SRM Ist SRM College of Nursing M.Sc. Nursing
SRM Ist SRM College of Nursing M.Sc. Nursing
SRM Ist SRM College of Nursing M.Sc. Nursing
1.OVERALL OBJECTIVES
The candidate is prepared to function in a leadership position in selected areas of
clinical speciality, Nursing education, Nursing Administration and in Nursing Research
and carry out independent research studies.
4. MEDIUM OF INSTRUCTION
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English shall be the medium of Instruction for all the subjects of study and for
examination.
5. COMMENCEMENT OF THE COURSE
The course will commence from May of every academic year.
6. WORKING DAYS IN AN ACADEMIC YEAR
Each academic year shall consist of not less than 240 working days
7. ATTENDANCE
a. 75% of the attendance for theory and practical. However 100% of attendance
for practical before the award of degree.
b. A candidate lacking in the prescribed attendance and progress in any one
subject in theory or practical, the first appearance shall not be permitted for
appearing the University examination in that subject.
c. There shall be no condo nation of attendance however 5% allowance is in
discretion of the Principal. Criteria for such allowance are: undue occurrence in
the family, natural calamity, death of close family members, serious illness.
8. CURRICULUM
The curriculum and syllabus for the M.Sc. Nursing course shall be as prescribed
by the Academic Council of the University from time to time.
9. INTERNAL ASSESSMENT
a. There will be internal assessment of students performance in terms of theory
and practical as given in the scheme of examination
b. To quality for appearing for the university examination, a candidate should
secure a minimum of 50% of marks prescribed for internal assessment in the
subject concerned.
c. At least three theory examinations and if practical has been prescribed, one
practical examinations will be conducted in the subject concerned and the average
marks of such internal examination will be taken into consideration for award of
internal marks.
2
d. If a candidate fails in internal assessment in any subject(s), she will be given an
opportunity to improve her internal marks by conducting a minimum of two
examinations in theory and in practical if prescribed in the subject concerned.
e. The details of internal marks awarded to the candidates should be submitted to
the university by the Head of the institution at least 15 days prior to the
commencement of the theory examination.
PRACTICALS
a. 4 hours of practical examination per student.
b. Maximum number of 10 students per day per speciality.
c. The examination should be held in clinical area only for clinical specialities.
d. One internal and external should jointly conduct practical examination.
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e. Examiner – Nursing faculty teaching respective speciality area in M.Sc. Nursing
programme with minimum 3 year experience after M.Sc. Nursing.
12. REVALUATION OF ANSWER PAPERS
There shall be no revaluation of the answer papers however re-totaling is
permitted.
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15. SUBMISSION OF DISSERTATION
a. Every candidate shall be required to submit 4 copies of dissertation in the
speciality concerned, three months before the commencement of Part-II examination to
the controller of examination through the head of the Department/Institutions.
b. The dissertation should be neatly typed on one side only in double lined
spacing and it should not exceed 60 pages excluding certifications,
acknowledgements, annexures and Bibiography.
c. The dissertation shall be valued by
i. An internal examiner with Nursing Research experience common
to all the Branches of Speciality.
ii. An external examiner with Nursing Research experience common
to all the branches of speciality.
d. When certain corrections are suggested in relation to the dissertation, the
Chairman, Board of Examiners would furnish a detailed report to the
controller of Examinations about the corrections that the candidate has to
carry-out. In such case the candidate should resubmit the dissertation
carrying out the corrections suggested with in one month from the date of
receipt of communication from the controller of examinations to the effect
and till the dissertation is approved on such resubmittion, the issue of
mark statement to the candidate will be withheld. If approved on such
resubmission the mark statement to the candidate will be issued.
e. If the dissertation of a candidate is approved, but she fails in the university
theory/practical examination, the marks awarded for her dissertation shall
be carried over for the subsequent examination(s).
f. When the dissertation of a candidate is rejected, the candidate shall submit
a fresh dissertation two months prior to the commencement of the
subsequent University examination
Research Guides
a. Qualification of Guide
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Main Guide : Nursing faculty/ Nursing expert in the same clinical
speciality holding Ph.D/M.Phil/M.Sc. Nursing with a minimum of 3 years
experience in teaching in the post graduate programmed in Nursing
Co-Guide: A Co-Guide is a nursing faculty/expert in the field of study
(may be from outside the college but should be within the city)
b. Guide -Students Ratio
Maximum of 1:4 (including as co-guide)
c. Research Committee
There should be a research committee in each college comprising of
minimum 5 members chaired by the Principal, College of Nursing.
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A candidate having a break of study shall be re-admitted after satisfactory
fulfillment of the regulations of the University at the commencement of an
academic year only and shall undergo he full duration of the course. No
exemption for the period of study already undergone or for the
examination already passed shall be granted. The candidate will be
required to appear for all the examinations as prescribed in the regulations
in vogue at the time of readmission.
19. BRANCHES OF STUDY
The following shall be the branches of study for M.Sc. Degree in Nursing.
Branch I - Medical Surgical Nursing
Branch II - Paediatric Nursing
Branch III - Obstetric & Gynaecology Nursing
Branch IV - Community Health Nrusing
Branch V - Psychiatric Nursing
20.VACATION
The Heads of institutions shall declare 4 (four) weeks vacation in an academic
year to the students. The period of vacation can be decided by the Head of the institution.
PLACEMENT I YEAR
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ClinicalSpeciality -I
MedicalSurgical Nursing
Obstetrics & Gynaecology
150 650
Community Health Nursing
Psychiatric Nursing
Pediatric Nursing
PLACEMENT : II YEAR
Clinical Speciality - II
Medical Surgical Nursing
Obstetrics & Gynaecology
150 950
Community Health Nursing
Psychiatric Nursing
Pediatric Nursing
Total 300 1400
SCHEME OF EXAMINATION
8
25 75
Nursing Management 3
- - 100 100
Dissertation & viva -
Clinical Speciality - II 25 75 100 100
3
50 150 200 200
Total
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SYLLABUS
NURSING EDUCATION
Placement: I Year
Hours of Instruction
Theory 150 Hours
Practical 150 Hours
Total: 300 Hours
Course Description
This course is designed to assist students to develop a broad understanding of
Fundamental Principles, concepts, trends and issues related to education and nursing
education. Further, it would provide opportunity to students to understand, appreciate and
acquire skills in teaching and evaluation, curriculum development, implementation,
maintenance of standards and accreditation of various nursing educational programs.
Objectives
At the end of the course, students will be able to:
1. Explain the aims of education, philosophies, trends in education and health: its impact on
nursing education.
2. Describe the teaching learning process.
3. Prepare and utilize various instructional media and methods in teaching learning process.
4. Demonstrate competency in teaching, using various instructional strategies.
5. Critically analyze the existing nursing educational programs, their
Problems, issues and future trends.
6. Describe the process of curriculum development, and the need and methodology of
curriculum change, innovation and integration.
7. Plan and conduct continuing nursing education programs.
8. Critically analyze the existing teacher preparation programs in nursing.
9. Demonstrate skill in guidance and counseling.
10. Describe the problems and issues related to administration of nursing
Curriculum including selection and organization of clinical experience.
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11. Explain the development of standards and accreditation process in Nursing education
programs.
12. Identify research priorities in nursing education.
13. Discuss various models of collaboration in nursing education and Services.
14. Explain the concept, principles, steps, tools and techniques of Evaluation
15. Construct, administer and evaluate various tools for assessment of Knowledge, skill,
and attitude.
Course Content
Theory Practical
Introduction :
Education :Definition, aims, concepts,
I 10 philosophies & their education implications,
Impact of Social, economical, political &
technological changes on education:
• Professional education
• Current trends and issues in education
• Educational reforms and National Educational
policy, various educational commissions-reports
• Trends in development of nursing education in
India
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based learning (PBL), workshop, project, role-
play(sociodrama), clinical teaching methods,
programmed
instruction, self directed learning(SDL), micro
teaching, computer assisted instruction(CAI),
computer assisted learning (CAL)
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versus marks
Objective tests, scoring essay test,
methods of Scoring, Item analysis.
VII 12 6 Standardized Tools
Tests of intelligence aptitude, interest, personality,
achievement, socio-economic status scale, tests for
special mental and physical abilities and disabilities
13
Evaluation: self and peer
Critical analysis of various programs of teacher
education in India.
Activities:
• Framing philosophy, aims and objectives.
• Lesson Planning.
• Micro teaching-2.
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• Conduct practice teachings using different teaching strategies -10(like lecture cum
discussion, demonstration- lab method, field trips,seminars, project, role play, panel
discussion, clinical methods etc)
• Preparation and utilization of instructional Aids using different media.
• Develop course plans, unit plans, rotation plans.
• Conduct a continuing education workshop.
• Annotated bibliography.
• Critical evaluation of any nursing education program offered by a selected institution.
• Planning and Organizing field visits.
• Educational visits.
• Field visits (INC/SNRC) to get familiar with recognition/registration
process.
• Construct, administer and evaluate tools (objective & essay type test,
Observation checklist, rating scale etc)
• Observe and practice application of various non-standardized tests
(intelligence, Aptitude, Personality, Sociometry, physical & mental
disabilities tests.)
Methods of Teaching
• Lecture cum discussion
• Demonstration/ Return demonstration
• Seminar / Presentations
• Project work
• Field visits
• Workshop
Methods of evaluation
• Tests
• Presentation
• Project work
• Written assignments
Internal Assessment
Techniques Weightage
Test- (2 tests) 50
Assignment 25
Seminar/presentation 25
----------------------
100
----------------------
Practical – Internal assessment
Learning resource material 25
Practice Teaching 50
Conduct Workshop 25
/Short Term Course
Practical – external assessment
15
Practice teaching- 1- 50
Preparation/use of learning resource material-1 25
Construction of tests/rotation plan. 25
Course Description
The course is designed to develop an understanding of concepts and constructs of
theoretical basis of advance nursing practice and critically analyze different theories of
nursing and other disciplines.
Objectives:
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Course content
unit Hours Content
Nursing as a Profession
I 10 History of development of nursing profession,
characteristics, criteria of the profession, perspective of
nursing profession-national, global
Code of ethics(INC), code of professional conduct(INC),
autonomy and accountability, assertiveness, visibility of
nurses, legal considerations,
Role of regulatory bodies
Professional organizations and unions-self defense,
individual and collective bargaining
Educational preparations, continuing education, career
opportunities, professional advancement & role and scope
of nursing education.
Role of research, leadership and management.
Quality assurance in nursing (INC).
Futuristic nursing.
II 5 Health care delivery
Health care environment, economics, constraints, planning
process, policies, political process vis a vis nursing
Profession.
Health care delivery system- national, state, district and
local level.
Major stakeholders in the health care system-Government,
non-govt, Industry and other professionals.
Patterns of nursing care delivery in India.
Health care delivery concerns, national health and family
welfare programs, inter-sectoral coordination, role of
nongovernmental
agencies.
Information, education and communication (IEC).
Tele-medicine.
Genetics
III 10 Review of cellular division, mutation and law of inheritance,
human genome project, The Genomic era.
Basic concepts of Genes, Chromosomes & DNA.
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Approaches to common genetic disorders.
Genetic testing – basis of genetic diagnosis, Pre symptomatic
and predisposition testing, Prenatal diagnosis & screening,
Ethical, legal & psychosocial issues in genetic testing.
Genetic counseling.
Practical application of genetics in nursing
Epidemiology
o Scope, epidemiological approach and methods,
IV 10 Morbidity, mortality,
Concepts of causation of diseases and their screening,
Application of epidemiology in health care delivery, Health
survelliance and health informatics
Role of nurse
Bio-Psycho social pathology
Pathophysiology and Psychodynamics of disease causation
V 20 Life processes, homeostatic mechanism, biological and
psycho-social dynamics in causation of disease, life style
Common problems: Oxygen insufficiency, fluid and
electrolyte imbalance, nutritional problems, hemorrhage
]and shock, altered body temperature, unconsciousness,
sleep pattern and its disturbances, pain, sensory
deprivation.
Treatment aspects: pharmacological and pre- post operative
care aspects,
Cardio pulmonary resuscitation.
End of life Care
Infection prevention (including HIV) and standard safety
measures, bio-medical waste management.
Role of nurse- Evidence based nursing practice; Best
practices
Innovations in nursing
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Nursing process approach
Health Assessment- illness status of patients/clients
VII 10 (Individuals, family, community), Identification of health illness
problems, health behaviors, signs and symptoms of
clients.
Methods of collection, analysis and utilization of data
relevant to nursing process.
Formulation of nursing care plans, health goals,
implementation, modification and evaluation of care.
Nursing practice
IX 30 Framework, scope and trends.
Alternative modalities of care, alternative systems of health
and complimentary therapies.
Extended and expanded role of the nurse, in promotive,
preventive, curative and restorative health care delivery
system in community and institutions.
Health promotion and primary health care.
Independent practice issues,- Independent nurse-midwifery
practitioner.
Collaboration issues and models-within and outside
nursing.
Models of Prevention,
Family nursing, Home nursing,
Gender sensitive issues and women empowerment.
Disaster nursing.
Geriatric considerations in nursing.
Evidence based nursing practice- Best practices
Trans-cultural nursing.
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Computer applications for patient care delivery system and
nursing practice
X 25 Use of computers in teaching, learning, research and
nursing practice.
Windows, MS office: Word, Excel, Power Point,
Internet, literature search,
Statistical packages,
Hospital management information system: software
Practical
Clinical posting in the following areas:
• Specialty area- in-patient unit - 2 weeks
• Community health center/PHC - 2 weeks
• Emergency/ICU - 2 weeks
Activities
• Prepare Case studies with nursing process approach and theoretical
basis
• Presentation of comparative picture of theories
• Family case- work using model of prevention
• Annotated bibliography
• Report of field visits (5)
Methods of Teaching
• Lecture cum discussion
• Seminar
• Panel discussion
• Debate
• Case Presentations
• Exposure to scientific conferences
• Field visits
Methods of evaluation:
• Tests
• Presentation
• Seminar
• Written assignments
20
Advance nursing Procedures
Internal Assessment
Techniques Weightage
Test- (2 tests) 50
Assignment 25
Seminar/presentation 25
----------------------
100
----------------------
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CLINICAL SPECIALITY – I
MEDICAL SURGICAL NURSING
Course Description
This course is common for the students undergoing clinical speciality-II in neuro science
nursing/cardiovascular & thoracic nursing/critical care nursing/oncology
nursing/orthopaedic and rehabilitation nursing/nephro & urology nursing,
gastroenterology nursing/ geriatric nursing.
Objectives
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12. Incorporate evidence based Nursing practice and identify the areas of research in the
field of Medical – Surgical Nursing.
13. Recognize the role of Nurse practitioner as a member of the Medical – Surgical health
team.
14. Teach Medical – Surgical Nursing to undergraduate nursing students & in-service
nurses.
COURSE CONTENT:
Unit Hours Content
Introduction:
I 5 Historical development of Medical- Surgical Nursing in India.
Current status of health and disease burden in India.
Current concept of health.
Trends & issues in Medical – Surgical Nursing.
Ethical & cultural issues in Medical – Surgical Nursing.
Rights of patients.
National health policy, special laws & ordinances relating to older
People.
National goals.
Five year plans.
National health programs related to adult health.
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Common Disorders-etiology, Patho physiology, Clinical
manifestations, complications, prognosis.
Health assessment- History taking, physical examination,
investigation and diagnostic assessment.
Treatment modalities and trends.
Nursing management.
Related research studies.
Evidence based nursing practice.
Rehabilitation and follow-up.
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Rehabilitation and follow-up.
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Evidence based nursing practice.
Rehabilitation and follow-up.
Geriatric nursing
Nursing Assessment-History and Physical assessment.
XV 8 Ageing;
Demography; Myths and realities.
Concepts and theories of ageing.
Cognitive Aspects of Ageing.
Normal biological ageing.
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Age related body systems changes.
Psychosocial Aspects of Aging.
Medications and elderly.
Stress & coping in older adults.
Common Health Problems & Nursing Management;
Psychosocial and Sexual.
Abuse of elderly.
Role of nurse for care of elderly: ambulation, nutritional,
Communicational, psychosocial and spiritual.
Role of nurse for caregivers of elderly.
Role of family and formal and non formal caregivers.
Use of aids and prosthesis (hearing aids, dentures,
Legal & Ethical Issues.
Provisions and Programmes for elderly; privileges, Community
Programs and health services;
Home and institutional care.
Issues, problems and trends.
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Practical
Total = 660 Hours
1 Week = 30 Hours
Student Activities:
• Clinical presentations
• History taking
• Health Assessment
• Nutritional Assessment
• Health Education related to disease conditions
• Case studies
• Project work
• Field visits
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CLINICAL SPECIALITY-I
OBSTETRIC AND GYNAECOLOGICAL NURSING
Course Description
Objectives
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11. Describe the recent advancement in contraceptive technology and birth control
measures
12. Appreciate the legal and ethical issues pertaining to obstetric and gynaecological
nursing.
Course Content
Introduction
I 10 Historical and contemporary perspectives
Epidemiological aspects of maternal and child health
Magnitude of maternal and child health problems
Issues of maternal and child health : Age, Gender, Sexuality,
psycho Socio cultural factors
Preventive obstetrics
National health and family welfare programmes related to
maternal and child health: health care delivery system-
National Rural health mission, Role of NGO’s
Theories, models and approaches applied to midwifery practice
Role and scope of midwifery practice: Independent Nurse
midwifery practitioner
Legal and Ethical issues: Code of ethics and standards of
midwifery practice, standing orders
Evidence based midwifery practice
Research priorities in obstetric and gynaecological nursing.
Human reproduction
II 15 Review of anatomy and physiology of human reproductive
system: male and female
Hormonal cycles
Embryology
Genetics, teratology and counseling
Clinical implications
Pregnancy
III 25 Maternal adaptation : Physiological
Maternal adaptation : Physiological, psychosocial
• Assessment – Maternal and foetal measures Maternal
measures: History taking , exmanination-General,physical
and obstetrical measure, identification of high risk,
• Foetal measure- clinical parameters, biochemical- human
estriol, Maternal Serum Alfa Feto Protein, Acetyl Choline
esterase (AchE), Triple Test Aminocentesis, Cordocentesis,
chorionic villus sampling (CVS)),
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• Biophysical- (US IMAGING, Foetal movement count, Ultra
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Role of nurse midwifery practitioner
• Alternative/complementary therapies
Normal Newborn
Physiology and characteristics of normal newborn
VI 20 Physical and Behavioural assessment of newborn
Needs of newborn
Essential newborn care: Exclusive breast feeding,
Immunization, Hygiene measures, Newborn nutrition
Organization of neonatal care, services(Levels), transport,
neonatal intensive care unit, organization and management of
nursing services in NICU
Observation and care of newborn
Parenting process
Pharmoco dynamics in obstetrics
VII 10 Drugs used in pregnancy, labour, post partum and newborn
Calculation of drug dose and administration
Effects of drugs used
Anaesthesia and analgesia in obstetrics
Roles and responsibilities of midwifery nurse practitioner
Standing orders and protocols and use of selected life saving
drugs and interventions of obstetric emergencies approved by
the MOHFW
Infertility
Primary and secondary causes
IX 5 Diagnostic procedures
Counseling: ethical and legal aspects of assisted reproductive
technology(ART)
Recent advancement in infertility management.
Adoption procedures
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Role of nurses in infertility management.
Menopause
X 5 Physiological, psychological and social aspects
Hormone Replacement Therapy
Surgical menopause
Counseling and guidance
Role of midwifery nurse practitioner
Abortion
Types, causes
XI 5 Legislations, Clinical rights and professional responsibility
Abortion procedures
Complications
Nursing management
Role of midwifery nurse practitioner
Practical
Total = 660 Hours
1 week = 30 Hours
Procedures observed
• Diagnostic
• Medical termination of pregnancy,
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Procedures performed
• Antenatal assessment-20
• Postnatal assessment-20
• Assessment during labour: use of partograph - 20
• Per vaginal examination-20
• Conduct of normal delivery-20
• Episiotomy and suturing-10
• Setting up of delivery areas
• Insertion of intra uterine devices (copper T)
Others
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CLINICAL SPECIALITY –I
CHILD HEALTH (PAEDIATRIC) NURSING
Objectives
35
13. Teach pediatric nursing to undergraduate students & in-service nurses
Unit Hours Content
Introduction
Historical development of Pediatrics and Pediatric Nursing in
I 10 India;
Current status of child health in India;
Trends in Pediatrics and Pediatric Nursing,
Ethical and cultural issues in pediatric care
Rights of children
National health policy for children, special laws and
Ordinances relating to children.
National goals,
Five year plans,
National health programs related to child health.
Hospitalized child
Meaning of hospitalization of the child, preparation for
III 10 hospitalization, effects of hospitalization on the child and
family
Stressors and reactions related to developmental stages,
play activities for ill hospitalized child.
Nursing care of hospitalized child and family -principles and
practices
Pre-natal Pediatrics
Embryological and fetal development, Prenatal factors
IV 15 influencing growth and development of fetus,
Genetic patterns of common pediatric disorders,
chromosomal aberrations, genetic assessment and
counseling legal and ethical aspects of genetic, screening
and counseling role of nurse in genetic counseling,
Importance of prenatal care and role of pediatric nurse.
.
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Growth and Development of children
V Principles of growth and development,
15 Concepts and theories of growth and development,
Developmental tasks and special needs from infancy to
adolescence, developmental milestones,
Assessment of growth and development of pediatric clients,
Factors affecting growth and development
Behavioral Pediatrics and Pediatric Nursing
Parent child relationship,
Basic behavioral pediatric principles and specific behavioral
VI 15 pediatric concepts/disorders- maternal deprivation, failure
to thrive, child abuse, the battered child,
Common behavioral problems and their management,
Child guidance clinic.
Neonatal Nursing
New born baby- profile and characteristics of the new born,
Assessment of the new born,
VIII 30 Nursing care of the new born at birth, care of the new born
and family,
High risk newborn- pre term and term neonate and growth
retarded babies,
Identification and classification of neonates with infections,
HIV & AIDS, Ophthalmia neonatorum, congenital syphilis.
High risk new born- Identification, classification and
nursing management
Organization of neonatal care, services(Levels), transport,
neonatal intensive care unit, organization and management
of nursing services in NICU.
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30 IMNCI
IX (Integrated management of neonatal and childhood illnesses)
Practical
Total = 660Hours
1 Week = 30Hours
S.No. Deptt./Unit No. of Week Total Hours
1 Pediatric Medicine Ward 4 120 Hours
2 Pediatric Surgery Ward 4 120 Hours
3 Labor Room/Maternity Ward 2 60 Hours
4 Pediatric OPD 2 60 Hours
5 NICU 4 120 Hours
6 Creche 1 30 Hours
7 Child Guidance Clinic 1 30 Hours
8 Community 4 120 Hours
Student Activities
• Clinical presentations
• Growth & developmental assessment
• Assessment & prescription of nursing interventions for sick children
• Health education related to disease conditions
• Nutritional assessment
• Project work
• Field visits
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CLINICAL SPECIALITY – I
MENTAL HEALTH (PSYCHIATRIC) NURSING
Course Description
This course is designed to assist students in developing expertise and in-depth
understanding in the field of Psychiatric Nursing. It will help students to appreciate the
client as a holistic individual and develop skill to function Psychiatric nurse specialist. It
will further enable the student to function as educator, manager, and researcher in the
field of Psychiatric nursing.
Objectives
At the end of the course the students will be able to:
1. Appreciate the trends and issues in the field of psychiatry and psychiatric nursing.
2. Explain the dynamics of personality development and human behaviour.
3. Describe the concepts of psychobiology in mental disorders and its implications for
psychiatric nursing
4. Demonstrate therapeutic communications skills in all interactions
5. Demonstrate the role of psychiatric nurse practitioner in various therapeutic modalities
6. Establish and maintain therapeutic relationship with individual and groups
7. Uses assertive techniques in personal and professional actions
8. Promotes self-esteem of clients, others and self
9. Apply the nursing process approach in caring for patients with mental disorders
10. Describe the psychopharmacological agents, their effects and nurses role
11. Recognize the role of psychiatric nurse practitioner and as a member of the
psychiatric and mental health team
12. Describe various types of alternative system of medicines used in psychiatric settings
13. Incorporate evidence based nursing practice and identify the areas of research in the
field of psychiatric nursing
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Course Content
Introduction
I 15 Mental Health and Mental Illness
Historical perspectives
Trends, issues and magnitude
Contemporary practices
Mental health laws/Acts
National mental health program -National mental health
authority, state mental health authority
Human rights of mentally ill
Mental Health/ Mental Illness Continuum
Classification of mental illnesses-ICD, DSM
Standards of Psychiatric nursing
Challenges and Scope of psychiatric nursing
Multi-disciplinary team and role of nurse
Role of psychiatric nurse- extended and expanded
Concepts of Psychobiology
The Nervous System:
• An Anatomical Review
II 10 • The Brain and limbic system
• Nerve Tissue
• Autonomic Nervous system
• Neurotransmitters
Neuroendocrinology
• Pituitary, Thyroid Gland
• Circadian Rhythms
Genetics
Neuro psychiatric disorders
Psychoimmunology
• Normal Immune response
• Implications for psychiatric Illness
Implications for Nursing
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Theory of Moral Development
A Nursing Model-Hildegard E.Peplau
Assertive Training
Assertive Communication
VI 10 Basic Human Rights
Response Patterns
• (Nonassertive Behavior
• Assertive Behavior
• Aggressive Behavior
• Passive-Aggressive Behavior)
Behavioral Components of Assertive Behavior
Techniques that Promote Assertive Behavior
Thought-Stopping Techniques Method
Role of The Nurse
Promoting Self-Esteem
Components of Self-Concept
VII 10 The Development of Self-Esteem
The Manifestations of Low-Self-Esteem
Boundaries
Role of The Nurse
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Women and Mental Health
• Normal reaction to conception, pregnancy and puerperium
VIII 5 • Problems related to conception, pregnancy and puerperium
and its management.
• Counselling – Premarital, marital and genetic
Electroconvulsive Therapy
Historical Perspectives
XI 5 Indications
Contraindications
Mechanisms of Action
Side Effects
Risks Associated with Electroconvulsive Therapy
The Role of The Nurse in Electroconvulsive Therapy
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Psychopharmacology
Historical Perspectives
XII 10 Role of a Nurse in Psychopharmacological Therapy
• Antianxiety Agents
• Antidepressants Agents
• Mood stabilizers
• Antipsychotics
• Sedative-Hypnotics
• Central Nervous System Stimulants
Future developments
Practical
Total = 660 Hours
1 Week = 30 Hours
43
Student Activities
• History taking
• Mental health assessment
• Psychometric assessment
• Personality assessment
• Process recording
• Therapies- Group Therapy
• Family Therapy
• Psychotherapy
• Milieu Therapy
• The Therapeutic Community
• Occupational therapy
• Recreational therapy
• Play therapy
• Music therapy
• Pet therapy
• Counselling
• Assisted ECT
• Assisted EEG
• Case studies
• Case presentation
• Project work
• Socio and psycho drama
• Field visits
44
CLINICAL SPECIALITY- I
COMMUNITY HEALTH NURSING
Course Description
Objectives
At the end of the course, the student will be able to:
1. Appreciate the history and development in the field of Community Health and
Community Health Nursing.
2. Appreciate role of individuals and families in promoting health of the Community.
3. Perform physical, developmental and nutritional assessment of individuals, families
and groups.
4. Apply the concepts of promotive, preventive, curative and Rehabilitative aspects of
health while providing care to the people.
5. Apply nursing process approach while providing care to individuals, families, groups
and community.
6. Integrate the concepts of family centered nursing approach while providing care to the
community.
7. Recognize and participate in the management of emergencies, epidemics and disasters.
8. Apply recent technologies and care modalities while delivering community health
nursing care.
9. Appreciate legal and ethical issues pertaining to community health nursing care.
10. Conduct community health nursing care projects.
45
11. Participate in planning, implementation and evaluation of various national health and
family welfare programmes at local, state and the national level.
12. Incorporate evidence based nursing practice and identify the areas of research in the
community settings. Participate effectively as a member of Community Health team.
14. Coordinate and collaborate with various agencies operating in the community by
using inter-sectoral approach.
15. Teach community health nursing to undergraduates, in-service nurses and the
community health workers.
16. Demonstrate leadership and managerial abilities in community health nursing
practice.
Course content
Health
II 10 Concepts, issues
Determinants
Measurements
Alternate systems for health promotion and management of
health problems
Health economics
46
Health technology
Genetics and health
Waste disposal
Eco system
Population dynamics and control
III 15 Demography
Transition and theories of population
National population policy
National population programmes
Population control and related programmes
Methods of family limiting and spacing
Research, Census, National Family Health Survey
47
Information technology
Tele-medicine and tele-nursing
Journalism
Mass media
Folk media
Health care delivery system: Urban, rural, tribal and difficult areas
VIII 15 Health organization: National, State, District, CHC, PHC, Sub
Centre, Village - Functions, Staffing, pattern of assistance,
layout, drugs, equipments and supplies,Roles and
Responsibilities of DPHNO
Critical review of functioning of various levels, evaluation
studies, recommendations and nursing perspectives
Alternative systems of medicine
Training and supervision of health workers
Health agencies: NGO’s, Roles and functions
Inter-sectoral coordination
Public private partnership
Challenges of health care delivery system
Practical
Total = 660 Hours
1 Week = 30 Hours
Student Activities
• Identification of community leaders and resource persons(community mapping)
• Community health survey
• Community health nursing process- individual, family and special groups and
community
• Counseling
• Health education – campaign, exhibition, folk media, preparation of IEC materials
• Organising and participating in special clinics/camps and national health and welfare
programmes-Organise atleast one health and family welfare mela/fair (all stalls of
national health and family welfare activities should be included)
• Estimation of Vital health statistics -Exercise
48
• Drill for disaster preparedness
• Organise atleast one in-service education to ANM’s/LHV/PHN/HW
• Nutrition – Exercise on nutritional assessment on dietary planning, demonstration and
education for various age groups
• Filling up of Records, reports and registers maintained at SC/PHC/CHC
• Assist women in self breast examination
• Conduct antenatal examination
• Conduct vaginal examination
• Conduct deliveries
• Post natal visits
• Perform Episiotomy and suturing
• Prepare Pap smear
• Conduct Insertion/Removal of IUD
• Blood Slide preparation
• Field visits
• Maintenance of log book for various activities
49
NURSING RESEARCH AND STATISTICS
The course is designed to assist the students to acquire an understanding of the research
methodology and statistical methods as a basis for identifying research problem, planning
and implementing a research plan. It will further enable the students to evaluate research
studies and utilize research findings to improve quality of nursing practice, education and
management.
General Objectives:
Course Content
Hours
Unit Theory Practical Course content
I 10 Introduction:
Methods of acquiring knowledge – problem solving and
scientific method.
Research – Definition, characteristics, purposes, kinds of
research
Historical Evolution of research in nursing
Basic research terms
Scope of nursing research: areas, problems in nursing,
health and social research
Concept of evidence based practice
50
Ethics in research
Overview of Research process
II 5 5 Review of Literature
Importance, purposes, sources, criteria for selection of
resources and steps in reviewing literature.
III 12 Research Approaches and designs
51
Preparing data for computer analysis and presentation.
Statistical analysis
Interpretation of data
Conclusion and generalizations
Summary and discussion
X 10 Reporting and utilizing research findings:
Communication of research results; oral and written
Writing research report purposes, methods and
stylevancouver,
American Psychological Association(APA),
Campbell etc
Writing scientific articles for publication: purposes &
style
XI 3 8 Critical analysis of research reports and articles
XII 4 7 Developing and presenting a research proposal
Activities:
Activities:
• Annotated Bibliography of research reports and articles.
• Review of literature of selected topic and reporting
• Formulation of problem statement, objective and hypothesis
• Developing theoretical/conceptual framework.
• Preparation of a sample research tool
• Analysis and interpretation of given data
• Developing and presenting research proposal
Method of Teaching
• Lecture-cum-discussion
• Seminar/Presentations
• Project
• Class room exercises
• Journal club
Methods of Evaluation
• Quiz, Tests (Term)
• Assignments/Term paper
• Presentations
• Project work
Internal Assessment
Techniques Weightage (15marks)
Term Test (2 tests) 40%
Assignment 20%
Presentation 20%
Project work 20%
Total 100%
52
Part –B: Statistics
Hours of Instruction
Theory 50 Hours
Practical 50 Hours
Total : 100 Hours
Course Description
At the end of the course, the students will be able to develop an understanding of the
statistical methods and apply them in conducting research studies in nursing.
General Objectives
At the end of the course the students will be able to:
1. Explain the basic concepts related to statistics
2. Describe the scope of statistics in health and nursing
3. Organize, tabulate and present data meaningfully.
4. Use descriptive and inferential statistics to predict results.
5. Draw conclusions of the study and predict statistical significance of the results.
6. Describe vital health statistics and their use in health related research.
7. Use statistical packages for data analysis
Course Content
unit Hours
theory practical Course content
I 7 4 Introduction:
Concepts, types, significance and scope of statistics,
meaning of data,
sample, parameter
type and levels of data and their measurement
Organization and presentation of data – Tabulation of
data;
Frequency distribution
Graphical and tabular presentations
II 4 4 Measures of central tendency:
Mean, Median, Mode
III 4 5 Measures of variability;
Range, Percentiles, average deviation, quartile
deviation,
standard deviation
IV 3 2 Normal Distribution:
Probability, characteristics and application of normal
probability curve; sampling error.
V 6 8 Measures of relationship:
Correlation – need and meaning
53
Rank order correlation;
Scatter diagram method
Product moment correlation
Simple linear regression analysis and prediction.
VI 5 2 Designs and meaning:
Experimental designs
Comparison in pairs, randomized block design, Latin
squares.
VII 8 10 Significance of Statistic and Significance of difference
between two Statistics (Testing hypothesis)
Non parametric test – Chi-square test, Sign, median
test,
Mann Whitney test.
Parametric test – ‘t’ test, ANOVA,
MANOVA,ANCOVA
VIII 5 5 Use of statistical methods in psychology and education:
Scaling – Z Score, Z Scaling
Standard Score and T Score
Reliability of test Scores: test-retest method, parallel
forms, split half method.
IX 4 2 Application of statistics in health:
Ratios, Rates, Trends
Vital health statistics – Birth and death rates.
Measures related to fertility, morbidity and mortality
Activities
• Exercises on organization and tabulation of data,
• Graphical and tabular presentation of data
• Calculation of descriptive and inferential statistics (chi square, t-test,
correlation)
• Practice in using statistical package
• Computing vital health statistics
Methods of Teaching:
• Lecture-cum-discussion
• Demonstration – on data organization, tabulation, calculation of
statistics, use of statistical package, Classroom exercises, organization
and tabulation of data,
• Computing Descriptive and inferential statistics; vital and health
statistics and use of computer for data entry and analysis using
statistical package.
54
Methods of Evaluation
• Test, Classroom statistical exercises.
Internal Assessment
Techniques Weightage 10 marks
Test – (2 tests) 100%
55
NURSING MANAGEMENT
Placement: II Year
Hours of Instruction
Theory 150 Hours
Practical 150 Hours
Total : 300 Hours
Course Description
Objectives
56
Course Content
Unit Hours Content
I 10 Introduction
Philosophy, purpose, elements, principles and scope of
administration
Indian Constitution, Indian Administrative system vis a vis
health
care delivery system: National, State and Local
Organisation and functions of nursing services and education at
National, State , District and institutions: Hospital and
Community
Planning process: Five year plans, Various Committee Reports
on
health, State and National Health policies, national population
policy, national policy on AYUSH and plans,
II 10 Management
Functions of administration
Planning and control
Co-ordination and delegation
Decision making – decentralization basic goals of
decentralization.
Concept of management
Nursing management
Concept, types, principles and techniques
Vision and Mission Statements
Philosophy, aims and objective
Current trends and issues in Nursing Administration
Theories and models
Application to nursing service and education
III 15 Planning
Planning process: Concept, Principles, Institutional policies
Mission, philosophy, objectives,
Strategic planning
Operational plans
Management plans
Programme evaluation and review technique(PERT), Gantt
chart,
Management by objectives(MBO)
Planning new venture
Planning for change
Innovations in nursing
Application to nursing service and education
57
IV 15 Organisation
Concept , principles, objectives, Types and theories, Minimum
requirements for organisation, Developing an organizational
Structure, levels, organizational Effectiveness and organizational
Climate,
Organising nursing services and patient care: Methods of
patient
assignment- Advantages and disadvantages, primary nursing care,
Planning and Organising: hospital, unit and ancillary
services(specifically central sterile supply department, laundry,
kitchen, laboratory services, emergency etc)
Disaster management: plan, resources, drill, etc
Application to nursing service and education
V 15 Human Resource for health
Staffing
• Philosophy
• Norms: Staff inspection unit(SIU), Bajaj Committee, High
power
committee, Indian nursing council (INC)
• Estimation of nursing staff requirement- activity analysis
• Various research studies
Recruitment: credentialing, selection, placement, promotion
Retention
Personnel policies
Termination
Staff development programme
Duties and responsibilities of various category of nursing
personnel
Applications to nursing service and education
VI 15 Directing
Roles and functions
Motivation: Intrinsic, extrinsic, Creating motivating climate,
Motivational theories
Communication : process, types, strategies, Interpersonal
communication, channels, barriers, problems, Confidentiality,
Public relations
Delegation; common delegation errors
Managing conflict: process, management, negotiation,
consensus
Collective bargaining: health care labour laws, unions,
professional
associations, role of nurse manager
Occupational health and safety
Application to nursing service and education
VII 10 Material management
Concepts, principles and procedures
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Planning and procurement procedures : Specifications
ABC analysis,
VED (very important and essential daily use) analysis
Planning equipments and supplies for nursing care: unit and
hospital
Inventory control
Condemnation
Application to nursing service and education
VIII 15 Controlling
Quality assurance – Continuous Quality Improvement
• Standards
• Models
• Nursing audit
Performance appraisal: Tools, confidential reports, formats,
Management, interviews
Supervision and management: concepts and principles
Discipline: service rules, self discipline, constructive versus
destructive discipline, problem employees, disciplinary
proceedings enquiry
etc
Self evaluation or peer evaluation, patient satisfaction,
utilization
review
Application to nursing service and education
IX 15 Fiscal planning
Steps
Plan and non-plan, zero budgeting, mid-term appraisal, capital
and
revenue
Budget estimate, revised estimate, performance budget
Audit
Cost effectiveness
Cost accounting
Critical pathways
Health care reforms
Health economics
Health insurance
Budgeting for various units and levels
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Nursing records and reports
Management information and evaluation system (MIES)
E- nursing, Telemedicine, telenursing
Electronic medical records
XI 10 Leadership
Concepts, Types, Theories
Styles
Manager behaviour
Leader behaviour
Effective leader: Characteristics, skills
Group dynamics
Power and politics
lobbying
Critical thinking and decision making
Stress management
Applications to nursing service and education
XII 10 Legal and ethical issues
Laws and ethics
Ethical committee
Code of ethics and professional conduct
Legal system: Types of law, tort law, and liabilities
Legal issues in nursing: negligence, malpractice, invasion of
privacy,
defamation of character
Patient care issues, management issues, employment issues
Medico legal issues
Nursing regulatory mechanisms: licensure, renewal,
accreditation
Patients rights, Consumer protection act(CPA)
Rights of special groups: children, women, HIV, handicap,
ageing
Professional responsibility and accountability
Infection control
Standard safety measures
PRACTICALS
1. Prepare prototype personal files for staff nurses, faculty and cumulative records
2. Preparation of budget estimate, Revised estimate and performance budget
3. Plan and conduct staff development programme
4. Preparation of Organisation Chart
5. Developing nursing standards/protocols for various units
60
6. Design a layout plan for speciality units /hospital, community and educational
institutions
7. Preparation of job description of various categories of nursing personnel
8. Prepare a list of equipments and supplies for speciality units
9. Assess and prepare staffing requirement for hospitals, community and educational
institutions
10. Plan of action for recruitment process
11. Prepare a vision and mission statement for hospital, community and educational
institutions
12. Prepare a plan of action for performance appraisal
13. Identify the problems of the speciality units and develop plan of action by using
problem solving approach
14. Plan a duty roster for speciality units/hospital, community and educational institutions
15. Prepare: anecdotes, incident reports, day and night reports, handing and taking over
reports, enquiry reports, nurses notes, Official letters, curriculum vitae, presentations etc
16. Prepare a plan for disaster management
17. Group work
18. Field appraisal report
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CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING
Objectives
At the end of the course the students will be able to:
1. Appreciate trends and issues related to cardio vascular and thoracic Nursing.
2. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of
cardio vascular and thoracic conditions
3. Participate in national health programs for health promotion, prevention and
rehabilitation of patients with cardio vascular and thoracic conditions
4. Perform physical, psychosocial & spiritual assessment
5. Assist in various diagnostic, therapeutic and surgical procedures
6. Apply nursing process in providing comprehensive care to patients with cardio
vascular and thoracic conditions
7. Demonstrate advance skills/competence in managing patients with cardio vascular and
thoracic conditions including Advance Cardiac Life Support.
8. Describe the various drugs used in cardio vascular and thoracic conditions and nurses
responsibility
9. Demonstrate skill in handling various equipments/gadgets used for critical care of
cardio vascular and thoracic patients
10. Appreciate team work & coordinate activities related to patient care.
11. Practice infection control measures.
12. Identify emergencies and complications & take appropriate measures
62
13. Discuss the legal and ethical issues in cardio vascular and thoracic nursing
14. Assist patients and their family to cope with emotional distress, grief, anxiety and
spiritual needs.
15. Appreciate the role of alternative system of medicine in care of patient
16. Incorporate evidence based nursing practice and identify the areas of research in the
field of cardio vascular and thoracic nursing
17. Identify the sources of stress and manage burnout syndrome among health care
providers.
18. Teach and supervise nurses and allied health workers.
19. Design a layout of ICCU and ICTU and develop standards for cardio vascular and
thoracic nursing practice.
Content Outline
Unit Hours Content
I 5 Introduction
Historical development, trends and issues in the field of
cardiology.
Cardio vascular and thoracic conditions – major health problem.
Concepts, principles and nursing perspectives
Ethical and legal issues
Evidence based nursing and its application in cardio vascular and
thoracic nursing( to be incorporated in all the units)
II 5 Epidemiology
Risk factors: hereditary, psycho social factors, hypertension,
smoking, obesity, diabetes mellitus etc
Health promotion, disease prevention, Life style modification
National health programs related to cardio vascular and thoracic
conditions
Alternate system of medicine
Complementary therapies
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Physical assessment
• Heart rate variability: Mechanisms , measurements, pattern,
factors, impact of interventions on HRV
Diagnostic tests
• Hemodynamic monitoring: Technical aspects, monitoring,
functional hemodynamic indices, ventricular function indices,
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• Heart Failure, Pulmonary Edema, Shock.
• Rheumatic heart disease and other Valvular Diseases
• Inflammatory Heart Diseases, Infective Endocarditis,
Myocarditis, Pericarditis.
• Cardiomyopathy, dilated, restrictive, hypertrophic.
• Arrhythmias, heart block
Associated illnesses
VI 10 Altered pulmonary conditions
Etiology, clinical manifestations, diagnosis, prognosis, related
pathophysiology, treatment modalities and nursing management of:
• Bronchitis
• Bronchial asthma
• Bronchiectasis
• Pneumonias
• Lung abscess, lung tumour
• Pulmonary tuberculosis, fibrosis, pneumoconiosis etc
• Pleuritis, effusion
• Pneumo, haemo and pyothorax
• Interstitial Lung Disease
• Cystic fibrosis
• Acute and Chronic obstructive pulmonary disease (conditions
leading to)
• Cor pulmonale
• Acute respiratory failure
• Adult respiratory distress syndrome
• Pulmonary embolism
• Pulmonary Hypertension
VII 10 Vascular disorders and nursing management
Etiology, clinical manifestations, diagnosis, prognosis, related
pathophysiology, treatment modalities and nursing management of:
• Disorders of arteries
• Disorders of the aorta
• Aortic Aneurysms,
• Aortic dissection
• Raynaud’s phenomenon
• Peripheral arterial disease of the lower extremities
• Venous thrombosis
• Varicose veins
• Chronic venous insufficiency and venous leg ulcers
• Pulmonary embolism
VIII 10 Cardio thoracic emergency interventions
CPR- BLS and ALS
Use of ventilator, defibrillator , pacemaker
Post resuscitation care.
Care of the critically ill patients
Psychosocial and spiritual aspects of care
65
Stress management; ICU psychosis
Role of nurse
XI 10 Pharmacology
Review
Pharmacokinetics
Analgesics/Anti inflammatory agents
Antibiotics, antiseptics
66
Drug reaction & toxicity
Drugs used in cardiac emergencies
Blood and blood components
• Antithrombolytic agents
• Inotropic agents
• Beta-blocking agents
• Calcium channel blockers.
• Vaso constrictors
• Vaso dilators
• ACE inhibitors.
• Anticoagulents
• Antiarrhythmic drugs.
• Anti hypertensives
• Diuretics
• Sedatives and tranquilizers.
• Digitalis.
• Antilipemics
Principles of drug administration, role and responsibilities of
nurses and care of drugs
67
XIII 5 Cardiac rehabilitation
Process
Physical evaluation
Life style modification
Physical conditioning for cardiovascular efficiency through
exercise
Counseling
Follow up care
Practicals
Total – 960 Hours
1 Weeks = 30 Hours
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Essential Nursing Skills
Procedures Observed
1. Echo cardiogram
2. Ultrasound
3. Monitoring JVP , CVP
4. CT SCAN
5. MRI
6. Pet SCAN
7. Angiography
8. Cardiac cathetrisation
9. Angioplasty
10. Various Surgeries
11. Any other
I. Procedures Assisted
1. Arterial blood gas analysis
2. Thoracentesis
3. Lung biopsy
4. Computer assisted tomography (CAT Scan)
5. M.R.I.
6. Pulmonary angiography
7. Bronchoscopy
8. Pulmonary function test
9. ET tube insertion
10. Tracheostomy tube insertion
11. Cardiac catheterisation
12. Angiogram
13. Defibrillation
14. Treadmill test
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15. Echo cardiography
16. Doppler ultrasound
17. Cardiac surgery
18. Insertion of chest tube
19. CVP Monitoring
20. Measuring pulmonary artery pressure by Swan-Ganz Catheter
21. Cardiac Pacing
II. Procedures Performed
1. Preparation of assessment tool for CT client (Cardiac, thoracic and vascular).
2. ECG – Recording, Reading, Identification of abnormalities
3. Oxygen therapy – Cylinder, central supply,
Catheter, nasal canula, mask, tent
Through ET and Tracheostomy tube
Manual resuscitation bag
4. Mechanical ventilation
5. Spirometer
69
6. Tuberculen skin test
7. Aerosal therapy
8. Nebulizer therapy
9. Water seal drainage
10. Chest physiotheray including – Breathing Exercises
Coughing Exercises
Percussion & Vibration
11. Suctioning – Oropharyngeal, nasotracheal, Endotrachieal
Through tracheostomy tube
12. Artificial airway cuff maintenance
13. CPR
14. Care of client on ventilator
15. Identification of different – Arrhythmias
Abnormal pulses, respirations
B.P. Variation
Heart sounds
Breath sounds
16. Pulse oxymetry
17. Introduction of intracath
18. Bolus I.V. Injection
19. Life line
20. Maintenance of “Heplock”
21. Subcutaneous of Heparin
22. Obtaining leg measurements to detect early swelling in
thrombophlebetes
23. Identification of Homans signs
24. Buergen – Allen exercises
70
CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING - CRITICAL CARE NURSING
Placement: II Year
Hours of instruction
Theory: 150 hours
Practical: 950 hours
Total : 1100 hours
Course Description
This course is designed to assist students in developing expertise and indepth knowledge
in the field of Critical care Nursing. It will help students to develop advanced skills for
nursing intervention in caring for critically ill patients. It will enable the student to
function as critical care nurse practitioner/ specialist. It will further enable the student to
function as educator, manager and researcher in the field of Critical Care Nursing.
Objectives
At the end of the course the students will be able to
1. Appreciate trends and issues related to Critical Care Nursing.
2. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of
critically ill patients
3. Describe the various drugs used in critical care and nurses responsibility
4. Perform physical, psychosocial & spiritual assessment
5. Demonstrate advance skills/competence in managing critically ill patients including
Advance Cardiac Life Support.
6. Demonstrate skill in handling various equipments/gadgets used for critical care
7. Provide comprehensive care to critically ill patients.
8. Appreciate team work & coordinate activities related to patient care.
9. Practice infection control measures.
10. Assess and manage pain .
11. Identify complications & take appropriate measures.
12. Discuss the legal and ethical issues in critical care nursing
13. Assist patients and their family to cope with emotional distress, spiritual, grief and
anxiety
14. Assist in various diagnostic, therapeutic and surgical procedures
15. Incorporate evidence based nursing practice and identify the areas of research in the
field of critical care nursing
71
16. Identify the sources of stress and manage burnout syndrome among health care
providers.
17. Teach and supervise nurses and allied health workers.
18. Design a layout of ICU and develop standards for critical care nursing practice.
Course Content
Unit Hours Content
I 5 Introduction to Critical Care Nursing
Historical review- Progressive patient care(PPC)
Review of anatomy and physiology of vital organs, fluid and
electrolyte balance
Concepts of critical care nursing
Principles of critical care nursing
Scope of critical care nursing
Critical care unit set up including equipments supplies, use and
care of various type of monitors & ventilators
Flow sheets
II 10 Concept of Holistic care applied to critical care nursing practice
Impact of critical care environment on patients:-
• Risk factors, Assessment of patients, Critical care psychosis,
prevention & nursing care for patients affected with
psychophysiological & psychosocial problems of critical care
unit, Caring for the patient’s family, family teaching
The dynamics of healing in critical care unit:-therapeutic touch,
Relaxation, Music therapy, Guided Imagery, acupressure
Stress and burnout syndrome among health team members
III 14 Review
Pharmacokinetics
Analgesics/Anti inflammatory agents
Antibiotics, antiseptics
Drug reaction & toxicity
Drugs used in critical care unit (inclusive of ionotropic, life
saving
drugs)
Drugs used in various body systems
IV fluids and electrolytes
Blood and blood components
Principles of drug administration, role of nurses and care of drugs
IV 5 Pain Management
Pain & Sedation in Critically ill patients
Theories of pain, Types of pain, Pain assessment, Systemic
responses to pain
pain management-pharmacological and non-pharmacological
72
measures
Placebo effect
IX 5 Endocrine System
Causes, Pathophysiology, Clinical types, Clinical features,
diagnosis, Prognosis, Management: Medical, Surgical and Nursing
Management of :-Hypoglycemia, Diabetic Ketoacidosis, Thyroid
crisis, Myxoedema, Adrenal crisis, Syndrome of Inappropriate/
hypersecretion of Antidiuretic Hormone (SIADH)
73
Shock: Shock syndrome, Hypovolemic, Cardiogenic,
Anaphylactic,
Neurogenic and Septic shock
Systemic inflammatory Response:The inflammatory response,
Multiple organ dysfunction syndrome
Disseminated Intravascular Coagulation
Drug Overdose and Poisoning,
Acquired Immunodeficiency Syndrome (AIDS)
Ophthalmic: Eye injuries, Glaucoma, retinal detachment
Ear Nose Throat: Foreign bodies, stridor, bleeding, quincy, acute
allergic conditions
Psychiatric emergencies;, suicide,
crisis intervention
XI 15 Cardiovascular emergencies
Principles of Nursing in caring for patient’s with Cardiovascular
disorders
Assessment: Cardiovascular system: Heart sounds, Diagnostic
studies:- Cardiac enzymes studies, Electrocardiographic
monitoring, Holter monitoring, Stress test. Echo cardiography,
Coronary angiography, Nuclear medicine studies
Causes, Pathophysiology, Clinical types, Clinical features,
Diagnostic Prognosis, Management : Medical, Surgical & Nurisng
management of:-Hypertensive crisis, Coronary artery disease,
Acute Myocardial infarction, Cardiomyopathy, Deep vein
thrombosis, Valvular diseases, Heart block, Cardiac arrhythmias &
conduction disturbances, Aneurysms, Endocarditis, Heart failure
Cardio pulmonary resuscitation BCLS/ ACLS
Management Modalities: Thrombolytic therapy, Pacemaker –
temporary & permanent, Percutaneous transluminal coronary
angioplasty, Cardioversion, Intra Aortic Balloon pump monitoring,
Defibrillations, Cardiac surgeries, Coronary Artery Bypass Grafts
(CABG/MICAS), Valvular surgeries, Heart Transplantation,
Autologous blood transfusion, Radiofrequency Catheter Ablation
XII 15 Respiratory System
Acid-base balance & imbalance
Assesment : History & Physical Examination
Diagnostic Tests:Pulse Oximetry, End –Tidal Carbon Dioxide
Monitoring, Arterial blood gas studies, chest radiography,
pulmonary Angiography, Bronchoscopy, Pulmonary function Test,
Ventilation perfusion scan, Lung ventilation scan
Causes Pathophysiology, Clinical types, Clinical features,
Prognosis, Management: Medical, Surgical and Nursing
management of Common pulmonary disorders:-Pneumonia, Status
asthmaticus, interstitial drug disease, Pleural effusion, Chronic
obstructive pulmonary disease, Pulmonary tuberculosis,
Pulmonary edema, Atelectasis, Pulmonary embolism, Acute
74
respiratory failure, Acute respiratory distress syndrome (ARDS),
Chest Trauma Haemothorax, Pneumothorax
Management Modalities:-Airway Management
Ventilatory Management:-Invasive, non- invasive, long term
mechanical ventilations
Bronchial Hygiene:-Nebulization, deep breathing exercise, chest
physiotherapy, postural drainage, Inter Costal Drainage, Thoracic
surgeries
XIII 7 Burns
Clinical types, classification, pathophysiology, clinical features,
assessment, diagnosis, prognosis, Management: Medical, Surgical
& Nursing management of burns
Fluid and electrolyte therapy – calculation of fluids and its
administration
Pain management
Wound care
Infection control
Prevention and management of burn complications
Grafts and flaps
Reconstructive surgery
Rehabilitation
XIV 10 Obstetrical Emergencies
Causes, Pathophysiology, Clinical types, clinical features,
diagnostic Prognosis, Management: Medical, Surgical and Nursing
management of :Antepartum haemorrhage, Preeclampsia,
eclampsia, Obstructed labour and ruptured uterus, Post partum
haemorrhage, Peurperal sepsis, Obstetrical shock
XV 2 Neonatal Paediatric emergencies
Causes, pathophysiology, Clinical types, Clinical features,
diagnostic, Prognosis , Management: medical, surgical and Nursing
management of
• Neonatal emergencies
Asphyxia Neonatarum, Pathological Jaundice in Neonates,
Neonatal seizures, Metabolic disorders, Intra cranial Hemorrhage,
Neonatal Sepsis, RDS/HMD (Respiratory Distress
Syndrome/Hyaline Membrane Disease), Congenital disorders:-
• Cyanotic heart disease, tracheo oesophageal fistula, congenital
hypertropic pyloric stenosis, imperforate anus
• Pediatric emergencies
Dehydration, Acute broncho pneumonia, Acute respiratory
distress
syndrome, Poisoning, Foreign bodies, seizures, traumas, Status
asthmaticus
75
Brain death
Organ donation & Counselling
Do Not Resuscitate(DNR)
Euthanasia
Living will
XVII 2 Quality assurance
Standards, Protocols, Policies, Procedures
Infection control; Standard safety measures
Nursing audit
Design of ICU/CCU
Practical
Total = 960 Hours
1 Week = 30 Hours
I. Procedures Observed
1. CT Scan
2. MRI
3. EEG
4. Hemodialysis
5. Endoscopic Retrograde cholangio Pancreaticogram(ERCP)
6. Heart/ Neuro/GI./ Renal Surgeries
76
4. Arterial blood gas
5. ECG recording
6. Blood transfusion
7. IV cannulation therapy
8. Arterial Catheterization
9. Chest tube insertion
10. Endotracheal intubations
11. Ventilation
12. Insertion of central line/cvp line
13. Connecting lines for dialysis
1. Airway management
a. Application of oropharyngeal airway
b. Oxygen therapy
c. CPAP (Continuous Positive Airway pressure)
d. Care of tracheostomy
e. Endotracheal extubation
77
9. Administration of drugs: IM, IV injection, IV cannulation & fixation of infusion pump,
calculation of dosages, use of insulin syringes/ tuberculin, monitoring fluid therapy,
blood administration.
10. Setting up dialysis machine and starting, monitoring and closing dialysis
11. Procedures for prevention of infections:
Hand washing, disinfection & sterilization surveillance, and fumigation universal
precautions.
12. Collection of specimen.
13. Setting, use & maintenance of basic equipment, ventilator, O2 analyzer, monitoring
equipment, transducers, defibrillator, infusion & syringe pumps, centrifuge machine.
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CLINICAL SPECIALITY-II
MEDICAL SURGICAL NURSING- ONCOLOGY NURSING
Course Description
Objectives
1. Explain the prevention, screening and early detection of cancer
2. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of
oncological disorders of various body systems
3. Describe the psychosocial effects of cancer on patients and families.
4. Demonstrate skill in administering/assisting in various treatment modalities used for
patients with cancer
5. Apply nursing process in providing holistic care to patients with cancer.
6. Apply specific concepts of pain management
7. Appreciate the care of death and dying patients and value of bereavement support.
8. Describe the philosophy, concept and various dimensions of palliative care
9. Appreciate the role of alternative systems of medicine in care of cancer patients
10. Appreciate the legal & ethical issues relevant to oncology nursing
11. Recognize and manage Oncological emergencies
12. Counsel the patients with cancer and their families
13. Incorporate evidence based nursing practice and identify the areas of research in the
field of oncology nursing
14. Recognize the role of oncology nurse practitioner as a member of oncology team
15. Collaborate with other agencies and utilize resources in caring for cancer patients.
79
16. Teach and supervise nurses and allied health workers.
17. Design a layout and develop standards for management of oncology units/hospitals
and nursing care.
Content Outline
Unit Hours Content
I 4 Introduction
Epidemiology-Incidence, Prevalence – Global, National,
State and
Local
Disease burden, concept of cancer, risk factors
Historical perspectives
Trends and issues
Principles of cancer management
Roles and responsibilities of oncology nurse
80
tomography(PET), Radio nuclide imaging, Functional
metabolism imaging
• Endoscopies
Nurses responsibilities in diagnostic measures
81
tumor kinetics.
• Approaches to radiation therapy –
• External radiotherapy
• Internal radiotherapy – unsealed,
• Sealed sources.
• Effectiveness of radiotherapy-Radiosensitivity, treatment
effects
• Complications of radiotherapy
• Radiation safety: Standards of Bhaba Atomic Research
Centre(BARC)
Bone Marrow Transplantation /Stem Cell Transplantation
• Types, indications, transplantation procedure, complications
and nursing managment
• Types and donor sources
• Preparation and care of donor and recipient
• Bone marrow bank
• Legal and ethical issues
Immunotherapy (Biotherapy)
• Concepts and principles
• Classification of agents
• Treatment and applications
Gene Therapy
• Current Concepts and practices
Alternative and Complementary Therapies
• Current practices
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Global and Indian perspective of palliative care
Quality of life issues
Communication skill
Nursing perspective of palliative care and its elements
Home care
Hospice care
Role of nurse in palliative care
IX 2 Infection control:
• Process of infection, risk of hospitalization, nosocomial
infections- prevention and control of infection in acute, long
term care facility and community based care
• Standard safety measures
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Fungating wounds
Anxiety & depression, insomnia
Lymph edema
Impact of cancer on sexuality:
Effects of radiotherapy/ chemotherapy/surgery on sexuality
of the
cancer patient
Nursing management of cancer patients experiencing sexual
dysfunction
Sexual counseling
XIII 10 Cancer Emergencies
Disseminated intravascular coagulation(DIC),
Malignant pleural effusion
Neoplastic cardiac tamponade and septic shock spinal cord
compression
Superior venacava syndrome
Metabolic emergency: hyper and hypo calcemia
Surgical emergency
Urological emergency
Hemorrhage
Organ obstruction
Brain metastasis
Nurses role in managing oncologic emergencies
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Clinical Experience
S.No. Deptt./ Unit No. of Week Total Hours
1 Medical Oncology ward 6 180 Hours
2 Surgical Oncology ward 6 180 Hours
3 Bone marrow transplantation Unit 2 60 Hours
4 Operation Theatre 2 60 Hours
5 Radiotherapy Unit 2 60 Hours
6 Chemotherapy Unit 4 120 Hours
7 Out patient department and pain clinic 2 60 Hours
8 Pediatric Oncology ward 2 60 Hours
9 Palliative Care ward 2 60 Hours
10 Community oncology 2 60 Hours
11 Hospice 1 30 Hours
12 Other field visits 1 30 Hours
Total 32 Weeks 960 Hours
Procedures Observed
1. CT Scan
2. MRI
3. PET Scan(Positron Emission Tomography)
4. Ultra sound
5. Mammography
6. Radio Nuclide Imaging
7. Bone Scan
8. Thyroid Function Test
9. Functional and Metabolic Imaging
10. Transportation of radioactive materials
11. Others
Procedures Assisted
1. IV cannulation – Open method
2. Chemotherapy
3. Radiotherapy – Brachytherapy – Low Density Radiation, High Density
Radiation.
4. Interstitial implantation
5. Bio-therapy and Gene therapy
6. Teletherapy – Treatment planning
7. Bone marrow aspiration and biopsy
8. Biopsy – tissue
9. FNAC – Fine Needle Aspiration Cytology and biopsy
10. Advance Cardiac life support
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11. Endotracheal intubation
12. Defibrillation Ventilation
13. Tracheostomy
14. Thoracentesis
15. Paracentesis
16. Lumbar Puncture
17. Arterial Blood Gas
18. Nerve Block
19. Chest tube insertion
20. Intercostal drainage
21. CVP monitoring
Procedure Performed
1. Screening for cancer
2. Assessment of pain
3. Assessment of Nutritionsl status
4. Care of Tracheostomy
5. Endotracheal intubation
6. Gastric gavage
7. Pap smear
8. IV cannulation
9. Care of surgical flaps
10. Care of ostomies
11. Blood transfusion and component therapy
12. Counseling
13. Practice standard safety measures
14. Care of dead body and mortuary formalities
Other procedures
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CLINICAL SPECIALITY – II
Placement: II Years
Hours of Instruction
Theory – 150 Hours
Practical- 950 Hours
Total : 1100 Hours
Course Description
This course is designed to assist students in developing expertise and indepth knowledge
in the field of neurology and neurosurgical Nursing. It will help students to develop
advanced skills for nursing intervention in caring for patients with neurological and
neurosurgical disorders. It will enable the student to function as neuroscience nurse
practitioner/ specialist. It will further enable the student to function as educator, manager
and researcher in the field of neurology and neurosurgical Nursing.
Objectives
At the end of the course the students will be able to
1. Appreciate trends and issues related to neurology and neurosurgical Nursing.
2. Review the anatomy and physiology of nervous system
3. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of
patients with neurological and neurosurgical disorders
4. Perform neurological assessment and assist in diagnostic procedures
5. Describe the concepts and principles of neuroscience nursing
6. Describe the various drugs used in neurosciences and nurses responsibility
7. Assist in various therapeutic and surgical procedures in neuroscience nursing
8. Demonstrate advance skills/competence in managing patients with neurological and
neurosurgical disorder following nursing process approach
9. Identify psychosocial problems of patients with disabilities and assist patients and their
family to cope with emotional distress, spiritual, grief and anxiety
10. Participate in preventive, promotive and rehabilitative services for neurological and
neurosurgical patients.
11. Explain the legal and ethical issues related to brain death, organ transplantation and
practice of neuroscience nursing
12. Incorporate evidence based nursing practice and identify the areas of research in the
field of neuroscience nursing
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13. Organise and conduct inservice education program for nursing personnel.
14. Develop standards of care for quality assurance in neuroscience nursing practice
15. Identify the sources of stress and manage burnout syndrome among health care
providers.
16. Teach and supervise nurses and allied health workers.
17. Plan and develop physical layout of neuro intensive care unit
Course Content
II 5 Epidemiology
Major health problems-
Risk factors associated with neurological conditions-
Hereditary,
Psychosocial factors, smoking, alcoholism, dietary habits,
cultural
and ethnic considerations, occupational and infections.
Health promotion, disease prevention, life style
modification and
its implications to nursing
Alternate system of medicine/complementary therapies
III 10 Review of Anatomy and physiology
Embryology
Structure and functions of Nervous system- CNS, ANS,
cereberal
circulation , cranial and spinal nerves and reflexes, motor
and
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sensory functions
Sensory organs
IV 15 Assessment and diagnostic measures
Assessment
• History taking
• Physical assessment, psychosocial assessment
• Neurological assessments, Glasgow coma scale
interpretation &
its relevance to nursing.
• Common assessment abnormalities
Diagnostic measures
• Cerebro spinal fluid analysis
• Radiological studies-Skull and spine X-ray Cerebral
Angiography, CT Scan, Single Photon Emission Computer
Tomography(SPECT), MRI (Magnetic Resonance
Imaging),
MRA, MRS, Functional MRI, Myelography, PET (Positron
Emission Test), Interventional radiology.
• Electorgraphic studies- Electro encephalo graphy, MEG,
EMG,
video EEG,
• Nerve conduction studies-Evoked potentials, visual
evoked
potentials, brain stem auditory evoked potentials,
somatosensory evoked potentials
• Ultrasound studies-Carotid duplex, transcranial Doppler
sonography,
• Immunological studies
• Biopsies – muscle, nerve and Brain.
Interpretation of diagnostic measures
Nurse’s role in diagnostic tests
V 5 Meeting Nutritional needs of neurological patients
Basic nutritional requirements
Metabolic changes following injury and starvation
Nutritional assessment
Common neurological problems that interfere with
nutrition and
strategies for meeting their nutritional needs
Special metabolic and electrolyte imbalances
Chronic fatigue syndrome
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VII 10 Traumatic conditions.
Causes, pathophysiology, Clinical types, Clinical
features,
diagnosis, Prognosis, Management: medical, surgical and
Nursing
management of
• Cranio cerebral injuries.
• Spinal & Spinal cord injuries.
• Peripheral nerve injuries.
• Unconsciousness
90
Nursing management of Neuro infections
• Meningitis-types
• Encephalitis.
• Poliomyelitis.
• Parasitic infections.
• Bacterial infections
• Neurosyphilis.
• HIV & AIDS.
• Brain abscess.
XI 10 Paroxysmal disorders.
Causes, pathophysiology, Clinical types, Clinical
features,
diagnosis, Prognosis , Management: medical, surgical and
Nursing
management of
• Epilepsy and seizures.
• Status epilepticus.
• Syncope.
• Menier’s syndrome.
• Cephalgia.
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• Bell’s palsy.
• Menier’s disease
• Carpal tunnel syndrome
• Peripheral neuropathies
XIV 5 Neoplasms – surgical conditions.
Causes, pathophysiology, Clinical types, Clinical
features,
diagnostic, Prognosis , Management: medical, surgical and
Nursing management of
• Space occupying lesions -types
• Common tumors of CNS,
XV 5 Other disorders
Causes, pathophysiology, Clinical types, Clinical
features,
diagnostic, Prognosis , Management: medical, surgical and
Nursing management of
Metabolic disorders- diabetes, insipidus, metabolic
encephalopathy
Sleep disorders
Auto immune disorders- multiple sclerosis, inflammatory
myopathies
XVI 10 Neuro emergencies
Causes, pathophysiology, Clinical types, Clinical
features,
diagnostic, Prognosis , Management: medical, surgical and
Nursing management of
• Increased intracranial pressure
• Unconscious
• Herniation syndrome
• Seizures
• Severe head injuries
• Spinal injuries
• Cerebro vascular accidents
XVII 5 Rehabilitation.
Concept and Principles of Rehabilitation.
Factors affecting quality of life and coping
Rehabilitation in acute care setting, and following stroke,
head
injury and degenerative disorders of brain
Physiotherapy.
Counselling
Care giver’s role
Speech & Language.-Neurogenic communication
disorders, Speech
therapy
92
XVIII 5 Ethical and legal issues in neuroscience nursing
Brain death and organ transplantation
Euthanasia
Negligence and malpractice
Nosocomial infections
93
Practical
Total = 960 Hours
1 Week = 30 Hours
95
CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING- NEPHRO-UROLOGY NURSING
Placement : II Year
Hour of Instruction
Theory : 150 Hours
Practical : 950 Hours
Total : 1100 Hours
Course Description
This course is designed to assist students in developing expertise and indepth
understanding in the field of Nephro and urological Nursing. It will help students to
develop advanced skills for nursing intervention in various nephro and urological
conditions. It will enable the student to function as nephro and urology nurse
practitioner/specialist and provide quality care. It will further enable the student to
function as educator, manager, and researcher in the field of nephro and urology nursing
Objectives
96
Course Content
Unit Hours Content
I 5 Introduction
Historical development: trends and issues in the field of
nephro
and urological nursing.
nephro and urological problems
Concepts, principles and nursing perspectives
Ethical and legal issues
Evidence based nursing and its application in nephro and
urological nursing(to be incorporated in all the units)
II 5 Epidemiology
Major health problems- urinary dysfunction, urinary tract
infections, Glomuerular disorders, obstructive disorders ad
other
urinary disorders
Risk factors associated with nephro and urological
conditions
conditions- Hereditary, Psychosocial factors, smoking,
alcoholism,
dietary habits, cultural and ethnic considerations
Health promotion, disease prevention, life style
modification and
its implications to nursing
Alternate system of medicine/complementary therapies
III 5 Review of anatomy and physiology of urinary system
Embryology
Structure and functions
Renal circulation
Physiology of urine formation
Fluid and electrolyte balance
Acid base balance
Immunology specific to kidney
IV 20 Assessment and diagnostic measures
History taking
Physical assessment, psychosocial assessment
Common assessment abnormalities-dysurea, frequency,
enuresis,
urgency, hesistancy, hematuria, pain, retention, burning on
urination, pneumaturia, incontinence, nocturia, polyurea,
anuria,
oliguria,
Diagnostic tests-urine studies, blood chemistry, radiological
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procedures-KUB, IVP,nephrotomogram, retrograde pylogram,
renal
arteriogram, renalultrasound, CT scan, MRI, cystogram, renal
scan, biopsy, endoscopy-cystoscopy, urodynamics
studiescystometrogram,
urinary flow study, sphincter electromyography,
voiding pressure flow study, videourodynamics, Whitaker
study
Interpretation of diagnostic measures
Nurse’s role in diagnostic tests
V 5 Renal immunopathy/Immunopathology
General Concept of immunopathology
Immune mechanism of glomerual vascular disease
Role of mediater systems in glomerula vascular disease
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Renal calculi
Renal tumours-benign and malignant
Renal trauma
Renal abscess
Diabetic nephropathy
Vascular disorders
Renal tuberculosis
Polycystic
Congenital disorders
Hereditary renal disorders
VIII 10 Management of Renal emergencies
Anuria
Acute Renal failure
Poisoning
Trauma
Urine retention
Acute graft rejection
Hematuria
Nurse’s role
X 10 Dialysis
Dialysis- Historical, types, Principles, goals
• Hemodialysis- vascular access sites- temporary and
permanent
• Peritoneal dialysis
Dialsyis Procedures- steps, equipments, maintenance,
Role of nurse- pre dialysis, intra and post dialysis
Complications-
Counseling
patient education
Records and reports
XI 10 Kidney transplantation
Nursing management of a patient with Kidney
transplantation
Kidney transplantations- a historical review
Immunology of graft rejections
The recipient of a renal transplant
Renal preservations
99
Human Leucocytic Antigen(HLA) typing matching and
cross
matching in renal transplantation
Surgical techniques of renal transplantations
Chronic renal transplant rejection
Complication after KTP: Vascular and lymphatic,
Uroloical,
cardiovascular, liver and neurological, infectious complication
KTP in children and management of pediatric patient with
KTP
KTP in developing countries
Results of KTP
Work up of donor and recipient for renal transplant
Psychological aspect of KTP and organ donations
Ethics in transplants
Cadaveric transplantation
100
In-service education
Ethical and legal issues
Practicals
Total = 960 Hours
1 Week = 30 Hours
I. Procedures Observed
1. CT Scan
2. MRI
3. Radiographic studies
4. Urodynamics
5. Hemodialysis
6. Renal Surgeries
101
II. Procedures Assisted
1. Blood transfusion
2. I V cannulation therapy
3. Arterial Catheterization
4. Insertion of central line/cvp line
5. Connecting lines for dialysis
6. Peritoneal dialysis
7. Renal biopsy
8. Endoscopies- Bladder, urethra
1. Health assessment
2. Insertion of uretheral and suprapubic catheters
3. Urine analysis
4. Catheterisation
5. Peritoneal dialysis
6. Bladder irrigation
7. Care of ostomies
8. Care of urinary drainage
9. Bladder training
10. Care of vascular access
11. Setting up dialysis machine and starting, monitoring and closing dialysis
12. Procedures for prevention of infections:
13. Hand washing, disinfection & sterilization surveillance, andfumigation universal
precautions.
14. Collection of specimen.
15. Administration of drugs: IM, IV injection, IV cannulation & fixation of infusion
pump, calculation of dosages, blood administration. monitoring -fluid therapy, electrolyte
imbalance,
16. Nutritional needs , diet therapy & patient education.
17. Counselling
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CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING - ORTHOPEDIC NURSING
Placement : II Year
Hours of Instruction
Theory : 150 Hours
Practical : 950 Hours
Total : 1100 Hours
Course Description
Objectives
At the end of the course the students will be able to:
1. Appreciate the history and developments in the field of orthopedic nursing
2. Identify the psycho-social needs of the patient while providing holistic care.
3. Perform physical and psychological assessment of patients with orthopedic conditions
and disabilities.
4. Describe various disease conditions and their management
5. Discuss various diagnostic tests required in orthopedic conditions
6. Apply nursing process in providing care to patients with orthopedic conditions and
those requiring rehabilitation.
7. Recognize and manage orthopedic emergencies.
8. Describe recent technologies and treatment modalities in the management of patients
with orthopedic conditions and those requiring rehabilitation.
9. Integrate the concept of family centered, long term care and community based
rehabilitation to patients with orthopedic conditions.
10. Counsel the patients and their families with orthopedic conditions
11. Describe various orthotic and prosthetic appliances
12. Appreciate the legal and ethical issues pertaining to patients with orthopedic
conditions and those requiring rehabilitation.
103
13. Appreciate the role of alternative system of medicine in care of patients with
orthopedic conditions
14. Incorporate evidence based nursing practice and identify the areas of research in the
field of orthopedic nursing.
15. Recognize the role of orthopedic nurse practitioner and as a member of the orthopedic
and rehabilitation team.
16. Teach orthopedic nursing to undergraduate students and in-service nurses.
17. Prepare a design and layout of orthopedic and rehabilitative units.
Course Content
Unit Hours Content
I 5 Introduction
Historical perspectives – History and trends in orthopedic
nursing
Definition and scope of orthopedic nursing
Anatomy and physiology of Musculo-skeletal system
Posture, Body landmarks Skeletal system Muscular system.
Nervous system - Main nerves
Healing of - Injury, bone injury,
Repair of ligaments
Systemic response to injury
Ergonomics, Body mechanics, biomechanical measures
Orthopedic team
II 8 Assessment of Orthopedic Patient
Health Assessment: History, physical examination- Inspection,
palpation, movement, Measurement, muscle strength Testing.
Diagnostic studies – Radiological studies, Muscle enzymes,
serologic studies
III 15 Care of patients with devices
Splints, braces, various types of plaster cast
Various types of tractions,
Various types of orthopedic beds and mattresses
Comfort devices
Implants in orthopedic
Prosthetics and Orthotics
IV 8 Injuries
Trauma & Injuries
Causes, pathophysiology, clinical types, clinical features,
diagnosis, prognosis, management, medical surgical and nursing
management of :
• Early management of Trauma
• Fractures
104
• Injuries of the
Shoulder and arm
Elbow, fore arm, wrist, hand
Hip, thigh, knee, leg, ankle, foot
Spine
Head injury Chest injur
Polytrauma
• Nerve injuries
• Vascular injuries
• Soft tissue injuries
• Sports injuries
• Amputation
VI 5 Bone Tumours
Causes, pathophysiology, clinical types, clinical features,
diagnosis, prognosis, management, medical surgical and nursing
management of:
• Bone tumors – Benign, Malignant and metastatic
• Different types of therapies for tumors
VII 10 Deformities
Causes, pathophysiology, clinical types, clinical features,
diagnosis, prognosis – medical surgical and nursing management
of:Scoliosis, Kyphosis,Lordosis
Congenital disorders: Congenital dislocation of hip(CDH),
Dislocation of patella, knee,
Varus and valgus deformities,
Deformities of digits,
Congenital torticollis.
Meningocele, meningomyelocele, spina bifida,
Chromosomal disorders.
Computer related deformities
VIII 5 Disorders of the spine
Intervertebral disc prolapse, Fracture of the spine
Low back disorder – Low back pain, PND, spinal stenosis,
spondylosis
105
IX 5 Nutritional/Metabolic and Endocrine Disorders
Causes, pathophysiology, clinical types, clinical features,
diagnosis, prognosis, medical surgical and nursing management
of:
• Rickets,
• Scurvy,
• Hyper vitaminosis A and D,
• Osteomalacia,
Osteoporosis
• Paget’s disease,
• gout,
• Gigantism,
• Dwarfism,
• Acromegaly.
• Therapeutic diets for various orthopedic disorders
X 8 Neuro-Muscular Disorders:
Causes, pathophysiology, clinical types, clinical features,
diagnosis, prognosis, medical surgical and nursing management
of:
• Poliomyelitis, Cerebral Palsy
• Myasthenia gravis
• Spina bifida.
• Peripheral nerve lesion,
• Paraplegia, Hemiplegia, Quadriplegia.
• Muscular dystrophy
Chronic/Degenerative Diseases of Joints and Autoimmune
Disorders:
Causes, pathophysiology, clinical types, clinical features,
diagnosis, prognosis – medical surgical and nursing management
of:
• Osteo Arthritis
• Rheumatoid Arthritis
• Ankylosing spondylitis.
• Spinal disorders.
• Systemic Lupus Erythematosus
106
XII 5 Geriatric Problems
Geriatric population, types of disabilities, causes, treatment and
Management – Hospitalization, rest, physiotherapy, involvement of
family members, social opportunities.
Care at home – involvement of family and community, follow up
care and rehabilitation
XIV 6 Pharmacokinetics
Physiotherapy
Concepts, Principles, purpose,
• Mobilization – Exercises: types, re-education in walking:
Crutch walking, wheel chair, Transfer techniques,
107
• Types of gaits: Non-weight bearing, partial weight bearing,
four point crutch, tripoid, walking with sticks, calipers
• Forms of therapies: Hydrotherapy, electrotherapy, wax bath,
heat therapy, ice, helio therapy, radiant heat,
• Chest physiotherapy
XVI 8 Rehabilitation
Principles of rehabilitation, definition, philosophy, process,
Various types of therapies
Special therapies and alternative therapies
Rehabilitation counseling
Preventive and restorative measures.
Community based rehabilitation (CBR)
Challenges in rehabilitation.
Role of the nurse in rehabilitation,
Legal and ethical issues in rehabilitation nursing
Occupational therapy
108
Practicals
1. Clinical practice in Orthopedic, physiotherapy and Rehabilitation Units.
2. Application of tractions and plaster casts and removal of tractions and plaster casts and
other appliances.
3. Apply Theories and Nursing Process in the management of patients with orthopedic
conditions.
4. Provide various types of physical and rehabilitative therapies
5. Provide health education on related disease conditions.
6. Unit management and plan - designing
Clinical Experience
Total = 960 Hours
1 Week = 30 Hours
Procedures Observed
1. X Ray
2. Ultrasound
3. MRI
4. C T Scan/bone scan
5. Arthroscopy
6. Electrothermally – assisted capsule shift or ETAC (Thermal
capsulorrhaphy)
7. Fluroscopy
8. Electromyography
9. Myelography
10. Discography
11. Others
Procedures Assisted
1. Blood Transfusion
2. IV cannulation and therapy
3. Ventilation
109
4. Various types of tractions
5. Orthopedic surgeries – Arthrocentesis, Arthroscopy, Bone lengthening,
Arthrodesis, grafting, Fractures fixation, reconstructive, reimplantation, replantation,
spinal decompression, transplantation of bone, muscle or articular cartilage, autografting,
allografting.
6. Injection – Intra articular, intra osseous.
7. Advance Life Support
Procedures Performed
1. Interpretation of X ray films.
2. Application and removal of splints, casts, and braces.
3. Care of tractions – skin and skeletal traction, pin site care.
4. Cold therapy.
5. Heat therapy
6. Hydrotherapy
7. Therapeutic exercises
8. Use of TENS (Transcutaneous electrical nerve stimulation)
9. Techniques of transportation
10. Crutch walking, walkers, wheel chair.
11. Use of devices for activities of daily living and prevention of deformities.
12. Administration of drugs: IV injection, IV cannulation, and Blood transfusion.
13. Procedures for prevention of infections: disinfection and sterilization, surveillance,
fumigation.
14. Special skin/ part preparations for orthopedic surgeries.
15. Surgical dressings – Debridement.
16. Bladder and bowel training
Other Procedures
110
CLINICAL SPECIALITY - II
MEDICAL SURGICAL NURSING - GASTRO ENTEROLOGY NURSING
Placement : II Year
Hours of Instruction
Theory : 150 hrs.
Practical : 950 hrs.
Total : 1100 hrs.
Course Description
This course is designed to assist students in developing expertise and
indepthunderstanding in the field of gastro enterology Nursing. It will helpstudents to
develop advanced skills for nursing intervention in variousgastro enterology conditions.
It will enable the student to function as gastro enterology nurse practitioner/specialist and
provide quality care. It will further enable the student to function as educator, manager,
and researcher in the field of gastro enterology nursing
Objectives
111
Course Content
Unit Hours Content
I 5 Introduction
Historical development: trends and issues in the field of gastro
enterology.
Gastro enterological problems
Concepts, principles and nursing perspectives
Ethical and legal issues
Evidence based nursing and its application in gastrointestinal
nursing(to be incorporated in all the units)
II 5 Epidemiology
Risk factors associated with GE conditions- Hereditary,
Psychosocial factors, smoking, alcoholism, dietary habits, cultural
and ethnic considerations
Health promotion, disease prevention, life style modification
and
its implications to nursing
National health programmes related to gastro enterology
Alternate system of medicine/complementary therapies
III 5 Review of anatomy and physiology of gastrointestinal system
Gastrointestinal system
Liver, biliary and pancreas
Gerontologic considerations
Embryology of GI system
Immunology specific to GI system
112
• Endoscopic ultrasound
• Peritonoscopy(Laproscopy)
• Gastric emptying studies
• Blood chemistries: Serum amylase, serum lipase
• Liver biopsy
• Miscellaneous tests:Gastric analysis, fecal analysis
• Liver function tests: Bile formation and excretion, dye excretion
test, Protein metabolism, haemostatic functions- prothrombin
vitamin K production, serum enzyme tests,Lipid
metabolismserum
cholesterol
Interpretation of diagnostic measures
Nurse’s role in diagnostic tests
113
Anal condylomas, Warts
114
greater vessel injuries
• Acute appendicitis /peritonitis
• Acute abdomen
• Food poisoning
IX 15 Pharmo Kinetics
Drugs used in GIT
Principles of administration
Roles responsibilities of nurses
Drugs in Peptic ulcer disease
Proton Pump inhibitors
H2 Receptor Antagonists
Cytoprotective Agents:
115
Drugs used in Diarrhea
Drugs used in constipation
Drugs used in Inflammatory Bowel Disease
Aminosalicylates
Corticosteroids
Immunomodulators
chemotherapy
Antibiotics
Antiemetics:
Anticholinergics
Antihistaminics
Antihelminthics
Vitamin Supplements
116
Practicals
Total = 960 Hours
1 Week = 30 Hours
Procedures Assisted
1. Endoscopy room – Upper G.I. Endoscopy (Diagnotic and therapeutic).
2. Sigmoidoscopy
3. Colonoscopy
4. Polypectomy
5. Endoscopic retrograde cholangio pancreatiography (ERCP)
6. Liver biopsy
7. Percutaneous catheter drainage (PCD) of Pseudocyst pancreas
8. Abdominal paracentesis
9. Percutaneous aspiration of liver abscess
10. GE Lab : PT, HbsAg, Markers – A, B, C virus, CBP, ESR, Stool Test
Procedures Performed
1. History and Physical assessment
2. RT intubation / extubation / aspiration/suction
3. Gastric lavage and gavage
4. Bowel wash
5. Therapeutic Diets
6. Ostomy feeding
7. Stoma care
8. Monitoring vital parameters
9. Plan of inservice education programme for nursing staff and Class-IV
employees
117
10. Counseling
CLINICAL SPECIALITY – II
OBSTETRIC AND GYNAECOLOGICAL NURSING
Placement - II Year
Hours of Instruction
Theory: 150 hrs
Practical 950 hrs
Total 1100 hrs
Course Description
This course is designed to assist the student in developing expertise and indepth
understanding in the field of Obstetric and gynecological Nursing .It will help the student
to develop advanced nursing skills for nursing interventions in various obstetrical and
gynecological conditions. It will further enable the students to function as midwifery
nurse practitioner/ specialist, educator, manager and researcher in the field of obstetric
and gynecological nursing.
Objectives
At the end of the course, the student will be able to:
1. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of
women with obstetric and gynaecological conditions
2. Perform physical, psychosocial, cultural & spiritual assessment
3. Demonstrate competence in caring for women with obstetrical and gynaecological
conditions
4. Demonstrate competence in caring for high risk newborn.
5. Identify and Manage obstetrical and neonatal emergencies as per protocol.
6. Practice infection control measures
7. Utilize recent technology and various diagnostic, therapeutic modalities in the
management of obstetrical , gynecological and neonatal care.
8. Demonstrate skill in handling various equipments/gadgets used for obstetrical,
gynaecological and neonatal care
9. Teach and supervise nurses and allied health workers.
10. Design a layout of speciality units of obstetrics and gynecology
11. Develop standards for obstetrical and gynaecological nursing practice.
12. Counsel women and families
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13. Incorporate evidence based nursing practice and identify the areas of research in the
field of obstetrical and gynaecological nursing
14. Function as independent midwifery nurse practition
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Vaginal infections; Leprosy, Tuberculosis
Other risk factors: Age- Adolescents, elderly; unwed
mothers,
sexual abuse, substance use
Pregnancies complicating with tumors, uterine anomalies,
prolapse, ovarian cyst
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pneumo mediastinum
• Icterus neonatorum.
• Birth injuries.
• Hypoxic ischaemic encephelopathy
• Congenital anomalies.
• Neonatal seizures.
• Neonatal hypocalcaemia, hypoglycemia,
hypomagnesaemia.
• Neonatal heart diseases.
• Neonatal hemolytic diseases
• Neonatal infections, neonatal sepsis, opthalmia
neonatorum, cogenital syphilis, HIV/AIDS
• Advanced neonatal procedures.
• Calculation of fluid requirements.
• Hematological conditions – erythroblastosis fetalis,
hemorrhagic disorder in the newborn
• Organization of neonatal care, services(Levels), transport,
neonatal intensive care unit, organization and
management of nursing services in NICU
VI 15 HIV/AIDS
HIV positive mother and her baby
Epidemiology
Screening
Parent to child transmission(PTCT)
Prophylaxis for mother and baby
Standard safety measures
Counseling
Breast feeding issues
National policies and guidelines
Issues: legal, ethical, psychosocial and rehabilitation
Role of nurse
VII 25 Gynecological problems and nursing management
Gynecological assessment
Gynecological procedures
Etiology, pathophysiology, diagnosis and nursing
management of
• Menstrual irregularities
• Diseases of genital tract
• Genital tract infections
• Uterine displacement
• Genital prolapse
• Genital injuries
• Uterine malformation
• Uterine fibroid, ovarian tumors, Breast carcinoma, Pelvic
inflammatory diseases, reproductive tract malignancies,
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hysterectomy – vaginal and abdominal.
• Sexual abuse, rape, trauma , assault
Practicals
Total = 960 Hours
1 Week = 30 Hours
Procedure Observed
• Assisted Reproductive Technology procedures
• Ultra sonography
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• Specific laboratory tests.
• Amniocentesis.
• Cervical & vaginal cytology.
• Fetoscopy.
• Hysteroscopy.
• MRI.
• Surgical diathermy.
• Cryosurgery.
Procedures Assisted
• Operative delivery
• Abnormal deliveries-Forceps application, Ventouse, Breech
• Exchange blood transfusion
• Culdoscopy.
• Cystoscopy
• Tuboscopy
• Laparoscopy.
• Endometrial Biopsy
• Tubal patent test
• Chemotherapy
• Radiation therapy
• Medical Termination of Pregnancy.
• Dilatation and Curettage
Procedures Performed
• History taking.
• Physical Examination-General
• Antenatal assessment. – 20
• Pelvic examination
• Assessment of risk status.
• Assessment of Intra uterine foetal well-being.kick chart and foetal
movement chart, Doppler assessment, Non Stress Test, Contraction
stress test(Oxytocin challenge test)
• Universal precautions- Disposal of biomedical waste.
• Per Vaginal examination and interpretation (early pregnancy, labour, post
partum).
• Utilization of Partograph
• Medical & Surgical induction(Artificial rupture of membranes).
• Vacuum extraction
• Conduct of delivery.
• Prescription and administration of fluids and electrolytes through
intravenous route.
• Application of outlet forceps, delivery of breach – Burns Marshall, Loveset
manoeuvere
• Repair of tears and Episiotomy suturing.
• Vacuum extraction
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• controlled cord traction, Manual removal of placenta, placental
examination,
• Manual vacuum aspiration
• Postnatal assessment.- 20
• Management of breast engorgement
• Thrombophlebitis (white leg)
• Postnatal counseling.
• Reposition of inversion of uterus.
• Laboratory tests: Blood- Hb, Sugar, Urine-albumin,sugar
• Breast care, breast exam, and drainage breast abscess.
• Postnatal exercise.
• Assessment –New born assessment; physical and neurological, Apgar
score, high-risk newborn, Monitoring neonates; Clinically and With
monitors, Capillary refill time, Assessment of jaundice, danger signs
• Anthropometric measurement
• Neonatal resuscitation
• Gastric Lavage
• Care of newborn in multi channel monitor and ventilator.
• Care of newborn in radiant warmer and incubator.
• Kangaroo mother care.
• Assisting mother with exclusive Breast-feeding
• Feeding technique: Katori, spoon, naso/orogastric, Total Parenteral
nutrition
• Assessement, calculation and administration of fluids and medications:
- Oral
- I.D.
- I.M.
- I.V.- Securing IV line, infusion pump
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• Administration of drug per rectum
• Capillary blood sample collection.
• Oxygen therapy.
• Phototherapy.
• Chest physiotherapy.
• counseling – Parental, bereavment, family planning, infertility etc
• Setting of operation theatre.
• Trolley and table set up for Obstetrical & gynaecoligical operations.
• Pap smear.
• Vaginal smear.
• Insertion of pessaries,
• Insertion of IUD and removal.
• Teaching skills
• communication skills
• Prepare referral slips
• Pre transport stabilization
• Networking with other stake holders
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CLINICAL SPECIALTY –II
PEDIATRIC (CHILD HEALTH) NURSING
Placement : II Year
Hours of Instruction
Theory 150 hours
Practical 950 hours
Total : 1100 hours
Course Description
Objectives
At the end of the course the students will be able to:
1. Apply the nursing process in the care of ill infants to pre adolescents in hospital and
community
2. Demonstrate advanced skills/competence in nursing management of children with
medical and surgical problems
3. Recognize and manage emergencies in children
4. Provide nursing care to critically ill children
5. Utilize the recent technology and various treatment modalities in the management of
high risk children
6. Prepare a design for layout and describe standards for management of pediatric
units/hospitals
7. Identify areas of research in the field of pediatric nursing
Course Content
Unit Hours Content
I 5 Introduction
Current principles, practices and trends in Pediatric Nursing
Role of pediatric nurse in various settings -Expanded and
extended
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epistaxis, aspiration.
- Lower respiratory tract: Broncheolitis,
Bronchopneumonia, Asthma, cystic fibrosis
• Child with gastro-intestinal disorders:
- Diarrheal diseases, gastro-esophageal reflux.
- Hepatic disorders: Hepatitis, Indian childhood
cirrhosis, liver transplantation.
- Malabsorption syndrome, Malnutrition
• Child with renal/ urinary tract disorders: Nephrotic
syndrome, Nephritis, Hydronephrosis, hemolytic-uremic
syndrome, kidney transplantation
• Child with cardio-vascular disorders:
- Acquired: Rheumatic fever, Rheumatic heart disease,
- Congenital: Cynotic and acynotic
• Child with endocrine/metabolic disorders: Diabetes
insipidus, Diabetes Mellitus – IDDM, NIDDM, hyper and
hypo thyroidism, phenylketonuria, galactosemia
• Child with Neurological disorders: Convulsions,
Meningitis, encephalitis, guillian- Barre syndrome
• Child with oncological disorders: Leukemias,
Lymphomas, Wilms’ tumor, nephroblastomas,
neuroblastomas, Rhabdomyosarcoma, retinoblastoma,
hepatoblastoma, bone tumors
• Child with blood disorders: Anemias, thalassemias,
hemophilia, polycythemia, thrombocytopenia, and
disseminated intravascular coagulation
• Child with skin disorders
• Common Eye and ENT disorders
• Common Communicable diseases
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• Nursing management of the child with traumatic injuries:
General principles of managing Pediatric trauma
- Head injury, abdominal injury, poisoning, foreign body
obstruction, burns
- & Bites
• Child with oncological disorders: Solid tumors of
childhood, Nephroblastoma, Neuro blastoma,
Hodgkin's/Non Hodgkin's Lymphoma, Hepatoblastoma,
Rhabdomyosarcoma
• Management of stomas, catheters and tubes
• Management of wounds and drainages
IV 10 Intensive care for pediatric clients
Resuscitation, stabilization & monitoring of pediatric
patients
Anatomical & physiological basis of critical illness in infancy
and childhood
Care of child requiring long-term ventilation
Nutritional needs of critically ill child
Legal and ethical issues in pediatric intensive care
Intensive care procedures, equipment and techniques
Documentation
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neonatal intensive care unit, organization and
management of nursing services in NICU
Developmental disturbances and implications for nursing
Adjustment reaction to school,
Learning disabilities
Habit disorders, speech disorders,
Conduct disorders,
Early infantile autism, Attention deficit hyperactive
disorders (ADHD), depression and childhood schizophrenia.
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Practical
Total = 960 Hours
1 Week = 30 Hours
• Field visits:
S. No. Deptt./ Unit No. of Week Total Hours
1 Pediatric medicine ICU 4 120 Hours
2 Pediatric surgical ICU 4 120 Hours
3 NICU 4 120 Hours
4 Pediatric OT 2 60 Hours
5 Pediatric medicine ward 6 180 Hours
6 Pediatric surgery ward 6 180 Hours
7 Emergency/Casualty 4 120 Hours
8 Field visits* 2 60 Hours
*Child care center, Anganwadi, play school, Special schools for challenged children,
Juvenile court, UNICEF, Orphanage, Creche, SOS village
I. Procedures Observed:
• Echo cardiogram
• Ultrasound head
• ROP screening (Retinopathy of prematurity)
• Any other
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III. procedures performed:
• Airway Management
- Application of Oro Pharyngeal Airway
- Oxygen therapy
- CPAP(Continuous Positive Airway Pressure)
- Care of Tracheostomy
- Endotracheal Intubation
• Neonatal Resuscitation
• Monitoring of Neonates – clinically & with monitors, CRT(Capillary
Refill Time), assessment of jaundice, ECG
• Gastric Lavage
• Setting of Ventilators
• Phototherapy
• Assessment of Neonates: Identification & assessment of risk
factors, APGAR Score, gestation age, Anthropometric assessment,
Weighing the baby, Newborn examination, detection of life
threatening congenital abnormalities,
• Admission & discharge of neonates
• Feeding - management of breast feeding, artificial feeding,
expression of breast milk, OG(Orogastric) tube insertion, gavage
feeding, TPN, Breast feeding counseling
• Thermoregulation- Axillary temperature, Kangaroo Mother Care
(KMC), Use of Radiant warmer, incubators, management of
thermoregulation & control
• Administration of Drugs: I/M, IV injection, IV Cannulation &
fixation infusion pump, Calculation of dosages, Neonatal
formulation of drugs, use of tuberculin/ insulin syringes,
Monitoring fluid therapy, Blood administration.
• Procedures for prevention of infections: Hand washing,
disinfections & sterilization, surveillance, fumigation
• Collection of specimens
• Setting, Use & maintenance of basic equipment: Ventilator, O2
analyzer, monitoring equipment, Photo therapy unit, Flux meter,
Infusion pump, Radiant warmer, incubator, Centrifuge machine,
Bilimeter, Refractometer, laminar flow
IV. Other Procedures
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CLINICAL SPECIALITY - II
PSYCHIATRIC (MENTAL HEALTH) NURSING
Placement: II Year
Hours of Instruction
Theory 150 hrs
Practical 950 hrs
Total : 1100 Hours
Course Description
This course is designed to assist students in developing expertise and indepth
understanding in the field of Psychiatric Nursing. It will help students to develop
advanced skills for nursing intervention in various psychiatric conditions. It will enable
the student to function as psychiatric nurse practitioner/specialist. It will further enable
the student to function as educator, manager, and researcher in the field of Psychiatric
nursing
Objectives
At the end of the course the students will be able to:
1. Apply the nursing process in the care of patients with mental disorders in hospital and
community
2. Demonstrate advanced skills/competence in nursing management of patients with
mental disorders
3. Identify and care for special groups like children, adolescents, women, elderly, abused
and neglected, people living with HIV/AIDS.
4. Identify and manage psychiatric emergencies.
5. Provide nursing care to critically ill patients with mental disorders
6. Utilize the recent technology and various treatment modalities in the management of
patients with mental disorders
7. Demonstrate skills in carrying out crisis intervention.
8. Appreciate the legal and ethical issues pertaining to psychiatric nursing.
9. Identify areas of research in the field of psychiatric nursing.
10. Prepare a design for layout and describe standards for management of Psychiatric
units/emergency units/hospitals
11. Teach psychiatric nursing to undergraduate students & in-service nurses.
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Course Content
Unit Hours Content
I 2 Principles and practice of Psychiatric nursing
Review
II 4 Crisis Intervention
Crisis, Definition
Phases In The Development of A Crisis
Types of Crisis; Dispositional , Anticipated Life Transitions
Traumatic Stress, Maturational/ Development , Reflecting
Psychopathology
Psychiatric Emergencies and their management
Grief and grief reaction
Crisis Intervention; Phases
Post traumatic stress disorder (PTSD)
Role of the Nurse
III 4 Anger/ Aggression Management
Anger and Aggression, Types, Predisposing Factors
Management
Role of The Nurse
IV 5 The Suicidal Client
Epidemiological Factors
Risk Factors
• Predisposing Factors: Theories of Suicide-Psychological,
Sociological ,Biological
Nursing Management
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Substance-Induced Disorders
Classes Of Psychoactive Substances
Predisposing Factors
The Dynamics Of Substance-Related Disorders
The Impaired Nurse
Codependency
Treatment Modalities For Substance-Related Disorders and
Nursing Management
VIII 10 Schizophrenia and Other Psychotic Disorders (Check
ICD10)
Nature of the Disorder
Predisposing Factors
Schizophrenia -Types
• Disorganized Schizophrenia
• Catatonic Schizophrenia
• Paranoid Schizophrenia
• Undifferentiated Schizophrenia
• Residual Schizophrenia
Other Psychotic disorders
• Schizoaffective Disorder
• Brief Psychotic Disorder
• Schizophrenicform Disorder
• Psychotic Disorder Due to a General Medical Condition
• Substance-Induced Psychotic Disorder
Treatment and Nursing Management
IX 8 Mood Disorders
Historical Perspective
Epidemiology
The Grief Response
Maladaptive Responses To Loss
Types Of Mood Disorders
Depressive disorders
Bipolar disorders
Treatment and Nursing Management
X 8 Anxiety Disorders
Historical Aspects
Epidemiological Statistics
How Much is too Much?
Types
• Panic Disorder
• Generalized Anxiety Disorder
• Phobias
• Obsessive-Compulsive Disorder
• Posttraumatic Stress Disorder
• Anxiety Disorder Due to a General Medical Condition
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• Substance-Induced Anxiety Disorder
Treatment Modalities
Psychopharmacology & Nursing Management
134
Rheumatoid Arthritis
Ulcerative Colitis
Treatment & Nursing Management
135
National Mental Health Program- Community mental health
program
The Changing Focus of care
The Public Health Model
The Role of the Nurse
Case Management
The community as Client
• Primary Prevention
• Populations at Risk
• Secondary prevention
• Tertiary Prevention
Community based rehabilitation
XXII 5 Ethical and Legal Issues in Psychiatric/Mental Health
Nursing
Ethical Considerations
Legal Consideration
• Nurse Practice Acts
• Types of Law
• Classification within Statutory and Common Law
• Legal Issues in Psychiatric/Mental Health Nursing
• Nursing Liability
136
Practice standards for psychiatric nursing
Documentation
XXVI 5 Education and training in psychiatric care
Staff orientation, training and development,
In-service education program,
Clinical teaching programs.
Practicals
Total = 960 Hours
1 Week = 30 Hours
Procedures Performed
1. Mental status examination
2. Participating in various therapies – Physical; ECT,
3. Administration of Oral, IM, IV psychotropic drugs
137
4. Interviewing skills
5. Counseling skills
6. Communication skills
7. Psychoeducation
8. Interpersonal relationship skills
9. Community Survey for identifying mental health problems
10. Rehabilitation therapy
11. Health education and life skills training.
12. Supportive psychotherapic skills
13. Group therapy
14. Milieu therapy
15. Social/Recreational therapy.
16. Occupational therapy.
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CLINICAL SPECIALITY – II
COMMUNITY HEALTH NURSING
Placement : II Year
Hours of Instruction
Theory- 150 hours
Practicals- 950 hours
Total- 1100 hrs
Course Description
This course is designed to assist students in developing expertise and indepth
understanding in the field of community health nursing. It will help students to develop
advanced skills for nursing intervention in various aspects of community health care
settings. It will enable the student to function as community health Nurse
practitioner/specialist. It will further enable the student to function as educator, manager
and researcher in the field of community health nursing.
Objectives
At the end of the course the students will be able to:
1. Appreciate trends and issues related to community health Nursingreproductive
and child health, school health, Occupational health, international health, rehabilitation,
geriatric and mental health.
2. Apply epidemiological concepts and principles in community health nursing practice
3. Perform community health assessment and plan health programmes
4. Describe the various components of Reproductive and child health programme.
5. Demonstrate leadership abilities in organizing community health nursing services by
using inter-sectoral approach.
6. Describe the role and responsibilities of community health nurse in various national
health and family welfare programmes
7. Participate in the implementation of various national health and family welfare
programme
8. Demonstrate competencies in providing family centered nursing care independently
9. Participate/Conduct research for new insights and innovative solutions to health
problems
10. Teach and supervise nurses and allied health workers.
11. Design a layout of sub center/Primary health center/Community health cenre and
develop standards for community health nursing practice.
139
Content Outlines
Unit Hours Content
I 20 Epidemiology
Introduction
• Concept, scope, definition, trends, History and
development of modern Epidemiology
• Contribution of epidemiology
• Implications
Epidemiological methods
Measurement of health and disease:
Health policies
Epidemiological approaches
• Study of disease causatives
• Health promotion
• Levels of prevention
Epidemiology of
• Communicable diseases
• Non-communicable diseases
Emerging and re-emerging diseases Epidemics
National Integrated disease Surveillance Programme
Health information system
Epidemiology study and reports
Role of Community health nurse
II 40 National Health and Family Welfare Programmes
Objectives, Organisation/manpower/resources,
Activities, Goals, inter-sectoral approach,
implementation, item/purpose, role and responsibilities
of community health nurse:
• National Vector Borne Disease Control Programm
(NVBDCP)
• NationalFilaria Control Programme
• National Leprosy Eradication Programme
• Revised national TB Control Programme
• National Programme for Control of Blindness
• National Iodine Deficiency disorders Control
Progeramme
• National Mental Health Programme
• National AIDS Control Programme
• National Cancer Control Programme
• RCH I and II
• Non- communicable disease programmes
• NRHM
140
- Health Schemes:
ESI
CGHS
Health Insurance
III 15 School Health
Introduction: definition, concepts, objectives,.
Health assessment, Screening, identification, referral
and follow up,
Safe environment
Services, programmes and plans- first aid, treatment of
minor ailments
Inter-sectoral coordination
Adolescent health
Disaster, disaster preparedness, and management
Guidance and counseling
School health records - maintenance and its importance
Roles and responsibilities of community health nurse
IV 15 International health
Global burden of disease
Global health rules to halt disease spread
Global health priorities and programes
International quarantine
Health tourism
International cooperation and assistance
International travel and trade
Health and food legislation, laws, adulteration of food
Disaster management
Migration
International health agencies –World Health
organizations, World health assembly, UNICEF, UNFPA,
SIDA, US AID, DANIDA, DFID. AusAID etc
International health issues and problems
International nursing practice standards
International health vis-a vis national health
International health days and their significance
V 15 Education and administration
Quality assurance
Standards, Protocols, Policies, Procedures
Infection control; Standard safety measures
Nursing audit
Design of Sub-Centre/Primary Health Centre/
Community health center
Staffing; Supervision and monitoring-Performance
appraisal
Budgeting
141
Material management
Role and responsibilities of different categories of
personnel in community health
Referral chain- community outreach services
Transportation
Public relations
Planning in-service educational programme and
teaching
Training of various categories of health workerspreparation
of manuals
VI 10 Geriatric
Concept, trends, problems and issues
Aging process, and changes
Theories of ageing
Health problems and needs
Psycho-physiological stressors and disorders
Myths and facts of aging
Health assessment
Home for aged-various agencies
Rehabilitation of elderly
Care of elderly
Elderly abuse
Training and supervision of care givers
Government welfare measures Programmes for elderly-
Role of NGOs
Roles and responsibilities of Geriatric nurse in the
community
VII 10 Rehabilitation
Introduction: Concepts, principles, trends, issues,
Rehabilitation team
Models, Methods
Community based rehabilitation
Ethical issues
Rehabilitation Council of India
Disability and rehabilitation- Use of various prosthetic
devices
Psychosocial rehabilitation
Rehabilitation of chronic diseases
Restorative rehabilitation
Vocational rehabilitation
Role of voluntary organizations
Guidance and counseling
Welfare measures
Role and responsibilities of community health nurse
VIII 10 Community mental health
142
Magnitude, trends and issues
National Mental Health Program- Community mental
health program
The Changing Focus of care
The Public Health Model
Case Management- Collaborative care
Crisis intervention
Welfare agencies
Population at Risk
The community as Client
• Primary Prevention
• Secondary prevention
• Tertiary Prevention
Community based rehabilitation
Human rights of mentally ill
Substance use
Mentally challenged groups
Role of community health nurse
IX 15 Occupational health
Introduction: Trends, issues, Definition, Aims,
Objectives, Workplace safety
Ergonomics and Ergonomic solutions
Occupational environment- Physical, social, Decision
making, Critical thinking
Occupational hazards for different categories of peoplephysical,
chemical, biological, mechanical, , Accidents,
Occupational diseases and disorders
Measures for Health promotion of workers; Prevention
and control of occupational diseases, disability
limitations and rehabilitation
Women and occupational health
Occupational education and counseling
Violence at workplace
Child labour
Disaster preparedness and management
Legal issues: Legislation, Labour unions, ILO and WHO
recommendations, Factories act, ESI act
Role of Community health nurse, Occupational health
team
143
Practical
Total = 960 Hours
1 Week = 30 Hours
144
Performed
• Conduct various clinics
• School health assessment.
• Health survey.
• Health assessment
• Drug administration as per the protocols
• Treatment of minor ailments
• Investigating outbreak of epidemic.
• Screening for leprosy, TB and non-communicable disease
• Presumptive and radical treatment for Malaria.
• Counselling
• Report writing
• Referrals
• Writing a project proposal
• Material management- requisition for indent, condemnation, inventory maintenance,
• Training and Supervision of various categories of personnel
• Liaison with NGO’s
145