BSc-rguhs Nursing Syllabus-2006

1
Revised Ordinance Governing Regulations and Curriculum of

Basic B.Sc. Nursing Degree Course
2006
Volume I
REGULATIONS AND CURRICULUM
Rajiv Gandhi University of Health Sciences, Karnataka

4th ‘T’ Block, Jayanagar, Bangalore 560 041.
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Basic B.Sc. Nursing Degree Course and Curriculum - 2006
Volume I & Volume II
I Edition printed : 1997
II Edition printed : 1999
III Edition : 2006
Rs.
Copies may be obtained from :
The Director,
Prasaranga,
Rajiv Gandhi University of Health Sciences,
4th T Block, Jayanagar,
Bangalore 560 041.
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Rajiv Gandhi University of Health Sciences, Karnatakangalore, Ba
The Emblem
The Emblem of the Rajiv Gandhi University of Health Sciences is a symbolic expression of
the confluence of both Eastern and Western Health Sciences. A central wand with entwined
snakes symbolises Greek and Roman Gods of Health called Hermis and Mercury is adapted
as symbol of modern medical science. The pot above depicts Amrutha Kalasham of
Dhanvanthri the father of all Health Sciences. The wings above it depicts Human Soul
called Hamsa (Swan) in Indian philosophy. The rising Sun at the top symbolises knowledge
and enlightenment. The two twigs of leaves in western philosophy symbolises Olive
branches, which is an expression of Peace, Love and Harmony. In Hindu Philosophy it
depicts the Vanaspathi (also called as Oushadi) held in the hands of Dhanvanthri, which are
the source of all Medicines. The lamp at the bottom depicts human energy (kundalini). The
script “Devahitham Yadayahu” inside the lamp is taken from Upanishath Shanthi Manthram
(Bhadram Karnebhi Shrunuyanadev…), which says “May we live the full span of our lives
allotted by God in perfect health” which is the motto of the Rajiv Gandhi University of
Health Sciences.
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Bangalore
Vision Statement
The Rajiv Gandhi University of Health Sciences, Karnataka, aims at bringing about a
confluence of both Eastern and Western Health Sciences to enable the humankind “Live the
full span of our lives allotted by God in Perfect Health”
It would strive for achievement of academic excellence by Educating and Training Health
Professionals who
Shall recognize health needs of community,

Carry out professional obligations Ethically and Equitably and in keeping with
National Health Policy,
It would promote development of scientific temper and Health Sciences Research.
It would Encourage inculcation of Social Accountability amongst students, teachers and

institutions.
It would Support Quality Assurance for all its educational programmes
Motto
Right for Rightful Health Sciences Education
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(Schedule annexed to University Notification No. UA/SYN/ORD/B.Sc.(N)/32/2005-06 dated 08.08.2006)

2006
(as per Indian Nursing Council Guidelines of 2004)
CONTENTS
SECTION DESCRIPTION Page
No.
Section I Philosophy, Aims, Objectives 1
Section II Regulations 3
Section III Course Description 13
1. English 13
2. Kannada 15
3. Sociology (Course outline) 17
4. Anatomy 20
5. Physiology 24
6. Nutrition 28
7. Bio-chemistry 32
8. Nursing Foundations 36
9. Nursing Foundations – Practical 50
10. Psychology 57
11. Microbiology 60
12. Introduction to Computers 62
13. Sociology 64
14. Pharmacology 68
Section A 15. Pathology 73
Section B 16. Genetics 76
17. Medical Surgical Nursing-I 79
18. Medical Surgical Nursing-I Practical 91
19. Community Health Nursing - I 96
20. Community Health Nursing – I Practical 101
21. Communication & Educational Technology 102
22. Medical Surgical Nursing-II 106
23. Medical Surgical Nursing-II Practical 116
24. Child Health Nursing 123
25. Child Health Nursing - Practical 128
26. Mental Health Nursing 132
27. Mental Health Nursing - Practical 140
28. Midwifery and Obstetrical Nursing 144
29. Midwifery and Obstetrical Nursing – Practical 152
30. Community Health Nursing - II 156
31. Community Health Nursing - II Practical 161
32. Nursing Research and Statistics 163
33. Management of Nursing Services & Education 166
Annexure - I 34. Biomedical Waste Management 171
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SECTION I
Philosophy, Aims and Objectives

Philosophy
(Adapted from Indian Nursing Council)
Indian Nursing Council believes that:
Health is a state of well-being that enables a person to lead a psychologically, socially and
economically productive life. Health is a right of all the people. Individuals, Families and
communities have responsibility towards maintaining their health.
Nursing contributes to the health services in vital and significant way in the health care delivery
system. It recognizes national health goals and is committed to participate in the implementation of
National Health policies and programmes. It aims at identifying health needs of the people,
planning and providing quality care in collaboration with other health professionals and community
groups.
Scope of nursing practice encompasses provision of promotive, preventive, curative and

rehabilitative aspects of care to people across their life span in wide variety of health care settings.
Practice of nursing is based upon application of basic concepts and principles derived from the
physical, biological, and behavioural sciences, medicine and nursing.
Nursing is based on values of caring and aims to help individuals to attain independence in self
care. It necessitates development of compassion and understanding of human behaviour among its
practitioners to provide care with respect, dignity and protect the rights of individuals & groups.
Undergraduate nursing programme is broad based education within an academic framework

specifically directed to the development of critical thinking skills, competencies & standards
required for practice of professional nursing and midwifery as envisaged in National Health Policy
2002.
The teachers have the responsibility to be role models and create learning environment that enables
students to acquire inquiry driven, self directed learning and foster an attitude of life long learning.
Under graduate nursing education program prepares its graduates to become exemplary citizen by
adhering to code of ethics and professional conduct at all times in fulfilling personal, social and
professional obligations so as to respond to national aspirations.
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Aim
The aim of the undergraduate nursing program is to:
• Prepare graduates to assume responsibilities as professional, competent nurses and midwives
in providing promotive, preventive, curative, and rehabilitative services.
• Prepare nurses who can make independent decisions in nursing situations, protect the rights
and facilitate individuals and groups in pursuit of health, function in the hospital, community
nursing services, and conduct research studies in the areas of nursing practice. They are also
expected to assume the role of teacher, supervisor and manager in a clinical / public health
setting.
Objectives
On completion of the four year B.Sc. Nursing program the graduate will be able to:
1. Apply knowledge from physical, biological, and behavioural sciences, medicine
including alternative systems and providing nursing care to individuals, families and
communities.
2. Demonstrate understanding of life style and other factors, which affect health of
individuals and groups.
3. Provide nursing care based on steps of nursing process in collaboration with the
individuals and groups.
4. Demonstrate critical thinking skill in making decisions in all situations in all situations in
order to provide quality care.
5. Utilize the latest trends and technology in providing health care.
6. Provide promotive, preventive, and restorative health services in line with the national
health policies and programmes.
7. Practice within the framework of code of ethics and professional conduct, and acceptable
standards of practice within the legal boundaries.
8. Communicate effectively with individuals and groups, and members of the health team
in order to promote effective interpersonal relationships and teamwork.
9. Demonstrate skills in teaching to individuals and groups in clinical/community health
settings.
10. Participate effectively as members of the health team in health care delivery system.
11. Demonstrate leadership and managerial skills in clinical/community health settings.
12. Conduct need based research studies in various settings and utilize the research findings
to improve the quality of care.
13. Demonstrate awareness, interest and contribute towards advancement of self and of the
profession.
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(Schedule annexed to University Notification No. UA/SYN/ORD/B.Sc.(N)/32/2005-06 dated 08.08.2006)

Basic B.Sc. Nursing Degree Course - 2006
(as per Indian Nursing Council Guidelines of 2004, vide letter from the Secretary, INC, No. 12-
1/2004-INC dated 07.05.2005)
SECTION – II
REGULATIONS
1. Eligibility
1.1 Qualifying Examination
A candidate seeking admission to first Basic B.Sc. Nursing course:

i) shall have passed two years Pre University examination conducted by Department of Pre-
University Education, Karnataka State, with English as one of the subjects and Physics,
Chemistry and Biology as optional subjects. The candidate shall have passed subjects of
English, Physics, Chemistry and Biology individually and must have obtained a minimum
of not less than 50% marks in Physics, Chemistry, Biology and English (PCBE) taken
together in the qualifying examination. In respect of candidates belonging to Scheduled
Castes, Scheduled Tribes or Other Backward Classes, the marks obtained in Physics,
Chemistry, Biology and English taken together in qualifying examination be not less than
40% instead of 50% as above.
OR
ii) shall have passed any other examination conducted by Boards /Councils/ Intermediate
Education established by State Governments/ Central Government and recognised as
equivalent to two year Pre University examination by the Rajiv Gandhi University of Health
Sciences/Association of Indian Universities (AIU), with English as one of the subjects and
Physics, Chemistry and Biology as optional subjects and the candidate shall have passed
subjects of English, Physics, Chemistry and Biology individually and must have obtained a
minimum of not less than 50% marks in Physics, Chemistry, Biology and English taken
together in the qualifying examination. In respect of candidates belonging to Scheduled
Castes, Scheduled Tribes or Other Backward Classes, the marks obtained in Physics,
Chemistry, Biology and English taken together in qualifying examination be not less than
40% instead of 50% as above.
OR
iii) In case of candidates from the stream of Vocational Higher Secondary Course conducted by
the Board of Vocational Higher Secondary Examination, Kerala, the candidate shall have
taken a minimum of 5 (five) subjects including Physics, Chemistry, Biology and English in
addition to the vocational subject (vide RGUHS Notification No.
RGUHS/SEF/EC.B.Sc.Nsg/191/2005-06 dated 18.05.2006.) and shall have passed the said
examination in all the subjects individually and shall have obtained a minimum of not less
than 50% marks in Physics, Chemistry, Biology and English taken together in the qualifying
examination. In respect of candidates belonging to Scheduled Castes, Scheduled Tribes or
Other Backward Classes, the marks obtained in Physics, Chemistry, Biology and English
taken together in the qualifying examination be not less than 40% instead of 50% as above.
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1.2 Age: The candidate should have completed 17 years on or before 31st day of December of the
year of admission.
1.3 Candidate shall be medically fit.
2. Selection
Selection of the candidates should be based on the merit in the entrance examination held by
University or competent authority.
3. Duration of the Course
Duration of the course shall be four completed years including clinical training of 24 weeks.
4. Medium of Instruction
English shall be the medium of for the course as well as for the examination.
5. Course of Study
Candidates shall undergo course of instruction in the following subjects. Details of Subjects and
Distribution of Hours of Teaching in Theory and Practical from First to Fourth Year are given in the
Tables 1 to 4. Particulars of clinical training posting is given in Table 5.
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
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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
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
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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
• 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
Note:
1. Clinical training means 8 hours of integrated clinical duties in which 2 weeks of evening
and night shift duties are included
2 Clinical training should be carried out as 8 hours per day @ 48 hours per week
3. Students during Clinical training will be supervised by nursing teachers
4. Students will be eligible to appear in the Fourth year final examination only after
completion of Clinical training.
6. Attendance
A minimum of not less than 80 % attendance in theory and practical / clinical separately in each
subject in each academic year is essential for appearing in the examination. A candidate pursuing in
the course shall study in the college for the entire period as a full time student. No candidate is
permitted to work in a hospital / nursing home / laboratory / college while studying this course. No
candidate should join any other course of study or appear for any other examination conducted by
this university or any other university in India or abroad during the period of registration. Each
academic year shall be taken as a unit for calculating the attendance.
7 Internal Assessment
Regular periodic assessment shall be conducted throughout the course. Although the question of
number of tests is left to the institution at least three tests in theory and practical each year be held.
The test preceding the university examination may be similar to the pattern of university
examination. Average of the marks of the three tests for theory and practical separately shall be sent
to the university.
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A candidate shall secure not less than 50% of marks prescribed for internal assessment in theory
and not less than 50% marks prescribed in practical, separately, in each subject/paper to be eligible
to appear in the university examination.
8. Schedule of Examination
The university shall conduct two examinations annually at an interval of not less than 4 to 6 months
as notified by the university from time to time. A candidate who satisfies the requirement of
attendance, progress and conduct as stipulated by the university shall be eligible to appear for the
university examination. Certificate to that effect shall be produced from the Head of the institution
along with the application for examination and the prescribed fee.
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
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
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Practical and Viva Voce Internal University Total

2. Medical – Surgical Nursing - I 100 100 200
Third Year
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
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
Examination for Fourth Year Basic B.Sc. Nursing

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
6. Midwifery and Obstetrical 50 50 100
Nursing
7. Community Health Nursing 50 50 100
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9. Criteria for Pass: A candidate has to fulfill the following criteria:
For declaration of pass in any subject in the University examination, a candidate shall pass both
in Theory and Practical/Clinical examinations components separately as stipulated below:
The Theory component consists of marks obtained in University Written paper(s) and
internal Assessment (Theory). For a pass in theory, a candidate shall secure not less than
50% marks in aggregate i.e., marks obtained in written examination and internal
assessment (theory) added together. For a pass in practical/clinical examination, a
candidate shall secure not less than 50% marks in aggregate, i.e., marks obtained in
university practical /clinical examination and internal assessment (practical) added
together.
A candidate not securing 50% marks in aggregate in Theory or Practical/Clinical

examination in a subject shall be declared to have failed in that subject and is required to
appear for both Theory and Practical/Clinical again in the subsequent examination in
that subject.
However, for a pass in English paper, a candidate shall secure not less than 40% of maximum
prescribed marks in theory and 40% of maximum prescribed marks in internal assessment.
10. Declaration of Class: (Only in the final year examination)
a) A candidate having appeared in all the subjects in the same examination and passed that
examination in the first attempt and secures 75% of marks or more of grand total marks
prescribed will be declared to have passed the examination with distinction.
b) A candidate having appeared in all the subjects in the same examination and passed that
examination in the first attempt and secures 65% of marks or more but less than 75% of
grand total marks prescribed will be declared to have passed the examination in First Class.
c) A candidate having appeared in all the subjects in the same examination and passed that
examination in the first attempt and secures 50% of marks or more but less than 65% of
grand total marks prescribed will be declared to have passed the examination in Second
Class.
d) A candidate passing a university examination in more than one attempt shall be placed in
Pass class irrespective of the percentage of marks secured by him/her in the examination.
[Please note fraction of marks should not be rounded off for clauses (a), (b) and (c)]
11. Carry Over
1. A candidate failing in more then two subjects will not be promoted to the next year.
2. Candidate shall not be admitted to the subsequent higher examination unless the candidate
has passed in all the papers in the previous examination.
3. If a candidate fails in theory or practical exam in a paper in that paper he/she has to re-
appear for both in Theory and Practical.
12. Maximum number of attempts and maximum period for completion of the course
1. Maximum number of attempts permitted for each paper is three including first attempt.
2. The maximum period to complete the course successfully should not exceed eight years.
13. Award of degree

Must have 100 % attendance in each of the practical areas before award of degree.
14. Number of Examiners: One internal and one external examiner should jointly conduct
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practical / clinical examination for each student.
14. Eligibility of Examiner

1. To be eligible to be an examiner, one should have passed M.Sc (N) in concerned subject,
should have a minimum of three years teaching experience in a college of nursing and
should be holding a full time post of Lecturer or above.
2. To be an examiner for Nursing Foundations course, a teacher should have passed M.Sc
(N) in concerned subject, should have a minimum of three years teaching experience in a
college of nursing and should be holding a full time post of Lecturer or above
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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.
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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
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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

* 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
* Explain using chart, models and films
* Demonstrate muscular movements
* Record book
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Time Learning
(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

* 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

* 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
Applications and implications in nursing.
• Record book
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Time Learning
(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.

* 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
* 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

* 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

* Record book
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Time Learning
(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

* Record book
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Physiology
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
(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

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

* 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
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Time Learning
(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

* 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,

* Explain using Charts, films
* Demonstration of spirometry
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Time Learning
(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

* 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

* 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

* 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

* Explain using
Charts, films
* Demonstration of BMR
26
Time Learning
(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

* 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

* 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)

Total Marks 50
27
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
(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

* 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

* Explaining using charts
28
Time Learning
(Hrs) Objectives
Th Pr
III 2 * Describe the Fats
functions, * Caloric value
daily * Functions
allowances * Digestion, absorption and storage, metabolism
(RDA) of Fats * Malnutrition: Deficiencies and over consumption

IV 2 * Describe the Proteins
functions, * Caloric value
daily * Functions
allowances * Digestion, absorption, metabolism and storage
(RDA) of * Malnutrition: Deficiencies and Over consumption
Proteins
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

* Exercise
* Demonstration
29
Time Learning
(Hrs) Objectives
Th Pr
VI 4 * Describe the Vitamins
functions, * Recommended daily allowances
sources and * Dietary sources
recommended * Functions
daily * Absorption, synthesis, metabolism storage and excretion
allowances * Deficiencies
(RDA) of * Hypervitaminosis
Vitamins
VII 4 * Describe the Minerals
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
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

30
Time Learning
(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

* 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

* Lecture Discussion
* Explaining with
* Slide / Film shows
* Demonstration of Assessment of nutritional status
31
Biochemistry
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
(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

32
Time Learning
(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

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,

using charts
* Demonstration of
laboratory tests
33
Time Learning
(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

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 *nvestigations and their interpretation

* Lecture discussion using charts
* Demonstration of laboratory tests
34
Time Learning
(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.

* 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)

Total Marks 60
Distribution of Type of Questions and Marks for Biochemistry (40 marks)

Total Marks 40
35
Nursing Foundations
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
(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

* Visit to health care agencies
36
Time Learning
(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.

* 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

* Demonstration
* Lab Practice
* Supervised Clinical practice
37
Time Learning
(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.

* Role play and video film on the nurses interacting
with the patient
* Practice session on patient teaching
* Supervised Clinical Practice
38
Time Learning
(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

* Demonstration
* Exercise
39
Time Learning
(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

* Demonstration
* Practice Session
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:
40
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

* Demonstration
* 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

* Demonstration
* Practice on
stimulators
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

* Demonstration
41
Time Learning
(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
42
- 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
- Hazards associated with
immobility
- Alteration In body
- 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
43
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

44
* Demonstration
* Practice sessions
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

*Demonstration
* Practice session
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
45
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,
- Intra Venous: purpose, site, equipment,
- 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
46
considerations
Recording and reporting of medications
administered

*Demonstration
* Practice session
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

* 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
47
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.

* 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

* Demonstration
* Case
discussion/Role
play
* Practice session
* Supervised
Clinical practice
48
Time Learning
(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

49
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
50
* 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
51
* 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

52
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
53
• 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.
54
Scheme of University Examination for Nursing Foundations
Theory
type of questions and marks for Nursing Foundations shall be as given under.

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.
55
Psychology
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

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

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
56
and variability.
* Psychometric assessments of cognitive processes
* Alterations in cognitive processes
* Applications

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

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

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

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
57
defence * Ego Defence mechanisms and implications

mechanisms * Personal and social adjustments
* Guidance and counseling
* Role of nurse

* 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

* Demonstration
* Practice sessions
58
Microbiology
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

* 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
59
status of rate of infection in the unit/ hospital, nurse’s

accountability,
continuing education etc.

* 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

* 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

* Demonstration
* Clinical practice
60
Introduction to Computers
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.

* 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

* 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
61
* 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)

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.
62
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

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

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

* 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

63
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

* 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

* 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

* 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
64
* 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

* 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

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

* 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

* 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,
65
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

* 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

Total Marks 100
No Practical Examination.
66
Pharmacology
Time : Theory – 45 hours

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

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

67
* Drug study/ presentation
III 2 • Describe Pharmacology of commonly used antiseptics,
Antiseptics disinfectants and insecticides
disinfectants, • Antiseptics;
insecticides and • Disinfectants
nurse’s • Insecticides
responsibilities
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

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

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
68
responsibilitie Acidifiers and alkalanizers

s Composition, action, dosage, route, indications,

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
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
69
Anticonvulsants
Adrenergics
Noradregenics
Mood stabilizers
Acetylcholine
Stimulants

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
contraindi-cations, drug interactions, side effects,

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
70

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
71
Section A – Pathology
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

• 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
various Tuberculosis, Bronchitis, Pleural effusion and
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
72
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

• 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
assessment Hemoglobin
and RBC, White cell & platelet counts
monitoring of Bleeding time, clotting time and prothrombine
disease time
conditions Blood grouping and cross matching
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

• Demonstration
73
• 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

• 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

• Demonstration
74
Section B – Genetics
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)

• 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
75
• Infertility
• Spontaneous abortion
• Neural Tube Defects and the
role of folic acid in lowering
the risks
• Down syndrome (Trisomy 21)

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
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

V 5 • Describe • Lecture
Services related to Genetics
the role of Discussion
• Genetic testing
nurse in • 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

76
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)
Total Marks 50
Pathology and Genetics

Table 7 (C): Distribution of Type of Questions and Marks for Pathology (35 marks)
Long Essay (LE) - -
Total Marks 35
Table 7(D): Distribution of Type of Questions and Marks for Genetics (18 marks)
Long Essay (LE) - - -
Short Essay (SE) - - -
Total Marks 15
No practical examination.
77
Medical Surgical Nursing

(Adult including Geriatrics) – I

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

• Demonstration
• Practice session
• Supervised clinical practice
II 15 • Describe the Common signs and symptoms and management

common • Fluid and electrolyte imbalance
signs, • Vomitting
symptoms,
78
problems and • Dyspnea and cough, respiratory obstruction

their • Fever
• Specific • Shock
nursing • Unconsciousness, Syncope
interven- • Pain
tions • Incontinence
• Edema
• Age related problems – geriatric

• 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

• Explain using charts, graphs
• Models, films, slides
• Demonstration
• Case discussions/ Seminar
• Health education
79

• 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
Nursing procedures
Drugs used in treatment of disorders of digestive system

• Demonstration
• 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
80
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
81
Drugs used in treatment of blood and cardio vascular

disorders

• Demonstration
• Visit to blood bank
• Participation in blood donation camps
• Counselling
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,
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
genito- • Chronic renal failure
urinary • End stage renal disease
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

• Demonstration
82
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,
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
Nursing procedures
Drugs used in treatment of disorders of male reproductive
system

• Demonstration
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 –
83
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
• Demonstration
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
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
Nursing procedures
Drugs used in treatment of disorders of Integumentary
system

• Demonstration
84
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
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
Nursing procedures
Drugs used in treatment of disorders of musculoskeletal
system

• Demonstration
• Assess-ment of skills with check List
XI 10 • Describe the Nursing management of patient (adults including elderly)
85
etiology, with Immunological problems

patho- • Review of Immune system
clinical • Etiology,Pathophysiology, clinical manifestations,
manifesta- diagnosis, treatment modalities & medical, surgical,
tions, dietetics & nursing management of –
diagnostic • Immunodeficiency disorder
measures and • Primary immuno deficiency
mana-gement • Phagocytic dysfunction
of patients
• B-cell and T-cell deficiencies
(adults
• Secondary immuno-deficiencies
including
elderly) with • Acquired immunodefi-ciency syndrome (AIDS)
disorders of • Incidence of HIV & AIDS
musculo – • Epidemiology
skeletal • Transmission - Prevention of Transmission
system • Standard Safety precautions
• Role of Nurse; Counseling
• Health education and home care consideration
• National AIDS Control Program- NACO, various
national and international agencies
• Infection control program
• Rehabilitation
Nursing procedures
Drugs used in treatment of disorders of immunological
system

• Demonstration
• Orientation visit to Hospital Control system
XII 20 • Describe the Nursing management of patient (adults including elderly) with
etiology, Communicable Diseases
patho- • Overview of infectious disease, the infectious process
clinical • Epidemiology, infectious process, clinical manifes-
manifesta- tations, diagnosis, treat-ment, prevention and dietics.
tions, Control and eradication of common Communicable
diagnostic Diseases-
86
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
Nursing procedures
Drugs used in treatment of Communicable diseases

• Demonstration
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
87
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

• Explain using charts, graphs,
Models, films, slides
• Demonstration
88
Medical Surgical Nursing -I Practical

(Adult including Geriatrics)

Time : 720 hours
Areas Duration Objectives Skills Assignments Assessment

(in week) Methods
General 6 • Provide nursing • Assessment of the • Plan and give • Assess
Medical care to adult patient care to 3 - 4 performa-
Ward patients with Taking history assigned nce with
(*Respi- medical Perform general and patients rating scale
ratory, disorders specific physical • Nursing care • Assess each
GI,Endo- • Counsel and examination plan-2 skill with
crine, educate patients Identify alterations and • Nursing case checklist
Renal, and families deviations study/ • Evaluation
Hemo- • Practice medical presenta-tion of case
tology surgical asepsis- –1 study/pre-
standard safety • Drug pres- sentation
measures entation- 1 • Comple-tion
• Administer medications • Maintain of practical
Oral, IV, IM, drug book record
Subcutaneous • Maintain
• IV therapy Practical
IV canulation record book
Maintenance and
monitoring
• Oxygen therapy by
different methods
• Nebulization
• Chest physiotherapy
• Naso gastric feeding
• 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
89
• Counsel and teach

related to specific
disease conditions
General 6 • Provide pre and • Practice medical • Plan and give • Assess
Surgical post operative surgical asepsis- care to 3 - 4 performa-
Ward (GI, nursing care to standard safety assigned nce with
Urinary, adult patients measures patients rating scale
CTVS) with surgical • Pre operative prepa- • Nursing care • Assess each
disorders ration of patients plan-2 skill with
• Counsel and • Post operative care- • Nursing case checklist
educate patients Receiving pt, assess – study/ • Evaluation
and families ment, monitoring care presenta-tion of case
• Care of wounds and –1 study/pre-
drainage • Maintain sentation
• Suture removal drug book • Comple-tion
• Ambulation and of activity
exercise record
• Naso gastric aspiration
• Care of chest drainage
• Ostomy care
Gastrostomy
Colostomy
• Blood & component
therapy
• Practice universal
precautions
Cardiology 2 • Provide nursing • Physical examina-tion • Plan and give • Assess
ward care to patients of cardio vascular care to 2 - 3 performa-
with cardiac system Recording and assigned nce with
disorders interpreting ECG patients rating scale
• Counsel and • Monitoring of patients • Nursing care • Assess each
educate patients • Preparation and plan-1 skill with
and families assisting in non- • Nursing case checklist
invasive and invasive study/ • Evaluation
diagnostic procedures presenta- of case
• Administer cardiac tion/Health study/pre-
drugs talk – 1 sentation/he
• Cardio pulmonary • Maintain alth talk
Resuscitation drug book • Comple-tion
• Teach patients and of activity
families record
• Practice medical and
surgical asepsis –
Standard safety
measures
Skin & 1 • Identify skin • Assessment of patients • Plan and give • Assess
Commu- problems with skin disorders care to 2 - 3 performa-
nicable • Provide nursing • Assist in diagnostic and assigned nce with
diseases care to patients therapeutic procedures patients rating scale
Ward with skin • Administer topical • Health talk • Evaluation
90
disorders & medication /Counselling health talk

Communica-ble • Practice medical HIV positive /Counse-
diseases surgical asepsis – patients and ling session
• Counsel and Standard safety families –1 • Comple-tion
educate patients measures • Maintain of activity
and families • Use of personal drug book record
protective equipment
(PPE)
• Give medicated baths
• Counseling HIV
positive patients
• Teach prevention of
infectious diseases
Orthopaedi 2 • Provide nursing • Assessment of • Plan &give • Assess
c ward care to patients orthopaedic patients care to 2-3 performa-
with musculo - • Assist in application of assigned nce with
skeletal plaster cast and patients rating scale
disorders removal of cast • Nursing care • Evaluation
• Counsel and • Apply skin traction- plan-1 of nursing
educate patients buck’s extension • Nursing case care plan &
and families traction study/ nursing case
• Assist in application presenta-tion study
and removal of –1 /presenta-
prosthesis • Maintain tion
• Physiotherapy -Range drug book • Comple-tion
of motion exercises of activity
(ROM), muscle record
strengthe-ning
exercises
• Crutch maneuvering
technique
• Activities of daily
living
• Ambulation
• Teach and counsel
patients & families
Operation 6 • Identify • Scrubbing, gowning • Assist as a • Assess
Theatre instruments gloving circulatory performa-
used in • Identify instruments nurse in nce with
common suturing materials for • Major cases- rating scale
operations common operations 10 • Comple-tion
• Participate in • Disinfection, Carbo- • Minor cases of activity
Infection lization, fumigation –5 record
control • Preparation of • Assist as a
practices in the instrument sets for scrub nurse
Operation common operations in
Theatre • Sterilization of sharps • Major cases-
• Set-up the table/ and other instruments 10
trolleys for • Prepare the OT table • Minor cases
common depending upon the –5
91
operative operation • Maintain

procedures • Positioning and drug book
• Assist in giving monitoring of patients
anesthesia • Endotracheal intubation
• 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)

(in week) Methods
ICU, CCU, 2 • To gain • Assist in arterial • Arterial • Record
CARDIAC proficiency in puncture for blood gas puncture –5 book
OT ICU nursing analysis • Taking out • Checking
• Develop • Perform ECG and ECG stripe – with
advance skill in interpret accor-dingly. 5 supervisor
special • Conduct & analysis • Tracheal
procedures used pulse oximetry suction-5
in critical care • Care with artificial • For all
unit airway assigned
• Identify • Assist in endotra-cheal patients
potential intubation • Oxygen
problems and • Setting up ventilator administra-
provide • Giving care in tion by
accordingly ventilator CPAP mask
• Skill in setting • Drug sheet and use
and handeling • Observation of special Ambu bag.
ventilator procedure in OT. • Assessment
• Administer for all
injection in assigned
infusion pump patients
• Record • Nursing care
accurately in ventilator
findings and • Drug sheet
medications
• Develop IPR
with family
members
• Acquint with
OT technique
Neuro ICU, 2 • Develop skill in • Assess neurological • Assess-ment • Record
ITU, OT neurological status for all book
assessment • Implement care to head assigned • Observa-
• Give care to the injury spinal injury patients tion
92
pt with head patients • Nursing care checklist

injury and • Drug sheet plan-2
spinal injury • Pre and postopera-tive • Drug sheet
• Care with chest care with neuro surgery
surgery and patients
cranial surgery
Burns & 2 • Assess the • Nursing care
plastic severity of
Reconstruc burns
tive • Administer
surgery rehydration
therapy
• Observe
reconstru-ctive
surgery
OT Lapro – 3 • Identify • Assist - 5 • Record
scopic instruments cases 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
93
Community Health Nursing – I

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

• 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
94
Self reliance
Dietary pattern
Education
Occupation
• Financial Management
Income
Budget
Purchasing power
Security

• 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

•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
95
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

• Explain using Charts, graphs
• Seminar
• Supervised field practice - health centers, clinics and
homes
• Group projects/ Health education
96
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

• 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 demographic data
• Describe • Demographic rates and ratios
methods of
data Teaching learning Activities
collection, • Lecture discussion
analysis &
• Community identification survey
interpreta-
• Assessment of survey report
tion of
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
97
Methods : spacing (natural, biological, chemical,

mechanical methods etc)
Terminal : surgical methods
Emergency contraception

• Population survey
• Counseling
• Demonstration
• Supervised field practice
• Assessment of survey report
98
Community Health Nursing I – Practical

Time : Practical – 135 hours
Durati Assessment
Areas on (in Objectives Skills Assignments methods
week)
Commu- 2 wks • Build and • Use techniques of inter- • To work • Assess
nity health urban Maintain personal relationship with 2 clinical per-
nursing and 2 rapport • Identification of health assigned formance with
wks • Identify determinants of community families rating scale
rural demogra-phic • History taking each in • Assess each
chara- • Physical examination urban & skill with
cteristics, • Collect specimens- sputum, rural checklist
health deter - malaria smear • Family • Evaluation of
minants & • Perform simple lab tests at study –1 family study,
community centre - blood for • Observa- observation
health Haemoglobin and sugar, tion report report and
resources urine for albumin and sugar of comm- health talk
• Diagnose • Administer vaccines and unity – 1 • Completion of
health needs medications to adults • Health talks activity record
of individual • Counsel and teach 2 (1 in urban
and families individual, family and & in rural)
• Provide community
primary care Nutrition
in health Hygiene
centre Self health monitoring
• Counsel & Seeking health services
educate Healthy life style
individual, Family welfare methods
family & Health promotion
community
99
Communication & Educational Technology

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
• 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

• Sociometry
• Group games
100
• 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

• 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

• 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

101
• 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

• 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

• 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
102
• Assess the stra-tegies used in practice teaching

sessions and exercise sessions

• Plan & conduct health educa-tion sessions for
individuals, group & communities
• Assess the planning & conduct of the educa-tional
session
103
Medical Surgical Nursing

(Adult including Geriatrics) – II
Placement : Third Year

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.

• Demonstration
104

• 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

• Demonstration
• Visit to eye bank
• Participation in eye-camps
• Assessment of patient management problem
105
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 :
o Meningitis, Encepha-litis, Brain abscess,
neurocysticercosis
• Movement disorders
o Chorea
o Seizures
o Epilepsies
• 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
o Delirium
o Dementia
o Alzheimer’s disease
o Parkinson’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

106
• Demonstration
• Visit to rehabilitation centre
• 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
• Ovarian and fallopian tube disorders; infections, cysts,
reproductive
tumours
health &
family • Uterine & cervical disorders; Endometriosis, polyps,
welfare Fibroids, Cervical & uterine tumours, uterine displacement,
programme Cystocele/ Urethrocele/Rectocele
• 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
107
Drugs used in treatment of gynaecological disorders

National family welfare programme

• Demonstration
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 o Psycho social aspects
Nursing procedures
Drugs used in treatment of Burns, reconstructive and cosmetic
surgery

• Demonstration
VI 10 • Describe the Nursing management of patients with oncological

108
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
o Psycho social aspects
• Nursing procedures

• Demonstration
VII 10 • Describe Nursing management of patient in Emergency & Disaster

organiza-tion situations
of emergency Disaster Nursing :
109
& 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
110
• Role of the nurse; Communication & Inter personal

Relations
• Medico-Legal Aspects;

• Demonstration
• Disaster management Drills
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

111
• Demonstration
• Visit to old age home
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

• Demonstration
• Role plays
• Counseling
X 8 • Describe the Nursing management of patients adults including elderly

112
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
113
Medical Surgical Nursing – II Practical

(Adult and Geriatrics) – II
Time : Theory – 120 hrs
Practical – 270 hrs

Clinical Training – 430 hrs
Durati
Areas on (in Objectives of Skills to be developed Assignments Assessment
wks) Posting methods
ENT 1 • Provide • Perform examination • Provid • Assess

care to of ear, nose and throat e care each
patients • Assist with diagnostic to 2-3 skill
with procedures assign with
ENT • Assist with therapeutic ed checklist
disorder procedures patient • Assess
s • Instillation of drops s perform
• Counsel • Perform/assist with • Nursin ance
and irrigations g care with
educate • Apply ear bandage plan -1 rating
patient • Perform tracheostomy • Observ scale
and care ation • Evaluati
families • Teach patients & reports on of
families of observat
OPD ion
• Mainta report of
in drug OPD
book • Complet
ion of
activity
record
Ophtha- 1 • Provide • Perform examination • Provid • Assess
mology care to of eye e care each
patients • Assist with diagnostic to 2-3 skill
with Eye procedures assign with
disorder • Assist with therapeutic ed checklist
s procedures patient • Assess
• Counsel • Perform/assist with s perform
and irrigations • Nursin ance
educate • Apply eye bandage g care with
patient • Apply eye drops/ plan -1 rating
and ointments • Observ scale
families • Assist with foreign ation • Evaluati
body removal reports on of
• Teach patients & of observat
families OPD ion
& Eye report of
114
bank OPD
• Mainta /Eye
in drug bank
book • Complet
ion of
activity
record
Neurology 2 • Provide • Perform Neurological • Provid • Assess
care to • Examination e care each
patients • Use Glasgow coma to skill
with scale assign with
neurolog • Assist with diagnostic ed 2-3 checklist
ical procedures patient • Assess
disorder • Assist with therapeutic s with perform
s procedures neurol ance
• Counsel • Teach patients & ogical with
and families disord rating
educate • Participate in ers scale
patient rehabilitation program • Case • 3.Evalua
and study/ tion of
families case case
presen study &
-tation health
–1 teaching
• Mainta • Complet
ins ion of
drug activity
book record
• Health
Teachi
ng-1
Gyne- 1 • Provide • Assist with • Provid • Assess
cology care to gynecological e care each
ward patients • Examination to 2-3 skill
with • Assist with diagnostic assign with
gynecol procedures ed checklist
ogical • Assist with therapeutic patient • Assess
disorder procedures s perform
s • Teach patients families • Nursin ance
• Counsel • Teaching self Breast g care with
and Examination plan -1 rating
educate • Assist with PAP smear • Mainta scale
patient collection in drug • Evaluati
and book on of
families care
plan
• Complet
ion of
activity
record
115
Burns 1 • Provide • Assessment of the • Provid • Assess

Unit care to burns patient e care each
patients o Percentage of burns to 1-2 skill
with o Degree of burns assign with
Burns • Fluid & electrolyte ed checklist
• Counsel replacement therapy patient • Assess
and o Assess s perform
educate o Calculate • Nursin ance
patient o Replace g care with
and o Record intake/output plan -1 rating
families • Care of Burn wounds • Observ scale
o Bathing ation • Evaluati
o Dressing reports on of
• Perform active & of care
passive exercises Burns plan and
• Practice medical & unit observat
surgical asepsis ion
• Counsel & Teach report
patients and families • Complet
• Participate in ion of
rehabilita-tion program activity
record
Onologly 1 • Provide • Screen for common • Provid • Assess
Unit care to can-cers-TNM e care each
patients classification to 2-3 skill
with • Assist with diagnostic assign with
Cancer procedures ed checklist
• Counsel o Biopsies patient • Assess
and o Pap smear s perform
educate o Bone-marrow • Nursin ance
patient aspiration g care with
and • Breast examination plan -1 rating
families • Assist with therapeutic • Observ scale
procedures ation • Evaluati
• Participates in various report on of
modalities of treatment of care
o Chemotherapy cancer plan and
o Radiotherapy unit observat
o Pain management ion
o Stomaltherapy report
o Hormonal therapy • Complet
o Immuno therapy ion of
o Gene therapy activity
o Alternative therapy record
• Participating palliative
care
patients families
o Self Breast
Examination
116
o Warning signs
• Participate in rehabili-
tation program
Critical 2 • Provide • Monitoring of patients • Provid • Assess
care unit care to in ICU e care each
critically • Maintain flow sheet to 1 skill
ill • Care of patient on assign with
patients ventilators ed checklist
• Counsel • Perform Endotracheal patient • Assess
patient suction • Observ perform
and • Demonstrates use of ation ance
families ventilators, cardiac report with
for grief monitors etc. of rating
and • Collect specimens and Critica scale
bereave interprets ABG l care • Evaluati
ment analysis unit on of
• Assist with arterial • Drugs observat
puncture book ion
• Maintain CVP line report
• Pulse oximetry • Complet
• CPR – ALS ion of
activity
• Defibrillators
record
• 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 “triage” • Observ • Assess
Emergenc care to • Assist with assessment, ation perform
y patients examination, investiga- report ance
in tions & their interpreta- of with
emergen tions, in emergency & Emerg rating
cy and disaster situations ency scale
disaster • Assist in unit • Evaluati
situation documentations on of
• Counsel • Assist in legal observat
117
patient procedures in ion

and emergency unit report
families • Participate in managing • Complet
for grief crowd ion of
and • Counsel patient & activity
bereave families in grief and record
ment 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)
118
Scheme of University Examination for Medical Surgical Nursing
Theory
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,

Total Marks 100

Internal Assessment Unjversity Total
Examination
Medical - Surgical Nursing- II 50 50 100
One internal and one external examiner should jointly conduct practical /clinical examination for
each student.
119
Child Health Nursing

Time : Theory - 90 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
120
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
121
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
and
manag • Clinical practice
122
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
• Common communicable diseases in children, their
childh
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
• 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
123
& mentally & physically, socially challenged

welfar • Assessment of field visits and study reports
e
service
s for
challe
nged
childre
n
124
Child Health Nursing – Practical

Time : 270 hours (9 Weeks)
Fourth Year
Clinical Training: 145 hours (3 Weeks)
Areas Duratio Objectives Skills Assignments Assessment

n (in Methods
weeks)
Paediatric 3 • Provide • Taking paediatric • Give care • Assess clinical
Medicine nursing History to three performance
ward care to • Physical examination assigned with rating
children and assessment of paediatric scale
with children patients • Assess each
various • Administer of oral, I/M • Nursing skill with
medical & IV medicine/fluids Care Plan checklist
disorder • Calculation of fluid –1 OSCE/ OSPE
s requirements • Case • Evaluation of
• Counsel • Prepare different study/pres case
and strengths of I.V. fluids entations- study/presentati
educate • Apply restraints 1 on & Health
parents • Administer O2 • Health education
inhalation by different Talk -1 session
methods • Completion of
• Give baby bath Feed activity record
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, prepare and • Give care • Assess clinical
Surgery nize administer I/V fluids to three performance
Ward differe • Do bowel wash assigned with rating
nt • Care for ostomies : paediatric scale
pediatr o Colostomy irrigation surgical • Assess each
ic o Ureterostomy patients skill with
surgica • Nursing checklist
125
l o Gastrostomy Care Plan OSCE/ OSPE

conditi o Enterostomy –1 • Evaluation of
ons/ • Urinary • Case case
malfor catheterization study/pres study/presentati
ma- and drainage entation-1 on
tions • Feeding • Completion of
• Provid o Naso- activity record
e pre gastric
and o Gastro
post stomy
operati o Jejunos
ve care tomy
to • Care of surgical
childre wounds
n with o Dressi
comm ng
on o Suture
paediat remova
ric l
surgica
l
conditi
ons/
malfor
mation
• Couns
el and
educat
e
parents
Pediatric 1 • Perfor • Assessment of • Develop • Assess clinical
OPD/ m children mental performance
Immunizatio assess o Health study -1 with rating
n room ment assessment scale
of o Developmenta • Completion of
childre l assessment activity record
n: o Anthropometri
Health c assessment
, • Immunization
Develo • Health/Nutritional
pment Education
al and
Anthro
po-
metric
• Perfor
m
Immun
ization
• Give
Health
126
Educat
ion
/Nutritional
Education
Pediatric 1+1 • Provid • Care of a baby in • Nursing • Assess clinical
medicine e incubator/warmer care plan 1 performance
and surgery nursin • Care of a child on • Observa with rating
ICU g care ventilator tion report 1 scale
to • Endotracheal suction • Completion of
critical • Chest physiotherapy activity record
ly ill • Administer fluids • Evaluation of
childre with infusion pump observation
n • Total parenteral report
nutrition
• Phototherapy
• Monitoring of babies
• Cardio Pulmonary
resuscitation
Clinical Training
Duration (in
Area Objective Skills Assessment Methods
weeks)
Pediatric 1 • Provide comprehensive • Integrat • Assess clinical
medicine care to children with ed performance with
ward/ICU medical conditions Practice rating scale
Pediatric 1 • Provide comprehensive • Integrat • Assess clinical
Surgery care to children with ed performance with
ward/ICU surgical conditions Practice rating scale
NICU 1 • Provide intensive care • Integrat • Assess clinical
to neonates ed performance with
Practice rating scale
Scheme of University Examination for Child Health Nursing
Theory
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

Total Marks 100

Internal Assessment University Total
Examination
. Child Health Nursing 50 50 100
127
each student.
128
Mental Health Nursing


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
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
129
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
130
status
• Demonstration
• 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

• Demonstration
• Group work
VI 5 • Describe Nursing management of patient with Schizophrenia,
the and other psychotic disorders
etiology, • Classification: ICD
131
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,
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
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
disorders
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
132
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
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
a-tions, patients with Personality, Sexual & Eating disorders
and
manage- Teaching Learning Activities
ment of • Lecture discussion
patients • Case discussion
with • Case presentation
personali
ty,
133
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
a-tions, organic brain disorders
and
manage- Teaching Learning Activities
ment of
organic • Lecture discussion
brain • Case discussion
disorders • Case presentation
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,
134
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

• Demonstration
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

• 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.

• Clinical/ field practice
• Field visits to mental health service agencies
• Assessment of field reports
135
136
Mental Health Nursing – Practical

Time : Practical - 270 hours (9 Weeks)
Fourth Year Clinical Training - 95 hours (2 Weeks)

(in week) Methods
Psychia- 1 • Assess • History taking • History • Assess
tric OPD patient • Perform mental status taking perfor
s with examination (MSE) and mance
mental • Assist in Psychometric mental with
health assessment status rating
proble • Perform Neurological examinat scale
ms examination ion – 2 • Assess
• Obser • Observe and assist in • Health each
ve & therapies education skill
assist • Teach patients and -1 with
in family members • Observati checkl
therapi on report ist
es of OPD • Evalua
• Couns tion of
el & health
educat educat
e ion
patient • Assess
,& ment
familie of
s observ
ation
report
• Compl
etion
of
activit
y
record
Child 1 • Assess • History taking • Case • Assess
Guidance ment • Assist in psychometric work – 1 perfor
clinic of assessment • Observati mance
childre • Observe and assist in on report with
n with various therapies of rating
variou • Teach family and different scale
s significant others therapies • Assess
mental -1 each
health skill
proble with checklist
ms • Evalua
• Couns tion of
137
el and the
educat observ
e ation
childre report
n,
familie
s&
signifi
cant
others
Inpatient 6 • Assess • History taking • Give care • Assess
ward patient • Perform mental status to 2-3 perfor
s with examination (MSE) patients ma-
mental • Perform Neurological with nce
health examination various with
proble • Assist in psychometric mental rating
ms assessment disorders scale
• To • Record therapeutic • Case • Assess
provid communication study-1 each
e • Administer medications • Care skill
nursin • Assist in Electro- plan-2 with checklist
g care convulsive therapy • Clinical • Evalua
for nb(ECT) Presentation - 1 tion of
patient • Participate in all • Process the
s with therapies recordin case
variou study,
• Prepare patients for g2
s
Activi-ties of Daily • Maintai care
mental health n drug plan,
living (ADL)
problems clinica
• Conduct admission and book
• Assist discharge counseling l
in presen
variou tation,
patients and families
s proces
therapi s
es record
• Couns ing
el & • Compl
educat etion
e of
patient activit
s, y
familie record
s&
signifi
cant
others
Commu- 1 • To • Conduct case work • Case • Assess
nity identif • Identify individuals work – 1 perfor-
Psychiatry y with mental health • Observa- mance
patient problems tion with
s with • Assists in mental health report on rating
138
variou camps and clinics field scale

s • Counsel and Teach visits • Evalua
mental family members, tion of
disord patients and community case
ers work
• To and
motiva observ
te ation
patient report
s for • Compl
early etion
treatm of
ent activit
& follow up y
• To record
assist
in
follow
up
clinic
• Couns
el and
educat
e
patient
,
family
and
community
Clinical Training
Area Duration Objective Skills Assessment Methods

Psychiatry 2 weeks Provide comprehensive care • Integrated • Assess clinical
ward to patients with mental health Practice performance with
problems rating scale
139
Scheme of University Examination for Mental Health Nursing
Theory
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

Total Marks 100

Internal University Total
Mental Health Nursing 50 50 100
each student.
140
Midwifery and Obstetrical Nursing

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
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

• 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,
141
o Foetal circulation, foetal skull, bones, sutures and

measurements
• Review of Genetics

• 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
142
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

• Demonst-ration
• Case discussion/ presentation
• Health talk
• Counseling session
• Supervised Clinical practice
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
143
- 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

• Demonst-ration
• Simulated practice
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
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
144
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
• Demonst-ration
• Practice Session
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

• Demonstrate using video films, scan reports, photo
graph etc
• Health talk
145

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

• Demonstration
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
146
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
• Role of national, international & voluntary
welfare
organizations
program
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)
147

• Demonstration
• Assessment of field visits and project reports
148
Midwifery and Obstetrical Nursing – Practical

Placement: Third Year & Fourth Year
Time: Practical - 180 hours each in Third year & Fourth Year
Areas Duratio Objectives Skills Assignments Assessment

n (in Methods
week)
Antenata 2 • Assessment • Antenatal history taking • *Conduct • Verification
l clinic/ of pregnant • Physical examination Antenatal of findings
OPD women • Recording of Weight & B.P. • Examination of Antenatal
• Hb & Urine testing for sugar s 30 examination
and albumin • Health talk s
• Antenatal examination- –1 • Completion
abdomen and breast • Case book of casebook
• Immunization recordings recordings
• Assessment of risk status
• Teaching antenatal mothers
• Maintenance of Antenatal
records
Labour 4 • Assess • Assessment of women in • * Conduct • Assessment
room women in labour normal of clinical
O.T. labour • Pervaginal examinations & deliveries- performance
• Carry out interpretation 20 with rating
per-vaginal • Monitoring & caring of • * Pervaginal scale
examinations woman in labour examination • Assessment
• Conduct • Maintenance of partograph s-5 of each skill
normal • Conduct normal delivery • * Perform & with
deliveries • Newborn assessment & suture the checklists
• Perform immediate care epi - • Completion
episiotomy • Resuscitation of newborns siotomies-5 of case book
& suture it • Assessment of risk status of • Resuscitate recordings
• Resuscitaten newborn newborns-5
ewborns • Episiotomy & suturing • * Assist
• Assist with • Maintenance of labour & with
Caesarean birth records Caesarean
Sections, • Arrange for & assist with sections-2
MTP and Caesarean section and care • * Witness
other for woman & baby during abnormal
surgical Caesarean deliveries-5
procedures • Arrange for and assist with • Assist with
MTP and other surgical MTP &
procedures other
surgical
procedures-
1
• Case book
recordings
149
Post 4 • Providing • Examination and assess-ment • * Give care • Assessment

natal nursing care of mother and baby to Post natal of clinical
ward to post natal • Identification of deviations mothers - 20 performance
mother & • Care of postnatal mother and • Health talks • Assessment
baby baby –1 of each skill
• Counsel & • Perineal care • Case study – with
teach mother • Lactation management • Case pre- checklists
& family for • Breast feeding sentation -1 • Completion
parenthood • Baby bath • Case book of case book
• Immunization, recordings recording
• Teaching postnatal mother: • Evaluation
o Mother craft of case study
o Post natal care & &
o Exercises presentation
o Immunization and health
education
sessions
Newborn 2 • Provide • Newborn assessment • Case study- • Assessment
nursery nursing care • Admission of neonates 1 of clinical
to newborn • Feeding of at risk neonates • Observation performance
at risk o Katori spoon, paladi, tube study -1 • Assessment
feeding, total parenteral of each skill
nutrition with
• Thermal management of checklists
neonates-kangaroo mother • Evaluation
care, care of baby in of and
incubator observation
• Monitoring and care of study
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 technique • * IUD • Assessment
Planning tion and provide • Insertion of IUD insertion -5 of each skill
clinic from family • Teaching on use of family • Observation with
post welfare planning methods study -1 checklists
natal services • Arrange for & Assist with • Counselling • Evaluation
ward 1 family planning operations -2 of and
wk • Maintenance of records and • Simulation observation
150
reports exercise on study

recording &
reporting - 1
* 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 comprehensive • Integra • Complet • Assess
ward care to mothers and ted ion of clinical
1 neonates Practic other performanc
Neonatal e essential e with
intensive require rating scale
care unit/ 2 ments • Completion
NICU • 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
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,

151

Total Marks 100

Midwifery and Obstetrical Nursing 50 50 100
152
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

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

* 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
153
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

* 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)
154
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

* 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

155
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

* 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
156
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

* 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.

* Field Visits
157
Community Health Nursing – II – Practical

Placement : Fourth Year
Time: Practical - 135 hours
Durat-
Assessment
Areas ion(in Skills Assignments
Objectives Methods
week)
Commu- 1 wk. * Identify * Community Health Survey * Community * Assess
nity health for Community Profile * Community diagnosis survey report-1 clinical
nursing Urban * Identify prevalent * Family care: Home * Family care performance
4 wk for communicable and adaptation of common study-1 with rating
Rural non-communicable procedures * Project – 1 scale
diseases * Home visit: bag technique * Health talk -1 * Evaluation of
* Diagnose health * Organize and conduct * Case book community
needs of individual, clinicls – antenatal, postnatal, recording survey report,
families and well baby clinic, camps etc. family care
community * Screen manage and referrals study, project
* Plan, provide and for: and health talk
evaluate care o High risk mothers and * Completion of
* Participate in neonates activity record.
School Health o Accidents and * Completion of
Program emergencies case book
* Participate in o Illness : Physical and recording
National Health mental
programs o Disabilities
* Organize group * Conduct delivery at
for self help and centre/home: Episiotomy and
involve clients in suturing
their own health * Resuscitate new born
activities * School Health programme
* provide family o Screen, manage, refer
welfare services children
* Counsel and * Collaborate with health and
educate individual, allied agencies
family and * Train and supervise health
community workers
* Collect vital * Provide family welfare
health statistics services: Insertion of IUD
* Maintain records * Counsel and teach
and reports 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
158
* Document and maintain

o Individual, family and
administrative records.
o Write reports-center,
disease, national health
programme/projects
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
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
Total Marks 100

Community Health Nursing 50 50 100
159
Nursing Research and Statistics

Placement: Fourth Year
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
* 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

* 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

* 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
160
and designs * Qualitive and quantitative designs

* 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

* 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

* 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
* 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
161
findings o Verbal report

o Writing research report
o Writing scientific article/paper
- Critical review of published research
- Utilization of research findings

* 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)
Total Marks 65
Table 9(C): Distribution of Type of Questions and Marks for Statistics (35 marks)
Long Essay (LE) - -
Total Marks 35
No Practical examination.
162
Management of Nursing Services and Education

Placement: Fourth Year
Time: Theory - 90 Hours

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
(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

* 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),

* 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
163
* 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
* Material Management; procurement, inventory
control, auditing and maintenance in
o Hospital and patient care units
* 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

* 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
164
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

* 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

* 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
165
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.

* 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

* Case discussion
* Panel discussion
* Role plays
* Critical incidents
166
* 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.

* Review / Presentation of published articles
* Group work on maintenance of bulletin board.
Scheme of University Examination for Management of Nursing Services and Education
Theory
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

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
167
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
168
# 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,

169
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
170

2006
Volume II
CUMULATIVE RECORD OF CLINICAL EXPERIENCE

4th ‘T’ Block, Jayanagar, Bangalore 560 041.
171

Basic B.Sc. Nursing Degree Course and Curriculum - 2006
Volume I & Volume II
I Edition printed : 2000
II Edition printed : 2006
Rs.
Copies may be obtained from :
The Director,
Prasaranga,
Rajiv Gandhi University of Health Sciences,
4th T Block, Jayanagar,
Bangalore 560 041.
172

2006
(as per Indian Nursing Council Guidelines of 2004)
CONTENTS
DESCRIPTION Page
No.
Foreword i
The Nightingale Pledge ii
Certificate iv
General Objectives: 1
Instructions for Use of Procedure Record 2
I year Basic B.Sc Nursing
Nursing Foundations 3
II year Basic B.Sc Nursing
- Medical Surgical Nursing – I 9
- Community Health Nursing – I 13
- Clinical Evaluation Form for Community Health 15
Nursing - I
III Year Basic B.Sc Nursing
- Midwifery Including Maternity & Gynaecological 20
Nursing – I
- Medical Surgical Nursing – II 22
- Child Health Nursing 24
- Mental Health Nursing 27
Nursing Education 29
IV Year Basic B.Sc Nursing
- Midwifery Including Maternity & Gynaecological 31
Nursing-II
- Community Health Nursing – II 34
- IV Year Nursing Administration 36
- Clinical Evaluation Form for Community Health Nursing - II 38
Clinical Posting 40
173
BASIC B.SC NURSING CUMALATIVE / CLINICAL RECORD

I Year Basic B.Sc. Nursing
NURSING FOUNDATIONS
Sl. NURSING PROCEDURES Class Room/Lab Clinical Demonstration by

No Demonstration Student
Date Signature Date Signature of

of teacher the supervisor
1. Universal Precautions
a) Hand Washing
Medical
Surgical
b) Use of Mask
c) Use of gloves
d) Use of Gown
e) Disposal of waste
2. Bed Making
a) Unoccupied Bed
b) Occupied Bed
c) Operation Bed
d) Fowler’s Bed / Cardiac Bed
e) Open Bed
f) Amputation / Divided Bed
g) Fracture bed
h) Burn’s Bed
3. Vital Signs
a) Temperature
Oral
Axillary
Rectal
b) Pulse
c) Respiration
d) Blood Pressure
4. Admission
a) Prepare Unit for a new Patient
b) Perform admission procedures
5. Discharge Preparation
a) Planned discharge
b) Abscond
c) Leaving against medical advice
d) Referrals
e) Transfer
6. Positions:
a) Dorsal recumbent
b) Lateral ( Rt / Lt)
c) Flowers
d) Prone
e) Sims
174


f) Trendelenburg
g) Lithotomy
7. Comfort Devices
a) Extra Pillows
b) Back rest
c) Cardiac Table
d) Sand Bag
e) Bed Cradle
f) Trochanter rolls
g) Cotton rings and hand rolls
h) Air cushion
i) Water & Air mattress
j) Foot End Elevator
8. Safety Devices
a) Restraints
b) Protective Padding
c) Side rails
9. Hygienic Needs
a) Oral hygiene
b) Bed bath & Perineal care
c) Assisted bath
d) Back care
e) Hair care
f) Bed Shampoo or Hair wash
g) Pediculosis treatment
10. Nutritional Needs:
a) Naso-gastric tube
Insertion
Aspiration
b) Tube Feeding
c) Gastrostomy feeding
d) Parenteral feeding
11. Elimination Needs
a) Giving and removing Urinal
b) Giving and removing bed pan
c) Urinary Catheterization
d) Urinary Catheter care
e) Condom drainage
f) Bladder irrigation
g) Insertion of flatus tube
h) Insertion of suppository
i) Bowl Wash
175


12 Collection and Observation
of Specimen
a) Urine Routine
Culture
24Hours
b) Stool or faeces
Routine
Culture
c) Blood
Routine
Culture
Peripheral smear – sugar –
strip / glucometer
d) Vomitus
e) Throat swab
f) Urine Test
Reaction
Specific Gravity
Albumin
Sugar – Strip / Urometer
13. Mobility & Exercise
a) Range of motion exercises
b) Changing position of helpless
patient
c) Transferring from bed to wheel
chair, trolley and back
d) Deep breathing and coughing
exercises
e) Chest Physiotherapy
i) Helping the patient with use
of crutches and walker
14. First Aid and Bandaging
a) First aid for shock
b) First aid for fracture
Application of Splints
Application of Slings
c) First aid in haemorrhage
d) First aid in other emergencies
e) Basic cardio pulmonary
resuscitation
f) Bandaging
Simple Spiral
Reverse spiral
Figure of eight
Spica
176


Head / capline
Eye, Ear, Jaw, Finger, Elbow,
Knee
Use of triangular bandage
Use of binders
15. Therapeutic Measures
a) Hot and Cold applications
Hot water bag
Sitz bath
Cold Compress Ice cap
Tepid sponge
b Oxygen administration
Nasal Canula
Nasal Catheter
Mask, tent, hood
c) Medications
Oral
Intradermal injection
Subcutaneous injection
Intra muscular
d) Assisting in intra venous
injection
e) Assisting in intra venous
infusion
f) Assisting in blood transfusion
g) Administration of topical
applications
h) Steam inhalation
i) Nebulization
j) Instillation of drops
Eye
Ear
Nose
k) Irrigation
Eye
Ear
16. Pre & Post Operative Care
a) Skin Preparation for Surgery-
Local
b) Preparation of Post operative
Unit
c) Pre & Post operative teaching
and Counselling
d) Pre & Post operative
monitoring
177


e) Care of the wound
Dressings
Suture care
Care of the drainage
17. Care of Dying Patient
a) Terminal care of the patient
b) Care of the body after death
18. Nutrition
a) Therapeutic or Modified Diet
Bland Diet
Salt restricted
Diabetic diet
High Calorie
High Protein
7 b) Diet planning for any age
group
Weaning diet
Diet for pregnant mother
Diet for lactating mother
Fluid diet
c) Preparation for recipes
Barely water
Albumin water
Lime water
Egg flip
Dhal soup
Vegetable soup
Butter milk
Toast
Porridge
Salads
Jelly
Arrow root
Boiled egg
Custard egg
Scrambled egg
Steamed egg
Steamed fish
REQUIREMENTS:
Care Plans : 5
Demonstration of Physical examination : 2
Health Talk : 1
178
Remarks:
Signature of the teacher B.Sc Nursing Clinical Experience – Evaluation Proforma
NURSING FOUNDATIONS – PRACTICAL
Name: Ward:
Date: Total Marks: 25X4 = 100
KEY: 1.Unsatisfactory 2. Satisfactory 3. Good 4. Very Good

S.No 1 2 3 4
1. 1.1 Takes nursing history
1.2 Makes observations of patients condition
1.3 Identifies the basic health needs\ problems
1.4 Priorioise the needs\ problems
2. PLANNING
2.1 Plans nursing care on the basis of priority
2.2 Plans care according to patients Psychosocial
needs
2.3 Involves patients & family in planning
2.4 Plans health teaching for patients
3. IMPLEMENTATION
3.1 Carries out plans based on priorities
3.2 Integrates scientific principles in giving care
3.3 Uses technical skill
3.4 Maintains accuracy in care
3.5 Controls the environment to provide for safety
3.6 Demonstrates initiative in implementing nursing
care
3.7 Records significant information accurately
3.8 Communicates significant information to
appropriate personnel
3.9 Instructs the patient and family related to their
learning needs
4. EVALUATION
4.1 Evaluates with guidance the care given
4.2 Modifies the plan as indicated in the evaluation
5 PROFESIONAL BEHAVIOUR
5.1 Grooming
5.2 Punctuality
5.3 Dependability
5.4 Interpersonal relations
5.5 Emotional stability
5.6 Professional and personal growth
TOTAL
/ Clinical Instructor with date
Signature of the student

Signature of the HOD Signature of the Principal
179
II Year Basic B.Sc. Nursing

MEDICAL SURGICAL NURSING – I
Demonstration by Clinical Demonstration by
Sl. Supervisor Student
NURSING PROCEDURES
No. Date Signature Date Signature of the
Supervisor
1. Pre – operative preparation
Setting of pre-operative unit
Skin preparation for
• Local surgery
• General surgery
2. Post operative care

Setting of postoperative unit
Post operative care
Recovery room
Ward
Surgical dressing
Care of the wound
Removal of sutures
Ambulation and exercises
3. Operation Theatre Technique
Preparation & packing of articles for surgery
Disinfecting the OT
Surgical scrubbing
Gowning and gloving
Setting up of sterile trolly for surgery
Assisting in anaesthesia
Assisting in major surgery
1.
2.
3.
Assisting in minor surgery

1.
2.
3.
4.
5.
Equipments used in O T
Monitoring patients during surgical procedures
180

NURSING PROCEDURES
Supervisor
4 Intensive Care
Setting up of emergency trolly
Suctioning
Oropharyngeal
Endo tracheal
Assisting in endotracheal intubation
Assisting in ventilator care

Assisting in cardiac monitoring
Assisting in defibrillating
Assisting in monitoring pulse oxymeter
Administration of drugs through infusion pump
5 Observation of specific diagnostic and
therapeutic procedure.
Preparation of patient for non invasive
procedure
Vascular system
IV canulation
Doppler studies
Central Venous pressure (CVP)
Administration of cardiac drugs
Genito urinary system
Catheterization
Bladder irrigation
Cystoscopy
Cystometrogram
Intravenous pyelogram (IVP)
Kidney, ureter, bladder (K.U.B.)
Assisting in peritoneal dialysis
Assisting in hemodialysis
Assisting in renal biopsy
Chemical regulation
Thyroid function test – T3, T4, TSH
Fasting blood sugar (FBS)
Post prandial blood sugar (PPBS)
Glucose tolerance test (GTT)
Administration of insulin
181

NURSING PROCEDURES
Supervisor
Gastro Intestinal System
Barium meal
Barium enema
Proctoscopy
Endoscopy
Cholecystography
Oesophago Gastro Dueoodenoscopy
(OGD)
Ostomy care
• Colostomy
• Enterestomy
• Gastrostomy
Ostomy feeding
Gastrostomy feeding
Jejunostomy feeding
Liver biopsy
Liver function tests
Abdominal paracentesis
Endoscopic retrograde
cholangio -Pancreatography (ERCP)
6 Specific therapeutic procudure
Assisting in ECG (Electro Cardio Gram)
Assisting in venous puncture
Assisting in abdominal paracentesis
Assisting in Thoracentesis
Assisting in lumbar puncture
Assisting in gastric lavage
Assisting in sternal puncture
7. Musculo skeletal system
Preparation & assisting in application and removal

of plastercast
Application of splint
Assisting in skin traction
Assisting in skeletal traction
Preparation of patient for bone surgery
Crutch walking
182

NURSING PROCEDURES
Supervisor
8. Stump care
9. Burns & scalds
Assessment of burnt area

Calculation of fluid & electrolyte requirements
Administration of fluid & electrolytes
Assist in burns dressing

Preparation for reconstructive surgery & donor area
10. Oncology
Preparation & assisting in biopsy

Assist in radio therapy
Assist in chemo therapy
Assist in brachi therapy
Assist in teletherapy
Assist in bone marrow aspiration
PAP smear
11. Nutrition
Therapeutic / modified diet
Bland diet
Salt restricted
Diabetes (low calorie)
High calorie
High protein
183
II YEAR BASIC B Sc. NURSING

COMMUNITY HEALTH NURSING-I
SL DEMONSTRATION DEMONSTRATION
NURSING PROCEDURES
NO (LABORATARY) (CLINICAL)
DATE SIGNATURE DATE SIGNATURE
1 Conduct community survey &

report
2 Conduct family health survey &
report
3 Demonstrate Bag Technique
4 (A) Comprehensive family
(Urban)
a.
b.
(B) Comprehensive family
(Rural)
a.
b.
(C) Family study (1)
5 (A) Blood Test
a. Hemoglobin
b. Blood sugar
(B)Urine Test
a. Albumin
b. Sugar
6 (A)Health Talks
a. Urban
b. Rural
(B) Preparation & Use of Audio
Visual Aids
a. Flannel graphs
b. Flash cards
c. Flip charts
d. Posters
e. Bulletin
f. Puppets show
184
DEMONSTRATION DEMONSTRATION
SL NO NURSING PROCEDURES
(LABORATARY) (CLINICAL)
(C) Health Education

a. Individual
b. Group
c. Community
185
CLINICAL EVALUATION FORM FOR

COMMUNITY HEALTH NURSING-I
NAME OF THE STUDENT:

GROUP & CLASS :
Duration :
Evaluator:
Date of Submission:
V. good Good Fair Poor Not
Sl (4) (3) (2) (1) done
No. (0)
I OVER ALL EVALUATION
1 Appearance
2 Uniform
3 Punctuality
4 Discipline
5 Team work
6 Attitude
7 Knowledge
8 Skill
9 Completing record book On time
10 Showing interest in Learning
II PROCEDURE EVALUATION
11 Participates in Community survey
12 Does home visit

13 Assesses these environmental
Sanitation and Nutrition
14 Application of standing orders
III HEALTH EDUCATION
15 Selects and prepares appropriate A.V.
Aids
16 Uses A.V. Aids correctly.
17 Timely gives Health education as

per need :
Individual
Family
Group
18 Respects the community Practices
19 Follows Bag technique

20 Assembles Handles & replaces the
articles properly.
21 Involves in community Health

Activities
186
22 Brings out innovative ideas

to improve community development
23 Records and Reports
REMARKS TO STUDENTS:-
+ Ve - Ve
1 1
2 2
3 3
Obtained Score (for 25):-
Student’s Signature Evaluator’s Signature

187
V. good Good Fair Poor Not done

(4) (3) (2) (1) (0)
IV GROWTH & DEVELOPMENT
INCLUDING NUTRITION
1. Assessment of Growth &
Development
Assessment of antenatal mother
Assessment of new born
Assessment of infant
Assessment of toddler
Assessment of preschooler
Assessment of schooler
Assessment of adolescent
Assessment of adult
Assessment of elderly
2. Assessment of nutritional
status in Various groups
3. Diet planning for any age
group
Weaning diet
Diet for pregnant mother
Preparation of receipes
Barley water
Albumin water
Lime whey
188
Demonstration Clinical Demonstration

Sl. by Student
NURSING PROCEDURES
No. Date Signature Date Signature of
the Supervisor
Fluid diet
Egg flip
Dhal soup
Vegetable soup
Butter milk
Light diet
Toast
Porridge
Salads
Jelly
Arrow root
Boiled egg
Custard egg
Scrambled egg
Steamed fish
4. Visits
Postnatal ward, well baby clinic, crèche /
preschool food preparation & preservation
centre
Nursing Care Studies
Sl.
Date TOPIC Signature
No.
1.
2.
3.
4.
5.
--------------------------- -------------------------
Class Co-ordinator Principal
189
Practical Examination
1. Medical Surgical Nursing I
Signature of Internal Examiner Signature of External Examiner
Date :
Date :
2. Community Health Nursing I
Date :
Date :
190
III Year Basic B.Sc. Nursing

I. MIDWIFERY INCLUDING MATERNITY & GYNAECOLOGICAL NURSING – I
Demonstration Clinical Demonstration by
Sl. Student
NURSING PROCEDURES
supervisor
1. Prenatal Care
Prenatal assessment
Prenatal care
Preparation for non stress test (NST) & ultrasound
2. Intranatal Care
Setting up of newborn resuscitation unit

Perineal preparation for labour
Enema / suppository
Partogram
P.V. Examination
Normal delivery
Episiotomy & suturing
Apgar scoring
Resuscitation of newborn
3. Postnatal Care
Postnatal assessment
Postnatal Care
Perineal Light
Assisting with breast feeding
Postnatal exercises
4. Newborn Care
Appraisal of newborn
Cord care, eye care
Care of newborn
Baby bath
Number of procedures to be done
1. Conducts antenatal examination - 30
2. Provides antenatal care - 5
3. Witness normal deliveries - 20
4. Conduct normal deliveries
(Hospital & home) - 5
5. Episitomy & suturing - 2
6. Provides postnatal care
Hospitalised - 20
Home - 3
191
ANTENATAL CARE PLAN / CARE STUDY
Sl. No. Date TOPIC Signature

1.
2.
3.
4.
5.
POSTNATAL CARE PLAN / CARE STUDY
Sl. No. Date TOPIC Signature

1.
2.
3.
4.
5.
192
III YEAR BASIC B Sc. NURSING
MEDICAL SURGICAL NURSING – II

Sl. by Student
NURSING PROCEDURES
supervisor
1. Eye and ENT
Instillation of drops
Application of ointment
Eye
Ear
Nose
Eye irrigation
Ear irrigation
Throat swab culture
Assist in removal of foreign bodies
2. Cardio Thoracic
Cardio Thoracic assessment
Electro cardiogram monitoring
Observe cardiac monitoring, pacing
Observe cardiac catheterization
Observe echo cardiogram
Observe stress test
Observe percutaneous transilluminal
coronary angioplasty
Assist in collecting blood for cardiac enzymes
Assist for insertion of intercostal drainage
Assist for removal of intercostal drainage
Care of patient with intercostal drainage
Assist in pulmonary function test
Observe bronchoscopy
Observe bronchography
Preoperative preparation of cardiothoracic
surgery patient
3. Neuro & Neuro Surgery
Neurological assessment
Maintain glasgocoma scale
Care of patient with cerivical traction
Care of patient with head injury
Preparing patient for Electro encephalogram (ECG)
Magnetic resonance imaging (MRI)
193
Nursing Care Plan / Care Study
Sl.
No.
1.
2.
3.
4.
5.
194

III CHILD HEALTH NURSING
Sl. Student
NURSING PROCEDURES
Supervisor
1. Admission of children
2. History taking
3. Physical assessment
4. Weighing of children
• Assessment of children
• Health assessment
• Developmental assessment
• Anthropometric assessment
• Baby bath
5. Recording of vital signs
• Temperature
• Pulse
• Respiration
• Blood pressure
6. Collection of specimen
• Urine
• Female infant
• Male infant
• Urinary catheterization & drainage
• Bowel wash
7. Assessment of degree of dehydration
8. Feeding
• Assist in breast feeding / weaning
• Assist in spoon / glass feeding / Katori
• Nasogastric feeding
• Gastrostomy feeding
• Jejunostomy feeding
9. Fluid Planning & Calculations
10. Medication
Oral
IM
Subcutaneous
Intravenous
Intravenous infusion
Calculation of dosage
Total parental nutrition
Assist with administration of fluids with infusion
pump
Care of ostomies
Colostomy irrigation
Ureterostomy
Gastrostomy
Enterostomy
195

Sl. Student
NURSING PROCEDURES
Supervisor
11. Steam Inhalation
12. Oxygen administration
13. Nebulization
Chest physiotherapy
14. Use of restraints
Mummy restraint
Elbow restraint
Clove – hitch restraints
Jacket
Restraining the limbs
15. Assist in special procedures
Lumbar puncture
Resuscitation
Phototherapy
Incubator care
Radiant warmer
Exchange transfusion
Endotrachial intubation
Cardiopulmonary resuscitation
16. Assist in play therapy
17. Planning special diet for children
Nephrotic syndrome
Protein energy malnutrition
18. Care during pediatric emergencies
Asphyxia
Convulsion
Head injury
19. Immunisation
20. Health Nutritional Education
21. Visits
Visit to centre for physically, mentally,
handicapped Certified school/ remand home
196
Sl.
No.
1.
2.
3.
4.
5.
197
III Mental Health Nursing

Sl. by Student
NURSING PROCEDURES
Supervisor
1. Admission procedure
2. Discharge
3. Mental Status examination
4. Process recording
5. Nursing care of patient with
• Psychotic disorder
• Neurotic disorder
• Organic conditions
• Personality disorder
• Substance abuse
6. Assisting in specific therapies, Electro convulsive
therapy, Psychotherapy
• Individual
• Family
• Community
Occupational therapy
Behavioural therapy
Recreational therapy, play therapy
Milieu therapy, de-addiction therapy
Preparation of patients for activities of daily
living
7. Administration of psychotherapeutic drugs
8. Health Education
• Individual
• Family
• Community
9. Nursing care of child with
Mental retardation
Conduct disorder
10. Visits
Community mental health centre, halfway
home, de- addiction centre, certified
schools, old age homes.
198
Sl.
No.
1.
2.
3.
4.
5.
199
III Nursing Education
Demonstration
Sl.
NURSING PROCEDURES
No.
Date Signature
1. Preparation of teaching aids
Charts
Posters
Flash cards
Transparencies
2. Master rotation plan
3. Clinical rotation plan
4. Preparation of unit plan
Preparation of lesson plan
5. Preparation of evaluation tool
6. Conduct practice teaching classes
Classroom
Clinicals
7. Observation visit to school / college of
Nursing & presentation of reports
8 Teaching sessions
a. Lecture
b. Demonstration
c. Group discussion
d. Seminar
e. Symposium
f. Panel discussion
g. Role play
h. Project
i. Work shop
j. Exhibition
k. Field trip
200
Lesson Plans
Sl.
No.
1.
2.
3.
4.
5.
1. Medical Surgical Nursing II
Date :
Date :
2. Midwifery including Maternity & Gynaecological Nursing- I
Date :
Date :
3. Child Health Nursing
Date :
Date :
201
IV Year Basic B.Sc. Nursing
I. MIDWIFERY INCLUDING MATERNITY & GYNAECOLOGICAL NURSING – II

Sl. by Student
NURSING PROCEDURES
Supervisor
1. Prenatal Care
Set up of antenatal & Post natal clinic
Set up of obstetric IUC (Eclampsia unit)
Care of high risk antenatal mother
Pre eclampsia
Eclampsia
Placenta praevia
Abruptio placenta
Gestational diabetes
Cardiac disease
Rh incompatibility
Preterm contraction
2. Intranatal Care
Induction of labour
Assist / witness obstetric procedures
Forceps delivery
Vacuum extraction
Assist / witness breech delivery
Assist / witness multifoetal delivery
Witness caesarean section
Assist evacuation, D& C
3.
Postnatal Care
Care of high risk postnatal mothers
Perineal Care
Perineal Light
4. Newborn Care
• Assessment of preterm baby
• Care of high risk newborn
Feeding
Tube
Spoon
202

by Student
Sl.
NURSING PROCEDURES Date Signature Date Signature of
No.
the
Supervisor
Setting up & assisting exchange transfusion
Phototherapy
Care of baby in incubator
Care of baby with radiant warmer
Care of baby in ventilator
Administration of medication
Maintainance of neonatal records
5. Family Welfare
Motivation of planned parenthood
Assist / observe IUD insertion
Assist / observe Tubectomy
Assist / observe vasectomy
Requirements
Witness abnormal deliveries - (10)
Assist in abnormal deliveries - (5)
Motivation of planned parenthood - (2)
Attend antenatal & postnatal clinics- (1Wk)
Provide care to high - risk antenatal
mothers - (5)
Provide care to high - risk neonates - (5)
Provide care to high - postnatal
Mothers - (5)
Witness caesarean section - (5)
Note: Number in brackets indicate minimum number of procedures to be witnessed or done.

203
High Risk Antenatal Care Plan / Care Study
Sl.
No.
1.
2.
3.
4.
5.
High Risk Postnatal Care Plan / Care Study

Sl.
No.
1.
2.
3.
4.
5.
High Risk Neonatal Care Plan / Care Study
Sl.
No.
1.
2.
3.
4.
5.
204
IV YEAR BASIC B Sc. NURSING
COMMUNITY HEALTH NURSING-II
SL NURSING DEMONSTRATION DEMONSTRATION

NO PROCEDURES (LABORATARY) (CLINICAL)
1 Community Survey
2 Comprehensive Health
Care Study (1)
3 Bag Technique
4 Dressing
5 Baby Bath
6 Demonstration of
nursing care
a. Care of fever patient
b. Oral Rehydration
therapy
7 Physical Examination
(A) Assessing health
needs and care
of minor ailments
a. New Born
b. Infant
c. Pre-School
d. Adult
c. Antenatal mother
f. Postnatal mother
(B) Nutritional
Assessment
(C)Immunisation
(C) Diagnostic
Technique
a. Preparing blood
sugar
b. Preparing sputum
smear
8 Organsing and
Assisting in
a. Antenatal and
Postnatal Clinic
b. Immunization
c. Family welfare
d. School Health
Programmes
e. Health Camps
f. In service education
for PHC Staff
9 Project work and
205
presentation of
report
206
SL NURSING DEMONSTRATION DEMONSTRATION

NO PROCEDURES (LABORATARY) (CLINICAL)
10 Records
a. Family folders
b. Anecdotal records
11 Health Education Rural
12 Participate in Mental
Health Programme
13 Visits:
a. School
b. Industry
c. Community Mental
Health Center
d. National Family
planning
Association of India
e. National Institute of
Tuberculosis
f. Red Cross
g. World Health
Organization
h. UNICEF
i. Professional Bodies
1. TNAI
2. INC
3. KNC
14 Observational visits
a. Epidemics Diseases
Hospital
b. Leprosorium
207
IV Year Nursing Administration
Sl. No. TOPIC Date of Instruction Signature

1. Supervision
Students
Staff
Ward Aids
2. Preparation of duty roster
Preparation of work assignment
• Students
• Staff
• Ward Aids
3. Report
a) Oral
Morning
Evening
Night
b) Written
• Day
• Night
4. Inventory
Drugs
Articles
5. Maintain census
6. Conduct nursing round,
Clinical teaching
7. Preparation of job description for different categories

• Principal
• Nursing superintendent
• Clinical Instructor
• Ward Sister / Head nurse
• Staff nurse
• Ward Aids
8. Preparation of Evaluation tool to assess
the patient care
9. Educational tour to various institutions

& professional bodies and submit the report
--------------------------- -------------------------
Class Co-ordinator Principal
208
3. PRACTICAL EXAMINATION FOR B. Sc (NURSING) DEGREE COURSE

EVALUATION FORMAT
Name of the Examination: COMMUNITY HEALTH NURSING-II COURSE:

B.Sc. (N), IV year
Date: No. of Students:
No Assessment Problems/ Plan IMPLEMENTATION

History Physical Need of Nursing Bag Health Communicat Evaluation VIVA
Taking Examination Identification Action Care Technique Education -ion
Skill
2 2 2 3 5 3 3 1 1 3
Internal /
External Examiner
209
CLINICAL EVALUATION FORM FOR COMMUNITY HEALTH

NURSING-II
GROUP & CLASS:
Name of the student:
Duration:
Evaluator:
Date of Submission:
Good Fair Poor Note

done
I. General
1. Oriented to the allotted community
area, population etc.
2. Knows the responsibilities of Community Health Nurse
in health
3. Able to assess the community, family & individual.
4. Respects the belief and culture of the people.
5. Knows to utilize the community resources.
6. Identifies the risk factors and try to solve them.
7. Compares the primary health care and National health
programmers with in the community.
II. PHC
1. Learns the organization set up & function of PHC
2. Participate as a health team member in providing
community health Nursing services.
3. Participates in training programmers conducted by PHCs.
III.
1. Keeps the community health bag-neat, clean & aseptic.
2. Handles the bag appropriately and scientifically.
3.Follows safe disposal method
4. Does home visit
5. Provided home care as per the need.
6. Involves members in community activities.
7. Gives appropriate, planned health teaching.
8. Brings changes in health practices (EX) Diet, hygiene,
exercise etc.
9. Submits the community case study and record book on
time.
10. Prepared relevant statistics for the community area
IV. Maintains the following records appropriately
1. Family folder
2. Obstetrical record (antenatal to family planning)
3. Pediatrics record (New born to under five)
4. Chronic illness record.
5. School Health record
210
Remarks to Students:-
+ Ve - Ve
1 1
2 2
3 3
Student’s Signature Evaluator’s Signature
I. Midwifery including Maternity &

Gynaecological Nursing- II

Date :

Date :
II. Community Health Nursing II

Date :

Date :
211
CLINICAL POSTING FOR THE (BASIC) B.Sc. NURSING STUDENTS
Month First Year Second Year Third Year Fourth Year Any other
September
October
November
December
January
February
March
April
May
June
July
August
Signature of
the Class
Co-ordinator
with date
Principal
212

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1

Revised Ordinance Governing Regulations and Curriculum of

Rajiv Gandhi University of Health Sciences, Karnataka

Revised Ordinance Governing Regulations and Curriculum of

I Edition printed : 1997

II Edition printed : 1999

III Edition : 2006

Copies may be obtained from :

Rajiv Gandhi University of Health Sciences, Karnatakangalore, Ba

Rajiv Gandhi University of Health Sciences, Karnataka

Shall recognize health needs of community,

It would promote development of scientific temper and Health Sciences Research.

It would Encourage inculcation of Social Accountability amongst students, teachers and

It would Support Quality Assurance for all its educational programmes

(Schedule annexed to University Notification No. UA/SYN/ORD/B.Sc.(N)/32/2005-06 dated 08.08.2006)

Revised Ordinance Governing Regulations and Curriculum of

Basic B.Sc. Nursing Degree Course

Philosophy, Aims and Objectives

Scope of nursing practice encompasses provision of promotive, preventive, curative and

Undergraduate nursing programme is broad based education within an academic framework

(Schedule annexed to University Notification No. UA/SYN/ORD/B.Sc.(N)/32/2005-06 dated 08.08.2006)

Revised Ordinance Governing Regulations and Curriculum of

A candidate seeking admission to first Basic B.Sc. Nursing course:

Table 1. First year Basic B.Sc. Nursing

Subjects Theory Hours Practical / Hours

Table2. Second Year Basic B.Sc. Nursing

Subjects Theory Hours Practical / Hours

Table 3. Third Year Basic B.Sc. Nursing

Subjects Theory Hours Practical Hours Hours

Table 4. Fourth Year Basic B.Sc. Nursing

Subjects Theory Hours Practical /

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

Subject Practical In Weeks

Subject Internal University Total

* Respective colleges will conduct examination for Introduction to Computer and

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

Practical and Viva Voce Internal University Total

Subject Hours Internal University Total

Subject Internal University Total

9. Criteria for Pass: A candidate has to fulfill the following criteria:

A candidate not securing 50% marks in aggregate in Theory or Practical/Clinical

13. Award of degree

practical / clinical examination for each student.

14. Eligibility of Examiner

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

Time Learning Teaching Learning Assessment

Scheme of University Examination

Type of Questions No. of Questions Marks Sub-total

Teaching Learning Activities

Teaching Learning Activities

Teaching Learning Activities

Teaching Learning Activities

Teaching Learning Activities

Teaching Learning Activities

Teaching Learning Activities

Teaching Learning Activities

Teaching Learning Activities

Teaching Learning Activities

Teaching Learning Activities

Communicat Communication Role-plays in * Assess role