1

GENERAL NURSING AND MIDWIFERY

Duration

The Diploma Course in General Nursing and Midwifery shall be of three years
duration.

Year-wise distribution of weeks, days and hours of the course:

Total hours per week per student shall be 42 including class room instruction and clinical
field practice
1st Year 46(Weeks) x 42 (Hours) 1932 Hours
2 Year
nd
46(Weeks) x 42(Hours) 1932 Hours
3rd Year Part-I (1stsix month)24(Weeks)*x 42(Hours) 1008 Hours
Part –II (Internship) 24(Weeks)*x 48(Hours) 1152 Hours
TOTAL 6024 Hours
Out of 52 weeks in one calendar year 6weeks are deducted in First year and second year.
• 4 weeks vacation  1week preparation leave
• 1 week of Examination.
* Third year: first six months = 24 weeks
• 2weeks vacation
Second six months = 24 weeks
• 1 week preparation
• 1 week Examination

Course of Instruction

FIRST YEAR

Subjects Theory(hours) Practical rs)

(hou
Bio Sciences 120
- Anatomy & Physiology. - 90 -
Microbiology 30
Behavioral Sciences 65
- Psychology 45
- Sociology 20
Nursing Foundations 220 200 (lab) 724(clinic)
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- Fundamentals of Nursing. - 200 22 weeks

First aid 20
Subjects Theory(hours) Practical (hours)
Community Health Nursing 185 336
- CHN-I 80 8 weeks
- Environmental Hygiene 30
- Health Education & 45
Communication Skills - 30
Nutrition
English 30 -
Computer Education 15 20
Co-curricular activities 20 -
672 (16 wks) 1260 (30 wks)
TOTAL
1932

SECOND YEAR

Subjects Theory Practical

(hours) (hours)
Medical Surgical Nursing-I 130 840
Medical Surgical Nursing - 130 (20 wks)
II
Mental Health Nursing 70 336
(8wks)
Child Health Nursing 70 336
(8wks)
Co-curricular activities 20 -

420 (10 weeks) 1512 ( 36 weeks)

TOTAL
1932

THIRD YEAR Part-I

Subjects Theory Practice

(hours) (hours)
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Midwifery & Gynaecological 140 588

Nursing (14 wks)
Community Health Nursing-II 100 168
(4 wks)
Co-curricular 12 -

252 hours 756 hours

TOTAL
1008

THIRD YEAR Part-II (Integrated supervised Internship)

Theory Subjects Theory (hours)

Nursing Education 20
Introduction to Research and statistics 30
Professional Trends & Adjustments. 30
Nursing Administration & Ward 40
Management
TOTAL 120

Clinical Areas Clinical Hours/ weeks *

Medical Surgical Nursing 258(6)
Community Health Nursing 258(6)
Child Health Nursing 86(2)
Midwifery and Gynaecological Nursing 344(8)
Mental Health Nursing 86(2)
TOTAL 1032(24)

Night duty should be given in clinical area(s) in rotation

* 43 hours per week for clinical and 5 hours per week for theory.

The students posted in the clinical areas should be accompanied by teaching faculty of the
school.
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The same practice must be followed when student are posted for requisite clinical
experience to affiliated Hospital/Agency /Institution.
The Nursing Service personnel must actively participate in supervising, guiding and
evaluating students in the hospital wards, health centers and in the community.

1:10 teacher student ratio to be maintained during the supervised clinical practice

SUMMARY OF TOTAL CLINICAL EXPERIENCE

Area 1st Year 2nd 3rd Year 3rd Year –II Total
Year –I (Internship)
Nursing Foundation 924 (22) - - - 924(22)
Community Health Nursing 336 (8) - 168(4) 258 (6) 768 (18)
Medical Surgical Nursing - 840(20) - 258 (6) 1198(26)
Mental Health Nursing - 336(8) - 86 (2) 412(10)
Child Health Nursing - 336(8) - 86 (2) 412(10)
Midwifery and - - 588(14) 344 (8) 932(21)
Area 1st Year 2nd 3rd Year 3rd Year –II Total
Year –I (Internship)
Gynaecological Nursing

SCHEME OF EXAMINATION:

FIRST YEAR
Paper Subjects Total Internal Council/ Duration of
Marks Assessment Board Examination
examination (Hrs.)
I. Bio Sciences 100 25 75 3
- Anatomy &
Physiology.
- Microbiology
II. Behavioral Sciences 100 25 75 3
- Psychology
- Sociology
III. Foundation of Nursing 100 25 75 3
- Fundamental of
Nursing
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- First aid
IV. Community Health 100 25 75 3
Nursing
- CHN-I
- Environmental
Hygiene
- Health education&
Communication
Skills
- Nutrition
Practical – I 100 50 50 -
Fundamental of
Nursing

SECOND YEAR

Paper Subjects Total Internal Council/ Duration of

Marks Assessment Board Examination
examination (Hrs.)
I. Medical Surgical Nursing-I 100 25 75 3
II. Medical Surgical Nursing –II 100 25 75 3
III. Mental Health Nursing 100 25 75 3
IV. Child Health Nursing 100 25 75 3
Practical – I 100 50 50 -
Paper Subjects Total Internal Council/ Duration of
Marks Assessment Board Examination
examination (Hrs.)
Medical Surgical Nursing

Practical-II 100 50 50
Child Health Nursing
Practical-III* 100 50 50*
Mental Health Nursing

Note: * (only school examination, no council/board exam)

*Practical examination for psychiatric nursing is to be conducted at the
place of clinical experience at the end of clinical instruction by school,
itself and marks shall be sent to the council/board.
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THIRD YEAR Part-I

Paper Subjects Total Internal Council/ Duration of

Marks Assessment Board Examination
examination (Hrs.)
I. Midwifery & Gynecological 100 25 75 3
Nursing
II. Community Health Nursing-II 100 25 75 3
Practical I 100 50 50
Midwifery
Practical – II 100 50 50
Community Health Nursing

THIRD YEAR Part-II (School Examination)

Paper Subjects Total Term School Duration of

Marks Assessment Exam Examination
(Hrs.)
I. Nursing Education and 100 50 50 3
Introduction to Research and
statistics
II. Professional Trends 100 50 50 3
&Adjustment , Nursing
administration and Ward
Management

Examination guidelines

1. Shall have one regular examination followed by supplementary examination in a

year.

2. The candidates if fail in more than two subjects in any nursing programme they
can be promoted to next year
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3. A candidate can take any number of attempts with a condition that maximum
period allowed is 6 years.However all papers need to be cleared before appearing
in the final examination

4. No institution shall submit student average internal marks more than 75% i.e., if
40 students are admitted in a course than the average score of the 40 students shall
not exceed 75%.
Example of 5 students: A=25, B=20, C=22, D=21, E=24
Average score=89.6%

This will not be accepted by the SNRC

Eligibility for Admission to Examination

A candidate shall be eligible for the admission to the state Council / Board examination if
the Principle of the school certificate that:

(a) She / he has completed not less than eleven months of the course
(b) She / he have attended 75% of the formal instructions given on each subject
and 755 of the clinical field experience in each area / subject separately during
the academic year, however, the total clinical / field experience prescribed
must be completed before the final council / Board examinations and before
the issue of diploma.
(The diploma shall not be awarded to the student till she / he has completed
the clinical / field requirements.
(c) The overall performance of the student and her/his conduct during the entire
academic year shall be satisfactory.
(d) The student has passed in the internal assessment in each subject and
practical(s).
(e) The record of practical experience is complete.
(The principle shall send to the Council / board the internal assessment for
each subject, i.e. both theory and practical (S) before the start of the
examination along with the examination form).

D. GRADING OF EXAMINATION

Examination shall be graded on aggregate marks of the entire three and half years
of the training programme, as follows:
Distinction - 80% and above
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First Division - 70% to 79%

Second Division - 60% to 69%
Pass - 50% to 59%

E. THEORY EXAMINATION

1. Nursing teacher with minimum five years of teaching experience (recent) in a

particular subject may be appointed as paper setters and examiners for that
particular subject only.
2. Question paper should have a combination of essay, short answer and objective
type question (Situation based Questions)
3. All units of a subject and sub-subject should be given due weightage in accordance
with the instructional hours prescribed.

F. PRACTICAL EXAMINATION

1. Practical examination is to be conducted in the respective clinical area.

2. Nursing teacher with minimum of five years of teaching/clinical teaching
experience in a particular subject/clinical area may be appointed as practical
examiner.

EVALUATION

INTERNAL ASSESSMENT

1. There shall be 25% internal assessment for all theory papers and 50% Internal
assessment for all the practical.

2. A regular and periodic assessment for each subject and clinical / field experience
is to be carried out.

3. For the purpose of internal assessment there shall be written test in each subject
taken by the respective teacher each month.

The student shall be required to maintain the Practical record book and report of
observation visits and diary for assessment must also be used. Marks shall be allotted for
each of the following:
a) Case study
b) Case presentation
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c) Nursing care plan

d) Maintenance of record books (Procedure Book and Midwifery Record book). e)
Daily diary.
f) Area wise clinical assessment is to be carried out. Minimum two assessments are
required in each clinical area.
4. Regular record of theory and practical is to be maintained. Task oriented
assessment is to be undertaken. Assessment shall be minted by teacher for each
student each month. This can be checked by the Council/Board. Principal to sign
all the records of examination. It should be displayed on the notice board for the
information of the students.
5. A Candidate must secure 50% marks in internal assessment separately in each
theory and practical. To be successful a student must get 50% marks in the internal
as well as Council or Board Examination of each year.
6. For a student who appears for any supplementary examination her/his fresh
internal assessment in the failed subject (s) / practical (s) is to be sent to the
Council / Board.
7. State Nursing Council / Board should prepare a model perform for performance
evaluation for each of the clinical area and circulate to all; Schools of Nursing for
maintaining uniformity.

Each student is required to maintain the record of following assignment in clinical areas
in each year:

First Year
a) Nursing care plan - 4 in medical / surgical wards.
b) Daily Diary - 1 each in urban and rural community field.
c) Health – Talk - 1 each in Urban and rural community
field.
Family Study including - 1 each in Urban and rural community
field.
Health assessment of an - 1 each in Urban and rural community
field.
Individual in the family
Community profile - 1 each in Urban and rural community field.
Second Year (a) Medical Ward
Nursing Care Plan - 2
Case Study - 1
Case Presentation - 1
Drug Study - 1
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(b) Surgical Ward

Nursing Care Plan - 2
Case Study - 1
Case Presentation - 1
Drug Study - 1
(c) Psychiatry Ward
Nursing Care Plan - 1
Case Study - 1
Case Presentation - 1
Drug Study - 1
Process Recording - 2
Mental Status examination - 4
Third Year (a) Pediatric Ward
Nursing Care Plan - 2
Case Study - 1
Case Presentation - 1
Drug Study - 1
Observation Report (New born) - 2
(b) Maternity and Gynaecological ward.
Nursing Care Plan - 2+1
Case Study - 1+1
Case Presentation - 1+1
Drug Study - 1+1

(c) Daily Diary Urban & Rural Community field

Health Talk - 2 each
Family Health Nursing care Plan - 2 each
Group Project - 1 each

In addition to above, each student shall maintain a procedure book and midwifery case
book signed by concerned / supervisor and Principle which is to be presented to examiner
each year.
The above assignments are to be evaluated by concerned teachers for the purpose of
internal assessment and shall be presented to the external examiner in a compiled form
and it should be duly signed by her and should be stamped as cancelled after practical
examination.
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FIRST YEAR

1.1 BIO-SCIENCE
1.1.(1) ANATOMY AND PHYSIOLOGY

Course Description
This course is designed to help students gain knowledge of the structure and function of the
human body and recognize any deviation from normal health in order to render effective
nursing services.

General Objective
Upon completion of the course, the student shall be able to:
1. Describe in general the structure and functions of the human body.
2. Describe in detail the structure and functions of the different organs and systems in the
human body.
3. Apply the anatomical and physiological principles in the practice of nursing.

Total Hours – 90
Learning Hr. Teaching Assessme
Unit
Objectives Content learning nt
No.
activities methods
I Define and spell Introduction to anatomical 4 Lecture cum
various terms organization of the Discussions. Short
anatomical human body a) Anatomical Explain using answer
terms charts questions
terms.
b) Systems and cavities of the human Record book Objective
body type

II. Describe Introduction to the detailed 6 Lecture cum Short

different organs structure of the body Discussions. answer
of the body, a) The cell: Structure, questions
systemic reproduction and function Explain using
microscopic Objective
function and b) Tissues including membranes
slides. type
their and glands : types structure and
functions c) Body cavities and their Skeleton and
interrelationship.
contents torso
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III Describe the Blood 6 Lecture cum Short

composition of a) Composition and formation of Discussions. answer
blood and its blood Explain using questions
functions. b) Functions of blood microscopic Objective
c) Blood clotting, blood slides type
grouping and cross matching
d) Blood products and their use. Demonstratio Essay type
n of blood
grouping and

Learning Hr. Teaching Assessme

Unit
Objectives Content learning nt
No.
activities methods
crossmatching,
Hb estimation

IV. Describe the The Circulatory System 6 Lecture cum Short

structure and a) Heart : Structure, functions discussions. answer
functions of including conduction system and Explain using questions
heart and blood cardiac cycle charts, models Objective
vessels b) Blood vessels : Types, type
and specimen
Structure and position
c) Circulation of blood Essay
d) Blood pressure and pulse
V. Describe The Lymphatic system 6 Lecture cum Short
structure and a) Structure and function of lymph discussions. answer
functions of vessels, Lymph nodes and lymph Explain using Objective
lymphatic circulation, lymphatic tissue - charts and type
system spleen and thymus models Essay
VI. Describe the The Respiratory system 6 Short
structure and a) The structure and functions of Lecture cum answer
functions of respiratory organs discussions. Objective
respiratory b) The physiology of respiration Explain using type
system c) Characteristics of normal charts and Essay type
respiration and deviation models,
specimens
Demonstratio n
of spirometry
VII. Describe the The Digestive system 6 Lecture cum Short
structure and a) Structure and functions of the discussions. answer
function of alimentary tract and is accessory Objective
organs. Explain using
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digestive system b) The process of digestion, charts, models

absorption and metabolism of food and videos type Essay
constituents. type
VII Describe the The Excretory system 6 Lecture cum
structure and discussions. Short
a) Structure and functions of the
functions of answer
kidney, ureters, urinary bladder, and Explain using
organs of the urethra charts, slides Objective
Excretory b) Formation and composition of models and type
system. urine. videos Essay type
c) Fluid and electrolyte balance

Learning Hr. Teaching Assessme

Unit
Objectives Content learning nt
No.
activities methods
d) Structure and functions of the skin.
e) Regulation of the body temperature.
IX. Describe the The Endocrine system 6 Lecture cum
structure and The structure and functions of the discussions. Short
functions of pituitary, thyroid, parathyroid and Explain using answer
endocrine glands. adrenal glands, pancreas (islets of charts and Objective
Langerhans), ovaries and testes models type
Essay type
X. Describe the The Reproductive system 8 Lecture cum Short
structure and a) Structure and functions of the discussions. answer
functions of male female reproductive system- Explain using Objective
and female Process of menstrual cycle, charts, videos, type
reproductive reproduction and menopause
models and Essay type
system and b) Structure and functions of breasts
specimens
accessory organs c) Structure and functions of the male
reproductive system
d) Reproductive health

XI. Describe the The nervous system 10 Lecture cum

structure and a) Types of nerves- structure and discussions.
Short
functions of functions Explain using answer
Nervous system. b) Brain and cranial nerves. charts and Objective
c) Spinal cord and motor and models
sensory pathways of the spinal cord, type
autonomic nervous system. Essay type
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XII. Describe the The sense organs 6 Lecture cum

structure and a) Skin, ear, eye, nose and tongue discussions. Short
function of b) Physiology of vision, hearing, Explain using answer
sensory organs smell, touch, taste and equilibrium. charts, videos Objective
and models type
Essay type
XIII Describe the The Skeleton 8
. structure and a) Formation and growth of bones Lecture cum
discussions. Short
functions of b) Tendons, ligaments and cartilages
answer
skeletal system. c) Classification of bones joints Explain using
d) Joint movement charts, models Objective
e) Axial and appendicular skeleton type
and skeleton
Essay type
Learning Hr. Teaching Assessme
Unit
Objectives Content learning nt
No.
activities methods
XIV Describe The Muscular System 6 Lecture cum
structure and a) Type, structure and functions of discussions. Short
functions of muscle Explain using answer
Muscular b) Origin, Insertion, and action of charts, slides Objective
system. muscles and models type
Essay type

1.1. (2) MICROBIOLOGY

Course Description
This course is designed to help students gain knowledge and understanding of the characteristics
and activities of micro- organisms, how they react under different conditions and how they
cause different disorders and diseases. Knowledge of these principles will enable student to
understand and adopt practices associated with preventive and promotive health care.

General Objectives
Upon completion of the course, the students shall be able to:
1. Describe the classifications and characteristics of micro-organisms
2. List the common disease producing micro-organisms
3. Explain the activities of micro-organism in relation to the environment and the human body.
4. Enumerate the basic principles of control and destruction of micro-organisms.
5. Apply the principles of microbiology in nursing practice.

Total Hours – 30
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Hr. Teaching Assessment

Unit. Learning Objectives
Content learning methods
No.
activities
I Describe evolution of Introduction 3 Lecture cum Objective type
microbiology and its a) History of bacteriology and Discussions. Short answers
relevance in nursing. micro-biology.
b) Scope of microbiology in Nursing
II Classify the different Micro Organisms 8 Lecture cum Short answer
types of micro a) Classification, characteristics, Discussions. Objective type
organism (Structure, size, method and rate Explain using Essay type
of reproduction) slides, films,
Describe the normal b) Normal flora of the body. videos,
flora and the common c) Pathogenesis & common diseases. exhibits,
diseases caused by d) Methods for study of microbes, models
pathogens culture & isolation of microbes.

Hr. Teaching Assessment

Unit. Learning Objectives
Content learning methods
No.
activities
Staining and
Explain the methods fixation of
to study microbes slides.
III Describe the sources Infection and its transmission 4 Lecture Short answer
of infection and a) Sources and types of infection, Demonstrati Objective type
growth of microbes nosocomial infection. ons
Essay type
b) Factors affecting growth of
Explain the microbes. Specimens
transmission of c) Cycle of transmission of infection
infection and the portals of entry, exit, modes of Explain
principles in transfer. using charts
collecting specimens d) Reaction of body to infection,
mechanism of resistance.
e) Collection of specimens.
IV Describe various Immunity 5 Lecture cum Short answer
types of immunity, a) Types of immunity – innate and discussions. Objective type
hypersensitivity acquired. Demonstrati Essay type
autoimmunity and b) Immunization schedule. on Exhibits
immunizing Immunoprophylaxis (vaccines,
agents sera etc.)
c) Hypersensitivity and
autoimmunity.
d) Principles and uses of serological
 17

tests
V Describe the various Control and destruction of 5 Lecture, Short answer
methods of control Microbes Demonstrati Objective type
and destruction of a) Principles and methods of on
Essay type
microbes microbial control Videos
-Sterilization
-Disinfection Visit to the
-Chemotherapy and antibiotics CSSD
-Pasteurization
b) Medical and surgical asepsis
c) Bio-safety and waste
management
VI. Demonstrate skill in Practical Microbiology 5 Lecture,
handling & care of a) Microscope – Parts, uses,
microscopes handling and care of microscope Demonstrati
b) Observation of staining ons
Identify common procedure, preparation and Specimens
microbes under the examination of slides and smears Slides
microscope c) Identification of common
microbes under the microscope
Hr. Teaching Assessment
Unit. Learning Objectives
Content learning methods
No.
activities
for morphology of different
microbes.

1.2 BEHAVIOURAL SCIENCES

1.2.(1)PSYCHOLOGY

Course Description
This course is designed to help students understand the dynamics of human behavior and
concept of mental health. This shall enable them to develop positive attitude and good inter –
personal relationships in the practice of nursing in all health care settings.

General Objectives
Upon completion of the course, the students shall be able to:
1. Describe the concept of mental health and psychology.
2. Explain the dynamics of human behavior, personality and learning.
3. Discuss the role of adjustment mechanisms and emotions in health and illness.
4. Demonstrate skills in the application of principle of psychology in nursing practice in all
kind of health care settings.
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Total Hours – 45
Hr. Teaching Assessment
Unit. Learning Objectives
Content learning methods
No.
activities
I State the concept, scope Introduction 2 Lecture cum
and importance of a) Definition, nature and Discussion. Short answer
psychology. scope of psychology Objective
b) Importance of psychology type
for Nurses
II. Describe the structure of Structure of the mind 2 Lecture cum
the mind. a) Conscious, pre-conscious Discussions. Short answer
b) Id, ego and super ego Objective
type

III. Illustrate the dynamics Psychology of Human 15 Lecture cum

of human behavior. Behavior Discussions. Short answer
a) Basic human needs,
Describe the concept of dynamics of behavior, Objective
Role play
mental health motivation drives type
b) Body mind relationship,
mental health, Essay type

Hr. Teaching Assessment

Unit. Learning Objectives
Content learning methods
No.
activities
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characteristics of mentally
healthy person, emotional
control, psychological
problems of patients and
relatives.
c) Stress and conflicts, nature
sources of and types of
stress and conflicts,
dealing with stress and
conflict, frustration –
sources and overcoming
frustration
d) Mental mechanism their
uses and importance e)
Attitudes - meaning,
development changes in
attitude, effects of
attitudes on behavior,
importance of positive
attitude for the nurse.
f) Habits-meaning and
formation.
g) Breaking of bad habits,
importance of good habit
formation for the nurse.
IV Describe and apply the Learning 15 Lecture cum Short answer
process of learning, a) Nature, types and laws of discussions. Objective
thinking, reasoning, learning, Roleplay type
observation and b) Factors affecting learning,
perception memory and forgetting. Essay type
Thinking and Reasoning
a) Nature and types of
thinking, reasoning,
problem solving,
importance of creative
thinking for nurse.
Observation and Perception
a) Attention, perception, laws
of perception, factors
affecting attention and
perception, and errors in
perception
Unit. Learning Objectives Hr. Teaching Assessment
Content learning methods
No.
 20

activities
V. Discuss the concept and Personality 6 Lecture cum Short answer
development of a) Meaning, nature and discussions. Objective
personality. development, types of type Essay
personality Role play
type
b) Assessment of personality Psychometric
importance of knowledge assessment
of personality for the nurse.
c) Characteristics of various
age groups – child
adolescent, adult and aged
d) Will and character.
VI. Discuss the nature and Intelligence 5 Lecture cum Short answer
measurement of a) Definition, Meaning, discussions. Objective
intelligence. individual differences in Demonstrati
type Essay
intelligence on Role play
type
b) Mental ability, nature of IQ testing
intelligence and
development
c) Assessment of intelligence

1.2.(2) SOCIOLOGY
Course Description
This course is designed to help student gain an understanding of sociology in the context of its
relevance to nursing practice.

General Objectives
Upon completion of the course, the students shall be able to:
1. Describe the concept of the family as a social unit and the status of the individual in the
family.
2. Explain the dynamics of society and identify common social problems.
3. Demonstrate ability to understand the socio – cultural and economic aspects of the
community in the light of their effects on health and illness.
4. Utilize the knowledge and understanding of sociology in nursing practice.

Total Hours - 20
Unit Learning Content Hr. Teaching Method of
No. Objectives learning assessment
activities
 21

I Describe the Introduction 2 Lecture

nature, scope & a) Definition and scope of Short answer
content of sociology Discussions Objective
sociology and its b) Its relationship with other type

Unit Learning Content Hr. Teaching Method of

No. Objectives learning assessment
activities
importance in social sciences
nursing c) Uses of sociology for
nurses.
II Describe the Individual 2 Lecture Short answer
influence of the a) Review of human growth Objective
environment on and development Discussions type
individual b) The socialization process
development and c) Effect of environment on
human growth and Essay type
the rights and
responsibilities of development
the individual in d) Rights and responsibilities
the society of the individual in a
democratic society.
III Describe the The Family 4 Lecture, Short answer
concept of family a) Definition, characteristics Discussions Objective
as a social unit and types of family. type
b) Family cycle and basic
needs of family
c) Importance of Essay type
interdependence of family
members.
d) Important functions of
family and their problems.
e) Types of Marriage,
medical and sociology
aspects of marriage.
 22

IV Describe about Society 8 Lecture, Short answer

social groups, a) Definition and meaning. discussions Objective
social change, b) Social groups - Types, type
control, Structure, intergroup
stratification and relationship group cycle, Visits to
group behavior and group Essay type
social problems social
morale. institutions
c) Social change -Meaning,
factors affecting and effect
on society and institution
leading to social problems.
d) Social control
e) Social stratification
f) Social problems-
Prostitution, crime divorce,
dowry system, juvenile
Unit Learning Content Hr. Teaching Method of
No. Objectives learning assessment
activities
delinquency, drug
addiction alcoholism,
handicapped, over
population and slum
g) Social agencies and
remedial measures
V Describe the The Community 4 Lecture
culture and a) Community – definition discussions Short answer
characteristics of and types- rural and urban
Objective
community b) Culture and characteristics type
Essay type

1.3. NURSING FOUNDATIONS

1.3.(1)FUNDAMENTALS OF NURSING

Course Description
This course is designed to help students develop an ability to meet the basic health need of the
patients with regard to nursing care and develop skill in the competencies required for rendering
effective patient care.

General Objectives
Upon completion of the course, the students shall be able to:
 23

1 Describe the physical, mental and social adjustment required of a sick individual and his
family.
2 Carry out basic nursing techniques and care with the application of sound scientific
principle.
3 Explain the concept of comprehensive nursing care.
4 Develop skills in assessment, planning,implementation and evaluation of the nursing care
rendered to the patients.
5 Communicate effectively and establish good interpersonal relationship with the patients,
their relatives and other health team members.
6 Demonstrate skills in observation, recording and reporting.
7 Recognize and utilize opportunities for planning and implementing need based health
teaching programme (s) for individuals, groups, families and communities.

Total Hours - 200

Uni Learning Method of Assessme
t. Objectives Content Hr. Teaching nt methods
No.
I Define nursing and Introduction to Nursing 25 Lecture Short
explain its nature, a) Nursing – concept, meaning, cum answer
meaning, definitions,scope and functions. Discussio Objective
scope,ethics and b) History of nursing in India ns. type
principlesin b) Nursing as a profession
nursing. c) Nursing professional –
Essay type
qualities and preparation.
Identify the d) Ethics in Nursing-roles and
qualities of a responsibilities of a nurse.
professional nurse e) Health care agencies –
health care hospital and community service –
agencies and its types and function of hospitals
functions. health team. f) Modern approaches
to nursing care including holistic
Describe the nursing care g) Health and Disease
holistic approach to -Definition of health, determinants
nursing and the of health status.
determinants of -Basic human needs
health and the -Illness and its effects on individual
effects of illness.
 24

II Describe nursing Nursing care of the patient 6 Lecture Short

care of the a) Patient Environment in the cum answer
patient/client in hospital Patients unit Discussio Objective
hospital using ns. type
b) Therapeutic environment -
nursing process. Demonstr
Physical factors – lighting Essay type
temperature, ventilation, humidity, ation
Demonstrate skill in noise, pestilence. Demonstr
the admission and - Safety needs prevention Return
ation of
of environmental hazard -
discharge process, maintainin demonstr
Psychosocial and aesthetic ation
maintenance of safe g the
factors.
environment and records
c) Patient’s Adjustment to the
records and reports Hospital. and reports
- Understanding the patient
as a person socio economic and Role Play
cultural background, health status
etc. - Effect of hospitalization on
patient and family.
- Admission, transfer,
discharge procedures
c) Basic Nursing Skills-
- Communication

Uni Learning Method Assessme

t. Objectives Content Hr. of nt methods
No. Teaching
- Nursing interview -
Recording and reporting
d) Nursing Process
- meaning and
Importance -assessment,
planning, implementation
and evaluation
-nursing care plan.
 25

III Describe basic Meeting the Basic Needs of a 60 Lecture Short

needs of the patient patient answer
Physical needs- Discussio Objective
Demonstrate skill a. Comfort, rest, Sleep and n type
in meeting basic exercise. –Importanceand its
care of the patient promotion Demonstr
b. body mechanics –moving, Essay type
ation Return
lifting, transferring
c. Position and posture demonstr
maintenance ation
d. comfort devices, Beds and
bed making – Principles of Assessme
bed making, types and care nt using
of bed linen checklist
e. safety devices, restraints and
splints
f. Exercises – Active and
Passive Hygienic needs
- personal and environmental
hygiene
- Nurses role in maintaining
personal and environmental
hygiene.
- Care of eyes, nose, ears,
hands and feet.
- Care of mouth, skin, hair
and genitalia
- Care of pressure areas, bed
sores. Nutritional needs
- diet in health and disease -
Factors affecting nutrition in
illness,
-nurse’s role in meeting patients
nutritional needs.

Uni Learning Method Assessme

t. Objectives Content Hr. of nt methods
No. Teaching
 26

- Modification of diet in
illness. - Diet planning and serving.
- Feeding helpless patients
including artificial methods of
feeding.
Elimination needs
- health and sickness
-Problems – constipation and
diarrhea, retention and
incontinence of urine.
- Nurse’s role in meeting
elimination needs.
- Offering bedpan and urinal,
-observing and recording
abnormalities.
- Preparation and giving of
laxative, suppositories, enemas,
bowel wash, flatus tube.
- Perineal care, care of patient
with urinary catheter, diapers.
- Maintenance of intake and
output records
Psychological and spiritual needs
-importance
- Nurse’s role
-Diversional and Recreational
therapy
Care of terminally ill and dying
- dying patient’s signs and
symptoms of approaching death,
needs of dying patient and
family, -nursingcare of dying-:
special considerations; advance
directives, euthanasia, will, dying
declaration, organ donation etc. -
medico legal issues
- Care of the dead body
-care of unit
-Autopsy
-Embalming
IV Hygiene 15
Describe the Lecture Short
Personal Hygiene
significance of cum answer
Care of skin, hair, teeth, eyes, ears,
 27

Uni Learning Method Assessme

t. Objectives Content Hr. of nt methods
No. Teaching
personal and mental hands and feet, Rest and sleep, Discussio Objective
hygiene Exercise, Activity, recreation, ns. type
posture, nutrition, elimination and
menstrual hygiene
Essay type
Developing good health habits
Return
Prevention and protection of demonstr
disease ation
Maintenance of health records
Reproductive health and hygiene Assessme
Sex education and hygiene nt using
Mental Health and hygiene checklist
-concepts of mental health and
hygiene.
- Characteristics of a physically
and mentally healthy person
- Mental hygiene in intrauterine,
infancy, childhood,
adolescence, adulthood and old
age.
V Describe the Assessment of patient/client 14 Lecture
principles of a) Physical Assessment cum Short
assessment - Importance, principles,
answer
methods of assessment Discussio
demonstrate skills - Height, Weight, ns Objective
in assessing the posture - Head to toe Demonstr type
patient examination. ation
b) Physiological Assessment Essay type
-Vital signs, normal, abnormal Return
Characteristics, factors influencing demonstr
the variations, ation
-Observation and collection of
specimens-urine, stool, vomitus
Assessme
and sputum.
Psychological Assessment-Mood, nt using
Intelligence, Emotions Normal and checklist
Abnormal behavior.

Uni Learning Method of Assessme

t. Objectives Content Hr. Teaching nt methods
No.
 28

VI Describe the Infection control 20 Lecture,

infection control, a) Infection control : Discussio n Short
methods in the - Nature of infection and answers
clinical setting. - Chain of infection Demonstr Essay type
transmission - Defence against ation Objective
Demonstrate infection : natural and acquired type
infection control - Hospital acquired infection ( Explain
practices nosocomial infection) using
b)Concept of asepsis : manual of
- medical and surgical asepsis biomedica l
- isolation precautions , barrier waste
nursing manageme
- hand washing : simple, hand nt of
asepsis, surgical asepsis (scrub) - Governme
isolation – source and protection - nt of India
personal protective equipments –
types, uses and techniques of Demonstr
wearing and removing - ation
decontamination of unit and
Videos
equipment
- transportation of infected
Simulatio n
patient
exercises
- standard safety precaution -
transmission based precautions
c) bio-medical waste management
- importance
- Types of hospital wastes
- hazards associated with
hospital waste
- decontamination of hospital
waste
- segregation and
transportation - disposal
VII Describe Therapeutic Nursing Care 30 Lecture
therapeutic nursing a) Care of patients with respiratory cum Short
care problems/dyspnea answer
- Breathing and coughing exercises Discussio Objective
- O2 inhalation ns. type
- Dry and moist inhalation
- Oro nasal suctioning Demonstr
Essay type
b) Care of patient with altered ation Return
body demonstr
temperature- Hot and cold ation
Applications
 29

c) Care of patients with Fluid and

Electrolyte imbalance

Uni Learning Method Assessme

t. Objectives Content Hr. of nt methods
No. Teaching
d) Care of unconscious
patient Assessme
e) Care of the bedridden nt using
patient(traction, fractures etc.) f) checklist
Care of patient with pain
g) care of patients with body
elimination deviation
 30

VII Explain the Introduction to clinical 30 Lecture Short

I principles, routes, Pharmacology cum answer
effects of Administration of medication: Discussio Objective
administration of General ns. type
medications Principles/Considerations
- Purposes of medication Demonstr
ation Essay type
- Principles: 5 rights, special Return
considerations, prescriptions, demonstr
safety in administering ation
medications and medication
errors
Assessme
- Drugs forms
nt using
- Routes of administration
checklist
- Storage and maintenance of
drugs and nurses
responsibility
- Broad classification of drugs
- Therapeutic effect, side
effect, toxic effect, allergic
reaction, drug tolerance,
drug interactions
- Factors influencing drug
actions
- Systems of drug
measurement: metric system,
household measurements.
- Converting measurements
units: conversion within one
system, between systems,
dosage calculations.
- Terminologies and
abbreviations used in
prescription of medications.
- Oral drug administration:
oral, sublingual, buccal :
equipment and procedure.

Uni Learning Method Assessme

t. Objectives Content Hr. of nt methods
No. Teaching
- Parentral :
General principles
Types of parentral therapies.
 31

Types of syringes, needles,

canulas and infusion sets,
Protection from needle stick
injuries, giving medications
with a safety syringe.
- Routes of parentral
therapies: Purposes, site
equipment, procedure and
special considerations in
giving intradermal,
subcutaneous, intramuscular
and intravenous
medications.
- Advanced techniques :
epidural, intrathecal,
intraosseous, intraperitoneal,
intrapleural, intra arterial
- Role of nurse
- Topical administration:
purposes, site, equipment,
procedure, special
considerations for
applications to skin and
mucous membrane.
Direct application: gargle,
throat swab
Insertion of drug into body
cavities : nasal pack,
suppositories / medicated
packing into rectum / vagina
Instillations: ear, eye, nasal,
bladder and rectal.
Irrigations: eye, ear,
bladder, vaginal and rectal.
Spray: nose and throat
- Inhalations: nasal, oral,
endotracheal, tracheal
(steam, oxygen and
medications) – purposes,
types, equipment, procedure
and special considerations.
Uni Learning Content Hr. Method Assessme
t. Objectives of nt methods
 32

No. Teaching
- Recording and reporting of
medications administered.

1.3.(2)FIRST AID

Course Description
This course is designed to help students develop and understanding of community emergencies and
be able to render first aid services as and when need arises.

General Objectives
Upon completion of this course, the students shall be able to:
1. Describe the rules of first aid.
2. Demonstrate skills in rendering first aid in case of emergencies.

Total Hours - 20
Unit Learning Objectives Content Hr. Teaching Assessment
learning methods
activities
I Describe the Introduction 2 Lecture
importance and - Definition, Aims and cum Short answer
principle of first aid Importance of first aid discussio Objective
- Rules/ General principles of ns type
First Aid
- Concept of emergency
Demonstrate skill in Procedures and Techniques 8 Lecture, Short answer
II first aid techniques in First Aid Objective type
- Preparation of First Aid Discussio
kit. - Dressing, bandaging and ns
splinting(spiral, reverse spiral, Return
figure of 8 spica, shoulder, hip, Demonstr demonstrati
ankle, thumb, finger, stump, ation on
single and double eye, single
and double ear, breast, jaw,
Videos
capelin), triangle bandages
uses, abdominal binder and Simulatio
bandage, breast binder, T and n
many tail bandage, knots reef, exercises.
clove.
- Transportation of the
injured
- CPR : Mouth to mouth,
 33

Sylvester, Schafer, External

Unit Learning Objectives Content Hr. Teaching Assessment
learning methods
activities
cardiac massage

III Describe first aid in First Aid in emergencies 6 Lecture

common emergencies a) Asphyxia, drowning, cum
shock Discussio Short answer
b) Wounds and Bleeding ns. Objective type
c) Injuries to the Bones,
Videos Return
Joints and Muscle- fractures,
Demonstr demonstrati
sprains, strains, hanging, falls
ation on
d) Burns and scalds
e) Poisoning – ingestion,
inhalation, bites and stings
f) Foreign body in eye, ear
nose and throat.
List various Community Emergencies & Lecture Short answer
IV community Community Resources 4 cum Objective type
emergencies and a) Fire, explosion, floods, Discussio
earth- ns. Essay type
community resources.
quakes, famines etc Videos
b) Role of nurses in Mock
disaster drill
management Simulatio
n exercise
c) Rehabilitation
Videos
d) Community Resources -
Field visit
Police, Ambulance services -
to
Voluntary agencies-local, state
voluntary
national and international
agencies.
 34

Placement: First Year Time: Practical – 924 hours

(200 lab and 724 clinical)

Course Description: This course is designed to help the students to acquire knowledge, attitude
and skills in techniques of nursing and practice them in clinical settings

The nurse on completion of this course will be able to:

 Demonstrate appropriate attitudes and skills in providing comprehensive nursing care to
patients based on nursing process.
• Assess the nursing needs of the clients by collecting complete data, making relevant
observation and analyse the data collected.
• Plan for appropriate nursing care by prioritizing the needs and executing competent
nursing actions.
• Implement effective nursing care by integrating scientific principles for maintaining
health optimum
• Promote the health of the individual and the community by giving appropriate health
teaching.
• Evaluate the patients response to nursing care provided.
 Apply the theoretical knowledge to the appropriate clinical nursing practice.
 Demonstrate skill in the use of problem solving methods in nursing practice.
 Contribute for promotion of health prevention of illness & restoration of health of people by
working with other health team members.
 Gain knowledge of health resources in the community and the country.
 Demonstrate leadership skills in working with health team, community and others in the
provision of health care.
 Recognize the need for continuing education for professional development.
 Demonstrate use of ethical values in their personal and professional life.
 Assist in research activities.
 35

Time Assessment
Areas Objectives Skills Assignments
(Hours) methods

Supervise Hospital admission

d practice and
in discharge
Lab Admission
General Prepare Unit for new
patient Evaluate
Medical Performs Prepare Practice in with
200 checklist
and admission bed Unit/
724 Perform Assessmen
surgery admission and hospital
(Minimu
wards
m discharge admission t
procedure of clinical
practice New patient
time in procedure
Transfer in performanc e
clinical Prepare patient records
area) with
Discharge/Transfer
rating scale
out
Compl-
Gives discharge
etion of
counseling
Perform discharge Practical
procedure
(Planned discharge, record
LAMA and abscond,
Referrals andtransfers)
Prepare records of

discharge/transfer
Dismantle, and
disinfect
unit
 36

and equipment
after

discharge/transfer
Prepares Perform assessment: Write Assess-
nursing History taking, nursing ment of
Nursing
care plan
as diagnosis, problem list, process nursing
per the Prioritization, Goals & records of process
nursing Expected Outcomes, patient records
process selection of Simulated -1 with
interventions
format Write Nursing Care Actual - 1 checklist
Plan
Gives care as per the
plan Assess-
ment of
actual care
given with
rating

scale

Communic Communication Role-plays Assess role

Use verbal and non verbal
ates in simulated plays with
communication techniques
effectively situations on the check-
with communi- list on
patient, Prepare a plan for patient cation comm.-
families techniques-1 unication
and team teaching session Health techniques
members talk-1 Assess
and health talk
Maintains with the
effective checklist
human Assess-
relations ment of
Develops comm.-
 37

plan for unication

patient techniques
teaching by rating
scale
Prepares Write patient report Write nurses Assess-
patient Change-of shift reports, notes and ment of
reports Transfer reports, Incident present the perfor-
Presents reports etc. patient mance
reports Present patient report report of 2-3 with rating
assigned scale
patients
Assessmen
Monitors Vital signs Lab practice t
vital signs Measure, Record and Measure of each
interpret alterations in
body Vital signs skill with
temperature, pulse of assigned checklist
Completio n
respiration and blood patient
pressure of activity
record
Performs Health assessment
health Health history taking
assessment Perform assessment:
of each General
body Body systems
system Use various methods of

physical examination
Inspection, Palpation,
Percussion, Auscultation,
Olfaction
Identification of system
wise
deviations
38
 39

Bladder irrigation
Assisting bowel Elimination:
• Insertion of Flatus tube
• Enemas

• Insertion of Suppository
Bowel wash
Body Alignment
and Mobility:
Range of motion
exercises
Positioning: Recumbent,
Lateral, Fowlers, Sims,
Lithotomy, Prone,
Trendelenburg positon

42
40
 41

Application of hot
and cold therapies:
Local and general
Dry and moist

Communicating and assisting with self-care of visually

& hearing impaired patients Communicating and
assisting with self-care of mentally
challenged/disturbed patients
 42

Time Assessment
Areas Objectives Skills Assignments
(Hours) methods

Recreational and
diversional
therapies
Caring of patient with
alteration in sensorium
Performs Infection control Observation Assess
observatio
infection Perform following study -2 n
control procedures: Department study with
procedures Hand washing of Infection checklist
techniques control & Evaluate
(Simple, hand antisepsis CSSD all
and surgical antisepsis Visits CSSD procedures
(scrub) write with
Prepare isolation unit in observation checklist
lab/ward report
Practice technique of 1
wearing and removing Collection
Personal protective of samples
equipment (PPE) for culture
Practice Standard safety Do clinical
precautions (Universal
posting in
precautions)
infection
control
Decontamination of
department
equipment and unit: -
and write
Surgical asepsis: report
Sterilization Practice in
Handling sterilized
 43

lab/ward
equipment
Calculate strengths of
lotions,
Prepare lotions
Care of articles

Performs
procedures
for care of
wounds
Care of the wound:
 44

Time Assessment
as Objectives Skills Assignments
(Hours) methods

Dressings of minor
wounds, careof
Drainage /Application
of
Binders, Splints&
Slings Bandaging of
various body parts
 45

Administer
s
drugs

 Administration of
medications
Administer Medications
in
different forms and
routes
Oral, Sublingual and
Buccal
Parenteral : Intradermal,
subcutaneous,
Intramuscular
etc.
Assist with Intra Venous
medications
Drug measurements and
dose calculations
Preparation of lotions
and solutions
Administer topical
applications
Insertion of drug into
body
cavity: Suppository &
medicated packing etc.
Instillation of medicines
into Ear, Eye, Nose
and throat
Irrigations: Eye, Ear,
Bladder, Vagina and
Rectum
 46

Inhalations: dry and

moist
Medicated/Nebulization
Identification of spurious
drugs.
Record date, time,
medication, dose, route
And sign immediately
Records after administration
- Provide
care
terminally
ill,
dying and
Dead Care of dying patient
Provide care for the
terminally ill
Caring and packing of
dead
Body

Counseling and
supporting grieving
relatives
Handing over the body
& valuables
Transferring to
Counsel mortuary with proper
and identification
support Terminal care of the unit

relatives
 47

1.4COMMUNITY HEALTH NURSING

1.4.(1) COMMUNITY HEALTH NURSING - I
Course Description
This course is designed to help students gain an understanding of the concept of
community health in order to introduce them to the wider horizons of rendering
nursing services in a community set – up, both in urban and rural areas.

General Objectives
Upon completion of this course, the students shall be able to:
1 Describe the concept of health, community health and community health
nursing.
2 State the principles of epidemiology and epidemiological methods in community
health nursing practice.
3 Explain the various services provided to the community and role of the nurse.
4 Demonstrate skills to practice effective nursing care of the individuals and
families in the clinics as well as in their homes, using scientific principles.

Total Hours – 80
Uni Hr Teaching Method of
Learning
t Content Learning Assessment
No. Objectives
activities
I Describe the Introduction to Community Health 10 Lecture cum Short
concept of health - Definitions: Community, Discussions. Answers
and disease and Community health, community health
community health nursing - Concept of Health and
disease, dimensions and indicators of
health,
Health determinants
- History & development of
Community Health in India& its
present concept.
- Primary health care,
Millennium
Development Goals
- Promotion and maintenance of
Health
 48

II Community Health Nursing 14 Lecture cum Short answers

- Philosophy, goals, objectives Discussions. Essay type
& principles , Concept and
Explainvariousasp
importance of Community Health
ects of Nursing, -
Community Qualities and functions of Community
Health Nursing. Health Nurse
Demonstrate skills - Steps of nursing process;
in applying community

Uni Hr Teaching Method of

Learning
t Content Learning Assessment
No. Objectives
activities
nursing process in identification, population
Community composition, health and allied
Health Nursing resources, community assessment,
settings planning & conducting community
nursing care services.
3. Demonstrate skill Health Assessment 10 Lecture cum Short answers
in assessing the a) Characteristics of a healthy discussions. Objective
health status and individual type
identify deviations Demonstrati on Essay type
from normal b) Health assessment of infant, Role Play
parameters in preschool, school going, adolescent, Return
different age adult, antenatal woman, postnatal demonstratio
groups. woman, adult and elderly. Videos n

IV Describe the Principles of Epidemiology and 10 Lecture cum Essay type

principles of Epidemiological methods discussions.
epidemiology and - Definition and aims of Short answers
epidemiological epidemiology, communicable and Noncommunicab
methods in non-communicable diseases. le disease module Objective type
community health -Basic tools of measurement in of government of
epidemiology India.
nursing practice.
-Uses of epidemiology
-Disease cycle Field visit
-Spectrum of disease
-Levels of prevention of disease. -
Disease transmission – direct and
indirect.
 49

-Immunizing agents, immunization

and national immunization schedule.
-Control of infectious diseases.
-Disinfection.
V Demonstrate skill Family Health Nursing Care 12 Lecture cum Essay type
in providing - Family as a unit of health discussions. Short answers
comprehensive - Concept, goals, objectives
nursing care to the - Family health care services Role play
family. -Family health care plan and nursing
process. Family visit
-Family health services – Maternal,
child care and family welfare
services. -Roles and function of a
community health nurse in family
health service.
Uni Hr Teaching Method of
Learning
t Content Learning Assessment
No. Objectives
activities
-Family health records.

VI. Describe the Family Health Care Settings 10 Lecture cum Short answer
principles and Home Visit: discussions. Return
techniques of - Purposes, Principles demonstratio
family health care - Planning and evaluation -Bag Demonstrati n
services at home technique Clinic: on
and in clinics. - Purposes, type of clinics and
their functions Visits – Home,
- Function of Health personnel health center
in clinics

VII Describe the Referral System 6 Lecture cum Short answer

- Levels of health care and discussions.
referral system
health care settings. Objective
and community
- Referral services available - Mock drill type
resources for
Steps in referral.
referral -Role of a nurse in referral
 50

VII List the records Records and reports 3 Lecture cum Short answer
I and reports used - Types and uses discussions. Objective
in community - Essential requirements of Exhibit the type
health nursing records and reports records.
practice - Preparation & Maintenance

IX. Explain the Minor Ailments 5 Lecture cum

management of - Principles of discussions. Short answer
minor ailments. management -
Management as per Objective
standing type
instructions/orders.

Community Health Nursing I- Practical

Placement: First Year Time: Practical – 336 hours
Area Duratio Objectives Skills Assignment Assessment
n s Methods
 51

Com 8 weeks • Organize home visit • Conducting • Daily • Assess

munit • Prepare bagand Home visits. Diary clinical
y demonstrate bag • Nutritional • Health talk performance
health technique. assessment -2 with rating
Nursi • Build up and of • Family scale.
ng- maintain rapport with individuals. care plan - • Evaluation of
urban family. 2. daily diary,
/ rural • Identify needs of • Health health talk,
community assessme family care
• Practice procedure  • Provide care nt of an plan, health
Make referrals. at home as individual assessment,
• Plan and conduct per Standing -2 community
health education on Orders / • Communi profile,
identified health protocol. ty Profile observation
needs. • Conduct –2 report.
• Set up clinics with health • Report of
help of staff. Education. visit to
• Maintain records and water
reports purificati
• Collect and record • Set up of on plant,
vital health statistics. different sewage
• Learn about various Clinics. plant, milk
organizations of dairy,
community health • Maintain panchayat
importance. Records & .
• Health Assessment Reports.
family
• Identify the health • Practice
needs of various age family health
groups. nursing.
• Assess the
environment • Demonstrat
• Maintain family e different
folders.
• Assessment
nutritional needs
• Demonstrate
different
 52

method of preparing methods of

food according to the preparation of
nutritional need of Meals.
family.
 53

1.4.(2) ENVIRONMENTAL HYGIENE

Course Description
This course is designed to help students acquire the concept of health,
understanding of the principles of environmental health and its relation to nursing
in health and disease.
General Objectives
Upon completion of this course, the students shall be able to:
1 Describe the concept and principles of environmental health.
2 Demonstrate skills to apply the principles of environmental hygiene in caring for
self and others.
3 Describe the environmental health hazards, related health problems and the services
available to meet them.

Total Hours – 30
Learning Teaching Method of
Unit. Objectives Content Unit wise Hr learning assessment
activities
I Explain the Introduction 2 Lecture and Short answer
importance of - Components of environment Discussions.
healthy environment - Importance of healthy
and its relation to environment
health and disease.
II Describe the Environmental 22 Lecture and Short
environmental Factors Contributing Discussions answers
factors contributing to Health A) Water :
to health andillness. - Sources and characteristics of Demonstrati Essay type
safe on
and wholesome water Objective
- Uses of water. Exhibits type
- Rain water harvesting
- Water pollution – natural and
acquired impurities
Visit to
- Water borne diseases
water
- Water purification-small and Purification
large scale plant,
B) Air : sewage
- Composition of air treatment
-Airborne diseases plant
- Air pollution and its effect
on health
 54

- Control of air pollution and

use of safety measures. C) Waste :
- Refuse – garbage, excreta
and
Learning Teaching Method of
Unit. Objectives Content Unit wise Hr learning assessment
activities
sewage- Health hazards
- Waste management:
collection, transportation and
disposal. D) Housing:
- Location
- Type
- Characteristics of good
housing
- Basic amenities - Town
planning E) Ventilation:
-Types and standards of ventilation
F) Lighting:
- Requirements of good
lighting
-Natural and artificial lighting
- Use of solar energy
G) Noise
- Sources of noise
- Community noise levels
- Effects of noise pollution -
Noise Control measures H)
Arthropods:
- Mosquitoes, housefly, sand
fly, human louse, rat fleas, rodents,
ticks etc.
- Control measures
 55

III. Describe the Community organizations to 6 Lecture and Short answer

community promote environmental health discussions. Objective
organization to A) Levels and types of agencies:
type.
promote - National, state, local
environmental - Government, voluntary and
health. social agencies.
B) Legislations and acts regulating
the environmental hygiene.

1.4.(3) Health Education and Communication skills

Course Description
This course is designed to help students to
1. Acquire the concept of health education and develop an ability to select and/or
prepare appropriate audio-visual aids and use them effectively to communicate
with the individuals and community
2. Understand the principles of communication and counseling, and its application in
nursing practice.

General Objectives
Upon completion of this course, the students shall be able to:
1 Describe the concept of health education, communication skills including
soft skills, audio – visual aids and health education agencies.
2 Identify and utilize opportunities for health education.
3 Describe the application of information technology in preparation and use of
various health teaching aids.
4 Develop effective communication and counseling skills.

Total Hours – 45
Learning Method of Assessmen t
Unit. Content Hr.
Objectives Teaching methods
 56

I Describe the Communication Skills Lecture cum

concept and - Definition, process, 8 Discussion
s. Objective
different aspects purposes, principles, types and
type
of communication importance of Demonstra
communication tion Short answers
- Barriers in communication Role play Return
- Establishment of successful demonstrat
communication.
ion
- Observing and listening
skills.
II Describe the aims Health Education 6 Lecture cum Objective
and objectives, - Concept, definition, aims Discussion type
scope, levels, and objectives of health education s.
- Principles of health Short answers
approaches and
principles of education - Process of
health education change/modification of health
behavior
- Levels and approaches of
health education
- Methods of health education
- Scope and opportunities for health
education in hospital and
community - Nurse’s role in health
education.
Learning Method of Assessmen t
Unit. Content Hr.
Objectives Teaching methods
III Demonstrate the Counseling 8 Lecture Short answer
skills of -Definition, purpose, principles, Discussion Essay type.
counseling. scope and types
- Counseling process: Role play
steps and techniques
- Qualities of a good
counselor - Difference between
health education and counseling
- Role of nurse in counseling
IV Describe the types Methods and Media of Health 18 Lecture cum Evaluation of
of AV aids. Education discussions prepared
- Definition, purpose and audio visual
types of audio-visual aids and aids.
Demonstrate skill Exhibits.
in preparing and media - Selection, preparation and
use of audio-visual aids : graphic Demonstra
using different
 57

kinds of audio – aids, printed aids, three tion Written test

visual aids dimensional aids and projected
aids
- Advantages and limitations
of different media
- Preparation of health
education plan
V Enumerate the 5 Lecture cum Short answers
functions of Health Education Agencies discussions
health education and sources - International
- National
agencies
- State Field visit
- District
- Local
- Internet sources

1.4.(4) NUTRITION
Course Description
This course is designed to help students understand that nutrition is an integral
component of health as nutrients play a vital role in the growth, development and
maintenance of the body.

General Objectives
Upon completion of this course, the students shall be able to:
1 Describe the principles of nutrition and dietetics and its relationship to the human body in
health and disease.
2 Describe the balanced diet in promotion of health
3 Apply this knowledge in providing therapeutic diet in care of the sick.
4 Demonstrate skills in selection, preparation and preservation of food.

Total Hours – 30
 58

Teaching Methods of
Learning Objectives
Unit. Content Hr. learning assessment
activities
I Describe the relationship Introduction 2 Lecture Short answer
between nutrition and a) Meaning of food, nutrition, Discussions. types
health nutrients etc. Objective
b) Food Habits and customs Explain using type
c) Factors affecting nutrition charts
d)Changing concepts in food
and nutrition.
e)Relation of Nutrition to
Health
II Describe the Classification of food 2 Lecture Short answers
classification of food. a) Classification by origin: Discussions. Essay type
- food and animal origin Real food
items Objective
- food of plant origin
b) Classification by chemical Exhibits type
composition and sources charts
- carbohydrates
- proteins
- fats
- minerals
- vitamins
- water
c) Classification by
predominant functions -
body building food

Teaching Methods of
Learning Objectives
Unit. Content Hr. learning assessment
activities
 59

- energy giving food

- protective food
d) classification by nutritive
value
- cereals and millets
- pulses and legumes
- vegetables
- nuts and oil seeds
- fruits
- animal food
- fats and oils
- sugar and jiggery -
condiments and spices -
miscellaneous food.
III Explain normal dietary Normal Dietary 4 Lecture cum Short answer
requirements Requirements Discussions. Essay type
a) Energy: Calorie,
Objective
Measurement, Body Mass
Demonstrate skill in Charts type
Index,BasalMetabolic Rate –
calculating normal food determination and factors Exhibits
requirements. affecting
Real food
b) Balanced Diet –
nutritive value of foods, Practical
calculation for different exercise
categories of people, normal
food requirement
calculation.Menu plan.
Combination of food affecting
and enhancing the nutritive
value of the diet.
c) Budgeting for food, low
cost meals, food substitutes. d)
Diseases and disorders caused
by the imbalance of nutrients.
e) Food allergy –causes,
types, diet modifications in
glutein, lactose and protein
intolerance etc.
 60

Teaching Methods of
Learning Objectives
Unit. Content Hr. learning assessment
activities
f) Food intolerance - inborn
errors of metabolism
Describe theprinciples Food Preparation, Short answer
IV and various methods of Preservation & Storage a) 2 Lecture cum type
preparation, preservation Principles of cooking, Discussions.
and storage of food. methods of cooking and the Objective
effect of cooking on food Field visit to type
and various nutrients. Safe food processing
food handling, health of unit. Evaluation of
food handlers. exhibit
b) Methods of food Demonstratio preparation.
preservation– household and n exhibits
commercial, precautions.
c) Food storage –cooked
and raw, household and
commercial, ill effects of
poorly stored food.
d) Food adulteration and
acts related to it.

Describe about Therapeutic Diet Short answers

V therapeutic diet
a) Diet modification in 8 Lecture cum Essay type
relation to medical and Discussions. Objective
surgical condition of the type
individual such as Protein Practical of
Energy Malnutrition (PEM), planning
Diabetes, Cardio Vascular Therapeutic
disease, Hepatitis, Renal, diet
Gouts, Irritable Bowel
Syndrome (IBS), Obesity, Demonstratio
cholecystectomy, partial n Charts
gastrectomy, gastrostomy, Exhibits
bariatric surgery and
colostomy etc.
c) Special diet – low sodium
diet, fat free diet, diabetic diet,
bland diet, high protein diet,
low protein diet, low calorie
 61

diet, geriatric diet,iron rich

Teaching Methods of
Learning Objectives
Unit. Content Hr. learning assessment
activities
diet, liquid diet, semi-solid
diet, soft diet and high fiber
dietetc
c) Factors affecting diet
acceptance, feeding the
helpless patient.
d) Health education on
nutrition needs and
methods in diet
modification .
Describe the concept of Community Nutrition Short answer
VI community nutrition a) Nutritional problems 4 Lecture cum
and programs in India Discussions. Objective
b) Community food type
supply, food hygiene and Videos
commercially prepared and Government
grown food available locally. of India
c) National and international nutrition
food agencies – Central food manuals.
training research institute
(CFTRI), Food and Visit to the
agriculture organization local food
(FAO), National Institute of preparation /
Nutrition (NIN), Food Safety processing
and Standards Authority of agency.
India (FSSAI), CARE
(Cooperative for Assistance
and Relief Everywhere),
National Institute of Public
Cooperation and Child
Development (NIPCCD) etc.

Learning Objectives Teaching Methods of

Unit. Content Hr. learning assessment
 62

activities
VI Demonstrate skill in Preparation of diet / 8 Lecture cum Practical
preparation of common practical Discussions evaluation
food items. a) Beverages : hot and cold,
juice, shakes, soups, lassi, Cookery
barley water practical
b)Egg preparation : egg flip,
scramble, omlet, poached egg
c) Light diet: porridges, gruel,
khichari, dahlia, kanji, boiled
vegetables, salads, custards.
d) Low cost high nutrition
diets - chikki, multigrain roti
 63

1.5 English

Course Description
This course is designed to help students develop an ability to comprehend spoken and written
English, so as to communicate effectively.

General Objectives
Upon completion of this course, the students shall be able to:
1 Read and write correct English.
2 Communicate effectively in English.

Total Hours-30
Uni Learning Objective Hr. Method of Assessment
Content
t Teaching Method
I. Speak and write Grammar 6 Objective type
correct grammatical - Review of basic Discussion,
Paraphrasing
English grammar written and
- Building oral
Vocabulary exercises.
II Develop ability to Composition 14 Discussion Dictation
read , understand and - Sentence Written and Exercise
write in English construction and usage. oral
-Reading comprehension. Objective type
exercises.
- Written Translation
composition : paragraphs Report
& essays, precise writing, evaluation
story writing & Essay type
comprehension, letter
writing, nurses notes and
reports, anecdotal records,
diary writing
III Demonstrate Spoken English 10 Discussion,
conversation skills. - Conversation – face written and Extempore
to face and telephonic - oral Debates
Oral report exercises.
- Discussion, debate Discussion
- Public speaking
skills.
 64

1.6 COMPUTEREDUCATION
Course Description:-
This course is designed to help students gain a basic understanding of uses of computers and
its application in nursing.

General Objective:-
Upon completion of this course, the students shall able to:
1. Describe the basic disk operating system. 2.
Use computer for data processing
3. Use Micro-soft office programs.
4. Use computer in patient Management System.
5. Use E-mail and internet
Total Hours - 35
Learning Teaching Assessment
Unit Objectives Content Hr. learning methods
activities
I Describe the Introduction to computers 5 Lecture Short answers
structure and and Disk operating system Discussion Essay type
purpose of -Definition
computers and disc - Classification Practical
Practical
operating systems -Structure and parts of
computer
-Disk operating system –
DOS and WINDOWS all
versions. - Purposes / uses of
computer is health care
delivery system
II Demonstrate skill in 15 Lecture Short answer
the use of MS office MS Office Discussion Objective type
-MS word Demonstrati
- MS excel with pictorial Practical
on Practice
presentation exam
session
- MS Power point
- MS access
 65

- MS publisher
document
III Demonstrateskill in Multimedia 5 Lecture Short answer
using multimedia - Types and uses Discussion Objective
- Data base creation, retrieval Demonstrati type Practical
and report generation on
exam
- Computer aided teaching
and testing

Learning Teaching Assessment

Unit Objectives Content Hr. learning methods
activities
IV Demonstrate the use Use of internet and e-mail 10 Lecture Lecture
of internet and email - Accessing the website Discussion Discussion
- Searching the internet for Demonstrati Demonstrati
content on on
- Accessing the email and
communicating with the
help of it.
- Use of internet
communication programs –
skype

SECOND YEAR

2.1 Medical Surgical nursing – I

Course Description:-
This course shall help students understand the concept of disease and disease process,
Students shall be able to gain knowledge and develop understanding of various medical,
surgical disorders and disease. They shall be able to give comprehensive nursing care to
patient with these diseases.

General Objective:-
Upon completion of this course, the students shall able to:
1. Describe the cause, symptoms, treatment and prevention of Medical Surgical Diseases.
2. Demonstrate skill in carrying out nursing technique and procedures with the applicant of
scientific principles.
 66

3. Discuss nursing process and provide nursing care to patients with medical surgical/
diseases.
Total Hours - 130
Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
I Explain the Introduction 2 Lecture, cum Short
history of - Brief history of evolution of Discussion answer
modern modern medicine and surgery
Medicine and - Theories of illness and its Objective
Surgery causation type

Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
- Illness as human experience
- Review of Nursing process and
Nursing care plan.
II Demonstrate 4 Lecture Short answer
skill in Nursing assessment Demonstrati Objective
conducting Health Assessment on type Return
health - Health history Simulation demonstrati
assessment and - Physical examination on
physical - Nutritional assessment
examination - General clinical investigations
III Describe the Pathophysiological mechanism of 4 Lecture/ Short
pathophysiolo disease Discussion, answer
gical - Stress adaptation- stressors, Topic Essay type
mechanism of management, Nursing presentation
diseases interventions
- Inflammation
- Defense against injury
- Nutritional consideration
 67

Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
IV Demonstrate Altered immune response 6 Lecture/ Short
skill in - Overview of normal immune Discussions answer
providing system Objective
nursing care to - Altered immune response, Clinical case type
patients with hypersensitivity and allergy presentation
altered - Assessment of immune system - Essay type
immune Diagnostic evaluation - Allergy
response. disorders:
• Anaphylaxis
• Allergic rhinitis
• Contact dermatitis
• Atopic dermatitis
• Drug reactions
• Food allergy
• Serum sickness
• Latex allergy
- Approaches to treatallergic diseases
- Nursing management client with
altered immune response
- Auto immune disease
• Rheumatoid arthritis
• SLE
• Ankylosing spondylitis
• Graft versus host disease
Demonstrate Fluid and electrolyte balance Lecture/
V skill in - Water contents of body, electrolyte 4 Discussion Short
management and Acid – Base balance Demonstrati answer
of client with - Homeostasis on Objective
fluid and - Review mechanism of regulating type Essay
electrolyte fluid and electrolyte movement Return
imbalance. - Fluid and electrolyte imbalance demonstrat
and its management ion
VI Describe Operation theatre technique: Short
physical set up - Physical Environment 8 Lecture/ answer
of OT and its • Operation theatre room - Discussion Objective
equipments. cleaning of tables, trolleys, type Essay
 68

lights and other equipments

Demonstrate • Pre-operative holding areas.
Return

Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
skill in theatre - Theatre Technique demonstrat
techniques. • Scrubbing – Hand washing ion
• Gowning Explain
• Gloving about the
• Positioning of patient for instruments
various surgical procedures.
• Draping of patient. Demonstrati
- Preparation of theatre, equipment on of OT
and supplies techniques –
• Cleaning scrubbing.
• Needles, sutures – types and Gowning,
their uses. gloving
Positioning
• Carbolization, sterilization
and draping
ETO sterilization, fumigation,
OT swab, Bacillocid
sterilization. Visit to
• Packing and sterilization of CSSD
dressings, linen rubber ware
suture material, instruments,
needlesandother materials.
 69

Demonstrate Management of patient Short

VII skill in undergoing surgery 6 Lecture/ answer
preparing - Pre operative preparation and care Discussion Objective
the client for • physical Demonstrati type Essay
surgery. • psychological, on Return
• pre-medications Videos demonstrat
• legal and ethical ion
- Intra operative management
• Surgical Team
Recognize • Nursing activities and
and perform responsibilities
the role of • Anesthetic agents
nurse during • Role of nurse in anesthesia
surgery.
- Post operative Management
• Immediate care
• -Transferring patient from
Demonstrate
operation theatre
skill in giving
• Patient in recovery room
care to clients
• Recovery from Anesthesia
after surgery
(

Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
post-operative • Post operative observation and
care ) nursing management
• Carryout the post operative
orders.
• Postoperative complication
observation, prevention &
management.
 70

VII Demonstrate Nursing management of patient Short

skills in the with impaired respiratory 18 Lecture answer
nursing function and gaseous exchange Discussion Objective
management -Assessment of respiratory function Demonstrati type Essay
of client with • History on of various Return
impaired • Physical examination artificial demonstrat
respiratory • Diagnostic evaluation respiratory ion
function and - Management of patient with devices
gaseous impaired respiratory function Simulation
exchange - Care of patient in respiratory Case
intensive care and ventilator care discussion
- Management of Patient with Videos
disorders of upper respiratory Films
airway.
• Obstruction of upper airway
• Epistaxis
• Sinusitis
• Pharyngitis
• Tonsillitis
• Laryngitis
• Deviated nasal septum
- Management of patient with
disorders of the chest and lower
respiratory tract
• Lung abscess
• Empyema
• Bronchial asthma
• COPD
• Pneumothorax
• Pneumonia
• Bronchitis

Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
 71

• Bronchiectasis
• Trauma
• Pulmonary Tuberculosis/DOTS
• Pulmonary embolism
• Pulmonary edema
• Lung tumors
• Disorders of pleura and pleural
space
• Lung surgery
• Respiratory failure
• Acute respiratory distress
syndrome , SARS
VIII Describe the Nursing management of patient Short
various with gastro intestinal disorders 16 Lecture/ answer
gastro - Assessment of gastro intestinal Discussion Objective
intestinal function Visit to type Essay
disorders. • History endoscopy Return
• Physical examination room, demonstrat
Demonstrate • Diagnostic evaluation radiology ion
skill in - Management of Upper department
providing care gastrointestinal disorders
for clients with • Parotitis Demonstrati
gastro • Stomatitis on
intestinal • Glossitis Films
disorders. • Gingivitis Videos
• Pyorrhea
• Dental caries
• Halitosis
• Dysphagia
• Achalasiacardia
• Gastro esophageal reflux disease
• Cancer of esophagus
• Hiatus hernia
• Gastritis
• Gastric and duodenal ulcers
• Gastric cancer
• Gastroenteritis
• Esophageal fistula
 72

Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
 Peritonitis
- Care of patient with gastro
intestinal intubation and special
nutritional management.
- Management of patient with lower
gastro intestinal disorders:
• Helminthiasis
• Constipation
• Diarrhea
• Fecal incontinence
• Irritable bowel syndrome
• Appendicitis
• Diverticular disease
• Crohn’s disease
• Ulcerative colitis
• Intestinal obstruction
• Colitis
• TB abdomen
• Colorectal cancer
• Polyps of colon and rectum
• Ano rectal abscess
• Anal fistula and fissure
• Hemorrhoids
IX Describe the Nursing management of 14 Lecture/ Short
management patients with metabolic and Discussions answer
of patients endocrinal disorders : Objective
with metabolic - Assessment of Hepatic and Charts type
and endocrinal biliary functions  History Simulation Essay
disorders. • Physical examination Clinical
• Diagnostic measures teaching
Demonstrate - Management of patients with Exposure to
skills in caring hepatic disorders  Jaundice diagnostic
for the clients • Hepatic cirrhosis procedures
with metabolic • Portal hypertension Videos
and endocrinal • Ascites Films
disorders. • Hepatic Encephalopathy and
 73

Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
coma
• Viral hepatitis
• Tumors and cyst of the liver
• Liver abscess
- Management of patients with
biliary disorders
• Cholecystitis
• Cholelithiasis
• Choledocolithiasis
• Acute and chronic pancreatitis
• Cancer of pancreas
- Assessment of Endocrinal
function
• History
• Physical examination
• Diagnostic evaluation
- Management of endocrinal
disorders
• Pituitary disorders
• Thyroid disorders
- Hyperthyroidism
- Hypothyroidism -
Thyroid tumors
- Goiter
• Parathyroid disorders
• Pancreas
-Diabetes mellitus
• Adrenal disorders
- Pheochromocytoma
- Addison’s disease
- Cushing syndrome
• Tumors of the endocrine glands
 74

Describe the Nursing management of renal and Lecture/ Short

X management urinary disorders 14 Discussions answer
of clients with - Assessment of renal and urinary Objective
urinary and functions Clinical type
renal • History teaching Essay
disorders. • Physical examination
• Diagnostic evaluation Visit to
Demonstrate
Dialysis unit

Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
 75

skill in giving - Management of patients with Videos

care of client renal and urinary disorders Films
with urinary • Urinary retention and
and renal incontinence
disorders. • Urinary tract infection
• Acute and chronic
glomerulonephritis
• Pyelonephritis
• Urolithiasis
• Renal calculi
• Trauma of kidney,
bladder,urethra, ureters
• Urinary strictures
• TB of urinary tract
• Neurogenic bladder
dysfunction
• Renal cyst and renal
abscess
• Nephrotic syndrome
• Acute and chronic Renal
failure
• Uremia
• Acute and chronic
nephrosis
• Tumor – benign and
malignant
• Care of patient on
hemodialysis and
peritoneal dialysis
• Care of patient with renal
transplant
- Assessment of male
Genitourinary function
• History
• Physical examination
• Diagnostic evaluation
- Disorders of male genito
urinary tract and its
management
- Hydrocele, phimosis
 76

- Benign and malignant prostatic

hypertrophy
- Orchitis
- Epididymoorchitis
- Cancer penis

Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
 77

XI Describe the Nursing management of patients Short answer

nursing with neurological disorders: 20 Lecture/
management - Assessment Neurological functions Discussions Objective
of clients with • History
type
Neurological • Physical examination Clinical
disorders • Diagnostic evaluation - teaching Essay
Management of patients with
Demonstrate neurologic dysfunctions Demonstrati Return
skill in giving • Altered level of on of reflexes demonstrat
nursing care to consciousness and
clients with ion
• Increased Intracranial use of
Neurological pressure Glasgow
disorders • Intracranial surgery coma scale
-Management of patients with
neurological disorders Simulation
• Headache
• Migraine Videos
• Seizures
• Epilepsy Films charts
• Status epileptics
• Cerebrovascular
disorder –
CVA
• Neurological trauma –
Head, brain, spinal cord, subdural
and extradural hematoma
• Neurologic infection
- Meningitis
- Brain abscess
- Encephalitis
• Degenerative disorders
- Multiple sclerosis
- Myasthenia gravis
- Guillain – Barre
syndrome
- Parkinsonism
- Alzheimer disease
• Neuralgia
• Bell’s Palsy
• Peripheral neuropathies
 78

• Brain and spinal cord tumors

• Huntington’s disease
Learning Assessme
Unit Method of
Objectives Content Unit wise Hr. nt
No. Teaching
Methods
• Muscular Dystrophies
• Herniation of the
intervertebral disc
XII Describe the Nursing Management of Patients Short
management with Connective Tissue and 8 Lecture answer
of clients with Collagen Disorders
connective - Assessment Discussions Objective
tissue and • History
collagen type
• Physical examination Clinical
disorders • Diagnostic measures teaching Essay
- Management of patients with
Demonstrate disorders of connective tissue and
skill in collagen disorders
providing • Rheumatoid arthritis
nursing care to • Systemic lupus Erythematosus
clients with (SLE)
connective • Scleroderma
tissue and • Polymyositis
collagen • Osteoarthritis
disorders • Ankylosing Spondylitis
• Gout
• Fibromyalgia
XIII Describe the Nursing management of the Short
nurse’s role in elderly 6 Lecture answer
promoting - Assessment of the elderly Discussions
wellness for • Ageing process Visit to old Objective
elderly. • Helping and care of elderly in age home type
promoting wellness and self Videos
Demonstrate care
skill in - Conditions associated with ageing
providing • Dementia
nursing • Osteoporosis
care for • Incontinence – urinary
elderly • Sensory deprivation
 79

clients.

2.2 Medical Surgical nursing – II

Course Description:-
This course shall help students understand the concept of disease and disease process,
Students shall be able to gain knowledge and develop understanding of various medical
surgical specialty disorders and disease. They shall be able to give comprehensive
nursing care to patient with these diseases.

General Objective:-
Upon completion of this course, the students shall able to:
1. Describe the cause, symptoms, signs, treatment and prevention of diseases classified under
medical Surgical Specialties.
2. Demonstrate skill in carrying out nursing technique and procedures with the applicant of
scientific principles.
3. Prepare nursing care plan using nursing process and apply it in provide care to patient with
these diseases.

Total Hours - 130

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching

I Describe the Oncology Nursing : 15 Lecture Essay type

management of - Nursing management of discussion
Short answers
patients with patients with oncological Explain using
oncology conditions Objective type
charts, graphs
- Structure & characteristics of Assessment of
normal & cancer cells Models, films,
skills with
- Nursing Assessment-History slides
check list
and Physical assessment Case
- Prevention, Screening, Early discussion
detection, Warning signs of
Seminar
caner
- Epidemiology, Etiology, Drug book
Classification, Pathopysiology,
staging, clinical manifestations,
diagnosis, treatment modalities
and medical &surgical nursing
management of oncological
conditions
 80

- Common malignanacies of
various body systems; Oral,
larynx, lung, stomach and Lecture/
Colon, Liver, Leukemias and Discussion,
lymphomas, Breast, Cervix, Topic
Ovary, uterus, Sarcoma, Brain, presentation
Posting to

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching

Renal, Bladder, Prostate etc cancer

- Oncological emergiences Hospital/unit
- Modalities of treatment Structured
Immunotherapy Discussion
Radiotherapy Seminar
Surgical Interventions Stem
cell and Bonemarrow
transplants
Gene therapy
Other forms of treatment
- Psychosocial aspects of cancer
- Rehabilitation
- Palliative care; symptom and
Pain management, Nutritional
support
- Home care
- Hospice care
- Stomal Therapy
- Special therapies
- Psycho social aspects
- Nursing procedures
 81

II Describe the 5 Lecture Short answer

disorders of Discussion Objective type
breast and Nursing Management Of patients
breast cancer. with disorders of Breast
- Assessment of breast Essay
Models and
Demonstrate • History exhibits
skill in giving • Physical examination
nursing care to • Diagnostic tests
patients with • Breast self examination
breast disorders - Disorders of breast
• Mastitis
• Beast abscess  Gynaecomastia
 Tumors and Malignancy of breast
• Nursing management of a patient
after mastectomy.
III Describe the 15 Lecture
Nursing Management of patient
various diseases with diseases and disorders Of Discussion
Essay type
and disorders of integumentary system
integumentary - Nursing Assessment Explain using Short answers
system and their • History Charts, graphs Object type
management . • Physical assessment

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching
 82

- Etiology Models, films, Assessment of

Demonstrate - Pathophysiology slides skills with
skill in providing - Clinical manifestions check list
care to the - Nursing management of disorders
clients with of skin and its appendages
disorders of • Lesions and abrasions
integumentry • Infection and infestations
system Dermititis
• Dermatoses; infectious and Non
infectious
• Inflammatory dermatoses
• Acne Vulgaris
• Allergies and Eczema
• Psoriasis
• Malignant Melanoma
• Alopecia
• Infestations
• Bacterial infections
• Pyoderma
• Impetigo
• Folliculitis
• Furuncles
• Carbuncles
• Viral infections
• Herpes zoster
• Herpes simplex
• Fungal infection
• Athlete’s foot (Tanta Pedi’s)
• Parasitic infestation
• Pediculosis
• Scabies
• Pemphigus
• Stevens - Johnson syndrome
• Skin cancer
• Special dermatological therapies
- Burn and its management
• Burns Plastic Surgery
• Incidence, causes of burns
• Types & classification of burns
• Pathophysiology

Unit Learning Content Hr. Method of Assessment

 83

Objectives methods
No. Teaching

• Calculation of the percentage

• Local & systematic effects of
burns
• Immediate care
• First aid care
• Medical Management, barrier
nursing care of the burns
• Complications, Health education
- Plastic Surgery
• Define plastic & reconstructive
surgery
• Types
• Define skin graft flaps
• Possible complication
• Preparation of patient for
constructive surgery
• Post of care
• Health Education

V Ophthalmology And Ophthalmic -

Describe the Nursing Lecture/Discu Objective type
disorder and Review of anatomy and physiology 10 ssion Essay
diseases of eye of eye - Short answer
Assessment of function of eyes. - -Visit school Return
Demonstrate History for the blind demonstration
skill in giving - Physical exam - -Visit to eye
care for patients Diagnostic tests- tonometry, bank
with various eye Snellen’s chart -Infections
diseases and and Inflammations conditions
disorders. + Blepharitis
+ Stye
- + Chalazion -Visit
+ Entropion -National
+ Ectopion Association
+ Dacrocystitis for the blind
-Eye bank
+ Conjunctivitis
+ Trachoma
+ Pterydium Demonstratio
+ Keratitis n
+ Corneal ulcer
-Degenerative Conditions
 84

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching

+ Cataract
+ Retinopathy
+ Retinal detachment
-Miscellaneous
+Strabismus
+ Refractive errors
+ Tumors
+ Color blindness,
+ Nigh Blindness,
+ total blindness
-Preventive and Rehabilitative
aspects
+ National programs on
+Blindness and trachoma
Current trends in Management of
Ophthalmic conditions-
+ Hospital corneal retrieval
+ Grief counseling.
+ Eye Collection
+ Counselling
+ Obtaining consent for eye
donation

-Eye banking in India

- Ocular Emergencies
+ Glaucoma
+ Foreign body
+ Acid / Alkali bums
+ Trauma to the eye
Eye Immigration
-Instillation of eye drops and
ointment
-Cold and hot compress
-Eye dressing and bandage
-Assisting for sac syringing
-Assisting for removal of foreign
body
 85

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching

VI -Describe Nursing Management of Patient -Lecture/ Objective type

disorders and with Disorders and Diseases Of Ear 15 Discussion Essay
diseases of ear, Nose and Throat
nose and throat. A. Ear Shortanswer
Demonstrate Review of Anatomy and physiology -Clinical
Return
skills in of Ear teaching
demonstration
Providing Assessment of function of ear -
nursing care + History Demonstratio
for + Ear examination n
patients with Videos, charts
- Diagnostic tests
various ENT
Diseases and disorders of the ear
problems.
. + External ear
- Otitis
- Foreign body
- Impacted cerement
- Furunculosis
-Middle ear
+ Otitis media
+ Mastoiditis
+ Perforation of ear drum
-Internal ear
+ Presycusis
+ Labryinthitis
+ Meniere’s disease
+ Otosclerosis
-Deafness
+ Conductive deafness
+ Neural deafness -
Tumors of the ear and auditory
nerve
-Insufflations of Eustachian tube
B. Nose
Review of Anatomy and physiology
of nose
Assessment of functions of nose
- History
- Examination of nose
- Diagnostic tests
Diseases and disorders of nose
-Infections
 86

+ Rhinitis
+ Sinusitis

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching

+ Obstruction
+ Polyps
-Foreign body
-Deviated nasal septum

-Trauma – fracture of nasal bone and

epitaxies

C Throat
Review of Anatomy and physiology
of Throat
Assessment of the function of throat
- History
- Examination of throat
- Diagnostic tests
Diseases and disorders of throat
infections and inflammation
+ Tonsillitis
+ Pharyngitis
+ Adenoiditis
+ Laryngitis
- Tumors
- Injury and foreign body
 87

7. - Describe Unit VII – Nursing Management of 20 -Lecture/ Objective type

cardiovascular Patient with cardio vascular, Discussion -- Short answer
circulatory and circulatory and Hematological
- Essay
Hematological disorders
disorders and Demonstratio
A. Cardio Vascular Return
diseases. n
Review of anatomy and physiology demonstration
Demonstrates of heart and circulatory system Clinical
skill in carrying Assessment of functions of heart and teaching
nursing vascular system Videos ,
interventions for + History simulation
clients with + Physical exam
circulatory and + Diagnostic tests
hematological Diseases and disorders of cardio
disorders and vascular system
diseases. -Coronary Artery disease
- Arrhythmia
-Coronary Artery disease
+ Angina pectoris

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching
 88

+ Coronary atherosclerosis
+ Myocardial infarction
-Volvular heart disease
+ Mitral stenosis
+ Aortic stenosis, Incompetence,
regurgitation
+ Tricuspid stenosis
+ Pulmonary stenosis
-Inflammation and infections
+ Pericarditis, myocarditis,
endocarditis
+ Rheumatic fever
Heart block
-Complication of heart disease
+ Heart failure acute
(pulmonary edema) – chronic
(congestive Cardiac failure )
+ Cardiogenic shock
+ Pericardial effusion, cardiac
tamponed
-Cardiac emergencies
+ Cardiac arrest
+ Shock

Vascular disorders
+ Arterial disorders
+ Berger’s disease (TAO),
+ arterial ulcers,
+ arteriosclerosis,
+ aneurysm,
+ thrombosis and emboli,
+ Raynaud’s disease
+ Hypertension
Venous disorder
-Thrombosis (DVT)
-Venous insufficiency
-Venous ulcer -
Varicose vein
-Cellulitis
Lymphatic disorders
-Lymphangitis & Lymphadenitis
-Lymphedema & elephantiasis
 89

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching

B Hematologic disorders
Review of function and structure of
blood components
+ Assessment
- History
- Physical examination
- Diagnostic tests
+ Diseases and disorders of blood
and its components
- Anemia
- Thalassemia
- Polycythemia
- Leukopenia and neutropenia
- Leukocytosis &leukemia
- Lymphomas Hodgkin & Non
Hodgkin diseases, Multiple myeloma
- Bleeding disorders
- Thrombocytopenia,
-purpura, hemophilia -
Acquired coagulation
disorders – Liver
disease, Vitamin K
deficiency, DIC
 90

The Students is Unit VIII – Nursing Management Objective type

8 able to :- of Patients with communicable 15 -Lecture/ Essay
diseases Discussions Short answer
- Describe the Assessment - Role play
nursing - History - Participate
management of - Physical examination in Assesment
patients with - Diagnostic tests immunization with clinical
communicable campaign
diseases. checklist
Review of infection, mode of
transmission, its prevention and
Demonstrate skill control
in providing Preparation, care and administration
interventions for of anti sera and vaccines Isolation,
patients with
communicable Management of various infection
the nurse’s role diseases caused by Virus---------
in various Measles
national - Chicken pox
control/Eradicati - swine flu

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching
 91

on -Ebola
Programme of Dengue
communicable Chicken guinea
diseases. Influenza
- Mumps
- Encephalitis
- Infective hepatitis
- Poliomyelitis
- Rabies
- AIDS
Caused by Bacteria-
- Diphtheria
- Whooping cough
- Tetanus
- Typhoid
- Dysentery
- Gastroenteritis
- Cholera
- Meningococcal Meningitis
- Tuberculosis
- Plague
- Leptospirosis
- Vector borne diseases – Malaria
Filariasis
- Yellow fever
- Dengue
Any other prevailing diseases
9 The Students is Unit IX – Nursing Management of Short answer
able to :- Patients with sexually 6 Lecture/ Objective
Transmitted diseases + Assessment Discussions type essay
- Describe - History
various sexually - Physical examination
video
transmitted - Diagnostic tests
diseases. + Sex health and hygiene
- + SyndromicManagement of sexually
Demonstrates transmitted disease
skills in + Gonorrhea
syndromic + Syphilis
management of - Granuloma Venerium
sexually
- Chanchroid granuloma
transmitted
- AIDS
diseases.
- Genital herpes
 92

Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching

10 The Students is able Unit IX – Nursing

to :- Management of Patients with 12 -Lecture/
musculo skeletal disorders Discussion
- Describe various And diseases + Review of -
musculo skeletal Anatomy and Physiology of
disorders and musculo skeletal system
diseases. - + Assessment
Demonstrate - History Clinical
skills in - Physical examination teaching
- Diagnostic tests demonstration
management of
+ Infections and inflammations -
musculo skeletal
diseases. -
- Septic arthritis
- Gonococcal arthritis
- Osteomyelitis
- Tuberculosis of the spine
and bones
- Sprains Demonstratio
- Dislocations n
- Fracture of spine and
extremities

Degenerative conditions of
- joints, spine
Tumors, Amputation and
prosthesis Deformities -
Congenital and acquired
- Range of motion exercises
- Care of patient:
- skin and skeletal traction
-- Orthopedic splints
- POP application and
removal
-neurogenic bladder
Preparation for bone surgery
- Use of orthopedic assist
devices
+ Crutches
+ Canes
+ Walker
 93

Part B
- describe the role EMERGENCY Objective type
XIV of nurse in medical MANAGEMENT 10 Lecture/ Short answer
surgical Scope and practice of emergency Discussions Essay Return
emergencies - nursing Demonstratio demonstration
Demonstrate skill in + Principles of emergency care n
meeting + Triage Preparing
- Medical Surgical Emergencies
Learning Assessment
Unit Method of
Objectives Content Hr. methods
No. Teaching

medical surgical Airways obstruction emergency

emergencies. Hemorrhage trolley
Shock, Anaphylactic reaction, -
Allergies Demonstratio
Trauma – intra abdominal, crush n of CPR
injuries, multiple injures fractures -
Poisoning Defibrillation
Ingested poisoning Videos
Inhaled poisoning Films
Food poisoning Simulation
Injected poisons – Stinging insects Roleplay
- Snake bites
Chemical burns
Environmental emergencies :-
- Heat stroke
- Frost bite.
- Near drowning
Hanging

- Identify the Unit XI – Emergency and

11 role of nurses in Disaster 7 Lecture/
emergency and Nursing Discussions
disasters. + Natural calamities - Role
- Demonstrate - Flood play
beginning skill in
- Earthquake - mock
managing the
- Volcano drill INC:
Emergencies and
disasters. + Manmade disaster Disaster
- Explosion management
- War module:
- Fire Reaching out:
- Accidents nursing care
 94

+ Emergency preparedness
- Community resources
available to meet calamities
- Nurses role in disaster
management

Medical Surgical Nursing clinical hours: 840 hrs (20 weeks)

General objectives:
Students are able to apply nursing process and provide comprehensive nursing care to the clients
with various medical and surgical conditions

Specific objectives; students are able to;

1. Comprehend the causes, signs and symptoms, treatment and prevention of various medical,
surgical conditions.
2. Apply the theoretical knowledge to appropriate clinical nursing practice.
3. Identify the problems and needs, prioritize them and provide comprehensive nursing care
by applying nursing process
4. Demonstrate skills in carrying out nursing techniques, procedures in keeping with
scientific principles.
5. Demonstrate skills in respective clinical specialty.
6. Interpret and carry out the pharmacological intervention, 7. Identify the deviation from
normal in the diagnostic value.
8. Plan and participate in rehabilitation of patient and family,

Area Durati Objectives Skills Assignment Assessment

on methods
 95

General 3 wks • Provide -Assessment of patient Plan & • Assess

medical nursing • Take history implement care performa
wards care to • Perform general & for assigned nce with
(resp.,GI, adult specific physical patients rating scale
Endo., patients examination • Nursing care • Assess
hemato, with • Identify alterations plan 1 each skill
medical and deviations • Nursing case with check
neuro,
disorders -Practice medical- study-1 or list
renal)
• Counsel surgical asepsis-standard presentation • Evaluatio n
and educate safety measures. -1 of case
patients -Administer medications • Drug study study
and family • Oral presentation presentati
• Sub-lingual -1 on
• Intra-dermal • Maintain • Completi on
• Subcutaneous  drug book of practical
Intramuscular • Maintain record
• Intravenous practical
-Intravenous therapy record book
• IV canulation
• Maintenance &
monitoring

Area Durati Objectives Skills Assignment Assessment

on methods
-Oxygen therapy-mask,
prongs & tent -
Nebulization
-Chest physiotherapy
-Naso-gastric feeding -
Assist in common
diagnostic procedures -
Perform/assist in
therapeutic procedures -
Transfusion of Blood & its
components
-Throat suctioning
-ET suctioning
-Collect specimens for
common
-investigations
 96

-Maintain elimination
 Catheterization -
Educate & counsel patient
& family regarding
specific disease
conditions.

General 3 • Provide pre & -Practice medical-surgical Plan & • Assess

surgical weeks postoperative asepsis-standard safety. - implement care performa
wards nursing care to Pre-operative preparation for assigned nce with
( GI and adult patients of patient patients rating scale
Urinary) with surgical -Post-operative care • Nursing care • Assess
disorders • Receiving plan 1 each skill
• Educate & • Assessment • Nursing case with
counsel • Monitoring - study-1 or check list
patients and Care of wounds and presentation • Evaluatio n
families drainage -1 of case
-Suture removal • Drug study study
-Ambulation & exercises presentation presentati
-Naso-gastric aspiration -1 on
-Care of chest drainage • Maintain • Completi
-Ostomy care drug book on of
• Gastrostomy • Maintain practical
• Enterostomy practical

Area Durati Objectives Skills Assignment Assessment

on methods
 Colostomy - record book record
Transfusion of Blood &
its components -practice
universal precautions
 97

Operation 3 weeks -Identify Perform scrubbing, -Assist as a Assess skill

theater instruments gowning, gloving - scrub nurse for with check
used in Identify 5 major and 5 list
different instruments, minor cases.
operations - suturing materials
set-up the for common
operations.
table/ trolleys
Disinfection,
for common carbolization
operative sterilization
procedures - & fumigation
assist in the -prepare the OT table
operative depending upon the
procedures - operation -positioning
provide and monitoring of
perioperative patient -assisting with
nursing care minor & major
operations
-handling specimens -
segregation and
disposal of biomedical
waste as per guidelines
ICU 1 week -Gain -Connect and -ET suctioning Assess skill
proficiency in monitorECG& -O2 with check
ICU nursing - pulse oxymetry administration list
identify -Assist in endo-tracheal
potential -
intubation
problem and
- suctioning
provide care
accordingly - -provide care for a patient
Record on ventilator
findings and - handling
medications emergency drug trolly /
accurately - crash cart. - assisting in
Develop good insertion of central line
IPR with and monitoring Central
patient & venous pressure.
family.

Area Durati Objectives Skills Assignment Assessment

on methods
 98

Geriatic 1 week - Identify - Assessment of the Health teaching - Assess skill

nursing – specific geriatric 1 with check
medical / problems - Identify the health list
surgical / related to problems among the
special the elderly elderly
ward - Assist in the (psychological, social
activities of and spiritual needs of
daily living the elderly) and
- Provide provide specific care
comprehen - Health promotion of
sive the elderly
nursing
care

Oncology 1week • Provide • Screen for common • Provide • Assess

Unit carefor cancers –Tumor Node care to each Skill
patients Metastasis (TNM) assigned with
with classification. patients. checklist
cancer. • Assist with diagnostic • Observatio .
• Counsel procedures. n report of • Assess
and educate  Biopsies. cancer unit performa
patient and  Pap smear nce with
families.  Bone-morrow rating
aspiration. scale.
• Assist with • Evaluati
therapeutic on of care
procedures. plan and
• Observe various observati
modalities of on report.
treatment. • Completi
 Chemotherapy on of
 Radiotherapy activity
 Pain management record.
 Stoma care
 Hormonal therapy
 Immunotherapy
 Gene therapy
 Alternative
therapy
• Participate in
palliative care.
 99

• Counsel and teach

patients families.

Area Durati Objectives Skills Assignment Assessment

on methods
Dermatolog y 1 week • Provide • Assessment of the • Provide care • Assess
and burns care to burn patient. to assigned each skill
patients  Percentage of patients. with
with burns. • Health talk - 1 checklist.
dermatolo  Degree of burns. • Assess
gy  Dressing performa
disorder • Fluid & electrolyte nce with
and Burn. replacement therapy rating
• Counsel  Assess scale.
and  Calculate
educate  Replace
patient and  Record
families. Intake/output
Assessment and care of
patients with
dermatological
disorders.
Administer topical
medications
 Give medicated
Baths
• Perform active &
passive exercises.
• Practice medical &
surgical asepsis.
Counsel & Teach
patients and
families
Ophthalmolo 1 week • Provide care • Perform examination • Provide care • Assess
gy to patients of eye. to 2-3 each skill
with Eye • Assist with diagnostic assigned with
disorders. procedures. patients checklist
Assess
• Assist with therapeutic performa
• Counsel and procedures. assessment nce with
educate • Perform/assist with using rating
 100

patient and irrigations. snellen’s scale.

families. • Apply eye bandage. chart • Evaluatio
• Apply eye n of
observati
drops/ointments. • Observation
on report
• Teach patients and reports of of
families. OPD & Eye OPD/Eye
bank. bank.
• Assist in
organizing
eye camp

Area Durati Objectives Skills Assignment Assessment

on methods
ENT 1 • Provide • Perform examination of  Provide care to  Assess
week care to ear, nose and throat. assigned each Skill
patients • Assist with therapeutic patients. with
with ENT procedures. checklist
disorders • Instillation of drops. .
• Counsel • Perform/assist with
and educate irrigations.
patient and • Apply ear bandage.
families • Perform tracheostomy
care.
• Health education to
patients and families.
 101

Cardiology 2 weeks • Provide • Physical examination • Plan and give 1 • Assessm

ward / ICCU care of • Perform cardio care to ent of
/ patients vascular assessment patients performa
cardiothoraci with • Recording ECG and • Health talk – nce with
c and vascular cardiac and identify basic changes 1 rating
unit vascular in • Case scale
disorders ECG presentation – • Evaluati
• Counsel • Monitoring of patients 1 on of
and educate in on cardiac monitor • Drug health talk,
patients and • Preparing and assisting presentation - case
families of frequently presentat
performed diagnostic ion and
and therapeutic, non – drug
invasiv and invasive e presentat
procedures
ion.
• Administer cardiac
drugs
• Advanced / Basic
Cardiac
Life Support
(ACLS/BLS)
• Monitoring and caring
for patients with chest
drainage
• Assist in defibrillation
• Monitoring of patients
in ICU.
• Maintain flow sheet.
• Perform Endotracheal
suction.
• Demonstrates use of

Area Durati Objectives Skills Assignment Assessment

on methods
 102

ventilators, cardiac
monitors etc.
• Collect specimens and
interprets ABG
analysis.
• Assist with arterial
puncture.
• Maintain CVP line.
• Pulse oximetry.
• CPR – ALS
• Defibrillators.
• Bag- mask ventilation.
• Emergency tray/trolly
– Crash Cart.
• Administration of
drugs  Infusion pump.
 Epidural.
 Intra thecal
 Intracardiac
• Total parenteral
therapy  Chest
physiotherapy.
• Perform active &
passive exercises
Orthopedic 1 week • Provide • Assessment of • Plan and  Assessm
ward nursing care orthopedic patients give care to ent of
to patients • Assist in the assigned performa
with musculo application of plaster patients nce with
skeletal cast and removal of • Nursing rating scale
disorders cast care plan – Evaluation
• Counsel and • Assist in applying skin 1 of health
educate traction , bucks • Health talk talk, case
patient and extension traction –1 presentatio n
families • Assist in application and drug
and removal of presentatio
prosthesis n
• Physiotherapy
• Crutch maneuvering
technique
• Ambulation
 103

Communicab 1 week  Provide  Assessment of patients  Give care for  Assess

le diseases nursing care with communicable assigned ment of
Area Durati Objectives Skills Assignment Assessment
on methods
ward / for patients diseases e patients perform
isolation ward with • Use of personal • Health talk – ance
communicab protectiv equipment 1 with
e diseases (PPE)and barrier • Care plan – rating scale
nursing 1  Evaluati
• Health teaching for on of
prevention of
health
infectious diseases
talk, case
• Counseling of HIV/
presenta
AIDS patients
tion and
• Counseling of family
drug
members
presenta
tion

Emergency 1 week • Provide • Practice ‘triage”.  Practice  Assess

ward / care to • Assist with ‘triage”. Performan
casualty patients in assessment, ce with
emergency examination, rating scale.
and disaster investigation & their
situation. interpretation, in
• Counsel emergency and
patient and disaster situations.
relatives • Provide first aid
for grief and • ACLS / BLS
bereaveme • Assist in legal
nt documentations and
procedures in
emergency unit.
• Counsel patient and
families grief and
bereavement.

2.3. MENTAL HEALTH NURSING

 104

Course Description:-
This course is designed to help students develop the concept of mental health and mental
illness, its causes, symptoms, prevention, treatment modalities and nursing management
of mentally ill for individual, family and community.

General Objective:-
Upon completion of this course, the students shall able to:
1. Describe the concept of mental health and mental illness and the emerging trends in
psychiatric nursing.
2. Explain the causes and factors of mental illness, its prevention and control.
3. Identify the symptoms and dynamic of abnormal human behavior in comparison
with normal human behavior.
4. Demonstration a desirable attitude andskills in rendering comprehensive nursing care
to the mentally ill.

Total Hours - 70
Unit. Learning Content Hr. Teaching Methods of
Objectives Learning Assessment
Activites
I - Describe the Introduction 5 -Lecture cum Short answers
concept of mental -Concept of mental health Discussion Objective type
health and mental and mental illness -Structured
illness in relation -Misconceptions related to Discussion -
to providing mental illness Group
comprehensive - Principles of Mental Health interaction
care to the nursing
patients. -Definition of terms used in
psychiatry
Review of defense
mechanisms
Mental Health Team
II Narrate the History of Psychiatry 4 -Lecture cum Short answer
historical -History of Psychiatric Discussion types
development of Nursing- India and at
Psychiatry and international level
psychiatric -Trends in Psychiatric
nursing. Nursing
-National mental health
programme
 105

Unit. Learning Content Hr. Teaching Methods of

Objectives Learning Assessment
Activites
III Describe mental Mental Health Assessment 4 Lecture cum Demonstration
health assessment - Psychiatry history taking dicussion Return
-Mental status examination Demonstration
Demonstration
-Interview technique Return
Demonstration
Describe Therapeutic nurse patient Lecture cum Short answers
IV therapeutic relationship: 5 discussions
relationship Therapeutic nurse patient Return
relationship: Definition, Role play demonstration
Demonstrate skills components and phases,
in process Importance Videos
recording -Communication skills
Definition elements, types,
Demonstration
factors influencing
communication, of process
barriers(therapeutic recording
impasse)
V List various Mental Disorders And 25 Lecture cum Essay types
mental disorders Nursing Interventions discussions
and describe their -Pathophysiology of human Short answers
mental and behavior Case study
psychiatric and Case Study
nursing -Etiological theories
(genetics, biochemical, Case
management.
psychological etc) Presentation Case
Presentation
-Classification of mental -Process
disorders. recording
Disorders of thought , motor
activity, perception, mood, Videos
speech, memory,
concentration, judgment Role plays
Prevalence, etiology, signs
and symptoms, prognosis, Field visits- De-
medical and Nursing addiction
management centers,
Alcohol
 106

Anonyms
group,
-Personality & types of Adolescent
personality related to clinics, Child

Unit. Learning Content Hr. Teaching Methods of

Objectives Learning Assessment
Activites
psychiatric disorder guidance
centers etc
-Organic mental disorders ;
Delirium, Dementia

Psychotic disorders :
-Schizophrenic disorders
-Mood (affective) disorders;
Mania depression, Bipolar
affective disorders(BPAD)

Neurotic disorders: Phobia,

anxiety disorders, obsessive
compulsive disorders,
depressive neurosis,
conversion disorders,
dissociative reaction,
psychosomatic disorders,
post traumatic stress disorder

Substance use and

deaddiction: alcohol, tobacco
and other psychoactive
substance

-Child and adolescent

psychiatric disorder;

-Sleep disorder

-Eating disorders
-Sexual disorders
 107

Nursing Management:
Nursing process and
process recording in caring
for patients with various
psychiatric disorders

Unit. Learning Content Hr. Teaching Methods of

Objectives Learning Assessment
Activites
VI Describe the Bio – Bio – Psycho Social 12 -Lecture cum Short Answers
psychosocial Therapies Discussions
therapies and Psychopharmacology –
Definition, classification of Essay types
explain the role of - Seminar
the nurse drugs antipsychotic,
Antidepressant, antimanic, Return
Videos
antianxiety agents, anti demonstration
parkinsons
Psychosocial therapies – Demonstration
individual therapies, group Quiz
therapy, behavior therapy, Field visits-
occupational therapy, family Rehabilitation
therapy, melieu therapy centre, Day Drug study
care centres
Role of nurse in these
therapies. Role plays

Somatic therapy – Electro

Convulsive Therapy, insulin
therapy,

Role of nurse in these

therapies.
 108

VII Describe the Community Mental Health 5 -Lecture cum Short answers
concept of Discussion Essay type
-Concept, importance, scope
preventive
-Attitudes , Stigma and
community mental
discrimination related to the
health services. -Role play Assignment
mentally ill
-Prevention of mental
Enumerate the illness(Preventive Videos
nurse’s role in Psychiatry) during
National mental childhood, Adolescent, adult
health programme hood and old age.
-Community Mental Health
Services.
-Role of Nurse in national
mental health programme
and Psychiatric carein
Community
Unit. Learning Content Hr. Teaching Methods of
Objectives Learning Assessment
Activites
VIII Explain different Psychiatric Emergencies 5 Short answers
psychiatric And Crisis Intervention Lecture cum
emergencies and Types of Psychiatric discussion
their management emergencies: Over Active, Objective Type
Demonstrate skills under active patient, Violent Videos
in crisis behaviour,
Essay type
intervention Suicide, adverse drug Role plays
reactions, withdrawal
symptoms, Acute psychosis
demonstration
etc

Crisis and its intervention:

AIDS, Adolescent Crisis
 109

IX Forensic Psychiatry / Legal 5 Short answers

Describe the legal Aspects -Lecture cum
aspects to be kept India Lunatic Act 1912 discussions Essay type
in mind in the care Narcotic Drugs and -
of mentally ill psychotropic Act 1965, 1985 Demonstration Objective
patients. Mental Health Act 1987,
2014 Quiz

Admission and discharge

procedures

Standards of psychiatric
nursing practice.
Rights of Mentally ill
patients

Legal responsibilities in the

care of mentally ill patients.

Mental Health Nursing- Practical

Placement- second year Time – 336 hour
8 weeks

Areas Dur Objectives Skill Assignments Assessment

atio methods
n
Psychiatri 1 • Assess patients • History taking History taking- • Assess
c OPD wee with mental • Perform mental 1 Mental status performance
k health status examination examination-2 with rating
problems • Assist in Observation scale
• Observe and pyschometric report of OPD- • Assess each
assist in assessment 1 skill with
therapies • Observe and assist checklist
• Counsel and in therapies • Assessment of
educate • Teach patients and observation
 110

patients, and family members report

families • Completion of
activity record
Child 1 • Assessment of • History taking Observation • Assess
guidance children with • Perform mental report of child performance
clinic various mental status examination guidance clinic with rating
health • Observe and assist scale
problem’s in therapies • Assess each
• Counsel and • Health education skill with
provide health of family checklist
education for members and • Assessment
children, significant others of observation
families and • Counsel family report
significant members and
others significant others
Inpatient 6 • Assess patients • History taking Assess and give • Assess
ward with mental • Perform mental nursing care to performance
health problems status examination 2-3 patients with rating
• Provide nursing • Observe and assist with various scale
care for patients in therapies mental • Assess each
with various • Provide nursing disorders skill with
mental health care to the History taking- checklist
mentally ill patient 1 Mental status • Assessment
problems
• Health educate examination-2 of the case
Case study-1 study, case
family members
Care plan -1
and significant presentation,
Case
others process
presentation-1
recording and
Process
care plan
Areas Dur Objectives Skill Assignments Assessment
atio methods
n
recording-2
Maintain drug
book

2.4 CHILD HEALTH NURSING

 111

Course Description:-
This course is designed to help students develop and understanding of the concept of
child health, the trends in child care and the health problems of children. This shall enable
the students to meet the needs of the children, in health and sickness.

General Objective:-
Upon completion of this course, the students shall able to:
1. Explain the concept of child health, the principles underlying child care trends in
pediatric nursing.
2. Describe normal growth and development of children, so as to recognize
deviations for normal health and care of healthy children
3. Demonstration skill in meeting the needs of the sick infants and children based
on the IMNCI guidelines of GoI

Total Hours: 70
Unit Learning objective Content H Teaching Assessm
No. ou learning ent
rs activities methods
I Understand the Introduction 5 - Lecture Short
concept of the child a) Modern concept in child - answers
health care, trends health care Discussion Essay
& emerging b) Trends in pediatric nursing -Project on type
challenges c) Role of pediatric nurses in collection Objectiv e
for pediatric nurses child care of vital type
d) Emerging challenges, nursing statistics
Describe the role of process related to pediatric
related to
pediatric nurses in nursing
child health
clinics, hospitals and e) Concept of preventive
community pediatric
f) Vital statistics related to
pediatrics as per the NRHS
and GoI

Unit Learning objective Content H Teaching Assessm

No. ou learning ent
rs activities methods
 112

III Describe the Growth & Development 15 - Lecture Short

normal growth & a) Definition, principles, - answers
development of factors affecting growth & Discussion Essay type
children development, techniques of - Role Objectiv e
assessment, plotting of play type
growth chart - videos
Plotting of
b) Infant: growth chart
Growth & Development,
health promotion, breast
feeding &weaning,
immunization, infant and
young child feeding

c) Toddler :
Growth & Development,
nutrition counselling, toilet
training, safety, prevention of
accidents, play.

Preschoolers
Growth &development
Daycare centers
Role of Parents in sex
education

d) School ager
Growth &development, rest,
sleep, physical exercises &
activity, dental health, sex
education

e) Adolescent
• Growth &development,
adaptation to puberty,
menstrual hygiene,
nutritional guidance, sex
education,
• Role of Parents in health
promotion of adolescents
• Control of iron deficiency
 113

anemia (WIFS guidelines)

Unit Learning objective Content H Teaching Assessm

No. ou learning ent
rs activities methods
IV Describe the role The sick child 8 - Lecture Short
of nurse in caring a) Child’s reaction to hospital - answers
for a sick child b) Effect of hospitalization on the Discussion Essay
family of the child - type
Develop skill in c) Role of nurse in helping child Demonstrat Objectiv e
carrying out nursing & family in coping, with stress ion type
intervention while of hospitalization & illness -simulation Return
caring for pediatric Pediatric procedures: demonst
Role play
a) Preparation of child for ration
age group.
diagnostic tests, collection of
specimens.
b) Calculation & Administration
of oral & parenteral
medication
c) Procedures related to feeding
- Katori& Spoon
- Ryle’s tube &
gastrostomy
d) Procedures relating to
elimination
- Enema
- Colostomy irrigation
e) Administration & analysis of
oxygen concentration, steam
inhalation, nebulization,
f) Other procedures:
- Pediatric Resuscitation
- Surgical dressing
V Describe the Disorders and health problems 6 Seminars Short
management of of a child Lecture answers
behavioral disorders a) Infancy : Discussion Essay
and common health - Failure to thrive type
problems of children - Diarrhea & Vomiting Objectiv e
b) Childhood type
 114

Demonstrate skills in - Communicable diseases

the prevention & - Tonsillitis
implementation of - Otitis media
medical & nursing - Child abuse
management of - Breath holding spasms
behavioral - Enuresis, nail biting,

Unit Learning Content H Teaching Assessm

No. objective ou learning ent
rs activities methods
disorders& thumb sucking,
common health somnambulism
problems. - Protein energy malnutrition
- Helminthic infections
- Bites and stings
- Pica
- Tics
c) Adolescent
- Precocious puberty
- Gynecomastia
- Accident, sport injuries
- Obesity & anorexia nervosa
- Juvenile delinquency
 115

VI Demonstrate skills Child with congenital disorders: 15 Lecture Short

in providing Etiology, signs and symptoms, Discussion answers
comprehensive diagnosis, complications and Presentatio Essay type
nursing care to the medical, surgical & nursing n of Picture Objectiv e
children having management of children with: of type
congenital defects/ - Malformations of CNS, cranial congenital
deformities, spinabifida,
malformation anomalies
hydrocephalus, cerebral palsy,
meningocoele. supervised
- Skeletal defects, cleft lip & cleft clinical
palate practices
- Gastro intestinal tract defects,
fistula, anorectalmalformations,
hernia, congenital hypertrophied
pyloric stenosis
- Defects of Genito-urinary Tract
–
hypospadiasis&epispadiasis,
extrophy of
bladder,phimosis&paraphimos
is, cryptorchidism, polycystic
kidney

Unit Learning objective Content H Teaching Assessm

No. ou learning ent
rs activities methods
- Sexual abnormalities,
ambiguous genitalia
- Defects of cardio vascular
system, cyanotic and
acyanotic- TOF (Tetralogy of
Fallouts)TSV (Transposition
of Great Vessels)TAPVC,
ASD, VSD, Coactation of
aorta, PDA
- Orthopedic abnormalities-
congenital
talipusequinovarus,
congenital dislocation of hips
 116

- Chromosomal abnormalities –
down syndrome,
turner’ssyndrome.
VII Demonstrate skills in Children with various 15 Lecture Short
providing disorders and diseases Discussion answers
comprehensive Etiology, signs and symptoms, Presentatio Essay type
nursing care to complications, prevention, n Clinical Objectiv e
children with various medical, surgical &nursing teaching, type
disorders & diseases management of : a) Renal simulation,
System videos,
- Nephrotic Syndrome Visit to
- Acute Blind, Deat&
Glomerulonephritis dumb
- ARF & CRF school &
b) Resp. System rehabilitati on
- URI and LRI centre
- Asthma, Pneumonia
c) GT System
- Intestinal obstruction
(Mechanical)
- Hirschsprung’s disease
- Malabsorption Syndrome
- Inflammatory conditions
– appendicitis, Meckel’s
divertculum, ulcerative
colitis)
- Worm infestation
d) CVS System
- Rheumatic fever

Unit Learning objective Content H Teaching Assessm

No. ou learning ent
rs activities methods
 117

- CCF
- Infective endocarditis
e) Hematological System
- Anemia
- Leukemia, Thalassemia
- Hemophilia
- Sickle cell anemia
- Thrombocytopenic
purpura
f) Neurological System
- Meningitis
- Encephalitis
- Convulsive disorders
- Cranio-cerebral trauma
g) Endocrine
- Pituitary disorders
- Hypo & Hyperthyroidism
- Juvenile Diabetes
- Adrenal disorders
h) Developmental problem
- Handicapped children
- Mental Retardation
- Dyslexia
- Hearing & Vision
impairment
i) Others:
- fluid and electrolyte
imbalance
- burns
j) Problems with locomotion:
- Poliomyelitis
- Osteomyelitis
- Kyphosis, lordosis,
scoliosis
- Fractures
k) Pre and post operative care of
children undergoing surgery.
 118

Unit Learning objective Content H Teaching Assessm

No. ou learning ent
rs activities methods
VIII Describe the various Child welfare services 6 Lecture Short
child welfare services a) Child welfare services and Discussion answers
provided by agencies: Visit to Essay
Governmental &non - ICDS anganwadi type
Governmental - Mid-day meal program schools, Objectiv e
agencies - Balwadi, anganwadi remand type
- Daycare centers homes &
Explain the ethical & - NPSP adoption
legal implication in b) Law pertaining to Pediatrics: centers
pediatric nursing - National child labour
policy
- Child act.
- Juvenile justice act
- Internationally accepted
rights of the child
- Rehabilitation of
delinquent & destitute
children
- Adoption laws and
services
- Adolescent health
programs – menstrual
hygiene, WIFS program,
adolescent safety program
 119

Child Health Nursing- Practical

Placement- Third year Time – 336 hour
8 weeks
Internship (2 weeks)

Areas Durati Objectives Skill *Assignme Assessment

on nts methods
 120

Paediatric 3 • Perform • Taking pediatric Give care to • Assess

medicine weeks physical History assigned performanc e
ward assessment • Perform physical paediatric with rating
• Assist in examination and patients scale
diagnostic assessment of Nursing care • Assess each
procedure and children plan-1 Case skill with
provide pre and • Administration of study or checklist
post care related oral, I/M, & I/V, Presentation • Evaluation of
to diagnostic medicine/ fluid -1 Nursing care
procedure • Calculation of fluid Health talk1 plan, Case
• Administer the requirements study,
drugs • Prepare different Health talk,
• Provide health strengths of I.V. Case
education fluids presentatio n
• Perform basic • Apply restraints • Completion
resuscitation • Administer O2 of activity
inhalation by record
different methods
• Feed children by
katori (bowl) and
spoon,palladaetc
• Collect specimens
for common
investigations
• Assist with common
diagnostic procedure
• Teach mothers/
parents on balance
diet for child of
different age group
• Oral rehydration
therapy
• Feeding & weaning
• Play therapy
• Check vital signs
• Give enema
• Insert suppositories

Areas Durati Objectives Skill *Assignme Assessment

on nts methods
 121

Paediatric 3 • Recognize • Do bowel wash Give care to • Assess

surgery weeks different • Care for three performanc e
ward pediatric ostomies: assigned with rating
surgical - Colostomy paediatric scale
condition irrigation surgical • Assess each
• Provide pre and - Ureterostomy patients skill with
post operative - Gastrostomy Nursing care checklist
care to children plan-1 Case • Evaluation
- Enterostomy
with common study or of Nursing
• Urinary
paediatric presentation care plan,
catheterization
surgical -1 Case study,
and drainage
conditions/ Case
malformation • Feeding
presentatio n
• Asogastric
• Counsel and • Completion
educate parents • Gastrostomy
of activity
• jejunostomy
record
• care of surgical
wound
• dressing
• suture removal
Paediatric 2 • Perform • Assessment of Health • Assess
OPD/Imm assessment of children assessment of performanc e
unization children of • Health assessment the child with rating
room/ children, health • Developmental Health talk - scale
well baby development assessment 1 • Completion
clinic / and of activity
• Anthropometric
adolescent anthropometric record
assessment
clinic • Perform • Assessment
• Immunization
immunization of the health
• Health/ nutritional
• Give health talk.
education
education/
nutritional
education
 122

THIRD YEAR PART-I

3.1MIDWIFERY AND GYNECOLOGICAL NURSING

Course Description:-
This course is designed to help students acquire knowledge and gain skills to meet the needs of
women during pregnancy, labor and puerperium and care for the newborn.

General Objective:-
Upon completion of this course, the students shall able to:
1. Describe the health needs of women in pregnancy, labour and puerperium.
2. Identify deviation(s) from normal pregnancy, labour and puerperium and take
appropriate action.
3. Demonstrate skills in providing antepartum, intrapartum and postpartum care to
the mother as well as care to the new born as per the SBA guidelines of
Government of India.
 123

3.1(1) MIDWIFERY

Total Hours:120
Unit Learning Contents Hr Teching Assessment
No. objectives learning methods
Activities
I Describe the Introduction: 4 Lecture Short
scope and trends a) Definition of midwifery and answers
in midwifery obstetrical nursing Discussion
b) Scope of midwifery Essay type
c) Basic competencies of a midwife Videos
d) History of midwifery Objective
e) Trends of maternity services in India type
f) Vital statistics related to maternal
health in India.
II Describe the Reproductive system 5 Lecture cum Short
anatomy and a) Review of structure and function of discussions answers
physiology of female reproductive system Demonstrati Essay type
female b) Female pelvis –structure, types and ons Charts, Objective
reproductive diameters specimen type Viva
Models
system
Objects

III Describe the Embryology and foetal development 8 Lecture Short

stages of a) Oogenesis, spermatogenesis, discussion answers
Embryological fertilization and implantation. Charts
and fetal b) Embryology and Fetal Models Essay type
development. development Specimens
c) Placenta and membranes: Objects Objective
- Structure - Functions type
- Abnormalities
- Liquor amni Oral
- Umbilical cord presentation
d) Fetal skull:
- Structure
- Diameters
- Fontanels and sutures
e) Fetal circulation
IV Describe the Normal pregnancy and its 12 Lecture Short
physiological management discussions answers
changes in a) Pre-conception care Demonstrati
pregnancy and b) Genetic counseling on Clinical Essay type
the c) Physiological changes in teaching
 124

management of pregnancy
normal d) Diagnosis of pregnancy Simulation Objective
pregnancy - History type
- Signs & symptoms

Unit Learning Contents Hr Teching Assessment

No. objectives learning methods
Activities
Demonstrate e) Antenatal care: Charts Assessment
skill is caring for - History taking Videos SBA of skill
pregnant women - calculation of expected date of module of using
delivery, government checklist
- Examination and investigations of India,
- Health Education and handbook
for staff
counselling
nurses (
- Drugs and immunizations Government
f) Minor disorders and their of India)
management
V Describe the Normal labour and its management 15 Lecture cum Short
various stages a) Definition and stages discussions answers
of labour and b) Causes and signs of onset of labour Demonstrati
the role of the c) True and false labour ons Essay type
midwife in d) First stage of labour: Case studies
caring for a - Physiology Simulation
Objective
woman in labour - Monitoring using partograph and Videos
type
its interpretation Exercises
Demonstrate - Care of mother : physical and SBA module
of Assessment
skill in psychological
government of skill
conducting the - Pain management
of India, using
normal delivery - Setting up of the labour room
handbook checklist
including newborn corner
for staff
e) Second stage:
nurses (
- Physiology and mechanism Government
- Monitoring of India)
- Conduction of normal delivery
- Episiotomy
- Essential newborn care
f) Third stage:
- Physiology and signs
- Active management of third
stage
- Examination of the placenta
 125

- Episiotomy suturing
g) Fourth stage:
- Physiology
- Care of the mother and baby
- Postpartum family planing
VI Describe the Management of newborn 14 Lecture cum Short
management of a) Assessment discussion answers
normal newborn b) Physiological adaptation Demonstrati
c) Apgar scoring ons, Clinical Essay type

Unit Learning Contents Hr Teching Assessment

No. objectives learning methods
Activities
Development of d) Examination for defects teaching
skill in caring for e) Breast feeding- BFHI Chart Objective
the normal f) Care of newborn -Skin, eyes, Videos SBA type
newborn buttocksetc module,
g) Bonding and rooming in ENBC,
Assessment
h) Minor disorders of new born: NSSK,
of skill
- Birth marks, rashes, skin PPIUCD
using
- Infections, sore module,
handbook checklist
buttocks, - Infection of
for staff
eyes.
nurses of
government
of India

VII Describe normal Management of normal puerperium 10 Lecture cum Short

pureperium and a) Definition and objectives of care discussion answers
the role of b) Physiological changes Demonstrati
midwife in the c) Postnatal counselling on Essay type
caring for d) Lactation and feeding Simulation
woman in e) Care during puerperium – breast Role play
Objective
puerperium and perineal care postnatal exercise, SBA
type
postnatal examination, follow up, module,
family welfare PPIUCD
f) Minor ailments and management. module, Assessment
g) Family planning handbook of skill
for staff using
nurses of checklist
government
of India
 126

VIII Describe the Management of complications during 12 Lecture cum Short

complications of pregnancy discussions answers
pregnancy a) Bleeding in pregnancy- early and Case
late presentation Essay type
Demonstrate - Ectopic pregnancy Clinical
skills in providing - Abortion teaching
Videos Objective
care for women - Antepartum hemorrhage type
Simulation
with complicated - Vesicular mole Case studies
pregnancy b) Hyperemesis gravidarum and Assessment
c) Gestational diabetes mellitus exercises of skill
d) Pregnancy inducedhypertension SBA using
- Pre eclampsia and Eclampsia checklist
e) Hydromnios– poly and oligo

Unit Learning Contents Hr Teching Assessment

No. objectives learning methods
Activities
f) Pelvic inflammatory diseases module
g) Intra uterine growth retardation
h) Post maturity
i) Intra uterine death

High risk pregnancy:

- Monitoring- NST, USG
- Anemia
- Jaundice
- Viral
- Urinary tract infections
- Hearts diseases
- Diabetes
- AIDS and STD’s
- Osteomalacia, STD - Teenage
pregnancy
- Elderly Primigravida
- Multipara
- Multiple pregnancy
 127

IX Describe the Management of high risk labour 10 Lecture cum Short

management a) Malposition, malpresentations discussion answers
high risk labour b) Contracted pelvis demonstrati
c) Abnormal uterine actions on Bedside Essay type
Demonstrate d) Cervical Dystocia clinic
skills in early e) Premature rupture of membranes, Videos
Charts Objective
detection and precipitate and prolonged labour, type
prompt induction of labour obstructed Clinical
management of labour, teaching
high risk labour Assessment
f) Obstetrics Emergencies-Cord
prolapse, cord presentation, IMPAC of skill
amniotic fluid embolism, obstetric module using
shock,rupture of uterus, shoulder of checklist
dystocia, vasa previa. WHO
g) Complications of third stage
- PostpartumHemorrhage MCPC
- Atonic uterus module
- Injuries to the birth canal of
- Retained placenta and Government
membranes of India
- Inversion of uterus
X Describe the Management of complications of 4 Lecturer cum Short
puerperal puerperium discussion answers
complications - Puerperal pyrexia Demonstrati
- Puerperal Sepsis Essay type

Unit Learning objectives Contents Hr Teching Assessment

No. learning methods
Activities
Demonstrate - Thrombophlebitis and on Clinical
skill in the Embolism teaching Objective
management of - Breast engorgement, Mastitis, MCPC type
complications of Breast abscess module
puerperium - Puerperal psychosis of
Government
of India
 128

XI Describe the High risk and sicknewborn 10 Lecture Short

management of a) Assessment Discussion answers
high risk and b) Nursing care Demonstrati
sick newborn c) Management of newborn with: on Clinical Essay type
- Hyperbilirubinaemia teaching
Demonstrate - Neonatal hypoglycemia Objective
skills in forcaring
high - Hypothermia IMNCI type
risk and - Neonatal Convulsions module
sick newborns
- Rh incompatability Assessment
- Small for dates SBA module of skill
- Low birth weight using
- Preterm NSSK checklist
- Asphyxia,RDS module
- Sepsis
- Birth injuries
Cephal hematoma
Caput succedaneum
Facial &Erb’s palsy
Torticollis
Hemorrhage
- Congenital anomalies
d) Newborn of HIV positive mother,
diabetic mother
e) Levels of care in NICU

XII Describe the Obstetric operations 10 Lecture cum Short

obstetric Definition, indication and care of discussion answers
operations and women undergoing clinical
midwife role in a) Induction of labour teaching Essay type
assisting with b) Manual removal of placenta Videos
each one c) Version Objective
d) Forceps delivery Post abortion
type
e) Vacuum extraction care module
f) Caesarean Section of GoI
Assessment
g) Sterilization of skill
h) Destructive surgeries using
Unit Learning objectives Contents Hr Teching Assessment
No. learning methods
Activities
i) Amnio infusion checklist
j) Manual Vaccum Aspiration,
Dilatation and Evacuation, Dilatation
 129

and Curettage
Post abortion care.

XIII Describe the Drugs used in obstetrics 4 Lecture drug Short

midwife’s role in a) Indication, dose, action, presentation answers
the administration contraindication, side effects and
of drugs for women responsibilities in the administration Essay type
during pregnancy. of
labour and post :
Objective
parturn period - Oxytocin
type
- Uterotonics
- Tocolytics
- Antihypertensives
- Anticonvulsants
b) Anesthesia and analgesia
c) Drugs used for newborn
d) Teratogens – effects of drugs on
mother and baby.
XVI Describe the Ethical and legal aspects related to 2 Lecture Short
ethical & legal midwifery Presentation answers
issues related to a) Maternal and newborn death review
midwifery b) Mother and child tracking system Objective
type

3.1(2) GYNECOLOGIAL NURSING

Course objective
The students shall be able to identify different gynecological disorders and diseases and gain
skills in providing nursing care to women suffering fromthem.

General Objective:-
Upon completion of this course, the students shall able to:
1. List different gynecological problems and demonstrate skills in providing nursing care to
women suffering from these disorders and diseases.
 130

Total Hours:20
Unit Learning objectives Content Hours Teaching Method of
No learning assessment
activities
I Define the terms Introduction 2 Lecture Short answers
used in gynecology a) Definition of terms &Discussi Essay
Demonstrate the b) History on Objective
skills of c) Examination Demonstr type Return
gynecology history d) Investigation ation demonstratio
taking, conducting Videos n
examination &
investigation
II Describe the Puberty 3 Lecture Short answers
physiology, a) Definition Discussio Essay
psychology and b) Development of sex organs in n Clinical Objective type
pathology of females and sexuality teaching
puberty c) Review of menstrual cycle Videos
d) Premenstrual syndrome Charts
e) Disorders of menstruation,
dysmenorrhoea,
cryptomenorrhoea,
dysfunctional uterine bleeding
III Describe the Fertility and infertility 2 - Lecture Short answers
management of a) Definition and Essay
couples with fertility b) Causes-both in male discussion Objective type
related problems. and female Clinical
c) Investigation teaching,
d) Management videos Role
e) Artificial reproductive play
techniques
IV Demonstrate skills Pelvic infections 4 Lecture& Short answers
in the management a) Vulva – vulvitis, bartholinitis Discussio Essay
of clients with b) Vagina- Vaginitis, n Clinical Objective type
various pelvic Trichomonas vaginitis, teaching
infections. Moniliasis, Videos
Prevention
c) Metritis,Salpingitis,Oophritis
of STI
d) Cervical erosions
module of
e) Pelvic Abscess NACO
f) Chronic infection
g) Pelvic inflammatory disease
h) Pelvic tuberculosis
 131

i) Sexually transmitted diseases

- Syphilis
- Gonorrhea
Unit Learning objectives Content Hours Teaching Method of
No learning assessment
activities
- Warts
- HIV
Syndromic case management
V Describe the care of Gynaecological disorders 5 Lecture& Short answers
women with a) Retroversion, retro flexion Discussio Essay
gynaecological b) Fistulas n Objective type
disorders c) Uterine prolapse (Procidentia) Case
d) Uterine malformations Presentati
e) Cysts and fibroids on
f) Uterine polyps demonstra
g) Tumors of the reproductive tion
tract – benign and malignant
h) Palliative care and
rehabilitation
VI Describe the care of Breast disorders 2 Lecture and Short answers
the woman with a) Review mastitis, breast discussion Essay
breast disorders engorgement, breast Clinical Objective type
abscess teaching,
b) Tumors of the breast videos Role
benign and malignant play
VI Describe the care of Menopause 2 Lecture Short answers
women with a) Definition and physiological Discussio Essay
menopause changes n case Objective type
b) Signs and symptoms histories.
c) Health education and
counselling
d) Hormone replacement therapy
e) Surgical menopause

Midwifery and Gynaecological Nursing

Placement: third year (Part – I) Time : 588 hours
Internship: 380 hours
Area Duration Objectives Skills Assignment Assessment
methods
 132

Antenatal 2 weeks • Assessment • Diagnose • Conduct Verification of the

clinic / of pregnant pregnancy using antenatal findings of
ward women pregnancy examination antenatal
• Counsellin g detection kit s – 20 examinations
of ( preg-card) • Health talk –
Antenatalm • Antenatal history 1 Assessment of
others taking • Case study skills using
• Physical –1 checklist
examination
• Antenatal
examination –
abdomen and
breast
• Recording
weight and BP
• Hemoglobin
estimation
• Urine testing for
sugar and
albumin
• Immunization
• Assessment of
risk status
• Antenatal
counselling
• Maintenance of
antenatal records
Labour 4 weeks • Assess the • Assessment of • Perform Assessment of
room woman in woman in labour pervaginal clinical
labour • Vaginal examination performance
• Carry out examinations s–5 with rating scale
pervaginal( P (PV) and their • Conduct Assessment of
V) interpretation normal each skill with
examinatio ns • Monitoring deliveries – checklist.
• Monitor women in labour 20 Practical
women in using the • Perform and examination
partograph suture

Area Duration Objectives Skills Assignment Assessment

methods
 133

labour • Caring for women episiotomie

• Conduct in labour s–5
normal • Setting up of the • Resuscitate
deliveries labour unit newborns –
• Perform including the 5
episiotomy newborn corner • Witnessing
and suture it • Conduct normal abnormal
• Resuscitate delivery including deliveries -
newborns active 5
management of • Case book
third stage of recording
labour (AMTSL)
• Provide essential
newborn care
• Immediate
newborn
assessment
• Resuscitation of
the newborn.
• Assessment of the
risk status of the
newborn
• Episiotomy and
suturing
• Administration of
uterotonic drugs –
oxytocin ,
misoprostol
• Administration of
magnesium
sulphate.
• Maintenance of
labour and birth
records
Operation 1 week  Prepare and • Preparation for • Assist with Assessment of
theatre assist with caesarean section caesarean skill with
caesarean and other surgical section – 2 checklist.
section, procedures • Case book
MTP, • Assist in recording
tubectomy caesarean section
 134

Area Duration Objectives Skills Assignment Assessment

methods
and other • Prepare and
surgical assist in MTP
procedures procedures
• Prepare and
assist for
tubectomy

Postnatal 3 weeks • Provide • Examination and • Provide Assessment of

ward nursing care assessment of postnatal clinical
to postnatal mother and the care to performance
mother and baby mothers and with rating scale
the baby • Identification of babies – 20 Assessment of
• Counsel and deviations • Health talks each skill with
teach • Care of postnatal –1 checklist.
mother and mothers and baby  Case study Practical
family for • Perineal care –1 examination
parenthood • Breast care  Case
• Lactation presentation
management -1
• Breast feeding
• Kangaroo mother
care (KMC)
• Immunization
• Teaching
postnatal mother
on mother craft,
post natal care,
exercise,
immunization
NICU 2  Provide • Newborn  Case study - Assessment of
nursing assessment 1 clinical
care to • Admission of performance
newborns neonates with rating scale
at risk • Feeding of Assessment of
highrisk newborn each skill with
:- katori spoon, checklist.
paladai, tube Practical
feeding, total examination
 135

parentral
nutrition
• Thermal
management of

Area Duration Objectives Skills Assignment Assessment

methods
newborns –
kangaroo mother
care, care of baby
in radiant warmer
and incubator.
• Monitoring and
care of neonates
• Administration of
medications
• Intravenous
therapy
• Assisting in
diagnostic
procedures
• Assist in exchange
transfusion
• Care of baby in
ventilator,
phototherapy,
• Practice infection
control protocols
• Health education
and counselling of
parents
• Maintenance of
records and
reports
Family 1 week  Counsel for • Family planning • IUCD Assessment of
welfare and provide counselling insertion – 5 clinical
clinic family techniques • Family performance
welfare • Insertion of IUCD planning with rating scale
• Teaching by counselling Assessment of
services.
demonstration on –2 each skill with
 136

the use of checklist.

different family Practical
planning methods examination
• Arrange for and
assist with family
planning
Area Duration Objectives Skills Assignment Assessment
methods
operations
 Maintenance
of records and
reports
Gynaecolo 1 week • Provide • Assist with • Provide care • Assess
gy ward care for gynecological to assigned each skill
patients examination. patients. with
with • Assist and • Nursing care checklist.
gynecolog perform plan- 1. • Assess
ical diagnostic and • Menopause performan ce
disorders. therapeutic counseling – with rating
• Counsel procedures. 1 scale.
and • Teach women on • Evaluation
educate breast self of care
patient and examination plan.
families. (BSE)
• Health education
on perineal
hygiene and
prevention of
sexually
transmitted
infections
• Pre and post
operative care of
women
undergoing
gynecological
surgeries
• Menopause
counseling
 137

3.2 COMMUNITY HEALTH NURSING-II

Course Description:-
This course is designed to help students to practice community health nursing for the
individual, family and groups at both the urban and rural settings by using concepts and
principles of health and community health nursing.

General Objective:-
Upon completion of this course, the students shall be able to:
1. Describe the health system and health care services in India.
2. Identify major health problems, national health programmes and specialized
community health services.
3. Explain the concept of health team and describe the nurses’ role at various levels of
health care setting.
4. Demonstrate skills in rendering effective nursing care to the individual, family and
groups in all community health settings.
Total Hours:100
Unit Learning objective Contents Hr Teaching Assessment
learning methods
Activities
I Explain the health Heath system in India 10 Lecture and Short
system in India Organization and administration of discussion answer
health system in India at a) Central Organizatio Objective
level nal chart of type
- Union Ministry various levels
- Directorate General Visit to Essay type
of Health Municipalit y
Services Office,Panc
- Central Council of Health b) hayat office,
State level Block Health
- State Health Administration office, CHC
- State Ministry of Health
- State Health Directorate
c) District level
- Sub Divisions
- Tehsils/ Talukas
- Villages
- Municipalities& Corporation
- Panchayats
 138

II Describe the health Health care delivery system 8 Lecture

Short
care services in India -Heath care concept and trends Discussion
answer
and discuss the role of -Health care services - Public sector, Visit to
the nurse in these Rural, Urban different Objective
services - Private sector health care type
- Public private partnership agencies Essay type

Unit Learning objective Contents Hr Teaching Assessment

learning methods
Activities
- Other agencies
- Indigenous systems of medicine-
Ayurvedha, yoga, unani, siddha and
homeopathy (AYUSH)
- Voluntary health services
- National Health Programmes
- Nurse role in health care services
III Describe health Health planning in India 10 Lecture and Short
planning in India - National health planning discussion answer
- Five year plans and reports Essay type
- Health Committees and reports
- National health policy
IV Describe the different Specialized community health 18 Lecture Short
specialized services and nurse’s role Discussion answer
community health - RCH(reproductive health and child Visit to Objective
services and the care) different type
nurse’s role in these - National Health Mission agencies of Essay
services (rural/ urban) Specialized type
- Janani Sishu Suraksha Karaykaram ( services,
JSSK) Factory,
- Emergency ambulance services. Old age
- Government health insurance home,
schemes
Homes for
- School health Services
the
- Occupational health nursing
differently
(including health care providers)
abled
- Geriatric nursing
- Care of differently abled- Physical
and mental
- Rehabilitation nursing
V Describe the major National health problems 5 Lecture Short
health problems in Health Problems in India Discussion answer
 139

India - Communicable diseases Quiz Objective

- Non communicable diseases type
- Nutritional problems
- Environmental sanitation -
Population
VI Describe the National Health programme: 15 Lecture
national health and - National ARI program
Short
family welfare - Revised national Discussion answer
programs in India tuberculosis control program
and the role of the (RNTCP) Government Objective
nurse - National anti-malaria program of India type
- National filarial control program

Unit Learning objective Contents Hr Teaching Assessment

learning methods
Activities
- National guinea worm eradication program
program flyers.
- National leprosy
eradication program
- National AIDS control program
- STD control program
- National program for control of
blindness
- Iodine deficiency control program
- Expanded program of
immunization
- National family welfare program
- National water supply and sanitation
program
- Minimum needs program
- National diabetes control program
- Polio eradication : pulse program
program, NPSP
- National cancer control program
- Yaws eradication program
- National nutritional anemia
prophylaxis program
- 20 point program
- ICDS program
- Mid –day meal program
- National mental health program
- Adolescent health program Role of
 140

nurse in the national health

programme.
VII Explain the Demography and family welfare 18 Lecture Short
meaning of A. Demography Discussion answer
demography and - Concept Show and Objective
describe the - Trends in the world and in explain type
national family India family
welfare - Concept of fertility planning
programmes. and devices Essay type
infertility
- Small family norm Role play

B. Family Welfare Demonstrati

- Concept, importance, aims & on
Objectives
- Family planning methods
- Family planning counseling

Unit Learning objective Contents Hr Teaching Assessment

learning methods
Activities
- National family Welfare Policy
- National family Welfare
Programme
- Role of a nurse in the family
planning programme
VIII Describe the Health team Health 7 Lecture Short answer
concept and Team:
Objective
functions of health - Concept Discussion type Essay
team and the role of - Composition Interaction type
nursing personnel at - Functions with health
various levels. Role of Nursing personnel at various team
levels: members
- District public health nursing Job
officer description
- Block health Nurse as per the
- Public health nurse Indian
- Lady health visitor/ health Public
supervisor Health
- Health worker female/ ANM Standards
(IPHS)
 141

IX Explain the Health Information System 6 Lecturer cum Short answer

concept and uses - Concepts, components, uses , sources. discussion Objective
of health Vital Statistics: exercises type
information system - Important rates and indicators - Vital Exercises
health records and their uses.
Basic statistical methods
- Descriptive statistics

X Describe the Health Agencies - 3 Lecture Short answer

national and International : Discussion Objective
international health WHO Seminar type
agencies UNFPA
UNDP
World bank
FAO
UNICEF
DANIDA
European commission (EU)
Red cross
USAID
UNESCO
ILO
CARE
Unit Learning objective Contents Hr Teaching Assessment
learning methods
Activities
- National:
Indian Red Cross
Indian Council for child
welfare
Family Planning association of
India
Other NGOs
 142

Community Health Nursing II- Practical Placement: Third year

Time: Practical – 168 hours
Internship – 288 hours
Area Duratio Objectives Skills Assignment Assessment
n s Methods

Communit 4 wks  Organize • Assisting in • Health  Internal

y Health urban / and conduct Set-up and talk- 2 examinatio
Nursing II- rural clinics Conduct of • Family n (1st& 2nd
 Antenatal the Clinics: Health term)
 Postnatal • Providing Nursing  Pre Council
 Family Domiciliary- care plan- examinatio n
welfare. Care to the 2  Assessment
 Under five. antenatal and • Group of
• Diagnose postnatal project-1 performanc
health Cases Using  Daily e with
needs and Bag and / or Dairy- 1 rating scale
provide Domiciliary • Report on  Evaluation of
domiciliary Obstetric Kit. school -
care for • Performing health Assignment
antenatal Nursing Care program s
and at Home. -Field visit
postnatal reports -Daily
mothers. diary
• Assess
health • Preparing and
needs of conducting
family; Health
plan and Teachings
carry out onReproduct
treatment ive and Child
for minor Health (
ailments; RCH) Care
identify Issues.
need for
referral and • Assisting in
refer. Organizing
• Plan, Camps.
conduct
and follow • Maintaining
up health Records and
 143

education. Reports at
Assist in Primary
conducting Health Centre
camps and related to.
participate. • Assisting in
• Maintain Activities of
records and Family
reports in Welfare.
PHC. • Participating
• Assist in in School
family Health
welfare Services.
services and
conduct need
based health
education.
• Participate in
school health
programme.
• Counsel and
educate
eligible
couple,
family and
community.

Internship
Area Duration Objectives Skills Assignments Assessment
Methods
Urban / 6 weeks Provide Comprehensive Integrated Assessment
rural comprehensive nursing care to practice and of clinical
care to the individual , group project performance
individual family and Health talk – 2 with rating
family and community Nursing care scale
community plan – 2 Evaluation of
group project.
 144

THIRD YEAR PART - II

4.1 NURSING EDUCATION

Course Description:-
This course is designed to introduce the students to the concept of teaching as an integral part
of nursing practice.

General Objective:-
Upon completion of this course, the students shall able to:
1. Explain the concept of teaching
2. Describe techniques used for teaching.
TOTAL HOURS: 20
Unit Learning Contents Hr Teaching Method of
objectives learning Assessment
activities
I Describe the Introduction 2 Lecture cum Short answers
concept of Education discussion Objective type
education - Meaning, aims, scope and
purposes,

II Explain the Teaching learning process 4 Lecture

process of - Basic principles Discussion Short answers
teaching - Characteristics of teaching Objective type
and learning and learning Evaluation of
- Teaching responsibility of teaching plan
a nurse
- Preparation of teaching
plan
III Methods of teaching 14 Lecture Evaluation of
Narrate the Methods of teaching Planned as
methods of Discussion well as
teaching incidental
Clinical teaching methods health
Describe the - Case method Teaching
clinical teaching - Bed side clinic
methods - Nursing rounds Short answer
- Nursing conference Objective type
( individual and group) -
Process recording.
 145

4.2 INTRODUCATION TO RESEARCH

Course Description:-
This course is designed to develop fundamental abilities and attitude in the students
towards scientific methods of investigation and utilization of research finding so as to
improve practice of nursing.

General Objective:-
Upon completion of this course, the students shall able to:
1. Describe the use of research in the practice of nursing
2. Describe the scientific methods of investigation used in nursing.
3. Participate in research activities in the health care settings.
Total Hours: 30
Unit Learning Contents Hr. Teaching Assessment
Objectives learning Method
activities
I Discuss the Introduction 3 Lecture cum Short answers
importance of - Definition discussion Objective type
research in - Terminology related to
Nursing research
- Need and importance of
nursing research
- Characteristics of good
research
II Describe the Research process 3 Lecture Short answer
research - Purposes and objectives Essay type
process - Steps in research process Discussion
III Describe the Research approaches and 5 Lecture cum Short answer
various designs discussion Essay type
research - Types
approaches - Methods
- Advantages and disadvantages
IV Describe the Data collection process 5 Lecture Short answer
various data - meaning discussion Essay type
collection - Methods and instruments of
 146

methods data collection

V List the steps Analysis of data 6 Lecture Short answer
involved in - Compilation
data analysis - Tabulation Discussion Essay type
- Classification
- Summarization Reading the
- Presentation and research
Unit Learning Contents Hr. Teaching Assessment
Objectives learning Method
activities
interpretation of data using articles
descriptive statistic
VI Describe the Introduction to statistics 6 Lecture Short answer
importance of - Definition Discussion Essay type
statistics in - Use of statistics
research - Scales of measurement
- Frequency distribution
- Mean, median, mode and
standard deviation.
VII Describe the Utilization of research in 2 Lecture Short answer
utilization of nursing practice discussion Essay type
research in - Evidence based practice
nursing
practice

4.3 PROFESSIONAL TRENDS AND ADJUSTMENT

Course Description:-
This course is designed to help students develop an understanding of the career opportunities
available for professional development.

General Objective:-
Upon completion of this course, the students shall able to:
1. Describe nursing as a profession.
2. Identify various professional responsibilities of a nurse.
3. Describe various professional organizations related to nursing.
4. Identify the need for inservice and continuing education in nursing
 147

5. Demonstration skills in application of knowledge of professional etiquettes in the practice of

nursing in any health care setting.

Total Hours: 30
S. Learning Contents Hr. Teaching learning Assessment
No objectives activities methods
I Describe nursing as Nursing as a profession 4 Lecture Short answer
a profession - Definition of profession
- Criteria of a profession and discussion Essay type
nursing profession
- Evolution of Nursing Objective type
Profession in India
- Educational preparation of a
professional nurse
- Qualities/ Characteristics
and role of a professional
nurse
II Explain various Professional ethics 6 Lecture discussion Short answer
aspects of - Meaning and relationship of Essay type
Professional ethics professional ethics and
etiquettes Assignment:
- Code of ethics for nurse by Application for Job
ICN Acceptance of job
- Nightingale pledge Resignation of job
- Standards for nursing
practice (INC)
- Etiquettes for employment:
locating posting, applying
and accepting a position,
resignation from a position.
 148

III Discuss the Personal and professional 10 Lecture cum Short answer
importance of development discussion Draw a Essay type
continuing - Continuing education career ladder in
education in - Meaning and nursing in
personal and importance reference to
professional - Scope international
development - Identifying influence and
opportunities financial aid.
- Career in Nursing
- Opportunities available
in Nursing in Hospital
Community teaching
and other related special
organization.
- Inservice education
- definition
- Value
- need participation in
committee procedures
S. Learning Contents Hr. Teaching learning Assessment
No objectives activities methods
- Nursing in the future

IV Discuss the Legislation in nursing 5 Lecture Discussion Assignment

significance of - Purpose and importance of
legislation in laws in Nursing
Nursing - Legal Terms
- Common legal hazards in
Nursing
- Laws and regulations related
to health care providers in
India at different levels
- Service and institutional rules
- Regulation of nursing
education
- Registration and reciprocities
 149

V List the various Profession and related 5 Lecture cum Report of visit
organizations organizations discussion to the council
related to - Regulatory bodies :
health and Indian Nursing Council, Short answers
nursing state nursing council
Observation visits to
profession and - Professional
organizations: Trained State Nursing Essay type
briefly describe Council and Local
Nurses Association of
their function India, Students Nurses TNAI office
Association, Nurses
League of the Christian
Medical Association of
India, International
council of nurses (ICN),
and
International Confederation
of Midwives etc.
- Related organization and
their contribution to
nursing: World Health
Organization, Red cross and
St. john’s Ambulance,
Colombo plan,
UNICEF, World Bank
etc.

4.4 NURSING ADMINISTRATION AND WARD MANAGEMENT

Course Description:-

This course is designed to help the student to understand the basic principles of administration
and its application to the management of ward and health care unit.

General Objective:-

Upon completion of this course, the students shall able to:

1. Describe the meaning and principles of administration.
2. Apply the principles of administration in practice of nursing
3. Plan the nursing service in the ward and community health settings.
4. Describe the importance of good administration in the day to day nursing service in varied
health care setting.
 150

Total Hours: 40
Unit Learning Contents Hr Teaching Assessment
Objectives learning methods
activities
I Describe the Introduction 4 Lecture Short answers
meaning , - Administration and Discussion Essay type
philosophy management Objective
and principles - Meaning type
of - Philosophy
administration - Elements and principles
- Significance

Unit Learning Contents Hr Teaching Assessment

Objectives learning methods
activities
II Describe the Management process 15 Lecture Short answers
management Planning Essay type
process - Importance Lecture cum Objective
- Purpose discussion type
- Types of planning
Organization Written test
- Principles of organization Evaluation of
- Organization chart of the
hospital/ward/PHC/ Sub center Companion of organization
Staffing organization charge
- Scheduling charts prepared
- Recruitment, selection, by
deployment, retaining, students.
promotion, superannuation
- personnel management
- job description
- job specification
- staff development and staff
welfare Directing
Co-ordination and control
- Quality management
Budgeting
 151

Policies of hospital and various

department of the hospital
IV Explain the Administration of 9 Lecture
administration of hospital/department/ unit/ ward discussion Short answers
different health - Health centre/ unit physical Essay type
care units layout Role play Objective
- Safety measures for Group work on type
prevention of accidents and physical layout
infections
- Legal responsibilities of a Reading notes
nurse
- Leadership styles
- Problem solving : process and
approach, steps and methods
of dealing with complaints of
patients and other health team
members.
Unit Learning Contents Hr Teaching Assessment
Objectives learning methods
activities
- Records and reports:
meaning, types, importance.
V Discuss the Management of equipment 7 Lecture Short answers
importance of supplies. Role play Essay type
maintaining - Maintenance of supplies Discussion Objective
supplies and &equipment (preventive type
equipment for maintenance) Group project Evaluation of
effective - Handing over and taking over on problem the report on
of inventory Group project
administration solving
- Indent and ordering of
supplies and equipment
- Problem solving : process and
approach , steps and methods
of dealing with supplies and
equipment.
VI Discuss the cost Costand financing of health 5 Lecture cum Short answer
and financing of care discussion Test
health services - Cost of health care
in India - Health financing
- National health plans ( annual
 152

and five year plans) and

outlays, role of state and central
government in allocation of
funds
- Health insurance- types, issues
etc.