Table 1. First year Basic B.Sc.

Nursing

Subjects Theory Hours Practical / Hours

Clinical Hours
1. English 60
2. Anatomy 60
3. Physiology 60
4. Nutrition 60
5. Biochemistry 30
6. Nursing Foundations 265 + 200 450
7. Psychology 60
8. Microbiology 60
9. Introduction to Computers 45
10 Kannada 30
11 Library work / Self Study 50
12 Co-curricular activities 50
TOTAL 930 450 100
TOTAL HOURS = 1480 HRS
Table2. Second Year Basic B.Sc. Nursing

Subjects Theory Hours Practical / Hours

Clinical Hours
1. Sociology 60
2. Pharmacology 45
3. Pathology 30
4. Genetics 15
5. Medical Surgical Nursing (Adult 210 720
including geriatrics)
6. Community Health Nursing 90 135
7. Communication and Educational 60 + 30
Technology
8. Library work / Self Study 50
9. Co-curricular activities 35
TOTAL 540 855 85
TOTAL HOURS = 1480 HRS
 Table 3. Third Year Basic B.Sc. Nursing

Subjects Theory Hours Practical Hours Hours

(Clinical)
1. Medical-Surgical Nursing (Adult 120 270
including geriatrics)-II
2. Child Health Nursing 90 270
3. Mental Health Nursing 90 270
4. Midwifery and Obstetrical 90 180
Nursing
5. Library work / Self Study 50
6. Co-curricular activities 50
TOTAL 390 990 100
TOTAL HOURS = 1480 HRS

Table 4. Fourth Year Basic B.Sc. Nursing

Subjects Theory Hours Practical /

Clinical Hours
1. Midwifery and Obstetrical Nursing Nil 180
2. Community Health Nursing – II 90 135
3. Nursing Research & Statistics 45 * Project
4. Management of Nursing Services and Education 60 + 30
TOTAL 225 315
TOTAL HOURS = 540 HRS
 Project work to be carried out during clinical training.

Table 5. Details of Distribution of Hours for clinical training (Integrated Practice)

Subject Practical In Weeks

(In hrs)
1. Midwifery and Obstetrical nursing 240 5
2. Community Health Nursing-II 195 4
3. Medical Surgical Nursing (Adult and 430 9
geriatric)
4. Child Health 145 3
5. Mental Health 95 2
6. Research Project 45 1
Total 1150 24
Hours
9. Scheme of Examination
First year
Table 6 (A): Distribution of Subjects and Marks for Internal Assessment and University
Examination

Subject Internal University Total

Assessment Examination
Theory
1. Anatomy & Physiology 40 100 140
2. Nutrition and Biochemistry 40 100 140
3. Nursing Foundation 40 100 140
4. Psychology 40 100 140
5. Microbiology 40 100 140
6. English 40 100 140
7. Introduction to Computer* 40 100* 140
Practical and Viva Voce
1. Nursing Foundations 100 100 200

* Respective colleges will conduct examination for Introduction to Computer and

English as college examination. Marks to be sent to the university.

All practical examinations must be held in the respective clinical areas.

One internal and one external examiner should jointly conduct practical /clinical
examination for each student.

Second Year

Table 7. Distribution of Subjects and Marks for Internal Assessment and

University Examination
Subject Internal University Total
Assessment Examination
Theory
8. Sociology 40 100 140
9. Medical Surgical Nursing- I 40 100 140
10. Pharmacology, Pathology, 40 100 140
Genetics
11. Community Health Nursing – I 40 100 140
12. Communication and Educational 40 100 140
Technology
Practical and Viva Voce Internal University Total
Assessment Examination
2. Medical – Surgical Nursing - I 100 100 200
 Third Year

Table 8. Distribution of Subjects and Marks for Internal Assessment and

University Examination for Third Year Basic B.Sc. Nursing

Subject Hours Internal University Total

Assessment Exam
Theory
13. Medical Surgical Nursing- II 3 40 100 140
14. Child Health Nursing 3 40 100 140
15. Mental Health Nursing 3 40 100 140
Practical and Viva Voce
3. Medical - Surgical Nursing- II 50 50 100
4. Child Health Nursing 50 50 100
5. Mental Health Nursing 50 50 100

Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical
examination for each student.
Fourth Year

Table 9. Distribution of Subjects and Marks for Internal Assessment and

University Examination for Fourth Year Basic B.Sc. Nursing

Subject Internal University Total

Assessment Exam
Theory
16. Midwifery and Obstetrical 40 100 140
Nursing
17. Community Health Nursing – II 40 100 140
18. Nursing Research & Statistics 40 100 140
19. Management of Nursing 40 100 140
Services and Education
Practical and Viva Voce
6. Midwifery and Obstetrical 50 50 100
Nursing
7. Community Health Nursing 50 50 100

Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical
examination for each student.
 SECTION III

COURSE DESCRIPTION

English
Placement – First Year
Time: Theory – 60 hours

Course Description: The Course is designed to enable students to enhance ability to

comprehend spoken and written English (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.

Time Learning Teaching Learning Assessment

Unit Content
(Hrs) Objectives Activities Methods
I 10 * Speak and * Review of Grammar * Demonstrate * Essay type
write * Remedial study of use of * Objective
grammatically Grammar dictionary type
correct English * Building Vocabulary * Class room * Fill in the
* Phonetics conversion blanks
* Public Speaking * Exercise on * Para
use of grammar phrasing
* Practice in
public
speaking
II 30 * Develop ability * Read and comprehend * Exercise on : * Essay type
to read, prescribed course books  Reading * Short
understand and  Summarizing Answers
express  Comprehensio * Essay
meaningfully the n Types
prescribed text
III 10 * Develop * Various forms * Exercises on writing * Essay type
writing skills of Composition  Letter writing * Assessment of
 Letter writing  Nurses Notes the skills based
 Note taking  Precise on the check
 Precise writing  Diary list.
 Nurses notes  Anecdote
 Anecdotal records  Health
 Diary writing problems
 Reports on health problems  Story writing
etc.  Resume/CV
 Resume/CV * Essay Writing
 Discussion on
written reports/
 documents
IV 6 *Develop skill in * Spoken English * Exercise on: *Assessment of
spoken  Oral report  Debating the skills based
English  Discussion  Participating in on the check
 Debate Seminar, panel, list.
 Telephonic symposium
Conversation  Telephonic
Conversation
V 4 *Develop skill in * Learning Comprehension * Exercise on: * Assessment of
listening  Media, audio, video,  Listening to the skills based
comprehension speeches etc audio, video tapes on the check
and identify the list.
key points

Scheme of University Examination

There shall be one theory paper of three hours duration carrying 100 marks.
Distribution of Type of Questions and Marks for English shall be as given under. There shall be no
practical examination.

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100
 Anatomy
Placement – First year
Time: Theory – 60 hours
Course Description: The course is designed to enable students to acquire knowledge of
the normal structure of various human body systems and understand the alterations in
anatomical structures in disease and practice of nursing.

Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
I 5 * Describe the Introduction to Anatomical terms organization of the
anatomical human body
terms, * Human Cell structure
organization * Tissues – Definition, Types, characteristics, classification,
of human location, functions & formation.
body and * Membranes and glands – classification and structure
structure of Alterations in disease
cell, tissues, Applications and implications in nursing
membranes
and glands. Teaching Learning Activities
* Lecture discussion
* Explain using charts, microscopic slides, Skeleton & torso
* Demonstrate cells, types of tissues membranes and glands
* Record book
II 6 * Describe the The Skeletal System
structure & * Bones – types, structure, Axial & Appendicular Skeleton,
function of * Bone formation and growth
bones and * Description of bones
joints * Joints classification and structure
Alterations in disease
Applications and implications in nursing

Teaching Learning Activities

* Lecture discussion
* Explain using charts, skeleton, loose bones and joins
* Record book
III 7 * Describe the The Muscular System
structure and * Types and structure of muscles
function of * Muscle groups
muscles Alterations in disease
Applications and implications in nursing
Teaching Learning Activities
* Lecture discussion
* Explain using chart, models and films
* Demonstrate muscular movements
* Record book
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
IV 6 * Describe the The nervous System
structure & * Structure of neurologia & neurons
function of * Somatic Nervous system
nervous  Structure of brain, spinal chord, cranial nerves, spinal
system nerves, peripheral nerves
* Autonomic Nervous System –
Sympathetic, parasympathetic
 Structure, location
Alterations in disease
Applications and implications in nursing
Teaching Learning Activities
* Lecture discussion
* Explain using models, charts, slides, specimens
* Record book
V 6 Explain the The Sensory Organs
structure & * Structure of skin, eye, ear, nose tongue, (Auditory and
functions of olfactory apparatus)
sensory Alterations in disease
organs Applications and implications in nursing
Teaching Learning Activities
* Lecture discussion
* Explain using models, charts, slides, specimens
* Record book
VI 7 Describe the Circulatory and lymphatic system
structure & * The Circulatory System
function of  Blood – Microsoft structure
circulatory  Structure of Heart
and lymphatic  Structure of blood vessels- Arterial & Venous System
system  Circulation: Systemic, pulmonary, coronary
* Lymphatic System
 Lymphatic vessels &
lymph
 Lymphatic tissues
- Thymus gland
- Lymph nodes
- Spleen
- Lymphatic tissues
Alterations in disease
Applications and implications in nursing.
Teaching Learning Activities
* Lecture discussion
* Explain using models, charts, slides, specimens
 Record book
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
VII 5 * Describe the The Respiratory System
structure & * Structure of the organs of respiration
functions of * Muscles of respiration: Intercostals and Diaphragm
respiratory Alterations in disease
system. Applications and implications in nursing.

Teaching Learning Activities

* Lecture discussion
* Explain using models, torso, charts slides, specimens
* Record book
VIII 6 * Describe the The Digestive System
structure & * Structure of Alimentary tract and accessory organs of
functions of digestion
digestive Alterations in disease
system. Applications and implications in nursing
Teaching Learning Activities
* Lecture discussion
* Explain using models, torso, charts slides, specimens
* Record book
IX 4 * Describe the The Excretory system (Urinary)
structure & * Structure of organs of urinary
functions of * System: Kidney, Ureters, urinary, bladder, urethra, structure
excretory of skin
system Alterations in disease
Applications and implications in nursing.

Teaching Learning Activities

* Lecture discussion
* Explain using models, torso, charts slides, specimens
* Record book
X 4 * Describe the The Endocrine system
structure & * Structure of Pituitary, Pancreas, thyroid, Parathyroid, thymus
functions of and adrenal glands
endocrine Alterations in disease
system Applications and implications in nursing

Teaching Learning Activities

* Lecture discussion
* Explain using models, torso, charts slides, specimens
* Record book
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
XI 4 * Describe the The Reproductive system including breast
structure & * Structure of female reproductive organs
functions of * Structure of male reproductive organs
reproductive * Structure of breast
system Alterations in disease
Applications and implications in nursing

Teaching Learning Activities

* Lecture discussion
* Explain using models, torso, charts slides, specimens
* Record book
 Physiology
Placement – First Year
Time: Theory – 60 Hours

Course Description: The Course is designed to assist the students to acquire knowledge
if the normal physiology of various human body systems and understand the alterations
in physiology in diseases and practice of nursing.

Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
I 4 * Describe the Cell Physiology
physiology of * Tissue formation, repair
cell, tissues, * Membranes & glands – functions
membranes and Alterations in disease
glands Applications and implications in nursing

Teaching Learning Activities

* Lecture discussion
II 4 * Describe the Skeletal System
bone formation * Bone formation & growth
and growth and * Bones – Functions and movements of bones of axial and
movements of appendicular skeleton, bone healing
skeleton system * Joints and joint movement
Alterations in disease
Applications and implications in nursing

Teaching Learning Activities

* Lecture discussion
* Explain using charts, models and films
* Demonstration of joint movements
III 4 * Describe the Muscular System
muscle * Muscle movements, Muscle tone, Physiology of muscle
movements and contraction, levels and maintenance of posture Alterations in
tone and disease
demonstrate Applications and implications in nursing
muscle
contraction and Teaching Learning Activities
tone * Lecture discussion
* Explain using Charts, models, slides, specimen and films
 Demonstration of muscle movements, tone and
contraction
Content and Teaching Learning Activities
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
IV 7 * Describe the Nervous System
physiology of * Functions of Neurolgia & neurons
nerve stimulus, * Stimulus & nerve-impulse- definitions and mechanism
reflexes, brain, * Functions of brain, spinal cord, cranial and spinal nerves
cranial and * Cerebrospinal fluid-composition, circulation and function
spinal nerves * Reflex arc, Reflex action and reflexes
*Demonstrate * Automatic functions –
reflex action  Pain: somatic, visceral and referred
and stimulus  Automatic learning and biofeedback
Alterations in disease
Applications and implications in nursing

Teaching Learning Activities

* Lecture discussion
* Explain using, Charts, models and films
* Demonstrate nerve stimulus, reflex action, reflexes
V 8 * Describe the Circulatory System
physiology of * Blood formation, composition, blood groups, blood
blood and coagulation
functions of * Hemoglobin: Structure, Synthesis and breakdown,
Heart Variation of molecules, estimation
*Demonstrate * Functions of Heart, Conduction, Cardiac cycle, circulation-
blood cell Principles, Control, factors influencing BP and Pulse
count, Alterations in disease
coagulation, Applications and implications in nursing
grouping
Hb: BP and Teaching Learning Activities
Pulse * Lecture discussion
monitoring * Explain using charts, films
* Demonstration of Blood cell count, coagulation, grouping,
Haemoglobin estimation, Heart conduction system.
* Measurement of pulse, BP
VI 6 * Describe the The Respiratory System
physiology and * Functions of respiratory organs
mechanisms of * Physiology of respiration
respiration * Pulmonary ventilation, Volume
*Demonstrates * Mechanics of respiration
spirometry * Gaseous exchange in lungs
* Carriage of oxygen & carbon-dioxide
*Exchange of gases in tissues
* Regulation of respiration,
Alterations in disease
Applications and implications in nursing.
Teaching Learning Activities
* Lecture discussion
* Explain using Charts, films
* Demonstration of spirometry
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
VII 6 *Describe the The Digestive System
Physiology of * Functions of organs of digestive tract. Movements of
digestive alimentary tract, Digestion in mouth, stomach, small
system intestines, Large intestines, Absorption of food. Functions of
*Demonstrates liver, gall bladder and pancreas
BMR * Metabolism of carbohydrates, protein and fat

Teaching Learning Activities

* Lecture discussion
* Explain using Charts, films

VIII 5 *Describe the The Excretory System

Physiology of * Functions of kidneys, ureters, urinary bladder & urethra
excretory * Composition of urine
system * Mechanism of urine formation
* Functions of skin
* Regulation of body temperature
* Fluid and electrolyte balance
Alterations in disease
Applications and implications in nursing.

Teaching Learning Activities

* Lecture discussion
* Explain using
Charts, films

IX 4 *Describe the The Sensory Organs

physiology of * Functions of skin, eye, ear, nose, tongue,
sensory organs Alterations in disease
Applications and implications in nursing.

Teaching Learning Activities

* Lecture discussion
* Explain using
Charts, films

X 5 *Describe the The Endocrine Glands

physiology of * Functions of Pituitary, pineal body, thymus, Thyroid,
endocrine parathyroid, pancreas, Suprarenal, Placenta and ovaries &
glands Testes
Alterations in disease
Applications and implications in nursing.
Teaching Learning Activities
* Lecture discussion
* Explain using
Charts, films
* Demonstration of BMR
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
XI 5 *Describe the The Reproductive System
physiology of * Reproduction of cells – DNA, Mitosis, Meiosis,
male and spermatogenesis, oogenesis.
female * Functions of female reproductive organs; Functions breast,
reproductive Female sexual cycle.
system * Introduction to embryology
* Functions of male reproductive organs, Male function in
reproduction, Male fertility system
Alterations in disease
Applications and implications in nursing.

Teaching Learning Activities

* Lecture discussion
* Explain using
Charts, films
models, specimens

XII 2 *Describe the Lymphatic & Immunological System

Physiology of * Circulation of lymph
Lymphatic and * Immunity
Immunological  Formation of T-cells and B cells
System  Types of Immune response
 Antigens
 Cytokines
 Antibodies

Teaching Learning Activities

* Lecture discussion
* Explain using
Charts, films

Scheme of Examination: Anatomy and Physiology

There shall be one paper of three hours duration for Anatomy and Physiology, carrying
100 marks. Section A- shall be Anatomy carrying 50 marks and Section B- Physiology
carrying 50 marks. The distribution of type of questions and marks shall be as under.
There shall be no practical examination.
 Distribution of Type of Questions and Marks for Anatomy and Physiology
(50 marks for each subject)

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 1 10 10
Short Essay (SE) 5 5 25
Short Answer (SA) 5 3 15
Total Marks 50
 Nutrition
Placement: First Year
Time: Theory 60 hours

Course of Description: The course is designed to assist the students to acquire

knowledge of nutrition for maintenance of optimum health at different stages of life and
its application for practice of nursing

Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
Th Pr
I 4 * Describe the Introduction
relationship * Nutrition:
between  History
nutrition &  Concepts
Health * Role of nutrition in maintaining health
* Nutritional problems in India
* National nutritional policy
* Factors affecting food and nutrition: socio-economic,
cultural, tradition, production, system of distribution, life
style and food habits etc.
* Role of food and its medicinal value
* Classification of foods
* Food standards
* Elements of nutrition: macro and micro
* Calorie, BMR
Teaching Learning Activities
* Lecture
Discussion
* Explaining using
charts
* Panel discussion
II 2 * Describe the Carbohydrates
classification, * Classification
functions, * Calorie Value
sources and * Recommended daily allowances
recommended * Dietary sources
daily * Functions
allowances * Digestion, absorption and storage, metabolism of
(RDA) of carbohydrates
carbohydrates * Malnutrition: Deficiencies and Over consumption
Teaching Learning Activities
* Lecture discussion
* Explaining using charts
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
Th Pr
III 2 * Describe the Fats
classification, * Classification
functions, * Caloric value
sources and * Recommended daily allowances
recommended * Dietary sources
daily * Functions
allowances * Digestion, absorption and storage, metabolism
(RDA) of Fats * Malnutrition: Deficiencies and over consumption

Teaching Learning Activities

* Lecture discussion
* Explaining using charts
IV 2 * Describe the Proteins
classification, * Classification
functions, * Caloric value
sources and * Recommended daily allowances
recommended * Dietary sources
daily * Functions
allowances * Digestion, absorption, metabolism and storage
(RDA) of * Malnutrition: Deficiencies and Over consumption
Proteins
Teaching Learning Activities
* Lecture discussion
* Explaining using charts
V 3 * Describe the Energy
daily calorie * Unit of Energy – Kcal
requirement for * Energy requirements of different categories of people
different * Measurements of energy
categories of * Body Mass Index (BMI) and basic metabolism
people * Basal Metabolic Rate (BMR) - determination and factors
affecting

Teaching Learning Activities

* Lecture discussion
* Explaining using charts
* Exercise
* Demonstration
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
Th Pr
VI 4 * Describe the Vitamins
classification, * Classification
functions, * Recommended daily allowances
sources and * Dietary sources
recommended * Functions
daily * Absorption, synthesis, metabolism storage and excretion
allowances * Deficiencies
(RDA) of * Hypervitaminosis
Vitamins
Teaching Learning Activities
* Lecture discussion
* Explaining using charts
VII 4 * Describe the Minerals
classification, * Classification
functions, * Recommended daily allowances
sources and * Dietary sources
recommended * Functions
daily * Absorption, synthesis, metabolism storage and excretion
allowances * Deficiencies
(RDA) of * Over consumption and toxicity
Minerals
Teaching Learning Activities
* Lecture discussion
* Explaining using charts
VIII 3 * Describe the Water & electrolytes
sources, * Water: Daily requirement, regulation of water
functions and metabolism, distribution of body water,
requirements of * Electrolytes: Types, sources, composition of body fluids
Water & * Maintenance of fluid & electrolyte balance
electrolytes * Over hydration, dehydration and water intoxication
* electrolyte imbalances

Teaching Learning Activities

* Lecture discussion
* Explaining using charts
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
Th Pr
IX 5 15 * Describe the Cookery rules and preservation of nutrients
Cookery rules * Principles, methods of cooking and serving
and  Preservation of nutrients
preservation of * Safe Food handling-toxicity
nutrients * Storage of food
* Prepare and * Food preservation, food additives and its principles
serve simple * prevention of food adulteration Act (PFA)
beverages and * Food standards
different types * Preparation of simple
of foods beverages and different types of food
Teaching Learning Activities
* Lecture discussion
* Demonstration
* Practice session
X 7 5 * Describe and Balanced diet
plan balanced * Elements
diet for * Food groups
different * Recommended Daily allowance
categories of * Nutritive value of foods
people * Calculation of balanced diet for different categories of
people
* Planning menu
* Budgeting of food
* Introduction to therapeutic diets: Naturopathy - diet
XI 4 * Describe Role of nurse in nutritional programmes
various national * National programmes related to nutrition
programmes  Vitamin A deficiency programme
related to  National iodine deficiency disorders (IDD)
nutrition programme
* Describe the  Mid-day meal programme
role of nurse in  Integrated child development scheme (ICDS)
assessment of * National and International agencies working towards
nutritional food/nutrition
status and  NIPCCD, CARE, FAO, NIN, CFTRI (Central food
nutrition technology and research institute) etc.
education * Assessment of nutritional status
* Nutrition education and role of nurse

Teaching Learning Activities

* Lecture Discussion
* Explaining with
* Slide / Film shows
* Demonstration of Assessment of nutritional status
 Biochemistry
Placement – First Year
Time: Theory –30 Hours

Course Description: The Course is designed to assist the students to acquire knowledge
of the normal biochemical composition and functioning of human body and understand
the alterations in biochemistry in diseases for practice of nursing.

Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
I 3 *Describe the Introduction
structure * Definition and significance in nursing
Composition * Review of structure, Composition and functions of cell
and functions of * Prokaryote and Eukaryote cell organization
cell * Microscopy
*Differentiate
between Teaching Learning Activities
Prokaryote & * Lecture discussion using charts, slides
Eukaryote cell * Demonstrate use of microscope
* Identify
techniques of
Microscopy
II 6 * Describe the Structure and functions of Cell membrane
structure and * Fluid mosaic model tight junction, Cytoskeleton
functions of cell * Transport mechanism: diffusion osmosis, filtration,
membrane active channel, sodium pump
* Acid base balance-maintenance & diagnostic tests
 PH buffers

Teaching Learning Activities

* Lecture discussion
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
III 6 * Explain the Composition and metabolism of Carbohydrates
metabolism of * Types, structure, composition and uses
carbohydrates  Monosaccharides,
Disaccharides,
Polysaccharides
Oligosaccharides
* Metabolism
 Pathways of glucose:
 Glycolysis
 Gluconeogenesis: Cori’s cycle, Tricarboxylic acid
(TCA) cycle
 Glycogenolysis
 Pentose phosphate
Pathways (Hexose mono phosphate)
 Regulation of blood glucose level
Investigations and their interpretations
Teaching Learning Activities
* Lecture discussion
using charts
* Demonstration of
laboratory tests
IV 4 * Explain the Composition and metabolism of Lipids
metabolism of * Types, Structure, composition and uses of fatty acids
Lipids  Nomenclature, Roles and Prostaglandins
* Metabolism of fatty acid
 Breakdown
 Synthesis
* Metabolism of triacylglycerols
* Cholesterol metabolism
 Biosynthesis and its Regulation
 Bile salts and bilirubin
 Vitamin D
 Steroid hormones
* Lipoproteins and their functions
 VLDLs- IDLs, LDLs and HDLs
 Transport of lipids
 Atherosclerosis,
Investigations and their interpretations
Teaching Learning Activities
* Lecture discussion
using charts
* Demonstration of
laboratory tests
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
V 6 * Explain the Composition and metabolism of Amino acids and
metabolism of Proteins
Amino acids * Types, structure, composition and uses of Amino acids
and Proteins and Proteins
* Metabolism of Amino acids and Proteins
 Protein synthesis, targeting and Glycosylation
 Chromatography
 Electrophoresis
 Sequencing
* Metabolism of Nitrogen
 Fixation and Assimilation
 Urea Cycle
 Hemes and chlorophylls
* Enzymes and co-enzymes
 Classification
 Properties
 Kinetics and inhibition
 Control
Investigations and their interpretations

Teaching Learning Activities

* Lecture discussion
using charts
* Demonstration of
laboratory tests
VI 2 * Describe Composition of Vitamins and minerals
types, * Vitamins and minerals:
composition  Structure, Classification, Properties, Absorption
and utilization  Storage & transportation
of Vitamins &  Normal concentration
minerals *Investigations and their interpretation

Teaching Learning Activities

* Lecture discussion using charts
* Demonstration of laboratory tests
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
VII 3 * Describe Immunochemistry
Immuno- * Immune response,
chemistry * Structure and classification of immunoglobins
* Mechanism of antibody production
* Antigens: HLA typing
* Free radical and Antioxidants
* Specialized Protein: Collagen, Elastin, Keratin,
Myosin, Lens Protein.
* Electrophoretic and Quantitative determination of
immunoglobins – ELISA etc.
Investigations and their interpretations

Teaching Learning Activities

* Lecture discussion using charts
* Demonstration of laboratory tests

Scheme of Examination: Nutrition and Biochemistry

 There shall be one paper of three hours duration carrying 100 marks. Section A
Nutrition of 60 marks and Section B of Biochemistry of 40 marks. There shall be
no practical examination.

Distribution of Type of Questions and Marks for Nutrition (60 marks)

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 5 5 25
Short Answer (SA) 5 3 15
Total Marks 60

Distribution of Type of Questions and Marks for Biochemistry (40 marks)

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 1 10 10
Short Essay (SE) 3 5 15
Short Answer (SA) 5 3 15
Total Marks 40
 Nursing Foundations
Placement: First Year
Time: Theory - 265 hours
Practical - 650 hours
(200 lab and 450 clinical)

Course Description: This course is designed to help the students to develop an

understanding of the philosophy, objectives, theories and process of nursing in various
Supervised Clinical settings. It is aimed at helping the students to acquire knowledge,
understanding and skills in techniques of nursing and practice them in Supervised
Clinical settings.

Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
I 10 * Describe the Introduction
concept of health, * Concept of Health: Health – illness continuum
illness and health * Factors influencing health
care agencies * Causes and risk factors for developing illness
* Body defences: Immunity and immunization
* Illness and illness Behavior:
* Impact of illness on patient and family
* Health Care Services: Health Promotion and
Prevention, Primary Care, Diagnosis, Treatment,
Rehabilitation and Continuing Care
* Health care teams
* Types of health care agencies
* Hospitals: Types, Organisation and Functions
* Health Promotion and Levels of Disease
Prevention
*Primary Health care and its delivery: Role of
nurse

Teaching Learning Activities

* Lecture discussion
* Visit to health care agencies
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
II 16 * Explain concept Nursing as a profession
and scope of * Definition and Characteristics of a profession
nursing * Nursing:
* Describe  Definition, Concepts, philosophy, objectives
values, code of  Characteristics, nature and scope of nursing
ethics and practice
professional  Functions of nurse
conduct for  Qualities of a nurse
nurses of India  Categories of nursing personnel
 Nursing as a profession
 History of Nursing in India.
* Values: Definition, Types, Values Classification
and values in professional Nursing: Caring &
Advocacy
* Ethics:
 Definition and Ethical Principles
 Code of ethics and professional conduct for
nurses.
Teaching Learning Activities
* Lecture discussion
* Case discussion
* Role plays
III 4 * Explain the Hospital admission and discharge
admission and * Admission to the hospital
discharge  Unit and its preparation-admission bed
procedure  Admission procedure
* Performs  Special considerations
admission and  Medico-legal issues
discharge  Roles and Responsibilities of the nurse
procedure * Discharge from the hospital
 Types: Planned discharge, LAMA and
abscond, Referrals and transfers
 Discharge Planning
 Discharge procedure
 Special consideration
 Medico-legal issues
 Roles and Responsibilities of the nurse
 Care of the unit after discharge
Teaching Learning Activities
* Lecture discussion
* Demonstration
* Lab Practice
* Supervised Clinical practice
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
IV 10 *Communicate Communication and Nurse patient relationship
effectively with * Communication: Levels, Elements, Types,
patient, families Modes, Process, Factors influencing
and team Communication
members and  Methods of Effective Communication,
maintain effective  Attending skills
human relations  Rapport building skills
(projecting  Empathy skills
professional  Barriers to effective communication,
image) * Helping Relationship (NPR): Dimensions of
* Appreciate the Helping Relationships, Phase of a helping
importance of relationship
patient teaching * Communicating effectively with patient, families
in nursing and team members and maintain effective human
relations with special reference to communicating
with vulnerable group(children, women, physically
and mentally challenged and elderly)
* Patient Teaching: Importance, Purposes, Process,
role of nurse and Integrating teaching in Nursing
Process.

Teaching Learning Activities

* Lecture discussion
* Role play and video film on the nurses interacting
with the patient
* Practice session on patient teaching
* Supervised Clinical Practice
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
V 15 * Explain the The Nursing Process
concept, uses, * Critical Thinking and Nursing Judgment
format and steps  Critical Thinking: Thinking and Learning
of nursing process  Competencies, Attitudes for Critical
* Documents Thinking, Levels of critical thinking in
nursing process as Nursing
per the format * Nursing Process Overview:
Application in Practice
 Nursing process format: INC, current
format
 Assessment
- Collection of Data : Types, Sources, Methods
- Formulating Nursing Judgment: Data
interpretation
 Nursing Diagnosis
- Identification of client problems
- Nursing diagnosis statement
- Difference between medical and nursing
diagnosis
 Planning
- Establishing Priorities
- Establishing Goals and Expected Outcomes
- Selection of interventions : Protocols and
standing Orders
- Writing the Nursing Care Plan
 Implementation
- Implementing the plan of care
 Evaluation
- Outcome of care
- Review and Modify
 Documentation and Reporting

Teaching Learning Activities

* Lecture discussion
* Demonstration
* Exercise
* Supervised Clinical Practice
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
VI 4 * Describe the Documentation and Reporting
purposes, types * Documentation : Purposes of Recording and
and techniques of reporting
recording and * Communication within the Health Care Team
reporting * Types of records; ward records, medical/nursing
records,
* Common Record-keeping forms, Computerized
documentation
* Guidelines for Reporting: Factual Basis,
Accuracy, Completeness, currentness,
Organization, confidentiality
* Methods of Recording
* Reporting: Change of shift reports: Transfer
reports, incident reports
 Minimizing legal Liability through effective
record keeping

Teaching Learning Activities

* Lecture discussion
* Demonstration
* Practice Session
* Supervised Clinical Practice
VII 15 * Describe Vital signs
principles and * Guidelines for taking vital signs :
techniques of * Body temperature:
monitoring and  Physiology, Regulation, Factors affecting
maintaining vital body temperature,
signs  Assessment of body temperature: sites,
* Monitor and equipments and technique, special
maintain vital considerations
signs  Temperature alterations:
Hyperthermia, Heatstroke,
Hypothermia
 Hot and cold applications
* Pulse:
 Physiology & Regulation,
Characteristics of the pulse, Factors
affecting pulse
 Assessment of the pulse: sites, location,
equipments and technique, special
considerations
 Alterations in pulse:
* Respiration
  Physiology and Regulation, Mechanics of
breathing
Characteristics of the respiration, Factors
affecting respiration
 Assessment of respirations:
Technique, special considerations
 Alterations in respiration
* Blood pressure :
 Physiology and Regulation, Characteristics
of the blood pressure, Factors affecting
blood pressure
 Assessment of blood pressure: sites,
equipments and technique, special
considerations
 Alterations in blood pressure
Recording of vital signs

Teaching Learning Activities

* Lecture discussion
* Demonstration
* Practice
* Supervised Clinical Practice
VIII 30 * Describe Health assessment
purpose and * Purposes
process of health * Process of Health assessment
assessment  Health History
* Describe the  Physical examination :
health assessment - Methods-Inspection, Palpation, Percussion,
of each body Auscultation, Olfaction
system - Preparation for examination: patient and unit
* Perform health - General assessment
assessment of - Assessment of each body system
each body system - Recording of health assessment

Teaching Learning Activities

* Lecture discussion
* Demonstration
* Practice on
stimulators
* Supervised Clinical Practice
IX 5 * Identify the Machinery, Equipment and linen
various * Types: Disposables and reusable- Linen, rubber
machinery, goods, glass ware, metal, plastics, furniture,
equipment and machinery
linen and their * Introduction
care  Indent
  Maintenance
 Inventory

Teaching Learning Activities

* Lecture discussion
* Demonstration
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
X 60 * Describe the Meeting needs of patient
basic, * Basic needs (Activities of daily living)
psychological  Providing safe and clean environment:
needs of patient  Physical-environment: Temperature,
* Describe the Humidity, Noise, Ventilation, light, Odour,
principles and pests control
techniques for  Reduction of physical hazards: fire,
meeting basic, accidents
Physiological and  Safety devices: Restraints, side rails,
psychosocial airways, trapeze etc.
needs of patient  Role of nurse in providing safe and clean
* Perform nursing environment.
assessment, plan  Hygiene:-
implement and  Factors Influencing Hygienic Practice
evaluate the care  Hygienic care: Care of the Skin-Bath and
for meeting basic, pressure points, feet and nail, Oral cavity,
physiological and Hair Care, Eyes, Ears and Nose
psychosocial o Assessment, Principles, Types, Equipments,
needs of patient Procedure, Special Considerations
- Patient environment: Room Equipment and
linen, making patient beds
o Types of beds and bed making
 Comfort:-
- Factors influencing
Comfort
- Comfort devices
* Physiological needs:-
 Sleep and Rest :
- Physiology of sleep
- Factors affecting sleep
- Promoting Rest and sleep
- Sleep Disorders
 Nutrition :-
- Importance
- Factors affecting nutritional needs
- Assessment of nutritional needs
- Meeting Nutritional needs:
Principles, equipments, procedure and special
considerations
o Oral
o Enteral : Naso/ Orogastric, gastrostomy
o Parenteral :
 Urinary Examination
- Review of Physiology of Urine Elimination,
Composition and characteristics of urine.
- Factors influencing Urination
- Alteration in Urinary
Elimination
- Types and Collection of urine specimen:
Observation, urine testing
- Facilitating urine elimination: assessment,
types, equipments, procedures and special
considerations
o Providing urinal/bed pan
o Condom drainage
o Perineal care
o Catheterization
o Care of urinary
drainage
o Care of urinary diversions
o Bladder irrigation
 Bowel Elimination
- Review of Physiology of Bowel Elimination,
Composition and characteristics of faeces
- Factors affecting Bowel elimination
- Alteration in Bowel Elimination
- Types and Collection of specimen of faeces:
Observation
- Facilitating bowel elimination: assessment,
equipments, procedures and special
considerations
o Passing of Flatus tube
o Enemas
o Suppository
o Sitz bath
o Bowel was
o Care of Ostomies
 Mobility and Immobility
- Principles of Body
Mechanics
- Maintenance of normal
body
Alignment and mobility
- Factors affecting body
Alignment and mobility
- Hazards associated with
immobility
- Alteration In body
Alignment and mobility
- Nursing interventions for impaired Body
Alignment and Mobility: assessment, types,
devices used, method and special
considerations, rehabilitation aspects
o Range of motion exercises
o Maintaining body alignment: Positions
o Moving
o Lifting
o Transferring
o Walking
o Restraints
 Oxygenation
- Review of Cardiovascular and respiratory
Physiology
- Factors Affecting Oxygenation
- Alterations in oxygenation
- Nursing interventions in oxygenation :
assessment, types, equipment used, procedure
and special considerations
o Maintenance of patent airway
o Oxygen administration
o Suction
o Inhalations: dry and moist
o Chest physiotherapy and postural drainage
o Pulse oximetry
o CPR-Basic life support
 Fluid, Electrolyte, and Acid – Base
Balances
- Review of Physiological regulation of Fluid,
Electrolyte, and Acid-Base Balances
- Factors Affecting Fluid, Electrolyte, and
Acid-Base Balances
- Alterations in Fluid, Electrolyte, and Acid-
Base Balances
- Nursing interventions in Fluid, Electrolyte
and Acid
- Base Imbalances :
assessment, types, equipment, procedure and
special considerations
o Measurement fluid intake and output
o Correcting Fluid
Electrolyte Imbalance:
 Replacement of fluids:
Oral and Parenteral -Venipuncture, regulating
IV flow rates, changing IV solutions and
tubing, changing IV dressing,
  Administering Blood transfusion
 Restriction of fluids
 Psychosocial Needs
o Concepts of Cultural Diversity, Stress and
Adaptation, Self-concept, Sexuality,
Spiritual Health, coping with loss, death and
grieving
o Assessment of psychosocial needs
o Nursing intervention for psychosocial needs
- Assist with coping and adaptation
- Creating therapeutic environment
o Recreational and diversional therapies

Teaching Learning Activities

* Lecture discussion
* Demonstration
* Practice sessions
* Supervised Clinical Practice
XI 20 * Describe Infection control in Clinical settings
principles and * Infection control
techniques for  Nature of infection
infection control  Chain of infection transmission
and biomedical  Defenses against infection:
waste Natural and acquired
management in  Hospital acquired infection
Supervised (Nosocomial infection)
Clinical settings * Concept of asepsis: medical asepsis, and surgical
asepsis
* Isolation precautions (Barrier nursing):
 Hand washing: simple, hand antisepsis and
surgical antisepsis (scrub)
 Isolation: source and protective
 Personal protecting equipments: types, uses
and technique of wearing and removing
 Decontamination of equipment and unit
 Transportation of infected patients
 Standard safety precautions (Universal
precautions)
 Transmission based precautions
* Biomedical waste management :
 Importance
 Types of hospital waste
 Hazards associated with hospital waste
 Decontamination of hospital waste
 Segregation and Transportation and disposal
 Teaching Learning Activities
* Lecture discussion
*Demonstration
* Practice session
* Supervised Clinical practice
XII 40 * Explain the Administration of Medications
principles, routes, * General
effects of Principles/Considerations
administration of  Purposes of Medication
medications  Principles: 5 rights, Special Considerations,
* Calculate Prescriptions, Safety in Administering
conversions of Medications and Medication Error
drugs and dosages  Drugs forms
within and  Routes of administration
between systems  Storage and maintenance of drugs and
of measurements Nurses responsibility
* Administer  Broad classification of drugs
drugs by the  Therapeutic Effect, Side Effects, Toxic
following routes- Effects, Idiosyncratic Reactions, Allergic
oral, Intradermal, Reactions, Drug Tolerance, Drug
Subcutaneous, Interactions,
Intramuscular,  Factors influencing drug Actions,
Intra Venous  Systems of Drug Measurement: Metric
topical, inhalation System, Apothecary System, Household
Measurements, Solutions.
 Converting Measurements units:
Conversions within one system, Conversion
between systems, Dosage Calculation,
 Terminologies and abbreviations used in
prescriptions of medications
* Oral Drugs Administration: Oral, Sublingual and
Buccal : Equipment, procedure
* Parenteral
 General principles:
Decontamination and disposal of syringes and
needles
 Types of parentaral therapies
 Types of syringes, needles, canula, and
infusion sets
 Protection from Needlestick Injuries:
Giving Medications with a safety syringes
 Routes of parentaral therapies
- Intradermal: purpose, site, equipment,
procedure, special considerations.
- Subcutaneous: purpose, site, equipment,
procedure, special considerations
 - Intramuscular: purpose, site, equipment,
procedure, special considerations
- Intra Venous: purpose, site, equipment,
procedure, special considerations
- Advanced techniques: epidural, intrathecal,
intraosseous, intraperitonial, intraplural,
intra arterial - Role of nurse
* Topical Administration :
purposes, site, equipment, procedure, special
considerations for
 Application to Skin
 Application to mucous membrane
- Direct application of liquids-Gargle and
swabbing the throat
- Insertion of Drug into body cavity:
Suppository/ medicated packing in
rectum/vagina
- Institutions: Ear, Eye, Nasal, Bladder, and
Rectal
- Irrigations: Eye, Ear, Bladder, Vaginal and
Rectal
- Spraying: Nose and throat
* Inhalation: Nasal, oral, endotracheal/tracheal
(steam, oxygen and medications) -
purposes, types, equipment, procedure, special
considerations
 Recording and reporting of medications
administered

Teaching Learning Activities

* Lecture discussion
*Demonstration
* Practice session
* Supervised Clinical practice
XIII 10 * Describe the pre Meeting needs of Perioperative patients
and post operative * Definition and concept of Perioperative Nursing
care of patients * Preoperative Phase
* Explain the  Preparation of patient for surgery
process of wound * Intraoperative
healing  Operation theatre Set up and environment
* Explain the  Role of nurse
principles and * Postoperative Phase
techniques of  Recovery unit
wound care  Post operative unit
* Perform care of  Post operative care,
wounds * Wounds: types, Classifications, wound Healing
 Process, Factors affecting Wound, Complications
of Wound Healing
* Surgical asepsis
* Care of the wound: types, equipments, procedure
and special consideration
 Dressings, Suture Care,
 Care of Drainage
 Application of Bandages, Binders, Splints
& Slings
 Heat and Cold Therapy

Teaching Learning Activities

* Lecture discussion
* Demonstration
* Practice session
* Supervised
Clinical practice
XIV 15 * Explain care of Meeting special needs of the patient
patients having * Care of patients having alteration in
alterations in o Temperature (hyper and hypothermia);
body functioning Types, Assessment, Management
o Sensorium
(Unconsciousness);
Assessment, Management
o Urinary Elimination (retention and
incontinence);
Assessment, Management
o Functioning of sensory organs: (Visual &
hearing impairment)
o Assessment of Self-Care ability
o Communication methods and special
considerations
o Mobility (physically challenged, cast)
assessment of Self-Care ability:
Communication Methods and special
considerations
o Mental state (mentally challenged),
assessment of Self-Care ability;
o Communication Methods and special
considerations
o Respiration (distress); Types, Assessment,
Management
o Comfort – (Pain) – Nature, Types, Factors
influencing Pain, Coping, Assessment,
Management;
o Treatment related to gastrointestinal system
 : naso-gastric suction, gastric irrigation,
gastric analysis.

Teaching Learning Activities

* Lecture discussion
* Case Discussions
* Supervised
Clinical practice
XV 5 * Explain care of Care of Terminally ill patient
terminally ill o Concepts of Loss, Grief, grieving Process
patient o Signs of clinical death
o Care of dying patient: special considerations
 Advance directives:
Euthanasia, will, dying declaration, organ
donation etc.
o Medico-legal issues
o Care of dead body: equipment, procedure
and care of unit
o Autopsy
o Embalming

Teaching Learning Activities

* Lecture discussion
* Demonstration
* Case
discussion/Role
play
* Practice session
* Supervised
Clinical practice
 Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
XVI 6 * Explain the Professional Nursing concepts and practices
basic concepts of * Conceptual and theoretical models of nursing
conceptual and practice: Introduction of models-holistic model,
theoretical health belief model, health promotion model etc.
models of nursing * Introduction to Theories in Nursing; Peplau’s,
Henderson’s, Orem’s, Neuman’s, Roger’s and
Roy’s
* Linking theories with nursing process

Teaching Learning Activities

* Lecture discussion
 Nursing Foundations – Practical
Placement: First Year Time : Practical – 650 hours
(200 lab and 450 clinicals)

Course Description: This Course is designed to help the students to develop an

understanding of the philosophy, objectives, theories, and process of nursing in various
clinical settings. It is aimed at helping the students to acquire knowledge, understanding and
skills in techniques of nursing and practice them in clinical settings.

Time Assessment
Areas Objectives Skills Assignments
(Hrs) Methods
Demonstr 200 * Performs Hospital admission and discharge * Practice in * Evaluate
ation Lab 450 admission and (III) Unit/hospital with checklist
General Minimum discharge * Admission * Assessment
Medical practice procedure * Prepare Unit for new patient of clinical
and time in * Prepare admission bed performance
Surgery clinical * Performs admission procedure with rating
ward area: 100 o New patient scale
o Transfer in * Competition
* Prepare patient records of practical
record
Discharge / Transfer out
* Gives discharge counseling
* Perform discharge procedure
(Planned discharge, LAMA and
abscond, Referrals and transfers)
* Prepare records of discharge/transfer
* Dismantle, and disinfect unit and
equipment after discharge / transfer.

* Prepares Perform assessment: * Write nursing *Assessment

nursing care * History taking, Nursing diagnosis, process records of nursing
plans as per problem list, Prioritization, Goals & of patient process
the nursing Expected Outcomes, selection of * Simulated-1 records with
process interventions * Actual - 1 checklist
format * Write Nursing Care Plan * Assessment
* Gives care as per the plan of actual care
given with
rating scale

*Communicat Communication * Role-plays in * Assess role

e effectively * Use verbal and non verbal simulated plays with the
with patient, communication techniques situations on check list on
families and communication communicatio
tea members techniques-1 n techniques
and * Health
talk-1 * Assess
* Maintain Prepare a plan for patient teaching health talk
effective session with the
human checklist
relations *Assessment
* Develops of
plan for communicatio
patient n techniques
teaching by rating scale

*Assessment
of
performance
with rating
scale

*Assessment
* Prepare Write patient report * Write nurses of each skill
patient reports * Change-of shift reports, notes and with checklist
* Presents Transfer reports, Incident reports etc. present the *Completion
reports * Presents patient report patient report of of activity
2-3 assigned record
patient

* Monitor Vital Signs * Lab practice

vital signs * Measure, Records and interpret * Measure Vital
alterations in body temperature, pulse signs of
respiration and blood pressure assigned patient

*Assessment
* Perform Health assessment of each skill
heath * Health history taking with rating
assessment of * Perform assessment: scale
each body o General *Completion
system o Body system of activity
* Use various methods of physical record
examination
* Inspection, Palpation, Percussion,
Auscultation, Olfaction
 * Identification of system wise
deviations
* Assess
* Provide Prepare Patient’s unit: * Practice in lab observation
basic nursing * Prepare beds: & hospital study in
care to o Open, closed, occupied, checklist
patients operation, amputation, * Simulated
o Cardiac, facture, burn, exercise on
Divided, & Fowlers bed CPR manikin
* Pain assessment and provision for
comfort
* Observation
Use comfort devices Hygienic care study - 2
* Oral hygiene:
* Baths and care of pressure points
* Hair wash, Pediculosis treatment * Department of
Infection
Feeding: control &
* Oral, Enteral, CSSD
Naso/Orogastric, gastrostomy and
Parenteral feeding
* Naso-gastric insertion, suction, and * Visits CSSD
irrigation write
observation
Assisting patient in urinary report 1
elimination
* Provides urinal/bed pan * Collection of
* Condom drainage samples for
* Perineal care culture
* Catheterization * Do clinical
* Care of urinary drainage postings in
infection
Bladder irrigation control
Assisting bowel Elimination: department and
* Insertion of Flatus tube write report
* Enemas * Practice in
* Insertion of Suppository lab/ward
Bowel wash Body Alignment and
Mobility:
o Range of motion exercises
o Positioning: Recumbent,
Lateral (rt/lt), Flowers, Sims,
Lithotomy, Prone,
Trendelenburg position
o Assist patient in Moving
lifting, transferring, walking,
 o Restraints

Oxygen administration

Suctioning: Oropharyngeal,
nasopharyngeal

Chest physiotherapy and postural

drainage

Care of Chest drainage

CPR-Basic life support

Intravenous therapy

Blood and blood component therapy

Collect/assist for collection of

specimens for investigations Urine,
sputum, faeces, vomitus, blood and
other body fluids

Perform lab tests:

* Urine: sugar, albumin, acetone
* Blood: sugar(with strip/ gluco-
meter)

Hot and cold applications:

Local and general Sitz bath

Communicating and assisting with

self-care of visually & hearing
impaired patients

Communicating and assisting with

self-care of mentally
challenged/disturbed patients
Recreational and diversional
therapies.

Caring of patient with alteration in

sensorium

Infection control
* Perform following procedures :
 o Hand washing techniques
o (Simple, hand antisepsis and
surgical antisepsis (scrub)
o Prepare isolation unit in * Evaluate all
lab/ward procedures
o Practice technique of wearing with checklist
and removing Personal
protective equipment (PPE)
o Practice Standard safety
precautions (Universal
precautions)

* Perform Decontamination of equipment and

infection unit:-
control * Surgical asepsis:
procedures o Sterilization
o Handling sterilized equipment
o Calculate strengths of lotions,
o Prepare lotions
 Care of articles

* Provide care Pre and post operative care:

to pre and * Skin preparations for surgery : Local
post operative * Preparation of Post operative unit
patients * Pre & Post operative teaching and
* Perform counseling
procedures for * Pre & Post operative monitoring
care of * Care of the wound
wounds * Dressings, Suture Care, care of
Drainage, Application of Bandages,
Binders, splints & Slings
* Bandaging of various body parts

* Administer Administration of medications

drugs * Administer medications in different
forms and routes
* Oral, Sublingual and Buccal
* Parenteral : Intradermal,
subcutaneous, Intramuscular etc.
* Assist with Intra venous mediations
* Drug measurements and dose
calculations
* Preparation of lotions and solutions
* Administers topical applications
* Insertion of drug into body cavity:
Suppository & medicated packing etc.
 * Instillation of medicines and spray
into Ear, Eye, Nose and throat
* Irrigations: Eye, Ear, Bladder,
Vagina and Rectum
* Inhalations: dry and moist

* Provide care Care of dying patient

to dying and * Caring and packing of dead body
dead * Counseling and supporting grieving
* Counsel and relatives
support * Terminal care of the unit
relatives.

Scheme of University Examination for Nursing Foundations

Theory

There shall be one theory paper of three hours duration carrying 100 marks.
Distribution of type of questions and marks for Nursing Foundations shall be as given
under.

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva-voce

There shall be practical and viva-voce examination carrying 100 marks. The practical
examinations must be held in the respective clinical areas. One internal and one external
examiner should jointly conduct practical /clinical examination for each student. Assessment
methods are given in column 6 under course description.
 Psychology
Placement: First Year
Time: Theory 60 Hours

Course Description: This course is designed to assist the students to acquire knowledge of
fundaments of Psychology and develop an insight into behaviour of self and others. Further
it is aimed at helping them to practice the principles of mental hygiene for promoting mental
health in Nursing practice.

Time Learning
Unit Content and
(Hrs) Objectives
I 2 * Describe the Introduction:
history, scope and * History and origin of Science of Psychology
methods of * Definitions and scope of Psychology
Psychology * Relevance to Nursing
* Methods of Psychology

Teaching Learning Activity

* Lecture Discussion
II 4 * Explain the Biology of Behaviour
Biology of Human * Body mind relationship – modulation process in
behaviour health and illness.
* Genetics and behaviour :
Heredity and Environment
* Brain and behaviour:
Nervous system, Neurons and synapse
* Association cortex, Rt and Lt Hemispheres
* Psychology of sensations
* Muscular and glandular controls of behaviour
* Nature of behaviour of an organism/integrated
responses

Teaching Learning Activity

* Lecture Discussion
III 20 * Describe various Cognitive processes
cognitive processes * Attention: Types, determinants, duration and
and their degree, alterations
applications * Perception: Meaning, Principles, factors affecting,
errors
* Learning: Nature, Types, learner and learning,
Factors influencing, laws and theories, process,
transfer, study habits.
* Memory: Meaning, types, nature factors
influencing, development theories and methods of
 memorizing and forgetting
* Thinking: Types and levels, stages of development,
relationship with language and communication
* Intelligence: Meaning, classification, uses, theories
* Aptitude: Concepts, types, individual differences
and variability.
* Psychometric assessments of cognitive processes
* Alterations in cognitive processes
* Applications

Teaching Learning Activity

* Lecture Discussion
IV 8 * Describe Motivation and Emotional processes:
motivation, * Motivation: Meaning, concepts, types, theories,
emotions, stress, motives and behaviour, conflicts and frustration,
attitudes and their conflict resolution
influence on * Emotions and stress
behaviour o Emotions: Definition, components, changes in
emotions, theories, emotional adjustments,
emotions in health and illness.
o Stress: stressors, cycle, effect, adaptation and
coping
* Attitude: Meaning, nature, development, factors
affecting,
o Behaviour and attitudes
o Attitudinal change
* Psychometric assessments of emotions and
attitudes
* Alterations in emotions
* Applications

Teaching Learning Activity

* Lecture Discussion
V 7 * Explain the Personality
concepts of * Definitions, topography, types, Theories
personality and its * Psychometric assessments of personality
influence on * Alterations in personality
behaviour * Applications

Teaching Learning Activity

* Lecture Discussion
VI 7 * Describe Developmental Psychology
Psychology of * Psychology of people at different ages from infancy
people during the to old age
life cycle * Psychology of vulnerable individuals-challenged,
women, sick, etc.
* Psychology of groups
 Teaching Learning Activity
* Lecture Discussion
VII 8 * Describe the Mental hygiene and mental Health
characteristics of * Concepts of mental hygiene and mental health
* Mentally health * Characteristics of mentally healthy person
person * Warning signs of poor mental health
* Promotive and Preventive mental health-strategies
* Explain ego and services
defence * Ego Defence mechanisms and implications
mechanisms * Personal and social adjustments
* Guidance and counseling
* Role of nurse

Teaching Learning Activity

* Lecture Discussion
* Case Discussion
* Role Play
* Demonstra- tion
VIII 4 * Explain the Psychological assessment & tests
Psychological * Types, development, Characteristics, Principles,
assessments and Uses, Interpretations and Role of nurse in
role of nurse psychological assessment

Teaching Learning Activity

* Lecture Discussion
* Demonstration
* Practice sessions
 Microbiology
Placement: First Year
Time: Theory-60 Hours (Theory 45+15 lab)

Course Description: This course is designed to enable students to acquire understanding

of fundamentals of Microbiology and identification of various microorganisms. It also
provides opportunities for practicing infection control measures in hospital and community
settings.

Time Learning
Unit Content and Teaching Learning Activity
(Hrs) Objectives
Th Pr
I 5 * Explain Introduction:
concepts * Importance and relevance to nursing
and * Historical perspective
principles of * Concepts and terminology
microbiolog * Principles of microbiology
y and their
importance Teaching Learning Activity
in nursing * Lecture Discussion
II 10 5 * Describe General characteristics of Microbes
structure, * Structure and classification of Microbes
classificatio * Morphological types
n * Size and form of bacteria
morphology * Motility
and growth * Colonization
of bacteria * Growth and nutrition of microbes
* Identify o Temperature
Micro- o Moisture
organisms o Blood and body fluids
* Laboratory methods for Identification of Micro-organisms
* Staining techniques, Gram staining, Acid fast staining, Hanging
drop preparation
* Culture; various medias

Teaching Learning Activity

* Lecture Discussion
* Demonstration
III 10 2 * Describe Infection Control
the methods * Infection: Sources, portals of entry and exit, transmission
of infection * Asepsis
control * Disinfection: Types and methods
* Identify * Sterilization: Types and methods
the role of * Chemotherapy and antibiotics
 nurse in * Standard safety measures
hospital * Biomedical waste management
infection * Role of Nurse
control * Hospital acquired infection
programme * Hospital infection control programme
o Protocols, collection of samples, preparation of report and
status of rate of infection in the unit/ hospital, nurse’s
accountability,
continuing education etc.

Teaching Learning Activity

* Lecture Discussion
* Demonstration
* Visits to CSSD
* Clinical practice
IV 12 4 * Describe Pathogenic organisms
the different * Micro-organisms
disease o Cocci – gram positive and gram negative
producing o bacilli – gram positive and gram negative
organisms o Spirochaete
o Mycoplasma
o Rickettsiae
o Chlamydiae
* Viruses
* Fungi-Superficial and Deep mycoses
* Parasites
* Rodents & vectors Characteristics, Source, portal of entry,
transmission of infection Identification of disease producing
micro-organisms collection, handling and transportation of various
specimens
Teaching Learning Activity
* Lecture Discussion
* Demonstration
* Clinical practice
V 8 4 Explain the Immunity
concept of * Immunity – Types, classification, * Antigen & antibody reaction
immunity, *Hypersensitivity – skin test, * Serological tests
hyper * Immunoprophylaxis
sensitivity o Vaccines & sera – Types & classification, storage and
and handling, cold chain
immunizatio o Immunization for various diseases
n o Immunization schedule
Teaching Learning Activity
* Lecture Discussion
* Demonstration
* Clinical practice
 Introduction to Computers
Placement: First Year
Time: Theory – 45 Hours

Course Description: This course is designed for students to develop basic understanding of
uses of computer and its application in Nursing.

Time Learning Content and Teaching Learning Assessment

Unit
(Hrs) Objectives Activities Methods
Pr For Internal
Th
Assessment
1 3 * Identify & define Introduction: * Short
various concepts * Concepts of Computers answers
used in computer * Hardware and software; trends * Objective
* Identify and technology type
application of * Application of computers in
computer in nursing nursing.

Teaching Learning Activities

* Lecture Discussion
* Demonstration
II 6 20 * Describe and Use * Introduction to disk – operating * Short
the Disk Operating system answers
System o DOS * Objective
* Demonstrate skill o Windows (all version) type
in the use of MS * Introduction * Practical
Office o MS-Word Exam
o MS-Excel with pictorial
presentation
o MS-Access
o MS-Power point

Teaching Learning Activities

* Lecture Discussion
* Demonstration
*Practice session

III 2 3 * Demonstrate skill * Multimedia; types & uses * Short

in using multi- * Computer aided teaching & answers
media testing * Objective
* Identify features type
of computer aided Teaching Learning Activities * Practical
teaching and testing * Lecture Discussion Exam and
* Demonstration Viva Voce
 IV 1 3 * Demonstrate use * Use of Internet and: e-mail * Short
of internet and answers
Email Teaching Learning Activities * Objective
* Lecture Discussion type
* Demonstration * Practical
* Practice session Exam and
Viva Voce
V 2 2 * Describe and use * Statistical packages: types and * Short
the statistical their features answers
packages * Objective
Teaching Learning Activities type
* Lecture Discussion * Practical
* Demonstration Exam and
* Practice session Viva Voce
VI 1 2 * Describe the use * Hospital Management System: * Short
of Hospital Types and uses answers
Management * Objective
System Teaching Learning Activities type
* Lecture Discussion * Practical
* Demonstration Exam and
Viva Voce

Scheme of Examination
 Theory
Nursing Foundations, Psychology, Microbiology, English and Introduction to
Computer

There shall be one paper of three hours duration carrying 100 marks for each of the
subjects mentioned above.

Table 6(E): Distribution of Type of Questions and Marks for Nursing Foundations, Psychology,
Microbiology, English and Introduction to Computer* (100 marks for each subject)

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100
*Examination for Introduction to Computer to be conducted as college
examination and marks to be sent to the University for inclusion in the marks
sheet
.
  Practical and Viva-voce Examination.
Practical and Viva-voce examination shall be held for Nursing Foundations subject only.
Marks for university examination shall be 100 marks. Assessment methods shall be as
given in the text of Nursing Foundations Practical.
 Sociology
Placement : Second Year
Time: Theory 60 Hours

Course Description : This course is designed to introduce the concepts of sociology

related to community and social institutions in India and its relationship with health, illness
and nursing.

Time Learning
Unit Content and Teaching Learning Activity
(Hrs) Objectives
I 1 * State the Introduction
importance of * Definition of Sociology
sociology in * Nature and Scope of the discipline
Nursing * Importance and application of Sociology in Nursing

Teaching Learning Activity

* Lecture Discussion

II 3 * Describe the Individual and Society

inter- * Society and Community
relationship of * Nature of Society
individual in * Difference between Society and Community
society and * Process of Socialization and individualization
community * Personal disorganization

Teaching Learning Activity

* Lecture Discussion
III 3 *Describe the Culture
influence of * Nature of culture
culture and * Evolution of culture
disease * Diversity and uniformity of culture
* Culture and socialization
* Transcultural society
* Influence on health and disease

Teaching Learning Activity

* Lecture Discussion
* Panel Discussion
IV 4 *Identify Social groups and processes
various social * The meaning and classification of groups
groups and * Primary & Secondary group
their * In-group V/s. Out-group, class tribe, caste
interactions * Economic, Political, Religious, groups, Mob,
Crowd, Public and Audience Interaction & Social
 Processes
* Co-operation, Competition, Conflict
* Accommodation, Assimilation & Isolation

Teaching Learning Activity

* Lecture Discussion
V 6 * Explain the Population
growth of * Society and population
population in * Population distribution in India Demographic
India and its characteristics
impact on * Malthusian theory of Populations
health * Population explosion in India and its impact on
health status
* Family welfare programmes

Teaching Learning Activity

* Lecture Discussion
* Community identification
VI 5 * Describe the Family and Marriage
Institutions of * Family – functions
family and * Types – Joint, Nuclear, blended and extended
marriage in family: characteristics
India * The modern family changes, problems – dowry etc,
welfare services
* Changes and legislations on family and marriage in
India – Marriage acts
* Marriage: forms and functions of marriage
* Marriage and family problems in India
* Family, Marriage and their influence on health and
health practices

Teaching Learning Activity

* Lecture Discussion
* Family case study
VII 7 * Describe the Social stratification
class and * Meaning and types of social stratification
caste system * The Indian caste system-origin and features
and their * Features of caste in India today
influence on * Social class system and status
health and * Social Mobility –Meaning & types
health * Race as a biological concept, criteria of racial
practices classification
* Salient features of Primary races-Racism
* Influence of Class, Caste and Race on health and
health practices
 Teaching Learning Activity
* Lecture Discussion
* Community survey
VIII 6 * Describe the Types of Communities in India (Rural, Urban and
types of Regional)
communities * Features of village community and characteristics
in India, their of Indian villages Panchayat system, social dynamics
practices and * Community Development project & planning
the impact on * Changes in Indian Rural life
health * Availability of health facilities in rural and its
impact on health and health practices
* Urban–Community – features
* The growth of cities:
urbanization and its impact on health and health
practices
* Major Urban problems – Urban Slums
* Region: Problems and impact on Health

Teaching Learning Activity

* Lecture Discussion
* Visits to rural and urban community
* Community survey
IX 4 * Explain the Social Change
process of * Nature and process of social change
Social Change * Factors influencing Social change: cultural change,
Cultural lag.
* Introduction to Theories of social change: :Linear,
Cyclical, Marxian, Functional
Role of nurse-Change agents

Teaching Learning Activity

* Lecture Discussion
X 2 * Describe the Social Organization and Social System
Social system * Social organization: elements, types
and inter- * Democratic and authoritarian modes of
relationship of participation
social * Voluntary association
organizations * Social system: Definition and Types of social
system
* Role and Status as structural elements of social
system
* Inter-relationship of institutions

Teaching Learning Activity

* Lecture Discussion
* Observation visits
 XI 2 * Explain the Social control
nature and * Nature and process of social control
process of * Political, Legal, Religious, Educational, Economic,
social control Industrial and Technological system, Norms &
Values – Folkways & Mores Customs, Laws and
fashion
Role of Nurse

Teaching Learning Activity

* Lecture Discussion
* Community survey
XII * Describe the Social Problems
role of the * Social disorganization
nurse in * Control & planning: poverty, housing, illiteracy,
dealing with food supplies, prostitution, rights of women &
social children, vulnerable groups: Elderly, handicapped,
problems in minority groups and other marginalized groups, child
India labour, child abuse, delinquency and crime, substance
abuse, HIV/Aids
* Social welfare programmes in India
Role of Nurse

Teaching Learning Activity

* Lecture Discussion
* Institutional visits

Scheme of University Examination: Sociology

 Theory
There shall be one paper of three hours duration carrying 100 marks

Distribution of Type of Questions and Marks for Sociology

Type of Questions No. of Questions Marks Sub-total
Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

No Practical Examination.
 Pharmacology
Placement : Second Year
Time : Theory – 45 hours

Course Description: This course is designed to enable students to acquire understanding

of pharmaco-dynamics, pharmacokinetics, principles of therapeutics and nursing
implications.

Unit Time Learning Content and Teaching learning Activities

(Hrs) Objectives
I 3  Describe Introduction to pharmacology
pharmaco-  Definitions
kinetics,  Sources
classification  Terminology used
and the  Types: Classification
principles of  Pharmacodynamics: Actions, therapeutic
drug  Adverse, toxic
administratio  Pharmacokinetics : absorption, distribution,
n metabolism, interaction, excretion
 Review: Routes and principles of administration
of drugs
 Indian pharmacopoeia : Legal issues
 Rational use of drugs
 Principles of therapeutics

Teaching learning Activities

* Lecture Discussion
II 6  Explain Chemotherapy
Chemotherapy of  Pharmacology of commonly used;
specific  Penicillin
infections and  Cephalosporins
infestations and  Aminoglycosides
nurse’s  Macrolide & Broad Spectrum Antibiotics
responsibilities  Sulfonamides
 Quinolones
 Antiamoebic
 Antimalarials
 Anthelmintics
 Antiscabies agents
 Antiviral & anti-fungal agents
 Antitubercular drugs
 Anti leprosy drugs
 Anticancer drugs
  Immuno-suppressants
Composition, action, dosage, route, indications,
contraindications, drug interactions, side effects,
adverse effects, toxicity and role of nurse

Teaching learning Activities

* Lecture Discussion
* Drug study/ presentation
III 2  Describe Pharmacology of commonly used antiseptics,
Antiseptics disinfectants and insecticides
disinfectants,  Antiseptics;
insecticides and  Disinfectants
nurse’s  Insecticides
responsibilities
Teaching learning Activities
* Lecture Discussion
* Drug study/ presentation
IV 2  Describe Drugs acting on G.I. system
Drugs acting  Pharmacology of commonly used –
on Gastro  Antiemetics,
Intestinal  Emetics
system and  Purgatives
nurse’s  Antacids
responsibilitie  Cholinergic
s  Anticholinergics
 Fluid and electrolyte therapy
 Anti diarrhoeals
 Histamines
Composition, action, dosage, route, indications,
contraindications, drug interactions, side effects,
adverse effects, toxicity and role of nurse

Teaching learning Activities

* Lecture Discussion
* Drug study/ presentation
V 2  Describe Drugs used on Respiratory Systems
Drugs used  Pharmacology of commonly used –
on  Antiasthmatics
Respiratory  Mucolytics
systems and  Decongestants
nurse’s  Expectorants
responsibilitie  Antitussives
s  Bronchodilators
 Broncho constrictors
 Antihistamines
 Composition, action, dosage, route, indications,
contraindications, drug interactions, side effects,
adverse effects, toxicity and role of nurse

Teaching learning Activities

* Lecture Discussion
* Drug study/ presentation
VI 2  Describe Drugs used on Urinary System
Drugs used  Pharmacology of commonly used –
on Urinary  Diuretics and antidiuretics
System and  Urinary antiseptics
nurse’s  Cholinergic and anticholinergics
responsibilitie  Acidifiers and alkalanizers
s Composition, action, dosage, route, indications,
contraindications, drug interactions, side effects,
adverse effects, toxicity and role of nurse

Teaching learning Activities

* Lecture Discussion
* Drug study/ presentation
VII 4  Describe Miscellaneous
Drugs used in  Drugs used in de-addiction
Dead diction,  Drugs used in CPR and emergency
emergency,  Vitamins and minerals
deficiency of  Immunosuppresants
vitamins &  Antidotes
minerals,  Antivenom
poisoning, for  Vaccines and sera
immunization
and immuno- Teaching learning Activities
suppression * Lecture Discussion
and nurse’s * Drug study/ presentation
responsibilitie
s
VIII 1  Describe Drugs used on skin and mucous membranes
Drugs used  Topical applications for skin, eye, ear, nose and
on skin and buccal cavity Antipruritics
mucous
membranes Composition, action, dosage, route, indications,
and nurse’s contraindica-tions, drug interactions, side effects,
responsibilitie adverse effects, toxicity and role of nurse
s Teaching learning Activities
* Lecture Discussion
 Drug study/ presentation
IX 8  Describe Drugs acting on Nervous system
Drugs used  Basic & applied Pharmaco-logy of commonly
on Nervous used :
System and  Analgesics and Anaesthetics
nurse’s  Analgesics
responsibilitie - Non steroidal anti -
s inflammatory (NSAID) drugs
 Antipyretics
 Hypnotics and Sedatives
- Opioids
- Non-Opioids
- Tranquilizers
- General & local anesthetics
- Gases : oxygen, nitrous oxide, carbon-dioxide
 Cholinergic and anti-cholinergics:
 Muscle relaxants
 Major tranquilizers
 Anti-psychotics
 Antidepressants
 Anticonvulsants
 Adrenergics
 Noradregenics
 Mood stabilizers
 Acetylcholine
 Stimulants
Composition, action, dosage, route, indications,
contraindications, drug interactions, side effects,
adverse effects, toxicity and role of nurse

Teaching learning Activities

* Lecture Discussion
* Drug study/ presentation
X 5  Describe Cardiovascular drugs
Drugs used  Haematinics
on Cardio-  Cardiotonics
vascular  Anti anginals
System and  Anti-hypertensives & Vasodilators
nurse’s  Anti-arrhythmics
responsibilitie  Plasma expanders
s  Coagulants & anticoagulants
 Antiplatelets & thrombolytics
 Hypolipidemics
Composition, action, dosage, route, indications,
contraindi-cations, drug interactions, side effects,
adverse effects, toxicity and role of nurse
 Teaching learning Activities
* Lecture Discussion
* Drug study/ presentation

XI 4  Describe Drugs used for hormonal disorders &

drugs used for supplementation, contraception and medical
hormonal termination of pregnancy
disorders and  Insulins & Oral hypoglycemics
supplemen-tation,  Thyroid supplements and suppressants
contraception and  Steroids, Anabolics
medical  Uterine stimulants and relaxants
termination of  Oral contraceptives
pregnancy and  Other estrogen-progestrone preparations
nurse’s  Corticotrophine & Gonadotropines
responsibilities
 Adrenaline
 Prostaglandins
 Calcitonins
 Calcium salts
 Calcium regulators
Composition, action, dosage, route, indications,
contraindications, drug interactions, side effects,
adverse effects, toxicity and role of nurse

Teaching learning Activities

* Lecture Discussion
* Drug study/ presentation
XII 6  Demonstrate Introduction to Drugs used in alternative
awareness systems of medicine:
of the common  Ayurveda, Homeopathy, Unani and Siddha etc.
drugs used in
alternative system Teaching learning Activities
of medicine * Lecture Discussion
* Observational Visits
 Section A – Pathology
Placement : Second Year
Time : Theory – 45 hours

Course Description : This course is designed to enable students to acquire knowledge

of pathology of various disease conditions and apply this knowledge in practice of
nursing.

Unit Time Objectives Content and Teaching Learning Methods

(Hrs)
Th. Pr.
I 3  Define the  Introduction
common  Importance of the study of pathology
terms used  Definition of terms
in pathology  Methods and techniques
 Appreciate  Cellular and Tissue changes
the deviations  Infiltration and regeneration
from normal  Inflammations and Infections
to abnormal  Wound healing
structure and  Vascular changes
functions of  Cellular growth, Neoplasms
the body  Normal and Cancer cell
system  Benign and Malignant growths
 In situ carcinoma
 Disturbances of fluid and electrolyte imbalance

Teaching learning Activities

 Lecture Discussion
 Explain using charts
II 10 5  Explain
Special pathology
Pathological
changes in  Pathological changes in disease conditions of
disease various systems:
conditions of  Respiratory tract
 Tuberculosis, Bronchitis, Pleural effusion and
various
systems pneumonia
 Lung abscess, emphysema, bronchiectasis
 Bronchial asthma, Chronic obstructive Pulmonary
disease and tumours
 Cardio-vascular system
 Pericardial effusion
 Rheumatic heart disease
 Infective endocarditis, atherosclerosis
 Ischemia, infarction & aneurysm
  Gastro Intestinal Tract
 Peptic ulcer, typhoid
 Carcinoma of GI tract-buccal, Esophageal,
 Gastric & intestinal
 Liver, Gall bladder & pancreas
 Hepatitis, Chronic liver abscess, cirrhosis
 Tumours of liver, gall bladder and pancreas,
 Cholecystitis
 Kidneys & Urinary tract
 Glomerulonephritis, pyelonephritis
 Calculi, renal failure, renal carcinoma & cystitis
 Male genital systems
 Cryptorchidism, testicular atrophy
 Prostatic hyperplasia, carcinoma Penis & prostate
 Female genital system
 Fibroids
 Carcinoma cervix and Endometrium
 Vesicular mole, choriocarcinoma
 Ectopic gestation
 Ovarian cyst & tumours
 Cancer Breast
 Central Nervous system
 Hydrocephalus, Meningitis, encephalitis,
 Vascular disorders – thrombosis, embolism
 Stroke, paraplegia, quadriplegia
 Tumours, meningiomas-gliomas
 Metastatic tumour
 Skeletal system
 Bone healing, osteoporosis, osteomyelitis
 Arthritis & tumours

Teaching learning Activities

 Lecture Discussion
 Explain using charts, slides, specimen, X-rays and
scans
 Visit to Pathology lab, endoscopy unit and OT
III 4 3  Describe
Clinical pathology
various
laboratory  Various blood and bone marrow tests in
tests in assessment and monitoring of disease conditions
 Hemoglobin
assessment
 RBC, White cell & platelet counts
and
 Bleeding time, clotting time and prothrombine
monitoring of
disease time
 Blood grouping and cross matching
conditions
 Blood chemistry
  Blood culture
 Serological and immunological tests
 Other blood tests
 Examination of Bone marrow
 Methods of collection of blood specimen for
various clinical pathology, biochemistry,
microbiology tests, inference and normal values

Teaching learning Activities

 Lecture Discussion
 Demonstration
 Visit to Clinical Pathology & Bio-Chemistry lab
and Blood bank
IV 2 1  Describe the Examination of body cavity fluids, transudates and
laboratory exudates
tests for  The laboratories tests used in CSF analysis
examination  Examination of other body cavity fluids,
of body cavity transudates and exudates –sputum, wound
fluids, discharge etc
transudates  Analysis of gastric and duodenal contents
and exudates  Analysis of semen-sperm count, motility and
morphology and their importance in infertility
 Methods of collection of CSF and other cavity
fluids specimen for various clinical pathology,
biochemistry, microbiology tests, inference and
normal values

Teaching learning Activities

 Lecture Discussion
 Demonstration

V 1 1  Describe Urine and faeces

laboratory  Urine
tests for  Physical characteristics
examination  Analysis
of Urine and  Culture and sensitivity
faeces  Faeces
 Characteristics
 Stool examination : occult blood, ova, parasite and
cyst, reducing substance etc.
 Methods of collection for various tests, inference
and normal values

Teaching learning Activities

 Lecture Discussion
 Demonstration
 Section B – Genetics
Placement : Second Year
Time : Theory – 15 hours

Course Description : This course is designed to enable students to acquire

understanding of Genetics, its role in causation and management of defects and diseases

Unit Time Objectives Content and Teaching Learning Teaching Learning

(Hrs) Activities Activities
I 3  Explain Introduction :  Lecture
nature,  Practical application of Discussion
principles genetics in Nursing  Explain using
and  Impact of genetic condition charts, slides
perspec- on families
tives of  Review of cellular division
heredity mitosis and meiosis.
 Characteristics and structure
of genes
 Chromosomes – sex
determination
 Chromosomal aberrations
Patterns of inheritance
 Mendalian theory of
inheritance
 Multiple allots and blood
groups
 Sex linked inheritance
 Mechanism of inheritance
 Errors in transmission
(Mutation)

Teaching learning Activities

 Lecture Discussion
 Explain using charts, slides
II 3  Explain Maternal, prenatal and genetic  Lecture
Maternal, influences on development of Discussion
prenatal defects and diseases  Explain using
and genetic  Conditions affecting the charts, slides
influences on mother : genetic and
develop-ment infections
of defects and  Consanguinity atopy
diseases  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 of folic acid in lowering
the risks
 Down syndrome (Trisomy 21)

Teaching learning Activities

 Lecture Discussion
 Explain using charts, slides
III 2  Explain the Genetic testing in the neonates and  Lecture
screening children Discussion
methods  Screening for  Explain using
for genetic  Congenital abnormalities charts, slides
defects and  Developmental delay
diseases in  Dysmorphism
neonates
and Teaching learning Activities
children  Lecture Discussion
 Explain using charts, slides
IV 2  Identify Genetic conditions of adolescents  Lecture
genetic and adults Discussion
disorders in  Cancer genetics – Familial  Explain using
adoles- Cancer charts, slides
cents and  Inborn errors of metabolism
adults  Blood group alleles and
haematological disorder
 Genetic haemochro-matosis
 Huntington’s disease
 Mental illness

Teaching learning Activities

 Lecture Discussion
 Explain using charts, slides
V 5  Describe  Lecture
Services related to Genetics
the role of Discussion
nurse in  Genetic testing
 Explain using
genetic  Human genome project charts, slides
services  Gene therapy
and coun-  The Eugenics movement
selling  Genetic Counselling
Legal and Ethical issues Role of
nurse

Teaching learning Activities

 Lecture Discussion
 Explain using charts, slides
Scheme of University Examination:
 Theory

Pharmacology, Pathology and Genetics,

There shall be one paper of three hours duration carrying 100 marks for the subjects
Pharmacology, Pathology and Genetics.

Section A shall be Pharmacology with 50 marks, Section B shall be Pathology with 35

marks and Genetics with 15 marks. The distribution of type of questions and marks shall
be as follows:

Table 7(B): Distribution of Type of Questions and Marks for Pharmacology (50 marks)
Type of Questions No. of Questions Marks Sub-total
Long Essay (LE) 1 10 10
Short Essay (SE) 5 5 25
Short Answer (SA) 5 3 15
Total Marks 50

Pathology and Genetics

Table 7 (C): Distribution of Type of Questions and Marks for Pathology (35 marks)
Type of Questions No. of Questions Marks Sub-total
Long Essay (LE) - -
Short Essay (SE) 4 5 20
Short Answer (SA) 5 3 15
Total Marks 35

Table 7(D): Distribution of Type of Questions and Marks for Genetics (18 marks)
Type of Questions No. of Questions Marks Sub-total
Long Essay (LE) - - -
Short Essay (SE) - - -
Short Answer (SA) 5 3 15
Total Marks 15

No practical examination.
 Medical Surgical Nursing
(Adult including Geriatrics) – I

Placement : Second Year

Time : Theory – 210 hours
Practical – 720 hours

Course Description : The purpose of this course is to acquire knowledge and develop
proficiency in caring for patients with medical and surgical disorders in varieties of
health care settings and at home.

Unit Time Learning Content and Teaching Learning Activities

(Hrs) Objectives
I 15  Appreciate Introduction :
the trends in  Introduction to medical surgical nursing – Evolu-tion
medical and and trends of medical and surgical nursing
surgical  Review of Concepts of Health and illness Disease -
nursing concepts, causations, classification diseases (ICD -10 or
 Describe the later version), Acute illness Chronic illness & Terminal
role of nurse illness, stages of illness
in caring for  Review of concepts of comprehensive nursing care in
adult patient medical surgical conditions based on nursing process
in hospital  Role of nurse, patient and family in care of adult patient
and  Role and responsibilities of a nurse in medical surgical
community settings :
 Describe  Outpatient department
the concepts of  In-patient unit
medical surgical  Intensive care unit
asepsis  Home and Community settings
 Introduction to Medical Surgical asepsis
 Inflammation & Infection
 Immunity
 Wound healing
 Care of Surgical Patient
 Pre-operative
 Intra operative
 Post operative

Teaching Learning Activities

 Lecture Discussion
 Demonstration
 Practice session
 Supervised clinical practice
II 15  Describe the Common signs and symptoms and management
common  Fluid and electrolyte imbalance
signs,  Vomitting
symptoms,  Dyspnea and cough, respiratory obstruction
problems and  Fever
their  Shock
 Specific  Unconsciousness, Syncope
nursing  Pain
interven-  Incontinence
tions
 Edema
 Age related problems – geriatric

Teaching Learning Activities

 Lecture Discussion
 Seminar
 Case discussion
III 20  Describe the Nursing management of patients (adults including elderly) with
etiology, respiratory problems
patho-  Review of anatomy and physiology of respiratory
physiology system,
clinical  Nursing Assessment –History and Physical assessment
manifes-  Etiology, Pathophysiology clinical manifestations,
tations, diagnosis, treatment modalities and medical, surgical,
diagnostic dietetics & nursing management of adults including
measures and elderly with –
mana-gement  Upper Respiratory tract infections
of patients  Bronchitis
(adults  Asthma
including  Emphysema
elderly) with  Empyema
disorders of  Atelectasis
respiratory  Chronic Obstructive Pulmonary Diseases (COPD)
systems  Bronchiectasis
 Pneumonia
 Pulmonary tuberculosis
 Lung abscess
 Pleural effusion
 Cysts and Tumours
 Chest injuries
 Respiratory arrest and insufficiency
 Pulmonary embolism
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of respiratory disorders
 Teaching Learning Activities
 Lecture Discussion
 Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation

IV 30  Describe the Nursing management of patient (adults including elderly) with

etiology, disorders of digestive system
patho-  Review of anatomy and physiology of digestive system
physiology  Nursing Assessment –History and physical assessment
clinical  Etiology, Pathophysiology clinical manifestations,
manifesta- diagnosis, treatment modalities and medical, surgical,
tions, dietetics & nursing management
diagnostic  Disorders of
measures and  Oral cavity – lips, gums, tongue, salivary glands and
manag-ement teeth
of patients  Oesophagus-inflammation stricture, obstruction,
(adults bleeding and tumours
including  Stomach and deudenum-hiatus hernia, gastritis, peptic
elderly) with and deudenal ulcer, bleeding, tumours, pyloric stenosis
disorders of  Small intestinal disorders- inflammation & infection,
digestive entritis, malabsorption, obstruction, tumour and
systems perforation
 Large intestinal disorders-Colitis, inflammation and
infection, obstruction and tumour and lump
 Hernias
 Appendix – inflammation, mass, abscess, rupture
 Anal & Rectum ; hemorrhoides, fissures, Fistulas
 Peritonitis/acute abdomen
 Pancreas; inflammation, cyst, abscess and tumours
 Liver; inflammation, cyst, abscess, cirrhosis, portal
hypertension, hepatic failure, tumours
 Gall Bladder; inflammation, obstruction, stones and
tumours
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of digestive system

Teaching Learning Activities

 Lecture Discussion
  Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assess-ment of skills with check list
 Assess-ment of patient manage-ment problem

V 30  Describe the Nursing management of patient (adults including elderly) with

etiology, blood and cardio vascular problems
patho-  Review of anatomy and physiology of blood and cardio
physiologycli vascular system,
nical  Nursing Assessment –History and Physical assessment
manifesta-  Etiology, Pathophysiology clinical manifestations,
tions, diagnosis, treatment modalities & medical, surgical,
diagnostic dietetics & nursing management of –
measures and  Vascular system
mana-gement  Hypertension, Hypotension
of patients  Artheriosclerosis
(adults  Raynaud’s disease
including  Aneurism and Perpherial vascular disorders
elderly) with Heart
blood and  Coronary artery diseases
cardio  Ischemic Heart Disease
vascular  Cornory atherosclerosis
problems  Angina pectoris
 Describe the  Myocardial infarction
vascular  Valvular disorders of the heart
conditions  Congential and acquired
and its  Rheumatic Heart diseases
nursing  Endocarditis, Pericarditis Myocarditis
management  Cardio Myopathies
 Cardiac dysrhythmias, Heart Block
 Congestive cardiac failure
 Cor-pulmonale, pulmonary edema, cardiogenic shock,
cardiac tamponade
 Cardiac emergencies and arrest
 Cardio Pulmonary Resuscitation (CPR)
 Blood
 Anaemias
 Polycythemia
 Bleeding disorders; clotting factor defects and platelets
 defects
 Thalassemia
 Leukaemias
 Leukopenias and agranulocytosis
 Lymphomas
 Myelomas
 Special therapies
 Blood transfusion, safety checks, procedure and
requirements,management of adverse transfusion
reaction, records for blood transfusion.
 Management & counsel-ling of blood donors,
phlebotomy procedure, & post donation management
Blood bank functioning & hospital transfusion
committee. Bio-safety and waste management in
relation to blood transfusion
 Role of a nurse in Organ donation, retrieval and banking
Alternative therapies
Nursing procedures
Drugs used in treatment of blood and cardio vascular
disorders

Teaching learning Activities

 Lecture Discussion
 Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Visit to blood bank
 Participation in blood donation camps
 Counselling
 Assess-ment of skills with check list
 Assess-ment of patient manage-ment problem

VI 10  Describe the Nursing management of patient (adults including elderly)

etiology, with genito-urinary problems
patho-  Review of anatomy and physiology of genito-urinary
physiologyCl system
inical  Nursing Assessment –History and Physical assessment
manifesta-  Etiology, Pathophysiology clinical manifestations,
tions, diagnosis, treatment modalities & medical, surgical,
diagnostic dietetics and nursing management of –
 measures and  Nephritis
mana-gement  Nephrotic syndrome
of patients  Nephrosis
(adults  Renal calculus
including  Tumours
elderly) with  Acute renal failure
disorders of
 Chronic renal failure
genito-
 End stage renal disease
urinary
system  Dialysis, renal transport
 Congenital disorders, urinary infections
 Benign prostate hypertrophy
 Disorders of ureter, urinary bladder and urethera-
inflammation, infection, stricture.obstruction, tumour,
prostrate Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of genito-urinary disorders

Teaching Learning Activities

 Lecture Discussion
 Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation

VII 5  Describe the Nursing management of disorders of male (adults including

etiology, elderly) reproductive system
patho-  Review of anatomy and physiology of male
physiology reproductive system
clinical  Nursing Assessment -History and physical assessment
manifesta-  Etiology,Pathophysiology, clinical manifestations,
tions, diagnosis, treatment modalities & medical, surgical,
diagnostic dietetics & nursing management of disorders of male
measures and reproductive system
mana-gement  Congenital malformations; cryptorchidism
of patients  Hypospadiasis, Epispadiasis
(adults  Infections
including  Testis and adjacent structures
elderly) with
 Penis
disorders of
 Prostate: inflammation, infection, hypertrophy, tumour
male
reproduc-tive  Sexual Dysfunction
 system  Infertility
 Contraception
 Breast ; gynecomastia, tumour
 Climacteric changes
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of male reproductive
system

Teaching Learning Activities

 Lecture Discussion
 Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation

VIII 10  Describe the Nursing management of patient (adults including elderly)

etiology, with disorders of endocrine system
patho-  Review of anatomy and physiology endocrine system
physiology  Nursing Assessment -History and Physical assessment
clinical  Etiology,Pathophysiology, clinical manifestations,
manifesta- diagnosis, treatment modalities & medical, surgical,
tions, dietetics & nursing management of –
diagnostic  Disorders of Thyroid and Parathyroid
measures and  Diabetes mellitus
mana-gement  Diabetes insipidus
of patients  Adrenal tumour
(adults  Pituitary disorders
including Special therapies, alternative therapies
elderly) with Nursing procedures
disorders of Drugs used in treatment of disorders of endocrine system
endocrine
system Teaching learning Activities
 Lecture Discussion
 Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
  Drug book/ presentation
 Assess-ment of skills with check list
Assess-ment of patient manage-ment problem

IX 10  Describe the Nursing management of patient (adults including elderly)

etiology, with disorders of Integumentary system
patho-  Review of anatomy and physiology of Skin and its
physiology appendages
clinical  Nursing Assessment -History and Physical assessment
manifesta-  Etiology,Pathophysiology, clinical manifestations,
tions, diagnosis, treatment modalities & medical, surgical,
diagnostic dietetics & nursing management of
measures and disorders of skin and its appendages
mana-gement  Lesions and abrasions
of patients  Infection and infestations; Dermititis
(adults  Dermatoses ; infectious and Non infectious
including “inflammatory dermatoses”
elderly) with  Acne Vulgaris
disorders of  Allergies and Eczema
skin  Psoriasis
 Malignant melanoma
 Alopecia
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of Integumentary
system

Teaching Learning Activities

 Lecture Discussion
 Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assess-ment of skills with check list
Assess-ment of patient manage-ment problem

X 15  Describe the Nursing management of patient (adults including elderly)

etiology, with musculo-skeletal problems
patho-  Review of anatomy and physiology of musculo-skeletal
physiology system
clinical  Nursing Assessment -History and Physical assessment
 manifesta-  Etiology, Pathophysiology, clinical manifestations,
tions, diagnosis, treatment modalities & medical, surgical,
diagnostic dietetics & nursing management of –
measures and  Disorders of :
mana-gement  Muscles, Ligaments and Joints- inflammation, infection,
of patients trauma
(adults  Bones –inflammation, infection, dislocation, fracture,
including tumour and trauma
elderly) with  Osteomalacia and osteoporosis
disorders of  Arthritis
musculo –  Congenital deformities
skeletal  Spinal column – defects & deformities, Tumor,
system Prolapsed inter vertebral disc, pott’s spine
 Paget’s disease
 Amputation
 Prosthesis
 Transplant & replacement surgeries
 Rehabilitation
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of musculoskeletal
system

Teaching learning Activities

 Lecture Discussion
 Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assess-ment of skills with check List
 Assess-ment of patient manage-ment problem
XI 10  Describe the Nursing management of patient (adults including elderly)
etiology, with Immunological problems
patho-  Review of Immune system
physiology  Nursing Assessment -History and Physical assessment
clinical  Etiology, Pathophysiology, clinical manifestations,
manifestat- diagnosis, treatment modalities & medical, surgical,
ions, dietetics & nursing management of –
diagnostic  Immunodeficiency disorder
measures and  Primary immuno deficiency
management  Phagocytic dysfunction
 of patients  B-cell and T-cell deficiencies
(adults  Secondary immuno-deficiencies
including  Acquired immuno-deficiency syndrome (AIDS)
elderly) with o Incidence of HIV & AIDS
disorders of o Epidemiology
musculo – o Transmission - Prevention of Transmission
skeletal o Standard Safety precautions
system o Role of Nurse; Counseling
o Health education and home care consideration
o National AIDS Control Program- NACO, various
national and international agencies
o Infection control program
o Rehabilitation
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of disorders of immunological
system

Teaching Learning Activities

 Lecture Discussion
 Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Orientation visit to Hospital Control system
 Assessment of skills with check list
 Assessment of patient management problem

XII 20  Describe the Nursing management of patient (adults including elderly) with
etiology, Communicable Diseases
patho-  Overview of infectious disease, the infectious process
physiology  Nursing Assessment -History and Physical assessment
clinical  Epidemiology, infectious process, clinical manifes-
manifesta- tations, diagnosis, treat-ment, prevention and dietics.
tions, Control and eradication of common Communicable
diagnostic Diseases-
measures and  Tuberculosis
mana-gement  Diarrhoeal diseases
of patients  Hepatitis A- E
(adults  Herpes
including  Chickenpox
 elderly) with  Smallpox
Communi-  Typhoid
cable  Meningitis
Diseases  Gas gangrene
 Leprosy
 Dengue
 Plague
 Malaria
 Diptheria
 Pertussis
 Poliomyelitis
 Measles
 Mumps
 Influenza
 Tetanus
 Yellow fever
 Filariasis
 HIV, AIDS
 Reproductive Tract Infections
 Special Infection control measures : Notification,
Isolation, Quarantine, Immunization, Infectious Disease
Hospitals
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of Communicable diseases

Teaching learning Activities

 Lecture Discussion
 Explain using charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assess-ment of skills with check list
 Assess-ment of patient manage-ment problem

XIII 25  Describe the Peri operative nursing:

Organi-  Organisation and Physical set up of the Operation
sation and Theatre (OT) :
physical set  Classifications
up of  O.T. DESIGN
operation  Staffing
theatre  Members of the OT team
 Identify the  Duties and responsibilities of nurse in O.T.
various  Principles of Health and operating room attire
instruments  Instruments,
and equip-  Sutures & suture materials
ments used  Equipments
for common  O.T. tables and sets for common surgical procedures
surgical  Positions and draping for common surgical procedures
procedures  Scrubbing procedures
 Describe the  Gowning and gloving
infection  Preparation of O.T. Sets
control  Monitoring the patient during surgical procedures
measures in  Maintenance of thera-peutic environment in O.T
the operation  Standard Safety measures
theatre  Infection control ; fumigation, disinfection and
 Describe the sterlisation
role of the  Biomedical waste management
nurse in the  Prevention of accidents and hazards in O.T.
Peri  Anaesthesia
Operative  Types
nursing care  Methods of administration
 Effects and Stages
 Equipments
 Drugs
 Cardio Pulmonary Resuscitation (CPR)
 Pain management techniques
 Legal Aspects

Teaching learning Activities

 Lecture Discussion
 Explain using charts, graphs,
Models, films, slides
 Demonstration
 Practice session
 Supervised clinical practice
 Drug book/ presentation
 Assess-ment of skills with check list
 Assess-ment of patient manage-ment problem
 Medical Surgical Nursing -I Practical
(Adult including Geriatrics)

Placement : Second Year

Time : 720 hours

Areas Duration Objectives Skills Assignments Assessment

(in week) Methods
General 6  Provide nursing  Assessment of the  Plan and  Assess
Medica care to adult patient give care perform
l Ward patients with  Taking history to 3 - 4 a-nce
(*Respi medical  Perform general and assigned with
-ratory, disorders specific physical patients rating
GI,End  Counsel and examination  Nursing scale
o-crine, educate patients  Identify alterations and care plan-  Assess
Renal, and families deviations 2 each
Hemo-  Practice medical  Nursing skill
tology surgical asepsis- case with
standard safety study/ checklist
measures presenta-  Evaluati
 Administer medications tion – 1 on of
 Oral, IV, IM,  Drug case
Subcutaneous pres- study/pr
 IV therapy entation- e-
 IV canulation 1 sentatio
 Maintenance and  Maintain n
monitoring drug  Comple-
 Oxygen therapy by book tion of
different methods  Maintain practical
 Nebulization Practical record
 Chest physiotherapy record
 Naso gastric feeding book
 Assist in common
diagnostic
 Perform/Assist in
therapeutic procedures
 Blood and compo-nent
therapy
 Throat Suctioning
 Collect specimens for
common investigations
 Maintain elimination
 Catheterisation
 Bowel wash
  Enema
 Urinary drainage
 Maintain Intake, output
and documentation
 Counsel and teach
related to specific
disease conditions
General 6  Provide pre and  Practice medical  Plan and  Assess
Surgica post operative surgical asepsis- give care perform
l Ward nursing care to standard safety to 3 - 4 a-nce
(GI, adult patients measures assigned with
Urinary with surgical  Pre operative prepa- patients rating
, disorders ration of patients  Nursing scale
CTVS)  Counsel and  Post operative care- care plan-  Assess
educate patients Receiving pt, assess – 2 each
and families ment, monitoring care  Nursing skill
 Care of wounds and case with
drainage study/ checklist
 Suture removal presenta-  Evaluati
 Ambulation and tion – 1 on of
exercise  Maintain case
 Naso gastric aspiration drug study/pr
 Care of chest drainage book e-
 Ostomy care sentatio
 Gastrostomy n
 Colostomy  Comple-
 Blood & component tion of
therapy activity
record
 Practice universal
precautions
Cardiol 2  Provide nursing  Physical examina-tion  Plan and  Assess
ogy care to patients of cardio vascular give care perform
ward with cardiac system Recording and to 2 - 3 a-nce
disorders interpreting ECG assigned with
 Counsel and  Monitoring of patients patients rating
educate patients  Preparation and  Nursing scale
and families assisting in non- care plan-  Assess
invasive and invasive 1 each
diagnostic procedures  Nursing skill
 Administer cardiac case with
drugs study/ checklist
 Cardio pulmonary presenta-  Evaluati
Resuscitation tion/Heal on of
 Teach patients and th talk – case
families 1 study/pr
  Practice medical and  Maintain e-
surgical asepsis – drug sentatio
Standard safety book n/health
measures talk
 Comple-
tion of
activity
record
Skin & 1  Identify skin  Assessment of patients  Plan and  Assess
Commu problems with skin disorders give care perform
-nicable  Provide nursing  Assist in diagnostic and to 2 - 3 a-nce
disease care to patients therapeutic procedures assigned with
s Ward with skin  Administer topical patients rating
disorders & medication  Health scale
Communica-ble  Practice medical talk  Evaluati
diseases surgical asepsis – /Counsell on
 Counsel and Standard safety ing HIV health
educate patients measures positive talk
and families  Use of personal patients /Counse
protective equipment and -ling
(PPE) families – session
 Give medicated baths 1  Comple-
 Counseling HIV  Maintain tion of
positive patients drug activity
 Teach prevention of book record
infectious diseases
Orthop 2  Provide nursing  Assessment of  Plan  Assess
aedic care to patients orthopaedic patients &give perform
ward with musculo -  Assist in application of care to 2- a-nce
skeletal plaster cast and 3 with
disorders removal of cast assigned rating
 Counsel and  Apply skin traction- patients scale
educate patients buck’s extension  Nursing  Evaluati
and families traction care plan- on of
 Assist in application 1 nursing
and removal of  Nursing care
prosthesis case plan &
 Physiotherapy -Range study/ nursing
of motion exercises presenta- case
(ROM), muscle tion – 1 study
strengthe-ning  Maintain /present
exercises drug a-tion
 Crutch maneuvering book  Comple-
technique tion of
 Activities of daily activity
record
 living
 Ambulation
 Teach and counsel
patients & families
Operati 6  Identify  Scrubbing, gowning  Assist as  Assess
on instruments gloving a perform
Theatre used in  Identify instruments circulator a-nce
common suturing materials for y nurse in with
operations common operations  Major rating
 Participate in  Disinfection, Carbo- cases- 10 scale
Infection lization, fumigation  Minor  Comple-
control  Preparation of cases – 5 tion of
practices in the instrument sets for  Assist as activity
Operation common operations a scrub record
Theatre  Sterilization of sharps nurse in
 Set-up the table/ and other instruments  Major
trolleys for  Prepare the OT table cases- 10
common depending upon the  Minor
operative operation cases – 5
procedures  Positioning and  Maintain
 Assist in giving monitoring of patients drug
anesthesia  Endotracheal intubation book
 Assist in the  Assisting in minor and
operative major operations
procedures  Handling specimens
 Provide peri  Disposal of waste as
operative per the guidelines
nursing care

Clinical Training
Time : 260 hours (9 weeks)

Areas Duration Objectives Skills Assignmen Assessme

(in week) ts nt
Methods
ICU, CCU, 2  To gain  Assist in arterial  Arterial  Recor
CARDIAC proficiency in puncture for blood gas punctur d book
OT ICU nursing analysis e –5  Checki
 Develop  Perform ECG and  Taking ng
advance skill in interpret accor-dingly. out with
special  Conduct & analysis ECG superv
procedures used pulse oximetry stripe – isor
in critical care  Care with artificial 5
unit airway  Trachea
 Identify l
 potential  Assist in endotra-cheal suction-
problems and intubation 5
provide  Setting up ventilator  For all
accordingly  Giving care in assigne
 Skill in setting ventilator d
and handeling  Drug sheet patients
ventilator  Observation of special  Oxygen
 Administer procedure in OT. adminis
injection in tra-tion
infusion pump by
 Record CPAP
accurately mask
findings and and use
medications Ambu
 Develop IPR bag.
with family  Assess
members ment
 Acquint with for all
OT technique assigne
d
patients
 Nursing
care in
ventilat
or
 Drug
sheet
Neuro ICU, 2  Develop skill in  Assess neurological  Assess-  Recor
ITU, OT neurological status ment d book
assessment  Implement care to head for all  Obser
 Give care to the injury spinal injury assigne va-tion
pt with head patients d checkl
injury and  Drug sheet patients ist
spinal injury  Pre and postopera-tive  Nursing
 Care with chest care with neuro surgery care
surgery and patients plan-2
cranial surgery  Drug
sheet
Burns & 2  Assess the  Nursing care
plastic severity of
Reconstruc burns
tive  Administer
surgery rehydration
therapy
 Observe
reconstructive
 surgery
OT Lapro – 3  Identify  Assist -  Recor
scopic instruments 5 cases d book
Orthopaedi  Assist in OT set
c Eye ENT up
 Supervise
sterilization
 Assist in OT
table lay out
 Observe
immediately
after operation
 Supervise
infection
control
 Community Health Nursing – I
Placement : Second Year
Time : Theory – 90 hours

Practical – 135 hours

Course Description : This course is designed for students to appreciate the principles of
promotion and maintenance of health

Unit Time Learning Content and Teaching Learning Methods

(Hrs) Objectives
I 2  Describe
Introduction
concept and
dimensions  Community health nursing
of health  Definition, concept and dimensions of health
 Promotion of health
 Maintenance of health

Teaching learning Activities

 Lecture discussion
II 20  Describe 1. Determinants of health
determinants  Eugenics
of health  Environment :
 Physical : Air, light, Venti-lation, Water, Housing,
Sanitation; disposal of waste, disposal of dead bodies,
Forestation, Noise, Climate, Communication:
infrastructure facilities and Linkages
 Acts regulating the environment: National Pollution
control board
 Bacterial & viral: Agents, host carriers and immunity
 Arthopods and Rodents
 Food hygiene: Production, Preservation, Purchase,
Preparation, Consumption
 Acts regulating food hygiene- Prevention of food
adulteration act, drugs and cosmetic act
 Socio-cultural
 Customs, taboos
 Marriage system
 Family structure
 Status of special groups; Females, Children, Elderly,
challenged groups and Sick persons
 Life Style
  Hygiene
 Physical activity
 Recreation and sleep
 Sexual life
 Spiritual life philosophy
 Self reliance
 Dietary pattern
 Education
 Occupation
 Financial Management
 Income
 Budget
 Purchasing power
 Security

Teaching learning Activities

 Lecture discussion
 Explain using Charts, graphs, Models, films, slides
 Visits to water supply, sewage disposal, milk plants,
slaughter house etc
III 10  Describe
Epidemiology
concept,
scope, uses  Definition, concept, aims, scope, uses and termino-
methods and logy used in epidemiology
approaches  Dynamics of disease transmission : epidemiological
of epide- traid
miology  Morbidity and mortality : measurements
 Levels of prevention
 Methods of epidemiology of
 Descriptive
 Analytical: Epidemic investigation
 Experimental

Teaching learning Activities

Lecture discussion
Explain using Charts, graphs
Models, films, slides
IV 25  Describe Epidemiology and nursing management of common
Epidemio- Communicable Diseases
logy and  Respiratory infections
nursing  Small Pox
manage-ment  Chicken Pox
of common  Measles
Communi-  Influenza
cable  Rubella
diseases  ARI’s & Pneumonia
 Mumps
 Diphtheria
 Whooping cough
 Meningococcal meningitis
 Tuberculosis
 SARS
 Intestinal Infections
 Poliomyelitis
 Viral Hepatitis
 Cholera
 Diarrhoeal diseases
 Typhoid Fever
 Food poisoning
 Amoebiasis
 Hook worm infection
 Ascariasis
 Dracunculiasis
 Arthropod infections
 Dengue
 Malaria
 Filariasis
 Zoonoses
Viral
 Rabies
 Yellow fever
 Japanese encephalitis
 Kyasnur Forest Disease
 Bacterial
 Brucellosis
 Plague
 Human Salmonellosis
 Anthrax
 Leptospirosis
 Rickettsial diseases
 Rickettsial Zoonoses
 Scrub typhus
 Murine typhus
 Tick typhus
 Q fever
 Parasitic zoonoses
 Taeniasis
 Hydatid disease
 Leishmaniasis
 Surface infection
 Trachoma
 Tetanus
  Leprosy
 STD & RTI
 Yaws
 HIV/AIDS
Any other

Teaching learning Activities

 Lecture discussion
 Explain using Charts, graphs
 Models, films, slides
 Seminar
 Supervised field practice - health centers, clinics and
homes
 Group projects/ Health education
V 10  Describe Epidemiology and nursing management of Non -
Epidemiolog communicable diseases
y and nursing  Malnutrition: under nutrition, over nutrition,
manage-ment nutritional deficiencies
of common  Anaemia
Non- com-  Hypertension
municable  Stroke
diseases  Rheumatic Heart Disease
 Coronary Heart Disease
 Cancer
 Diabetes mellitus
 Blindness
 Accidents
 Mental illness
 Obesity
 Iodine deficiency
 Fluorosis
 Epilepsy

Teaching learning Activities

 Lecture discussion
 Explain using Charts, graphs
 Models, films, slides
 Seminar
 Supervised field practice - health centers, clinics and
homes
 Group projects/ Health education
VI 6  Describe the 2. Demography
concepts &  Definition, concept and scope
scope of  Methods of collection, analysis & interpretation of
Demography
  Describe demographic data
methods of  Demographic rates and ratios
data
collection, Teaching learning Activities
analysis &  Lecture discussion
interpreta-  Community identification survey
tion of  Assessment of survey report
demogra-
phic data
VII 17  Identify the Population and its control
impact of  Population explosion and its impact on social,
population economic development of individual, society and
explosion in country
India  Population control :
 Describe  Overall development: Women empowerment, social,
methods of economic and educational development
population  Limiting family size :
control  Promotion of small family norm
 Methods : spacing (natural, biological, chemical,
mechanical methods etc)
 Terminal : surgical methods
 Emergency contraception

Teaching learning Activities

 Lecture discussion
 Population survey
 Counseling
 Demonstration
 Practice session
 Supervised field practice
 Assessment of survey report
 Community Health Nursing I – Practical
Placement : Second Year
Time : Practical – 135 hours

Durati Assessment
Areas on (in Objectives Skills Assignments methods
week)
Commu- 2 wks  Build and  Use techniques of  To work  Assess
nity health urban Maintain inter-personal with 2 clinical per-
nursing and 2 rapport relationship assigned formance with
wks  Identify  Identification of families rating scale
rural demogra-phic health determinants each in  Assess each
chara- of community urban & skill with
cteristics,  History taking rural checklist
health deter -  Physical  Family  Evaluation of
minants & examination study –1 family study,
community  Collect specimens-  Observa- observation
health sputum, malaria tion report report and
resources smear of comm- health talk
 Diagnose  Perform simple lab unity – 1  Completion of
health needs tests at centre -  Health talks activity record
of individual blood for 2 (1 in urban
and families Haemoglobin and & in rural)
 Provide sugar, urine for
primary care albumin and sugar
in health  Administer
centre vaccines and
 Counsel & medications to
educate adults
individual,  Counsel and teach
family & individual, family
community and community
 Nutrition
 Hygiene
 Self health
monitoring
 Seeking health
services
 Healthy life style
 Family welfare
methods
 Health promotion
 Communication & Educational Technology
Placement : Second Year
Time : Theory – 90 hours

Course Description : This course is designed to help the students acquire an

understanding of the principles and methods of communication and teaching. It helps to
develop skill in communicating effectively, maintaining effective interpersonal relations,
teaching individuals and group in clinical, community health and educational settings.

Unit Time Learning Content and Teaching Learning Activities

Th. Pr. Objectives
I 5  Describe the Review of Communication Process
communication  Process; elements and channe
process  Facilitators
 Identify  Barriers and methods of overcoming
techniques of  Techniques
effective
communica- Teaching learning Activities
tion  Lecture Discussion
 Role plays
 Exercises with audio/video tapes
 Respond to critical incidents

II 5  Establish
Interpersonal relations
effective
interpersonal  Purpose & types
relations with  Phases
patients  Barriers & methods of overcoming
families & co-  Johari Window
workers
Teaching Learning Activities
 Lecture Discussion
 Role plays
 Exercises with audio/video tapes Process
recording
III 5  Develop
Human relations
effective
human  Understanding self
relations in  Social behaviour, motiva-tion, social attitudes
context of  Individual and groups
nursing  Groups & individual
 Human relations in context of nursing
 Group dynamics
 Team work
 Teaching Learning Activities
 Lecture Discussion
 Sociometry
 Group games
 Psychometric exercises followed by discussion
 Respond to critical incidents

IV 10 5  Develop basic
Guidance & counselling
skill of
counselling  Definition
and guidance  Purpose, scope & need
 Basic principles
 Organization of counse-lling services
 Types of counselling approaches
 Role and preparation of counselor
 Issues for counseling in nursing: students and
practitioners
 Counselling process – steps & techniques, tools of
counselor
 Managing disciplinary problems
 Management of crisis & referral

Teaching Learning Activities

 Lecture Discussion
 Role play on counselling in different situations
followed by discussion
 Assess performance in role play situations
V 5  Describe the Principles of education & teaching learning process
philosophy &  Education: meaning, philosophy, aims, functions
principles of & Principles
education  Nature and characteristics of learning,
 Explain the  Principles and maxims of teaching,
teaching Formulating objectives: general and specific
learning  Lesson planning
process  Classroom management

Teaching learning Activities

 Lecture Discussion
 Prepare lesson plan
 Micro teaching
 Exercise on writing objectives
 Assess lesson plans & teaching sessions
VI 10 10  Demonstrate Methods of teaching
teaching skill  Lecture, demonstration, group discussion, seminar
using various symposium, panel discussion, role play, project,
teaching field trip, workshop, exhibition, programmed
methods in instruction, computer assisted learning, micro
clinical, teaching problem based learning, Self instructional
classroom & module and simulation etc.
community  Clinical teaching methods : case method, nursing
settings round & reports, bedside clinic, conference
(indivi-dual & group) process recording

Teaching Learning Activities

 Lecture Discussion
 Conduct 5 teaching sessions using different
methods & media
 Assess teaching sessions
VII 10 8  Prepare and Educational media
use different  Purposes & types of A.V. Aids, principles and
types of sources etc.
educational  Graphic aids: chalk board, chart, graph, poster,
media flash cards,flannel graph, bulletin, cartoon
effectively  Three dimensional aids : objects, specimens,
models, puppets
 Printed aids: pamphlets & leaflets
 Projected aids : slides, overhead projector, films,
TV, VCR/VCD, camera, microscope, LCD
 Audio aids : tape recorder public address system
 Computer

Teaching learning Activities

 Lecture Discussion
 Demonstration
 Prepare diffe-rent teaching aids- projected & non
projected
 Assess the teaching aids prepared
VIII 5 7  Prepare
Assessment
different types
of questions  Purpose & scope of evaluation & assessment
for assessment  Criteria for selection of assessment techniques and
of knowledge, methods
skills and  Assessment of knowledge : essay type questions,
attitudes Short answer questions (SAQ), Multiple choice
questions (MCQ)
 Assessment of skills : observation checklist,
practical exam, Viva, Objective structured
clinical examination (OSCE)
  Assessment of Attitudes: Attitude scales

Teaching Learning Activities

 Lecture Discussion
 Exercise on writing different types of assessment
tools
IX 5  Teach Information, Education & communication for health
individuals, (IEC)
groups and  Health behaviour & health education
communities  Planning for health education
about health  Health education with individuals, groups &
with their communities
active  Communicating health messages
participation  Methods & media for communicating health
messages
 Using mass media
 Assess the stra-tegies used in practice teaching
sessions and exercise sessions

Teaching learning Activities

 Lecture Discussion
 Plan & conduct health educa-tion sessions for
individuals, group & communities
 Assess the planning & conduct of the educa-tional
session
 Medical Surgical Nursing
(Adult including Geriatrics) – II

Placement : Third Year

Time : Theory – 120 hours
Practical – 270 hours

Course Description : The purpose of this course is to acquire knowledge and develop
proficiency in caring for patients with medical and surgical disorders in varieties of
health care settings and at home.

Unit Time Learning Content and Teaching Learning Activity

(Hrs) Objectives
I 15  Describe the Nursing management of patient with disorders of Ear Nose
etiology, and Throat
patho-  Review of anatomy and physiology of the Ear Nose and
physiology, Throat
clinical  Nursing assessment- History and Physical assessment
manifestation  Etiology, Pathophysiology , clinical manifestations,
s, diagnostic diagnosis, treatment modalities and medical & Surgical
measures and nursing management of Ear Nose & Throat disorders:
management o External ear: deformities otalgia, foreign bodies, and
of patients tumours
with o Middle Ear – Impacted wax, Tympanic membrane
disorders of perforation, otitis media, otosclerosis, mastoiditis, tumours
Ear Nose and o Inner ear – Meniere’s Disease, labyrinthitis, ototoxicity,
Throat tumours
o Upper airway infections – Common cold, sinusitis, ethinitis,
rhinitis, pharyngitis, tonsillitis and adenoiditis, peritonsilar
abscess, laryngitis
 Upper respiratory airway – epistaxis,
 Nasal obstruction, laryngeal obstruction, cancer of the
larynx
 Cancer of the oral cavity
 Speech defects and speech therapy
 Deafness –
 Prevention, control and rehabilitation
 Hearing Aids, implanted hearing devices
Special Therapies
Nursing procedures
Drugs used in treatment of disorders of Ear Nose and Throat
Role of nurse Communicating with hearing impaired and
muteness.
 Teaching learning Activities
 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation Assess-ment of skills with
check list
 Assessment of patient management problem

II 15  Describe the Nursing management of patient with disorder of eye

etiology,  Review of anatomy and physiology of the eye –
patho  Nursing Assessment - History and Physical assessment
physiology,  Etiology, Pathophysiology , clinical manifestations,
clinical diagnosis, treatment modalities and medical & Surgical
manifestations, nursing management of eye disorders:
diagnostic o Refractive errors
measures and o Eyelids-infection, tumours & deformities
management of o Conjunctiva - inflammation and infection,
patients with bleeding
disorders of eye. o Cornea-inflammation and infection
o Lens-Cataracts
o Glaucoma
o Disorder of the uveal tract,
o Ocular tumours
o Disorders of posterior chamber & retina : retinal
and vitreous problems
o Retinal detachment
o Ocular emergencies and their prevention
 Blindness
 National blindness control program
o Eye Banking
o Eye prostheses and Rehabilitation
Role of nurse - Communication with visually impaired patient,
Eye camps
Special Therapies
Nursing procedures
Drugs used in treatment of disorders of eye

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
  Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Visit to eye bank
 Participation in eye-camps
 Assess-ment of skills with check list
 Assessment of patient management problem

III 16  Describe the Nursing management of patient with neurological disorders

etiology,  Review of anatomy and physiology of the neurological
patho- system
physiology,  Nursing Assessment - History and Physical and
clinical neurological
manifestation  Etiology, Pathophysiology , clinical manifestations,
s, diagnostic diagnosis, treatment modalities and medical & Surgical
measures & nursing management of neurological disorders
nursing  Congenital malformations
management  Headache
of patients  Head Injuries
with neuro-  Spinal Injuries:
logical o Paraplegia
disorders o Hemiplegia
o Quadraplegia
 Spinal cord compression-herniation of intervertebral disc
 Tumors of the brain & spinal cord
 Intra cranial & cerebral aneurysms
 Infections :
oMeningitis, Encepha-litis, Brain abscess,
neurocysticercosis
 Movement disorders
oChorea
oSeizures
oEpilepsies
 Cerebro Vascular Accidents (CVA)
 Cranial, Spinal Neuropa-thies - Bell’s palsy, trigeminal
neuralgia
 Peripheral Neuropathies; Guillain-Barr’e Syndrome
 Myasthenia gravis
 Multiple sclerosis
 Degenerative diseases
oDelirium
 oDementia
oAlzheimer’s disease
oParkinson’s disease
 Management of unconscious patients & patients with stroke
 Role of the nurse in communicating with patient having
neurological deficit
 Rehabilitation of patients with neurological deficit
Role of nurse in long stay facility (institutions) and at home
Special Therapies
Nursing procedures
Drugs used in treatment of neurological disorders

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Visit to rehabilitation centre
 Assess-ment of skills with check list
 Assessment of patient manage-ment problem

IV 16  Describe the Nursing management of patients with disorders of female

etiology, reproductive system
patho-  Review of anatomy and physiology of the female
physiology, reproductive system
clinical  Nursing Assessment - History and Physical assessment
manifestation  Breast Self Examination
s, diagnostic  Etiology, Pathophysiology , clinical manifesta-tions,
measures & diagnosis, treatment modalities and medical & Surgical
nursing nursing management of disorder of female reproductive
management system
of patients  Congenital abnormalities of female reproductive system
with  Sexuality & Reproductive Health
disorders of  Sexual Health Assessment
female
 Menstrual Disorders; Dysmenorrhea, Amenorrhea,
reproductive Premenstrual Syndrome
system
 Abnormal Uterine Bleeding; Menorrhagia, Metrorrhagia
 Describe
 Pelvic Inflammatory Disease –
concepts of
reproductive  Ovarian and fallopian tube disorders; infections, cysts,
tumours
 health &  Uterine & cervical disorders; Endometriosis, polyps,
family Fibroids, Cervical & uterine tumours, uterine displacement,
welfare Cystocele/ Urethrocele/Rectocele
programme  Vaginal disorders; Infections, cysts, tumours
 Diseases of breasts; Deformities, Infections, Cysts and
Tumours
 Menopause and Hormonal Replacement Therapy
 Infertility
 Contraception ; Types Methods, Risk and effectiveness
o Spacing Methods
- Barrier methods, Intera Uterine Devices, Hormonal, Post
Conceptional Methods, etc
o Terminal methods
- Sterilization
 Emergency Contraception methods
 Abortion – Natural, Medical & surgical abortion – MTP Act
 Toxic Shock Syndrome
 Injuries & Trauma; Sexual violence
Special Therapies
Nursing procedures
Drugs used in treatment of gynaecological disorders
National family welfare programme

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assess-ment of skills with check list
 Assessment of patient manage-ment problem

V 10  Describe the Nursing management of patients with Burns,

etiology, reconstructive & cosmetic surgery
patho-  Review of anatomy and physiology of the skin &
physiology, connective tissues and various deformities
clinical  Nursing Assessment - History and Physical assessment &
manifesta- Assessment of burns & fluid and electrolyte loss
tions,  Etiology, Classification, Pathophysiology, clinical
diagnostic manifestations, diagnosis, treatment modalities and medical
measures & & Surgical nursing management of Burns & Re-
 nursing constructive and Cosmetic surgery;
management  Types of Re-constructive and Cosmetic surgery; for burns,
of patients congenital deformities, injuries & cosmetic purposes
with Burns,  Role of Nurse
reconstruc-  Legal aspects
tive and  Rehabilitation
cosmetic  Special therapies
surgery oPsycho social aspects
Nursing procedures
Drugs used in treatment of Burns, reconstructive and cosmetic
surgery

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation

VI 10  Describe the Nursing management of patients with oncological

etiology, conditions
patho-  Structure & characteristics of normal & cancer cells
physiology,  Nursing Assessment - History and Physical assessment
clinical  Prevention, Screening, Early detection, Warning signs of
manifestation cancer
s, diagnostic  Epidemiology, Etiology, Classification, Patho-physiology,
measures & Staging, clinical manifestations, diagnosis, treatment
nursing modalities and medical & Surgical nursing management of
management oncological conditions
of patients  Common malignancies of various body systems ; Oral,
with larynx, lung, Stomach & Colon, Liver, Leukemias &
oncology lymphomas, Breast, Cervix, Ovary, Uterus, Sarcoma, Brain,
Renal, Bladder, Prostate etc
 Oncological emergiences
 Modalities of treatment
o Immunotherapy
o Chemotherapy
o Radiotherapy
o Surgical Interventions
o Stem cell and Bone marrow transplants
o Gene therapy
 o Other forms of treatment
 Psychosocial aspects of cancer
 Rehabilitation
 Palliative care; Symptom and Pain Management, Nutritional
support
 Home care
 Hospice care
 Stomal Therapy
 Special therapies
oPsycho social aspects
 Nursing procedures

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assess-ment of skills with check list
 Assess-ment of patient manage-ment problem

VII 10  Describe Nursing management of patient in Emergency & Disaster

organiza-tion situations
of emergency Disaster Nursing :
& disaster  Concepts & principles of Disaster Nursing
care services  Causes and Types of Disaster : Natural and Man-made
 Describe the o Earthquakes, Floods, Epidemics, Cyclones
role of nurse o Fire, Explosion, Accidents
in disaster o Violence, Terrorism; bio-chemical, War
management  Policies related to emerge-ncy/disaster management;
 Describe the International, national, state, institutional
role of nurse  Disaster preparedness:
in manage-  Team, Guidelines, protocols, Equipments, Resources
ment of  Coordination and involve-ment of; Community, various
common govt. departments, non-govt. organizations & International
Emergencies agencies
 Role of nurse: working
 Legal Aspects of Disaster Nursing
 Impact on Health and after effects; Post Traumatic Stress
Disorder
 Rehabilitation; physical, psycho-social, Financial,
 Relocation
Emergency Nursing
 Concept, priorities, principles & scope of emergency
nursing
 Organization of emer-gency services: physical setup,
staffing, equipment and supplies, protocols, Concepts of
triage & role of triage nurse
 Coordination & involve-ment of different departments &
facilities
 Nursing Assessment- History and Physical assessment
 Etiology, Pathophysiology , clinical manifestations,
diagnosis, treatment modalities and medical & Surgical
nursing manage-ment of patient with medical & surgical
Emergency
 Principles of emergency management
 Common Emergencies;
 Respiratory Emergencies
 Cardiac Emergencies
 Shock & Haemorrhage
 Pain
 Poly-Trauma, road accidents, crush injuries, wound
 Bites
 Poisoning; Food, Gas, Drugs & chemical poisoning
 Seizures
 Thermal Emergencies
Heat stroke & Cold injuries
 Pediatric Emergencies
 Psychiatric Emergencies
 Obstetrical Emergencies
 Violence, Abuse, Sexual assault
 Cardio Pulmonary Resuscitation
 Crisis Intervention
 Role of the nurse; Communication & Inter personal
Relations
 Medico-Legal Aspects;

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
  Supervised clinical practice
 Disaster management Drills
 Drug book/ presentation
 Assess-ment of skills with check list
 Assess-ment of patient manage-ment problem

VIII 10  Explain the Nursing care of the elderly

concept and  Nursing Assessment –History & Physical assessment
problems of  Ageing;
aging  Demography; Myths and realities
 Describe  Concepts & theories of ageing
nursing care  Cognitive Aspects of Ageing
of the elderly  Normal biological ageing
 Age related body systems changes
 Psychosocial Aspects of Ageing
 Medications and elderly
 Stress & coping in older adults
 Common Health Problems & Nursing Management;
 Cardiovascular, Respira-tory, Musculoskeletal,
 Endocrine, genitor-urinary, gastrointestinal
 Neurological, Skin and other Sensory organs
o Psychosocial and Sexual
o Abuse of elderly
 Role of nurse for care of elderly: ambulation, nutritional,
communicational, psychosocial & spiritual
 Role of nurse for caregivers of elderly
 Role of family and formal and non formal caregivers
 Use of aids & prosthesis (hearing aids, dentures,
 Legal & Ethical Issues
 Provisions & Programmes for elderly; privileges,
Community Programs and health services;
 Home & institutional care

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Visit to old age home
  Assess-ment of skills with check list
 Assessment of patient manage-ment problem

IX 10  Describe Nursing management of patient in critical care units

organization  Nursing Assessment –History & Physical assessment
of critical  Classification
care units  Principles of critical care nursing
 Describe the  Organization; Physical setup, Policies, staffing norms,
role of nurse  Protocols, equipment and supplies
in  Special equipments; ventilators, cardiac monitors,
management defibrillators,
of patients  Resuscitation equipments
critical care  Infection Control Protocols
units
 Nursing management of critically ill patient;
 Monitoring of critically ill patient
 CPR-Advance Cardiac Life support
 Treatments & procedures
 Transitional care
 Ethical & Legal Aspects
 Communication with patient and family
 Intensive care records
 Crisis Intervention
 Death & Dying-coping with
 Drugs used in critical care unit

Teaching Learning Activity

 Lecture Discussion
 Explain using Charts, graphs
 Models, films, slides
 Demonstration
 Role plays
 Counseling
 Practice session
 Case discussions/ Seminar
 Health education
 Supervised clinical practice
 Drug book/ presentation
 Assess-ment of skills with check list
 Assessment of patient manage-ment problem

X 8  Describe the Nursing management of patients adults including elderly

etiology, with Occupational and Industrial disorders
patho-  Nursing Assessment –History & Physical assessment
physiology,  Etiology, Pathophysio-logy, clinical manifesta-tions,
 clinical diagnosis, treatment modalities and medical & Surgical
manifesta- nursing manage-ment of occupational and industrial health
tions, disorders
assessment,  Role of nurse
diagnostic Special Therapies, alternative therapies
measures & Nursing procedures
management of Drugs used in treatment of Occupational & Industrial disorders
patients with
occupational Teaching Learning Activity
and industrial
health disorder
 Medical Surgical Nursing – II Practical
(Adult and Geriatrics) – II
Placement : Third Year
Time : Theory – 120 hrs

Practical – 270 hrs

Clinical Training –
430 hrs

Durati
Areas on (in Objectives of Skills to be developed Assignment Assessment
wks) Posting s methods

ENT 1  Provide  Perform *Provide  Assess

care to examination of care to 2-3 each
patients ear, nose and assigned skill
with throat patients with
ENT  Assist with *Nursing checklist
disorder diagnostic care plan -1  Assess
s procedures *Observatio perform
 Counsel  Assist with n reports of ance
and therapeutic OPD with
educate procedures *Maintain rating
patient  Instillation of drug book scale
and drops  Evaluati
families  Perform/assist on of
with irrigations observat
 Apply ear ion
bandage report of
 Perform OPD
tracheostomy  Complet
care ion of
 Teach patients activity
& families record
Ophtha- 1  Provide  Perform *Provide  Assess
mology care to examination of care to 2-3 each
patients eye assigned skill
with Eye  Assist with patients with
disorder diagnostic *Nursing checklist
s procedures care plan -1  Assess
 Counsel  Assist with *Observatio perform
and therapeutic n reports of ance
educate procedures OPD & Eye with
patient  Perform/assist bank rating
 and with irrigations *Maintain scale
families  Apply eye drug book  Evaluati
bandage on of
 Apply eye observat
drops/ ion
ointments report of
 Assist with OPD
foreign body /Eye
removal bank
 Teach patients  Complet
& families ion of
activity
record
Neurology 2  Provide  Perform *Provide  Assess
care to Neurological care to each
patients  Examination assigned 2-3 skill
with  Use Glasgow patients with
neurolog coma scale with checklist
ical  Assist with neurological  Assess
disorder diagnostic disorders perform
s procedures *Case ance
 Counsel  Assist with study/ case with
and therapeutic presen- rating
educate procedures tation – 1 scale
patient  Teach patients *Maintains  3.Evalua
and & families drug book tion of
families *Health case
 Participate in
Teaching-1 study &
rehabilitation
program health
teaching
 Complet
ion of
activity
record
Gyne- 1  Provide  Assist with *Provide  Assess
cology care to gynecological care to 2-3 each
ward patients  Examination assigned skill
with  Assist with patients with
gynecol diagnostic *Nursing checklist
ogical procedures care plan -1  Assess
disorder  Assist with *Maintain perform
s therapeutic drug book ance
 Counsel procedures with
and  Teach patients rating
educate families scale
patient  Teaching self  Evaluati
 and Breast on of
families Examination care
 Assist with PAP plan
smear collection  Complet
ion of
activity
record
Burns 1  Provide  Assessment of *Provide  Assess
Unit care to the burns care to 1-2 each
patients patient assigned skill
with o Percentage of patients with
Burns burns *Nursing checklist
 Counsel o Degree of burns care plan -1  Assess
and  Fluid & *Observatio perform
educate electrolyte n reports of ance
patient replacement Burns unit with
and therapy rating
families o Assess scale
o Calculate  Evaluati
o Replace on of
o Record care
intake/output plan and
 Care of Burn observat
wounds ion
o Bathing report
o Dressing  Complet
 Perform active ion of
& passive activity
exercises record
 Practice
medical &
surgical asepsis
 Counsel &
Teach patients
and families
 Participate in
rehabilita-tion
program
Onologly 1  Provide  Screen for *Provide  Assess
Unit care to common can- care to 2-3 each
patients cers-TNM assigned skill
with classification patients with
Cancer  Assist with *Nursing checklist
 Counsel diagnostic care plan -1  Assess
and procedures *Observatio perform
educate o Biopsies n report of ance
 patient o Pap smear cancer unit with
and o Bone-marrow rating
families aspiration scale
 Breast  Evaluati
examination on of
 Assist with care
therapeutic plan and
procedures observat
 Participates in ion
various report
modalities of  Complet
treatment ion of
o Chemotherapy activity
o Radiotherapy record
o Pain
management
o Stomaltherapy
o Hormonal
therapy
o Immuno
therapy
o Gene therapy
o Alternative
therapy
 Participating
palliative care
 Counsel and
teach patients
families
o Self Breast
Examination
o Warning signs
 Participate in
rehabili-tation
program
Critical 2  Provide  Monitoring of *Provide  Assess
care unit care to patients in ICU care to 1 each
critically  Maintain flow assigned skill
ill sheet patient with
patients  Care of patient *Observatio checklist
 Counsel on ventilators n report of  Assess
patient  Perform Critical care perform
and Endotracheal unit ance
families suction *Drugs with
for grief  Demonstrates book rating
and use of scale
 bereave ventilators,  Evaluati
ment cardiac on of
monitors etc. observat
 Collect ion
specimens and report
interprets ABG  Complet
analysis ion of
 Assist with activity
arterial puncture record
 Maintain CVP
line
 Pulse oximetry
 CPR – ALS
 Defibrillators
 Pace makers
 Bag-mask
ventilation
 Emergency
tray/trolly-
Crash Cart
 Administration
of drugs
o Infusion pump
o Epidural
o Intra thecal
o Intracardiac
 Total parenteral
therapy
 Chest
physiotherapy
 Perform active
& passive
exercises
 Counsel the
patient and
family in
dealing with
grieving and
bereavement
Casualty/ 1  Provide  Practice *Observatio  Assess
Emergenc care to “triage” n report of perform
y patients  Assist with Emergency ance
in assessment, unit with
emergen examination, rating
cy and investiga-tions scale
 disaster & their  Evaluati
situation interpreta-tions, on of
 Counsel in emergency & observat
patient disaster ion
and situations report
families  Assist in  Complet
for grief documentations ion of
and  Assist in legal activity
bereave procedures in record
ment emergency unit
 Participate in
managing
crowd
 Counsel patient
& families in
grief and
bereavement

Placement : Clinical Training

Time : 9 weeks

Areas Duratio Objective Skills Assessment

n (in
week)
Medical ward 2 Provide comprehensive Integrated Assess clinical
care to patients with Practice performance with
medical and surgical rating scale
Surgical ward 2 conditions including
emergencies
Critical care unit /ICCU 1
Casualty/Emergency Assist with common
2 operations
Operation Theatre
(Eye, ENT, Neuro)
Scheme of University Examination for Medical Surgical Nursing

Theory

There shall be one theory paper of three hours duration carrying 100 marks.
Distribution of type of questions and marks for Medical Surgical Nursing shall be as
given under.
Distribution of Type of Quest0ions and Marks for Medical Surgical Nursing- II,

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva Voce

Internal Assessment Unjversity Total
Examination
Medical - Surgical Nursing- II 50 50 100

Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical
examination for each student.
Child Health Nursing
Placement : Third Year
Time : Theory - 90 hours

Practical - 270 hours

Clinical
Training - 145 hours

Course 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.

Time Learning
Unit (Hrs) Objective Content and Teaching Learning Activities
I 15  Explain Introduction
the Modern concepts of childcare
modern  Internationally accepted rights of the Child
concept  National policy & legislations in relation to child
of child health and welfare
care &  National programmes related to child health and
principle welfare
s of  Agencies related to welfare services to the children
child  Changing trends in hospital care, preventive,
health promotive & curative aspects of child health
Nursing  Child morbidity and mortality rates
 Describe  Differences between an adult and child
national  Hospital environment for a sick child
policy
 Impact of hospitalization on the child and family
program
 Grief and bereavement
s and
legislati  The role of a Child health nurse in caring for a
on in hospitalised child
relation  Principles of pre and post operative care of infants
to child and children
health  Child health nursing procedures
and
welfare. Teaching Learning Activities
 List  Lecture Discussion
major  Demonstration of common paediatric procedures
causes  Assessment of skills with checklist
of death
during
infancy,
early &
 late
childhoo
d
 Describe
the
major
function
s and
role of
the
paediatri
c nurse
in caring
for a
hospitali
zed
child.
 Describe
the
principle
s of
child
health
nursing
II 20  Descri The healthy child
be the  Principles of growth and development
Norma  Factors affecting growth & development
l  Growth and development from birth to adolescene
growth  The needs of normal children through the stages of
& developmental and parental guidance
develo  Nutritional needs of children & infants: breast
pment feeding, exclusive breast feeding
of supplementary/artificial feeding and weaning,
childre  Baby friendly hospital concept
n at  Accidents: causes and prevention
differe
 Value of play and selection of play material
nt ages
 Preventive immunization, immunization programme
 Identif and cold chain
y the
 Preventive paediatrics
needs
of  Care of under five & under five clinics/well baby
clinics
childre
n at
differe Teaching Learning Activities
nt ages  Lecture Discussion
&  Developmental study of infant and children
 provid  Observation on study of normal and sick child
e  Field visit to Anganwadi, child guidance clinic
parent  Film show on breast feeding
al Clinical practice /field
guidan  Assessment of field visits and developmen-tal
ce study reports
 Identif
y the
nutriti
onal
needs
of
childre
n at
differe
nt ages
and
ways
of
meetin
g the
needs
 Appre
ciate
the
role of
play
for
normal
& sick
childre
n
 Appre
ciate
the
preven
-tive
measu
res
and
strateg
ies for
childre
n
III 15  Provid Nursing care of a neonate
e care  Nursing care of a normal newborn/Essential
 to newborn care
normal  Neonatal resuscitation
& high  Nursing management of a low birth weight baby
risk  Kangaroo mother care
neonat  Nursing management of common neonatal disorders
es  Organization of neonatal unit
 Perfor  Identification & nursing management of common
m congenital malformations
neonat
al Teaching Learning Activities
resusci  Lecture Discussion
tation
 Workshop on neonatal resuscitation
 Recog  Demonst-ration
nize
 Practice session
and
manag  Clinical practice
e  Assessment of skills with checklist
comm
on
neonatal
problems
IV 10 Integrated management of neonatal and childhood
illnesses (IMNCI)
V 20  Provid Nursing management in common childhood diseases
e  Nutritional deficiency disorders
nursin  Respiratory disorders and infections
g care  Gastrointestinal infections, infestations and
in congenital disorders
comm  Cardio vascular problem: congenital defects and
on rheumatic fever, rheumatic heart disease
childh  Genitor-urinary disorders: acute glomerulo nephritis,
ood Nephrotic syndrome, Wilms’ tumor, infection and
diseas congenital disorders
es  Neurological infections and disorders: convulsions,
 Identif epilepsy, meningitis, hydrocephalus, spina-bifida
y  Hematological disorders : Anemias, thalassemia,
measu ITP, Leukemia, hemophilia
res to  Endocrine disorders: Juvenile Diabetes Mellitus
preven
 Orthopedic disorders :club feet, hip dislocation and
t fracture
comm
 Disorders of skin, eye, & ears
on
childh  Common communicable diseases in children, their
identification, nursing management in hospital and
ood
home and prevention
diseas
es  Child health emergencies: poisoning, foreign bodies,
 includi hemorrhage, burns & drowning
ng  Nursing care of infant and children with HIV/AIDS
immun
iza- Teaching Learning Activities
tion  Lecture Discussion
 Demonst-ration
 Practice session
 Clinical practice
VI 10  Manag Management of behavioural & social problems in
e the children
child  Management of common behavioural disorders
with  Management of common psychiatric problems
behavi  Management of challenged children : Mentally,
oural Physically, & socially challenged
&  Welfare services for challenged children in India
social  Child guidance clinics
proble
ms Teaching Learning Activities
 Identif  Lecture Discussion
y the  Field visits to child guidance clinics, school for
social mentally & physically, socially challenged
&  Assessment of field visits and study reports
welfar
e
service
s for
challe
nged
childre
n
 Child Health Nursing – Practical
Placement : Third Year
Time : 270 hours (9 Weeks)
Fourth Year
Clinical Training: 145 hours (3
Weeks)

Areas Duratio Objectives Skills Assignme Assessment

n (in nts Methods
weeks)
Paediatric 3  Provide  Taking *Give  Assess clinical
Medicine nursing paediatric care to performance
ward care to History three with rating
children  Physical assigned scale
with examination paediatric  Assess each
various and assessment patients skill with
medical of children *Nursing checklist
disorder  Administer of Care Plan OSCE/ OSPE
s oral, I/M & IV –1  Evaluation of
 Counsel medicine/fluids *Case case
and  Calculation of study/pres study/presentati
educate fluid entations- on & Health
parents requirements 1 education
 Prepare *Health session
different Talk -1  Completion of
strengths of I.V. activity record
fluids
 Apply restraints
 Administer O2
inhalation by
different
methods
 Give baby bath
Feed children
by Katori
spoon, etc.
 Collect
specimens for
common
investigations
 Assist with
common
diagnostic
 procedures
 Teach
mothers/parents
o Malnutrition
o Oral
rehydration
therapy
o Feeding &
Weaning
o Immunization
schedule
o Play therapy
o Specific
Disease
conditions
Paediatric 3  Recog  Calculate, *Give  Assess clinical
Surgery nize prepare and care to performance
Ward differe administer three with rating
nt I/V fluids assigned scale
pediatr  Do bowel paediatric  Assess each
ic wash surgical skill with
surgica  Care for patients checklist
l ostomies : *Nursing OSCE/ OSPE
conditi o Colostomy Care Plan  Evaluation of
ons/ irrigation –1 case
malfor o Ureterostomy *Case study/presentati
ma- o Gastrostomy study/pres on
tions o Enterostomy entation-1  Completion of
 Provid *Urinary activity record
e pre catheterization and
and drainage
post *Feeding
operati *Naso-gastric
ve care *Gastrostomy
to *Jejunostomy
childre *Care of surgical
n with wounds
comm *Dressing
on *Suture removal
paediat
ric
surgica
l
conditi
ons/
malfor
 mation
 Couns
el and
educat
e
parents
Pediatric 1  Perfor  Assessment *Develop  Assess clinical
OPD/ m of children mental performance
Immunizatio assess o Health study -1 with rating
n room ment assess scale
of ment  Completion of
childre o Devel activity record
n: opmen
Health tal
, assess
Develo ment
pment o Anthr
al and opome
Anthro tric
po- assess
metric ment
 Perfor  Immunization
m  Health/Nutriti
Immun onal
ization Education
 Give
Health
Educat
ion
/Nutritional
Education
Pediatric 1+1  Provid  Care of a *Nursing  Assess clinical
medicine e baby in care plan performance
and surgery nursin incubator/war 1 with rating
ICU g care mer *Observa scale
to  Care of a tion  Completion of
critical child on report 1 activity record
ly ill ventilator  Evaluation of
childre  Endotracheal observation
n suction report
 Chest
physiotherapy
 Administer
fluids with
infusion
pump
  Total
parenteral
nutrition
 Phototherapy
 Monitoring of
babies
 Cardio
Pulmonary
resuscitation
Clinical Training
Duration (in
Area Objective Skills Assessment Methods
weeks)
Pediatric 1  Provide  Integrat  Assess clinical
medicine comprehensive care ed performance
ward/ICU to children with Practice with rating scale
medical conditions
Pediatric 1  Provide  Integrat  Assess clinical
Surgery comprehensive care ed performance
ward/ICU to children with Practice with rating scale
surgical conditions
NICU 1  Provide intensive  Integrat  Assess clinical
care to neonates ed performance
Practice with rating scale
Scheme of University Examination for Child Health Nursing
Theory

There shall be one theory paper of three hours duration carrying 100 marks.
Distribution of type of questions and marks for Child Health Nursing shall be as given
under.

Distribution of Type of Quest0ions and Marks for Child Health Nursing

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva Voce

Internal Assessment University Total
Examination
. Child Health Nursing 50 50 100

Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical
examination for each student.
 Mental Health Nursing
Placement : Third Year
Time : Theory - 90 hours

Practical - 270 hours

Clinical Training - 95 hours
(2 weeks)

Course Description : This course is designed for developing an understanding of the

modern approach to mental health, identification, prevention and nursing management of
common mental health problems with special emphasis on therapeutic interventions for
individuals, family and community.
Time Learning
Unit (Hrs) Objective Content and Teaching Learning Activities
I 5  Describe Introduction
s  Perspectives of Mental Health and Mental Health
the historical nursing : evolution of mental health services,
development & treatments and nursing practices,
current trends in  Prevalence and incidence of mental health problems
mental health and disorders
nursing  Mental Health Act
 Describe  National Mental health policy vis a vis National
the epidemio- health policy
logy of mental  National Mental health programme
health problems  Mental Health team
 Describe  Nature and scope of mental health nursing
the National  Role and functions of mental health nurse in
Mental Health various settings and factors affecting the level of
Act, nursing practice
programmes  Concepts of normal and abnormal behaviour
and mental
health policy Teaching Learning Activities
 Discusse  Lecture discussion
s the  Assessment of field visits reports
scope of
mental
health nursing
 Describe
the
concept
of
normal
& abnormal
behaviour
II 5  Defines Principles and Concepts of Mental Health Nursing
the  Definition: mental health nursing and terminology
various used
terms  Classification of mental disorders : ICD
used in  Review of personality development, defense
mental mechanisms
health  Maladaptive behaviour of individuals and groups:
nursing stress, crisis and disaster(s)
 Explains  Etiology: bio-psycho-social factors
the  Psychopathology of mental disorders: review of
classi- structure & function of brain, limbic system and
fication abnormal neuro transmission
of mental  Principles of Mental health Nursing
disorders  Conceptual models and the role of nurse:
 Explain o Existential Model
psycho o Psycho-analytical models
dynamic o Behavioural model
s of o Interpersonal model
maladapt
ive Teaching Learning Activities
behaviou  Lecture discussion
r  Explain using charts
 Discuss  Review of personality
the development
etiologic
al
factors,
psychopa
-thology
of mental
disorders
 Explain
the
Principle
s
& standards of
mental
health nursing
 Describe
the
conceptu
al
models
of mental
health
nursing
III 8  Describe Assessment of mental health status
nature,  History taking
purpose  Mental status examination
&  Mini mental status examination
process  Neurological examination : review
of  Investigations : Related Blood chemistry, EEG, CT
assessme & MRI
nt of  Psychological tests Role and responsibilities of
mental nurse
health
status Teaching Learning Activities
 Lecture discussion
 Demonstration
 Practice session
 Clinical practice
 Assessment of skills with checklist
IV 6  Identify Therapeutic communication and nurse-patient
therapeut relationship
ic  Therapeutic communication: types, techniques,
communi characteristics
cation  Types of relationship,
techniqu  Ethics and responsibilities
es  Elements of nurse patient contract
 Describe  Review of technique of IPR-Johari Window
therapeut  Goals, phases, tasks, therapeutic techniques
ic  Therapeutic impasse and its intervention
relations
hip Teaching Learning Activities
 Describe  Lecture discussion
therapeut  Demonstration
ic  Role play
impasse  Process recording
and its
interven-
tion
V 14  Explain Treatment modalities and therapies used in mental
treatment disorders
modalitie  Psycho Pharmacology
s&  Psychological therapies: Therapeutic community,
therapies psycho therapy-individual: psycho-analytical,
used in cognitive & supportive, Family, Group,
mental behavioural. Play, Psycho-drama, Music, Dance,
disorders Recreational & Light therapy, Relaxation therapies
and role : Yoga, Meditation, bio feedback
of the  Alternative systems of medicine
 nurse  Occupational therapy
 Physical Therapy: electro convulsive therapy
 Geriatric considerations
Role of nurse in above therapies

Teaching Learning Activities

 Lecture discussion
 Demonstration
 Group work
 Practice session
 Clinical practice
VI 5  Describe Nursing management of patient with Schizophrenia,
the and other psychotic disorders
etiology,  Classification: ICD
psycho-  Etiology, psycho-pathology,
patholog types, clinical manifestations, diagnosis
y,  Nursing Assessment - History, Physical & mental
clinical assessment
manifest  Treatment modalities and nursing management of
a-tions, patients with Schizophrenia & other psychotic
diagnosti disorders
c criteria  Geriatric considerations
&  Follow up and home care and rehabilitation
manage-
ment of Teaching Learning Activities
patients  Lecture discussion
with  Case discussion
Schizoph  Case presen-tation
renia,
 Clinical practice
and other
 Assessment of patient management problems
psychoti
c
disorders
VII 5  Describe Nursing management of patient with mood disorders
the  Mood disorders: Bipolar affective disorder, Mania
etiology depression & dysthamia etc
psycho-  Etiology, psycho-pathology, clinical manifestations,
patholog diagnosis,
y,  Nursing Assessment –History, Physical and mental
clinical assessment
manifest  Treatment modalities and nursing management of
ations, patients with mood disorders
diagnosti  Geriatric considerations
c criteria  Follow-up and home care and rehabilitation
and
manage Teaching Learning Activities
 ment of  Lecture discussion
patients  Case discussion
with  Case presentation
mood  Clinical practice
disorders  Assessment of patient management problems
VIII 8  Describe Nursing management of patient with neurotic, stress
the related and somatization disorders
etiology ,  Anxiety disorder, Phobias, Dissociation and
psycho- Conversion disorder, Obsessive compulsive
patholog disorder, somatoform disorders, Post traumatic
y, stress disorder
clinical  Etiology, psycho-pathology, clinical manifestations,
manifest diagnosis
a-tions,  Nursing Assessment-History, Physical & mental
diagnosti assessment
c criteria  Treatment modalities and nursing management of
and patients with neurotic, stress related and
manage- somatization disorders
ment of  Geriatric considerations
patients  Follow-up and home care and rehabilitation
with Teaching Learning Activities
neurotic,  Lecture discussion
stress  Case discussion
related  Case presentation
and
 Clinical practice
somatization
 Assessment of patient management problems
disorders
IX 5  Describe Nursing management of patient with substance use
the disorders
etiology  Commonly used psychotropic substance:
psycho- Classification, forms, routes, action, intoxication &
patholog withdrawal
y,  Etiology of dependence: tolerance, psychological
clinical and physical dependence, withdrawal syndrome,
manifest diagnosis,
a-tions,  Nursing Assessment - History, Physical, mental
diagnosti assessment and drug assay
c criteria  Treatment (detoxification, antabuse and narcotic
and antagonist therapy and harm reduction) & nursing
manage- management of patients with substance use
ment of disorders
patients  Geriatric considerations
with  Follow-up and home care and rehabilitation
substanc
e use Teaching Learning Activities
disorders  Lecture discussion
  Case discussion
 Case presentation
 Clinical practice
 Assessment of patient management problems
X 4  Describe Nursing management of patient with Personality,
the Sexual & Eating disorders
etiology  Classification of disorders
psycho-  Etiology, psycho-pathology, characteristics,
patholog diagnosis,
y,  Nursing assessment-History, Physical and mental
clinical assessment
manifest  Treatment modalities and nursing management of
a-tions, patients with Personality, Sexual & Eating disorders
diagnosti  Geriatric considerations
c criteria  Follow-up and home care and rehabilitation
and
manage- Teaching Learning Activities
ment of  Lecture discussion
patients  Case discussion
with  Case presentation
personali
 Clinical practice
ty,
 Assessment of patient management problems
Sexual &
Eating
disorders
XI 6  Describe Nursing management of child-hood and adolescent
the disorders including mental deficiency
etiology  Classification
psycho-  Etiology, psycho-pathology, characteristics,
patholog diagnosis, Nursing assessment-History, Physical,
y, mental and IQ assessment
clinical  Treatment modalities and nursing management of
manifest childhood disorders including mental deficiency
a-tions,  Follow-up and home care and rehabilitation
diagnosti
c criteria Teaching Learning Activities
and  Lecture discussion
manage-  Case discussion
ment of  Case presentation
childhoo  Clinical practice
d and  Assessment of patient management problems
adolesce
nt
disorders
including
mental
 deficienc
y
XII 5  Describe Nursing management of organic brain disorders
the  Classification : ICD?
etiology,  Etiology, psycho-pathology, clinical features,
psycho- diagnosis, and Differential diagnosis (parkinsons
patholog and alzheimers)
y,  Nursing assessment-History, Physical, mental and
clinical neurological assessment
manifest  Treatment modalities and nursing management of
a-tions, organic brain disorders
diagnosti  Geriatric considerations
c criteria  Follow-up and home care and rehabilitation
and
manage- Teaching Learning Activities
ment of
organic  Lecture discussion
brain  Case discussion
disorders  Case presentation
 Clinical practice
 Assessment of patient management problems

XIII 6  Identify Psychiatric emergencies and crisis intervention

psychiatr  Types of psychiatric emergencies and their
ic management
emergen  Stress adaptation Model: stress and stressor, coping,
cies and resources and mechanism
carry out  Grief: theories of grieving process, principles,
crisis techniques of counseling
interven-  Types of crisis
tion  Crisis Intervention: Principles, Techniques and
Process
 Geriatric considerations
Role and responsibilities of nurse

Teaching Learning Activities

 Lecture discussion
 Demonstration
 Practice session
 Clinical practice
XIV 4  Explain Legal issued in Mental Health Nursing
legal  The Mental Health Act 1987: Act, sections, Articles
aspects & their implications etc.
applied  Indian Lunacy Act 1912
in mental  Rights of mentally ill clients
 health  Forensic psychiatry
settings  Acts related to narcotic and psychotropic
and role substances and illegal drug trafficking
of the  Admission and discharge procedures
nurse Role and responsibilities of nurse

Teaching Learning Activities

 Lecture discussion
 Case discussion
XV 4  Describe Community Mental Health Nursing
the  Development of Community Mental Health
model of Services:
preventiv  National Mental Health Programme
e  Institutionalization Versus Deinstitutionalization
psychiatr  Model of Preventive Psychiatry: Levels of
y Prevention
 Describe  Mental Health Services available at the primary,
s secondary, tertiary levels including rehabilitation
Commun and Role of nurse
ity  Mental Health Agencies: Government and
Mental voluntary, National and International
health  Mental health nursing issues for special
services populations: Children, Adolescence, Women,
& role of Elderly, Victims of violence and abuse,
the nurse Handicapped, HIV/AIDS etc.

Teaching Learning Activities

 Lecture discussion
 Clinical/ field practice
 Field visits to mental health service agencies
 Assessment of field reports
 Mental Health Nursing – Practical
Placement : Third Year
Time : Practical - 270 hours (9
Weeks)
Fourth Year Clinical Training - 95 hours
(2 Weeks)

Areas Duration Objectives Skills Assignments Assessment

(in week) Methods
Psychia- 1  Assess  History  History  Assess
tric OPD patient taking taking perfor
s with  Perform and mance
mental mental status mental with
health examination status rating
proble (MSE) examinat scale
ms  Assist in ion – 2  Assess
 Obser Psychometri  Health each
ve & c assessment education skill
assist  Perform -1 with
in Neurological  Observati checkl
therapi examination on report ist
es  Observe and of OPD  Evalua
 Couns assist in tion of
el & therapies health
educat  Teach educat
e patients and ion
patient family  Assess
,& members ment
familie of
s observ
ation
report
 Compl
etion
of
activit
y
record
Child 1  Assess  History  Case  Assess
Guidance ment taking work – 1 perfor
clinic of  Assist in  Observati mance
childre psychometric on report with
n with assessment of rating
variou  Observe and different scale
 s assist in therapies  Assess
mental various -1 each
health therapies skill
proble  Teach family with checklist
ms and  Evalua
 Couns significant tion of
el and others the
educat observ
e ation
childre report
n,
familie
s&
signifi
cant
others
Inpatient 6  Assess  History  Give care  Assess
ward patient taking to 2-3 perfor
s with  Perform patients ma-
mental mental status with nce
health examination various with
proble (MSE) mental rating
ms  Perform disorders scale
 To Neurological  Case  Assess
provid examination study-1 each
e  Assist in  Care skill
nursin psychometric plan-2 with checklist
g care assessment  Clinical  Evalua
for  Record Presentation - 1 tion of
patient therapeutic  Process the
s with communicati recordin case
variou on g2 study,
s  Administer  Maintai care
mental health medications n drug plan,
problems  Assist in book clinica
 Assist Electro- l
in convulsive presen
variou therapy tation,
s nb(ECT) proces
therapi  Participate in s
es all therapies record
 Couns  Prepare ing
el & patients for  Compl
educat Activi-ties of etion
e Daily living of
patient (ADL) activit
 s,  Conduct y
familie admission record
s& and
signifi discharge
cant counseling
others  Counsel and
teach
patients and
families
Commu- 1  To identify  Conduct case  Case  Assess
nity patients work work – 1 perfor-
Psychiatry with  Identify  Observa- mance
various individuals tion with
mental with mental report on rating
disorders health field scale
 To problems visits  Evalua
motivate  Assists in tion of
patients mental case
for early health camps work
treatment and clinics and
& follow up  Counsel and observ
 To assist Teach family ation
in follow members, report
up clinic patients and  Compl
 Counsel community etion
and of
educate activit
patient, y
family and record
community

Clinical Training

Assessment
Area Duration Objective Skills
Methods
Psychiatry 2 weeks Provide comprehensive care  Integrated  Assess
ward to patients with mental health Practice clinical
problems performanc
e with
rating scale
Scheme of University Examination for Mental Health Nursing

Theory

There shall be one theory paper of three hours duration carrying 100 marks.
Distribution of type of questions and marks for Mental Health Nursing shall be as given
under.

Distribution of Type of Quest0ions and Marks for Mental Health Nursing

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva Voce

Internal University Total
Assessment Examination
Mental Health Nursing 50 50 100

Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical
examination for each student.
 Midwifery and Obstetrical Nursing
Placement : Third Year
Time : Theory - 90 hours
Practical - 180 hours

Course Description : This course is designed for students to appreciate the concepts and
principles of midwifery and obstetrical nursing. It helps them to acquire knowledge and
skills in rendering nursing care to normal and high risk pregnant women during antenatal,
natal and post natal periods in hospitals and community settings. It also helps to develop
skills in managing normal & high risk neonates & participate in family welfare
programme.

Time Learning
Unit (Hrs) Objective Content and Teaching Learning Activities
I 3  Recognis Introduction to midwifery and obstetrical Nursing
e the  Introduction to concepts of midwifery and
trends & obstetrical Nursing
issues in  Trends in midwifery and obstetrical nursing
midwifer o Historical perspectives and current trends
y and o Legal and ethical aspects
obstetric o Pre-conception care and preparing for parenthood
al o Role of nurse in midwifery and obstetrical care
nursing o National policy and legislation in relation to
maternal health & welfare
o Maternal, morbidity, mortality and fertility rates
o Perinatal, morbidity and mortality rates

Teaching Learning Activities

 Lecture discussion
 Explain using Charts and graphs
II 8  Describe Review of anatomy & physiology of female
the reproductive system and foetal development
anatomy  Female pelvis- general description of the bones
& joints, ligaments, planes of the pelvis diameters of
physiolo the true pelvis, important landmarks, variations in
gy of pelvis shape
female  Female organs of reproduction - external
reproduc genetalia, internal genital organs and their
-tive anatomical relations, musculature – blood supply,
system nerves, lymphatics, pelvic cellular tissue, pelvic
peritoneum
 Physiology of menstrual cycle
 Human sexuality
  Foetal development
o Conception
o Review of fertilization, implantation (embedding
of the ovum), development of the embryo &
placenta at term functions, abnormalities, the
foetal sac, amniotic fluid, the umbilical chord,
o Foetal circulation, foetal skull, bones, sutures and
measurements
 Review of Genetics

Teaching Learning Activities

 Lecture discussion
 Review with Charts and models
III 8  Describe Assessment and management of pregnancy (ante-
the natal)
diagnosis  Normal pregnancy
&  Physiological changes during pregnancy
manage- o Reproductive system
ment of o Cardio vascular system
women o Respiratory system
during o Urinary system
antenatal o Gastero intestinal system
period o Metabolic changes
o Skeletal changes
o Skin changes
o Endocrine system
o Psychological changes
o Discomforts of pregnancy
 Diagnosis of pregnancy
o Signs
o Differential diagnosis
o Confirmatory tests
 Ante-natal care
o Objectives
o Assessment
- History and physical examination
- Antenatal Examination
- Signs of previous child-
birth
o Relationship of foetus to
uterus and pelvis : Lie,
Attitude, Presentation,
Position
o Per vaginal examination
 Screening & assessment for high risk;
 Risk approach
  History and Physical Examination
 Modalities of diagnosis; Invasive & Non-
Invasive, ultrasonics, cardiotomo-graphy , NST,
CST
 Antenatal preparation
o Antenatal counseling
o Antenatal exercises
o Diet
o Substance use
o Education for child-birth
o Husband and families
o Preparation for safe-confinement
o Prevention from radiation
 Psycho-social and cultural aspects of pregnancy
o Adjustment to pregnancy
o Unwed mother
o Single parent
o Teenage pregnancy
o Sexual violence
 Adoption

Teaching Learning Activities

 Lecture Discussion
 Demonst-ration
 Case discussion/ presentation
 Health talk
 Practice session
 Counseling session
 Supervised Clinical practice
 Assessment of skills with checklist
 Assessment of patient management problems
IV 12  Describe Assessment and management of intra-natal period
the  Physiology of labour, mechanism of labour
physiolo  Management of labour
gy and o First stage
stages of - Signs and symptoms of onset of
labour labour; normal & abnormal
 Describe - Duration
the - Preparation of:
manage  Labour room
– ment  Woman
of - Assessment & observation of
women woment in labour ; partogram –
during maternal and foetal monitoring
intra- - Active management of labour,
 natal Induction of labour
period - Pain relief and comfort in labour
 Second stage
o Signs and symptoms; normal & abnormal
o Duration
o Conduct of delivery ; principles and techniques
o Episiotomy (only if required)
o Receiving the new born
- Neonatal resuscitation ; initial
steps and subsequent resuscitation
- Care of umbilical cord
- Immediate assessment including
screening for congenital anomalies
- Identification
- Bonding
- Initiate feeding
- Screening and transport-tation of
the neonate
 Third stage
o Signs and symptoms; normal & abnormal
o Duration
o Method of placental expulsion
o Management; Principles and techniques
o Examination of the placenta
o Examination of perineum
 Maintaining records and reports
 Fourth Stage

Teaching Learning Activities

 Lecture Discussion
 Demonst-ration
 Case discussion/ presentation
 Simulated practice
 Supervised Clinical practice
 Assessment of skills with checklist
 Assessment of patient management problems

V 5  Describe Assessment and management of women during post

the natal period
physiolo  Normal puerperium; Physiology Duration
gy of  Postnatal assessment and management
puerperi o Promoting physical and emotional well-
um being
 Describe o Lactation management
the o Immunization
 manage  Family dynamics after child-birth
ment of  Family welfare services; methods, counselling
women  Follow-up
during  Records and reports
post-
natal Teaching Learning Activities
period  Lecture Discussion
 Demonstra-tion
 Health talk
 Practice session
 Supervised Clinical practice
 Assessment of patient management problems
 Assessment of skills with checklist
VI 6  Describe Assessment and management of normal neonates
the  Normal Neonate:
Identi- o Physiological adaptation,
fication o Initial & Daily assessment
and o Essential newborn care ; Thermal control,
manage- o Breast feeding, prevention of infections
ment of  Immunization
women  Minor disorders of newborn and its management
with high  Levels of Neonatal care (level I, II, & III)
risk  At primary, secondary and tertiary levels
pregnanc  Maintenance of Reports and Records
y
Teaching Learning Activities
 Lecture Discussion
 Demonst-ration
 Practice Session
 Supervised Clinical practice

VII 10  Describe High-risk pregnancy-assessment & management

the  Screening and assessment
Identifi- o Ultrasonics, cardiotomo-graphy, NST,
cation CST, non-invasive & invasive,
and o Newer modalities of diagnosis
manage-  High –risk approach
ment of  Levels of care; primary, secondary & tertiary
women levels
with high  Disorders of pregnancy
risk o Hyper-emesis gravidarum, bleeding in early
pregnanc pregnancy, abortion, ectopic
y o Pregnancy, vesicular mole,
o Ante-partum haemorrage
 Uterine abnormality and displacement
  Diseases complicating pregnancy
o Medical and surgical conditions
o Infections, RTI(STD), UTI, HIV, TORCH
o Gynaecological diseases complicating pregnancy
o Pregnancy induced hypertension & diabetes,
Toxemia of pregnancy, hydramnios,
o Rh incompatibility
o Mental disorders
 Adolescent pregnancy, Elderly primi and grand
multipara
 Multiple pregnancy
 Abnormalities of placenta & cord
 Intra-uterine growth-retarda-tion
 Nursing management of mothers with high-risk
pregnancy
 Maintenance of Records and Report

Teaching Learning Activities

Lecture Discussion

Demonstrate using video films, scan reports, photo

graph etc
 Case discussion/ presentation
 Health talk
 Practice Session
 Supervised Clinical practice
 Assessment of skills with checklist
 Assessment of skills with checklist
VIII 10  Describe Abnormal Labour – assessment and management
manage-  Disorders in labour
ment of o CPD and contracted pelvis
abnormal o Malpositions and malpresentations
labour o Premature labour, disorders of uterine
 And actions- precipitate labour, prolonged
obstetric labour
al o Complications of third stage: injuries to
emergencies birth canal
 Obstetrical procedures and operations;
o Presentation and prolapse of cord, Vasa praevia,
amniotic fluid embolism, rupture of uterus,
shoulder dystocia, obstretical shock
 Obstetrical procedures and operations;
o Induction of labour, forceps, vacuum version,
manual removal of placenta, caesarean
section, destructive operations
 Nursing management of women undergoing
 Obstetri-cal operations & procedures

Teaching Learning Activities

 Lecture Discussion
 Demonstration
 Case discussion/ presentation
 Practice Session
 Supervised Clinical practice
 Assessment of skills with checklist
 Assessment of patient management problems

IX 4  Describe Abnormalities during Postnatal Periods

manage-  Assessment and management of women with
ment of postnatal complications
post o Puerperial infections, breast engorgement
natal & infections, UTI, thrombo- Embolic
complica disorders, post-partum haemorrage,
-tions Eclampsia & subinvolution
o Psychological complications:
- Post partum Blues
- Post partum Depression
- Post partum Psychosis
X 10  Identify Assessment and management of High risk newborn
the high  Admission of neonates in the neonatal intensive
risk care units- protocols
neonates  Nursing management of :
and their - Low birth weight babies
nursing - Infections
manage - Respiratory problems
ment - haemolytic disorders
- Birth injuries
- Malformations
 Monitoring of high risk neonates
 Feeding of high risk neonates
 Organisation & management of neonatal intensive
care units
 Infection control in neonatal intensive care units
 Maintenance of reports and records
XI 4  Describe Pharmaco-therapeutics in obstetrics
indicatio  Indication, dosage, action, contra indication &
n, side effects of drugs
dosage,  Effect of drugs on pregnancy, labour &
action, puerperium,
side  Nursing responsibilities in the administration of
effects drug in Obstetrics – oxytocins, antihy-pertensives,
 and diuretics, toco-lytic agents, anti-convulsants;
nurses  Analgesics and anesthesics in obstetrics
responsi  Effects of maternal medica-tion on foetus &
bilities in neonate
the
administr Teaching Learning Activities
a-tion of  Lecture discussion
drugs  Drug book
used for  Drug presentation
mothers
XII 10  Apprecia Family Welfare Programme
te the  Population trends and problems in India
importan  Concepts, aims, importance & history of family
ce of welfare programme
family  National Population: dynamics, policy &
welfare education
program  National family welfare programme; RCH, ICDS,
me MCH Safe motherhood
 Describe  Organization & administration at national, state,
the district, block and village levels
methods  Methods of contraception; spacing, temporary &
of permanent, Emergency contraception
contrace  Infertility and its management
ption &  Counseling for family welfare
role of
 Latest research in contraception
nurse in
 Maintenance of vital statistics
family
welfare  Role of national, international & voluntary
program organizations
me  Role of a nurse in family welfare programme
 Training/Supervision/Collabo-ration with other
functionaries in community like ANMs, LHVs,
Anganwadi workers, TBAs (Traditional birth
attendant- Dai)

Teaching Learning Activities

 Lecture Discussion
 Demonstration
 Practice session
 Assessment of skills with checklist
 Assessment of field visits and project reports
 Midwifery and Obstetrical Nursing – Practical
Placement: Third Year & Fourth Year
Time: Practical - 180 hours each in Third year & Fourth Year
Clinical Training - 240 hours

Areas Duratio Objectives Skills Assignments Assessment

n (in Methods
week)
Antenata 2  Assessment  Antenatal history  *Conduct  Verification
l clinic/ of pregnant taking Antenatal of findings
OPD women  Physical  Examination of Antenatal
examination s 30 examination
 Recording of  Health talk s
Weight & B.P. –1  Completion
 Hb & Urine  Case book of casebook
testing for sugar recordings recordings
and albumin
 Antenatal
examination-
abdomen and
breast
 Immunization
 Assessment of risk
status
 Teaching antenatal
mothers
 Maintenance of
Antenatal records
Labour 4  Assess  Assessment of  * Conduct  Assessment
room women in women in labour normal of clinical
O.T. labour  Pervaginal deliveries- performance
 Carry out examinations & 20 with rating
per-vaginal interpretation  * Pervaginal scale
examinations  Monitoring & examination  Assessment
 Conduct caring of woman s-5 of each skill
normal in labour  * Perform & with
deliveries  Maintenance of suture the checklists
 Perform partograph epi -  Completion
episiotomy  Conduct normal siotomies-5 of case book
& suture it delivery  Resuscitate recordings
 Resuscitaten  Newborn newborns-5
ewborns assessment &  * Assist
 Assist with immediate care with
Caesarean  Resuscitation of Caesarean
 Sections, newborns sections-2
MTP and  Assessment of risk  * Witness
other status of newborn abnormal
surgical  Episiotomy & deliveries-5
procedures suturing  Assist with
 Maintenance of MTP &
labour & birth other
records surgical
 Arrange for & procedures-
assist with 1
Caesarean section  Case book
and care for recordings
woman & baby
during Caesarean
 Arrange for and
assist with MTP
and other surgical
procedures
Post 4  Providing  Examination and  * Give care  Assessment
natal nursing care assess-ment of to Post natal of clinical
ward to post natal mother and baby mothers - 20 performance
mother &  Identification of  Health talks  Assessment
baby deviations –1 of each skill
 Counsel &  Care of postnatal  Case study – with
teach mother mother and baby  Case pre- checklists
& family for  Perineal care sentation -1  Completion
parenthood  Lactation  Case book of case book
management recordings recording
 Breast feeding  Evaluation
 Baby bath of case study
 Immunization, &
 Teaching postnatal presentation
mother: and health
o Mother education
craft sessions
o Post
natal
care &
o Exercis
es
o Immun
ization
Newborn 2  Provide  Newborn  Case study-  Assessment
nursery nursing care assessment 1 of clinical
to newborn  Admission of  Observation performance
 at risk neonates study -1  Assessment
 Feeding of at risk of each skill
neonates with
o Katori spoon, checklists
paladi, tube  Evaluation
feeding, total of and
parenteral observation
nutrition study
 Thermal
management of
neonates-kangaroo
mother care, care
of baby in
incubator
 Monitoring and
care of neonates
 Administering
medications
 Intravenous
therapy
 Assisting with
diagnostic
procedure
 Assisting with
exchange
transfusion
 Care of baby on
ventilator
 Phototherapy
 Infection control
protocols in the
nursery
 Teaching &
counselling of
parents
 Maintenance of
neonatal records
Family Rota-  Counsel for  Counselling  * IUD  Assessment
Planning tion and provide technique insertion -5 of each skill
clinic from family  Insertion of IUD  Observation with
post welfare  Teaching on use study -1 checklists
natal services of family planning  Counselling  Evaluation
ward 1 methods -2 of and
wk  Arrange for &  Simulation observation
Assist with family exercise on study
 planning recording &
operations reporting - 1
 Maintenance of
records and
reports

* Essential Requirements for registration as midwife

* Antenatal examination 30
* Conducting normal deliveries in
hospital/home/health centre 20
* Vaginal examination 5
* Episiotomy and suturing 5
* Neonatal resuscitation 5
* Assist with Caesarean Section 2
* Witness/Assist abnormal deliveries 5

* Postnatal cases nursed in hospital/home/ 20

health centre
* Insertion of IUD 5

Note : All casebooks must be certified by teacher on completion of essential

requirements

Clinical Training Obstetrical Nursing

Clinical Training Duration - 5 weeks

Duration Assessment
Area Objective Skills
(in weeks) Assignment Methods
Labour 2  Provide  Integra  Complet  Assess
ward compreh ted ion of clinical
1 ensive Practic other performanc
Neonatal care to e essential e with
intensive mothers require rating scale
care unit/ 2 and ments  Completion
NICU neonates  Case of case
book book
Antenatal recordin recordings
gs
University Examination shall be held at the end of Fourth year.
Scheme of University Examination for Midwifery and Obstetrical Nursing

Theory

There shall be one theory paper of three hours duration carrying 100 marks.
Distribution of type of questions and marks for Midwifery and Obstetrical Nursing shall be
as given under.

Table 9(A): Distribution of Type of Questions and Marks for Midwifery and Obstetrical Nursing,

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva Voce

Internal University Total
Assessment Examination
Midwifery and Obstetrical Nursing 50 50 100

Note: All practical examinations must be held in the respective clinical areas.
One internal and one external examiner should jointly conduct practical /clinical
examination for each student.
 Community Health Nursing – II
Placement : Fourth Year
Time: Theory - 90 Hours
Practical - 135 Hours

Course Description: This course is designed for students to practice Community Health
Nursing for the individual, family and groups at both urban and rural settings by using
concept and Principles of Health and Community Health Nursing

Time Learning
Unit Contents and Teaching Learning Activity
(Hrs) Objectives
I 4 * Define Concepts, Introduction
scope, principles * Definition, concept and scope of Community Health
and historical and Community Health Nursing
development of * Historical development of
community health o Community Health
and community o Community Health Nursing
Health nursing - Pre-independence
- Post-independence

Teaching Learning Activity

* Lecture discussion

II 6 * Describe health Health planning and policies and problems

plans, policies, * National Health planning in India – 5 year plans
various health * Various committees and commissions on health and
committees and family welfare
health problems in o Central council for health and family welfare
India (CCH and FW)
o National Health Policies (1983, 2002)
o National Population policy
 Health problems in India

Teaching Learning Activity

* Lecture discussion
* Panel discussion
III 15 * Describe the Delivery of Community Health Services
system of delivery * Planning, Budgeting and material management of SCs,
of Community PHC and CHC
Health Services in * Rural: Organization, staffing and functions of Rural
Rural and Urban Health Services provided by Govt. at :
areas o Village
* List the functions o Subcentre
of various levels o Primary Health Centre
 and their staffing o Community Health Centre/Sub divisional
pattern o Hospitals
* Explain the o District
components of o State
health services o Centre
* Describe * Urban: Organisation, staffing and functions of urban
alternative system health services provided by Govt. at :
of health promotion o Slums
and health o Dispensaries
maintenance o Maternal and child health centres
* Describe the o Special clinics
chain of referral o Hospitals
system o Corporation/Municipality/Board
* Components of Health Services
o Environmental sanitation
o Health Education
o Vital statistics
o MCH – Antenatal, Natal, Postnatal, MTP act,
female foeticide act, child adaptation act.
o Family welfare]
o National Health programmes
o School Health Services
o Occupational Health
o Defence services
o Institutional services
* Systems of medicine and health care
o Allopathy
o Indian system of medicine and Homeopathy
o Alternative health care systems like yoga,
meditation, social and spiritual healing etc
* Referral system

Teaching Learning Activity

* Lecture discussion
* Visits to various health delivery systems
* Supervised field practice
* Panel discussion
IV 25 * Describe Community Health Nursing approaches, concepts
Community Health and roles and responsibilities of Nursing Personnel
Nursing approaches * Approaches
and concepts o Nursing Theories and Nursing process
* Describe the roles o Epidemiological approach
and responsibility o Problem solving approach
of Community o Evidence based approach
Health Nursing o Empowering people to care for themselves
Personnel * Concepts of Primary Health Care:
 o Equitable distribution
o Community participation
o Focus on prevention
o Use of appropriate technology
o Multi-sectoral approach
* Roles and responsibilities of Community Health
Nursing personnel in
o Family Health services
o Information education communication (IEC)
o Management information system (MIS):
Maintenance of records and reports
o Training and supervision of various categories of
health workers
o National Health programmes
o Environmental sanitation
o Maternal and child health and family welfare
o Treatment of minor ailments
o School Health services
o Occupational Health
o Organisation of clinics, camps: types,
preparation, planning, conduct and evaluation
o Waste management in the centre, clinics etc.
* Home visit: concept, principles, process techniques:
bag technique home visit
* Quantities of community health nurse
* Job description of community Health Nursing
personnel

Teaching Learning Activity

* Lecture discussion
* Demonstration
* Practice session
* Supervised field practice
* Participation in camps
* Group Project
V 15 * Describe and Assisting individuals and groups to promote and
appreciate the maintain their health
activities of * Empowerment for self care of individuals, families and
community health groups in -
nurse in assisting A. Assessment of self and family
individuals and o Monitoring growth and development
groups to promote - Mile stones
and maintain their - Weight measurement
health - Social development
o Temperature and Blood pressure monitoring
o Menstrual cycle
 o Breast self examination and testicles
o Warning Signs of various diseases
o Tests: Urine for sugar and albumin, blood sugar

B. Seek health services for

o Routine checkup
o Immunization
o Counseling
o Diagnosis
o Treatment
o Follow up

C. Maintenance of health records for self and family

D. Continue medical care and follow up in community

for various diseases and disabilities

E Carryout therapeutic procedures as prescribed /

required for self and family

F. Waste Management

* Collection and disposable of waste at home and

community

G. Sensitize and handle social issues affecting health

and development for self and family

* Women Empowerment
* Women and child abuse
* Abuse of elders
* Female Foeticide
* Commercial sex workers
* Food adulteration
* Substance abuse
H. Utilize community resources for self and family

o Trauma services
o Old age homes
o Orphanage
o Homes for physically and mentally challenged
individuals
o Homes for destitute

Teaching Learning Activity

* Lecture discussion
 * Demonstration
* Practice session
* Supervised
field practice
* Individual / group/family/
community health education
VI 20 * Describe national National health and family welfare programmes and
health and family the role of a nurse
welfare 1) National ARI programme
programmes and 2) Revised National Tuberculosis Control Programme
role of a nurse (RNTCP)
* Describe the 3) National Anti-Malaria programme
various health 4) National Filaria control programme
schemes in India 5) National Guinea worm eradication programme
6) National Leprosy eradication programme
7) National AIDS control programme
8) STD control programme
9) National programme for control of blindness
10) Iodine deficiency disorder programme
11) Expanded programme on immunization
12) National Family Welfare Programme – RCH
Programme historical development, organization,
administration, research, constraints
13) National water supply and sanitation programme
14) Minimum Need programme
15) National Diabetics control programme
16) Polio Eradication: Pulse Polio Programme
17) National Cancer Control Programme
18) Yaws Eradication Programme
19) National Nutritional Anemia Prophylaxis programme
20) 20 point programme
21) ICDS programme
22) Mid-day meal applied nutritional programme
23) National mental health programme
* Health Schemes
o ESI
o CGHS
o Health insurance

Teaching Learning Activity

* Lecture discussion
* Participation in National Health
Programmes
* Field visits
VII 5 Explain the roles * Health Agencies
and functions of International – WHO, UNFPA, UNDP, World Bank,
various national FAO, UNICEF, DANIDA, European Commission (EC),
and international Red cross, USAID, UNESCO, Colombo Plan, ILO,
health agencies CARE etc.
National – Indian Red Cross, Indian council for child
welfare, Family Planning Association of India (FPAI),
Tuberculosis Association of India, Hindu Kusht Nivaran
Sangh, Central Social Welfare Board, All India women’s
conference, Blind Association of India etc.

Teaching Learning Activity

* Lecture discussion
* Field Visits
 Community Health Nursing – II – Practical
Placement : Fourth Year
Time: Practical - 135 hours
Clinical Training -
195 hours

Durat-
Assessment
Areas ion(in Skills Assignments
Objectives Methods
week)
Commu- 1 wk. * Identify * Community Health * Community * Assess
nity health for Community Profile Survey survey report- clinical
nursing Urban * Identify prevalent * Community 1 performance
4 wk for communicable and diagnosis * Family care with rating
Rural non-communicable * Family care: Home study-1 scale
diseases adaptation of * Project – 1 * Evaluation of
* Diagnose health common procedures * Health talk - community
needs of individual, * Home visit: bag 1 survey report,
families and technique * Case book family care
community * Organize and recording study, project
* Plan, provide and conduct clinicls – and health talk
evaluate care antenatal, postnatal, * Completion of
* Participate in well baby clinic, activity record.
School Health camps etc. * Completion of
Program * Screen manage and case book
* Participate in referrals for: recording
National Health o High risk
programs mothers and
* Organize group neonates
for self help and o Accidents and
involve clients in emergencies
their own health o Illness :
activities Physical and
* provide family mental
welfare services o Disabilities
* Counsel and * Conduct delivery at
educate individual, centre/home:
family and Episiotomy and
community suturing
* Collect vital * Resuscitate new
health statistics born
* Maintain records * School Health
and reports programme
o Screen,
manage, refer
children
 * Collaborate with
health and allied
agencies
* Train and supervise
health workers
* Provide family
welfare services:
Insertion of IUD
* Counsel and teach
individual, family
and community
about: HIV, TB,
Diabetics,
hypertension, Mental
health, adolescents,
elderly health,
physically and
mentally challenged
individuals etc.
* Collect and
Calculate Vital health
statistics
* Document and
maintain
o Individual,
family and
administrative
records.
o Write reports-
center,
disease,
national
health
programme/pr
ojects

Placement: Clinical Training

Time: 4 Weeks

Assessment
Area Duration Objectives Skills
Urban 4 Weeks * Integrated Practice and group * Assess clinical
* Provide
project – 1 in each rural and performance with
comprehensive care
urban rating scale
to individual, family
* Evaluation of
and community
project
 Note: During the Rural Posting they should stay in Health centers under the
supervision of teachers.

Scheme of University Examination for Community Health Nursing

Theory

There shall be one theory paper of three hours duration carrying 100 marks.
Distribution of type of questions and marks for Community Health Nursing shall be as
given under.

Table 9(A): Distribution of Type of Questions and Marks for Community Health Nursing
Type of Questions No. of Questions Marks Sub-total
Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Practical and Viva Voce

Internal University Total
Assessment Examination
Community Health Nursing 50 50 100
 Nursing Research and Statistics
Placement: Fourth Year
Time: Theory – 45 Hours
Clinical
Training Practical
– 45 Hours

Course Description: The course is designed to enable students to develop and

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.

Time Learning
Unit Contents and Teaching Learning Activity
(Hrs) Objectives
I 4 * Describe the Research and Research Process
concept of research, * Introduction and need for Nursing research
terms, need and * Definition of Research & nursing research
areas of research in * Steps of scientific method
Nursing * Characteristics of good research
* Explain the steps * Steps of Research process-overview
of research process
Teaching Learning Activity
* Lecture discussion
* Narrate steps of research process followed from
examples of published studies
II 3 * Identify and state Research problem / question
the research * Identification of problem area
problem and * Problem statement
objectives * Criteria of a good research problem
* Writing objectives

Teaching Learning Activity

* Lecture discussion
* Exercise on writing statement of problem and
objectives
III 3 * Review the Review of Literature
related literature * Location
* Sources
* On line search;
CINHAL, COCHRANE etc
* Purposes
* Method of review
 Teaching Learning Activity
* Lecture discussion
* Exercise on reviewing one research report/article for a
selected research problem
* Prepare annotated bibliography
IV 4 * Describe the Research approaches and designs
research approaches * Historical, survey and experimental
and designs * Qualitive and quantitative designs

Teaching Learning Activity

* Lecture discussion
* Explain types of research approaches used from
examples of published and unpublished research studies
with rationale
V 8 * Explain the Sampling and Data Collection
sampling process * Definition of population, sample, sampling criteria,
* Describe the factors influencing sampling process, types of sampling
methods of data techniques
collection * Data – why, what, from, whom, when , where to collect
* Data collection methods and instruments:
o Methods of data collection
o Questioning, interviewing
o Observations, record analysis and measurements
o Types of instruments
o Validity and reliability of the instrument
o Pilot study
o Data collection procedure

Teaching Learning Activity

* Lecture discussion
* Reading assignment on examples of data collection
tools
* Preparation of sample data collection tools
* Conduct group research project
VI 4 * Analyze, interpret Analysis of data:
and summarize the * Compilation, Tabulation, classification, summarization,
research data presentation, interpretation of data

Teaching Learning Activity

* Lecture discussion
* Preparation of sample tables
VII 15 * Explain the use of Introduction to statistics
statistics, scales of * Definition, use of statistics, scales of measurement
measurement and * Frequency distribution and graphical presentation of
graphical India
presentation of data * Mean, Median, Mode, Standard deviation
* Describe the * Normal probability and tests of significance.
 measures of central * Co-efficient of correlation
tendency and * Statistical packages and its application
variability and
methods of
correlaton. Teaching Learning Activity
* Lecture discussion
* Practice on graphical presentation
* Practice on computation of measures of central
tendency, variability and correlation
VIII 4 * Communicate and Communication and Utilization of Research
utilize the research * Communication of Research findings
findings o Verbal report
o Writing research report
o Writing scientific article/paper
- Critical review of published research
- Utilization of research findings

Teaching Learning Activity

* Lecture discussion
* Read / presentations of a sample published /
unpublished research report
* Writing group research project

 Nursing Research and Statistics

Nursing Research & Statistics – Nursing Research should be of 65 marks and Statistics
of 35 marks.

Table 9 – B: Distribution of Type of Questions and Marks for Nursing Research (65
marks)
Type of Questions No. of Questions Marks Sub-total
Long Essay (LE) 1 10 10
Short Essay (SE) 8 5 40
Short Answer (SA) 6 3 15
Total Marks 65

Table 9(C): Distribution of Type of Questions and Marks for Statistics (35 marks)
Type of Questions No. of Questions Marks Sub-total
Long Essay (LE) - -
Short Essay (SE) 4 5 20
Short Answer (SA) 5 3 15
Total Marks 35

No Practical examination.
 Management of Nursing Services and Education
Placement: Fourth Year
Time: Theory - 90 Hours

Course Description: This course is designed to enable students to acquire understanding

of management of clinical and community health nursing services, nursing educational
programmes. This is also designed to enable students to acquire understanding of the
professional responsibilities, prospects and contribution to the growth of the profession.

Time Learning
Unit Content and Teaching Learning Activities
(Hrs) Objectives
Th Pr
I 4 * Explain the Introduction to management in nursing
principles and * Definition, concepts and theories
functions of * Functions of management
management * Principles of Management
* Role of Nurse as a manager

Teaching Learning Activities

* Lecture Discussion
* Explain using organization chart

II 5 * Describe the Management Process

elements and * Planning; mission, philosophy, objectives,
process of operational plan
management * Staffing: Philosophy, staffing study, norms, activities,
patient, classification systems, scheduling
* Human resource management; recruiting, selecting,
deployment, retaining, promoting, super annuation etc
* Budgeting: concept, principles, types, cost benefit
analysis, audit
* Material management: equipment and supplies
* Directing process
(Leading)
* Controlling: Quality management
* program Evaluation Review Technique (PERT) ,
Bench marking, Activity Plan (Gantt Chart),

Teaching Learning Activities

* Lecture Discussion
* Simulated Exercises
* Case studies
III 8 20 * Describe the Management of nursing services in the hospital and
Management of Community
nursing services in * Planning:
the hospital and o Hospital and patient care units including ward
community management
o Emergency and disaster management
* Human resource management:
o Recruiting, selecting, deployment, retaining,
promoting, superannuation etc.
o Categories of nursing personnel including job
description of all levels
o Patient /population classification systems
o Patients/population assignment and Nursing
care responsibilities
o Staff development and welfare
* Budgeting: proposal, projecting requirements for
staff, equipments and supplies for
o Hospital and patient care units
o Emergency and disaster management
* Material Management; procurement, inventory
control, auditing and maintenance in
o Hospital and patient care units
o Emergency and disaster management
* Directing and leading: delegation, participatory
management
o Assignments, rotations, delegations
o Supervision & guidance
o Implement standards, policies, procedures and
practices
o Staff development and welfare
o Maintenance of discipline
* Controlling / Evaluation:
o Nursing Rounds/visits, Nursing protocols,
Manuals
o Quality Assurance Model, documentation-
o Records and report
Performance appraisal

Teaching Learning Activity

* Lecture Discussion
* Demonstra-tion
* Simulated Exercises
* Case studies
* Supervised practice in ward-writing indents,
preparing duty roaster, ward supervision
* Assignment on duties and responsibilities of ward
sister
* Writing report
 * Assessment of the assignments
* Performance evaluation by ward sister with rating
scale

IV 5 * Describe the Organizational behaviour and human relations

concepts, theories * Concepts and theories of organizational behaviours
and techniques of * Review of Channels of communication
Organizational * Leadership styles
behaviour and * Review of Motivation; concepts and theories
human relations * Group dynamics
* Techniques of;
o Communication; and
o Interpersonal relationships
o Human relations;
* Public relations in context of nursing
* Relations with professional associations and
employee unions and Collective bargaining

Teaching Learning Activity

* Lecture Discussion
* Role plays
* Group games
* Self assessment
* Case discussion
* Practice Session
* Assessment of problem solving

V 5 5 * Participate in In Service education

planning and * Nature & scope of in -service education program,
organizing in * Organization of in-service education
service education * Principles of adult learning,
program * Planning for in-service education program,
techniques, methods and evaluation of staff education
program.
* Preparation of report

Teaching Learning Activity

* Lecture Discussion
* Plan and conduct an educational session for in
service nursing personnel
* Assess the planning & conduct of the educational
session

VI 10 * Describe Management of nursing educational institutions

management of * Establishment of Nursing educational institution-INC
Nursing education norms and guidelines
 institutions * Co-ordination with-
o Regulatory bodies
o Accreditation
o Affiliation
- Philosophy/objectives
- Organization
o Structure
o Committees
- Physical facilities
o College/School
o Hostel
- Students
 Selection
 Admission
 Guidance and Counseling
 Maintaining discipline
- Faculty and staff
o Selection
o Recruitment
o Job description
o Placement
o Performance appraisal
o Development and welfare
 Budgeting
 Equipments and supplies: audio visual
equipments, laboratory equipment, books,
journals etc.
 Curriculum; Planning, implementation and
evaluation,
 Clinical facilities
 Transport facilities
 Institutional Records and reports –
Administrative, faculty, staff and students.

Teaching Learning Activity

* Lecture Discussion
* Role plays
* Counseling session
* Group Exercises
VII 10 * Describe the Nursing as a Profession
ethical and legal * Nursing as a profession
responsibilities of a o Philosophy; nursing practice
professional nurse. o Aims and objectives
* Explain the o Characteristics of a professional nurse
nursing practice o Regulatory bodies; INC, SNC Acts; -
standards Constitution, functions
 o Current trends and issues in Nursing
* Professional ethics
o Code of ethics; INC, ICN
o Code of professional conduct; INC, ICN
* Practice standards for Nursing; INC
* Consumer protection Act
* Legal aspects in Nursing
o Legal terms related to practice; registration and
licensing
o Laws related to Nursing practice, Breach and
Penalties
o Malpractice and negligence

Teaching Learning Activity

* Lecture Discussion
* Case discussion
* Panel discussion
* Role plays
* Critical incidents
* Visit to INC/SNRCs
* Assessment of critical incidents

VIII 3 * Explain the Professional Advancement:

various * Continuing education
opportunities for * Career opportunities
professional * Collective bargaining
advancement * Membership with professional organization; National
and International
* Participation in research activities
* Publications; Journals, newspapers etc.

Teaching Learning Activity

* Lecture Discussion
* Review / Presentation of published articles
* Group work on maintenance of bulletin board.

Scheme of University Examination for Management of Nursing Services and

Education

Theory
There shall be one theory paper of three hours duration carrying 100 marks.
Distribution of type of questions and marks for Management of Nursing Services and
Education shall be as given under.
 Distribution of Type of Quest0ions and Marks for Management of Nursing Services and
Education

Type of Questions No. of Questions Marks Sub-total

Long Essay (LE) 2 10 20
Short Essay (SE) 10 5 50
Short Answer (SA) 10 3 30
Total Marks 100

Note: No practical examination

ANNEXURE - I
BIO-MEDICAL WASTE MANAGEMENT

WASTE WASTE CATEGORY TREATMENT & SUBJECT/YEAR OF

CATEGORY NO. TYPE DISPOSAL STUDY
OPTIONS
Category No. 1 Animal Waste : (Animal Incineration @
tissues, organs, body /deep burial*
parts, carcasses, II year
bleeding parts, fluid, Unit III
blood and experimental Community Health
animals used in nursing - 1 hr.
research, waste
generated by veterinary
hospitals; colleges,
discharge from
hospitals; animal houses.
Category No. 2 Microbiology & Local autoclaving /
Biotechnology waste: micro waving /
(Waste from laboratory incineration@ I year
cultures, stocks of Unit IV
specimens of micro- Microbiology –
organisms live or 1 hr.
attenuated vaccines,
human and animal cell
cultures used in
research and infectious
agents from research
and industrial
laboratories, wastes
from production of
biological, toxins,
dishes and devices used
for transfer of cultures.)
Category No. 3 Waste Sharps: (Needles, Disinfection
syringes, scaples, blades, (Chemical
glass etc. that may treatment / # I Year
cause puncture and autoclaving/ micro Nursing Foundation – 1
cuts. This includes both waving and hr.
used and unused mutilation/ Unit – III
sharps.) shredding **
Category No. 4 Discarded Medicines Incineration@/
and Cytotoxic Drugs : destruction and I year
(Wastes comprising of drugs disposal in Nursing Foundation –
outdated, contaminated secured landfills 1 hr.
and discarded medicines) Unit- III
Category No. 5 Soiled Waste: (items Incineration @
contaminated with blood autoclaving/ micro I Year
and body fluids including waving Nursing Foundation –
cotton, dressings, soiled 1 hr.
plaster casts, liners, Unit- III
bleedings and other
material contaminated
with blood)
Category No. 6 Liquid Waste : (Waste Disinfection by
generated from chemical treatment
laboratory and washing, and discharge into I Year)
cleaning, housekeeping drains Biochemistry
and disinfecting and Biophysics –
activities) 1 hr.
Unit III
Category No. 7 Chemical Waste : Chemical treatment
(Chemicals used in and discharge into I Year
production of biological, drains for liquids Biochemistry
chemicals used in and secured landfill and Biophysics –
disinfection, as for solids. 1 hr.
insecticides etc.) Unit III

# Chemical treatment using at least 1% hypo chloride

solution or any other equivalent chemical reagent. It must be ensured that
chemical treatment ensures disinfection.

** Mutilation / shredding must be such so as to prevent unauthorized reuse.

@ There will be no chemical pretreatment before incineration. Chlorinated plastics

shall not be incinerated.
* Deep burial shall be an option available only in towns with population less than
five lakhs and in rural areas.

1 b) COLOUR CODING AND TYPE OF CONTAINER FOR DISPOSAL OF

BIOMEDICAL WASTES

Colour Coding Type of Container Waste Category Treatment Options

Yellow Plastic bag Cat. 1, Cat. 2 and Incineration/ deep
Cat. 5 burial
Red Disinfected Cat. 2 and Cat. 5 Autoclaving/ Micro
container/ Plastic waving and
bag chemical treatment
Blue/ White Plastic bag/ Cat. 3 Autoclaving/ Micro
translucent Puncture proof waving /chemical
container treatment and
destruction/
shredding
Black Plastic bag Cat. 4 and Cat. 7 Disposal in secured
(solid) landfill

 Waste collection bags for waste types needing incineration shall not be made of
chlorinated plastics.
 Categories 6 and 7 (liquid) do not require containers/ bags.
 Category 2 if disinfected locally need not be put in containers/bags.

Examination
Note : One short answer or short essay questions pertaining to the above chapters
in their respective subjects may be asked
Books
I) Text book for Environmental Studies 2004 - Erach Bharucha University Grants
Commision, New Delhi.
II) Journal of the Indian Society of Hospital Waste Management - Dr. D.G.
Gopinath, Volume - 2, Issue - I, 2004.
III) Biomedical wastage (Management and handling) Rules 1998,
Ministry of Forests and Environment, Government of India.
IV) J. E. Park - Preventive & social medicine Ed. 18 M/S Banarsidas
Bhanot Jabalpur 2005
V) Potter and Perry - Fundamentals of Nursing ed. Sixth Mosby
St. Louis Missouri 2005

VI) Barbara Kozier - Fundamentals of Nursing ed. Fourth Addison

Wesley Canada 1991

VII) Text Book of Microbiology – Ananth Narayan ed. 7th Orient

Longman Chennai 2005