structure  Short answer
reflexes, cranial and functions ofneurons  MCQ
and spinal nerves  Nerve impulse  Critical
 Review functions of Brain- reflection
Medulla, Pons,Cerebrum,
Cerebellum
 Sensory and Motor
Nervous system

38
  Peripheral Nervous
system
 Autonomic Nervous
system
 Limbic system and higher
mental Functions-
Hippocampus, Thalamus,
Hypothalamus
 Vestibular apparatus
 Functions of cranial
nerves
 Autonomic functions
 Physiology of Pain-
somatic, visceral and
referred
 Reflexes
 CSF formation,
composition, circulation
ofCSF, blood brain barrier
and blood CSF barrier
 Application and
implication in nursing

Note: Few lab hours can be planned for visits, observation and handling(less than 1 credit lab hours
are not specified separately)

************

39
 APPLIED SOCIOLOGY

PLACEMENT: I SEMESTER THEORY: 3 Credits (60 hours)

DESCRIPTION:

This course is designed to enable the students to develop understanding about basic concepts of
sociologyand its application in personal and community life, health, illness and 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.

40
 COURSE OUTLINE

T – Theory

Teaching/
Time Assessment
Unit Learning Outcomes Content Learning
(Hrs) Methods
Activities
I 1 (T) Introduction  Lecture  Essay
Describe the scope  Definition, nature and scope  Discussion  Short answer
and significance of of sociology
sociology in nursing  Significance of sociology in
nursing
II 15 (T) Describe the Social structure  Lecture cum  Essay
individualization,  Basic concept of Discussion  Short answer
Groups, processes of society, community,  MCQ
Socialization, social association and
change and its institution
importance  Individual and society
 Personal disorganization
 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 ofnurse
 Structure and characteristics
of urban, rural andtribal
community.
 Major health problems in
urban, rural and tribal
communities
 Importance of social
structure in nursing
profession

41
III 8 (T) Describe culture andits Culture  Lecture  Essay
impact on health and  Nature, characteristic and  Panel  Short answer
disease evolution of culture discussion
 Diversity and uniformity of
culture
 Difference between culture
and civilization
 Culture and socialization
 Transcultural society
 Culture, Modernization and its
impact on health and disease
IV 8 (T) Explain family, Family and Marriage  Lecture  Essay
marriage and  Family – characteristics,  Short answer
legislation related to basic need, types and  Case study
marriage functions of family 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 andhealth
practices
V 8 (T) Explain different Social stratification  Lecture  Essay
types of caste and  Introduction –  Panel  Short answer
classes in society Characteristics & forms discussion  MCQ
and its influence on ofstratification
health  Function of stratification
 Indian caste system – origin
and characteristics
 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.

42
 VI 15 (T) Explain social Social organization and  Lecture  Essay
organization, disorganization  Group  Short answer
disorganization,  Social organization – discussion  MCQ
social problems and meaning, elements and  Observational  Visit report
role of nurse in types visit
reducing social  Voluntary associations
problems  Social system – definition,
types, role and status as
structural element of social
system.
 Interrelationship of
institutions
 Social control – meaning,
aims and process ofsocial
control
 Social norms, moral and
values
 Social disorganization –
definition, causes,Control and
planning
 Major social problems –
poverty, housing, food
supplies, illiteracy,
prostitution, dowry, Child
labour, child abuse,
delinquency, crime,
substance abuse, HIV/AIDS,
COVID-19
 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 programs in
India
VII 5 (T) Explain clinical Clinical sociology  Lecture,  Essay
sociology and its  Introduction to clinical  Group  Short answer
application in the sociology discussion
hospital and  Sociological strategies for  Role play
community developing servicesfor the
abused
 Use of clinical sociology in
crisis intervention
************
43
 APPLIED PSYCHOLOGY

PLACEMENT: I SEMESTER THEORY: 3 Credits (60 Hours)

DESCRIPTION:

This course is designed to enable the students to develop understanding about basic concepts of
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 self-
empowerment in the practice of nursing.

COMPETENCIES:

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

1. Identify the importance of psychology in individual and professional life.

2. Develop understanding of the biological and psychological basis of human behaviour.
3. Identify the role of nurse in promoting mental health and dealing with altered personality.
4. Perform the role of nurses applicable to the psychology of different age groups.
5. Identify the cognitive and affective needs of clients.
6. Integrate the principles of motivation and emotion in performing the role of nurse in caring
for emotionally sick client.
7. Demonstrate basic understanding of psychological assessment and nurse‘s role.
8. Apply the knowledge of soft skills in workplace and society.
9. Apply the knowledge of self-empowerment in workplace, society and personal life.

44
 COURSE OUTLINE

T – Theory

Time Teaching / Learning Assessment

Unit LearningOutcomes Content
(Hrs) Activities Methods
I 2 (T) Describe scope, Introduction  Lecture cum  Essay
branches and  Meaning of Psychology Discussion  Short answer
significance of  Development of
psychology in psychology – Scope,
nursing branches and methods of
psychology
 Relationship with other
subjects
 Significance of
psychology in nursing
 Applied Psychology
to solve everyday
issues
II 4 (T) Describe biology Biological basis of behavior  Lecture  Essay
ofhuman behavior –Introduction  Discussion  Short answer
 Body mind relationship
 Genetics and behavior
 Inheritance of behavior
 Brain and behavior.
 Psychology and sensation
– sensory process –
normal and abnormal
III 5 (T) Describe mentally Mental health and mental  Lecture  Essay
healthy person and hygiene  Case discussion  Short answer
defense  Concept of mental health  Role play  MCQ
mechanisms and mental hygiene
 Characteristic of mentally
healthy person
 Warning signs of poor
mental health
 Promotive and
preventive mental
healthstrategies and
services
 Defense mechanism and
its implication
 Frustration and conflict
– types of conflictsand
measurements to
overcome
 Role of nurse in
reducing frustration
45
 and conflict and
enhancing coping
 Dealing with ego
Describe Developmental psychology  Lecture  Essay
psychology of  Physical, psychosocial and  Group  Short answer
people in cognitive development  discussion
different age across life span – Prenatal
groups and roleof through early childhood,
nurse middle to late childhood
through adolescence, early
andmid-adulthood, late
adulthood, death anddying
 Role of nurse in
supporting normal
growth and development
across the life span
 Psychological needs of
various groups in
IV 7 (T)
health and sickness –
Infancy, childhood,
adolescence,
adulthood and older
adult
Introduction to child
psychology and role of
nurse in meeting the
psychological needs of
children
 Psychology of vulnerable
individuals –challenged,
women, sick etc.
 Role of nurse with
vulnerable groups
V 4 (T) Explain Personality  Lecture  Essay and short
personalityand  Meaning, definition of  Discussion answer
role of nurse in personality  Demonstration  MCQ
identification and  Classification of
improvement in personality
altered  Measurement and
personality evaluation of personality
– Introduction
 Alteration in personality
 Role of nurse in
identification of
individual personality and
improvement in altered
personality

46
VI 16 (T) Explain Cognitive process  Lecture  Essay and short
cognitive  Attention – definition,  Discussion answer
process and types, determinants,  MCQ
their duration, degree and
applications alteration in attention
 Perception –
Meaning of
Perception,
principles, factor
affecting
perception,
 Intelligence – Meaning
of intelligence – Effect
of heredity and
environment in
intelligence,
classification,
Introduction to
measurement of
intelligence tests –
Mentaldeficiencies
 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

47
VII 6 (T) Describe Motivation and emotional  Lecture  Essay and short
motivation, processes  Group discussion answer
emotion, attitude  Motivation – meaning,  MCQ
and role of nurse concept, types, theories of
inemotionally motivation, motivation
sick client cycle,biological and
special motives
 Emotions – Meaning of
emotions, 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
VIII 4 (T) Explain Psychological  Lecture  Short answer
psychological assessment and  Discussion  Assessment of
assessment and tests –introduction  Demonstration practice
tests and role of  Types,
nurse development,
characteristics,
principles, uses,
interpretation
 Role of nurse in
psychological assessment
IX 10 (T) Explain concept Application of soft skill  Lecture  Essay and short
ofsoft skill and its  Concept of soft skill  Group discussion answer
application in  Types of soft skill  Role play
work place and – visual, aural and  Refer/Complete
society communication Soft skills module
skill
 The way of communication
 Building
relationship with
client andsociety
48
  Interpersonal
Relationships (IPR):
Definition, Types, and
Purposes, Interpersonal
skills, Barriers,
Strategies toovercome
barriers
 Survival strategies –
managing time, coping
stress, resilience, work –
life balance
 Applying soft skill to
workplace and
society
– Presentation skills,
social etiquette,
telephone etiquette,
motivational skills,
teamwork etc.
 Use of soft skill in nursing
X 2 (T) Explain self- Self-empowerment  Lecture  Short answer
empowerment  Dimensions of self-  Discussion  MCQ
empowerment
 Self-empowerment
development
 Importance of
women‘s
empowerment in
society
 Professional
etiquette and
personal
grooming
 Role of nurse in
empowering others

************

49
 NURSING FOUNDATION - I (including First Aid module)

PLACEMENT: I SEMESTER THEORY : 6 Credits (120 hours)

PRACTICUM : Skill Lab: 2 Credits (80 hours)
Clinical: 2 Credits (160 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. Describe the fundamental principles and techniques of infection control and biomedical waste
management.
7. Identify and meet the comfort needs of the patients.
8. Perform admission, transfer, and discharge of a patient under supervision applying the
knowledge.
9. Demonstrate understanding and application of knowledge in caring for patients with restricted
mobility.
10. Perform first aid measures during emergencies.
11. Identify the educational needs of patients and demonstrate basic skills of patient education.

* Mandatory Module used in Teaching / Learning:

First Aid: 40 Hours (including Basic CPR)

50
 COURSE OUTLINE

T – Theory, SL – Skill Lab

Time Learning Teaching / Learning Assessment

Unit Content
(Hrs) Outcomes Activities Methods
I 5 (T) Describe the Introduction to health and  Lecture  Essay
concept of illness  Discussion  Short answer
health and illness  Concept of Health –  MCQ
Definitions (WHO),
Dimensions
 Maslow‘s hierarchy of
needs
 Health – Illness
continuum
 Factors influencing health
 Causes and risk factors
for developingillnesses
 Illness – Types, illness
behavior
 Impact of illness on
patient and family
II 5 (T) Describe the Health Care Delivery  Lecture  Essay
levels of illness Systems –  Discussion  Short answer
prevention and Introduction of Basic  MCQ
care,health care Concepts &Meanings
services  Levels of Illness
Prevention – Primary
(Health Promotion),
Secondary and Tertiary
 Levels of Care – Primary,
Secondary andTertiary
 Types of health care
agencies/ services –
Hospitals, clinics,
Hospice, rehabilitation
centers, extended care
facilities
Hospitals – Types,
Organization and
Functions
 Health care teams in
hospitals – membersand
their role

51
III 12 (T) Trace the history History of Nursing and  Lecture  Essay
ofNursing Nursing as a Profession  Discussion  Short answers
 History of Nursing,  Case discussion  MCQ
History of Nursing inIndia  Role plays
Explain the  Contributions of Florence
concept, nature Nightingale
andscope of  Nursing – Definition –
nursing Nurse, Nursing, Concepts,
philosophy, objectives,
Characteristics, nature
Describe values, and Scope of Nursing /
code of ethics Nursing practice,
and professional Functions of nurse,
conduct for Qualities of a nurse,
nursesin India Categories ofnursing
personnel
 Nursing as a profession –
definition and
characteristics/criteria of
profession
 Values – Introduction –
meaning andimportance
 Code of ethics and
professional conductfor
nurses – Introduction
IV 8 (T) Describe the Communication and  Lecture  Essay
3 (SL) process, Nurse Patient  Discussion  Short answer
principles, and Relationship  Role play and video  MCQ
types of  Communication – film on Therapeutic
communication Levels, Elements and Communication
Process, Types, Modes,
Factors influencing
Explain communication
therapeutic,non-  Methods of effective
therapeutic and communication/therape
professional uticcommunication
communication techniques
 Barriers to effective
communication/non-
Communicate therapeutic
effectively with communication
patients, their techniques
families and team  Professional
members communication
 Helping Relationships
(Nurse Patient
Relationship) –
Purposes and Phases

52
  Communicating
effectively with patient,
families and team
members
 Maintaining effective
human relations and
communication with
vulnerable groups
(children, women,
physically and mentally
challenged and elderly)
V 4 (T) Describe the Documentation and  Lecture  Essay
2 (SL) purposes, types Reporting  Discussion  Short answer
andtechniques  Documentation –  Demonstration  MCQ
of recording and Purposes of Reports and
reporting Records
 Confidentiality
 Types of Client records /
Maintain records Common Record-
and reports keeping forms
accurately  Methods / Systems of
documentation /
Recording
 Guidelines for
documentation
 Do‘s and Don‘ts of
documentation/Legal
guidelines for
Documentation /
Recording
 Reporting – Change of
shift reports,Transfer
reports, Incident reports
VI 15 (T) Describe Vital signs  Lecture  Essay
20 principlesand  Guidelines for taking vital  Discussion  Short answer
(SL) techniques of signs  Demonstration &  MCQ
monitoring and  Body temperature – Re-demonstration  Document the
maintaining vital o Definition, Physiology, given values of
signs Regulation, temperature,
Factors affecting body pulse, and
temperature respiration in the
o Assessment of body graphic sheet
temperature – sites,  OSCE
equipment and
technique
o Temperature
alterations –
Hyperthermia, Heat
Cramps, Heat
53
 Exhaustion, Heatstroke,
Hypothermia
o Fever/Pyrexia –
Definition, Causes,
Stages, Types
 Nursing Management
o Hot and Cold
applications
Assess and • Pulse:
record vital signs o Definition, Physiology
accurately and Regulation,
Characteristics,
Factors affecting pulse
o Assessment of pulse –
sites, equipmentand
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

54
VII 3 (T) Maintain Equipment and Linen
equipment and  Types – Disposables and
linen reusable
o Linen, rubber goods,
glassware, metal,
plastics, furniture
 Introduction – Indent,
maintenance,Inventory
VIII 10 (T) Describe the Introduction to Infection  Lecture  Essay
3 (SL) basic principles Control inClinical setting  Discussion  Short answer
and techniques Infection  Demonstration  MCQ
of infection  Nature of infection  Observation of
control and  Chain of infection autoclaving and
biomedical  Types of infection other
waste  Stages of infection sterilization
management  Factors increasing techniques
susceptibility toinfection  Video
 Body defenses against presentationon
infection – Inflammatory medical &
response & Immune surgical asepsis
response
 Health care associated
infection(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 of hospital waste,
waste segregationand
hazards – Introduction
IX 15 (T) Identify and Comfort, Rest & Sleep and  Lecture  Essay
15 meetthe comfort Pain  Discussion  Short answer
(SL) needsof the  Comfort  Demonstration &  MCQ
patients o Factors Influencing Re-demonstration  OSCE
Comfort
o Types of beds including
latest beds,purposes &
bed making
o Therapeutic positions
o Comfort devices
55
  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 – pain
scales and narcotic
scales
o Pharmacological and
Non- pharmacological
pain relieving measures
– Use of narcotics, TENS
devices, PCA
o Invasive techniques of
painmanagement
o Any other newer
measures
o CAM (Complementary &
Alternativehealing
Modalities)
X 5 (T) Describe the Promoting Safety in Health  Lecture  Essay
3 (SL) concept of CareEnvironment  Discussion  Short answer
patient  Physical environment –  Demonstration  MCQ
environment Temperature, Humidity,
Noise, Ventilation, Light,
Odor,Pest control
 Reduction of Physical
hazards – fire,accidents
 Fall Risk Assessment
 Role of nurse in providing
safe and cleanenvironment
 Safety devices –
o Restraints – Types,
Purposes, Indications,
Legal Implications and
Consent, Application of
Restraints-
Skill and Practice
guidelines
o Other Safety Devices –
Side rails, Grabbars,
Ambu alarms, non-skid
slippers etc.

56
XI 6 (T) Explain and Hospital Admission and  Lecture  Essay
2 (SL) perform discharge  Discussion  Short answer
admission,  Admission to the hospital  Demonstration  MCQ
transfer, and Unit andpreparation of unit
discharge of a o Admission bed
patient o Admission procedure
o Medico-legal 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
XII 8 (T) Demonstrate skill Mobility and Immobility  Lecture  Essay
10 incaring for  Elements of Normal  Discussion  Short answer
(SL) patients with Movement, Alignment &  Demonstration  MCQ
restricted mobility Posture, Joint Mobility, &  OSCE
Balance, Coordinated Re-demonstration
Movement
 Principles of body
mechanics
 Factors affecting Body
Alignment andactivity
 Exercise – Types and
benefits
 Effects of Immobility
 Maintenance of normal
Body Alignmentand
Activity
 Alteration in Body
Alignment andmobility
 Nursing interventions for
impaired BodyAlignment
and Mobility –
assessment, types,
devices used, method
o Range of motion
exercises
57
 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 usingNursing
process approach
 Care of patients with casts
and splints
XIII 4 (T) Describe the Patient education  Discussion  Essay
2 (SL) principles and  Patient Teaching –  Role plays  Short answer
practice of Importance, Purposes,  MCQ
patienteducation Process
 Integrating nursing
process in patient teaching
XIV 20 (T) Explain and First Aid *  Lecture  Essay
20 applyprinciples  Definition, Basic  Discussion  Short answer
(SL) of FirstAid Principles, Scope &Rules  Demonstration &  MCQ
during  First Aid Management Re-demonstration  OSCE
emergencies o Wounds, Hemorrhage &  Module completion
Shock  National Disaster
o Musculoskeletal Injuries Management
– Fractures, Authority (NDMA)
Dislocation, Muscle / Indian Red
injuries CrossSociety
o Transportation of (IRCS) First Aid
Injured persons module
o Respiratory
Emergencies & Basic
CPR
o Unconsciousness
o Foreign Bodies – Skin,
Eye, Ear, Nose,
Throat & Stomach
o Burns & Scalds
o Poisoning, Bites &
Stings
o Frostbite & Effects of
Heat
o Community
Emergencies

*Mandatory module
58
 CLINICAL PRACTICUM

Clinical Practicum: 2 Credits (160 hours), 10 weeks × 16 hours per week

PRACTICE COMPETENCIES:

On completion of the clinical practicum, 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. Demonstrate skill in implementing standard precautions and use of PPE

7. Demonstrate skill in meeting the comfort needs of the patients

8. Provide safe and clean environment

9. Demonstrate skill in admission, transfer, and discharge of a patient

10. Demonstrate skill in caring for patients with restricted mobility

11. Plan and provide appropriate health teaching following the principles

12. Acquire skills in assessing and performing First Aid during emergencies.

59
 SKILL LAB
Use of Mannequins and Simulators

Sl. No. Competencies Mode of Teaching

1. Therapeutic Communication and Documentation Role Play

2. Vital signs Simulator / Standardized patient

3. Medical and Surgical Asepsis Videos / Mannequin

4. Pain Assessment Standardized patient

5. Comfort Devices Mannequin

6. Therapeutic Positions Mannequin

7. Physical Restraints and Side rails Mannequin

8. ROM Exercises Standardized patient

9. Ambulation Standardized patient

10. Moving and Turning patients in bed Mannequin

11. Changing position of helpless patients Mannequin / Standardized patient

12. Transferring patients bed to stretcher/wheel chair Mannequin / Standardized patient

13. Admission, Transfer, Discharge & Health Teaching Role Play

60
 CLINICAL POSTINGS

GENERAL MEDICAL / SURGICAL WARDS

10 weeks × 16 hours/week = 160 Hours
Procedural Competencies/
Duration Learning ClinicalSkills Clinical Assessment
ClinicalUnit
(in Weeks) Outcomes (Supervised Clinical Requirements Methods
Practice)
General 2 Maintain Communication and Nurse  OSCE
Medical / effective human patient relationship
Surgical relations  Maintaining
wards (projecting Communication with
professional patient and family and
image) interpersonal relationship
 Documentation and
Communicate Reporting
effectively with o Documenting patient
patient, families care andprocedures
andteam o Verbal report
members o Written report
Demonstrate
skills in
techniques of
recording and
reporting
General 2 Demonstrate Vital signs  Care of  Assessment of
Medical / skill in  Monitor/measure and patientswith clinical skills
Surgicalwards monitoring vital documentvital signs in alterations in using checklist
signs a graphic sheet vital signs- 1  OSCE
o Temperature (oral,
Care for tympanic,axillary)
patients with o Pulse (Apical and
altered vital peripheralpulses)
signs o Respiration
o Blood pressure
o Pulse oximetry
Demonstrate  Interpret and report
skill in alteration
implementing  Cold Applications – Cold
standard Compress, Ice cap, Tepid
precautionsand Sponging
use of PPE  Care of equipment –
thermometer,BP
apparatus, Stethoscope,
Pulse oximeter
Infection control in Clinical
settings
 Hand hygiene
 Use of PPE
61
 General 3 Demonstrate Comfort, Rest & Sleep, Pain  Assessment of
Medical / skill inmeeting and Promoting Safety in clinical skills
Surgicalwards the comfort Health CareEnvironment using checklist
needs of the Comfort, Rest & Sleep  OSCE
patients  Bed making –
o Open
o Closed
o Occupied
o Post-operative
o Cardiac bed
o Fracture bed
 Comfort devices
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 forcomfort
Provide safe Promoting Safety in
and clean Health CareEnvironment
environment  Care of Patient’s Unit  Fall risk
 Use of Safety devices: assessment -
o Side Rails I
 Restraints (Physical)
 Fall risk assessment and
Post Fall Assessment
General 2 Demonstrate Hospital Admission and  Assessment of
Medical / skill in discharge, Mobility and clinical skills
Surgicalwards admission, Immobility and Patient using checklist
transfer, and education  OSCE
discharge of a Hospital Admission and
patient discharge
Perform & Document:
 Admission
 Transfer
 Planned Discharge

62
 Demonstrate Mobility and Immobility  Individual  Assessment of
skill incaring for  Range of Motion Exercises teaching-1 clinical skills
patients with  Assist patient in: using checklist
restricted o Moving  OSCE
mobility o Turning
o Logrolling
 Changing position of
Plan and helpless patient
provide  Transferring (Bed to
appropriate and from Chair /
health teaching Wheelchair /
followingthe Stretcher)
principles
Patient education
General 1 Demonstrate First aid and Emergencies  Module  Assessment of
Medical / skills in  Bandaging Techniques completion clinical skills
Surgicalwards assessing and o Basic Bandages: National using checklist
performing First  Circular Disaster  OSCE (first aid
Aidduring  Spiral Management competencies)
emergencies  Reverse-Spiral Authority
 Recurrent (NDMA) First
 Figure of Eight Aid module
o Special Bandages: (To complete
 Caplin it in Clinicals
 Eye/Ear Bandage if not
 Jaw Bandage completed
 Shoulder Spica during lab)
 Thumb spica
 Triangular
Bandage/ Sling
(Head & limbs)
 Binders

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63
 APPLIED BIOCHEMISTRY

PLACEMENT: II SEMESTER THEORY : 2 credits (40 hours)

(includes lab hours also)

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 haemoglobin and its clinical significance.

7. Explain different function tests and interpret the findings.

8. Illustrate the immunochemistry.

64
 COURSE OUTLINE

T – Theory

Unit Time Learning Content Teaching / Assessment

(Hrs) Outcomes LearningActivities Methods
I 8 (T) Describe the Carbohydrates  Lecture cum  Essay
metabolism of  Digestion, absorption and Discussion  Short answer
carbohydrates and metabolism ofcarbohydrates  Explain using  Very short
its alterations and related disorders charts and slides answer
 Regulation of blood glucose  Demonstration of
 Diabetes Mellitus – type 1 laboratory tests
and type 2, symptoms,
complications & management
in brief
 Investigations of Diabetes
Mellitus
o OGTT – Indications,
Procedure,
Interpretation and types of
GTT curve
o Mini GTT, extended GTT,
GCT, IVGTT
o HbA1c (Only definition)
 Hypoglycemia – Definition &
causes
II 8 (T) Explain the Lipids  Lecture cum  Essay
metabolism of  Fatty acids – Definition, Discussion  Short answer
lipids and its classification  Explain using  Very short
alterations  Definition & Clinical charts and slides answer
significance of MUFA & PUFA,  Demonstration of
Essential fatty acids,Trans laboratory tests
fatty acids
 Digestion, absorption &
metabolism oflipids &
related disorders
 Compounds formed from
cholesterol
 Ketone bodies (name, types &
significance only)
 Lipoproteins – types &
functions(metabolism not
required)
 Lipid profile
 Atherosclerosis (in brief)

65
III 9 (T) Explain the Proteins  Lecture cum  Essay
metabolism of  Classification of amino Discussion  Short answer
amino acids and acids based on nutrition,  Explain using  Very
proteins metabolic rate with charts, models short
examples andslides answer
 Digestion, absorption &
Identify metabolism of protein &
alterations related disorders
in 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, hypo-
proteinemia, hyper-gamma
globinemia
 Principle of electrophoresis,
normal & abnormal
electrophoretic patterns (in
brief)
IV 4 (T) Explain clinical Clinical Enzymology  Lecture cum  Essay
enzymology in  Isoenzymes – Definition & Discussion  Short answer
various disease properties  Explain using  Very short
conditions  Enzymes of diagnostic charts, models answer
importance in andslides
o Liver Diseases – ALT,
AST, ALP,GGT
o Myocardial infarction –
CK, cardiactroponins,
AST, LDH
o Muscle diseases – CK,
Aldolase
o Bone diseases – ALP
o Prostate cancer – PSA, ACP
V 3 (T) Explain acid base Acid base maintenance  Lecture cum  Short answer
balance, imbalance  pH – definition, normal value Discussion  Very short
and its clinical  Regulation of blood pH –  Explain using answer
significance blood buffer, respiratory & charts and slides
renal
 ABG – normal values
 Acid base disorders – types,
definition & causes

66
VI 2 (T) Describe the Heme catabolism  Lecture cum  Short answer
metabolism of  Heme degradation pathway Discussion  Very short
hemoglobin and its  Jaundice – type, causes,  Explain using answer
clinical significance urine & blood charts and slides
investigations (van den
berg test)
VII 3 (T) Explain different Organ function tests  Lecture cum  Short answer
function tests and (biochemical parameters Discussion  Very short
interpret the & normal values only)  Visit to Lab answer
findings  Renal  Explain using
 Liver charts and slides
 Thyroid
VIII 3 (T) Illustrate the Immunochemistry  Lecture cum  Short answer
immuno-chemistry  Structure & functions of Discussion  Very short
immunoglobulin  Explain using answer
 Investigations & interpretation charts and slides
– ELISA  Demonstration of
laboratory tests

Note: Few lab hours can be planned for observation and visits (Less than 1 credit, lab hours are not
specified separately).

************

67
 APPLIED NUTRITION AND DIETETICS

PLACEMENT: II SEMESTER THEORY: 3 credits (60 hours)

Theory : 45 hours
Lab : 15 hours

DESCRIPTION:

The course is designed to assist the students to acquire basic knowledge and understanding of
theprinciples 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.

68
 COURSE OUTLINE

T – Theory

Teaching /
Time Learning Assessment
Unit Content Learning
(Hrs) Outcomes Methods
Activities
I 2 (T) Define nutrition Introduction to Nutrition  Lecture cum  Essay
and its relationship Concepts Discussion  Short answer
to Health  Definition of Nutrition &  Charts / Slides  Very short
Health answer
 Malnutrition – Under
Nutrition & OverNutrition
 Role of Nutrition in
maintaining health
 Factors affecting food and
nutrition
Nutrients
 Classification
 Macro & Micronutrients
 Organic & Inorganic
 Energy Yielding & Non-
Energy Yielding
Food
 Classification – Food groups
 Origin
II 3 (T) Describe the Carbohydrates  Lecture cum  Essay
classification,  Composition – Starches, Discussion  Short answer
functions, sugar andcellulose  Charts / Slides  Very short
sourcesand  Recommended Daily Allowance  Models answer
recommended (RDA)  Display of
daily allowances  Dietary sources fooditems
(RDA) of  Functions
carbohydrates Energy
Explain BMR and  Unit of energy – Kcal
factors affecting  Basal Metabolic Rate (BMR)
BMR  Factors affecting BMR
III 3 (T) Describe the Proteins  Lecture cum  Essay
classification,  Composition Discussion  Short answer
Functions, sources  Eight essential amino acids  Charts / Slides  Very short
and RDA of  Functions  Models answer
proteins.  Dietary sources  Display of food
 Protein requirements – RDA items
IV 2 (T) Describe the Fats  Lecture cum  Essay
classification,  Classification – Saturated & Discussion  Short answer
Functions, sources unsaturated  Charts / Slides  Very short
and RDA of fats  Calorie value  Models answer
 Functions  Display of

69
  Dietary sources of fats and fatty food items
acids
 Fat requirements – RDA
V 3 (T) Describe the Vitamins  Lecture cum  Essay
classification,  Classification – fat soluble & Discussion  Short answer
functions, watersoluble  Charts / Slides  Very short
sourcesand RDA  Fat soluble – Vitamins A, D, E,and K  Models answer
of vitamins  Water soluble – Thiamine (vitamin  Display of
B1), Riboflavin (vitamin B2), fooditems
Nicotinic acid, Pyridoxine (vitamin
B6), Pantothenic acid, Folic acid,
Vitamin B12,Ascorbic acid
(vitamin C)
 Functions, Dietary Sources &
Requirements – RDA of every
vitamin
VI 3 (T) Describe the Minerals  Lecture cum  Short answer
classification,  Classification – Major minerals Discussion  Very short
functions, (Calcium, phosphorus, sodium,  Charts / Slides answer
sourcesand RDA potassium and magnesium) and  Models
of minerals Trace elements  Display of
 Functions fooditems
 Dietary Sources
 Requirements – RDA
VII 7 (T) Describe and plan Balanced diet  Lecture cum  Short answer
8 (L) balanced diet for  Definition, principles, steps Discussion  Very short
different age  Food guides – Basic Four Food  Meal planning answer
groups, Groups  Lab session on
pregnancy,and  RDA – Definition, limitations, uses o Preparation
lactation  Food Exchange System of balanced
 Calculation of nutritive value of diet for
foods different
 Dietary fibre categories
Nutrition across life cycle o Low cost
 Meal planning / Menu planning – nutritious
Definition, principles, steps dishes
 Infant and Young Child Feeding
(IYCF)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 foranemic pregnant women,
iron & folic acid supplementation
and counseling
 Nutrition in lactation – nutritional
70
 requirements, diet for lactating
mothers,complementary feeding/
weaning
VIII 6 (T) Classify and Nutritional deficiency disorders  Lecture cum  Essay
describe the  Protein energy malnutrition – Discussion  Short answer
common magnitudeof the problem, causes,  Charts/Slides  Very short
nutritional classification, signs & symptoms,  Models answer
deficiency Severe acute malnutrition (SAM),
disordersand management & prevention and
identify nurses‘ nurses‘ role
role in  Childhood obesity – signs &
assessment, symptoms,assessment,
management and management & prevention and
prevention nurses‘ role
 Vitamin deficiency disorders –
vitamin A,B, C & D deficiency
disorders –causes, signs &
symptoms, management &
prevention and nurses‘ role
 Mineral deficiency diseases – iron,
iodineand calcium deficiencies –
causes, signs & symptoms,
management & prevention and
nurses‘ role
IX 4 (T) Principles of Therapeutic diets  Lecture cum  Essay
7 (L) diets in various  Definition, Objectives, Principles Discussion  Short answer
diseases  Modifications – Consistency,  Meal planning  Very short
Nutrients,  Lab session on answer
 Feeding techniques. preparation of
 Diet in Diseases – Obesity, therapeutic diets
Diabetes Mellitus, CVD,
Underweight, Renal diseases,
Hepatic disorders Constipation,
Diarrhea, Pre and Post-operative
period
X 3 (T) Describe the rules Cookery rules and  Lecture cum  Essay
and preservation preservation ofnutrients Discussion  Short answer
ofnutrients  Cooking – Methods, Advantages  Charts/Slides  Very short
and Disadvantages answer
 Preservation of nutrients
 Measures to prevent loss of
nutrientsduring preparation
 Safe food handling and Storage of
foods
 Food preservation
 Food additives and food
adulteration
 Prevention of Food Adulteration
Act(PFA)
71
  Food standards
XI 4 (T) Explain the Nutrition assessment and  Lecture cum  Essay
methods of nutritioneducation Discussion  Short answer
nutritional  Objectives of nutritional  Demonstration  Evaluation of
assessment and assessment  Writing Nutritional
nutrition  Methods of assessment – clinical nutritional assessment
education examination, anthropometry, assessment report
laboratory & biochemical report
assessment, assessment of
dietary intake including Food
frequency questionnaire (FFQ)
method
 Nutrition education – purposes,
principlesand methods
XII 3 (T) Describe National Nutritional Programs and  Lecture cum  Essay
nutritional role of nurse Discussion  Short answer
problems in India  Nutritional problems in India  Very short
and nutritional  National nutritional policy answer
programs  National nutritional programs –
Vitamin A Supplementation,
Anemia Mukth BharatProgram,
Integrated Child Development
Services (ICDS), Mid-day Meal
Scheme (MDMS), National Iodine
Deficiency Disorders Control
Program (NIDDCP), Weekly Iron
Folic Acid Supplementation(WIFS)
and others as introduced
 Role of nurse in every program
XIII 2 (T) Discuss the Food safety  Guided  Quiz
importance of  Definition, Food safety reading on  Short answer
foodhygiene and considerations and measures related acts
food safety  Food safety regulatory measures in
India – Relevant Acts
 Five keys to safer food
Explain the  Food storage, food handling and
Actsrelated to cooking
food safety  General principles of food storage
of fooditems (ex. milk, meat)
 Role of food handlers in food
bornediseases
 Essential steps in safe cooking
practices

Food borne diseases and food poisoning are dealt in Community Health Nursing – I

************

72
 NURSING FOUNDATION - II (including Health Assessment Module)

PLACEMENT: II SEMESTER THEORY: 6 Credits (120 hours)

PRACTICUM: Skill Lab: 3 Credits (120 hours)
Clinical: 4 Credits (320 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 fundamentals of health assessment and perform health

assessment in supervised clinicalsettings
2. Demonstrate fundamental skills of assessment, planning, implementation and evaluation of
nursing care using Nursingprocess approach in supervised clinical settings
3. Assess the Nutritional needs of patients and provide relevant care under supervision
4. Identify and meet the hygienic needs of patients
5. Identify and meet the elimination needs of patient
6. Interpret findings of specimen testing applying the knowledge of normal values
7. Promote oxygenation based on identified oxygenation needs of patients under supervision
8. Review the concept of fluid, electrolyte balance integrating the knowledge of applied physiology
9. Apply the knowledge of the principles, routes, effects of administration of medications in
administering medication
10. Calculate conversions of drugs and dosages within and between systems of measurements
11. Demonstrate knowledge and understanding in caring for patients with altered functioning of
sense organs andunconsciousness
12. Explain loss, death and grief
13. Describe sexual development and sexuality
14. Identify stressors and stress adaptation modes
15. Integrate the knowledge of culture and cultural differences in meeting the spiritual needs
16. Explain the introductory concepts relevant to models of health and illness in patient care

* Mandatory Module used in Teaching / Learning:

Health Assessment Module: 40 hours

73
 COURSE OUTLINE

T – Theory, SL – Skill Lab

Unit Time Learning Teaching/ Learning Assessment

(Hrs) Outcomes Content
Activities Methods
I 20 (T) Describe the Health Assessment  Modular Learning  Essay
20 purpose and  Interview techniques  * Health  Short answer
(SL) processof  Observation techniques Assessment  MCQ
health  Purposes of health assessment Module  OSCE
assessment  Process of Health assessment  Lecture cum
and perform o Health history Discussion
assessment o Physical examination:  Demonstration
under  Methods: Inspection,
supervised Palpation, Percussion,
clinical practice Auscultation,
Olfaction
 Preparation for
examination:patient
and unit
 General assessment
 Assessment of each body
system
 Documenting health
assessmentfindings
II 13 (T) Describe The Nursing Process  Lecture  Essay
8 (SL) assessment,  Critical Thinking Competencies,  Discussion  Short answer
planning, Attitudes for Critical Thinking,  Demonstration  MCQ
implementation Levels ofcritical thinking in  Supervised Clinical  Evaluation of
andevaluation Nursing Practice care plan
of nursing care  Nursing Process Overview
using Nursing o Assessment
process  Collection of Data: Types,
approach Sources, 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
74
  Difference between
medical andnursing
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 planof care
 Types of care – Direct and
Indirect
o Evaluation
 Evaluation Process,
Documentation and
Reporting
III 5 (T) Identify and Nutritional needs  Lecture  Essay
5 (SL) meet the  Importance  Discussion  Short answer
Nutritional  Factors affecting nutritional  Demonstration  MCQ
needs of needs  Exercise  Evaluation of
patients  Assessment of nutritional status  Supervised nutritional
 Review: special diets – Solid, Clinical practice assessment &
Liquid,Soft diet planning
 Review on therapeutic diets
 Care of patient with Dysphagia,
Anorexia, Nausea, Vomiting
 Meeting Nutritional needs:
Principles,equipment, procedure,
indications
o Oral
o Enteral: Nasogastric /
Orogastric
o Introduction to other
enteral feeds – types,
75
 indications, Gastrostomy,
Jejunostomy
o Parenteral – TPN (Total
Parenteral Nutrition)
IV 5 (T) Identify and Hygiene  Lecture  Essay
15 meet the  Factors Influencing Hygienic  Discussion  Short answer
(SL) hygienic Practice  Demonstration  MCQ
needsof  Hygienic care: Indications and  OSCE
patients purposes, effects of neglected
care
o Care of the Skin – (Bath, feet
and nail,Hair Care)
o Care of pressure points
o Assessment of Pressure
Ulcers usingBraden Scale and
Norton Scale
o Pressure ulcers – causes,
stages andmanifestations,
care and prevention
o Perineal care / Meatal care
o Oral care, Care of Eyes, Ears
and Nose including assistive
devices (eye glasses, contact
lens, dentures, hearingaid)
V 10 (T) Identify and Elimination needs  Lecture  Essay
10 meetthe  Urinary Elimination  Discussion  Short answer
(SL) elimination • Review of Physiology  Demonstration  MCQ
needs of of Urine Elimination,  OSCE
patient Composition and
characteristics of
urine
• Factors Influencing
Urination
• Alteration in Urinary
Elimination
• Facilitating urine
elimination:
assessment, types,
equipment,procedures
and special
considerations
• Providing urinal / bed
pan
• Care of patients with
 Condom drainage
 Intermittent Catheterization
 Indwelling Urinary
catheter andurinary
drainage
76
  Urinary diversions
 Bladder irrigation
 Bowel Elimination
• Review of Physiology of
BowelElimination,
Composition and
characteristics of feces
• Factors affecting Bowel
elimination
• Alteration in Bowel
Elimination
• Facilitating bowel
elimination:
Assessment,
equipment,
procedures
• Enemas
• Suppository
• Bowel wash
• Digital Evacuation
of impactedfeces
 Care of patients with
Ostomies (Bowel Diversion
Procedures)
VI 3 (T) Explain various Diagnostic  Lecture  Essay
4 (SL) types of testing  Discussion  Short answer
specimens and  Phases of diagnostic testing  Demonstration  MCQ
identify normal (pre-test,intra-test & post-test)
values of tests in Common investigations and
clinical implications
o Complete Blood Count
Develop skill in o Serum Electrolytes LFT
specimen o Lipid / Lipoprotein profile
collection, o Serum Glucose – AC, PC,
handlingand HbA1c
transport o Monitoring Capillary Blood
Glucose (Glucometer
Random Blood Sugar –
GRBS)
o Stool Routine Examination
o Urine Testing – Albumin,
Acetone, pH, Specific
Gravity
o Urine Culture, Routine,
TimedUrine Specimen
o Sputum culture
o Overview of Radiologic &
Endoscopic Procedures

77
 VII 11 (T) Assess Oxygenation needs  Lecture  Essay
10 patients for  Review of Cardiovascular  Discussion  Short answer
(SL) oxygenation andRespiratory Physiology  Demonstration  MCQ
needs,promote  Factors affecting &
oxygenation respiratoryfunctioning Re-demonstration
and provide  Alterations in Respiratory
care during Functioning
oxygen therapy  Conditions affecting
o Airway
o Movement of air
o Diffusion
o Oxygen transport
 Alterations in oxygenation
 Nursing interventions to
promoteoxygenation:
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
oxygensaturation using
pulse oximeter,
Interpretation
 Restorative & continuing
care
o Hydration
o Humidification
o Coughing techniques
o Breathing exercises
o Incentive spirometry
VIII 5 (T) Describe the Fluid, Electrolyte, and Acid –  Lecture  Essay
10 concept of BaseBalances  Discussion  Short answer
(SL) fluid,  Review of Physiological  Demonstration  MCQ
electrolyte Regulation ofFluid, Electrolyte  Problem
balance and Acid-Base Balances solving –
 Factors Affecting Fluid, Electrolyte calculations
and Acid-Base Balances
 Disturbances in fluid volume:
o Deficit
 Hypovolemia
78
  Dehydration
o Excess
 Fluid overload
 Edema
 Electrolyte imbalances
(hypo andhyper)
o Acid-base imbalances
 Metabolic – acidosis &
alkalosis
 Respiratory – acidosis &
alkalosis
 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
IX 20 (T) Explain the Administration of Medications  Lecture  Essay
22 principles,  Introduction – Definition of  Discussion  Short answer
(SL) routes,effects Medication, Administration of  Demonstration  MCQ
of Medication, Drug Nomenclature, &  OSCE
administration Effectsof Drugs, Forms of Re-demonstration
of medications Medications, Purposes,
Pharmacodynamics and
Pharmacokinetics
Calculate  Factors influencing Medication
conversions of Action
drugs and  Medication orders and
dosages within Prescriptions
and between  Systems of measurement
systems of  Medication dose calculation
measurements  Principles, 10 rights of Medication
Administration
Administer oral  Errors in Medication
andtopical administration
medication and  Routes of administration
document  Storage and maintenance of
accurately
drugs and Nurses responsibility
under
 Terminologies and abbreviations
supervision
used in prescriptions and

79
 medications orders
 Developmental considerations
 Oral, Sublingual and Buccal
routes:Equipment, procedure
 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 routesand sites.
 Equipment – Syringes &
needles, cannulas, Infusion
sets – parts, types,sizes
 Types of vials and ampoules,
Preparing Injectable
medicines fromvials and
ampoules
o Care of equipment:
decontaminationand
disposal of syringes,
needles, infusion sets
o Prevention of Needle-Stick
Injuries
 Topical Administration: Types,
purposes, site, equipment,
procedure
o Application to skin &
mucousmembrane
o Direct application of liquids,
Gargleand swabbing the
throat
o Insertion of Drug into body
cavity: Suppository / medicated
packing inrectum / vagina
o Instillations: Ear, Eye, Nasal,
Bladder,and Rectal
o Irrigations: Eye, Ear, Bladder,
Vaginaland 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
80
 ofepidural, intrathecal,
intraosseous, intra-peritoneal,
intra-pleural, intra- arterial
X 5 (T) Provide care to Sensory needs  Lecture  Essay
6 (SL) patients with  Introduction  Discussion  Short answer
altered  Components of sensory  Demonstration  MCQ
functioning of experience –Reception,
senseorgans Perception & Reaction
and  Arousal Mechanism
unconsciousne  Factors affecting sensory
ss in function
supervised  Assessment of Sensory
clinical practice alterations – sensory deficit,
deprivation, overload &sensory
poverty
 Management
 Promoting meaningful
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
XI 4 (T) Explain loss, Care of Terminally ill, death and  Lecture  Essay
6 (SL) deathand grief dying  Discussion  Short answer
 Loss – Types  Case discussions  MCQ
 Grief, Bereavement & Mourning  Death care /
 Types of Grief responses last office
 Manifestations of Grief
 Factors influencing Loss & Grief
Responses
 Theories of Grief & Loss –
KublerRoss
 5 Stages of Dying
 The R Process model (Rando‘s)
 Death – Definition, Meaning,
Types
(Brain & Circulatory Deaths)
 Signs of Impending Death
 Dying patient‘s Bill of Rights

81
  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)
XII 3 (T) Develop A. Self-concept  Lecture  Essay
basic  Introduction  Discussion  Short answer
understandi  Components (Personal Identity,  Demonstration  MCQ
ng ofself- BodyImage, Role Performance,  Case
concept Self Esteem) Discussion /
 Factors affecting Self Concept Role play
 Nursing Management
XIII 2 (T) Describe B. Sexuality  Lecture  Essay
sexual  Sexual development throughout  Discussion  Short answer
development life  MCQ
andsexuality  Sexual health
 Sexual orientation
 Factors affecting sexuality
Prevention of STIs, unwanted
pregnancy, avoiding sexual
harassmentand abuse
 Dealing with inappropriate sexual
behavior
XIV 2 (T) Describe C. Stress and  Lecture  Essay
4 (SL) stress and Adaptation –  Discussion  Short answer
adaptation Introductory concepts  MCQ
 Introduction
 Sources, Effects, Indicators &
Types of Stress
 Types of stressors
 Stress Adaptation – General
Adaptation Syndrome (GAS), Local
Adaptation Syndrome (LAS)
 Manifestation of stress –
Physical & Psychological
 Coping strategies / Mechanisms
 Stress Management

82
 o Assist with coping and
adaptation
o Creating therapeutic
environment
 Recreational and diversion
therapies
XV 6 (T) Explain culture D. Concepts of Cultural Diversity  Lecture  Essay
andcultural andSpirituality  Discussion  Short answer
norms  Cultural diversity  MCQ
o Cultural Concepts – Culture,
Subculture, Multicultural,
Integrate Diversity, Race, Acculturation,
cultural Assimilation
differences o Transcultural Nursing
and spiritual o Cultural Competence
needs in o Providing Culturally Responsive
providing Care
care to  Spirituality
patients o Concepts – Faith, Hope,
under Religion,
supervision Spirituality, Spiritual Wellbeing
o Factors affecting Spirituality
o Spiritual Problems in Acute,
Chronic,Terminal illnesses &
Near-Death Experience
o Dealing with Spiritual Distress /
Problems
XVI 6 (T) Explain the Nursing Theories: Introduction  Lecture  Essay
significanc  Meaning & Definition, Purposes,  Discussion  Short answer
e of nursing Types of theories with examples,  MCQ
theories Overview of selected nursing
theories – Nightingale, Orem, Roy
 Use of theories in nursing
practice

83
 CLINICAL PRACTICUM

Clinical: 4 Credits (320 hours)

PRACT|ICE COMPETENCIES:

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

1. Perform health assessment of each body system

2. Develop skills in assessment, planning, implementation and evaluation of nursing care using
Nursing process approach

3. Identify and meet the Nutritional needs of patients

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

5. Plan and Implement care to meet the elimination needs of patient

6. Develop skills in instructing and collecting samples for investigation.

7. Perform simple lab tests and analyze & interpret common diagnostic values

8. Identify patients with impaired oxygenation and demonstrate skill in caring for patients with
impaired oxygenation

9. Identify and demonstrate skill in caring for patients with fluid, electrolyte and acid – base
imbalances

10. Assess, plan, implement & evaluate the basic care needs of patients with altered
functioning of sense organs andunconsciousness

11. Care for terminally ill and dying patients

84
 SKILL LAB
Use of Mannequins and Simulators

Sl.
Competencies Mode of Teaching
No.
1. Health Assessment Standardized Patient
2. Nutritional Assessment Standardized Patient
3. Sponge bath, oral hygiene, perineal care Mannequin
4. Nasogastric tube feeding Trainer/ Simulator
5. Providing bed pan & urinal Mannequin
6. Catheter care Catheterization Trainer
7. Bowel wash, enema, insertion of suppository Simulator/ Mannequin
Oxygen administration – face mask, venture
8. Mannequin
mask, nasal prongs
Administration of medication through IM injection trainer, ID injection trainer, IV arm
9.
Parenteral route – IM, SC, ID, IV (Trainer)
10. Last Office Mannequin

85
 CLINICAL POSTINGS

General Medical / Surgical Wards

(16 weeks × 20 hours per week = 320 hours)

Procedural
Clinical Duration Learning Competencies/Clinical Clinical
Assessment Methods
Unit (Weeks) Outcomes Skills (Supervised Requirements
Clinical Practice)
General 3 Perform health Health Assessment  History  Assessment of
Medical/ assessment of  Nursing/Health history Taking – 2 clinical skills
Surgical eachbody system taking  Physical using checklist
wards  Perform physical examination  OSCE
examination: –2
o General
o Body systems
 Use various methods of
physical examination –
Inspection, Palpation,
Percussion, Auscultation,
Olfaction
 Identification of
system wise deviations
 Documentation of
findings
1 Develop skills in The Nursing Process  Nursing  Evaluation of
assessment, planning,  Prepare Nursing care process – 1 Nursing
implementation and plan forthe patient processwith
evaluation of nursing based on the given case criteria
care using Nursing scenario
process approach
2 Identify and meet Nutritional needs,  Nutritional  Assessment of
theNutritional needs Eliminationneeds& Assessment clinical skills
of patients Diagnostic testing andClinical using checklist
Nutritional needs Presentation  OSCE
 Nutritional –1
Assessment
 Preparation of
Nasogastric tube
feed
 Nasogastric tube
feeding
Implement basic Hygiene
nursing techniques  Care of Skin & Hair:  Pressure sore
inmeeting hygienic – Sponge Bath/ Bed bath assessment –
needs of patients – Care of pressure points 1
& backmassage
 Pressure sore risk
assessmentusing
86
 Braden/Norton
scale
– Hair wash
– Pediculosis treatment
 Oral Hygiene
 Perineal Hygiene
 Catheter care
2 Plan and Elimination needs  Clinical  Assessment
Implementcare to  Providing Presentation ofclinical skills
meet the – Urinal on Care of using checklist
elimination needs – Bedpan patient with  OSCE
ofpatient  Insertion of Constipation
Suppository –1
 Enema
Develop skills in  Urinary Catheter
instructing and care
collecting samples  Care of urinary  Lab values –
forinvestigation. drainage interpretation
Diagnostic testing
 Specimen
Perform simple lab Collection
tests and analyze & o Urine routine and
interpret common culture
diagnostic values o Stool routine
o Sputum Culture
 Perform
simple Lab
Testsusing
reagent strips
o Urine – Glucose,
Albumin, Acetone,
pH, Specific gravity
 Blood – GRBS
Monitoring
Identify patients with Oxygenation needs,  Assessment
impaired Fluid, Electrolyte, and ofclinical skills
oxygenationand Acid – BaseBalances using checklist
demonstrate skillin Oxygenation needs  OSCE
caring for patients  Oxygen
with impaired administration
oxygenation methods
o Nasal Prongs
o Face Mask / Venturi
Mask
 Steam inhalation
 Chest
Physiotherapy
 Deep Breathing
& Coughing
87
 Exercises  Assessment
Identify and  Oral Suctioning ofclinical skills
demonstrate skill in Fluid, Electrolyte, and using checklist
caring for patients Acid –Base Balances  OSCE
withfluid, electrolyte  Maintaining intake
and acid – base output chart
imbalances  Identify & report
complicationsof IV
therapy
 Observe Blood &
Blood
Component
therapy
 Identify & Report
Complications of
Blood & Blood
Component therapy
3 Explain the principles, Administration of  Assessment of
routes, effects of Medications clinical skills
administration of  Calculate Drug Dosages using checklist
medications  Preparation of lotions &  OSCE
Calculate solutions
conversionsof drugs  Administer Medications
and dosages within o Oral
and between o Topical
systems of o Inhalations
Measurements o Parenteral
 Intradermal
Administer drugs by  Subcutaneous
the following routes-  Intramuscular
Oral, Intradermal,  Installations
Subcutaneous, o Eye, Ear, Nose
Intramuscular, Intra instillation of medicated
Venous Topical, drops, nasal sprays
inhalation irrigations
2 Assess, plan, Sensory Needs and Care  Nursing  Assessment
implement & evaluate of Unconscious patients, rounds on ofclinical skills
the basic care needs Care of Terminally ill, careof using checklist
ofpatients with death and dying patient  OSCE
altered functioning of Sensory Needs and withaltered
sense organs and Care ofUnconscious sensorium
unconsciousness patients
 Assessment of Level of of
Care for terminally ill Consciousness using
and dying patients GlasgowComa Scale  Assessment
Terminally ill, death and ofclinical skills
dying using checklist
 Death Care
************
88
 HEALTH / NURSING INFORMATICS AND TECHNOLOGY

PLACEMENT: II SEMESTER THEORY: 2 Credits (40 hours)

PRACTICAL / LAB: 1
Credit (40 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 efficient healthcare.
4. Demonstrate the use of information system in healthcare for patient care and utilization of
nursing data.
5. Demonstrate the knowledge of using Electronic Health Records (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 Nursing Information System (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.

89
 COURSE OUTLINE

T – Theory, P/L – Lab

Time
(Hrs) Teaching/ Assessment
Unit Learning Outcomes Content
LearningActivities Methods
T P/L
I 10 15 Describe the Introduction to 
Lecture (T)
importance of computer applications 
Discussion  Short answer
computer and for patient caredelivery 
Practice session  MCQ
technology in system and nursing 
Supervised  Visit reports
patientcare and practice clinical practice  Assessment
nursing practice  Use of computers in on EHR use of
teaching,learning,  Participate in data assignments
research and nursing analysis using
practice statisticalpackage
with statistician
Demonstrate the  Windows, MS office: Word,  Visit to hospitals (P)
use of computer Excel, Power Point withdifferent  Assessment of
and technology in  Internet hospital skills using
patientcare, nursing  Literature search management checklist
education, practice,  Statistical packages systems
administration and  Hospital management
research. information system
II 4 5 Describe the Principles of Health  Lecture (T)
principles of Informatics  Discussion  Essay
healthinformatics  Health informatics –  Practical session  Short answer
needs,objectives and  Work in groups with  MCQ
Explain the ways limitations health informatics  Assessment
data, knowledge  Use of data, information team in a hospital to ofreport
andinformation can and knowledge for more extract nursing data
be used for effective healthcare and and preparea report
effective better health
healthcare
III 3 5 Describe the Information  Lecture (T)
concepts of Systems in  Discussion  Essay
information Healthcare  Demonstration  Short answer
systemin health  Introduction to the role  Practical session  MCQ
and architecture of  Work in groups with
Demonstrate the information systems in nurse leaders to
use of health modern healthcare understand the
informationsystem environments hospitalinformation
in hospital setting  Clinical Information system
System(CIS)/Hospital
information System (HIS)

90
IV 4 4 Explain the use Shared Care &  Lecture (T)
ofelectronic ElectronicHealth  Discussion  Essay
health records in Records  Practice on  Short answer
nursingpractice  Challenges of capturing SimulatedEHR  MCQ
rich patient histories in a system
computableform  Practical session (P)
Describe the latest  Latest global  Visit to health  Assessment
trend in electronic developments and informatics ofskills using
health records standards to enable department of a checklist
standards and lifelong electronic health hospital to
interoperability records to be integrated understand the use
from disparate systems. of EHR in nursing
practice
 Prepare a report on
current EHR
standardsin Indian
setting
V 3 Describe the Patient Safety & Clinical  Lecture (T)
advantages and Risk  Discussion  Essay
limitations of  Relationship between  Short answer
healthinformatics patientsafety and  MCQ
in maintaining informatics
patient safety and  Function and application
risk management of therisk management
process
VI 3 6 Explain the Clinical Knowledge &  Lecture (T)
importance DecisionMaking  Discussion  Essay
ofknowledge  Role of knowledge  Demonstration  Short answer
management managementin improving  Practical session  MCQ
decision-making in both  Work in groups to
the clinical and policy prepare a report on
Describe the contexts standardized
standardized  Systematized languagesused in
languages used Nomenclature of health informatics.
inhealth Medicine, Clinical Terms,  Visit health
informatics SNOMED CT to ICD-10- informatics
CM Map, standardized department to
nursing terminologies understand the
(NANDA, NOC), Omaha standardized
system languagesused in
hospital setting

91
VII 3 Explain the use of eHealth: Patients  Lecture  Essay
information and and theInternet  Discussion  Short answer
communication  Use of information and  Demonstration  MCQ
technology in communication  Practical exam
patientcare technology to improve or
enable personal and
Explain the public healthcare
application of  Introduction to public
publichealth health informatics and
informatics role of nurses
VIII 3 5 Describe the Using Information in  Lecture (T)
functions of HealthcareManagement  Discussion  Essay
nursinginformation  Components of Nursing  Demonstration on  Short answer
system Information system(NIS) simulated NIS  MCQ
 Evaluation, analysis and software
Explain the use presentation of  Visit to health
ofhealthcare healthcare datato informatics
data in inform decisions in the departmentof the
management of management of health- hospital to
health care care organizations understand use of
organization healthcare data in
decision making
IX 4 Describe the Information Law &  Lecture (T)
ethicaland legal Governancein Clinical  Discussion  Essay
issues in Practice  Case discussion  Short answer
healthcare  Ethical-legal issues  Role play  MCQ
informatics pertaining tohealthcare
information in
Explains the contemporary clinical
ethicaland legal practice
issues related to  Ethical-legal issues related
nursing to digital health applied to
informatics nursing
X 3 Explain the Healthcare Quality &  Lecture (T)
relevance of EvidenceBased Practice  Discussion  Essay
evidence-based  Use of scientific  Case study  Short answer
practices in evidence inimproving  MCQ
providing quality the quality of
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.
 Develop skill in conducting literature review.
************
92
 APPLIED MICROBIOLOGY AND INFECTION CONTROL INCLUDING SAFETY

PLACEMENT: III SEMESTER THEORY: 2 Credits (40 hours)

PRACTICAL: 1 Credit (40 hours)
(Lab / Experiential Learning – L/E)

SECTION A: APPLIED MICROBIOLOGY

THEORY: 20 hours PRACTICAL: 20 hours

(Lab / Experiential Learning – L/E)

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.

93
 COURSE OUTLINE

T – Theory, L / E – Lab / Experiential Learning

Time (Hrs) Learning Teaching / Learning Assessment

Unit Content
T P Outcomes Activities Methods
I 3 Explain conceptsand Introduction:  Lecture cum  Short answer
principles of  Importance and Discussion  MCQ
microbiology andits relevance to nursing
importance in  Historical perspective
nursing  Concepts and
terminology
 Principles of
microbiology
II 10 10 (L/E) Describe structure, General characteristics  Lecture cum  Short answer
classification of Microbes: Discussion  MCQ
morphology and  Structure and  Demonstration
growth of bacteria classification of  Experiential
Microbes Learning
 Morphological types throughvisual
Identify  Size and form of
Microorganisms bacteria
 Motility
 Colonization
 Growth and nutrition
of microbes
 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
differentialmedia.
Pure culture
techniques – tube
94
 dilution, pour, spread,
streak plate.
Anaerobic cultivation
of bacteria
III 4 6 (L/E) Describe the Pathogenic organisms  Lecture cum  Short answer
different disease  Micro-organisms: Discussion  MCQ
producing Cocci – gram positive  Demonstration
organisms and gram negative;  Experiential
Bacilli –gram positive 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 Discussion  Short answer
concepts of o Immunity: Types,  Demonstration  MCQ
immunity, classification  Visit to observe  Visit report
hyper o Antigen and vaccine storage
sensitivity and antibody  Clinical practice
immunization reaction
o Hypersensitivity
reactions
o Serological tests
o Immunoglobulin
s: Structure,
types &
properties
o Vaccines: Types
& classification,
storage and
handling, cold
chain,
Immunization
for various
diseases
o Immunization
Schedule
************
95
 SECTION B: INFECTION CONTROL & SAFETY

THEORY: 20 hours PRACTICAL: 20 hours

(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.

COMPETENCIES:

On completion of the course, 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.

96
 COURSE OUTLINE

T – Theory, L/E – Lab/Experiential Learning

Time (Hrs) Learning Teaching/ Assessment

Unit Content
T P Outcomes LearningActivities Methods
I 2 2 (E) Summarize the HAI (Hospital acquired  Lecture &  Knowledge
evidence based Infection) Discussion assessment
and effective  Hospital acquired infection  Experiential  MCQ
patient care  Bundle approach learning  Short answer
practices for the - Prevention of
prevention of Urinary Tract
common Infection (UTI)
healthcare - Prevention of
associated Surgical Site
infections in the Infection (SSI)
Healthcare setting Prevention of Ventilator
Associated events (VAE)
- Prevention of Central
LineAssociated
Blood Stream
Infection (CLABSI)
- Surveillance of HAI –
Infection control team &
Infection control
committee
II 3 4 (L) Demonstrate Isolation Precautions  Lecture  Performance
appropriate useof and use of Personal  Demonstration & assessment
different types of Protective Equipment Re-demonstration  OSCE
PPEs and the (PPE)
critical use of  Types of isolation
risk assessment system, standard
precaution and
transmission-based
precautions (Direct
Contact, Droplet, Indirect)
 Epidemiology &
Infection prevention
– CDC guidelines
 Effective use of PPE
III 1 2 (L) Demonstrate the Hand Hygiene  Lecture  Performance
hand hygiene  Types of Hand hygiene.  Demonstration & assessment
practice and its  Hand washing and use Re-demonstration
effectiveness on of alcohol hand rub
infection control  Moments of Hand Hygiene
 WHO hand hygiene
promotion

97
IV 1 2 (E) Illustrates Disinfection and sterilization  Lecture  Short answer
disinfection and  Definitions  Discussion  MCQ
sterilization in the  Types of  Experiential
healthcare setting disinfection and learning
sterilization throughvisit
 Environment cleaning
 Equipment Cleaning
 Guides on use of
disinfectants
 Spaulding‘s principle
V 1 Illustrate on Specimen Collection  Discussion  Knowledge
what, when, (Review) evaluation
how, why  Principle of specimen  Quiz
specimens are collection  Performance
collected to  Types of specimens assessment
optimize the  Collection techniques and  Checklist
diagnosis for specialconsiderations
treatment and  Appropriate containers
management.  Transportation of the
sample
 Staff precautions in
handlingspecimens
VI 2 2 (E) Explain on Bio BMW (Bio Medical  Discussion  Knowledge
Medical waste Waste  Demonstration assessment by
management & Management)  Experiential short answers
laundry  Laundry management learning  MCQ
management process and infection through visit  Performance
control and prevention assessment
 Waste management
process and infection
prevention
 Staff precautions
 Laundry management
 Country ordinance and
BMW National guidelines
2017: Segregation of
wastes, Colour coded
waste containers, waste
collection & storage,
Packaging & labeling,
Transportation
VII 2 Explain in detail Antibiotic stewardship  Lecture  Short answer
about Antibiotic  Importance of Antibiotic  Discussion  MCQ
stewardship, AMR Stewardship  Written  Assessment of
Describe MRSA/  Anti-Microbial Resistance assignment assignment
MDRO and its  Prevention of MRSA, – Recent AMR
prevention MDRO in healthcare (Antimicrobial
setting resistance)
guidelines
98
VIII 3 5 (L/E) Enlist the patient Patient Safety Indicators  Lecture  Knowledge
safety indicators  Care of Vulnerable patients  Demonstration assessment
followed in a  Prevention of Iatrogenic  Experiential  Performance
health care injury learning assessment
organization and  Care of lines, drains and  Checklist / OSCE
the role of nurse in tubing‘s
the patient safety  Restrain policy and care
audit process – 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
Captures and related tomedication
analyzes reconciliation and
incidents and administration
events for  Prevention of  Lecture  Knowledge
quality communication errors  Role play assessment
improvement  Prevention of HAI  Inquiry Based  Short answer
 Documentation Learning  MCQ

Incidents and adverse

Events
 Capturing of incidents
 RCA (Root Cause Analysis)
 CAPA (Corrective and
PreventiveAction)
 Report writing
IX 1 Enumerate IPSG IPSG (International Patient  Lecture  MCQ
and application of safetyGoals)  Role play
the goals in the  Identify patient correctly
patient care  Improve effective
settings. 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
99
X 2 3 (L/E) Enumerate the Safety protocol  Lecture  Mock drills
various safety  5S (Sort, Set in order,  Demonstration /  Post tests
protocols and its Shine,Standardize, Experiential  Checklist
applications Sustain) learning
 Radiation safety
 Laser safety
 Fire safety
- Types and classification
of fire
- Fire alarms
- Firefighting equipment
 HAZMAT (Hazardous
Materials)safety
- Types of spill
- Spillage management
- MSDS (Material Safety
DataSheets)
 Environmental safety
- Risk assessment
- Aspect impact analysis
- Maintenance of Temp
and Humidity
(Department wise)
- Audits
 Emergency Codes
 Role of Nurse in times of
disaster
XI 2 Explain importance Employee Safety Indicators  Lecture  Knowledge
of employee safety  Vaccination  Discussion assessment byshort
indicators  Needle stick injuries (NSI)  Lecture method answers
prevention  Journal review  MCQ
 Fall prevention  Short answer
 Radiation safety
Identify risk of  Annual health check
occupational
hazards, Healthcare Worker
prevention and Immunization Program and
post exposure management of
prophylaxis. occupational exposure
 Occupational health
ordinance
 Vaccination program for
healthcarestaff
 Needle stick injuries and
prevention and post
exposure prophylaxis

100
 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 transforming experience.
(Kolb, 1984). The experiential and 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 the need of the
learner, the concrete components and per conceptual components can
be in different order as they may require a variety of cognitive and
affective behaviors

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101
 PHARMACOLOGY – I

PLACEMENT: III SEMESTER THEORY: 1 Credit (20 hours)

DESCRIPTION:

This course is designed to enable students to acquire understanding of Pharmacodynamics,

Pharmacokinetics, principles of therapeutics and nursing implications.

COMPETENCIES:

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

1. Describe pharmacodynamics 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.

102
 COURSE OUTLINE

T – Theory

Time Learning Teaching / Learning Assessment

Unit Content
(Hrs) Outcomes Activities Methods
I 3 (T) Describe Introduction to Pharmacology  Lecture cum  Short answer
Pharmacodynamics,  Definitions & Branches Discussion  MCQ
Pharmacokinetics,  Nature & Sources of drugs  Guided reading and  Assessment of
Classification,  Dosage Forms and Routes of written assignment assignments
principles of drugadministration on schedule K drugs
administration of drugs  Terminology used
 Classification,
Abbreviations, Prescription,
Drug Calculation, Weights
and Measures
 Pharmacodynamics:
Actions, Drug Antagonism,
Synergism, Tolerance,
Receptors, Therapeutic,
adverse, toxiceffects,
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 (T) Describe antiseptics, Pharmacology of commonly  Lecture cum  Short answer
and disinfectant & usedantiseptics and Discussion  MCQ
nurse‘s responsibilities disinfectants  Drug study /
 Antiseptics and Disinfectant presentation
 Composition, action, dosage,
route,indications,
contraindications, Drug
interactions, side effects,
adverseeffects, toxicity and
role of nurse

103
III 2 (T) Describe drugs acting Drugs acting on G.I. system  Lecture cum  Short answer
on gastro-intestinal  Pharmacology of commonly Discussion  MCQ
system & nurse‘s used drugs  Drug study/
responsibilities o Emetics and Antiemetics presentation
o 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
IV 2 (T) Describe drugs acting on Drugs acting on respiratory  Lecture cum  Short answer
respiratory system & system Discussion  MCQ
nurse‘s responsibilities  Pharmacology of commonly  Drug study /
used presentation
o Antiasthmatics –
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

104
V 4 (T) Describe drugs used on Drugs used in treatment  Lecture cum  Short answer
cardio-vascular system of Cardiovascular Discussion  MCQ
& nurse‘s system and blood  Drug study /
responsibilities disorders presentation
 Haematinics, &
treatment of anemiaand
antiadrenergics
 Cholinergic and
anticholinergic
 Adrenergic Drugs
for CHF &
vasodilators
 Antianginals
 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
VI 2 (T) Describe the drugs used Drugs used in treatment of  Lecture cum  Short answer
in treatment of endocrinesystem disorders Discussion  MCQ
endocrine system  Insulin & oral hypoglycemics  Drug study /
disorders  Thyroid and anti-thyroid presentation
drugs
 Steroids
* Corticosteroids
* Anabolic steroids
 Calcitonin, parathormone,
vitamin D3,calcium
metabolism
* Calcium salts

105
VII 1 (T) Describe drugs used in Drugs used in treatment of  Lecture cum  Short answer
skin diseases & nurse‘s integumentary system Discussion  MCQ
responsibilities  Antihistaminics and  Drug study /
antipruritics presentation
 Topical applications for
skin- Benzylbenzoate,
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 (T) Explain drug therapy/ Drugs used in treatment of  Lecture cum  Short answer
chemotherapy of communicable diseases Discussion  MCQ
specific infections & (commoninfections,  Drug study/
infestations & nurse‘s infestations) presentation
responsibilities  General Principles for use of
Antimicrobials
 Pharmacology of
commonly used
drugs:
* Penicillin, Cephalosporin‘s,
Aminoglycosides,
Macrolide & broad
spectrum antibiotics,
Sulfonamides, quinolones,
Misc. antimicrobials
 Anaerobic infections
 Antitubercular drugs,
 Antileprosy drugs
 Antimalarials
 Antiretroviral drugs
 Antiviral agents
 Antihelminthics, Antiscabies
agents
 Antifungal agents
 Composition, action, dosage,
route,indications,
contraindications, Drug
interactions, side effects,
adverse effects, toxicity and
role of nurse

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106
 PATHOLOGY – I

PLACEMENT: III SEMESTER THEORY: 1 Credit (20 hours) (includes lab hours also)

DESCRIPTION:

This course is designed to enable students to acquire knowledge of pathology of various disease
conditions, understanding of genetics, its role in causation and management of defects and diseases
and to apply this knowledge in practice of nursing.

COMPETENCIES:

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

1. Apply the knowledge of pathology in understanding the deviations from normal to abnormal
pathology.

2. Rationalize the various laboratory investigations in diagnosing pathological disorders.

3. Demonstrate the understanding of the methods of collection of blood, body cavity fluids,
urine and feces for various tests.

4. Apply the knowledge of genetics in understanding the various pathological disorders.

5. Appreciate the various manifestations in patients with diagnosed genetic abnormalities.

6. Rationalize the specific diagnostic tests in the detection of genetic abnormalities.

7. Demonstrate the understanding of various services related to genetics.

107
 COURSE OUTLINE

T – Theory

Time Learning Teaching/ Learning Assessment

Unit Content
(Hrs) Outcomes Activities Methods
I 8 (T) Define the Introduction  Lecture  Short answer
common terms  Importance of the study of  Discussion  MCQ
used in pathology  Explain using slides
pathology  Definition of terms in pathology  Explain with
 Cell injury: Etiology, clinical
pathogenesis of reversibleand scenarios
Identify the irreversible cell injury,
deviations from Necrosis, Gangrene
normal to  Cellular adaptations: Atrophy,
abnormal Hypertrophy, Hyperplasia,
structure and Metaplasia, Dysplasia,
functions of body Apoptosis
system  Inflammation:
o Acute inflammation
(Vascular and Cellular
events, systemic effects
of acute inflammation)
o Chronic inflammation
(Granulomatous
inflammation, systemic
effects of chronic
inflammation)
 Wound healing
 Neoplasia: Nomenclature,
Normal and Cancercell,
Benign and malignant
tumors, Carcinoma in situ,
Tumor metastasis: general
mechanism,routes of spread
and examples of each route
 Circulatory disturbances:
Thrombosis,embolism, shock
 Disturbance of body fluids
and electrolytes:Edema,
Transudates and Exudates
II 5 (T) Explain Special Pathology  Lecture  Short answer
pathological Pathological changes in disease  Discussion  MCQ
changes in conditions ofselected systems:  Explain using slides,
disease 1. Respiratory system X-rays andscans
conditions of  Pulmonary infections:  Visit to pathology
various Pneumonia, Lungabscess, lab, endoscopy
systems pulmonary tuberculosis unitand OT
108
  Chronic Obstructive
Pulmonary Disease:
Chronic bronchitis,
Emphysema, Bronchial
Asthma, Bronchiectasis
 Tumors of Lungs
2. Cardio-vascular system
 Atherosclerosis
 Ischemia and Infarction
 Rheumatic Heart Disease
Infective endocarditis
3. Gastrointestinal tract
 Peptic ulcer disease
(Gastric and Duodenal
ulcer)
 Gastritis-H Pylori infection
 Oral mucosa: Oral
Leukoplakia, Squamous
cell carcinoma
 Esophageal cancer
 Gastric cancer
 Intestinal: Typhoid ulcer,
Inflammatory Bowel Disease
(Crohn‘s disease and
Ulcerative colitis), Colorectal
cancer
4. Liver, Gall Bladder and
Pancreas
 Liver: Hepatitis, Amoebic
Liver abscess,Cirrhosis of
Liver
 Gall bladder: Cholecystitis.
 Pancreas: Pancreatitis
 Tumors of liver, Gall bladder
and Pancreas
5. Skeletal system
 Bone: Bone healing,
Osteoporosis,Osteomyelitis,
Tumors
 Joints: Arthritis -Rheumatoid
arthritis andOsteoarthritis
6. Endocrine system
 Diabetes Mellitus
 Goitre
 Carcinoma thyroid

109
III 7 (T) Describe various Hematological tests for the  Lecture  Short answer
laboratory tests diagnosis of blooddisorders  Discussion  MCQ
in assessment  Blood tests: Hemoglobin, White  Visit to clinical lab,
and monitoringof cell and plateletcounts, PCV, biochemistry lab
disease ESR and blood bank
conditions  Coagulation tests: Bleeding
time (BT), Prothrombin time
(PT), Activated Partial
Prothrombin Time (APTT)
 Blood chemistry
 Blood bank:
o Blood grouping and cross
matching
o Blood components
o Plasmapheresis
o Transfusion reactions
Note: Few lab hours can be
planned forobservation and visits
(Less than 1 credit, lab hours
are not specifiedseparately)

************

110
 ADULT HEALTH NURSING - I WITH INTEGRATED PATHOPHYSIOLOGY
(including BCLS module)

PLACEMENT: III SEMESTER THEORY: 7 Credits (140 hours)

PRACTICUM: Lab / Skill Lab (SL) – 1
Credit (40 hours)
Clinical – 6 Credits (480 hours)

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 nursingprocess 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 ofcommon medical and surgical disorders.
2. Perform complete health assessment to establish a data base for providing quality patient
care and integrate theknowledge of anatomy, physiology and diagnostic tests in the process of
data collection.
3. Identify nursing 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 topatients.
5. Integrate knowledge of pathology, nutrition and pharmacology in caring for patients
experiencing various medicaland 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 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.

111
 COURSE CONTENT

T – Theory, L / SL – Lab / Skill Lab

Time Teaching/ Learning Assessment

Unit Learning Outcomes Content
(Hrs) Activities Methods
I 6 (T) Narrate the evolution Introduction  Lecture cum  Short Answer
4 (L/SL) ofmedical surgical  Evolution and trends of discussion  OSCE
nursing medical andsurgical nursing  Demonstration &
 International classification of Practice session
Apply nursing diseases  Role play
processin caring for  Roles and responsibility of  Visit to outpatient
patients with medical a nursein medical and department, in
surgical problems surgical settings patient and
o Outpatient department intensivecare unit
Execute the role of a o In-patient unit
nurse in various o Intensive care unit
medical surgical  Introduction to medical and
setting surgicalasepsis
o Inflammation, infection
Develop skills in o Wound healing – stages,
assessment and influencing factors
care of wound o Wound care and dressing
technique
Develop competency  Care of surgical patient
inproviding pre and o pre-operative
postoperative care o post-operative
o Alternative therapies used
in caringfor patients with
Medical Surgical Disorders
II 15 (T) Explain organizational Intraoperative Care  Lecture cum  Caring for
4 (L/SL) set up of the  Organization and physical Discussion patient intra
operatingtheatre set up ofthe operation operatively
theatre  Demonstration,
Differentiate the role o Classification Practice session,  Submit a list of
ofscrub nurse and o O.T Design andCase Discussion disinfectants
circulating nurse o Staffing used for
o Members of the OT team  Visit to receiving instruments with
Describe the o Duties and bay the actionand
different responsibilities of the precaution
positioning for nurse in OT
various surgeries  Position and draping for
commonsurgical procedures
Apply principles of
asepsis in handling  Instruments, sutures and
thesterile suture materials, equipment
equipment for commonsurgical
procedures

112
 Demonstrate skill  Disinfection and sterilization
in scrubbing ofequipment
procedures
 Preparation of sets for
Demonstrate skill in commonsurgical procedures
assessing the
patient and  Scrubbing procedures –
document Gowning,masking and gloving
accurately the
surgicalsafety  Monitoring the patient
checklist during the procedures

Develop skill in  Maintenance of the

assisting with therapeuticenvironment
selected surgeries in OT

Explain the types,  Assisting in major and

functions, and minor operation,
nursing handling specimen
considerations for
different types of  Prevention of accidents and
anaesthesia hazardsin OT

 Anaesthesia – types,
methods of administration,
effects and stages,
equipment & drugs

 Legal aspects
III 6 (T) Identify the signs Nursing care of patients with  Lecture,  Short answer
4 (L/SL) and symptoms of common signs and discussion,  MCQ
shock andelectrolyte symptoms andmanagement demonstration  Case report
imbalances  Fluid and electrolyte  Case discussion
imbalance
Develop skills in  Shock
managing fluid and  Pain
electrolyte
imbalances

Perform pain
assessment and
plans for the nursing
management
IV 18 (T) Demonstrate skill in Nursing Management of  Lecture, discussion,  Essay
4 (L) respiratory patients with respiratory  Demonstration  Short answer
assessment problems  Practice session  OSCE
 Review of anatomy and  Case presentation
Differentiates physiology of respiratory  Visit to PFT Lab
different breath system
113
 sounds and liststhe  Nursing Assessment –
indications history taking, physical
assessment anddiagnostic
Explain the etiology, tests
pathophysiology,  Common respiratory
clinical problems:
manifestations, o Upper respiratory tract
diagnostic tests, and infections
medical, surgical, o Chronic obstructive
nutritional, and pulmonarydiseases
nursingmanagement o Asthma
of common o Pleural effusion, Empyema
respiratory problems o Bronchiectasis
o Pneumonia
Describe the health o Lung abscess
behavior to be o Cyst and tumors
adoptedin preventing o Chest Injuries
respiratory illnesses o Acute respiratory
distress syndrome
o Pulmonary embolism
 Health behaviors to prevent
respiratory illness
V 16 (T) Explain the etiology, Nursing Management of  Lecture, Discussion  Short answer
5 (L) pathophysiology, patients with disorders of  Demonstration,  Quiz
clinical digestive system  Role play  OSCE
manifestations,  Review of anatomy and  Problem Based
diagnostic tests, and physiologyof GI system Learning
medical, surgical,  Nursing assessment –  Visit to stoma clinic
nutritional, and History andphysical
nursingmanagement assessment
of gastrointestinal  GI investigations
disorders  Common GI disorders:
o Oral cavity: lips, gums and
Demonstrate skill teeth
ingastrointestinal o GI: Bleeding, Infections,
assessment Inflammation, tumors,
Obstruction, Perforation &
Prepare patient for Peritonitis
upper and lower o Peptic & duodenal ulcer,
gastrointestinal o Mal-absorption,
investigations Appendicitis, Hernias
o Hemorrhoids, fissures,
Demonstrate skill in Fistulas
gastric o Pancreas: Inflammation,
decompression, cysts,and tumors
gavage, and stoma o Liver: inflammation, cysts,
care abscess, cirrhosis, portal
hypertension, hepatic
Demonstrate skill in failure,tumors
114
 different feeding o Gall bladder: inflammation,
techniques Cholilithialis, tumors
 Gastric decompression,
gavage and stoma care,
different feeding techniques
o Alternative therapies, drugs
used intreatment of
disorders of digestive
system
VI 20 (T) Explain the etiology, Nursing Management of  Lecture, discussion  Care plan
5 (L) pathophysiology, patientswith cardiovascular  Demonstration  Drug record
clinical problems  Practice session
manifestations,  Review of anatomy and  Case Discussion
diagnostic tests, and physiology of cardio-vascular  Health education
medical, surgical, system  Drug Book /
nutritional, and  Nursing Assessment: History presentation
nursing management and Physical assessment
of cardiovascular  Invasive & non-invasive
disorders cardiacprocedures  Completion of
 Disorders of vascular system- BCLS Module
Demonstrate skill Hypertension,
incardiovascular arteriosclerosis, Raynaud‘s  BLS / BCLS
assessment disease, aneurysm and evaluation
peripheral vascular disorders
Prepare patient  Coronary artery diseases:
forinvasive and coronary atherosclerosis,
non- invasive Angina pectoris,
cardiac myocardial infarction
procedures  Valvular disorders:
congenitaland acquired
Demonstrate skill in  Rheumatic heart disease:
monitoring and pericarditis, myocarditis,
interpreting clinical endocarditis,
signs related to cardiomyopathies
cardiacdisorders  Cardiac dysrhythmias,
heartblock
Complete  Congestive heart failure,
BLS/BCLSmodule Cor pulmonale, pulmonary
edema,cardiogenic shock,
cardiac tamponade
 Cardiopulmonary arrest
VII 7 (T) Explain the etiology, Nursing Management of patients  Field visit to  Interpretation of
3 (L) pathophysiology, with disorders of blood blood bank blood reports
clinical  Review of Anatomy and  Counseling  Visit report
manifestations, Physiology of blood
diagnostic tests, and  Nursing assessment:
medical, surgical, history, physical
nutritional, and assessment & Diagnostic
nursingmanagement tests
115
 of hematological  Anemia, Polycythemia
disorders Bleeding Disorders: clotting
factor defects and platelets
Interpret blood defects, thalassemia,
reports leukemia, leukopenia,
agranulocytosis
Prepare and provides  Lymphomas, myelomas
health education on
blood donation
VIII 8 (T) Explain the etiology, Nursing management of  Lecture discussion  Prepare health
2 (L) pathophysiology, patients with disorders of  Demonstration education on self-
clinical endocrine system  Practice session administration
manifestations,  Review of anatomy and  Case Discussion of insulin
diagnostic tests, and physiologyof endocrine  Health education  Submits a
medical, surgical, system diabetic diet
nutritional, and  Nursing Assessment – plan
nursingmanagement History and Physical
of endocrine assessment
disorders  Disorders of thyroid and
Parathyroid, Adrenal and
Demonstrate skill in Pituitary(Hyper, Hypo,
assessment of tumors)
endocrineorgan  Diabetes mellitus
dysfunction

Prepare and
provideshealth
education on
diabetic diet

Demonstrate skill
in insulin
administration
IX 8 (T) Explain the etiology, Nursing management of  Lecture, discussion  Drug report
2 (L) pathophysiology, patientswith disorders of  Demonstration  Preparation of
clinical Integumentarysystem  Practice session Home care plan
manifestations,  Review of anatomy and  Case Discussion
diagnostic tests, and physiologyof skin
medical, surgical,  Nursing Assessment:
nutritional, and History andPhysical
nursingmanagement assessment
of disorders of  Infection and infestations;
integumentary Dermatitis
system  Dermatoses; infectious
and Noninfectious
Demonstrate skill  Acne, Allergies, Eczema &
inintegumentary Pemphigus
assessment  Psoriasis, Malignant
melanoma,Alopecia
116
 Demonstrate skill  Special therapies,
inmedicated bath alternativetherapies
Prepare and provide  Drugs used in treatment of
health education on disorders of integumentary
skincare system
X 16 (T) Explain the etiology, Nursing management of  Lecture  Nursing care
4 (L) pathophysiology, patientswith  Discussion plan
clinical musculoskeletal problems  Demonstration  Prepare health
manifestations,  Review of Anatomy and  Case Discussion teaching on careof
diagnostic tests, and physiologyof the  Health education patient with cast
medical, surgical, musculoskeletal system
nutritional, and  Nursing Assessment:
nursingmanagement History andphysical
of musculoskeletal assessment, diagnostic
disorders tests
Demonstrate skill Musculoskeletal trauma:
in Dislocation, fracture, sprain,
musculoskeletal strain, contusion, amputation
assessment  Musculoskeletal infections
and tumors: Osteomyelitis,
Prepare patient for benign and malignant tumor
radiological and non-  Orthopedic modalities: Cast,
radiological splint,traction, crutch
investigations of walking
musculoskeletal  Musculoskeletal
system inflammation: Bursitis,
synovitis, arthritis
Demonstrate skill  Special therapies,
in crutch walking alternative therapies
and splinting  Metabolic bone disorder:
Osteoporosis, Osteomalacia
Demonstrate skill andPaget‘s disease
in care of patient  Spinal column defects
with replacement and deformities –
surgeries tumor, prolapsed
intervertebral disc,
Prepare and provide Pott‘s spine
health education on  Rehabilitation, prosthesis
bone healing  Replacement surgeries
XI 20 (T) Explain the etiology, Nursing management of  Lecture,  Prepares and
3 (L) pathophysiology, patientswith discussion, submits protocol
clinical Communicable diseases demonstration on various
manifestations,  Overview of infectious  Practice session isolation
diagnostic tests, and diseases,the infectious  Case Discussion / techniques
medical, surgical, process seminar
nutritional, and  Nursing Assessment: History  Health education
nursingmanagement and Physical assessment,  Drug Book/
of patients with Diagnostic tests presentation
communicable  Tuberculosis
117
diseases  Diarrhoeal diseases,  Refer TB Control &
hepatitis A-E, Typhoid Management
 Herpes, chickenpox, module
Demonstrate skill Smallpox,Measles, Mumps,
in barrier and Influenza
reverse barrier  Meningitis
techniques  Gas gangrene
 Leprosy
 Dengue, Plague, Malaria,
Demonstrate skill Chikungunya, swine flu,
in execution of Filariasis
differentisolation  Diphtheria, Pertussis,
protocols Tetanus,Poliomyelitis
 COVID-19
 Special infection control
measures: Notification,
Isolation,Quarantine,
Immunization

118
 CLINICAL PRACTICUM

CLINICAL PRACTICUM: 6 Credits (480 hours) - 18 weeks × 27 hours

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:

i. Perform complete health assessment to establish a data base for providing quality patient
care.
ii. Integrate the knowledge of diagnostic tests in the process of data collection.
iii. Identify nursing diagnoses and list them according to priority.
iv. Formulate nursing care plan, using problem solving approach.
v. Apply scientific principles while giving nursing care to patients.
vi. Perform nursing procedures skilfully on patients.
vii. Establish/develop interpersonal relationship with patients and family members.
viii. 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 provideappropriate 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.

119
 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

Procedural
Clinical Duration Learning Clinical Assessment
Competencies / Clinical
area / unit (weeks) Outcomes Requirements Methods
Skills
General 4 Develop skill in  Intravenous therapy  Care Study – 1  Clinical
medical intravenous o IV canulation  Health education evaluation
injection o IV maintenance and  Clinical  OSCE
administration and monitoring presentation / Care Care Study
IV therapy Assist  Administration of IV note) – 1 evaluation
withdiagnostic medication Care of patient  Care Note /
procedures with Central line Clinical
 Preparation and presentation
assisting and monitoring
Develop skill in the of patients undergoing
management of diagnostic procedures
patients with such as Thoracentesis,
Respiratory Abdominal paracentesis
problems Management patients
with respiratoryproblems
 Administration of oxygen
Develop skill in throughmask, nasal
managing patients prongs, venturi mask
with metabolic  Pulse oximetry
abnormality  Nebulization
 Chest physiotherapy
 Postural drainage
 Oropharyngeal suctioning
 Care of patient with chest
drainage
 Diet Planning
o High Protein diet
o Diabetic diet
 Insulin administration
o Monitoring GRBS

120
 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 Learning Procedural Competencies / Clinical Assessment

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

121
 III. NURSING MANAGEMENT OF PATIENTS WITH CARDIAC CONDITIONS

A. Skill Lab

Use of manikins and simulators

 Cardiovascular assessment
 Interpreting ECG
 BLS/BCLS
 CPR
 ABG analysis
 Taking blood sample
 Arterial blood gas analysis – interpretation

B. Clinical Postings

Procedural
Clinical Duration Learning Clinical Assessment
Competencies /
area / unit (Weeks) Outcomes Requirements Methods
ClinicalSkills
Cardiology 2 Develop skill in  Cardiac  Cardiac assessment  Clinical
wards management of monitoring –1 evaluation
patients with  Recording and  Drug presentation –  Drug
cardiac problems interpreting ECG 1 presentation
 Arterial blood
gas analysis –
Develop skill in interpretation
management of  Administer
patients with cardiac drugs
disorders of Blood  Preparation and
after care of
patientsfor
cardiac
catheterization
 CPR
 Collection of
blood sample for:
o Blood
grouping/cross
matching
o Blood sugar
o Serum electrolytes
 Assisting with
blood
transfusion
 Assisting for
bone marrow
aspiration
 Application of
anti-embolism
stockings (TED
122
 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

Duration Clinical
Clinical area Learning Procedural Competencies / Assessment
(Weeks Requirement
/ unit Outcomes ClinicalSkills Methods
) s
Develop skill in  Intradermal injection – Skin
Dermatology 01 management of allergy testing Clinical
Wards patients with  Application of topical evaluation
disorders of medication
integumentary  Medicated bath
system

V. NURSING MANAGEMENT OF PATIENTS WITH COMMUNICABLE DISEASES

A. Skill Lab
 Barrier Nursing
 Reverse Barrier Nursing
 Standard Precautions

B. Clinical Postings

Clinical
Clinical area Duration Learning Procedural Competencies / Assessment
Requirement
/ unit (Weeks) Outcomes ClinicalSkills Methods
s
Isolation Ward 01 Develop skill in  Barrier Nursing
the  Reverse barrier nursing  Care Note – 1  Clinical
management of  Standard precautions Evaluation
patients with (Universal precaution), use  Care Note
requiring of PPE, needle stick and
isolation sharp injury prevention,
Cleaning and disinfection,
Respiratory hygiene, waste
disposal and safe injection
practices

123
 VI. NURSING MANAGEMENT OF PATIENTS WITH MUSCULOSKELETAL PROBLEMS

A. Skill Lab

Use of manikins and simulators

 Range of motion exercises

 Muscle strengthening exercises
 Crutch walking

B. Clinical Postings

Procedural
Clinical Duration Learning Clinical Assessment
Competencies/
area / unit (Weeks) Outcomes Requirements Methods
Clinical Skills
Orthopedic 2 Develop skill in  Preparation of patient with  Care Note – 1  Clinical
wards management of Myelogram / CT / MRI 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

124
 B. Clinical Postings

Procedural
Clinical Duration Learning Clinical Assessment
Competencies / Clinical
area / unit (Weeks) Outcomes Requirements Methods
Skills
Operation 4 Develop skill  Position and draping  Assist as circulatory  Clinical
theatre incaring for  Preparation of operation nurse –4 evaluation
intraoperative table  Positioning &draping – 5  OSCE
patients  Set up of trolley with  Assist as scrubnurse
instrument in majorsurgeries – 4
 Assisting in  Assist as scrubnurse
major and minor in minorsurgeries – 4
operation
 Disinfection and
sterilization of
equipment
 Scrubbing procedures
– Gowning,masking
and gloving
 Intra operative
monitoring

************

125
 PHARMACOLOGY – II
including Fundamentals of Prescribing Module

PLACEMENT: IV SEMESTER THEORY: 3 Credits (60 hours)

DESCRIPTION:

This course is designed to enable students to acquire understanding of Pharmacodynamics,

Pharmacokinetics, principles of therapeutics & nursing implications. Further it develops
understanding of fundamental principles of prescribing in students.

COMPETENCIES:

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

1. Explain the drugs used in the treatment of ear, nose, throat and eye disorders.

2. Explain the drugs used in the treatment of urinary system disorders.

3. Describe the drugs used in the treatment of nervous system disorders.

4. Explain the drugs used for hormonal replacement and for the pregnant women during antenatal,
intra natal and postnatalperiod.

5. Explain the drugs used to treat emergency conditions and immune disorders.

6. Discuss the role and responsibilities of nurses towards safe administration of drugs used to
treat disorders of varioussystems with basic understanding of pharmacology.

7. Demonstrate understanding about the drugs used in alternative system of medicine

8. Demonstrate understanding about the fundamental principles of prescribing.

126
 COURSE OUTLINE

T – Theory

Teaching/
Time Assessment
Unit Learning Outcomes Content Learning
(Hrs) Methods
Activities
I 4 (T) Describe drugs used Drugs used in disorders of  Lecture cum  Short answer
indisorders of ear, ear, nose,throat & Eye Discussion  MCQ
nose, throat and eye  Antihistamines  Drug study /
and nurses‘  Topical applications for presentation
responsibilities eye (Chloramphenicol,
Gentamycin eye drops),
ear (Soda glycerin, boric
spiritear drops), nose
and buccal cavity –
chlorhexidine
mouthwash
 Composition, action,
dosage, route,
indications,
contraindications, drug
interactions, side
effects, adverse effects,
toxicity and role of nurse
II 4 (T) Describe drugs acting Drugs used on urinary  Lecture cum  Short answer
on urinary system & system Discussion  MCQ
nurse‘s  Pharmacology of  Drug study /
responsibilities commonly useddrugs presentation
o Renin angiotensin
system
o 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

127
III 10 (T) Describe drugs used Drugs acting on nervous  Lecture cum  Short answer
on nervous system & system Discussion  MCQ
nurse‘s  Basis & applied  Drug study /
responsibilities pharmacology of presentation
commonly used drugs
 Analgesics and
anaesthetics
o Analgesics: Non-
steroidal anti-
inflammatory (NSAID)
drugs
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
 Antipsychotics
o Mood stabilizers
 Antidepressants
 Antianxiety 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
128
IV 5(T) Describe drugs used Drugs used for hormonal,  Lecture cum  Short answer
for hormonal disorder disorders and Discussion  MCQ
& supplementation, supplementation,  Drug study/
contraception & contraception and medical presentation
medical termination oftermination of pregnancy
pregnancy & nurse‘s  Estrogens and
responsibilities progesterones
 Oral
contraceptives
and hormone
replacement
therapy
 Vaginal contraceptives
 Drugs for infertility and
medical termination of
pregnancy
 Uterine stimulants
and relaxants
 Composition, actions
dosage route indications
contraindications, drugs
interactions, side effects,
adverse effects, toxicity
and role of nurse
V 3(T) Develop Drugs used for pregnant  Lecture cum  Short answer
understanding about women during antenatal, Discussion  MCQ
important drugs labour and postnatal  Drug study /
usedfor women period presentation
before, during and  Tetanus prophylaxis
after labour  Iron and Vit K1
supplementation
 Oxytocin, Misoprostol
 Ergometrine
 Methyl prostaglandin F2-
alpha
 Magnesium sulphate
 Calcium gluconate
VI 10 (T) Describe drugs used Miscellaneous  Lecture cum  Short answer
indeaddiction,  Drugs used for Discussion  MCQ
emergency, poisoning, deaddiction  Drug study/
vitamins & minerals  Drugs used in CPR presentation
supplementation, and emergency-
drugs used for adrenaline,
immunization & Chlorpheniramine,
immune-suppression hydrocortisone,
& nurse‘s Dexamethasone
responsibilities  IV fluids & electrolytes
replacement

129
  Common poisons,
drugs used fortreatment
of poisoning
o oActivated charcoal
o Ipecac
o Antidotes,
o Anti-snake venom
(ASV)
 Vitamins and minerals
supplementation
 Vaccines & sera
(Universal immunization
program schedules)
 Anticancer drugs:
Chemotherapeutic drugs
commonly used
 Immuno-suppressants
andImmuno stimulants
VII 4 (T) Demonstrate Introduction to drugs used  Lecture cum  Short answer
awareness of in alternative systems of Discussion  MCQ
commondrugs used medicine  Observational
in alternative system  Ayurveda, Homeopathy, visit
of medicine Unani and Siddha etc.
 Drugs used for common
ailments
VIII 20 (T) Demonstrate Fundamental principles of  Completion of  Short answer
understanding prescribing module on  Assignments
aboutfundamental  Prescriptive role of nurse Fundamental evaluation
principles of practitioners: principles of
prescribing Introduction prescribing
 Legal and ethical issues
related toprescribing
 Principles of prescribing
 Steps of prescribing
 Prescribing
competencies

************

130
 PATHOLOGY - II AND GENETICS

PLACEMENT: IV SEMESTER THEORY: 1 Credit (20 hours)

(Includes lab hours also)

DESCRIPTION:

This course is designed to enable students to acquire knowledge of pathology of various disease
conditions, understanding of genetics, its role in causation and management of defects and
diseases and to apply this knowledge in practice of nursing.

COMPETENCIES:

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

1. Apply the knowledge of pathology in understanding the deviations from normal to abnormal
pathology

2. Rationalize the various laboratory investigations in diagnosing pathological disorders

3. Demonstrate the understanding of the methods of collection of blood, body cavity fluids,
urine and feces for varioustests

4. Apply the knowledge of genetics in understanding the various pathological disorders

5. Appreciate the various manifestations in patients with diagnosed genetic abnormalities

6. Rationalize the specific diagnostic tests in the detection of genetic abnormalities.

7. Demonstrate the understanding of various services related to genetics.

131
 COURSE OUTLINE

T – Theory

Time Learning Teaching/ Learning Assessment

Unit Content
(Hrs) Outcomes Activities Methods
I 5 (T) Explain Special Pathology:  Lecture  Short answer
pathological Pathological changes in disease  Discussion  MCQ
changes in conditions of selected systems  Explain using
disease 1. Kidneys and Urinary tract slides, X-rays
conditions of  Glomerulonephritis and scans
varioussystems  Pyelonephritis  Visit to pathology
 Renal calculi lab, endoscopy
 Cystitis unitand OT
 Renal Cell Carcinoma
 Renal Failure (Acute and Chronic)
2. Male genital systems
 Cryptorchidism
 Testicular atrophy
 Prostatic hyperplasia
 Carcinoma penis and Prostate.
3. Female genital system
 Carcinoma cervix
 Carcinoma of endometrium
 Uterine fibroids
 Vesicular mole and
Choriocarcinoma
 Ovarian cyst and tumors
4. Breast
 Fibrocystic changes
 Fibro adenoma
 Carcinoma of the Breast
5. Central nervous system
 Meningitis
 Encephalitis
 Stroke
 Tumors of CNS
II 5 (T) Describe the Clinical Pathology  Lecture  Short answer
laboratory tests  Examination of body cavity fluids:  Discussion  MCQ
for examination  Methods of collection and  Visit to clinical lab
of bodycavity examination of CSF and other body and biochemistry
fluids, urine cavity fluids (sputum, wound lab
and faeces discharge) specimen for various
clinical pathology, biochemistry and
microbiology tests
 Analysis of semen:
o Sperm count, motility and
morphology and their importance
ininfertility
132
 Urine:
o Physical characteristics, Analysis,
Culture and Sensitivity
 Faeces:
o Characteristics
o Stool examination: Occult
blood,Ova, Parasite and Cyst,
Reducing substance etc.
o Methods and collection of urine
and Faeces for various tests

************

133
 GENETICS

COURSE OUTLINE

T – Theory

Teaching/
Time Assessment
Unit Learning Outcomes Content Learning
(Hrs) Methods
Activities
I 2 (T) Explain nature, Introduction:  Lecture  Short answer
principles and  Practical application of genetics  Discussion  MCQ
perspectives of in nursing  Explain using
heredity  Impact of genetic condition on slides
families
 Review of cellular division:
mitosis andmeiosis
 Characteristics and structure of
genes
 Chromosomes: sex
determination
 Chromosomal aberrations
 Patterns of inheritance
 Mendelian theory of inheritance
 Multiple allots and blood groups
 Sex linked inheritance
 Mechanism of inheritance
 Errors in transmission (mutation)
II 2 (T) Explain maternal, Maternal, prenatal and genetic  Lecture  Short answer
prenatal and influences on development of  Discussion  MCQ
geneticinfluences defectsand diseases  Explain using
on development of  Conditions affecting the mother: slides
defects and genetic and infections
diseases  Consanguinity atopy
 Prenatal nutrition and food
allergies
 Maternal age
 Maternal drug therapy
 Prenatal testing and diagnosis
 Effect of Radiation, drugs and
chemicals
 Infertility
 Spontaneous abortion
 Neural Tube Defects and the
role offolic acid in lowering
the risks
 Down syndrome (Trisomy 21)

134
III 2 (T) Explain the screening Genetic testing in the  Lecture  Short answer
methods for genetic neonates andchildren  Discussion  MCQ
defects and diseases  Screening for  Explain using
inneonates and o Congenital abnormalities slides
children o Developmental delay
o Dysmorphism
IV 2 (T) Identify genetic Genetic conditions of  Lecture  Short answer
disorders in adolescents andadults  Discussion  MCQ
adolescents and  Cancer genetics: Familial cancer  Explain using
adults  Inborn errors of metabolism slides
 Blood group alleles and
hematologicaldisorder
 Genetic haemochromatosis
 Huntington‘s disease
 Mental illness
V 2 (T) Describe the role Services related to genetics  Lecture  Short answer
ofnurse in genetic  Genetic testing  Discussion  MCQ
services and  Gene therapy
counseling  Genetic counseling
 Legal and Ethical issues
 Role of nurse

************

135
 ADULT HEALTH NURSING - II WITH INTEGRATED PATHOPHYSIOLOGY
including Geriatric Nursing
AND PALLIATIVE CARE MODULE

PLACEMENT: IV SEMESTER THEORY: 7 Credits (140 hours)

PRACTICUM: Lab/Skill Lab (SL):
1 Credit (40 hours)
Clinical: 6 Credits (480 hours)

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 and 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 selectedcommon medical and surgical disorders.
2. Perform complete health assessment to establish a data base for providing quality patient
care and integrate theknowledge 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.
5. Integrate knowledge of anatomy, physiology, pathology, nutrition and pharmacology in
caring for patients experiencingvarious medical and surgical disorders.
6. Identify common diagnostic measures related to the health problems with emphasis on
nursing assessment andresponsibilities.
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 selected 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.

136
 COURSE OUTLINE
T – Theory, L / SL – Lab / Skill Lab

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

(Hrs) Activities Methods

I 12 (T) Explain the etiology, Nursing management of patient  Lecture and  MCQ
4 (SL) pathophysiology, withdisorders of Ear, Nose and discussion
clinical Throat (Includes etiology,  Short answer
manifestations, pathophysiology, clinical  Demonstration of
diagnostic measures manifestations, diagnostic hearing aids, nasal  Essay
and medical, measures and medical, surgical, packing, medication
surgical, nutritional nutritional and nursing administration  OSCE
and nursing management)
management of  Review of anatomy and  Visit to audiology  Assessment of
patients with ENT physiology ofthe ear, nose and speech clinic skill (using
disorders and throat checklist)
 History, physical
assessment, and  Quiz
diagnostic tests
 Ear  Drug book
o External ear: deformities
otalgia,foreign bodies and
tumors
o Middle ear: impacted wax,
tympanic, membrane
perforation,otitis media, and
tumors
o Inner ear: Meniere‘s disease,
labyrinthitis, ototoxicity tumors
o Upper respiratory airway
infections: Rhinitis,
sinusitis, tonsillitis,
laryngitis
o Epistaxis, Nasal
obstruction, laryngeal
obstruction
o Deafness and its management
II 12 (T) Explain the etiology, Nursing management of  Lecture anddiscussion  MCQ
4 (SL) pathophysiology, patient withdisorder of eye
clinical  Review of anatomy and  Demonstration of  Short Essay
manifestations, physiology ofthe eye visual aids, lens,
diagnostic measures  History, physical assessment, medication  OSCE
and management of diagnostic assessment administration
patients with Eye Disorders  Drug book
disordersof eye  Refractive errors  Visit to eye bank
Describe eye  Eyelids: infection, deformities
donation, banking  Conjunctiva: inflammation
and transplantation and infection bleeding
137
  Cornea: inflammation and
infection
 Lens: cataract
 Glaucoma
 Retinal detachment
 Blindness
 Eye donation, banking and
transplantation
III 15 (T) Explain the etiology, Nursing management of  Lecture cum  MCQ
4 (L/SL) pathophysiology, patient withKidney and Discussion
clinical Urinary problems  Short Note
manifestations,  Review of Anatomy and  Demonstration
diagnostic tests, and physiology ofthe  Long essay
medical, surgical, genitourinary system  Case Discussion
nutritional, and  History, physical  Case report
nursingmanagement assessment,diagnostic  Health education
of Kidneyand urinary tests  Submits health
system disorders  Urinary tract infections:  Drug book teaching on
acute,chronic, lower, prevention of
Demonstrate skill upper  Field visit – Visits urinary calculi
ingenitourinary  Nephritis, Nephrotic hemodialysis unit
assessment syndrome
 Renal calculi
Prepare patient  Acute and chronic renal
forgenitourinary failure
investigations  Disorders of ureter,
urinary bladderand
Prepare and Urethra
providehealth  Disorders of prostate:
education on inflammation,infection,
prevention of stricture, obstruction,
renal calculi and Benign Prostate
Hypertrophy
IV 6 (T) Explain the etiology, Nursing management of  Lecture, Discussion  Short essay
pathophysiology, disorders ofmale reproductive
clinical system  Case Discussion
manifestations,  Review of Anatomy and
diagnostic tests, and physiology ofthe male  Health education
medical, surgical, reproductive system
nutritional, and  History, Physical Assessment,
nursingmanagement Diagnostic tests
of male reproductive  Infections of testis, penis and
disorders adjacent structures: Phimosis,
Epididymitis, and Orchitis
 Sexual dysfunction, infertility,
contraception
 Male Breast Disorders:
gynecomastia,tumor,
climacteric changes
138
V 10 (T) Explain the etiology, Nursing management of  Lecture and  OSCE
4 (SL) pathophysiology, patient withburns, discussion
clinical reconstructive and cosmetic  Short notes
manifestations, surgery  Demonstration of
types, diagnostic  Review of anatomy and burn wound
measures and physiology ofthe skin and assessment, vacuum
management of connective tissues dressing and fluid
patients with  History, physical assessment, calculations
disordersof burns / assessment of burns and fluid
cosmetic surgeries &electrolyte loss  Visit to burn
and its significance  Burns rehabilitation centers
 Reconstructive and 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 etiology, Nursing management of  Lecture and  OSCE
4 (L/SL) pathophysiology, patient withneurological discussion  Short notes
clinical disorders  Essay
manifestations,  Review of anatomy and  Demonstration of  Drug book
diagnostic measures physiology ofthe neurological physiotherapy, Neuro
and management of system assessment,
patients with  History, physical and tracheostomy care
neurological neurological assessment,
disorders diagnostic tests  Visit to rehabilitation
 Headache, Head injuries center,long term care
 Spinal injuries: Paraplegia, clinics, EEG, NCV
Hemiplegia, Quadriplegia study unit,
 Spinal cord compression:
herniation ofin vertebral disc
 Intra cranial and cerebral
aneurysms
 Meningitis, encephalitis, brain,
abscess, neuro-cysticercosis
 Movement disorders: Chorea,
Seizures& Epilepsies
 Cerebrovascular disorders:
CVA
 Cranial, spinal neuropathies:
Bell‘spalsy, trigeminal
neuralgia
 Peripheral Neuropathies

139
  Degenerative diseases:
Alzheimer‘sdisease,
Parkinson‘s disease
 Guillain-Barré syndrome,
Myastheniagravis & Multiple
sclerosis
 Rehabilitation of patient with
neurological deficit
VII 12 (T) Explain the etiology, Nursing management of  Lecture, discussion
4 (L/SL) pathophysiology, patients with Immunological
clinical problems  Case Discussion /
manifestations,  Review of Immune system seminar
diagnostic tests, and  Nursing Assessment:
medical, surgical, History and Physical  Refer Module on
nutritional, and assessment HIV/AIDS
nursingmanagement  HIV & AIDS:
of immunological Epidemiology,
disorders Transmission, Prevention
Prepare and of Transmission and
provideshealth management ofHIV/AIDS
education on  Role of Nurse; Counseling,
prevention of HIV Health education and home
infection and care considerationand
rehabilitation rehabilitation

Describe the  National AIDS Control

nationalinfection Program –NACO, various
control programs national and international
agencies for infection
control
VIII 12 (T) Explain the etiology, Nursing management of  Lecture and  OSCE
4 (L/SL) pathophysiology, patient withOncological discussion
types, clinical conditions  Essay
manifestations,  Structure and  Demonstration of
staging, diagnostic characteristics of normal chemotherapy  Quiz
measures and and cancer cells preparation and
management of  History, physically administration  Drug book
patients with assessment,diagnostic
differentcancer, tests  Visit to BMT,  Counseling,
treatment modalities  Prevention screening early radiotherapy units health
including newer detectionswarning sign of (linear accelerator, teaching
treatments cancer brachytherapy, etc.),
 Epidemiology, etiology nuclear medicine unit
classification,
Pathophysiology, staging
clinical manifestations,
diagnosis, treatment
modalities and medical
and surgical nursing
140
 management of
Oncological condition
 Common malignancies of
various body system eye,
ear, nose, larynx, breast,
cervix, ovary, uterus,
sarcoma,renal, bladder,
kidney, prostate Brain,  Completion of
Spinal cord. palliative care
 Oncological emergencies module, during
 Modalities of treatment: clinical hours (20
Chemotherapy, hours)
Radiotherapy: Radiation
safety, AERB regulations,
Surgical intervention, Stem
cell and bone marrow
transplant, Immunotherapy,
Gene therapy
 Psychological aspects of
cancer: anxiety,
depression, insomnia,
anger
 Supportive care
 Hospice care
IX 15 (T) Explain the types, Nursing management of patient  Lecture and  OSCE
4 (L/SL) policies, guidelines, inEmergency and Disaster discussion  Case
prevention and situations  Demonstration of presentations
management of Disaster Nursing disaster and case study
disaster and the  Concept and principles of preparedness (Mock
etiology, disaster nursing, Related drill) and triaging
pathophysiology, Policies  Filed visit to local
clinical  disaster management
manifestations,  Types of disaster: Natural and centers or demo by
diagnostic measures man made fire extinguishers
and management of  Group presentation
patients with acute Disaster preparedness: Team, (role play, skit,
emergencies guidelines, protocols, concept mapping) on
equipment,resources different emergency
 care
 Etiology, classification,  Refer Trauma care
Pathophysiology, staging, management/ ATCN
clinical manifestation, module
diagnosis, treatment
modalities and medical and  Guided reading on
surgical nursing National Disaster
management of patient with Management
medical and surgical Authority (NDMA)
emergencies –Poly trauma, guidelines

141
  Bites, Poisoning and
Thermal emergencies
 Principles of emergency
management
 Medico legal aspects
X 10 (T) Explain the Concept, Nursing care of the elderly  Lecture and  OSCE
physiological  History and physical assessment discussion  Case
changes,and  Aging process and age-  Demonstration of presentations
psychosocial related bodychanges and communication with  Assignment on
problems of ageing psychosocial aspects visual and hearing family systems
 Stress and coping in elder impaired of India focusing
patient  Field visit to old age on geriatric
Describe the  Psychosocial and sexual homes population
nursing abuse of elderly
management of  Role of family and formal and
the elderly non-formal caregivers
 Use of aids and prosthesis
(hearingaids, dentures)
 Legal and ethical issues
 National programs for elderly,
privileges, community
programs and health services
 Home and institutional care
XI 15 (T) Explain the etiology, Nursing management of  Lecture and  Objective type
8 (L/SL) pathophysiology, patients in critical Care units discussion  Short notes
clinical  Principles of critical care  Demonstration on  Case
manifestations, nursing the use of presentations
diagnostic measures  Organization: physical set-up, mechanical Assessment
and management of policies,staffing norms ventilators, cardiac ofskill on
patients in critical  Protocols, equipment and monitors etc. monitoring
care units supplies  Clinical practice in of patients in
 Use and application of critical different ICUs ICU.
carebiomedical equipment:  Written
ventilators,cardiac monitors, assignment on
defibrillators, infusion pump, ethical and legal
Resuscitation equipment and issues incritical
any other care
 Advanced Cardiac Life support
 Nursing management of
critically illpatient
 Transitional care
 Ethical and Legal Aspects
 Breaking Bad News to
Patients and / or their
families: Communication with
patient and family
 End of life care

142
XII 5 (T) Describe the Nursing management of  Lecture anddiscussion  Assignment on
etiology, patients occupational and  Industrial visit industrial health
pathophysiology, industrial disorders hazards
clinical  History, physical
manifestations, examination,Diagnostic
diagnostic measures tests
and management of  Occupational
patients with diseases and
occupational/ management
industrial health
disorders

143
 CLINICAL PRACTICUM

CLINICAL PRACTICUM: 6 Credits (480 Hours) – 20 weeks × 24 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 surgicaldisorders.
9. Integrate evidence-based information while giving nursing care to patients.
10. Demonstrate the awareness of legal and ethical issues in nursing practice.

144
 I. Nursing Management of Patients with ENT Disorders

A. Skill Lab

Use of manikins and simulators

 Tracheostomy care
 Instilling Ear and Nasal medications
 Bandage application

B. Clinical Postings

Clinical Duration Learning Procedural Competencies Clinical Assessment

area / unit (weeks) Outcomes /Clinical Skills Requirements Methods
ENT Ward 2 Provide care  Examination of ear, nose,  ENT assessment–1  Clinical
and to patients throat andHistory taking  Case study / Clinical evaluation
OPD with ENT  Applying bandages to Ear, presentation -1  OSCE
disorders Nose  Case report
 Tracheostomy care study/
 Preparation of patient, Clinical
Educate the assisting andmonitoring of presentation
patients and patients undergoing
their families diagnostic procedures
o Auditory screening tests
o Audiometric tests
 Preparing the patient and
assisting in special
procedures like Anterior/
posterior nasal packing, Ear
Packing and Syringing
 Preparation and after care
of patientsundergoing ENT
surgical procedures
 Instillation of drops /
medication

145
 II. Nursing Management of Patients with Eye Conditions

A. Skill Lab

Use of manikins and simulators

 Instilling Eye medications
 Eye irrigation
 Eye bandage

B. Clinical Postings

Clinical Duration Learning Procedural Competencies Clinical Assessment

area / unit (weeks) Outcomes /Clinical Skills Requirements Methods
Ophthalmology 2 Develop skillin  History taking,  Eye assessment –1  Clinical
unit providing care Examination of eyesand  Health teaching evaluation
to patients interpretation  Case study/  OSCE
with Eye  Assisting procedures Clinical  Clinical
disorders o Visual acuity Presentation – 1 presentation
o Fundoscopy,
retinoscopy,
Educate the ophthalmoscopy,
patients and tonometry,
their families o Refraction tests
 Pre and Post-Operative
Care
 Instillation of drops /
medication
 Eye Irrigation
 Application of Eye
bandage
 Assisting with foreign
body removal

146
 III. Nursing Management of Patients with Kidney and Urinary System Disorders

A. Skill Lab
Use of manikins and simulators
 Assessment: kidney & urinary system
 Preparation: dialysis
 Catheterization and care

B. Clinical Postings

Clinical
Duration Learning Procedural Competencies Clinical Assessment
area /
(weeks) Outcomes /Clinical Skills Requirements Methods
unit
Renal ward / 2 Develop skillin  Assessment of kidney  Assessment – 1  Clinical
nephrology Managementof and urinary system  Drug presentation–1 evaluation
ward patients with o History taking  Care study/ Clinical  Care plan
including urinary,male o Physical examination presentation – 1  OSCE
Dialysis unit reproductive o Testicular self-  Preparing and  Quiz
problems examination assisting in  Drug
o Digital rectal exam hemodialysis presentation
 Preparation and assisting
with diagnosticand
therapeutic procedures
o Cystoscopy,
Cystometrogram,
o Contrast studies: IVP
etc.
o Peritoneal dialysis
o Hemodialysis,
o Lithotripsy
o Specific tests: Semen
analysis, gonorrhea
test, Renal / Prostate
Biopsyetc.
 Catheterization: care
 Bladder irrigation
 I/O recording and
monitoring
o Ambulation and
exercise

147
 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

Procedural
Clinical area / Duration Learning Clinical Assessment
Competencies / Clinical
unit (weeks) Outcomes Requirements Methods
Skills
Burns unit / 2 Develop skill in  Assessment of burns  Burn wound  Clinical
reconstructive burns  First aid of burns assessment – 1 evaluation,
surgical unit assessment and  Fluid & electrolyte  Care study/case  Care
providing care replacement therapy presentation – 1 study/case
to patients with  Skin care report
differenttypes of  Care of Burn wounds
burns  Bathing
 Dressing
Develop skill in  Pre-operative and post-
providing care to operative care of
patients with patients
different types of  Caring of skin graft
cosmetic and and postcosmetic
reconstructive surgery
surgeries  Rehabilitation

148
 V. Nursing Management of Patients with neurological disorders

A. Skill Lab

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 (weeks) Outcomes Competencies/ Clinical Requirements Methods
Skills
Neurology- 3 Develop skillin  History taking; Neurological  Neuro-  Clinical
medical / Managementof Examination assessment–1 evaluation
Surgery patients with  Patient monitoring   Neuro
wards Neurological  Prepare and assist for  Case study/ case assessment
problems various invasive and non- presentation – 1  OSCE
invasive diagnostic  Drug  Case report /
procedures presentation – 1 presentations
 Range of motion
exercises, muscle
strengthening
 Care of medical, surgical
andrehabilitative patients

149
 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 (weeks) Outcomes Competencies / Requirements Methods
ClinicalSkills
Isolation 1 Develop skill in  History taking  Assessment of  Care note
ward / the Management  Immunological immune status  Quiz
Medical of patients with status assessment  Teaching of isolation  Health
ward immunological ([Link]) and to patientand family Teaching
disorders Interpretation of care givers
specific tests  Nutritional
 Caring of patients with management
low immunity  Care Note – 1
 Practicing of standard
safety measures,
precautions / barrier
nursing / reverse
barrier / isolation
skills

150
 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

Procedural
Clinical area / Duration Learning Clinical Assessment
Competencies / Clinical
unit (weeks) Outcomes Requirements Methods
Skills
Oncology 3 Develop skillin  History taking & physical  Assessment – 1  Clinical
wards providing care examinationof cancer  Care study / evaluation
(including day to patients patients clinical  Care study
care with  Screening for common presentation – 1  Quiz
radiotherapy oncological cancers: TNM  Pre and post-  Drug book
unit) disorders classification operative care of
 Preparation, assisting and patient with
after carepatients various modes of
undergoing diagnostic cancer treatment
procedures  Teaching on
 Biopsies/FNAC BSE to family
 Pap smear members
 Bone-marrow aspiration  Visit to
 Various modalities of palliative care
treatment unit
 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

151
 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 Assessment

area / unit (weeks) Outcomes Clinical Skills Requirements Methods
Emergency 2 Develop skillin  Practicing “triage”  Triage  Clinical
room / providing care  Primary and secondary  Immediate care evaluation
Emergency to patients with survey inemergency  Use of emergency  Quiz
unit emergency  Examination, trolley
health problems investigations & their
interpretations, in
emergency & disaster
situations
 Emergency care of medical
and traumatic injury
patients
 Documentations, assisting
in legalprocedures in
emergency unit
 Managing crowd
 Counseling the patient and
family in dealing with
grieving & bereavement

152
 IX. Nursing Management of geriatric patients

A. Skill Lab

Use of manikins and simulators

 Use of assistive safety devices

B. Clinical Postings

Procedural
Clinical Duration Assessment
Learning Outcomes Competencies Clinical Requirements
area / unit (weeks) Methods
/Clinical Skills
Geriatric 1 Develops skill in  History taking  Geriatric assessment –  Clinical
ward geriatric and 1 evaluation
assessment and assessmentof  Care of normal and  Care plan
providing care to Geriatric geriatric patientwith
patients with patient illness
geriatric illness  Fall risk assessment – 1
 Functional status
assessment – 1

X. 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

153
 B. Clinical Postings

Clinical Duration Learning Procedural Competencies / Clinical Assessment

area / unit (weeks) Outcomes Clinical Skills Requirements Methods
Critical 2 Develop skill in  Assessment of critically ill  Hemo-dynamic  Clinical
Care Unit assessment of patients monitoring evaluation
critically illand  Assisting in arterial  Different scales  OSCE
providingcare puncture, ET tube used in ICU  RASS scale
to patients with intubation & extubation  Communicating assessment
critical health  ABG analysis & interpretation with critically ill  Use of VAE
conditions - respiratory acidosis, patients bundle VAP,
respiratory alkalosis, CAUTI, BSI
metabolic acidosis, metabolic  Case
alkalosis Presentation
 Setting up of Ventilator 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 administration-infusion,
intracardic,intrathecal,
epidural,
 Monitoring pacemaker
 ICU care bundle
 Management of the dying
patient in theICU

************

154
 PROFESSIONALISM, PROFESSIONAL VALUES & ETHICS INCLUDING BIOETHICS

PLACEMENT: IV SEMESTER THEORY: 1 Credit (20 hours)

DESCRIPTION:

This course is designed to help students to develop an understanding of professionalism and

demonstrate professional behavior in their workplace with ethics and professional values. Further the
students will be able to identify ethical issues in nursing practice and participate effectively in ethical
decision making along with health team members.

COMPETENCIES:

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

1. Describe profession and professionalism.

2. Identify the challenges of professionalism.
3. Maintain respectful communication and relationship with other health team members, patients
and society.
4. Demonstrate professional conduct.
5. Describe various regulatory bodies and professional organizations related to nursing.
6. Discuss the importance of professional values in patient care.
7. Explain the professional values and demonstrate appropriate professional values in nursing
practice.
8. Demonstrate and reflect on the role and responsibilities in providing compassionate care in the
healthcare setting.
9. Demonstrate respect, human dignity and privacy and confidentiality to self, patients and
their caregivers and otherhealth team members.
10. Advocate for patients well-being, professional growth and advancing the profession.
11. Identify ethical and bioethical concerns, issues and dilemmas in nursing and healthcare.
12. Apply knowledge of ethics and bioethics in ethical decision making along with health team
members.
13. Protect and respect patient‘s rights.

155
 COURSE OUTLINE

T – Theory

Unit Time Learning Outcomes Content Teaching / Assessment

(Hrs) LearningActivities Methods
I 5 (T) Discuss nursing as PROFESSIONALISM  Lecture cum  Short answer
a profession Profession Discussion  Essay
 Definition of profession  Objective type
 Criteria of a profession
 Nursing as a profession
Describe the Professionalism
concepts and  Definition and
attributes of characteristics of
professionalism professionalism
 Concepts, attributes and
indicators of
Identify the professionalism
challenges of  Challenges of professionalism
professionalism o Personal identity vs  Debate
professional identity
o Preservation of self-
Maintain respectful integrity: threat to integrity,
communication and Deceiving patient:
relationship with withholding information  Role play
other health team and falsifying records
members, patients o Communication &
and society Relationship withteam
members: Respectful and
Demonstrate open communication and
professional relationship pertaining to
conduct relevant interests for
ethical decision making  Case based
o Relationship with patients discussion
Respect and maintain and society
professional Professional Conduct
boundaries between  Following ethical principles
patients, colleagues  Adhering to policies, rules
and society andregulation of the
Describe the roles institutions
andresponsibilities  Professional etiquettes and
of regulatory bodies behaviours  Lecture cum
and professional  Professional grooming: Discussion
organizations Uniform, Dresscode
 Professional boundaries:
Professional relationship  Visit to INC, SNC,
with the patients, caregivers TNAI
and team members  Visit reports

156
 Regulatory Bodies &
Professional Organizations:
Roles & Responsibilities
 Regulatory bodies: Indian
NursingCouncil, State Nursing
Council
 Professional Organizations:
Trained Nurses Association
of India (TNAI),Student
Nurses Association (SNA),
Nurses League of Christian
MedicalAssociation of India,
International Council of
Nurses (ICN) and
International Confederation
of Midwives
II 5 (T) Discuss the PROFESSIONAL VALUES  Lecture cum  Short answer
importance of  Values: Definition and Discussion  Essay
professional characteristics of values  Value  Assessment of
values  Value clarification clarification student‘s
 Personal and professional exercise behavior with
values  Interactive patients and
Distinguish  Professional socialization: learning families
betweenpersonal Integrationof professional  Story telling
values and values with personal  Sharing
professional values values experiences
Professional values in nursing  Scenario
 Importance of professional based
Demonstrate values innursing and health discussion
appropriate care
professional values  Caring: definition and process
innursing practice  Compassion: Sympathy Vs
empathy,Altruism
 Conscientiousness
 Dedication/devotion to work
 Respect for the person-
Human dignity
 Privacy and confidentiality:
Incidental disclosure
 Honesty and integrity: Truth
telling
 Trust and credibility: Fidelity,
Loyalty
 Advocacy: Advocacy for
patients, work environment,
nursing education and
practice, and for advancing
the profession

157
III 10 (T) Define ethics & ETHICS & BIOETHICS  Lecture cum  Short answer
bioethics Definitions: Ethics, discussion  Essay
Bioethics andEthical  Group  Quiz
Principles discussion with  Reflective diary
Explain ethical  Beneficence examples  Case report
principles  Non-maleficence: Patient  Flipping / self-  Attitude test
safety, protecting patient directed  Assessment of
Identify ethical from harm, Reporting errors learning assignment
concerns  Justice: Treating each person  Role play
as equal  Story telling
 Care without discrimination,  Sharing
equitable access to care experiences
and safety of the public  Case based
 Autonomy: Respects Clinical
patients‘ autonomy, Self- discussion
determination, Freedom of  Role modeling
choice  Group exercise on
ethical decision-
Ethical issues and Ethical issues and ethical making following
dilemmas in dilemma:Common ethical steps on a given
healthcare problems scenario
 Conflict of interest  Assignment
 Paternalism
 Deception
 Privacy and confidentiality
 Valid consent and refusal
Explain process of  Allocation of scarce nursing
ethical decision resources
making and apply  Conflicts concerning new
knowledge of technologies
ethics and  Whistle-blowing
bioethics in  Beginning of life issues
making ethical • Abortion
decisions • Substance abuse
• Fetal therapy
• Selective deduction
• Intrauterine treatment of
fetalconditions
• Mandated contraception
Explain code of • Fetal injury
ethicsstipulated • Infertility treatment
by ICN and INC  End of life issues
• End of life
• Euthanasia
Discuss the rights of • Do Not Resuscitate (DNR)
the patients and  Issues related to psychiatric
families to make care
decisions about • Non compliance
health care • Restrain and seclusion
158
  Refuse to take food
Protect and Process of ethical decision
respectpatients’ making
rights  Assess the situation (collect
information)
 Identify the ethical problem
 Identify the alternative
decisions
 Choose the solution to
the ethical decision
 Implement the decision
 Evaluate the decision
Ethics committee: Roles and
responsibilities
 Clinical decision making
 Research
Code of Ethics
 International Council of
Nurses (ICN)
 Indian Nursing Council
Patients’ Bill of Rights-17
patients’rights (MoH&FW,
GoI)
1. Right to emergency medical
care
2. Right to safety and quality
care according to
standards
3. Right to preserve dignity
4. Right to nondiscrimination
5. Right to privacy and
confidentiality
6. Right to information
7. Right to records and
reports
8. Right to informed consent
9. Right to second opinion
10. Right to patient education
11. Right to choose
alternative treatment
options if available
12. Right to choose source
for obtaining medicines
or tests
13. Right to proper referral and
transfer,which is free from
perverse commercial
influences
14. Right to take discharge of
159
 patient or receive body of
deceased from hospital
15. Right to information on the
rates to be charged by the
hospital for each type of
service provided and
facilities available on a
prominent display board
and a brochure
16. Right to protection for
patients involved in
clinical trials, biomedical
and health research
17. Right to be heard and seek
redressal

************

160
 CHILD HEALTH NURSING – I

PLACEMENT: V SEMESTER THEORY: 3 Credits (60 hours)

PRACTICUM: Lab/Skill Lab: 1 Credit
(40 hours)
Clinical: 2 Credits (160 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. 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 Policy2017.
3. Describe the role of preventive paediatrics and perform preventive measures towards accidents.
4. Participate in national immunization programs/Universal Immunization Program (UIP).
5. Identify the developmental needs of children and provide parental guidance.
6. Describe the principles of child health nursing and perform child health nursing procedures.
7. Demonstrate competencies in newborn assessment, planning and implementation of care to
normal and high-risknewborn including neonatal resuscitation.
8. Apply the principles and strategies of Integrated management of neonatal and childhood illness
(IMNCI).
9. Apply the knowledge of pathophysiology and provide nursing care to children with respiratory
system disorders.
10. Identify and meet childhood emergencies and perform child CPR.

161
 COURSE OUTLINE

T – Theory, L/SL – Lab / Skill Lab

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

(Hrs) Activities Methods

I 10 (T) Explain the modern Introduction: Modern concepts  Lecture Discussion  Short answer
10 (L) concept of child- of child-care  Demonstration  Objective type
care  Historical development of common  Assessment
of childhealth pediatric ofskills with
Describe National  Philosophy and modern procedures checklist
policy, programs concept ofchild-care
andlegislation in  Cultural and religious
relationto child considerationsin child-care
health & welfare  National policy and
legislations in relation to
Describe role of child health and welfare
preventive  National programs and
pediatrics agenciesrelated to
welfare services to the
List major causes of children
death during  Internationally accepted
infancy, early & late rights of thechild
childhood Changing trends in hospital care,
preventive, promotive and
Differentiate curativeaspect of child health
betweenan adult
and child in terms  Preventive pediatrics:
of illness and o Concept
response o Immunization
Immunization programs and
Describe the major cold chain.
functions & role of o Care of under-five
thepediatric nurse o and Under-five
in caring for a Clinics/Well-baby
hospitalized child. clinics
o Preventive measures
Describe the towardsaccidents
principlesof child  Child morbidity and
health nursingand mortality rates
perform child health  Difference between an
nursing procedures adult and child which
affect response to
illness
o Physiological
o Psychological
o Social
o Immunological
162
  Hospital
environment for sick
child
 Impact of
hospitalization on
the childand family
 Communication
techniques for
children
 Grief and
bereavement
 The role of a child
health nurse incaring
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
 Application of
restraints
 Assessment of pain in
children.
o FACES pain rating scale
o FLACC scale
 Numerical scale
II 12 (T) Describe the The Healthy Child  Lecture Discussion  Short answer
normalgrowth and  Definition and  Demonstration  Objective type
development of principles of growth and  Developmental  Assessment
children at development study of infant and of field visits
differentages  Factors affecting children and
growth and  Observation study developmental
Identify the needs development of normal & sick study reports
ofchildren at  Growth and child
different ages & development from birth  Field visit to
provide parental to adolescence Anganwadi, child
guidance  Growth and guidance clinic
developmental theories  Videos on breast
Identify the nutritional (Freud, Erickson, Jean feeding
needs of children at Piaget, Kohlberg)  Clinical
different ages & ways  The needs of normal practice/field
of meeting needs children through the

163
 stages of
Identify the role of developmental and
playfor normal & parental guidance
sick children  Nutritional needs of
children and infants – Refer/consult
– breast feeding MAA Mothers
– exclusive breast feeding Absolute
– Supplementary/artifici Affection
alfeeding and Program for
weaning Breast Feeding
 Baby friendly hospital module (National
concept guidelines).
 Types and value of
play and selection of
play material
III 15 (T) Provide care to Nursing care of neonate:  Modular based  OSCE
20 (L) normaland high- risk  Appraisal of Newborn teaching: ENBC and  Short answer
neonates  Nursing care of a normal FBNC module(oral  Objective type
newborn / essential newborn drills, videos,self-
Perform care evaluation
neonatal  Neonatal resuscitation exercises)
resuscitation  Nursing management of  Workshop on
lowbirth weight baby neonatal
Recognize and  Kangaroo mother care resuscitation: NRP
managecommon  Nursing management of module
neonatal common neonatal disorder  Demonstration
problems – Hyperbilirubinemia  Practice Session
– Hypothermia  Clinical Practice
– Hyperthermia  Lecture Discussion
– Metabolic disorder
– Neonatal infections
– Neonatal seizures
– Respiratory distress
syndrome
– Retinopathy of
Prematurity
 Organization of neonatal care
unit
 Neonatal equipment
IV 10 (T) Apply principles and Integrated management of Modular based  OSCE
5 (L) strategies of IMNCI neonatal andchildhood teaching:
Illnesses IMNCI module
 Clinical practice /
field

164
V 8 (T) Describe the etiology, Nursing management in  Lecture Discussion  Short answer
pathophysiology, common childhood diseases  Demonstration  Objective type
clinical manifestation Respiratory system:  Practice session  Assessment of
and nursing  Identification and  Clinical practice skills with
management of Nursingmanagement of checklist
children with congenital
disordersof malformations
respiratory, and  Congenital disorders:
endocrine system Tracheoesophageal
fistula, Diaphragmatic
hernia
 Others: Acute naso-
pharyngitis,Tonsillitis,
Croup, Bronchitis,
Bronchiolitis,
Pneumonia, Asthma
Endocrine system:
 Juvenile Diabetes
mellitus,Hypo-
thyroidism
VI 5 (T) Develop ability to meet Childhood emergencies  Lecture  OSCE
5 (L) child- hood  Accidents – causes and  Discussion
emergencies and prevention, Poisoning, Foreign  Demonstration
perform child CPR bodies, Hemorrhage,Burns  PLS Module/
and Drowning Workshop
 PLS (AHA Guidelines)

************

165
 CHILD HEALTH NURSING - I & II CLINICAL
(3 Credits – 240 hours)

PLACEMENT: V & VI SEMESTER PRACTICUM: Skill Lab: 1 Credit (40 hours)

Clinical: V SEMESTER – 2 Credits (160 hours)

VI SEMESTER – 1 Credit (80 hours)

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 counselling needs.

Skill Lab

Use of Manikins and Simulators

PLS, 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
 Suture removal

166
 CLINICAL POSTINGS
8 weeks × 30 hours per week (5 weeks + 3 weeks)

Clinical Duration Learning Procedural Clinical Assessment

area / unit (Weeks) Outcomes Competencies / Requirements Methods
Clinical Skills
Pediatric V Sem –2  Provide nursing  Taking pediatric  Nursing care plan  Assess
Medical weeks care to children history –1 performance
Ward 
with various Physical  Case study with rating
medical disorders examination & presentation – 1 scale
assessment of  Health talk–1
children
 Administration of
oral, I/M & I/V
VI Sem –1  Assess each
week medicine/fluids
skill with
 Calculation of fluid checklist
replacement OSCE/OSPE
 Preparation of
differentstrengths  Evaluation of
of I/V fluids case study/
presentation &
 Application of
health
restraints
education
 Administration of O2
session
inhalation by
different methods  Completion of
activity record
 Baby bath/sponge
bath
 Feeding children by
Katorispoon, Paladi
cup
 Collection of
specimens for
common
investigations
 Assisting with
commondiagnostic
procedures
 Teaching mothers /
parents
o Malnutrition
o Oral rehydration
therapy
o Feeding &
Weaning
o Immunization
schedule
 Play therapy

167
Pediatric V Sem  Recognize different  Calculation, o Nursing care  Assess
Surgical – 2 pediatricsurgical preparation & plan – 1 performance
Ward weeks conditions/ administration of o Case study/ with rating
malformations I/V fluids presentation – 1 scale
VI Sem –1  Provide pre &  Bowel wash,  Assess each
week post-operative insertion of skill with
care to children suppositories checklist
with common  Care for ostomies: OSCE/OSPE
paediatric o Colostomy  Evaluation of
surgical Irrigation case study/
conditions/ o Ureterostomy presentation
malformation o Gastrostomy  Completionof
 Counsel & o Enterostomy activity record
educate parents  Urinary
catheterization &
drainage
 Feeding
o Naso-gastric
o Gastrostomy
o Jejunostomy
 Care of surgical
wounds
o Dressing
o Suture removal
Pediatric V Sem –1  Perform  Assessment of  Growth and  Assess
OPD/ week assessment of children developmental performance
Immunizati children: health, o Health study: with rating
onroom developmental & assessment Infant – 1 scale
anthropometric o Developmental Toddler – 1  Completionof
 Perform assessment Preschooler – 1 activity record.
immunization o Anthropometric Schooler – 1
assessment Adolescent – 1
 Give health
o Nutritional
education/
assessment
nutritional
education  Immunization
 Health/Nutritional
education

168
NICU VI Sem –1  Provide nursing  Care of a baby in  Newborn  Assess
& week care to critically ill incubator / warmer assessment – 1 performance
PICU children  Care of a child on  Nursing Care with rating
ventilator,CPAP Plan – 1 scale
 Endotracheal  Evaluation of
Suction observation
report
 Chest
Physiotherapy  Completionof
activity record
 Administration of
fluids with infusion
pumps
 Total Parenteral
Nutrition
 Phototherapy
 Monitoring of
babies
 Recording &
reporting
 Cardiopulmonary
Resuscitation (PLS)

************

169
 MENTAL HEALTH NURSING – I

PLACEMENT: V SEMESTER THEORY: 3 Credits (60 hours)

PRACTICUM: 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.
2. Identify the classification of the mental disorders.
3. Develop basic understanding of the principles and concepts of mental health nursing.
4. Apply the Indian Nursing Council 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 andtreatment/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.

170
 COURSE OUTLINE

T – Theory

Teaching /
Time Assessment
Unit Learning Outcomes Content Learning
(Hrs) Methods
Activities
I 6 (T) Describe the historical Introduction  Lecture  Essay
development & current  Perspectives of Mental cum  Short answer
trends in mental health Health and Mental Discussion
nursing Health Nursing,
evolution of mental
Discuss the scope of health services,
mental health nursing treatments and nursing
practices
Describe the conceptof  Mental health team
normal & abnormal  Nature & scope of
behaviour mental health nursing
 Role & functions of
mental health nurse
in various settings
and factors affecting
the level of nursing
practice
 Concepts of normal and
abnormalbehaviour
II 10 (T) Define the various Principles and Concepts  Lecture cum  Essay
terms used in mental of Mental HealthNursing Discussion  Short answer
health Nursing  Definition: mental  Explain using
health nursing and Charts
Explain the terminology used  Review of
classification of  Classification of mental personality
mental disorders disorders: ICD11,DSM5, development
Geropsychiatry manual
Explain the classification
psychodynamics of  Review of
maladaptive personality
behaviour development,
defense
Discuss the etiological mechanisms
factors &  Etiology bio-psycho-
psychopathology of social factors
mental disorders  Psychopathology of
mental disorders:
Explain the principles review of structure and
and standards of Mental function of brain,limbic
health Nursing system and abnormal
neurotransmission

171
 Describe the conceptual  Principles of Mental
models of mental health Nursing
health nursing  Ethics and
responsibilities
 Practice Standards for
Psychiatric Mental
Health Nursing (INC
practice standards)
 Conceptual models and
the role of nurse:
o Existential
model
o Psychoanalytic
al models
o Behavioral
model
o Interpersonal
model
• Preventive
Psychiatry and
Rehabilitation
III 6 (T) Describe nature, Mental Health Assessment  Lecture  Essay
purpose and processof  History taking cum  Short answer
assessment of mental  Mental status Discussion  Assessment of
health status examination  Demonstration mental health
 Mini mental status  Practice session status
examination  Clinical practice
 Neurological
examination
 Investigations: Related
Blood chemistry,EEG,
CT & MRI
 Psychological tests
IV 6 (T) Identify therapeutic Therapeutic  Lecture  Essay
communication & Communication and cum  Short answer
techniques Nurse-Patient Discussion  OSCE
Relationship  Demonstration
Describe therapeutic  Therapeutic  Role Play
relationship communication: Types,  Process recording
techniques,  Simulation (video)
Describe therapeutic characteristics and
impasses and its barriers
interventions  Therapeutic nurse-
patient relationship
 Interpersonal
relationship-
 Elements of nurse
patient contract,
 Review of
172
 technique of IPR-
Johariwindow
 Therapeutic impasse
and its management
V 10 (T) Explain treatment Treatment modalities  Lecture  Essay
modalities and and therapies usedin cum  Short answer
therapies used in mental disorders Discussion  MCQ
mental disorders and  Physical therapies:  Demonstration
role of the nurse Psychopharmacology,  Group work
 Electro Convulsive  Practice session
therapy  Clinical practice
 Psychological
Therapies:
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
VI 8 (T) Describe the etiology, Nursing  Lecture and  Essay
psycho-dynamics / management of Discussion  Short answer
pathology, clinical patient with  Case discussion  Assessment of
manifestations, Schizophrenia, and  Case presentation patient
diagnostic criteria and other psychotic  Clinical practice management
management of patients disorders problems
with Schizophrenia, and  Prevalence and
other psychotic incidence
disorders  Classification
 Etiology,
psychodynamics,
clinical manifestation,
diagnostic
criteria/formulations
Nursing process
 Nursing Assessment:
History, Physicaland
mental assessment
 Treatment modalities
and nursing
173
 management of patients
with Schizophrenia and
other psychoticdisorders
 Geriatric
considerations and
considerations for
special populations
 Follow up and home care
andrehabilitation
VII 6 (T) Describe the etiology, Nursing  Lecture and  Essay
psycho-dynamics, management of Discussion  Short answer
clinical manifestations, patient withmood  Case discussion  Assessment of
diagnostic criteria and disorders  Case presentation patient
management of patients  Prevalence and  Clinical practice management
with mood disorders incidence problems
 Mood disorders: Bipolar
affective disorder,
mania depression and
dysthymia etc.
 Etiology, psycho
dynamics, clinical
manifestation, diagnosis
 Nursing Assessment
History, Physical and
mental assessment
 Treatment modalities
and nursing
management of patients
with mooddisorders
 Geriatric
considerations /
considerations for
special populations
 Follow-up and home
care and rehabilitation
VIII 8 (T) Describe the etiology, Nursing management of  Lecture and  Essay
psycho-dynamics, patient with neurotic, Discussion  Short answer
clinical manifestations, stress related and  Case discussion  Assessment of
diagnostic criteria and somatization disorders  Case presentation patient
management of patients  Prevalence and  Clinical practice management
with neurotic, stress incidence problems
related and  classifications
somatization disorders  Anxiety disorders –
OCD, PTSD,
Somatoform
disorders, Phobias,
Disassociative and
Conversion disorders

174
 Etiology,
psychodynamics, clinical
manifestation,
diagnostic criteria /
formulations
 Nursing Assessment:
History, Physicaland
mental assessment
 Treatment modalities
and nursing
management of patients
with neurotic and stress
related disorders
 Geriatric
considerations /
considerations for
special populations
 Follow-up and home
care and rehabilitation

175
 CLINICAL PRACTICUM MENTAL HEALTH NURSING - I & II

PLACEMENT: SEMESTER V & VI MENTAL HEALTH NURSING - I – 1 Credit (80 hours)

MENTAL HEALTH NURSING - II – 2 Credits (160 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 de-addiction
centre.

176
 CLINICAL POSTINGS
(8 weeks × 30 hours per week = 240 hours)

Clinical Area Duration Learning Skills / Procedural Clinical Assessments

/ Unit (Weeks) Outcomes Competencies Requirements Methods
Psychiatric 2  Assess patients  History taking  History taking  Assess
OPD with mental  Perform mental status and Mental performance
health problems examination (MSE) status withrating
 Observe and assist  Observe / practice examination – 2 scale
in therapies Psychometric  Health education  Assess
 Counsel and assessment –1 each skill
educate patients,  Perform Neurological  Observation with check
and families examination report of OPD list
 Observing and  Evaluation of
assisting intherapies health
 Individual and group education
psycho-education  Assessment
 Mental hygiene of
practice observation
education report
 Family psycho-  Completion
education ofactivity
record
Child 1  Assess childrenwith  History & mental status  Case work – 1  Assess
Guidance various mental examination  Observation performance
clinic health problems  Observe / practice report of withrating
 Counsel and psychometric different scale
educate children, assessment therapies – 1  Assess each
families and  Observe and assist in skillwith
significant others varioustherapies checklist
 Parental teaching  Evaluation of
for child with the
mental deficiency observation
report
Inpatient 4  Assess patients  History taking  Give care to 2-  Assess
ward with mental health  Mental status 3patients with performance
problems examination various mental with rating
 Provide nursingcare (MSE) disorders scale
for patientswith  Neurological  Case study – 1  Assess each
various mental examination  Care Plan skillwith
health problems  Assisting in  Clinical checklist
 Assist in various psychometric Presentation – 1  Evaluation of
therapies assessment  Process the case
 Counsel and  Recording therapeutic recording – 2 study, care
educate patients, communication  Maintain drug plan, clinical
families and  Administration of book presentation,
significant patients medications process
 Assist Electro- recording

177
 Convulsive Therapy
(ECT)  Completion of
 Participating in all activity record
therapies
 Preparing patients for
Activities of Daily
Living (ADL)
 Conducting admission
and discharge
counseling
 Counseling and
teaching patients and
families
Community 1  Identify patients  Conduct home visit  Case work – 1  Assess
Psychiatry & with various mental and case work  Observation performance
Deaddiction disorders  Identify individuals report on field with rating
Centre  Motivate patients with mental health visits scale
for early treatment problems  Visit to  Evaluation of
and follow up  Assisting in Deaddiction case work
 Assist in follow up organizations of centre and
clinic Mental Health Camp observation
 Counsel and  Conducting awareness report
educate patient, meetings for mental  Completion
family and health & mental illness of activity
community  Counseling and record
 Observe the Teaching family
assessment and members, patients and
care of patients at community
Deaddiction centre  Observing Deaddiction
care

************

178
 COMMUNITY HEALTH NURSING – I
(including Environmental Science & Epidemiology)

PLACEMENT: V SEMESTER THEORY: 5 Credits (100 hours) includes Lab hours also
PRACTICUM: Clinical: 2 Credits (160 hours)
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
environmental science. 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. It helps 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.

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, environmental health and
sanitation
8. Demonstrate skill in nutritional assessment for different age groups in the community and provide
appropriate nutritional counselling
9. Provide health education to individuals and families applying the principles and techniques of
behavior change appropriate to community settings
10. Describe community health nursing approaches and concepts
11. Describe the role and responsibilities of community health nursing personnel
12. Utilize the knowledge and skills in providing comprehensive primary health care across the life
span at various settings
13. Make effective home visits applying principles and methods used for home visiting
14. Use epidemiological approach in community diagnosis
15. Utilize the knowledge of epidemiology, epidemiological approaches in caring for people with
communicable and non-communicable diseases
16. Investigate an epidemic of communicable diseases
17. Assess, diagnose, manage and refer clients for various communicable and non- communicable
diseases appropriately at the primary health care level
18. 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)
179
 COURSE OUTLINE
T - Theory

Teaching /
Time Learning Assessments
Unit Content Learning
(Hrs) Outcomes Methods
Activities
I 4 (T)  Define public Concepts of Community  Lecture  Short
health, community Health and Community Discussion Answers
health and Health Nursing  Explain using  Essay
community health Charts, Graphs  Objective
nursing  Definition of Public  Community needs Type
 Explain the Health, Community assessment (Field  Survey Report
evolution of public Health and Community Survey on
health in India and Health Nursing identification of
scope of  Public Health in India demographic
community health and its evolution and characteristics,
nursing Scope of Community health
 Explain various Health Nursing determinants and
concepts of health  Review: Concepts of resources of a
and disease, Health & Illness / rural and an urban
dimensions and Disease: Definition, community)
determinants of dimensions and  Explain using
health determinations of examples
 Explain the natural health and disease
history of disease  Natural history of
and levels of disease
prevention  Levels of Prevention:
 Discuss the health Primary, Secondary &
problems of India Tertiary Prevention –
Review
 Health Problems
(Profile) of India
II 8 (T)  Describe health Health Care Planning and  Lecture  Short answer
planning and its Organization of Health  Discussion  Essay
steps, and various Care at various levels  Field visits to  Evaluation of
health  Health planning steps CHC, PHC, SC/ Field visit reports
plans, and  Health planning in Health & presentation
committees India: various Wellness
 Discuss health care committees and Centers (HWC)
delivery system in commissions on  Directed
India at various health and family reading
levels welfare and Five
 Describe SDGs, Year plans
primary health care  Participation of
and comprehensive community and
primary health care stakeholders in health
(CPHC) planning
 Health care delivery
system in India:
180
 Explain health care Infrastructure and
policies and Health sectors,
regulations in India Delivery of health
services at sub-centre
(SC), PHC, CHC,
District level, state
level and national
level
 Sustainable
development goals
(SDGs), Primary
Health Care and
Comprehensive
Primary Health Care
(CPHC): elements,
principles
 CPHC through
SC/Health Wellness
Center (HWC)
 Role of MLHP/CHP
 National Health Care
Policies and
Regulations
 National Health
Policy (1983,
2002, 2017)
 National Health
mission (NHM):
National Rural
Health Mission
(NRHM),
National Urban
Health Mission
(NUHM), NHM
 National Health
Protection
Mission (NHPM)
 Ayushman
Bharat
 Universal Health
Coverage

181
III 15 (T)  Identify the role Environmental Science,  Discussion  Short
of an individual in Environmental Health,  Debates on answer
the conservation and Sanitation environmental  Essay
of natural  Natural resources: protection and  Field visit
Resources Renewable and preservation reports
 Describe non-renewable  Explain using
ecosystem, its resources, natural Charts, graphs,
structure, types resources and Models, films,
and functions associated slides Directed
 Explain the problems: Forest reading
classification, resources, water  Visits to water
value and threats resources, mineral supply &
to Biodiversity resources, food purification sites
 Enumerate the resources, energy  Observe rain
causes, effects resources and water harvesting
and control land resources plants
measures of  Role of individuals  Visit to sewage
environmental in conservation of disposal and
pollution natural resources, treatment sites,
 Discuss about and equitable use and waste
climate change, of resources for disposal sites
global warming, sustainable
acid rain, and lifestyles
ozone layer  Ecosystem:
depletion Concept, structure
 Enumerate the and functions of
role of an ecosystems,
individual in Types &
creating Characteristics –
awareness about Forest ecosystem,
the social issues Grassland
related to ecosystem, Desert
environment ecosystem,
 List the Acts Aquatic
related to ecosystem,
environmental Energy flow in
protection and ecosystem
preservation  Biodiversity:
 Describe the Classification,
concept of value of bio-
environmental diversity, threats
health and to biodiversity,
sanitation conservation of
 Describe water biodiversity
conservation, rain  Environmental
water harvesting pollution:
and water shed Introduction,
management causes, effects
and control
182
 Explain waste measures of Air
management pollution, Water
pollution, Soil
pollution, Marine
pollution, Noise
pollution, Thermal
pollution, nuclear
hazards & their
impact on health
 Climate change,
global warming:
ex. heat wave,
acid rain, ozone
layer depletion,
waste land
reclamation & its
impact on health
 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
processes,
household
purification of water
 Physical and
chemical standards
of drinking water
quality and tests for
assessing
bacteriological
183
 quality of water
 Concepts of water
conservation: rain
water harvesting
and water shed
management
 Solid waste
management,
human excreta
disposal &
management and
sewage disposal
and management
 Commonly used
insecticides and
pesticides
IV 7 (T)  Describe the Nutrition Assessment  Lecture  Performance
various nutrition and  Discussion assessment of
assessment Nutrition Education  Demonstration nutrition
methods at the  Review of Nutrition  Role play assessment for
community level  Concepts, types  Market visit different age
 Plan and provide  Meal planning:  Nutritional groups
diet plans for all aims, steps & assessment for  Evaluation on
age groups diet plan for different age nutritional
including different age groups assessment
therapeutic diet groups  Lecture Reports
 Provide nutrition  Nutrition  Discussion  Short answer
counseling and assessment of  Field visits to  Essay
education to all individuals, milk purification  Field visit
age groups and families and plants, slaughter reports
describe the community by house
national nutrition using  Refer Nutrition
programs and appropriate module-BPCCHN
Identify early the methods  Block 2-unit I &
food borne  Planning suitable Unit 5
diseases, and diet for individuals
perform initial and families
management and according to local
referral availability of foods,
appropriately dietary habits and
economic status
 General nutritional
advice
 Nutrition education:
purpose, principles &
methods and
Rehabilitation
 Review: Nutritional

184
 deficiency disorders
 National nutritional
policy & programs in
India

Food Borne Diseases and

Food Safety
Food borne diseases
 Definition, & burden,
Causes and
classification
 Signs & Symptoms
 Transmission of
food borne
pathogens & toxins
 Early identification,
initial management
and referral

Food poisoning & food

intoxication
 Epidemiological
features/clinical
characteristics,
Types of food
poisoning
 Food intoxication-
features, preventive
& control measures
 Public health
response to food
borne diseases
V 6 (T)  Describe behaviour Communication  Lecture  Short answer
change management and Health  Discussion  Essay
communication Education  Role play  Performance
skills  Behaviour change  Demonstration: evaluation of
communication BCC skills health
 Counsel and skills  Supervised field education
provide health  Communication practice sessions to
education to  Human  Refer: BCC/SBCC individuals and
individuals, behaviour module families
families and  Health belief  (MoHFW &
community for model: concepts USAID)
promotion of & definition,
healthy life style ways to
practices using influence
appropriate behaviour
methods and
media
185
  Steps of
behaviour
change
 Techniques of
behaviour
change: Guiding
principles in
planning BCC
activity
 Steps of BCC
 Social and
Behaviour
Change
Communication
strategies
(SBCC):
techniques to
collect social
history from
clients
 Barriers to
effective
communication,
and methods to
overcome them
 Health
promotion and
Health
education:
methods /
techniques and
audio-visual
aids
VI 7 (T)  Describe  Community health  Lecture  Short answer
community health nursing  Discussion  Essays
nursing approaches,  Demonstration  Assessment of
approaches and concepts, roles and  Role plays Supervised
Concepts responsibilities of  Supervised field field practice
community health practice
 Describe and nursing personnel
identify the  Approaches:
activities of  Nursing process
community health  Epidemiological
nurse to promote approach
and maintain  Problem solving
family health approach
through home  Evidence based
visits approach

186
  Empowering
people to care
for themselves
 Review: Primary
health care and
Comprehensive
Primary Health Care
(CPHC)

Home Visits:
 Concept, Principles,
Process, &
Techniques: Bag
technique
 Qualities of
Community Health
Nurse
 Roles and
responsibilities of
community health
of nursing
personnel in family
health services
 Review: Principles &
techniques of
counselling
VII 10 (T)  Explain the specific Assisting individuals and  Lecture  Short answer
activities of families to promote and  Discussion  Essay
community health maintain their health  Demonstration  Assessment of
nurse in assisting A. Assessment of  Role plays clinical
individuals and individuals and  Document and performance in
groups to promote families (Review maintain: the field
and maintain their from Child health  Individual records practice area
health nursing, Medical  Family records  Assessment of
surgical nursing  Health center procedural
 Provide primary and OBG Nursing) records skills in lab
care at home/  Assessment of  Field visits procedures
health centers children,  Evaluation of
(HWC) using women, records and
standing orders/ adolescents, reports
protocols as per elderly etc.  Evaluation of
public health  Children: field visit
standards / Monitoring reports
approved by growth and
MoH&FW and INC development,
Regulation milestones
 Anthropometric
 Develop skill in measurements,
187
 maintenance of BMI
records and  Social
reports development
 Temperature
 Develop beginning and Blood
skills in handling pressure
social issues monitoring
affecting the health  Menstrual cycle
and development  Breast self-
of the family examination
(BSE) and
testicles self-
 Identify and assist examination
the families to (TSE)
utilize the  Warning Signs
community of various
resources diseases
appropriately  Tests: Urine for
sugar and
albumin, blood
sugar,
Haemoglobin
B. Provision of health
services/primary
health care:
 Routine check-
up,
Immunization,
counselling, and
diagnosis
 Management of
common
diseases at
home and health
centre level
 Care based on
standing orders
/ protocols
approved by
MoH&FW
 Drugs
dispensing and
injections at
health centre
C. Continue medical
care and follow up
in community for
various diseases /
disabilities
188
 D. Carry out
therapeutic
procedures as
prescribed/requir
ed for client and
family
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

189
  Palliative care
centres
 Hospice care
centres
 Assisted living
facility
VIII 10 (T)  Describe the Introduction to  Lecture  Short answer
concepts, Epidemiology –  Discussion  Essay
approaches and Epidemiological  Demonstration  Report on visit
methods of Approaches and  Role play to
epidemiology Processes  Field visits: communicable
 Epidemiology: communicable disease
 Investigate an Concept and disease hospital hospital
epidemic of Definition & Entomology  Report on visit
communicable  Distribution and office to entomology
disease frequency of  Investigation of office
disease an epidemic of  Report and
 Aims & uses of communicable Presentation on
epidemiology disease investigating an
 Epidemiological epidemic of
models of communicable
causation of disease
disease
 Concepts of
disease
transmission
 Modes of
transmission:
Direct, Indirect and
chain of infection
 Time trends or
fluctuations in
disease occurrence
 Epidemiological
approaches:
Descriptive,
analytical and
experimental
 Principles of control
measures / levels of
prevention of
disease
 Investigation of an
epidemic of
communicable
disease
 Use of basic
epidemiological

190
 tools to make
community
diagnosis for
effective planning
and intervention
XI 15 (T)  Explain the Communicable Diseases  Lecture  Field visit
epidemiology of and National Health  Discussion reports
specific Programs  Demonstration  Assessment of
communicable 1. Communicable  Role play family case
diseases Diseases – Vector  Suggested field study
 Describe the borne diseases visits  OSCE
various methods of (Every disease will  Field practice assessment
prevention, control be dealt under the  Assessment of  Short answer
and management following headlines) clients with  Essay
of communicable  Epidemiology of the communicable
diseases and the following vector diseases
role of nurses in born diseases
screening,  Prevention & control
diagnosing, measures
primary  Screening, and
management and diagnosing the
referral to a health following
facility conditions, primary
 Identify the management,
national health referral and follow
programs relevant up
to communicable  Malaria
diseases and  Filaria
explain the role of  Kala-azar
nurses in  Japanese
implementation of encephalitis
these programs  Dengue
 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

191
 conditions, primary
management,
referral and follow
up
 Leprosy
 Tuberculosis
 Vaccine preventable
diseases –
Diphtheria,
whooping cough,
tetanus,
poliomyelitis and
measles
 Enteric fever
 Viral hepatitis
 HIV / AIDS / RTI
infections
 HIV/AIDS, and
Sexually
Transmitted
Diseases/
Reproductive tract
infections
(STIs/RTIs)
 Diarrhoea
 Respiratory tract
infections
 COVID-19
 Helminthic – soil &
food transmitted
and parasitic
infections –
Scabies and
Pediculosis
3. Communicable
diseases: Zoonotic
diseases
 Epidemiology of
Zoonotic diseases
 Prevention & control
measures
 Screening and
diagnosing the
following
conditions, primary
management,
referral and follow
up

192
  Rabies:
Identify,
suspect,
primary
management
and referral to
a health
facility
 Role of a nurses in
control of
communicable
diseases
National Health
Programs
1. UIP: Universal
Immunization
Program
(Diphtheria,
Whooping cough,
Tetanus,
Poliomyelitis,
Measles and
Hepatitis B)
2. National Leprosy
Eradication
Program (NLEP)
3. Revised National
Tuberculosis
Control Program
(RNTCP)
4. Integrated Disease
Surveillance
Program (IDSP):
Enteric fever,
Diarrhea,
Respiratory
infections and
Scabies
5. National Aids
Control
Organization
(NACO)
6. National Vector
Borne Disease
Control Program
7. National Air Quality
Monitoring Program
8. Any other newly
added Program
193
X 15 (T)  Describe the Non-Communicable Lecture Field visit
national health Diseases and National  Discussion reports
program for the Health Program (NCD)  Demonstration  Assessment of
control of non-  National response  Role play family case
communicable to NCDs (Every  Suggested field study
diseases and the disease will be dealt visits  OSCE
role of nurses in under the following  Field practice assessment
screening, headlines  Assessment of  Short answer
identification,  Epidemiology of clients with non-  Essay
primary specific diseases communicable
management and  Prevention and Diseases
referral to a health control measures Participation in
facility  Screening, national health
diagnosing / programs
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 impairment
and national program
for control of blindness
o Deafness: national
program for prevention
and control of deafness
o Thyroid diseases
o Injury and accidents:
Risk 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,
194
 diagnosis – signs,
Signs & symptoms, and
early management &
referral
o Palliative care
o Role of a nurse in
non-communicable
disease control
program

National Health
Programs
 National program for
prevention and
control of cancer,
Diabetes,
Cardiovascular
Diseases and Stroke
(NPCDCS)
 National program for
control of blindness
 National program for
prevention and
control of deafness
 National tobacco
control program
 Standard treatment
protocols used in
National Health
Programs
XI 3 (T)  Enumerate the School Health Services  Lecture  Short answer
school health  Objectives  Discussion  Essay
activities and the  Health problems of  Demonstration  Evaluation of
role functions of a school children  Role play health
school health  Components of  Suggested field counselling to
nurse school health visits school children
services  Field practice  Screen,
 Maintenance of diagnose,
school health manage and
records refer school
 Initiation and children
planning of school  OSCE
health services Assessment
 Role of a school
health nurse
Note: Lab hours less than 1 Credit is not specified separately.

195
 CLINICAL PRACTICUM

CLINICAL: 2 Credits (160 hours)

CLINICAL POSTINGS: (4 weeks × 40 hours per week)

Procedural
Clinical Area Duration Learning Clinical Assessments
Competencies /
/ Units (Weeks) Outcomes Requirements Methods
Clinical Skills
Urban 2 Weeks  Build and  Interviewing skills  Community  Evaluation of
maintain using needs survey report
rapport communication Assessment /
and interpersonal Survey
relationship
Rural  Identify the  Conducting – Rural / urban –  Evaluation of
socio community needs 1 Field visits: field visit and
demographic assessment /  SC/HWC, PHC, observation
characteristics, survey to identify CHC reports
health health  Water resources  Health talk
determinants determinants of a & purification evaluation
and resources community site – water  Assessment of
of a rural and quality standards clinical
an urban  Rain water performance
community harvesting  Evaluations of
 Sewage disposal reports &
 Observation of records
 Observe the  Observation skills  Clinical
 Milk diary
functioning and performance
 Slaughterhouse
document assessment
– meat hygiene
significant  OSCE
 Observation of
observations  Final clinical
nutrition
2 Weeks programs examination
 Visit to market  Evaluation of
 Perform home visit
nutritional  Nutritional  Nutritional
assessment assessment skills assessment of
and plan diet an individual
plan for adult (adult) – 1
 Health teaching
 Educate  Skill in teaching (Adult) – 1
individuals/ individual / family  Use of audio-
family/ on: visual aids
community on  Nutrition,  Flash cards
- Nutrition including food  Posters
- Hygiene hygiene and  Flannel
- Food hygiene safety graph
- Healthy  Healthy  Flip charts
lifestyle lifestyle
- Health  Health
promotion promotion
196
 Perform health  Health  Health
assessment for assessment assessment of
clients of including woman – 1,
various age nutritional infant / under
groups assessment for five – 1,
clients of different adolescent – 1,
age groups adult – 1
 Growth
monitoring of
under-five
children – 1

 Maintain  Documentation Document and

records and skills maintain:
Reports  Individual record
 Family record
 Health center
record
 Community
health survey to
investigate an
epidemic – 1

 Investigate  Investigating an Screening,

epidemic of epidemic – diagnosing and
communicable Community health primary
disease survey management and
referral:
 Identify  Screening,  Communicable
prevalent diagnosing, disease – 1
communicable primary  Non –
and non- management of communicable
communicable common health diseases – 1
diseases problems in the  Home visits – 2
community and  Participation in
referral of high- any two national
risk clients to health programs
 Screen, FRUs
diagnose,  Conduct home
manage and visit
refer clients
with common
health problems
in the
community and
refer high risk
clients using
standing orders
/ protocols
197
 Participate in  Participation in  Participation in
implementation implementation of school health
of national national health program – 1
health programs
programs
 Participation in
 Participate in school health
school health program
program

************

198
 EDUCATIONAL TECHNOLOGY / NURSING EDUCATION

PLACEMENT : V SEMESTER THEORY : 2 Credits (40 hours)

PRACTICUM : Lab / Practical: 1 Credit
(40 hours)

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 Foundation and principles of teaching and

learning
2. Identify the latest approaches to education and learning
3. Initiate self- assessment to identify one‘s own learning styles
4. Demonstrate understanding of various teaching styles that can be used, based on the
learners‘ readiness and generational needs
5. Develop understanding of basics of curriculum planning, and organizing
6. Analyze and use different teaching methods effectively that are relevant to student
population and settings
7. Make appropriate decisions in selection of teaching learning activities integrating basic
principles
8. Utilize active learning strategies that enhance critical thinking, team learning and
collaboration
9. Engage in team learning and collaboration through inter professional education
10. Integrate the principles of teaching and learning in selection and use of educational media /
technology
11. Apply the principles of assessment in selection and use of assessment and evaluation
strategies
12. Construct simple assessment tools / tests integrating cognitive, psychomotor and affective
domains of learning that can measure knowledge and competence of students
13. Develop basic understanding of student guidance through mentoring and academic advising
14. Identify difficult situations, crisis and disciplinary/grievance issues experienced by students
and provide appropriate counselling
15. Engage in ethical practice in educational as well as clinical settings based on values,
principles and ethical standards
16. Develop basic understanding of evidence-based teaching practices

199
 COURSE OUTLINE
T – Theory, P – Practical (Laboratory)

Unit Time Learning Content Teaching / Assessment

(Hrs.) Outcomes Learning Activities Methods
T P
I 6 3 Explain the Introduction and  Lecture cum  Quiz
definition, aims, Theoretical discussion
types, Foundation: Assessment of
approaches and Assignment:
scope of Education and  Learning
educational educational theories –
technology technology analysis of any
one
 Definition, aims Group exercise
 Approaches and  Create /
scope of discuss
educational scenario –
technology based exercise
 Latest
approaches to
education:
o Transformatio
nal
education
o Relationship
based
Compare and education
contrast the o Competency
various based
educational education
philosophies
Educational
philosophy:

 Definition of
philosophy,
education and
philosophy
Explain the  Comparison of
teaching learning educational
process, nature, philosophies
characteristics  Philosophy of
and principles nursing education

200
 Teaching learning
process:

 Definitions
 Teaching learning
as a process
 Nature and
characteristics of
teaching and
learning
 Principles of
teaching and
learning
 Barriers to
teaching and
learning
 Learning theories
 Latest
approaches to
learning
 Experiential
learning
 Reflective
learning
 Scenario based
learning
 Simulation based
learning
 Blended learning

II 6 6  Identify Assessment and  Lecture cum  Short answer

essential Planning discussion  MCQ
qualities / Assessment of
attributes of teacher Self -assessment Assessment of
a teacher  Essential qualities exercise: Assignment:
 Describe the of a teacher  Identify your  Individual/
teaching  Teaching styles – learning style Group
styles of Formal authority, using any
faculty demonstrator, learning style
 Explain the facilitator, inventory (ex.
determinants delegator Kolb‘s learning
of learning style inventory)
and initiates Assessment of  Lecture cum
self- learner discussion
assessment  Types of learners
to identify  Determinants of
own learning learning – learning
style needs, readiness

201
 Identify the to learn, learning Individual / group
factors that styles exercise:
motivate the  Today‘s generation  Writing learning
learner of learners and outcomes
 Define their skills and  Preparation of a
curriculum attributes lesson plan
and classify  Emotional
types intelligence of the
 Identify the learner
factors  Motivational
influencing factors – personal
curriculum factors,
development environmental
 Develop skill factors and
in writing support system
learning
outcomes, Curriculum Planning
and lesson  Curriculum –
plan definition, types
 Curriculum design
– components,
approaches
 Curriculum
development –
factors influencing
curriculum
development,
facilitators and
barriers
 Writing learning
outcomes /
behavioural
objectives
 Basic principles of
writing course
plan, unit plan and
lesson plan

202
III 8 15  Explain the Implementation  Lecture cum  Short
principles and Teaching in Classroom Discussion answer
strategies of and Skill lab – Teaching Practice  MCQ
classroom Methods teaching /  Assessmen
management  Classroom Micro teaching t of micro
management –  Exercise (Peer teaching
 Describe different principles and teaching)
methods / strategies strategies  Patient
of teaching and  Classroom teaching
develop beginning communication session
skill in using various o Facilitators and  Construction
teaching methods Barriers to classroom of game –
communication puzzle
 Explain active o Information  Teaching in
learning strategies communication groups –inter
and participate technology (ICT) – ICT disciplinary
actively in team and used in education
collaborative Teaching methods –
learning Features, advantages and
disadvantages
 Lecture, Group
discussion,
microteaching
 Skill lab – simulations,
Demonstration & re-
demonstration
 Symposium, panel
discussion, seminar,
scientific workshop,
exhibitions
 Role play, project
 Field trips
 Self-directed learning
(SDL)
 Computer 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

203
IV 3 3  Enumerate the Teaching in the Clinical  Lecture cum  Short answer
factors influencing Setting – discussion  Assessment
selection of clinical Teaching Methods  Writing clinical of written
learning experiences  Clinical learning outcomes – assignment
environment assignments
 Develop skill in  Factors influencing in pairs
using different selection of clinical
clinical teaching learning experiences
strategies  Practice model
 Characteristics of
effective clinical
teacher
 Writing clinical
learning outcomes /
practice
competencies
 Clinical teaching
strategies – patient
assignment – clinical
conference, clinical
presentation / bedside
clinic, Case study/care
study, nursing rounds,
concept mapping,
project, debate, game,
role play, PBL,
questioning, written
assignment, process
recording
V 5 5  Explain the purpose, Educational/Teaching  Lecture cum  Short answer
principles and steps Media discussion  Objective
in the use of media  Media use – Purpose, type
components,  Preparation  Assessment
 Categorize the principles and steps of different of the
different types of  Types of media teaching teaching
media and describe aids – media
its advantages and Still visuals (Integrate prepared
disadvantages o Non projected – with practice
drawings & teaching
 Develop skill in diagrams, charts, sessions)
preparing and using graphs, posters,
media cartoons, board
devices (chalk/white
board, bulletin
board, flannel board,
flip charts, flash
cards, still pictures /
photographs, printed
materials-handout,
204
 leaflet, brochure,
flyer
o Projected – film
stripes, microscope,
power point slides,
overhead projector
Moving visuals
 Video learning
resources –
videotapes &
DVD, blu-ray,
USB flash drive
 Motion pictures
/ films

Realia and models

 Real objects &
Models
Audio aids/audio media

 Audiotapes /
Compact discs
 Radio & Tape
recorder
 Public address
system
 Digital audio
Electronic
media/computer learning
resources
 Computers
 Web-based
video
conferencing
 E-learning,
Smart
classroom
Telecommunication
(Distance education)
 Cable TV,
satellite
broadcasting,
video
conferencing
Telephones –
Telehealth /
telenursing
Mobile technology

205
VI 5 3  Describe the Assessment/Evaluation  Lecture cum  Short
purpose, scope, Methods/Strategies Discussion answer
principles in  Purposes, scope  Exercise on  Objective
selection of and principles in constructing type
evaluation methods selection of assessment  Assessment
and barriers to assessment tool/s of tool/s
evaluation methods and prepared
types
 Explain the  Barriers to
guidelines to evaluation
develop assessment  Guidelines to
tests develop
assessment
 Develop skill in
construction of
different tests

 Identify various
clinical evaluation
tools and
demonstrate skill in
selected tests
VII 3 3  Explain the scope, Guidance / academic  Lecture cum  Assessment
purpose and advising, counselling and discussion of
principles of discipline  Role play on performance
guidance Guidance student in role play
 Differentiate  Definition, counselling in scenario
between guidance objectives, different  Evaluation of
and counselling scope, purpose situations assignment
 Describe the and principles  Assignment on
principles, types, and  Roles of identifying
counselling process academic situations
 Develop basic skill advisor/ faculty requiring
of counselling and in guidance counselling
guidance
 Recognize the Counselling
importance of  Difference
preventive between
counselling and guidance and
develop skill to counselling
respond to
disciplinary  Definition,
problems and objectives,
grievance among scope,
students principles, types,
process and
steps of
counselling

206
  Counselling
skills /
techniques –
basics
 Roles of
counsellor
 Organization of
counselling
services
 Issues for
counselling in
nursing students
Discipline and grievance
in students
 Managing disciplinary
/ grievance problems
– preventive guidance
& counselling
 Role of students‘
grievance redressal
cell / committee
VIII 4 2  Recognize the Ethics and Evidence  Value  Short
importance of value Based Teaching (EBT) in clarification answer
based education Nursing Education exercise
Ethics – Review  Evaluation
 Develop skill in  Definition of terms  Case study of case
ethical decision  Value based analysis study
making and maintain education in nursing (student analysis
ethical standards for  Value development encountered
students strategies scenarios)  Quiz –
 Ethical decision and suggest MCQ
 Introduce knowledge making ethical
of EBT and its  Ethical standards decision –
application in for students making steps
nursing education  Student-faculty
relationship  Lecture cum
discussion
Evidence based teaching
– Introduction
 Evidence based
education
process and its
application to
nursing
education

************

207
 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:

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 procedures

208
 COURSE OUTLINE
T – Theory

Time Learning Teaching / Assessment

Unit Content
(Hrs.) Outcomes Learning Activities Methods
I 3 (T) Describe the Forensic Science  Lecture cum  Quiz – MCQ
nature of forensic  Definition discussion  Write visit Report
science and  History  Visit to
discus issues  Importance in Regional
concerning medical science Forensic
violence  Forensic Science Science
Laboratory Laboratory
Violence
 Definition
 Epidemiology
 Source of data
Sexual abuse – child
and women
II 2 (T) Explain concepts Forensic Nursing  Lecture cum  Short
of forensic nursing  Definition discussion answer
and scope of  History and  MCQ
practice for development
forensic nurse  Scope – setting of
practice, areas of
practice and
subspecialties
 Ethical issues
 Roles and
responsibilities of
nurse
 INC & SNC Acts
III 7 (T) Identify members Forensic Team  Lecture cum  MCQ
of forensic team  Members and their Discussion  Short answer
and describe role roles  Hypothetical /  Write report
of forensic nurse Comprehensive real case
forensic nursing care presentation
of victim and family  Observation of
 Physical aspects post-mortem
 Psychosocial  Visit to
aspects department of
 Cultural and forensic
spiritual aspects medicine
 Legal aspects
 Assist forensic
team in care
beyond scope of
her practice
 Admission and
209
 discharge / referral /
death of victim of
violence
 Responsibilities of
nurse as a witness
Evidence preservation
– role of nurses
 Observation
 Recognition
 Collection
 Preservation
 Documentation of
Biological and other
evidence related to
criminal / traumatic
event
 Forwarding
biological samples
for forensic
Examination
IV 3 (T) Describe Introduction of Indian  Lecture cum  Short answer
fundamental rights Constitution discussion  Assessment of
and human rights  Written written
commission Fundamental Rights Assignment assignment
 Rights of victim  Visit to prison  Write visit report
 Rights of accused
Human Rights
Commission
V 5 (T) Explain Indian Sources of laws and  Lecture cum  Quiz
judicial system law-making powers discussion  Short
and laws Overview of Indian  Guided reading answer
Judicial System  Lecture cum
 JMFC (Judicial discussion
Magistrate First
Class)
 District
 State
 Apex
Civil and Criminal
Case Procedures
 IPC (Indian Penal
Code)
Discuss the  ICPC
importance of  IE Act (Indian
POSCO Act Evidence Act)
Overview of POSCO
Act
************

210
 CHILD HEALTH NURSING – II

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

PRACTICUM: Clinical: 1 Credit (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
Cardiovascular, GI, genitourinary, nervous system disorders, orthopaedic 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

211
 COURSE OUTLINE
T – Theory

Time Learning Teaching / Learning Assessment

Unit Content
(Hrs.) Outcomes Activities Methods
I 20 (T)  Describe the Cardiovascular system:  Lecture cum  Short answer
etiology, patho-  Identification discussion  MCQ
physiology, and Nursing  Demonstration  Assessment of
clinical management of and practice skills with
manifestation congenital session checklist
and nursing malformations
management  Congenital heart
of children with diseases:
disorders of Cyanotic and
cardiovascular, Acyanotic
gastrointestina (ASD,VSD, PDA,
l, genitourinary, TOF)
and nervous  Others:
system Rheumatic fever
and Rheumatic
heart disease,
Congestive
cardiac failure
 Hematological
conditions:
a) Congenital:
Hemophilia,
Thalassemia
b) Others:
Anemia,
Leukemia,
Idiopathic
thrombo-
cytopenic
purpura,
Hodgkins and
non-hodgkins
lymphoma
Gastro-intestinal system:
 Identification and
Nursing
management of  Refer/Consult
congenital SAM operational
malformations. guidelines on
 Congenital: Cleft lip, facility-based
Cleft palate, management of
Congenital children with
hypertrophic pyloric severe acute
stenosis, malnutrition.
212
 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, Extropy of
bladder,
Hypospadias,
Epispadias,
Obstructive uropathy
 Others: Nephrotic
syndrome, Acute
glomerulonephritis,
renal failure
Nervous system:
 Identification and
Nursing
management of
congenital
malformations
a) Congenital: Spina
bifida, Hydrocephalous.
b) Others: Meningitis,
Encephalitis, Convulsive
disorders (convulsions
and seizures), Cerebral
palsy head injury

213
II 10 (T)  Describe the Orthopedic disorders:  Lecture cum  Short answer
etiology, patho-  Club foot discussion  MCQ
physiology,  Hip dislocation  Assessment of
clinical and  Demonstration skills with
manifestation  Fracture Checklist
and nursing Disorder of eye, ear and  Practice session
management of skin:
children with  Refractory errors  Clinical Practice
Orthopedic  Otitis media and
disorders, eye,  Atopic
ear and skin dermatitis
disorders Communicable diseases
in children, their
identification / diagnosis,
nursing management in
hospital, in home, control
& prevention:
 Tuberculosis
 Diphtheria
 Tetanus
 Pertussis
 Poliomyelitis
 Measles
 Mumps, and
 Chicken pox
 HIV/AIDS
 Dengue fever
 COVID-19
III 10 (T)  Describe the Management of behavior  Lecture cum  Short answer
management and social problems in discussion  MCQ
of children with children  Field visits to  Assessment of
behavioural &  Child Guidance child guidance field reports
social clinic clinics, school for
problems  Common behavior mentally &
disorders in physically,
 Identify the children and socially
social & management challenged
welfare o Enuresis and
services for Encopresis
challenged o Nervousness
children o Nail biting
o Thumb sucking
o Temper tantrum
o Stealing
o Aggressiveness
o Juvenile
delinquency
o School phobia

214
 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
 Management of
challenged
children.
o Mentally
o Physically
o Socially
o Child abuse
o Substance
abuse
 Welfare services
for challenged
children in India

CHILD HEALTH NURSING - II – CLINICAL PRACTICUM (1 Credit – 80 hours)

Given under Child Health Nursing - I as I & II

******************

215
 MENTAL HEALTH NURSING – II

PLACEMENT: VI SEMESTER THEORY: 1 Credit (40 Hours)

PRACTICUM: 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 substance use disorders, and
personality and sexual disorders.

2. Apply nursing process in providing care to patients with behavioural and emotional disorders
occurring during childhood and adolescence.

3. Apply nursing process in providing care to patients with organic brain disorders.

4. Identify and respond to psychiatric emergencies.

5. Carry out crisis interventions during emergencies under supervision.

6. Perform admission and discharge procedures as per MHCA 2017.

7. Explore the roles and responsibilities of community mental health nurse in delivering
community mental health services.

216
 COURSE OUTLINE
T – Theory

Time Learning Teaching / Learning Assessment

Unit Content
(Hrs.) Outcomes Activities Methods
I 6 (T)  Describe the Nursing Management of  Lecture cum  Essay
etiology, Patients with Substance discussion  Short answer
psycho- Use Disorders  Case discussion  Assessment of
dynamics,  Prevalence and  Case presentation patient
clinical incidence  Clinical practice management
manifestations,  Commonly used problems
diagnostic psychotropic
criteria and substance:
management of classifications,
patients with forms, routes,
substance use action,
disorders intoxication and
withdrawal
 Psychodynamics
/ etiology of
substance use
disorder
(Terminologies:
Substance Use,
Abuse, Tolerance,
Dependence,
Withdrawal)
 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
217
 skills,
maintenance
therapy) and
nursing
management of
patients with
substance use
disorders
 Special
considerations
for vulnerable
population
 Follow-up and
home care and
rehabilitation
II 6 (T)  Describe the Nursing Management of  Lecture cum  Essay
etiology, Patient with Personality discussion  Short answer
psycho- and Sexual Disorders  Case discussion  Assessment of
dynamics,  Prevalence and incidence  Case presentation patient
clinical  Classification of  Clinical practice management
manifestations, disorders Etiology, problems
diagnostic psychopathology,
criteria and characteristics, diagnosis
management of Nursing Assessment:
patients with History, Physical and
personality, and mental health
sexual assessment
disorders  Treatment modalities and
nursing management of
patients with personality,
and sexual disorders
 Geriatric considerations
 Follow-up and home care
and rehabilitation
III 8 (T)  Describe the Nursing Management of  Lecture cum  Essay
etiology, Behavioural & Emotional discussion  Short answer
psycho- Disorders occurring  Case discussion  Assessment of
pathology, during Childhood and  Case presentation patient
clinical Adolescence (Intellectual  Clinical practice management
manifestations, disability, autism, problems
diagnostic attention deficit,
criteria and hyperactive disorder,
management of eating disorders, learning
childhood and disorder)
adolescent  Prevalence and incidence
disorders  Classifications
including  Etiology,
mental psychodynamics,
deficiency
218
 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
IV 5 (T)  Describe the Nursing Management of  Lecture cum  Essay
etiology, Organic Brain Disorders discussion  Short answer
psychopathol (Delirium, Dementia,  Case discussion  Assessment of
ogy, clinical amnestic disorders)  Case presentation patient
manifestatio  Prevalence and incidence  Clinical practice management
ns,  Classification problems
diagnostic  Etiology,
criteria and psychopathology, clinical
management features, diagnosis and
of organic Differential diagnosis
brain  Nursing Assessment:
disorders. History, Physical, mental
and neurological
assessment
 Treatment modalities and
nursing management of
organic brain disorders
 Follow-up and home care
and rehabilitation
V 6 (T)  Identify Psychiatric Emergencies  Lecture cum  Short answer
psychia and Crisis Intervention discussion  MCQ
tric  Types of psychiatric  Case discussion
emerge emergencies (attempted  Case presentation
ncies suicide, violence /  Clinical practice
and aggression, stupor,
carry delirium tremens and
out other psychiatric
crisis emergencies) and their
interven managements
tion  Maladaptive behaviour of
individual and groups,
stress, crisis and
disaster(s)
 Types of crisis

219
  Crisis intervention:
Principles, Techniques
and Process
- Stress reduction
interventions as per
stress adaptation model
- Coping enhancement
- Techniques of
counselling
VI 4 (T)  Explain legal Legal Issues in Mental  Lecture cum  Short answer
aspects Health Nursing discussion  MCQ
applied in  Overview of Indian  Case discussion
mental health Lunacy Act and The
settings and Mental Health Act
role of the 1987
nurse  (Protection of
Children from Sexual
Offence) POSCO Act
 Mental Health Care
Act (MHCA) 2017
 Rights of mentally ill
clients
 Forensic Psychiatry
and nursing
 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
VII 5 (T)  Describe Community Mental  Lecture cum  Short answer
the model Health Nursing discussion  MCQ
of  Development of  Clinical / field  Assessment of
preventive Community Mental practice the field visit
psychiatry Health Services:  Field visits to reports
 Describe  National mental mental health
Community health policy viz. service
Mental National Health agencies
health Policy
services  National Mental
and role of Health Program

220
 the nurse  Institutionalization
versus
Deinstitutionalizatio
n
 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,
Adolescence,
Women Elderly,
Victims of violence
and abuse,
Handicapped, HIV /
AIDS etc.

CLINICAL PRACTICUM – 2 Credits (80 hours)

Clinical Practicum for Mental Health Nursing - I & II are given under Mental Health Nursing – I
Clinical Practicum

******************

221
 NURSING MANAGEMENT AND LEADERSHIP

PLACEMENT: VI Semester THEORY : 3 Credits (60 hours) includes

Lab / Skill Lab hours also
PRACTICUM : Clinical : 1 Credits (80 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.

222
 COURSE OUTLINE
T – Theory
Time Learning Teaching / Learning Assessment
Unit Content
(Hrs.) Outcomes Activities Methods
I 1 (T)  Explore the Health Care and  Lecture cum  Short answer
health care, Development of discussion  Assessment of
development Nursing Services in  Directed reading assignment
of nursing India and written
services and  Current health care assignment
education in delivery system of
India and India – review
trends  Planning and
development of
nursing services
and education at
global and national
scenario
 Recent trends and
issues of nursing
service and
management
II 2 (T)  Explain the Management Basics  Lecture and  MCQ
principles Applied to Nursing discussion  Short answer
and  Definitions,
functions of concepts and
management theories of
applied to management
nursing  Importance,
 Describe the features and levels
introductory of management
concepts of  Management and
management administration
as a process  Functions of
management
 Principles of
management
 Role of a nurse as
a manager

Introduction to
Management Process
 Planning
 Organizing
 Staffing
 Directing/Leading
 Controlling
MANAGEMENT OF
NURSING SERVICES

223
III 4 (T)  Describe the Planning Nursing  Lecture and  Formulate Mission &
essential Services Discussion Vision Statement for
elements of  Vision, Mission,  Visit to specific the nursing
planning philosophy, hospital / patient department / unit
objectives care units  Assessment of
 Nursing service  Demonstration of problem solving
policies, disaster drill in exercises
procedures and the respective  Visit Report
manuals setting
 Functional and
operational
planning
 Strategic planning
 Program planning
– Gantt chart &
milestone chart
 Budgeting –
concepts,
principles, types,
 Budget proposal,
cost benefit
analysis
 Planning hospital
and patient care
unit (Ward)
 Planning for
emergency and
disaster
IV 4 (T)  Discuss the Organizing  Lecture cum  Short answer
concepts of  Organizing as a discussion  Assessment of
organizing process –  Comparison of assignment
including assignment, organizational
hospital delegation and structure of
organization coordination various
 Hospital – types, organizations
functions &  Nursing care
organization delivery systems
 Organizational – assignment
development  Preparation of
 Organizational Organizational
structure chart of hospital /
 Organizational Nursing services
charts
 Organizational
effectiveness
 Hospital
administration,
Control & line of

224
 authority
 Hospital statistics
including hospital
utilization indices
 Nursing care
delivery systems
and trends
 Role of nurse in
maintenance of
effective
organizational
climate
V 6 (T)  Identify the Staffing (Human  Lecture and  Formulate Job
significance resource discussion description at
of human management)  Role play different levels of
resource  Definition,  Games self- care & compare
management objectives, assessment, case with existing
(HRM) and components and discussion and system
material functions practice session  Preparation of
management Staffing & Scheduling duty roster
and discuss  Staffing –  Calculation of  Preparation of
its elements Philosophy, staffing MMF / records
staffing activities requirements for  Preparation of log
 Explain the  Recruiting, a specified ward book &
procedural selecting,  Visit to inventory condemnation
steps of deployment store of the documents
material  Training, institution  Visit Report
management development,
credentialing,
 Develop retaining,
managerial promoting,
skill in transfer,
inventory terminating,
control and superannuation
actively  Staffing units –
participate in Projecting staffing
procurement requirements /
process calculation of
requirements of
staff resources
Nurse patient ratio,
Nurse Population
ratio as per SIU
norms / IPH
Norms, and
Patient
classification
system
 Categories of
225
 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 in-service
education program
 Principles of adult
learning – review
 Planning and
organizing in-
service
educational
program
 Methods,
techniques and
evaluation
 Preparation of
report
Material Resource
Management
 Procurement,
purchasing
process, inventory
control & role of
nurse
 Auditing and
maintenance in
hospital and
patient care unit
VI 5 (T)  Describe the Directing and Leading  Lecture and  Assignment on
important  Definition, discussion Reports & Records
methods of principles,  Demonstration of maintained in
supervision elements of record & report nursing
and guidance directing maintenance in department
 Supervision and specific wards /  Preparation of
guidance departments protocols and
 Participatory manuals
management

226
  Inter-
professional
collaboration
 Management by
objectives
 Team
management
 Assignments,
rotations
 Maintenance of
discipline
 Leadership in
management
VII 4 (T)  Discuss the Leadership  Lecture cum  Short answer
significance  Definition, discussion  Essay
and changing concepts, and  Self-assessment  Assessment of
trends of theories  Report on types of exercise / report
nursing  Leadership leadership
leadership principles and adopted at
 Analyze the competencies different levels of
different  Leadership styles: health care in the
leadership Situational given setting
styles and leadership,  Problem solving/
develop Transformational Conflict
leadership leadership management
competencie  Methods of exercise
s leadership  Observation of
development managerial roles
 Mentorship / at different levels
preceptorship in (middle level
nursing mangers-ward
 Delegation, power Incharge, ANS)
& politics,
empowerment,
mentoring and
coaching
 Decision making
and problem
solving
 Conflict
management and
negotiation
 Implementing
planned change

227
VIII 4 (T)  Explain the Controlling  Lecture cum  Assessment of
process of  Implementing discussion prepared protocols
controlling standards,  Preparation of
and its policies, policies /
activities procedures, protocols for
protocols and nursing units /
practices department
 Nursing
performance audit,
patient
satisfaction
 Nursing rounds,
Documentation –
records and
reports
 Total quality
management –
Quality assurance,
Quality and safety
 Performance
appraisal
 Program
evaluation review
technique (PERT)
 Bench marking,
Activity plan (Gantt
chart)
 Critical path
analysis
IX 4 (T)  Explain the Organizational  Lecture and  Short answer
concepts of Behavior and Human discussion  OSCE
organizationa Relations  Role play /
l behavior  Concepts and exercise – Group
and group theories of dynamics &
dynamics organizational human relations
behavior
 Group dynamics
 Review –
Interpersonal
relationship
 Human relations
 Public relations in
the context of
nursing
 Relations with
professional
associations and
employee unions

228
  Collective
bargaining
 Review –
Motivation and
morale building
 Communication in
the workplace –
assertive
communication
 Committees –
importance in the
organization,
functioning
X 2 (T)  Describe the Financial  Lecture cum  Short answer
financial Management discussion  Essay
management  Definition,  Budget proposal  Assessment of
related to objectives, review assignment
nursing elements,  Preparation of
services functions, budget proposal
principles & scope for a specific
of financial department
management
 Financial planning
(budgeting for
nursing
department)
 Proposal,
projecting
requirement for
staff, equipment
and supplies for –
Hospital & patient
care units &
emergency and
disaster units
Budget and
Budgetary process
 Financial audit
XI 1 (T)  Review the Nursing Informatics/  Review  Short answer
concepts, Information  Practice session
principles Management –  Visit to
and methods Review departments
and use of  Patient records
nursing  Nursing records
informatics  Use of computers in
hospital, college
and community
 Telemedicine & Tele

229
 nursing
 Electronic Medical
Records (EMR), EHR
XII 1 (T)  Review Personal  Review
personal Management –  Discussion
management Review
in terms of  Emotional
management intelligence
of emotions,  Resilience building
stress and  Stress and time
resilience management –
distressing
 Career planning
MANAGEMENT OF
NURSING
EDUCATIONAL
INSTITUTIONS
XIII 4 (T)  Describe the Establishment of  Lecture and  Visit report
process of Nursing Educational discussion
establishing Institutions  Visit to one of the
educational  Indian Nursing regulatory bodies
institutions Council norms and
and its guidelines –
accreditation Faculty norms,
guidelines physical facilities,
clinical facilities,
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 (T)  Explain the Planning and  Directed reading –  Short answer
planning and Organizing INC Curriculum  Essay
organizing  Philosophy,  Preparation of  Assessment of
functions of objectives and organizational assignment
a nursing mission of the structure of the
college college college
 Organization  Written

230
 structure of school assignment –
/ college writing philosophy
 Review – of a teaching
Curriculum department
planning  Preparation of
 Planning teaching master plan, time
and learning table and clinical
experiences, rotation
clinical facilities –
master plan, time
table and clinical
rotation
 Budget planning –
faculty, staff,
equipment &
supplies, AV aids,
Lab equipment,
library books,
journals,
computers and
maintenance
 Infrastructure
facilities – college,
classrooms,
hostel, library,
labs, computer lab,
transport facilities
 Records & reports
for students, staff,
faculty and
administrative
 Committees and
functioning
 Clinical
experiences
XV 4 (T)  Develop Staffing and Student  Guided reading on  Short answer
understandin Selection faculty norms  Activity report
g of staffing  Faculty/staff  Faculty welfare  Assessment of job
the college selection, activities report description
and selecting recruitment and  Writing job
the students placement, job description of
description tutors
 Performance
appraisal
 Faculty
development
 Faculty/staff
welfare

231
  Student
recruitment,
admission, clinical
placement
XVI 4 (T)  Analyze the Directing and  Review principles  Short answer
leadership Controlling of evaluation  Assessment of
and  Review –  Assignment – assignment and
management Curriculum Identify record
activities in implementation disciplinary
an and evaluation problems among
educational  Leadership and students
organization motivation,  Writing student
supervision – record
review
 Guidance and
counselling
 Quality
management –
educational audit
 Program
evaluation,
evaluation of
performance
 Maintaining
discipline
 Institutional
records and
reports –
administrative,
faculty, staff and
students
XVII 4 (T)  Identify PROFESSIONAL
various legal CONSIDERATIONS
issues and Review – Legal and
laws relevant Ethical Issues
to nursing  Nursing as a
practice profession –
Characteristics of
a professional
nurse
 Nursing practice –
philosophy, aim
and objectives
 Regulatory bodies
– INC and SNC
constitution and
functions

232
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 practice –
negligence,
malpractice,
breach, penalties
 Invasion of
privacy,
defamation of
character
 Nursing regulatory
mechanisms –
registration,
licensure, renewal,
accreditation,
nurse practice act,
regulation for
nurse
practitioner/specia
list nursing
practice

233
XVIII 2 (T)  Explain Professional  Prepare journal  Assessment of
various Advancement list available in assignments
opportunities  Continuing Nursing India
for Education  Write an article –
professional  Career research / clinical
advancement opportunities
 Membership with
professional
organizations –
national and
international
 Participation in
research activities
 Publications –
journals,
newspaper

Note : Less than 1 credit lab hours are not specified

234
 CLINICAL PRACTICUM

Clinical: 2 Credits (80 hours) 2 weeks × 40 hours per week = 80 hours

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

CLINICAL POSTING : Management experience in hospital & college.

******************

235
 MIDWIFERY / OBSTETRICS AND GYNECOLOGY (OBG) NURSING – I
including SBA module

PLACEMENT: VI SEMESTER THEORY : 3 Credits (60 hours)

PRACTICUM : Skill Lab: 1 Credit (40 hours)
Clinical: 3 Credits (240 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, intranatal and postnatal periods in hospitals and community settings.
It further helps to develop skills in managing normal neonates and participate in family welfare
programs.

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 and obstetrical nursing.
4. Review and describe the anatomy and physiology of human reproductive system and
conception.
5. Describe and apply physiology in the management of normal pregnancy, birth and
puerperium.
6. Demonstrate competency in providing respectful and evidence based maternity care for
women during the antenatal, Intranatal and postnatal period.
7. Uphold the fundamental human rights of individuals when providing midwifery care.
8. Promote physiologic labour and birth, and conduct normal childbirth.
9. Provide evidence based essential newborn care.
10. Apply nursing process approach in caring for women and their families.
11. Describe the methods of contraception and role of nurse/midwife in family welfare services.
12. Recognize the importance of and actively participate in family welfare programs.
13. Provide youth friendly health services and care for women affected by gender based violence.

236
 COURSE OUTLINE
T – Theory

Time Learning Teaching / Assessment

Unit Content
(Hrs.) Outcomes Learning Activities Methods
I 8 (T) Explain the history Introduction to midwifery  Discussion  Short
and current  History of midwifery in  Demonstration answer
scenario of India  Role play  MCQ
midwifery in India  Current scenario:  Directed reading  Essay
o Trends of maternity and  Quiz
care in India assignment:
o Midwifery in India – ICM
Transformative competencies
education for  Scenario based
relationship based learning
and transformative
midwifery practice in
Review vital India
health indicators  Vital health indicators
– Maternal mortality
ratio, Infant Mortality
Rate, Neonatal
Mortality Rate,
perinatal mortality
rate, fertility rates
o Maternal death audit
 National health
programs related to
RMNCH+A
(Reproductive
Maternal Newborn and
Describe the Child Health +
various national Adolescent Health)
health programs
related to Current trends in
RMNCH+A midwifery and OBG
nursing:
o Respectful maternity
Identify the trends and newborn care
and issues in (RMNC)
midwifery o Midwifery-led care
units (MLCU)
o Women centered
care, physiologic
birthing and
demedicalization of
birth
o Birthing centers,
water birth, lotus birth
237
 o Essential
competencies for
midwifery practice
(ICM)
o Universal rights of
child-bearing women
o Sexual and
reproductive health
and rights
o Women‘s
expectations &
choices about care

Legal provisions in
midwifery practice in
India:
Discuss the legal  INC/MOH&FW
and ethical issues regulations
relevant to  ICM code of ethics
midwifery  Ethical issues in
practice maternal and neonatal
care
 Adoption laws, MTP
act, Pre - Natal
Diagnostic Test
(PNDT) Act, Surrogate
mothers
 Roles and
responsibilities of a
midwife / Nurse
practitioner midwife in
different settings
(hospital / community)
 Scope of practice for
midwives
II 6 (T) Review the Anatomy and physiology  Lecture  Quiz
anatomy and of human reproductive  Discussion  Short
3 (L) physiology of system and conception  Self-directed answer
human (Maternal, Fetal & learning  Essay
reproductive Newborn physiology)  Models
system Review:  Videos & films
 Female organs of
reproduction
 Female pelvis –
bones, joints,
ligaments, planes,
diameters, landmarks,
inclination, pelvic
variations
238
  Foetal skull – bones,
sutures, fontanelles,
diameters, moulding
 Fetopelvic relationship
 Physiology of
menstrual cycle,
menstrual hygiene
 Fertilization,
conception and
implantation
 Embryological
development
 Placental development
and function, placental
barrier
 Fetal growth and
development
 Fetal circulation &
nutrition
III 12 (T) Assessment and  Lecture  Short answer
management of normal
10 (L) pregnancy (ante-natal):  Discussion  Objective type
Provide Pre-pregnancy Care
40 (C) preconception  Review of sexual  Demonstration  Assessment of
care to eligible development (Self skills with check
couples Learning)  Self-Learning list
 Socio-cultural aspects
of human sexuality  Health talk  Case study
(Self Learning) evaluation
 Preconception care  Role play
 Pre-conception  OSCE
counselling (including  Counselling
awareness regarding session
normal birth) Genetic
counselling (Self  Case discussion /
Learning) presentation
 Planned parenthood
 Simulation
Pregnancy assessment
and antenatal care (I, II &  Supervised clinical
III Trimesters) practice
Normal pregnancy
Describe the  Physiological changes  Refer SBA module
physiology, during pregnancy & Safe motherhood
assessment and  Assess and confirm booklet
management of pregnancy: Diagnosis
normal pregnancy of pregnancy – Signs,  Lab tests –
differential diagnosis performance and

239
 and confirmatory tests interpretation
 Review of maternal
nutrition &  Demonstration
malnutrition
 Building partnership  Role play
with women following
RMC protocol  Demonstration
 Fathers‘ engagement of antenatal
in maternity care Assessment
Demonstrate
knowledge, Ante-natal care:  Scenario based
attitude and skills learning
of midwifery I Trimester
practice  Antenatal  Lecture
throughout 1st, assessment: History
nd rd
2 and 3 taking, physical  Simulation
trimesters examination, breast
examination,  Role play
laboratory
investigation  Refer GoI
 Identification and
management of minor  Guidelines
discomforts of
pregnancy Antenatal  Health talk
care : as per
Government of India  Counselling
guidelines session
 Antenatal counselling
(lifestyle changes,  Demonstration
nutrition, shared of birthing
decision making, risky positions
behavior, sexual life
during pregnancy,  Workshop on
immunization etc.) alternative
 Danger signs during birthing
pregnancy positions
 Respectful care and
compassionate
communication
 Recording and
reporting: as per the
Government of India
guidelines
 Role of Doula / ASHAs

II Trimester
 Antenatal
assessment:
abdominal palpation,
240
 fetal assessment,
auscultate fetal heart
rate – Doppler and
pinnard‘s stethoscope
 Assessment of fetal
well-being: DFMC,
biophysical profile,
Non stress test, cardio
-tocography, USG,
Vibro acoustic
stimulation,
biochemical tests.
 Antenatal care
 Women centered care
 Respectful care and
compassionate
communication
 Health education on
IFA, calcium and
vitamin D
supplementation,
glucose tolerance test,
etc.
 Education and
management of
physiological changes
nd
and discomforts of 2
trimester
 Rh negative and
prophylactic anti D
 Referral and
collaboration,
empowerment
 Ongoing risk
assessment
 Maternal Mental
Health

III Trimester
 Antenatal
assessment:
abdominal palpation,
fetal assessment,
auscultate fetal heart
rate – Doppler and
Pinnard‘s stethoscope
 Education and
management of

241
 physiological changes
and discomforts of
3rd trimester
 Third trimester tests
and screening
 Fetal engagement in
late pregnancy
 Childbirth preparation
classes Birth
preparedness and
complication
readiness including
micro birth planning
 Danger signs of
pregnancy –
recognition of
ruptured membranes
 Education on
alternative birthing
positions – women‘s
preferred choices,
birth companion
 Ongoing risk
assessment
 Cultural needs
 Women centered care
 Respectful and
compassionate
communication
 Health education on
exclusive
breastfeeding
 Role of Doula /
ASHA‘s
IV 12 (T) Apply the Physiology, management  Lecture  Essay type
physiology of and care during labour  Short
12 (L) labour in  Normal labour and  Discussion answer
promoting normal birth  MCQ
80 (C) childbirth  Onset of birth / labour  Demonstration  Case study
 Per vaginal evaluation
Describe the examination (if  Bedside clinics  Assessment
management and necessary) of skills with
care during labour  Stages of labour  Case discussion / check list
 Organization of labour presentation  OSCE
room – Triage,
preparation for birth  Simulated practice
 Positive birth
environment  Supervised

242
  Respectful care and Clinical practice –
communication Per vaginal
 Drugs used in labour examination,
as per Government of Conduction of
India guidelines normal childbirth
Discuss how to
maintain a safe First Stage  Refer SBA
environment for  Physiology of normal module
labour labour
 Monitoring progress  Laqshya
of labour using guidelines
Partograph / labour
care guide  Dakshata
 Assessing and Guidelines Refer
monitoring fetal ENBC, NSSK
wellbeing module
 Evidence based care
Work effectively st
during 1 stage of  Demonstration
for pain labour
management  Pain management in  Group work
during labour labour(non-
pharmacological)  Scenario based
 Psychological support Learning
– Managing fear
 Activity and  Simulation
ambulation during
first stage of labour  Role play
Nutrition during labour
 Promote positive  Demonstration
childbirth experience
for women  Videos
 Birth companion
 Role of Doula /
ASHA‘s
Discuss how the  Second stage
midwife provides  Physiology
care and support (Mechanism of
for the women labour)
during birth to  Signs of imminent
enhance labour
physiological  Intrapartum
birthing and monitoring
promote normal  Birth position of
birth choice
 Vaginal examination
 Psychological support
 Non-directive
coaching

243
Assess and  Evidence based
provide care of management of
the newborn physiological birth /
immediately Conduction of normal
following birth childbirth
 Essential newborn
care (ENBC)
 Immediate
assessment and care
of the newborn
 Role of Doula /
ASHA‘s
Third Stage
 Physiology – placental
separation and
expulsion, haemostasis
 Physiological
management of third
stage of labour
 Active management of
third stage of labour
(recommended)
 Examination of
placenta, membranes
and vessels
 Assess perineal,
vaginal tear/ injuries
and suture if required
 Insertion of
postpartum IUCD
 Immediate perineal
Discuss the
care
impact of labour
 Initiation of breast
and birth as a
feeding
transitional event
in the woman's  Skin to skin contact
life  Newborn resuscitation
Fourth Stage
Observation, Critical
Analysis and
Management of mother
and newborn
 Maternal assessment,
observation fundal
Ensure initiation height, uterine
of breast feeding consistency, urine
and adequate output, blood loss
latching  Documentation and
Record of birth

244
 Breastfeeding and
latching
 Managing uterine
cramp
 Alternative /
complementary
therapies
 Role of Doula /
ASHA‘s
 Various childbirth
practices
 Safe environment for
mother and newborn
to promote bonding
 Maintaining records
and reports
V 7 (T) Describe the Postpartum care /  Lecture  Essay type
physiology, Ongoing care of women
6 (L) management and  Normal puerperium –  Discussion  Short
care of normal Physiology, duration answer
40 (C) puerperium  Post-natal  Demonstration
assessment and care  MCQ
– facility and home-  Health talk
based care  Assessment
 Perineal hygiene and  Simulated of skills with
care practice checklist
 Bladder and bowel
function  Supervised  OSCE
 Minor disorders of clinical practice
puerperium and its
management  Refer SBA
 Physiology of module
lactation and lactation
management
 Postnatal counselling
and psychological
support
 Normal postnatal baby
blues and recognition of
post-natal depression
 Transition to
parenthood
 Care for the woman up
to 6 weeks after
childbirth
 Cultural competence
(Taboos related to
postnatal diet and

245
 practices)
 Diet during lactation-
review
 Post-partum family
planning
 Follow-up of postnatal
mothers
 Drugs used in the
postnatal period
 Records and reports
VI 7 (T) Discuss the need Assessment and ongoing  Lecture  Essay type
for and provision care of normal neonates
7 (L) of  Family centered care  Discussion  Short
compassionate,  Respectful newborn answer
40 (C) family centered care and  Demonstration
midwifery care of communication  MCQ
the newborn  Normal Neonate –  Simulated
Physiological practice session  Assessment
Describe the adaptation of skills with
assessment and  Newborn assessment  Supervised checklist
care of normal – Screening for clinical practice
neonate congenital anomalies  OSCE
 Care of newborn up to  Refer safe
6 weeks after the deliver app
childbirth (Routine module –
care of newborn) newborn
 Skin to skin contact management
and thermoregulation
 Infection prevention  Partial
 Immunization completion of
 Minor disorders of SBA module
newborn and its
management
VII 8 (T) Explain various Family welfare services  Lecture  Essay type
methods of family  Impact of early /
2 (L) planning and role frequent childbearing  Supervised  Short
of nurse / midwife  Comprehensive range practice answers
40 (C) in providing family of family planning
planning services methods  Field visits  MCQ
o Temporary methods
– Hormonal, non-  Scenario based  Field visit
hormonal and barrier learning reports
methods
o Permanent methods  Discussion  Vignettes
– Male sterilization
and female  Government of
sterilization India guidelines –
 Action, effectiveness, injectable
246
 advantages, contraceptives,
disadvantages, myths, oral
misconception and contraceptives,
medical eligibility IUCD, male and
criteria (MEC) for use female
of various family sterilization
planning methods
 Emergency
contraceptives
 Recent trends and
research in
contraception
 Family planning
counselling using
 Balanced Counselling
Strategy (BCS)
 Legal and rights
aspects of FP
 Human rights aspects
of FP adolescents
 Youth friendly
services – SRHR
services, policies
affecting SRHR and
attitude of nurses and
midwives in provision
of services (Review)
Describe youth  Importance of follow
friendly services up and recommended
and role of nurses timing
/ midwives Gender related issues in
SRH
Recognize the  Gender based violence
role of nurses /
– Physical, sexual and
midwives in
abuse, Laws affecting
gender based
GBV and role of nurse
violence
/ midwife
 Special courts for
abused people
 Gender sensitive
health services
including family
planning

247
 PRACTICUM

PLACEMENT: VI & VII SEMESTER

VI SEMESTER: MIDWIFERY/OBSTETRICS AND GYNECOLOGY (OBG) NURSING – I

SKILL LAB & CLINICAL : Skill Lab – 1 Credit (40 hours); Clinical – 3 Credits (240 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 ex. 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. Organize labour room
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 childbirth with essential newborn care
12. Demonstrate skills in resuscitating the newborn
13. Assist women in the transition to motherhood
14. Perform postnatal and newborn assessment
15. Provide care for postnatal mothers and their newborn
16. Counsel mothers on postnatal and newborn care
17. Perform PPIUCD insertion and removal
18. Counsel women on family planning and participate in family welfare services
19. Provide youth friendly health services
20. Identify, assess, care and refer women affected with gender based violence

248
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. Counselling antenatal mothers
5. Micro birth planning
6. PV examination
7. Monitoring during first stage of labour – Plotting and interpretation of partograph
8. Preparation for delivery – setting up labour room, articles, equipment
9. Mechanism of labour – normal
10. Conduction of normal childbirth with essential newborn care
11. Active management of third stage of labour
12. Placental examination
13. Newborn resuscitation
14. Monitoring during fourth stage of labour
15. Postnatal assessment
16. Newborn assessment
17. Kangaroo mother care
18. Family planning counselling
19. PPIUCD insertion and removal

249
 CLINICAL POSTINGS
(6 weeks × 40 hours per week = 240 hours)

Clinical Procedural
Duration Clinical Assessment
Clinical Area Learning Competencies /
(weeks) Requirements Methods
Outcomes Clinical Skills
Antenatal 1 week Perform  History  Antenatal  OSCE
OPD and antenatal collection palpation
Antenatal assessment  Physical  Case
ward examination  Health talk Presentation
 Obstetric
Perform examination  Case study
laboratory  Pregnancy
tests for confirmation test
antenatal  Urine testing
women and  Blood testing for
assist in Haemoglobin,
selected grouping &
antenatal typing
diagnostic  Blood test for
procedures malaria
 KICK chart
 USG / NST
 Antenatal
counselling
 Preparation for
childbirth
 Birth
Counsel
preparedness
antenatal
and complication
women
readiness
Labour 3 weeks Monitor labour Assessment of  Partograph  Assignment
Room using woman in labour recording
partograph  Partograph  PV examination  Case study
 Per vaginal  Assisting /
examination Conduction of  Case
when indicated normal presentation
 Care during first childbirth
stage of labour  Case study  OSCE
 Pain  Case
management presentation
Provide care to techniques  Episiotomy and
women during  Upright and suturing if
labour alternative indicated
positions in  Newborn
labour resuscitation
 Preparation for
labour – articles,

250
 physical,
psychological
 Conduction of
normal childbirth
 Essential
Conduct newborn care
normal  Newborn
childbirth, resuscitation
provide care to  Active
mother and management of
immediate care third stage of
of newborn labour
 Monitoring and
care during
fourth stage of
labour
Postpartum 2 weeks Perform  Postnatal  Postnatal  Assignment
clinic and postnatal assessment assessment
Postnatal assessment  Case study
Ward  Care of  Newborn
including postnatal assessment  Case
FP unit Provide care to mothers – presentation
normal normal  Case study
postnatal
mothers and  Care of normal  Case
newborn newborn presentation

 Lactation  PPIUCD
management insertion &
removal
Provide  Postnatal
postnatal counselling
counselling
 Health teaching
Provide family on postnatal
welfare and newborn
services care

 Family welfare
counselling
Note: Partial Completion of SBA module during VI semester

251
 PRACTICUM

VII SEMESTER: MIDWIFERY / OBSTETRICS AND GYNECOLOGY (OBG) NURSING – II

SKILL LAB & CLINICAL: Skill Lab – 1 Credit (40 hours); Clinical – 4 Credits (320 hours)

PRACTICE COMPETENCIES:

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

1. Identify, stabilize and refer antenatal women with complications

2. Provide care to antenatal women with complications
3. Provide post abortion care& counselling
4. Assist in the conduction of abnormal vaginal deliveries and caesarean section.
5. Demonstrate skills in resuscitating the newborn
6. Assist and manage complications during labour
7. Identify postnatal and neonatal complications, stabilize and refer them
8. Provide care for high risk antenatal, Intranatal and postnatal women and their families using
nursing process approach
9. Provide care for high risk newborn
10. Assist in advanced clinical procedures in midwifery and obstetric nursing
11. Provide care for women during their non-child bearing period.
12. Assess and care for women with Gynecological disorders
13. Demonstrate skills in performing and assisting in specific Gynecological procedures
14. Counsel and care for couples with infertility

SKILL LAB:

Procedures/Skills for demonstration and return demonstration:

1. Antenatal assessment and identification of complications

2. Post abortion care & counselling
3. Counselling antenatal women for complication readiness
4. Mechanism of labour – abnormal
5. Assisting in the conduction of abnormal vaginal deliveries and caesarean section.
6. Management of complications during pregnancy / labour / post-partum (case
studies/simulated scenarios)
7. Administration of Inj. Magnesium sulphate
8. Starting and maintaining an oxytocin drip for PPH
9. Management of PPH – Bimanual compression of uterus
10. Management of PPH – Balloon tamponade
11. Instruments used in obstetrics and Gynecology
12. Visual inspection of cervix with acetic acid
13. Cervical biopsy
14. Breast examination
15. Counselling of infertile couples

252
 CLINICAL POSTINGS
(8 weeks × 40 hours per week = 320 hours)

Procedural
Duration Clinical Learning Clinical Assessment
Clinical Areas Competencies /
(weeks) Outcomes Requirements Methods
Clinical Skills
Antenatal 2 Perform / assist in  Kick chart,  Antenatal  Simulation
OPD / infertility weeks selected advanced DFMC palpation  Case
clinics / antenatal diagnostic  Assist in NST /  Health talk Presentation
Reproductive procedures CTG / USG  Case study  OSCE
medicine and  Assisting in
Antenatal advanced
ward diagnostic
procedures
 Care of
Provide antenatal care antenatal
for women with women with
complications of complications
pregnancy in pregnancy
 Antenatal
Counsel antenatal counselling
mothers  Preparation for
childbirth, Birth
preparedness
and
complication
readiness
 Post abortion
Provide post abortion care
care and counselling  Post abortion
counselling
Provide counselling and  Counselling
support to infertile infertile
couples couples
Labour Room 2 weeks Conduction of normal  Assessment of  Partograph  Assignment
childbirth woman in recording  Case study
labour  Pain  Case
 Partograph management presentation
 Pervaginal during labour  Simulation
Conduct / assist in examination if  Conduction of  OSCE
abnormal deliveries indicated normal
 Obstetric childbirth
examination  Assisting in
 Care during abnormal
first stage of deliveries
labour  Managing
Monitor labour using  Pain complication
partograph management during labour

253
 techniques  Case study
 Upright and  Case
alternative presentation
positions in
labour
 Preparation for
labour –
articles,
physical,
psychological
 Conduction of
Identify and manage normal
complications during childbirth
labour  Essential
newborn care
 Newborn
resuscitation
 Active
management
of third stage
of labour
 Monitoring and
care during
fourth stage of
labour
 Identification,
stabilization,
referral and
assisting in
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
254
 procedures, D&C,
D&E
 Identify, assist
and manage
trauma to the
birth canal,
retained
placenta, post-
partum
Hemorrhage,
uterine atony
 Management
of obstetric
shock
Postnatal Ward 1 week Perform postnatal  Postnatal history  Health talk  Role play
assessment and identify collection and  Postnatal
postnatal complications physical assessment  Assignment
examination  Newborn
 Identify postnatal assessment  Case study
Provide postnatal care complications  Case studies
 Care of postnatal  Case  Case
mothers – presentation presentation
abnormal  PPIUCD
deliveries, insertion and  Simulation
caesarean removal
section  Vignettes
 Care of normal
newborn  OSCE
 Lactation
management
 Postnatal
counselling
 Health
teaching on
postnatal and
Provide family welfare newborn care
Services  Family welfare
counselling
Neonatal 1 week Perform assessment of  Neonatal  Case study  Case
Intensive Care newborn and identify assessment –  Case presentation
Unit complications / identification of presentation  Care study
congenital anomalies complication,  Assignments  Care plan
congenital  Simulated  Simulation,
Perform neonatal anomalies. practice Vignettes
resuscitation  Observation of  OSCE
newborn
 Neonatal
resuscitation

255
  Phototherapy
and
management of
jaundice in
newborn
Care of high risk  Assist in
newborn Exchange
transfusion
 Neonatal feeding
– spoon and
katori, paladai,
NG tube
Provide care for  Care of baby in
newborns in ventilator, incubator,
incubator etc ventilator,
warmer
 Infection control
in the nursery
 Neonatal
medications
 Starting IV line
Assist / perform special for newborn,
neonatal procedures drug calculation
Obstetric / 2 weeks Assist in Gynecological  Observe /  Assisting in  Assignment
Gynaec and obstetric surgeries Assist in obstetric and
Operation Care for women with caesarean Gynecological  Tray set-up for
Theatre & Gynecological disorders section surgery obstetric and
Gynecology  Management Gynecological
Ward of retained  Tray set-up for surgeries
placenta caesarean section
 Gynecological  Case
surgeries  Care plan presentation
 Hysterectomy
 Uterine rupture  Simulation
 Care of women
with  Vignettes
Gynecological
conditions
 Health
education
Note: Completion of safe delivery App module during VII Semester

************

256
 COMMUNITY HEALTH NURSING – II

PLACEMENT: VII SEMESTER THEORY : 5 Credits (100 hours)

– includes lab hours also
PRACTICUM : Clinical: 2 Credit
(160 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.

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

1. 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
2. Provide maternal, newborn and child care, and reproductive health including adolescent care
in the urban and rural health care settings
3. Describe the methods of collection and interpretation of demographic data
4. Explain population control and its impact on the society and describe the approaches towards
limiting family size
5. Describe occupational health hazards, occupational diseases and the role of nurses in
occupational health programs
6. Identify health problems of older adults and provide primary care, counselling and supportive
health services
7. Participate in screening for mental health problems in the community and providing
appropriate referral services
8. Discuss the methods of data collection for HMIS, analysis and interpretation of data
9. Discuss about effective management of health information in community diagnosis and
intervention
10. Describe the management system of delivery of community health services in rural and urban
areas
11. 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
12. Describe the roles and responsibilities of Mid-Level Health Care Providers (MHCPs) in Health
Wellness Centers (HWCs)
13. Identify the roles and responsibilities of health team members and explain their job
description
14. Demonstrate initiative in preparing themselves and the community for disaster preparedness
and management
15. Demonstrate skills in proper bio-medical waste management as per protocols
16. Explain the roles and functions of various national and international health agencies

257
 COURSE OUTLINE
T – Theory

Time Teaching / Learning Assessment

Unit Learning Outcomes Content
(Hrs.) Activities Methods
I 10 (T) Explain nurses‘ role Management of common  Lecture  Short answer
in identification, conditions and
primary emergencies including  Discussion  Essay
management and first aid
referral of clients  Standing orders:  Demonstration  Field visit
with common Definition, uses reports
disorders /  Role play
conditions and Screening, diagnosing/
 OSCE
emergencies identification, primary
 Suggested field Assessment
including first aid care and referral of
visits
Gastrointestinal System
 Abdominal pain
 Field practice
 Nausea and
vomiting
 Assessment of
 Diarrhea
clients with
 Constipation common
 Jaundice conditions and
 GI bleeding provide referral
 Abdominal
distension
 Dysphagia and
dyspepsia
 Aphthous ulcers
Respiratory System
 Acute upper
respiratory
infections –
Rhinitis,
Sinusitis,
Pharyngitis,
Laryngitis,
Tonsillitis
 Acute lower
respiratory
infections –
Bronchitis,
pneumonia and
bronchial
 asthma
 Haemoptysis,
Acute chest
pain

258
 Heart & Blood
 Common heart
diseases –
Heart
attack/coronary
artery disease,
heart failure,
arrhythmia
 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

Urinary System
 Urinary tract
infections – cystitis,
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
II 20 (T) Provide reproductive, Reproductive, maternal,  Lecture  Short answer
maternal, newborn newborn, child and  Discussion
and childcare, adolescent Health  Demonstration  Essay
including adolescent (Review from OBG  Role Play
care in the urban and Nursing and application  Suggested field  OSCE
rural health care in community setting) visits and field Assessment
settings
259
  Present situation of practice
reproductive, maternal  Assessment of
and child health in antenatal,
India postnatal,
newborn, infant,
Antenatal care preschool child,
 Objectives, antenatal school child, and
visits and adolescent health
examination, nutrition
during pregnancy,
counselling
 Calcium and iron
supplementation in
pregnancy
 Antenatal care at
health centre level
 Birth preparedness
 High risk approach –
Screening/early
identification and
primary management
of complications –
Antepartum
Hemorrhage, pre-
eclampsia, eclampsia,
Anemia, Gestational
diabetes mellitus,
Hypothyroidism,
Syphilis
 Referral, follow up and
maintenance of
records and reports

Intra natal care

 Normal labour –
process, onset, stages
of labour
 Monitoring and active
management of
different stages of
labour

260
 Care of women after
labour
 Early identification,
primary management,
referral and follow up
–preterm 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
counselling
 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

 Review: Essential
newborn care
 Management of
common neonatal
problems

261
  Management of
common child health
problems: Pneumonia,
Diarrhoea, Sepsis,
screening for
congenital anomalies
and referral
 Review: IMNCI Module
 Under five clinics

Adolescent Health
Promote adolescent  Common health
health and youth problems and risk
friendly services factors in adolescent
girls and boys
 Common
Gynecological
conditions –
dysmenorrhea,
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  Screen, manage
scheme and refer
 Youth friendly adolescents
services:
 SRH Service  Counsel
needs adolescents
 Role and
attitude of
nurses: Privacy,
confidentiality,
non-
judgemental
attitude, client
autonomy,
respectful care
and
communication

262
  Counselling for
parents and teenagers
(BCS – balanced
counselling strategy)
National Programs
 RMNCH+A Approach
– Aims, Health
systems
strengthening,
RMNCH+A strategies,
Interventions across
life stages, program
management,
monitoring and
evaluation systems
 Universal
Immunization
Program (UIP) as per
Government of India
guidelines – Review
 Rashtriya Bal
Swasthya Karyakaram
(RSBK) –children
 Rashtriya Kishor
Swasthya Karyakram
(RKSK) – adolscents
 Any other new
programs
III 4 (T) Discuss the Demography,  Lecture  Short answer
concepts and scope Surveillance and
of demography Interpretation of Data  Discussion  Essay
 Demography and vital
statistics –  Demonstration
demographic cycle,
world population  Role play
trends, vital statistics
 Sex ratio and child sex  Suggested field
ratio, trends of sex visits
ratio in India, the
causes and social  Field practice
implications
 Sources of vital
statistics – Census,
registration of vital
events, sample
registration system
 Morbidity and
mortality indicators –
Definition, calculation
263
 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
IV 6 (T) Discuss population Population and its  Lecture  Short answer
explosion and its Control
impact on social  Population Explosion  Discussion  Essay
and economic and its impact on
development of Social, Economic  Demonstration  OSCE
India development of assessment
individual, society and  Role play
Describe the various country.  Counselling
methods of  Population Control –  Suggested field on family
population control Women visits planning
Empowerment; Social,
Economic and  Field practice
Educational
Development
 Limiting Family Size –
Promotion of small
family norm,
Temporary Spacing
Methods (natural,
biological, chemical,
mechanical methods
etc.), Terminal
Methods (Tubectomy,
Vasectomy)
 Emergency
Contraception
 Counselling in
reproductive, sexual
health including
264
 problems of
adolescents
 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
V 5 (T) Describe Occupational Health  Lecture  Essay
occupational health  Occupational health
hazards, hazards  Discussion  Short answer
occupational  Occupational diseases
diseases and the  ESI Act  Demonstration  Clinical
role of nurses in  National / State Performance
occupational health Occupational Health  Role play evaluation
programs Programs
 Role of a nurse in  Suggested field
occupational health visits
services – Screening,
diagnosing,  Field practice
management and
referral of clients with
occupational health
problems
VI 6 (T) Identify health Geriatric Health Care  Lecture  Visit report
problems of older  Health problems of on elderly
adults and provide older adults  Discussion home
primary care,  Management of
counselling and common geriatric  Demonstration  Essay
supportive health ailments: counselling,
services supportive treatment  Short answer
of older adults
 Organization of
geriatric health
services
 National program for
health care of elderly
(NPHCE)
 State level programs /
Schemes for older
adults

265
  Role of a community
health nurse in
geriatric health
services – Screening,
diagnosing,
management and
referral of older adults
with health problems
VII 6 (T) Describe screening Mental Health Disorders  Lecture  Essay
for mental health  Screening,
problems in the management,  Discussion  Short answer
community, take prevention and referral
preventive measures for mental health  Demonstration  Counselling
and provide disorders report
appropriate referral  Review:  Role play
services o Depression, anxiety,
acute psychosis,  Health
Schizophrenia counselling on
o Dementia promotion of
o Suicide mental health
o Alcohol and
substance abuse  Suggested field
o Drug de-addiction visits
program
o National Mental  Field practice
Health Program
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
VIII 4 (T) Discuss about Health Management  Lecture  Group project
effective Information System report
management of (HMIS)  Discussion
health information  Introduction to health  Essay
in community management system:  Demonstration
diagnosis and data elements,  Short answer
intervention recording and  Role play
reporting formats,
data quality issues  Suggested field
 Review: visits
o Basic Demography
and vital statistics  Field practice
o Sources of vital
266
 statistics
o Common sampling  Group project on
techniques, frequency community
distribution diagnosis – data
o Collection, analysis, management
interpretation of data
 Analysis of data for
community needs
assessment and
preparation of health
action plan
IX 12 (T)  Describe the Management of delivery  Lecture  Essay
system of community health
management of services:  Discussion  Short answer
delivery of  Planning, budgeting
community and material  Visits to various  Filed visit
health services management of CHC, health care Reports
in rural and PHC, SC / HWC delivery systems
urban areas  Manpower planning
as per IPHS standards  Supervised field
 Rural: Organization, practice
staffing and material
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
medicine, AYUSH
clinics, Alternative
health care system
referral systems,
Indigenous health
services

267
X 15 (T) Describe the Leadership, Supervision  Lecture  Report on
leadership role in and Monitoring interaction
guiding, supervising,  Understanding work  Discussion with MPHWs,
and monitoring the responsibilities / job HVs , ASHA,
health services and description of DPHN,  Demonstration AWWs
the personnel at the Health Visitor, PHN,
PHCs, SCs and MPHW (Female),  Role play  Participation
community level Multipurpose health in training
including financial Worker (Male), AWWs  Suggested field programs
management and ASHA visits
 Roles and  Essay
Describe the roles responsibilities of Mid  Field practice
and responsibilities –Level Health Care  Short answer
of Mid-Level Health Providers (MLHPs)
Care Providers  Village Health
(MHCPs) in Health Sanitation and
Wellness Centers Nutrition Committees
(HWCs) (VHSNC): objectives,
composition and roles
& responsibilities
 Health team
management
 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
e.g. 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 requirements
– accounting
principles & policies,
268
 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 records –
community related
records, registers,
guidelines for
maintaining
 Report writing –
purposes,
documentation of
activities, types of
reports
 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 HER
 Nurses’ responsibility
in record keeping and
reporting

269
XI 6 (T) Demonstrate Disaster Management  Lecture
initiative in  Disaster types and
preparing magnitude  Discussion
themselves and the  Disaster preparedness
community for  Emergency  Demonstration
disaster preparedness
preparedness and  Common problems  Role play
management during disasters and
methods to overcome  Suggested field
 Basic disaster visits, and field
supplies kit practice
 Disaster response
including emergency  Mock drills
relief measures and
Life saving techniques  Refer Disaster
module (NDMA)
Use disaster National Disaster
management module / INC – Reaching
out in
emergencies
XII 3 (T) Describe the Bio-Medical Waste  Lecture cum  Field
importance of Management Discussion visit
biomedical waste  Waste collection, report
management, its segregation,  Field visit to
process and transportation and waste
management management in the management site
community
 Waste management in
health center / clinics
 Bio-medical waste
management
guidelines – 2016,
2018 (Review)
XIII 3 (T)  Explain the roles Health Agencies  Lecture  Essay
and functions of  International: WHO,
various national UNFPA, UNDP, World  Discussion  Short answer
and international Bank, FAO, UNICEF,
health agencies European  Field visits
Commission, Red
Cross, USAID,
UNESCO, ILO, CAR,
CIDA, JHPIEGO, any
other
 National: Indian Red
Cross, Indian Council
for Child Welfare,
Family Planning
Association of India,

270
 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)

271
 COMMUNITY HEALTH NURSING II

Clinical practicum – 2 credits (160 hours)

CLINICAL POSTINGS (4 weeks × 40 hours per week)

Procedural
Clinical Duration Clinical Learning Clinical Assessment
Competencies /
Areas (weeks) Outcomes Requirements Methods
Clinical Skills
Urban 2 weeks Screen,  Screening,  Screening,  Clinical
diagnose, diagnosing, diagnosing, performance
Rural 2 Weeks manage and management Primary assessment
refer clients with and referral of management and
common clients with care based on  OSCE during
conditions / common standing orders / posting
emergencies conditions / protocols
emergencies approved by  Final clinical
Assess and MOH&FW examination
provide  Assessment (University)
antenatal, (physical &  Minor ailments – 2
intrapartum, nutritional) of  Clinical
postnatal and antenatal,  Emergencies – 1 performance
new- born care intrapartum, assessment
postnatal and  Dental problems – 1
Promote newborn  OSCE
adolescent  Eye problems – 1
Health  Conduction of  Family Case
normal  Ear, nose, and study
Provide family delivery at throat problems – evaluation
welfare services health center 1
 Clinical
Screen,  Newborn care  High risk pregnant performance
diagnose, woman – 1 evaluation
manage and  Counsel
refer clients with adolescents  High risk  OSCE
occupational neonate–1
health problem  Family  Project
planning  Assessment of evaluation
Screen, assess counselling antenatal – 1,
and manage intrapartum – 1,
elderly with  Distribution of postnatal – 1 and
health problems temporary newborn – 1
and refer contraceptives
appropriately – condoms,  Conduction of
OCP‘s, normal delivery at
Screen, emergency health center and
diagnose, contraceptives documentation – 2
manage and
refer clients who
272
are mentally  Screening,  Immediate
unhealthy diagnosing, newborn care and
management documentation – 1
Participate in and referral of
community clients with  Adolescent
diagnosis – data occupational counselling – 1
management health
problems  Family planning
 Health counselling 1
Participate in assessment
health centre of elderly  Family case study
activities – 1 (Rural/Urban)
 Mental health  Screening,
Organize and screening diagnosing,
conduct clinics / management and
health camps in  Participation referral of clients
the community in Community with occupational
diagnosis – health problems – 1
Prepare for data
disaster management  Health
preparedness assessment
and management  Writing health (Physical &
center activity nutritional) of
Recognize the report elderly – 1
importance and
observe the  Organizing  Mental health
biomedical and screening survey –
waste conducting 1
management clinics / camp  Group project:
process Community
 Participation diagnosis – data
in disaster management
mock drills  Write report on
health center
activities – 1
 Organizing and
conducting
Antenatal / under-
five clinic / Health
camp – 1
 Participation in
disaster mock drills
 Field visit to bio-
medical waste
management site
 Visit to AYUSH
clinic
************

273
 NURSING RESEARCH AND STATISTICS

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

PRACTICUM : Lab/Skill Lab: 1 Credit
(40 hours) Clinical Project: 40
hours

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

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 COURSE OUTLINE
T – Theory, P – Practicum

Time
Learning Teaching / Assessment
Unit (Hrs.) Content
Outcomes Learning Activities Methods
T P
I 6  Describe Research and  Lecture cum  Short answer
the Research Process Discussion  MCQ
concept  Introduction and  Narrate steps
of need for nursing of research
research, research process
terms,  Definition of followed from
need and Research & examples of
areas of nursing research published
research  Steps of studies
in nursing scientific  Identify
method research
 Explain  Characteristics priorities on a
the steps of good given area /
of research specialty
research  Steps of  List examples
process Research of Evidence
process – Based Practice
 State the overview
purposes  Evidence Based
and steps Practice –
of Concept,
Evidence Meaning,
Based Purposes, Steps
Practice of EBP Process
and Barriers
II 2 8  Identify and Research Problem /  Lecture cum  Short answer
state the Question Discussion  MCQ
research  Identification of  Exercise on  Formulation
problem problem area writing of research
and  Problem statement of questions /
objectives statement problem and objectives /
 Criteria of a objectives hypothesis
good research
problem
 Writing
objectives and
hypotheses
III 2 6  Review Review of Literature  Lecture cum  Short answer
the  Location Discussion  MCQ
related  Sources  Exercise on  Assessment
literature  On line reviewing one of review of
search; research report literature on

275
 CINHAL, / article for a given topic
COCHRANE selected presented
etc. research
 Purposes problem
 Method of  Prepare
review annotated
Bibliography
IV 4 1  Describe the Research  Lecture cum  Short
Research Approaches and Discussion answer
approaches Designs  Identify types  MCQ
and designs  Historical, of research
survey and approaches
experiment used from
al examples of
 Qualitative published and
and unpublished
Quantitativ research
e designs  Studies with
rationale
V 6 6  Explain Sampling and data  Lecture cum  Short answer
the Collection Discussion  MCQ
Sampling  Definition of  Reading  Developing
process Population, assignment on questionnaire
Sample examples of / Interview
 Describe  Sampling data collection Schedule /
the criteria, factors tools Checklist
methods influencing  Preparation of
of data sampling sample data
collection process, types collection tool
of sampling  Conduct group
techniques research
 Data – why, project
what, from
whom, when and
where to collect
 Data collection
methods and
instruments
Methods of data
collection
Questioning,
interviewing
Observations,
record analysis
and
measurement
Types of
instruments,
Validity &
276
 Reliability of the
Instrument
 Research ethics
 Pilot study
 Data collection
procedure
VI 4 6  Analyze, Analysis of data  Lecture cum  Short answer
Interpret  Compilation, Discussion  MCQ
and Tabulation,  Preparation of  Analyze and
summarize classification, sample tables interpret given
the summarization, data
research presentation,
data interpretation of
data
VII 12 8  Explain the Introduction to  Lecture cum  Short answer
use of Statistics Discussion  MCQ
statistics,  Definition, use of  Practice on  Computation
scales of statistics, scales graphical of descriptive
Measurement of measurement. presentations Statistics
and graphical  Frequency  Practice on
presentation distribution and computation of
of data graphical measures of
 Describe the presentation of central
measures of data tendency,
central  Mean, Median, variability &
tendency Mode, Standard correlation
and deviation
variability  Normal
and methods Probability and
of tests of
Correlation significance
 Co-efficient of
correlation
 Statistical
packages and its
application
VIII 4 5  Communicate Communication and  Lecture cum  Short answer
and utilize the utilization of Discussion  MCQ
research Research  Read /  Oral
40 Hrs findings  Communication Presentations Presentation
(Clinical of research of a sample  Development
Project) findings published / of research
 Verbal report unpublished proposal
 Writing research research report  Assessment
report  Plan, conduct of research
 Writing scientific and Write Project
article / paper individual /
 Critical review of group research

277
 published project
research
including
publication
ethics
 Utilization of
research
findings
 Conducting
group research
project

************

278
 MIDWIFERY / OBSTETRIC AND GYNECOLOGY NURSING – II
Including Safe Delivery App Module

PLACEMENT: VII SEMESTER THEORY : 3 Credits (60 hours)

PRACTICUM : Skill Lab: 1 Credit (40 Hours)
Clinical: 4 Credits (320 Hours)

DESCRIPTION:

This course is designed for students to develop knowledge and competencies on the concepts and
principles of Obstetrics and Gynaecology 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. It would also help students to gain knowledge, attitude and skills in caring for women
with gynaecological 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
period.
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 gynaecological disorders.
10. Demonstrate skills in performing and assisting in specific gynaecological procedures.
11. Describe the drugs used in obstetrics and gynaecology.
12. Counsel and care for couples with infertility.
13. Describe artificial reproductive technology.

279
 COURSE OUTLINE
T – Theory, SL/L – Skill Lab, C – Clinical

Teaching /
Time Assessment
Unit Learning Outcomes Content Learning
(Hrs.) Methods
Activities
I 12 (T)  Describe the Recognition and  Lecture  Essay
assessment, initial Management of  Discussion  Short
10 (L) management, and problems during  Demonstration answer
referral of women Pregnancy  Video & films  MCQ
80 (C) with problems during  Assessment of  Scan reports  Assessment
pregnancy high-risk  Case of skills
pregnancy discussion with check
 Support women with Problems/Complicati  Case list
complicated ons of Pregnancy presentation  OSCE
pregnancy and  Hyper-emesis  Drug
facilitate safe and gravidarum presentation
positive birthing  Bleeding in early  Health talk
outcome pregnancy –  Simulation
abortion, ectopic  Role play
pregnancy,  Supervised
vesicular mole
Clinical
 Unintended or practice
mistimed  WHO midwifery
pregnancy tool kit
 Post abortion care  GoI guideline –
& counselling
screening for
 Bleeding in late hypothyroidism
pregnancy screening for
placenta previa, syphilis,
abruption deworming
placenta, trauma during
 Medical conditions pregnancy,
complicating diagnosis and
pregnancy – management of
Anemia, PIH / GDM
Preeclampsia,
Eclampsia, GDM,
cardiac disease,
pulmonary
disease,
thyrotoxicosis,
STDs, HIV, Rh
incompatibility
 Infections in
pregnancy –
urinary tract
infection, bacterial,
viral, protozoal,
280
 fungal, malaria in
pregnancy
 Surgical
conditions
complicating
pregnancy –
appendicitis, acute
abdomen
 COVID-19 &
pregnancy and
children
 Hydramnios
 Multiple pregnancy
 Abnormalities of
placenta and cord
 Intra uterine
growth restriction
 Intra uterine fetal
death
 Gynaecological
conditions
complicating
pregnancy
 Mental health
issues during
pregnancy
 Adolescent
pregnancy
 Elderly primi,
grand multiparity
 Management and
care of conditions
as per the GoI
protocol
 Policy for the
referral services
 Drugs used in
management of
high-risk
pregnancies
 Maintenance of
records and
reports
II 20 (T)  Identify, provide Recognition and  Lecture  Essay
initial management management of  Discussion  Short
15 (L) and refer women abnormal labour  Demonstration answer
with problems during  Preterm labour –  Case  MCQ
80 (C) labour within the Prevention and discussion /

281
scope of midwifery management of presentation  Assessment
practice preterm labour;  Simulation of skills
(Use of antenatal  Role play with check
corticosteroids in  Drug list
preterm labour) presentation  OSCE
 Premature rupture  Supervised
of membranes clinical practice
 Malposition‘s and  WHO midwifery
abnormal toolkit
presentations  GOI guidelines
(posterior position, – use of
breech, brow, face, uterotonics
shoulder) during labour,
 Contracted Pelvis, antenatal
Cephalo Pelvic corticosteroids
Disproportion  GOI guidance
(CPD) note on
 Disorders of prevention and
uterine action – management of
Prolonged labour, PPH
Precipitate labour,
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 –
Foetal distress,
Ruptured uterus,
Cord prolapse,
Shoulder dystocia,
Uterine inversion,
Vasa previa,
Obstetrical shock,
Amniotic fluid
embolism
 Episiotomy and
suturing

282
  Obstetric
procedures –
Forceps delivery,
Vacuum delivery,
Version
 Induction of labour
– Medical &
surgical
 Caesarean section
– indications and
preparation
 Nursing
management of
women undergoing
 Obstetric
operations and
procedures
 Drugs used in
management of
abnormal labour
 Anaesthesia and
analgesia in
obstetrics
III 9 (T)  Describe the Recognition and  Lecture  Quiz
assessment, initial Management of  Demonstration  Simulation
5 (L) management, postnatal problems  Case  Short
referral and nursing  Physical discussion / answer
40 (C) care of women with examination, presentation  OSCE
abnormal postnatal identification of  Drug
conditions deviation from presentation
normal  Supervised
 Puerperal clinical practice
complications and
its management
Puerperal pyrexia
Puerperal sepsis
Urinary
complications
Secondary
Postpartum
Hemorrhage
Vulval hematoma
Breast
engorgement
including
mastitis/breast
abscess, feeding
problem
Thrombophlebitis
283
 DVT
Uterine sub
involution
Vesico vaginal
fistula (VVF),
Recto vaginal
fistula (RVF)
Postpartum
depression /
psychosis
 Drugs used in
abnormal
puerperium
 Policy about
referral
IV 7 (T)  Describe high risk Assessment and  Lecture  Short
neonates and their management of High  Discussion answer
5 (L) nursing management risk newborn  Demonstration  MCQ
(Review)  Simulation  Assessment
40 (C)  Models of  Case of skills
newborn care in discussion / with check
India – NBCC; presentation list
SNCUs  Drug  OSCE
 Screening of high- presentation
risk newborn  Supervised
 Protocols, levels Clinical
of neonatal care, practice
infection control  Integrated
 Prematurity, Post- Management of
maturity Neonatal
 Low birth weight Childhood
 Kangaroo Mother Illnesses
Care (IMNCI)
 Birth asphyxia /
Hypoxic
encephalopathy
 Neonatal sepsis
 Hypothermia
 Respiratory
distress
 Jaundice
 Neonatal
infections
 High fever
 Convulsions
 Neonatal tetanus
 Congenital
anomalies

284
  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
 Bereavement
counselling
 Drugs used for
high risk newborns
 Maintenance of
records and
reports
V 12 (T)  Describe the Assessment and  Lecture  Essay
assessment and management of  Discussion  Short
5 (L) management of women  Demonstration answer
women with with Gynecological  Case  MCQ
80 (C) gynaecological disorders discussion /  Assessment
disorders.  Gynecological presentation of skills
assessment –  Drug with check
History and presentation list
Physical  Videos, films  OSCE
assessment  Simulated
 Breast Self- practice
Examination  Supervised
 Congenital Clinical practice
abnormalities of  Visit to infertility
female clinic and ART
reproductive centres

285
 system
 Etiology, patho-
physiology, clinical
manifestations,
diagnosis,
treatment
modalities and
management of
women with
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
286
 couples with
infertility
o Infertility –
definition,
causes
o Counselling the
infertile couple
o Investigations –
male and female
o Artificial
reproductive
technology
o Surrogacy,
sperm and ovum
donation,
o Cryopreservation
o Adoption –
counselling,
procedures
 Injuries and
Trauma; Sexual
violence
 Drugs used in
treatment of
gynaecological
disorders
Note: Complete safe delivery app during VII Semester.

287
 PRACTICUM

SKILL LAB & CLINICAL ARE GIVEN UNDER OBG NURSING – I

LIST OF APPENDICES

1. Internal Assessment: Distribution of marks

2. Internal Assessment guidelines

3. University Theory paper Question pattern and Practical examination

APPENDIX 1

INTERNAL ASSESSMENT: Distribution of marks

I SEMESTER

Sessional Exams Total

Continuous
Sl. No. Name of the Course – Theory / Internal
Assessment
Practical Marks
Theory
1 Communicative English 10 15 25
2 Applied Anatomy & Applied Physiology 10 15 25
Applied Sociology & Applied
3 10 15 25
Psychology
4 Nursing Foundation I 10 15 25
Practical
5 Nursing Foundation I 10 15 25

II SEMESTER

Sessional
Total
Continuous Exams
Sl. No. Name of the Course Internal
Assessment – Theory /
Marks
Practical
Theory
Applied Biochemistry &
1 10 15 25
Applied Nutrition & Dietics
25
Nursing Foundation II
2 10 15 I & II = 25 + 25 = 50 /
including First Aid I & II
2
Health / Nursing Informatics
3 10 15 25
& Technology
Practical
Nursing Foundation II 25
4 10 15
I & II I & II = 25 + 25 = 50

288
 III SEMESTER

Sessional Exams Total

Sl. Continuous
Name of the Course – Theory / Internal
No. Assessment
Practical Marks
Theory
Applied Microbiology & Infection Control
1 10 15 25
including Theory
2 Pharmacology I & Pathology I 10 15 25
Adult Health Nursing I with integrated
3 10 15 25
Pathophysiology including BCLS module
Practical
4 Adult Health Nursing I 20 30 50

IV SEMESTER

Sessional
Total
Sl. Continuous Exams
Name of the Course Internal
No. Assessment – Theory /
Marks
Practical
Theory
25
Pharmacology II & Pathology II
1 10 15 I & II = 25 + 25
I & II
= 50 / 2
Adult Health Nursing II with integrated
2 10 15 25
Pathophysiology including Geriatric Nursing
Professionalism, Professional values &
3 10 15 25
Ethics including bioethics
Practical
4 Adult Health Nursing II 20 30 50

V SEMESTER

Sessional Exams Total

Continuous
Sl. No. Name of the Course – Theory / Internal
Assessment
Practical Marks
Theory
1 Child Health Nursing I 10 15 25
2 Mental Health Nursing I 10 15 25
3 Community Health Nursing I 10 15 25
Educational Technology / Nursing
4 10 15 25
Education
Introduction to Forensic Nursing & Indian
5 10 15 25
Laws
Practical
6 Child Health Nursing I 10 15 25
7 Mental Health Nursing I 10 15 25
8 Community Health Nursing I 20 30 50
289
VI SEMESTER

Sessional
Total
Sl. Continuous Exams
Name of the Course Internal
No. Assessment – Theory /
Marks
Practical
Theory
Child Health Nursing II 25
1 10 15
I & II I & II = 25 + 25 = 50 / 2
Mental Health Nursing II 25
2 10 15
I & II I & II = 25 + 25 = 50 / 2
3 Nursing Management & Leadership 10 15 25
Midwifery / Obstetrics &
4 10 15 25
Gynaecology I
Practical
Child Health Nursing II 25
5 10 15
I & II I & II = 25 + 25 = 50 / 2
Mental Health Nursing II 25
6 10 15
I & II I & II = 25 + 25 = 50 / 2
Midwifery / Obstetrics &
7 10 15 25
Gynaecology (OBG) Nursing I

VII SEMESTER

Sessional
Total
Sl. Continuous Exams
Name of the Course Internal
No. Assessment – Theory /
Marks
Practical
Theory
1 Community Health Nursing II 10 15 25
2 Nursing Research & Statistics 10 15 25
Midwifery / Obstetrics & 25
3 Gynaecology (OBG) Nursing II 10 15 I & II = 25 + 25 = 50 /
I & II 2
Practical
4 Community Health Nursing II 20 30 50
Midwifery / Obstetrics & 25
5 Gynaecology (OBG) Nursing II 10 15 I & II = 25 + 25 = 50 /
I & II 2

VIII SEMESTER

Sl. Continuous Total

Name of the Course OSCE
No. Assessment Marks
Competency Assessment – Each Specialty – 10 Each Specialty – 10
1 100
5 Specialties x 20 Marks 5 x 10 = 50 Marks 5 x 10 = 50 Marks

290
 APPENDIX 2

INTERNAL ASSESSMENT GUIDELINES

THEORY

I. CONTINUOUS ASSESSMENT : 10 marks

1. Attendance – 2 marks
(95-100%: 2 marks, 90-94: 1.5 marks, 85-89: 1 mark, 80-84: 0.5 mark, <80: 0)
2. Written assignments (Two) – 10 marks
3. Seminar/microteaching/individual presentation (Two) – 12 marks
4. Group project/work/report – 6 marks
Total = 30/3 = 10
If there is mandatory module in that semester, marks obtained by student out of 10 can be added to
30 totalling 40 marks Total = 40/4 = 10 marks

II. SESSIONAL EXAMINATIONS : 15 marks

Two sessional exams per course

Exam pattern:
MCQ – 4×1 = 4
Essay – 1×10 = 10
Short – 2×5 = 10
Very Short – 3×2 = 6
30 marks × 2 = 60/4 = 15
PRACTICAL

I. CONTINUOUS ASSESSMENT : 10 marks

1. Attendance – 2 marks
(95-100%: 2 marks, 90-94: 1.5 marks, 85-89: 1 mark, 80-84: 0.5 mark, <80: 0)
2. Clinical assignments – 10 marks
(Clinical presentation – 3, drug presentation & report – 2, case study report – 5)
3. Continuous evaluation of clinical performance – 10 marks
4. End of posting OSCE – 5 marks
5. Completion of procedures and clinical requirements – 3 marks
Total = 30/3 = 10

II. SESSIONAL EXAMINATIONS : 15 marks

Exam pattern:
OSCE – 10 marks (2-3 hours)
DOP – 20 marks (4-5 hours)
{DOP – Directly observed practical in the clinical setting}
Total = 30/2 = 15
Note : For Adult Health Nursing I, Adult Health Nursing II, Community Health Nursing I &
Community Health Nursing II, the marks can be calculated as per weightage.
Double the weightage as 20 marks for continuous assessment and 30 for
sessional exams.

291
COMPETENCY ASSESSMENT: (VIII SEMESTER)
Internal assessment
Clinical performance evaluation – 10 × 5 specialty = 50 marks
OSCE = 10 × 5 specialty = 50 marks
Total = 5 specialty × 20 marks = 100

APPENDIX 3

I. UNIVERSITY THEORY QUESTION PAPER PATTERN (For 75 marks)

1. Section A – 37 marks and Section B – 38 marks

a. Applied Anatomy & Applied Physiology:

Applied Anatomy – Section A and Applied Physiology – Section B

b. Applied Sociology & Applied Psychology:

Applied Sociology – Section A and Applied Psychology – Section B

c. Applied Microbiology & Infection Control including Safety:

Applied Microbiology – Section A and Infection Control including Safety –
Section B

Section A (37 marks)

MCQ – 6 × 1 = 6
Essay – 1 × 10 = 10
Short – 3 × 5 = 15
Very Short – 3 × 2 = 6

Section B (38 marks)

MCQ – 7 × 1 = 7
Essay – 1 × 10 = 10
Short – 3 × 5 = 15
Very Short – 3 × 2 = 6

2. Section A – 25 marks and Section B – 50 marks

Applied Biochemistry & Nutrition & Dietetics:

Applied Biochemistry – Section A and Applied Nutrition & Dietetics – Section B

Section A (25 marks)

MCQ – 4 × 1 = 4
Short – 3 × 5 = 15
Very Short – 3 × 2 = 6

Section B (50 marks)

MCQ – 8 × 1 = 8
Essay/situation type – 1 × 10 = 10
Short – 4 × 5 = 20
Very Short – 6 × 2 = 12
292
3. Section A – 38 marks, Section B – 25 marks and Section C – 12 marks

Pharmacology, Pathology and Genetics:

Pharmacology – Section A, Pathology – Section B and Genetics – Section C

Section A (38 marks)

MCQ – 7 × 1 = 7
Essay – 1 × 10 = 10
Short – 3 × 5 = 15
Very Short – 3 × 2 = 6

Section B (25 marks)

MCQ – 4 × 1 = 4
Short – 3 × 5 = 15
Very Short – 3 × 2 = 6

Section C (12 marks)

MCQ – 3 × 1 = 3
Short – 1 × 5 = 5
Very Short – 2 × 2 = 4

4. Section A – 55 marks and Section B – 20 marks

Research and Statistics:

Research – Section A and Statistics – Section B

Section A (55 marks)

MCQ – 9 × 1 = 9
Essay/situation type – 2 × 15 = 30
Short – 2 × 5 = 10
Very Short – 3 × 2 = 6

Section B (20 marks)

MCQ – 4 × 1 = 4
Short – 2 × 5 = 10
Very Short – 3 × 2 = 6

5. Marks 75 (For all other university exams with 75 marks)

MCQ – 12 × 1 = 12
Essay/situation type – 2 × 15 = 30
Short – 5 × 5 = 25
Very Short – 4 × 2 = 8

6. College Exam (End of Semester) – 50 marks (50/2 = 25 marks)

MCQ – 8 × 1 = 8
Essay/situation type – 1 × 10 = 10
Short – 4 × 5 = 20
Very Short – 6 × 2 = 12

293
II. UNIVERSITY PRACTICAL EXAMINATION – 50 marks

OSCE – 15 marks
DOP – 35 marks

III. COMPETENCY ASSESSMENT – University Exam (VIII SEMESTER)

Integrated OSCE including all 5 specialties (Stations based on every specialty)

= 5 specialty 5 × 20 = 100 marks

Total of 5 Examiners: external – 2 and internal – 3 (One from each specialty)

Internal examiners may be chosen from college faculty with required qualification or from hospital
with required qualification.

294