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NURSING –LEVEL IV

TVET CURRICULUM
Based on the December 2021 Version III
occupational Standard (OS)

Jan, 2022
Adiss Ababa
Preface
The reformed TVET-System is an outcome-based system. It utilizes the needs of the labor
market and occupational requirements from the world of work as the benchmark and standard
for TVET delivery. The requirements from the world of work are analyzed and documented –
taking into account international benchmarking – as occupational standards (OS).

In the reformed TVET-System, curricula and curriculum development play an important role
with regard to quality driven TVET-Delivery. Curricula help to facilitate the learning process
in a way, that trainees acquire the set of occupational competences (skills, knowledge and
attitude) required at the working place and defined in the occupational standards (OS).
.
This curriculum has been developed by a group of experts from different Regional TVET-
Authorities, ministry of health and health science colleges based on the occupational standard
of 2021. It has the character of a model curriculum and is an example on how to transform
the occupational requirements as defined in the respective occupational standard into an
adequate curriculum.

The curriculum development process has been actively supported and facilitated by the
Ministry of Health and Ministry of Labor &skill.

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Ministry `of Labor and Skills Level-IV January 2022
TVET-Program Design
1.1. TVET-Program Title: Nursing Level IV
1.2. TVET-Program Description
The Program is designed to develop the necessary knowledge, skills and attitude of the
learners to the standard required by the occupation. The contents of this program are in line
with the occupational standard. Learners who successfully completed the Program will be
qualified to work as a Nurse with competencies elaborated in the respective OS. Graduates
of the program will have the required qualification to work in the health industry in the field
of Nursing.

The prime objective of this training program is to equip the learners with the identified
competences specified in the OS. Graduates are therefore expected to Provide advanced
nursing care, Perform Nursing Assessment, Prevent and Manage Common Communicable
and Neglected Tropical Diseases, Prevent and Manage Common Non-communicable
diseases, Provide Care in the Pre/Post and Intra Operative Nursing, Provide Maternal Health
Care, Provide Child Health Care, Manage Nutritional Problems and Provide Dietary Service,
Provide mental health care, Provide community health nursing , Manage Community Health
Service, Prevent and Eliminate MUDA in accordance with the performance criteria described
in the OS.
1.3. TVET-Program Learning Outcomes
The expected outputs of this program are the acquisition and implementation of the
following units of competence
HLT NUR4 01222 Provide advanced nursing care.
HLT NUR4 02 1222 Perform Nursing Assessment
HLT NUR4 03 1222Prevent and Manage Common Communicable and Neglected Tropical
Diseases
HLT NUR4 04 1222 Provide Nursing Care for Medical and Surgical Health problems
HLT NUR4 05 1222Prevent and Manage Common Non-communicable diseases
HLT NUR4 06 1222Provide Care in the Pre/Post and Intra Operative Nursing
HLT NUR4 07 1222Provide Maternal Health Care
HLT NUR4 08 1222Provide Child Health Care
HLT NUR4 09 1222Manage Nutritional Problems and Provide Dietary Service
HLT NUR4 10 1222Provide mental health care

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Ministry `of Labor and Skills Level-IV January 2022
HLT NUR4 11 1222Provide community health nursing
HLT NUR4 12 1222 Manage Community Health Service
HLT NUR4 13 1222Prevent and Eliminate MUDA
1.4. Duration of the TVET-Program
The Program will have duration of 2,029 hours including the in-school or cooperative
training time.

s.no Unit competency On school training Cooperative Total Remark


Theory Practical training hours s
1. Provide advanced nursing care 64 60 156 280
2. Perform Nursing Assessment 62 36 78 176
Prevent and Manage Common 64 39 103
Communicable and Neglected
3.
Tropical Diseases

Provide Nursing Care for Medical 184 16 156 356


4.
and Surgical Health problems
Prevent and Manage Common 48 78 126
5.
Non-communicable diseases
Provide Care in the Pre/Post and 32 36 39 107
6.
Intra Operative Nursing
7. Provide Maternal Health Care 64 70 78 212
8. Provide Child Health Care 80 56 78 214
Manage Nutritional Problems and 32 16 78 126
9.
Provide Dietary Service
10. Provide mental health care 48 39 87
Provide community health 32 39 71
11.
nursing
Manage Community Health 50 20 30 100
12.
Service
Prevent and Eliminate MUDA 32 32
13.
Total 792 310 927 2,029
N.B. The cooperative training can be managed according to the context of the training giving institution. From cooperative
training hours 312 hours given for team training program (TTP) and 624hours for apprenticeship.

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Ministry `of Labor and Skills Level-IV January 2022
1.5. Qualification Level and Certification
Based on the descriptors elaborated on the Ethiopian National TVET Qualification
Framework (NTQF) the qualification of this specific TVET Program is “Level IV”.
The learner will not awarded any certificate before completion of all the modules that are
designed for the exist in level IV

1.6 Target Groups


Any citizen without disability who meets the entry requirements under items 1.7 and capable
of participating in the learning activities is entitled to take part in the Program.

1.7 Entry Requirements


The prospective participants of this program are required to possess the requirements or
directive of the by Ministry of Labor and Skills.

1.8 Mode of Delivery


This TVET-Program is characterized as a formal Program on middle level technical skills.
The mode of delivery is co-operative training. The TVET-institution and identified
companies have forged an agreement to co-operate with regard to implementation of this
program. The time spent by the trainees in the industry will give them enough exposure to
the actual world of work and enable them to get hands-on experience.

The co-operative approach will be supported with school-based lecture-discussion, simulation


and actual practice. These modalities will be utilized before the trainees are exposed to the
industry environment.

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1.9. TVET-Program Structure

Duration
Unit of Competence Module Code & Title Learning Outcomes (In
Hours)
HLT NUR4 01 1222 Provide HLT NUR4 01 1222 Providing advanced  Work in the context of professional 280
advanced nursing care. practice
nursing care.  Assist therapeutic and diagnostic
procedures
 Perform and assist advanced
nursing procedures
HLT NUR4 02 1222 Perform Nursing HLT NUR4 02 1222 Performing Nursing  Perform nursing assessment 176
Assessment Assessment  Develop nursing diagnosis
 Develop nursing plan
 Implement nursing plan
 Perform nursing evaluation
HLT NUR4 03 1222 Prevent and HLT NUR4 03 1222 Preventing and  Apply general principles of diseases 103
Manage Managing Common prevention and control
Common Communicable and  Assess, screen and manage common
Communicable Neglected Tropical communicable diseases
and Neglected Diseases  Assess, screen, promote and

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Ministry `of Labor and Skills Level-IV January 2022
Tropical manage common Neglected Tropical
Diseases diseases
 Perform disease Surveillance
 Follow up of Cases
HLT NUR4 04 1222 Provide Nursing HLT NUR4 04 1222 Providing Nursing  Identify the impact of medical and 356
Care for Medical Care for Medical and surgical health problems
and Surgical Surgical Health  Manage medical and surgical
Health problems problems related disorders

HLT NUR4 05 1222 Prevent and HLT NUR4 05 1222 Preventing and  126
Manage Managing Common
Common Non- Non-communicable
communicable diseases
diseases

HLT NUR4 06 1222 Provide Care in HLT NUR4 06 1222 Providing Care in the  Work as part of Health care team in 107
the Pre/Post and Pre/Post and Intra pre /post and intra operative
Intra Operative Operative Nursing environment
Nursing  Contribute to assessment of client
undergoing surgical intervention
 Contribute to planning care for

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Ministry `of Labor and Skills Level-IV January 2022
pre/post and intra operative client
 Perform clinical nursing actions
appropriate to care of pre/post and
intraoperative clients
 Evaluate effectiveness of nursing
interventions and planned care in
pre/post and intra operative
environment
HLT NUR4 07 1222 Provide Maternal HLT NUR4 07 1222 Providing Maternal  Provide care for pregnant mother 212
Health Care Health Care  Provide care for Laboring mother
 Provide care for postpartum mothers
 provide care of the mother with
gynecological problems
HLT NUR4 08 1222 Provide Child HLT NUR4 08 1222 Providing Child  Assess child growth and 214
Health Care Health Care development
 Manage infant and child with
nutritional problems
 Manage common medical and
surgical childhood health problems
 Manage expanded programme of
immunization

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 Manage childhood illness using
IMNCI protocol
HLT NUR4 09 1222 Manage HLT NUR4 09 1222 Managing Nutritional  Identify different elements of food. 126
Nutritional Problems and Provide  Assess nutritional requirements
Problems and Dietary Service  Apply Feeding Infants and children
Provide Dietary  Apply nutritional assessment and
Service intervention

HLT NUR4 10 1222 Provide mental HLT NUR4 10 1222 Providing mental  Identify Mental health legislation 87
health care health care requirements.
 Respond to signs of mental health
problem
 planning and conducting clinical
observations
 Recovery of a person with a mental
health problem
HLT NUR4 11 1222 Provide HLT NUR4 11 1222 Providing community  Professional relationship in health 71
community health nursing team & community.
health nursing  Privacy and confidential to rural
health service environment.
 Health care teaching

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 Physical & psychological safe
environment
HLT NUR4 12 1222 Manage HLT NUR4 12 1222 Managing  Follow organizational guidelines, 100
Community Community Health understand health policy and service
Health Service Service delivery system
 Plan, manage, monitor and evaluate
health system
 Lead and build individual’s and
team’s capacity
HLT NUR4 13 1222 Prevent and HLT NUR4 13 1222 Preventing and  Prepare for work. 48
Eliminate Eliminating MUDA  Identify MUDA and problem
MUDA  Analyze causes of a problem
 Eliminate MUDA and Assess
effectiveness of the solution.
 Prevent occurrence of wastes and
sustain operation.

The time duration (Hours) indicated for the module should include all activities in and out of the TVET institution

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Ministry `of Labor and Skills Level-IV January 2022
1.10 Institutional Assessment
Two types of evaluation will be used in determining the extent to which learning outcomes
are achieved. The specific learning outcomes are stated in the modules. In assessing them,
verifiable and observable indicators and standards shall be used.

The formative assessment is incorporated in the learning modules and form part of the
learning process. Formative evaluation provides the trainee with feedback regarding success
or failure in attaining learning outcomes. It identifies the specific learning errors that need to
be corrected, and provides reinforcement for successful performance as well. For the teacher,
formative evaluation provides information for making instruction and remedial work more
effective.

Summative Evaluation the other form of evaluation is given when all the modules in the
program have been accomplished. It determines the extent to which competence have been
achieved. And, the result of this assessment decision shall be expressed in the term
‘competent or not yet competent’.

Techniques or tools for obtaining information about trainees’ achievement include oral or
written test, demonstration and on-site observation.

1.11 TVET Teachers Profile


The teachers conducting this particular TVET Program are A Level and have satisfactory
practical experiences or equivalent qualifications.

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE -01
MODULE TITLE: Providing Advanced Nursing Care
MODULE CODE: HLT NUR4 M01 0122
NOMINAL DURATION: 280Hours.
MODULE DESCRIPTION: This module aims to describe knowledge, skills and attitude
required to perform and assist advanced nursing care in heath facilities and community service.
LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1.Work in the context of professional practice
LO2. Assist therapeutic and diagnostic procedures
LO3. Perform and assist advanced nursing procedures

MODULE CONTENTS:
LO1. Working in the context of professional practice
1.1 Describing wellness and illness
1.2 Wellness model of care
1.3 Nursing profession and education
1.4 Scope and role of nursing practice
1.5 Parameters of nursing practice
1.6 Multidisciplinary team
LO2. Assisting therapeutic and diagnostic procedures
2.1 Describing therapeutic procedures
2.2 Describing diagnostic procedures
2.3 Identifying therapeutic procedure instruments
2.4 Identifying diagnostic procedures instruments
LO3. Performing and assisting advanced nursing procedures
3.1 Assisting in vein cut down
3.2 Assisting in thoracentesis procedure
3.3 Performing postural drainage
3.4 Chest water seal drainage system
3.5 Suctioning the airway
3.6 Coughing and deep-breathing exercise
3.7 Administrating steam inhalation

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3.8 Administering oxygen therapy
3.9 Tracheostomy care
3.10 Assisting bronchoscopy
3.11 Assisting the patient in gastric analysis
3.12 Assisting the patient in Endoscope examination
3.13 Performing gastric aspiration
3.14 Performing gastrostomy feeding
3.15 Performing gastric lavage
3.16 Performing gastric gavage
3.17 Colostomy care
3.18 Giving enemas
3.19 Offering rectal wash out
3.20 Inserting flatus tube
3.21 Performing urinary catheterization
3.22 Performing bladder irrigation
3.23 Assisting in dialysis procedures
3.24 Assisting visual acuity measurement
3.25 Assisting on opthalmoscopic examination
3.26 Performing Ear irrigation
3.27 Performing ear instillation
3.28 Performing installation of nasal drop
3.29 Performing throat gurgle
3.30 Assisting on Othoscopic examination
3.31 Assisting in lumber puncture
3.32 Assisting in neuro-radio-graphic examination
3.33 Assisting application of cast
3.34 Crutch walking
3.35 Traction application
3.36 Assisting bone marrow aspiration
Learning Methods:
 Interactive lecture
 Group discussion
 Demonstration

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 Group assignment
 Individual assignment
Assessment Methods: (Continuous 70%, Final 30%)
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Skill check out
 Final written exam
Assessment Criteria
LO1. Work in the context of professional practice
 Overview of historical and current perspectives of nursing profession and education are
identified.
 The role of professional nursing bodies is identified.
 The principle and parameters of nursing practice are introduced.
 Importance of multidisciplinary team are outlined
 Strategies to maintain and develop professional skills are identified.
 Scope and role of nursing practice are listed.
 Available options are identified for wellness promotion
 Priority health care issues are identified
 Wellness models are identified
 Patient condition and purpose of care are defined

LO2. Assist therapeutic and diagnostic procedures


 Types and purpose of therapeutic and diagnostic procedures are identified
 Necessary instrument is identified and made ready
 Precautions and aseptic technique is followed
 Used instruments are cleaned based on infection prevention guideline
 Procedure is followed

LO3. Perform and assist advanced nursing procedures


 Vein cut down is assisted
 Respiratory system procedures assisted and performed
 Gastrointestinal procedures are assisted and performed

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Ministry `of Labor and Skills Level-IV January 2022
 Genitourinary procedures are assisted and performed.
 HEENT procedures are assisted and performed
 Neurology procedures are assisted and performed
 Musculoskeletal procedures are assisted and performed Observations and evaluation
of pain are recorded

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Ministry `of Labor and Skills Level-IV January 2022
Annex: Resource Requirements

HLT NUR4 M01 0122 Providing Advanced Nursing Care


Ite
Recommended
m Description/
Category/Item Quantity Ratio
No Specifications
(Item: Learner)
.
A. Learning Materials
1. TTLM 25 1:1
2. Textbooks 1:2
3. Reference Books 50 1:2
Craven, R.F &
Fundamentals of Nursing Hirnle, G.J.
3.1 5 1:5
Hippincott.
Philadelphia. 2014

6th Edition.
Nettina, S.M. The Lippincott
Lippincott. 5 1:5
Manual of Nursing practice
Philadelphia.
1996.
Journals/Publication/
4.
Magazines
Learning Facilities &
B.
Infrastructure
1. Lecture Room 5*5m 1 1:25
2. Library 1 1:25
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5
D. Tools and Equipment Standard
1. Doll standard 5 1:5
2. Dressing set standard 5 1:5
3 LCD standard 1 1:25
4 LCD pointer standard 1 1:25

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE -02
TVET-PROGRAMME TITLE: Nursing Level IV
MODULE TITLE: Performing Nursing Assessment
MODULE CODE: HLT NUR4 M02 0122
NOMINAL DURATION: 176 Hours

MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge,
skills and attitude required to undertake nursing assessment, nursing diagnosis, nursing
planning, nursing implementation and nursing evaluation of patient care

LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Perform nursing assessment
LO2. Develop nursing diagnosis
LO3. Develop nursing plan
LO4. Implement nursing plan
LO5. Perform nursing evaluation

MODULE CONTENTS:
LO1. Perform nursing assessment
1.1. Concepts and types of assessment
1.2. History taking and physical examination/Medical approach/
1.3. Gordon’s /functional pattern assessment/
1.4. Actual and potential patient problems
1.5. Holistic assessment approaches
1.6. Keeping inpatient records
LO2. Develop nursing diagnosis
2.1. Types of nursing diagnosis
2.2. Prioritizing Problems
2.3. Developing Nursing diagnosis using NANDA
2.4. Keeping inpatient records
2.5. Keeping inpatient records
LO3. Develop nursing plan
3.1 Problem prioritization based on basic life need

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3.2 Setting Goals/expected outcomes
3.3 Selecting Appropriate interventions
3.4 Identifying resource to implement the plan
3.5 Recording in nursing care plan format
LO4. Implement nursing plan
4.1 Implementing the plan
4.2 Maintaining the standard and guideline during implementation
4.3 Recording in nursing care plan format
LO5. Perform nursing evaluation
5.1 Types of evaluations
5.2 Performing evaluation according to outcome criteria
5.3 Doing Re-assessment as required
5.4 Recording in nursing care plan format
Learning Methods:
 Interactive lecture
 Group discussion
 Demonstration
 Group assignment
 Individual assignment
Assessment Methods: Continuous 70%, Final 30%
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Skill check out
 Final written exam

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Ministry `of Labor and Skills Level-IV January 2022
Assessment Criteria
LO1.Perform nursing assessment
 Concepts and types of assessment are described.
 Subjective and objective data are collected based on functional health pattern
approach
 Actual and potential patient problems are identified
 Holistic approaches are used during assessment
 Recording inpatient chart is done
LO2. Develop nursing diagnosis
• Types of nursing diagnosis are identified.
• Problems are prioritized for the process based on the assessment
• Nursing diagnosis are developed using NANDA
• Records are kept in patient chart
LO3. Develop nursing plan
 Problems are prioritized based on basic life need
 Goals/expected outcomes are identified
 Appropriate interventions are selected for the problems
 Resource implications are identified to implement the plan
 Records are kept in nursing care plan format
LO4. Implement nursing plan
 Responsibilities are carried out as per the plan
 Procedures are followed using standard manuals and guidelines
 Records are kept in nursing care plan format
LO5. Perform nursing evaluation
 Types of evaluations are identified
 Nursing process are evaluated according to outcome criteria
 Re-assessment are applied whether the expected outcomes are achieved or not
 Records are kept in nursing care plan format

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Ministry `of Labor and Skills Level-IV January 2022
Annex: Resource Requirements

HLT NUR4 M02 0122 Performing Nursing Assessment


Item Description/ Recommended Ratio
Category/Item Quantity
No. Specifications (Item: Learner)
A. Learning Materials
1. TTLM 25 1:1
2. Textbooks 50 1:2
3. Reference Books
8th edition J.B.
Smetzer , Suzanne C Brunner and Lippincott
3.1 Suddarths Test book of medial company. 5 1:5
surgical nursing Philadelphia
1995
Lewis, Sharon mantik and Collier,
Idolia cox. Medical surgical 3rd Edition
3.2 nursing Assessment and Mosby st. Louis 5 1:5
management of clinical problems 1992

4. Journals/Publication/Magazines
Learning Facilities &
B.
Infrastructure
1. Lecture Room 5*5m 1 1:25
2. Library
3. (etc.)
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5
D. Tools and Equipment
1. Vital sign equipment Standard 5 1:5

2 Nursing Care plan formats Standard 5 1;5


3 Lap top Standard 1 1:25
4 LCD and pointer Standard 1 1:25
5 Snell chart Standard 5 1:25

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE- 3
TVET-PROGRAMME TITLE: Nursing Level IV
MODULE TITLE: Preventing and Managing Common Communicable and Neglected Tropical
Diseases
MODULE CODE: HLT NUR4 M03 0122
NOMINAL DURATION: 103Hours

MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge,
skills and attitude required to identify common communicable and neglected tropical diseases,
provide basic preventive, curative and referral services, undertake integrated diseases
surveillance.

LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Apply general principles of diseases prevention and control
LO2. Assess, screen and manage common communicable diseases
LO3. Assess, screen, promote and manage common Neglected Tropical diseases
LO4. Perform disease Surveillance
LO5. Follow up of Cases

MODULE CONTENTS:
LO1. Apply general principles of diseases prevention and control.
1.1. Principles of diseases prevention and control
1.2. Identifying Common communicable and neglected tropical diseases
1.2.1 Feco-oral transmitted Diseases
1.2.2 Air borne or direct contact communicable diseases
1.2.3 Arthropod borne (intermediate host borne) communicable
1.2.4 Sexually transmitted infections
1.2.5 Zoonotic diseases
1.2.6 Food borne diseases
1.2.7 Neglected tropical diseases includes
1.2.7.1 .Scabies
1.2.7.2 Schistosom
1.2.7.3 Leishmaniasis
1.2.7.4 Lymphatic

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1.2.7.5 Filariasis
1.2.7.6 Podoconiosis,
1.2.7.7 Trachoma
1.2.7.8 .Onchocerciasis
1.2.7.9 Leprosy,
1.2.7.10 Dracunculiasis
1.3. Planning to Explore community health problems
1.4. Designing Strategies to resolve the health problems
1.5. Identifying Most At Risk Populations (MARPs)
1.6. Applying Disease specific prevention and control measures
1.7. Compiling, reporting and documenting performed activities
LO2. Assess, screen and manage common communicable diseases
2.1 Assessing Common communicable diseases
2.2 Screening Common communicable diseases
2.3 Managing Common communicable diseases
2.4 Managing Special groups and cases
LO3. Assess, screen, promote and manage common Neglected Tropical diseases
3.1 Assessing Common neglected tropical disease
3.2 Screening Common neglected tropical disease
3.3 Prevention and control of Common neglected tropical disease
3.4 Managing Common neglected tropical disease
3.5 Referring Special cases for further investigation
LO4. Perform disease Surveillance
4.1 Preparing for integrated disease Surveillance
4.1.1 Questionnaire development
4.1.2 Pre-testing and amendment
4.1.3 Select and train data collectors
4.1.4 Avail required resources
4.2 Collecting data through active and passive surveillance
4.3 Organizing, analyzing and interpreting surveillance Data
4.4 Determining Possible and probable cases based on the standard case definition
4.5 Performing proper epidemic investigations and management
4.6 Submitting timely and complete reports

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Ministry `of Labor and Skills Level-IV January 2022
4.7 Collecting and disseminating feedback
LO5: Follow up of Cases
5.1. Monitoring Side effects of drugs
5.2. Ensuring drug compliance.
5.3. Tracing and managing of Defaulters
5.4. Ensuring follow up of cases as required
Learning Methods:
 Interactive lecture
 Group discussion
 Demonstration
 Group assignment
 Individual assignment
Assessment Methods: Continuous 70%, Final 30%
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Skill check out
 Final written exam

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Assessment Criteria
LO1. Apply general principles of diseases prevention and control.
• Principles of diseases prevention and control are described
• Common communicable and neglected tropical diseases are identified and classified
• Community health problems are Explored
• Strategies are Designed to resolve the health problems
• Most At Risk Populations (MARPs) are identifying
• Disease specific prevention and control measures are Applied
• Compilation, reporting and documentation is performed
LO2. Assess, screen and manage common communicable diseases
• Common communicable diseases are Assessed
• Common communicable diseases are Screening
• Common communicable diseases are Managed
• Special groups and cases are Managed
LO3. Assess, screen, promote and manage common Neglected Tropical diseases
• Common neglected tropical disease are assessed
• Common neglected tropical disease are Screened
• Prevention and control of Common neglected tropical disease is applied
• Common neglected tropical disease are Managed
• Referral is arranged for Special cases
LO4. Perform disease Surveillance
• Preparation is made for integrated disease Surveillance
• Data is Collected through active and passive surveillance
• Surveillance Data is managed
• Possible and probable cases are Determined based on the standard case definition
• Epidemic investigations and management is Performed
• Timely and complete reporting is made
• Feedback is Collected and disseminated
LO5: Follow up of Cases
• Side effects of drug is monitored
• Drug compliance is insured
• Defaulters are Traced and managed
• Follow up of cases ensured

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Ministry `of Labor and Skills Level-IV January 2022
Annex: Resource Requirements
HLT NUR4 M03 0122 Preventing and Managing Common Communicable and
Neglected Tropical Diseases
Item Description/ Recommended Ratio
Category/Item Quantity
No. Specifications (Item: Learner)
A. Learning Materials
1. TTLM
2. Textbooks
3. Reference Books
3.1 5 1:5
Abram S.
Control of communicable disease
Benson, 14th
in man interdisciplinary books
3.1 edition 5 1:5
pamphlets and periodicals,.
Washington
1985
4th edition UK
3.2 Manson’s tropical diseases, 5 1:5
4. Journals/Publication/Magazines
Learning Facilities &
B.
Infrastructure
1. Lecture Room 5*5m 1 1:25
2. Library
3. (etc.)
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5
D. Tools and Equipments
1. LCD 1 1:25
1 Computer 1 1:25
2 Lap top 1 1:25
3 LCD 1 1:25
4 Pointer 1:25
5 Chart 5 1:5

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE -04
TVET-PROGRAMME TITLE: Nursing -Level IV

MODULE TITLE: Providing Nursing Care for Medical and Surgical Health Problems
MODULE CODE: HLT NUR4 M04 0122
NOMINAL DURATION:356hrs

MODULE DESCRIPTION: This module aims to describe knowledge, skills and attitude
required to contribute to the care of the person with medical and surgical health problems by
performing nursing interventions that support their health care needs and assist them to regain
optimal function and lifestyle.

LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1.Identify the impact of medical and surgical health problems
LO2. Contribute to planning care for the client with medical and surgical Health problems
LO3. Contribute to multidisciplinary health care team in caring for clients in the critical care
environment
LO4. Perform nursing interventions for medical and surgical health problems
LO5. Manage medical and surgical related disorders

MODULE CONTENTS:
LO1. Identifying the impact of medical and surgical health problems
1.1 Introducing medical surgical nursing
1.2 Acute and chronic health care
1.3 Physical, psychological, social and economic impacts of illness
1.4 Overviewing of history taking and physical examination
1.5 Hierarchy of human needs

LO.2 Planning care for the client with medical and surgical Health problems
2.1 Admission and discharge
2.2 Advocating patient

LO.3 Contributing to multidisciplinary health care team in caring for clients in the critical
care environment

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Ministry `of Labor and Skills Level-IV January 2022
3.1. Critical situation
3.2. Multi-disciplinary team
3.3. Health care team
3.4. Role of specialist nursing
a. Factors affecting client situation

LO4. Performing nursing interventions for medical and surgical health problems
4.1 Critical thinking and problem solving approaches
4.2 Considering special group like Geriatrics
LO5. Managing medical and surgical related disorders
5.1 Caring for a patient with skin disorders
5.1.1 Assisting in diagnostic tests of dermatologic problem
5.1.2 Inflammatory and allergic conditions of the skin
5.1.3 Bacterial skin infections
5.1.4 Fungal skin infections
5.1.5 Viral skin disease
5.1.6 Skin cancer
5.1.7 Skin graft
5.1.8 Burn injury
5.2 Caring for patients with musculoskeletal disorders
5.2.1 Assessing musculoskeletal system
5.2.2. Soft tissue injuries
5.2.3. Caring for fractured patients
5.2.4. Joints and connective tissue disorders
5.3 Providing care for patients with respiratory disorders
5.3.1 Assessing respiratory functions
5.3.2 Upper respiratory disorders
5.3.3 Lower respiratory disorders
5.4 Providing care for patients with cardiac disorders
5.4.1 Assessing cardiovascular functions
5.4.2 Giving nursing care for a patient with arrhythmia
5.4.3 Giving nursing care for a patient with heart failure
5.4.4 Giving nursing care for a patient with rheumatic fever and rheumatic heart disease

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Ministry `of Labor and Skills Level-IV January 2022
5.4.5 Giving nursing care for a patient with infective endocarditis
5.4.6 Providing nursing care for a patient with pericarditis
5.4.7 Giving nursing care for a patient with myocardial infarction
5.4.8 Providing nursing care for a patient with angina pectoris
5.4.9 Providing nursing care for patients with vascular disorders
5.4.10 Giving nursing care for a patient in shock
5.4.11 Giving nursing care for a patient with arteriosclerosis and atherosclerosis
5.4.12 Giving nursing care for a patient with aneurysm
5.4.13 Providing nursing care for a patient with varicose veins
5.4.14 Giving nursing care for a patient with thrombophlebitis and phlebothrombosis
5.4.15 Giving nursing care for patients with blood disorders
5.5 Providing nursing care for the patient with gastrointestinal system disorders
5.5.1 Assessing gastro intestinal functions
5.5.2 Giving nursing care for a patient with mouth and related structures
5.5.3 Giving nursing care for a patient with oesophageal disorders
5.5.4 Giving Nursing care for the patient with gastric and duodenal disorders
5.5.5 Giving nursing care for a patient with blunt abdominal injuries
5.5.6 Giving nursing care for a patient with intestinal disorders
5.5.7 Giving nursing care for a patient with Ano-rectal Disorder
5.6 Giving nursing care for the patient with pancreatic, Hepatic and Biliary disorders
5.7 Giving nursing care for a patient with endocrine disorders
5.7.1 Assessing endocrine functions
5.7.2 Giving nursing care for a patient with diabetes mellitus
5.7.3 Giving nursing care for a patient with thyroid gland disorders
5.7.4 Giving nursing care for a patient with parathyroid gland disorders
5.7.5 Giving nursing care for a patient with adrenal gland disorders
5.7.6 Giving nursing care for a patient with Pituitary gland disorders
5.8 Providing nursing care for a patient with genito-urinary system problems
5.8.1 Assessing genito-urinaryfunctions
5.8.2 Giving nursing care for a patient with renal and urinary system disorders
5.9 Giving nursing care for a patient with ear, eye, nose, and throat disorders
5.9.1 Assessing ear, eye, nose, and throat functions
5.9.2 Giving nursing care for a patient with ear problems

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Ministry `of Labor and Skills Level-IV January 2022
5.9.3 Giving nursing care for a patient with nose and throat disorders
5.9.4 Giving nursing care for a patient with eye problems
5.10 Providing nursing care for a patient with neurological disorders
5.10.1 Assessing neurological functions
5.10.2 Giving nursing care for a patient with neurological disorders
5.11Giving nursing care for patients with immune disorders
5.11.1 Assessing immune functions
5.11.2 Giving nursing care for patients with immune disorders

Learning Methods:
 Interactive lecture
 Group discussion
 Demonstration
 Group assignment
 Individual assignment
Assessment Methods: Continuous 70%, Final 30%
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Skill check out
 Final written exam

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Ministry `of Labor and Skills Level-IV January 2022
Assessment Criteria
LO1. Identify the impact of medical and surgical health problems
 Medical and surgical nursing is described.
 Basic Anatomy and physiology of each system is overviewed.
 The physical and/or psychological impacts of acute and chronic health problems
on activities of daily living are clarified through discussion with the client and/or
family (with client consent)
 Understanding of the path physiology of the client’s is confirmed in
underlying/presenting condition
 The clinical manifestations of medical and surgical health problems on body
systems are clarified
 Actual and potential health issues of a client presenting with an acute health
problem are identified through discussion of information gained from a preliminary
health assessment with the appropriate members of the health care team
 Problem solving approach is used to assess the impact of the acute health problem
on the client and their family and the achievement of activities of daily living
 Available resources and support services are discussed with client/s and significant
others where appropriate with the consent of the client
 Confidentiality is maintained in line with facility policy and procedures
LO2 Contribute to planning care for the client with medical and surgical Health
problems
 Admission data for the client with an medical and surgical health problem, for
inclusion in a care plan is gathered and recorded according to organization policy

 Ongoing clinical data for inclusion in the client’s care plan is gathered and recorded in
line with organization policy

 Information and data on the activities of daily living for the client are discussed with an
acute illness for inclusion in a discharge plan

 Discussions on the care of the client are made with other members of the health team

LO3. Contribute to multidisciplinary health care team in caring for clients in the
critical care environment

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Ministry `of Labor and Skills Level-IV January 2022
 Emergency service personnel, referring agencies and other hospital department
staff are interacted appropriately health care team

 An understanding of the role of specialist nursing and medical services are done with the
care of clients in the critical care environment

 Multi-disciplinary team is collaborated with partnership with the client to maintain


continuity of care

 Factors relevant to client situation are identified to give consideration to the physical,
psychological, social and economic impacts

Data is collected and communicated with relevant the health care team
LO4. Perform nursing interventions for medical and surgical health problems
 Nursing interventions are undertaken based on predetermined plans of care

 Nursing interventions are ensured to reflect client needs and individuality

 Nursing interventions are performed with respect for the dignity of the client

 Consideration of cultural and religious issues is reflected in the performance of nursing


interventions

 The client and/or their significant others are encouraged to assist in the performance of
nursing interventions

 Physical, psychological and social needs in the performance of nursing interventions


are considered

 Nursing interventions are carried out in accordance with professional, legal, ethical and
organization requirements

 Critical thinking and problem solving approaches are used

 Clients are assisted to meet their activities of daily living

 Gender and age issues are addressed

LO5. Manage medical and surgical related disorders

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Ministry `of Labor and Skills Level-IV January 2022
 Admission data for the client with an medical and surgical health problem, for
inclusion in a care plan is gathered and recorded according to organization policy
 Ongoing clinical data for inclusion in the client’s care plan is gathered and
recorded in line with organization policy
 Information and data on the activities of daily living for the client are discussed
with an acute illness for inclusion in a discharge plan
 Discussions on the care of the client are made with other members of the health
team
 The rationale for the planned care and therapeutic interventions is explained in
assisting the client to achieve optimal health outcomes
 Factors relevant to client situation is identified by giving consideration to the
physical, psychological, social and economic impacts
 Client discharge procedure are implemented in line with organization policy and
procedures
 Changes in client condition are accurately gathered, documented and reported to
appropriate health care team members
 Clients in health and/or community settings are advocated

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Ministry `of Labor and Skills Level-IV January 2022
Annex: Resource Requirements
HLTNUR4 M04 0122 Providing Nursing Care for Medical and Surgical Health
Problems
Ite
Recommended
m Description/ Quanti
Category/Item Ratio
No Specifications ty
(Item: Learner)
.
A. Learning Materials
1. TTLM 25 1:1
2. Textbooks 1:2
3. Reference Books 50 1:2
8th edition J.B.
Smetzer , Suzanne C Brunner and Lippincott
3.1 Suddarths Test book of medial company. 5 1:5
surgical nursing Philadelphia
1995
Lewis, Sharon mantik and Collier,
Idolia cox. Medical surgical 3rd Edition
3.2 nursing Assessment and Mosby st. Louis 5 1:5
management of clinical problems 1992

4. Journals/Publication/Magazines
Learning Facilities &
B.
Infrastructure
1. Lecture Room 5*5m 1 1:25
2. Library 1 1:25
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5
D. Tools and Equipment
1. Doll 5 1:5
2. Dressing set 5 1:5
3 LCD 1 1:25
4 LCD pointer 1 1:25

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE-05
TVET-PROGRAMME TITLE: Nursing Level IV
MODULE TITLE: Preventing and Managing Common Non-Communicable Diseases
MODULE CODE: HLTNUR4 M05 0122
NOMINAL DURATION: 126 Hours

MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge,
skills and attitude required to improve the life style of the community that will enable to prevent
and control of common non-communicable disease. It also describes effective community based
rehabilitation (CBR) for the people with disabilities, early detection (screening), referral and
follow up of cases.
LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Prevent non-communicable diseases through provision of adequate information and
education.
LO2. Screen and refer clients requiring further investigation and management
LO3. Follow up of cases and promote community based rehabilitation

MODULE CONTENTS:
LO1. Prevent non-communicable diseases through provision of adequate information and
education.
1.1 Community diagnosis approach
1.2 Identifying cases though Community diagnosis
1.2.1 DM
1.2.2 Hypertension
1.2.3 CHF
1.2.4 Cancer
1.3 Preparing Plan to resolve the identified cases.
1.4 Methods to resolve the case are selected based on case management guideline
1.5 Preparing IEC materials
1.6 Providing Education to the community on healthy life style and early detection of
disease are provided.
1.7 Reporting and following cases

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Ministry `of Labor and Skills Level-IV January 2022
LO2. Screen and refer clients requiring further investigation and management
2.1. Performing history taking and physical examination
2.2. Managing Minor symptoms related to non-communicable disease
2.3. Identifying and counseling Individuals with risk factors.
2.4. Referral of Suspected cases

LO3. Follow up of cases and promote community based rehabilitation


3.1. Basic concept of disability
3.2.Mobilizing Community for taking care of people with disabilities.
3.3.Provide Trainings to selected family members and community based organizations.
3.4.Following cases per the feedback obtained from the health institution
Learning Methods:
 Interactive lecture
 Group discussion
 Demonstration
 Group assignment
 Individual assignment
Assessment Methods: Continuous 70%), Final 30%
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Skill check out
Final written exam

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Ministry `of Labor and Skills Level-IV January 2022
Assessment Criteria
LO1. Prevent non-communicable diseases through provision of adequate information
and education.
• Community diagnosis approach is described
• Cases are Identified though Community diagnosis
• Plan is prepared to resolve the identified cases.
• Methods are selected to resolve the cases
• IEC materials are Prepared
• Education is provided to the community on healthy life style and early detection of
disease
• Cases are Reported and followed
LO2. Screen and refer clients requiring further investigation and management
• History taking and physical examination is Performed
• Minor symptoms related to non-communicable disease are managed
• Individuals with risk factors are Identified and counseled
• Referral is provided to Suspected cases
LO3. Follow up of cases and promote community based rehabilitation
• Community Mobilization is performed for taking care of people with disabilities.
• Trainings are Provided to selected family members and community based
organizations.
• Cases are Followed as per the feedback obtained from the health institution

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Ministry `of Labor and Skills Level-IV January 2022
Annex: Resource Requirements
HLTNUR4 M05 0122 Preventing and Managing Common Non-Communicable
Diseases
Item Description/ Recommended Ratio
Category/Item Quantity
No. Specifications (Item: Learner)
A. Learning Materials
1. TTLM
2. Textbooks
3. Reference Books
Smetzer , Suzanne C Brunner 8th edition J.B.
and Suddarths Test book of Lippincott
3.1 5 1:5
medial surgical nursing company.
Philadelphia 1995
on selected non
communicable
diseases in
3.2 National guide line 5 1:
Ethiopia, MOH,
Addis

4. Journals/Publication/Magazines
Learning Facilities &
B.
Infrastructure
1. Lecture Room 5*5m 1 1:25
2. Library
3. (etc.)
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5
D. Tools and Equipments
1. Computer
2. LCD and pointer

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE -06
MODULE TITLE: Providing Care in the Pre/Post and Intra Operative Nursing
MODULE CODE: HLT NUR4 M06 0122
NOMINAL DURATION: 107Hours
MODULE DESCRIPTION: This unit describes the knowledge, skills and attitude required
to apply the practice of pre/post and intra operative nursing care, building upon existing skills
to enable the enrolled nurse to provide holistic nursing care enrolled nurses use arrange of
complex nursing interventions to assist client/s, and their significant others, to attain and
maintain optimal health.
LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Work as part of Health care team in pre /post and intra operative environment
LO2. Contribute to assessment of client undergoing surgical intervention
LO3. Contribute to planning care for pre/post and intra operative client
LO4. Perform clinical nursing actions appropriate to care of pre/post and
intraoperative clients
LO5. Evaluate effectiveness of nursing interventions and planned care in pre/postand
intra operative environment

MODULE CONTENTS:
LO1. Health care team working in pre /post and intra operative environment
1.1 . Introduction to operation theater and room design
1.2 . Role of the multi-disciplinary health care team
1.3 . Incorporating philosophical frame work for managing care
1.4 . Role of emergency service personnel
1.5 Professional communication team
LO2. Assessment of client undergoing surgical intervention
2.1 . Assessment of client undergoing surgical intervention
2.2 . Holistic client centered care
2.3 . Assessing documents to any special needs
LO3. Planning care for pre/post and intra operative client
3.1.Planning client care in the preoperative environment
3.2.Nursing care requirements

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Ministry `of Labor and Skills Level-IV January 2022
3.3. Maximizing physical function and minimizing complications
3.4. Risk management and principles
3.5. Planning care and therapeutic interventions
3.6. Health promotion and education
3.7. Reviewing plan of care
LO4. . Performing clinical nursing care of all phase
4.1 . Reprioritizing Nursing interventions
4.2 . Critical thinking & problem solving approaches
4.3 . Ensuring functioning and take corrective action of faulty equipment
4.4 . Following infection control to all activities
4.5 . Preoperative diagnostic procedures
4.6 . Performing nursing interventions
4.7 . Maintained safe environment
4.8 . Monitoring nursing interventions
4.10. Pre, Intra & Post-operative surgical procedures
4.11. Medication administration (principles of anesthesia)
LO5. Evaluation s of nursing interventions and planned care.
5.1. Client/s Responses to nursing interventions
5.2. Emergency treatment report
5.3. Assessing client condition prior to discharge/transfer
5.4. Discharge practice
Learning Methods:
 Interactive lecture
 Group discussion
 Demonstration
 Group assignment
 Individual assignment
Assessment Methods: Continuous 70%, Final 30%
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Skill check out
 Final written exam

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Ministry `of Labor and Skills Level-IV January 2022
Assessment Criteria
LO1. Health care team working in pre /post and intra operative environment
 The role of the multi-disciplinary health care team is contribute appropriately to support in
managing care needs of client in the pre/post and intra operative environment
 Relationships with other member so the healthcare team is established
 The philosophical frame work for managing care is incorporated into practice for the client in
the pre/post and inters operative environment
 The role of emergency service personnel, referring agencies and other hospital department staff
are recognized as contributors to the initial/emergency care needs of the client in the pre/post
and intra operative environment
 Professional communication with all members are maintained to the pre/post and intra operative
team
LO2. assessment of client undergoing surgical intervention
• Clients, their significant to the and other health team members are communicate defectively to
assessment of client undergoing surgical intervention
• Holistic client centered care is provided in the pre/post &intra operative environment
• Pre/postandintersoperativeassessmentisdocumentedtoanyspecialneedsidentifiedfortheclient
LO3. planning care for pre/post and intra operative client
 An individualized plan of care is developed for client in the preoperative environment in
conjunction with registered nurse/midwife/the client / health care team
 Registered nurse/ to ensure nursing care plan is participated with reflects specific nursing care
requirements in accordance with health unit policy
 Registered nurse/ to ensure care plan is made participatory with
reflects client‘s current nursing needs and nursing actions designed to
maximize physical function and minimize potential complications
 Understanding of risk management principles is demonstrated in planning client care
 Planned care and therapeutic interventions aim are confirmed to assist client/s to achieve
optimal health outcomes
 Requirements of client (and identified significant other/s) are identified for
 health promotion and education to enhance implementation of nursing care plan

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Ministry `of Labor and Skills Level-IV January 2022
 Regular review of plan is carried out of care and, in conjunction with registered nurse, modify
to reflect changes in client condition
LO4. Performing clinical nursing care of all phase
• Nursing interventions reprioritized according to client needs, in conjunction with registered
nurse/
• Nursing interventions are modified using critical thinking & problem solving approaches, to
reflect changes in client condition
• Nursing interventions are performed to assist client(and significant other/s)to meet expected
outcomes of using care plan, including health promotion and/or education
• A safe environment is maintained appropriately for the ages specific population
• Nursing interventions are monitored to address client needs and revise the min
consultation/collaboration with the health care team
• Environmental hazards are recognized advantage of every opportunity to reduce risk and
promote safety
• Equipment are checked according to manufacturer commendations ,ensure proper functioning
and take corrective action and report when faulty equipment and/or environmental hazards are
detected
• The practice of infection control is applied to all activities within the pre/post& ,applying a
surgical conscience at all times in line with Ethiopian standards
• Appropriate preoperative diagnostic procedures are undertaken in line with organization
policies and procedures
• Appropriate pre-operative surgical procedures are implemented in line with organization
policies and procedures
• Medication administration is ensured based on sound knowledge of principles of drug actions
and side effect in accordance with health unit policies and procedures
LO5. Evaluation s of nursing interventions and planned care.
• Responses of client/s and identified significant to nursing
interventions,anddocumentareevaluatedinaccordancewithhealthunitpolicyandinconjunctionwit
hregisterednurse
• Client understanding of their condition, medications and therapeutic regimes is assessed
according to prior discharge/transfer
• The registered nurse, ensured health teaching and discharge planning are in corporate in to
practice in line with established policies and procedures for discharge/transfer
• Emergency treatment and the client‘s response are reported and documented to evaluate
effectiveness of nursinginter ventions

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Ministry `of Labor and Skills Level-IV January 2022
Annex: Resource Requirements

HLT NUR4 M06 0122 Providing Care in the Pre/Post and Intra Operative Nursing
Recommended
Item Description/ Quanti
Category/Item Ratio
No. Specifications ty
(Item: Learner)
A. Learning Materials
1. TTLM 25 1:1
2. Textbooks
3. Reference Books
3.1 Fundamental of nursing 5 1:5
Bruner
3.2 5 1:5
3.3 Medical surgical /Sharon 5 1:5
4. Journals/Publication/Magazines
Learning Facilities &
B.
Infrastructure
Lecture Room standard
1.
2 LCD /Projector 1 1:25
3 Laptop/PIC
4 White board 1 1:25
5 Power point pointer 1 1:25
6. Library Standard
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5
D. Tools and Equipment
1. Doll 5 1:5
Dressing set
2. 5 1:5
3 Equipment
3.1 Head rests 5 1:5
3.2 Drapes 5 1:5
3.3 Sheets 5 1:5
3.4 Pillows 5 1:5
3.5 Shrouds 5 1:5
3.6 Cleaning materials 5 1:5
3.7 Personal protective equipment
3.7.1 Face protection 5 1:5

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Ministry `of Labor and Skills Level-IV January 2022
3.7.2 Eye protection 5 1:5
3.7.3 Gown 5 1:5
3.7.4 Apron 5 1:5
3.7.5 Surgical suits 5 1:5
3.7.6 Gloves 5 1:5
3.7.7 Protective footwear
Oxygen cylinder with flow
4. 1 1:25
meter and humidifier
5. Vital sign equipment’s 5 1:5
5.1. BP apparatus 5 1:5
5.2. Thermometer 5 1:5
5.3. Pulse oxymetre 5 1:5
5.4. Stethoscope 5 1:5
6 Tables 3 1:8
7 Trolley 5 1:5
8. Suction mation 2 2:12

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE 07
TVET-PROGRAMME TITLE: Nursing Level-IV
MODULE TITLE: Providing Maternal Health Care
MODULE CODE: HLT NUR4 M07 0122
NOMINAL DURATION: 212Hours
MODULE DESCRIPTION: This module aims to provide the trainees with the knowledge,
skills and attitudes required by an enrolled nurse working in the area of providing care to
mothers in arrange of settings, such as antenatal, labor and postnatal health care settings
LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Provide care for pregnant mother
LO2. Provide care for Laboring mother
LO3. Provide care for postpartum mothers
LO4: provide care of the mother with gynecological problems
MODULE CONTENTS:
LO1. Providing care for pregnant mother (Theory6hrs, Demo 4hrs)
1.1. Anatomy and physiology of female reproductive organ
1.2. Fertilization and implantation
1.3. Stages of fetal development
1.4. Fetal circulation
1.5. Physiologic changes of pregnancy
1.6. Terminology related with pregnancy
1.7. focused antenatal care
1.8. Assessing pregnant mother
1.9. Counseling pregnant mothers
1.10. Minor disorder of pregnancy
1.11. Common illness during pregnancy
LO2. Providing care for Laboring mother (Theory10hrs, Demo 8hrs)
2.1. Physiology of labor
2.2. Stages of labor
2.3. Comforting laboring mothers

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Ministry `of Labor and Skills Level-IV January 2022
2.4. The Partograph
2.5. Management of labor in each stages
2.6. Newborn assessment
2.7. Nursing care of the newborn
2.8. Complicated labor
2.9. Instrumental delivers
2.10. Assisting mother with feeding to baby
LO3. Providing care of postpartum labor (Theory10hrs, Demo 8hrs)
3.1. Anatomic and Physiologic change of the puerperium
3.2. Lactation
3.3. Care of the mother during the post-partum period
3.4. Safe bathing, dressing, feeding of the newborn
3.5. Abnormal observations during the postpartum period
3.6. Emotional, spiritual and/or specific cultural needs of the postpartum mother
3.7. Immunization for the mother and the baby
3.8. Counseling and health education of postnatal mother
3.9. Contraception for postpartum mother
LO4: providing care of the mother with gynecological problems (Theory6 hrs, Demo 4hrs)
4.1. Female congenital anomalies
4.2. Menstrual disorders and menopause
4.3. Pelvic inflammatory diseases
4.4. Abortion
4.5. Ectopic pregnancy
4.6. Uterine prolapsed and inversion
4.7. Couples with Infertility
4.8. Obstetrics fistula
4.9. Cancer of the reproductive organ
Learning Methods:
 Interactive lecture
 Group discussion
 Demonstration
 Role play
 Simulation

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Ministry `of Labor and Skills Level-IV January 2022
 Group assignment
 Individual assignment
Assessment Methods: Continuous 70%, Final 30%
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Skill check out
 Final written exam

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Ministry `of Labor and Skills Level-IV January 2022
Assessment Criteria
LO1. Provide care for pregnant mother
 Anatomy and physiology of female reproductive organ described
 Fertilization and implantation discussed
 Stages of fetal development elaborated
 Fetal circulation understood
 Physiologic changes of pregnancy were elaborated
 Terminology related with pregnancy were discussed
 focused antenatal care were provided
 An assessment is practiced to the pregnant mother Counseling pregnant
mothers
 Minor disorder of pregnancy is described
 Common illness during pregnancy is understood
LO2. Provide care for Laboring mother
 Physiology of labor is described
 Stages of labor is elaborated
 The mother is assisted and supported with feeding to baby
 The Partograph is understood
 Management of labor in each stages is described
 Newborn assessment is performed
 Nursing care of the newborn is performed
 Complicated labor is understood
 Instrumental delivers is assisted
 Comfort measures for laboring mothers undertaken

LO3. Provide care for postpartum mothers


 Anatomic and Physiologic change of the puerperium is understood
 Lactation is described
 Care of the mother during the post-partum period is counted
 Safe bathing, dressing, feeding of the newborn is assisted
 Abnormal observations during the postpartum period is identified and reported

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Ministry `of Labor and Skills Level-IV January 2022
 Emotional, spiritual and/or specific cultural needs of the postpartum mother is
maintained
 Immunization for the mother and the baby is performed
 Counseling and health education of postnatal mother is conducted
 Contraception for postpartum mother identified and assisted
LO4: Provide care of the mother with gynecological problems
 Female congenital anomalies is described
 Menstrual disorders and menopause were understood
 Pelvic inflammatory diseases is discussed
 Care of the mother who underwent abortion is conducted
 Ectopic pregnancy is understood
 Uterine prolapsed and inversion is understood
 Couples with Infertility were advised
 Care of the mother with obstetrics fistula is conducted
 Care of the mother with cancer of the reproductive organ is undertaken

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Ministry `of Labor and Skills Level-IV January 2022
Annex: Resource Requirements

HLT NUR4 M07 0122 Providing Maternal Health Care


Ite
Recommended
m Description/ Quanti
Category/Item Ratio
No Specifications ty
(Item: Learner)
.
A. Teaching and Learning Materials
1. TTLM 25 1:1
2. Textbooks
3. Reference Books
D.C. Dutta, Text book of third edition,
3.1 gynaecology, Calcutta, 2001 5 1:5

Twelfth edition,
3.2 Myles, Text book for midwives, Hong Kong (C) 5 1:5
1998
4. Journals/Publication/Magazines
Learning Facilities &
B.
Infrastructure
1. Lecture Room standard
2. Library Standard
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5
3. Pointer
D. Tools and Equipment
1. Doll 5 1:5
2. Dressing set 5 1:5

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE 8
TVET-PROGRAMME TITLE: Nursing Level IV
MODULE TITLE: Providing Child Health Care
MODULE CODE: HLT NUR4 M08 0122
NOMINAL DURATION: 214Hours

MODULE DESCRIPTION: This module aims to provide the knowledge, attitude skills
required by nurses working in the area of providing care to child, family and care giver.

LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Assess child growth and development
LO2. Manage infant and child with nutritional problems
LO3. Manage common medical and surgical childhood health problems
LO4. Manage expanded programme of immunization
LO5. Manage childhood illness using IMNCI protocol

MODULE CONTENTS:
LO1.Assessing child growth and development
1.1 Child development and growth
1.2 Child developmental stages
1.3 Factors affecting growth and developments Growth monitoring
LO2.Managing infant and child with nutritional problems
2.1. History taking & physical examination in children
2.2. Components of history taking and physical examination
2.3. Emergency, Triage, Assessment and Treatment (ETAT)
2.4. Basic concept of malnutrition
2.5. Moderate and sever acute malnutrition
2.6. Feeding Infant and Young children
LO3. Managing common medical and surgical childhood health problems
3.1 Identifying Common medical and surgical childhood problems
3.2 Managing Common respiratory problems
3.2.1 Tonsillitis
3.2.2 Croup syndrome
3.2.3 Bronchitis

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Ministry `of Labor and Skills Level-IV January 2022
3.2.4 Pulmonary Tb
3.2.5 Foreign body Aspiration
3.2.6 Bronchial Asthma
3.3 Managing Common gastrointestinal & metabolic problems
3.3.1 Intussusceptions & Volvulus
3.3.2 Hernia
3.3.3 Appendicitis
3.3.4 Diabetic mellitus
3.3.5 Iodine deficiency
3.4 Managing Common genitourinary problems
3.4.1 UTI
3.4.2 Acute Glomerulonephritis
3.4.3 Nephritic syndrome
3.4.4 Hydrocele
3.4.5 Undescended testicles
3.4.6 Male circumcision
3.5 Managing Common cardiovascular problems
3.5.1 Anaemia
3.5.2 Cardiac failure
3.5.3 Rheumatic heart disease
3.5.4 Haemophilia
3.5.5 Leukaemia
3.6 Managing Common muscular skeletal system problems
3.6.1 Fracture
3.6.2 Amputated child
3.6.3 Osteomyelitis
3.7 Managing Common nervous system problems
3.7.1 Convulsive disorder (seizure)
3.7.2 Neonatal sepsis and Meningitis
3.7.3 Paralysis
3.7.4 Mental Retardation
3.8 Managing Common Infectious diseases of children

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Ministry `of Labor and Skills Level-IV January 2022
3.8.1 Ophthalmic neonatorium
3.8.2 Congenital syphilis
3.8.3 Trachoma
3.8.4 Conjunctivitis
3.9 Managing Common Vaccine preventable diseases
3.9.1 Measles
3.9.2 Poliomyelitis
3.9.3 Diphtheria
3.9.4 Pertusis
3.9.5 Tetanus
3.9.6 Hepatitis .B viru
3.9.7 Hemophilus Influenza
3.9.8 Pneumococcal pneumonia
3.9.9 Diarrhea
3.9.10 Tuberculosis
3.10 Common congenital abnormalities
LO4.Managing expanded programme of immunization
4.1. Basic concept of EPI
4.2. Strategies of EPI
4.3. Types of immunization and vaccine
4.4. Target diseases of EPI in Ethiopia
4.5. Cold chain system
4.6. Calculating Target group /Eligible children, EPI coverage and dropout rate
4.7. Immunization schedule
LO5.Managing child hood illness using IMNCI protocol
5.1. IMNCI approach
5.2. Assess child hood illness
5.3. Classify child hood illness
5.4. Manage child hood illness
5.5. Charting, recording and reporting based on standard formats

Learning Methods:
 Interactive lecture

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Ministry `of Labor and Skills Level-IV January 2022
 Group discussion
 Demonstration
 Group assignment
 Individual assignment
Assessment Methods: Continous70%, Final 30%
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Skill check out
 Final written exam

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Ministry `of Labor and Skills Level-IV January 2022
Assessment Criteria
LO1. Assess child growth and development
o Basic concept of child development and growth is described
o Child developmental stage is described
o Theory of growth and developments are elaborated
o Factors affecting growth and developments are listed.
o Growth monitoring is described
LO2. Manage infant and child with nutritional problems
• History taking & physical examination in children is described
• Components of history taking are described
• Components of physical examination are described
• Basic concept of malnutrition of are described
• Moderate and sever acute malnutrition are managed
• Infant and Young children Feeding is performed.
LO3. Manage common medical and surgical childhood health problems
o Common medical and surgical childhood problems are differentiated
o Common respiratory problems are managed
o Common gastrointestinal & metabolic problems are managed
o Common genitourinary problems are managed
o Common cardiovascular problems are managed
o Common Muscular skeletal system problems are managed.
o Common Nervous system problems are managed
o Common Infectious diseases of children are managed
o Common vaccine preventable diseases are managed according to the existing
standard
o Common congenital abnormalities are described
LO4. Manage expanded programmed of immunization
 Concepts of EPI is described
 Strategies of EPI service is Explained
 immunization and vaccine types are described
 Target diseases of EPI in Ethiopia are described

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Ministry `of Labor and Skills Level-IV January 2022
 Cold chain system is described
 Eligible children, EPI coverage and dropout rate calculation are Explained
 Target age women in child bearing age, immunization campaign and scheduling
are described.
LO5. Manage child hood illness using IMNCI protocol

 IMNCI approach is described.


 Assess child hood illness according to current guide line
 Classify child hood illness according to current guide line
 Manage child hood illness according to current guide line
o Charting, recording and reporting are done

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Ministry `of Labor and Skills Level-IV January 2022
Annex: Resource Requirements
HLTNUR4 M08 0122 Providing child health care
Item Description/ Recommended Ratio
Category/Item Quantity
No. Specifications (Item: Learner)
A. Learning Materials
1. TTLM
2. Textbooks
3. Reference Books
Essential care for
Susan Rowen James, child health children and
3.1 5 1:5
nursing, families, 1988,
California
3.2 Training manual IMNCI Book let 5 1:5
4. Journals/Publication/Magazines
Learning Facilities &
B.
Infrastructure
1. Lecture Room 5*5m 1 1:25
2. Library
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5
D. Tools and Equipment
1. Computer 1 1:25
2. LCD and pointer 1 1:25

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE -09
MODULE TITLE: Managing Nutritional Problems and Provide Dietary Service
MODULE CODE: HLT NUR4 M09 0122
NOMINAL DURATION: 126hrs

MODULE DESCRIPTION: This unit describes the knowledge, skills and attitude required to
assess, screen, identify, plan and manage nutritional problems and provide dietary service in
nursing practice.

LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Identify different elements of food.
LO2. Assess nutritional requirements
LO3. Apply Feeding Infants and children
LO4. Apply nutritional assessment and intervention

MODULE CONTENTS:
LO1. Identifying different elements of food
1.1 . Classifications of nutrients
1.2 . Components and source of nutrients
1.3 . Nutritional standards
LO2. Assessing nutritional requirements
2.4 .Nutritional requirement
2.5 . Factors affecting nutritional requirements
2.6 . Malnutrition in Ethiopia
LO3. Applying feeding infants and children
3.1 Infants bottle feeding
3.2 . Determining nutritional requirements of infants and children
3.3 . Preparing Milk formula
LO4. . Nutritional assessment and intervention
4.9 . Nutritional assessment
4.10 Nutritional intervention
Learning Methods:
 Interactive lecture

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Ministry `of Labor and Skills Level-IV January 2022
 Group discussion
 Demonstration
 Group assignment
 Individual assignment
Assessment Methods: Continous70%, Final 30%
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Skill check out
 Final written exam

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Ministry `of Labor and Skills Level-IV January 2022
Assessment Criteria
LO1. Identifying different elements of food
 Different classifications of nutrients are described.
 Different elements of food are described based on a given nutritional standards
 Components ,source, classification, composition and function of different food
elements are identified based on nutritional guideline
LO2. Assessing nutritional requirements
• Nutritional requirement is addressed based on the standards.
• Factors affecting energy (calorie) requirement and reason for nutritional requirements
are addressed.
• Nutritional deficiency status in Ethiopia is addressed
LO3. Applying feeding infants and children
 Infants feeding bottles are cleaned and sterilized as needed.
 Milk formula is prepared as prescribed for infants.
 Nutritional requirements of infants and children are determined according to their
developmental stage.
LO4. Nutritional assessment and intervention
 Nutritional assessment is applied by using nutritional guide line.
 Nutritional intervention is addressed based on the guideline.

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Ministry `of Labor and Skills Level-IV January 2022
Annex: Resource Requirements
HLT NUR4 M09 0122 Managing Nutritional Problems and Provide Dietary Service
Recommended
Item Description/ Quanti
Category/Item Ratio
No. Specifications ty
(Item: Learner)
A. Learning Materials
1. TTLM 25 1:1
2. Textbooks
3. Reference Books
Jimma university
Tefera Belachew: Human nutrition faculty of public
3.1 5 1:5
for health science students, Health, January
2003
6the edition
Williams, Sue R, Essentials of
3.2 Mosby, st. 5 1:5
Nutrition and Diet Therapy
Louis,1994
3.3 Medical surgical /Sharon 5 1:5
4. Journals/Publication/Magazines
Learning Facilities &
B.
Infrastructure
Lecture Room Standard
1.

2 LCD /Projector 1 1:25


3 Laptop/PIC
4 White board 1 1:25
5 Power point pointer 1 1:25
6. Library Standard
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5
D. Equipment
1. Doll 5 1:5

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Ministry `of Labor and Skills Level-IV January 2022
2. 3 1:8
powder milk

3. Feeding bottle 3 1:8


4. Towel 5 1:5
5. Drapes 5 1:5
6. Sheets 5 1:5
7. Pillows 5 1:5
8. Cleaning& boiling materials 5 1:5
9. Personal protective equipment
9.1 Face protection 5 1:5
9.2 Eye protection 5 1:5
9.3 Gown 5 1:5
9.4 Apron 5 1:5
9.5 Gloves 5 1:5
9.6 Protective footwear/cover shoos
10. Vital sign equipment’s 5 1:5
10.1 BP apparatus 5 1:5
10.2 . Thermometer 5 1:5
10.3. Pulse oxymetre 5 1:5
10.4. Stethoscope 5 1:5
11. Trolley 5 1:5
12. Tables 3 1:8

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE -10
TVET-PROGRAMME TITLE: Nursing Level IV

MODULE TITLE: Providing Mental Health Care


MODULE CODE: HLT NUR M10 0122
NOMINAL DURATION: 87Hours

MODULE DESCRIPTION: This unit describes the performance outcomes, skills and
knowledge required to contribute to the nursing care and treatment of a person with a mental
health condition.

LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Identify Mental health legislation requirements.
LO2. Respond to signs of mental health problem
LO3. planning and conducting clinical observations
LO4. Recovery of a person with a mental health problem

MODULE CONTENTS:
LO1. Identifying mental health legislation requirements.
1.4 . Key elements of mental health
1.5 Mental Illness
1.6 . Values and philosophies of mental health care.
1.7 . Rights and dignity of the person.
LO2. Responding to signs of mental health problem
2.1. Myth to mental health problem.
2.2. Mental state and behavior
2.3. Assessment of psychiatric patient
2.4. Anxiety disorders
2.5. Anxiety related disorders
2.6. Schizophrenic disorder
2.7. Organic mental syndromes and disorder
2.8. Alcoholism
2.9. Substance abuse

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Ministry `of Labor and Skills Level-IV January 2022
1.10 Eating disorders
1.11 Child abuse and Neglect
1.12 Personality disorders
1.13 Psychopharmacology
LO3. planning and conducting clinical observations
3.4 . Risk assessment and plan care
3.5 . Multidisciplinary health care team
3.6 . Health promotion and educational.
3.7 . Maximizing health care outcomes
LO4. . Recovery of a person mental health problem
4.1 prioritizing , interventions and implementing
4.2. respecting dignity and uniqueness of care
4.3. Participating others in therapeutic interaction.
4.6. Supporting valuable member of community affecters.
4.7. strategies responding to barriers

4.8. Nursing practice reflect clients recovery-


Learning Methods:
 Interactive lecture

 Group discussion

 Demonstration

 Group assignment

 Individual assignment

Assessment Methods: Continuous 70%), Final 30%


 Continuous assessments (quiz, assignment, tests etc.).

 Oral questioning

 Skill check out

 Final written exam

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Ministry `of Labor and Skills Level-IV January 2022
Page 64 of 87 Author/Copyright : Nursing Version -I
Ministry `of Labor and Skills Level-IV January 2022
Assessment Criteria
LO1. Identifying mental health legislation requirements
 Key features of mental health are identified and evaluated as legislation applies to own
work practices and the health care setting.
 Values and philosophies are applied to mental health care.
 Rights and dignity of the person with a mental health condition is supported.
LO2. Responding to signs of mental health problem
• . Myth related to mental health is addressed.
• Conditions relating to the mental state and behavior are identified using broad
classifications of mental health conditions and terms associated with mental health
conditions.
• Signs and symptoms of client with mental health conditions is recognized and
responded within the scope of an enrolled nurse.
• Bio-psychosocial effects in the person with a mental health condition are recognized.
• Impacts that racism, discrimination, negative stereotyping is recognized and stigma
can have on a person with a mental health condition and own interactions with the
person are positive is insured.
• Person with a mental health condition is negotiated.

LO3. Applying feeding infants and children


 Risk assessment is undertaken using recognized risk assessment methodology,
under supervision of a registered nurse to develop the plan of care for the person.
 Multidisciplinary health care team is recognized meetings to ensure resources
and approaches used in care planning meet individual and group needs.
 Health promotion and educational strategies in accordance with organizational
policies and procedures in response to signs and symptoms of reduced physical
health is provided.
 Recovery principles to nursing care with support from multidisciplinary health
care team to maximize health outcomes for individuals and groups applied.
LO4. Recovery of a person mental health problem
 Nursing interventions with the person, registered nurse, multidisciplinary health
care team and the person’s families and care giver is planned, prioritized and

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Ministry `of Labor and Skills Level-IV January 2022
implemented.
 Person’s dignity and uniqueness and use strategies to encourage their contribution
to their own plan of care respected.
 Person, families and care giver are assisted to participate in therapeutic
interaction.

 Personas supported as a valued member of the community to build on their own


strengths and to take as much responsibility as possible for decisions that affect
their lives.

 Possible strategies to responded barriers to mental health promotion is identified

 Principles of contemporary, evidenced-based nursing practice that reflect


recovery-oriented care for a person who has a mental health condition are
identified and applied

Annex: Resource Requirements


HLTNUR4 M10 0122 Providing Mental Health Care
Recommended
Item Description/ Quanti
Category/Item Ratio
No. Specifications ty
(Item: Learner)
A. Learning Materials
1. TTLM 25 1:1
2. Textbooks
3. Reference Books
4th Edition.
Stuart, G.W. & Sundeen, S.J.
Mosby Year
3.1 Principles and practice of 5 1:5
Book, St. Louis,
Psychiatric Nursing.
1991
3rd Edition. J.B
Shives Rebraca lousise Basic Lippincott
3.2 concepts of psychiatric mental company 5 1:5
health nursing Philadelphia
1994
3.3 Medical surgical /Sharon 5 1:5
4. Journals/Publication/Magazines

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Ministry `of Labor and Skills Level-IV January 2022
Learning Facilities &
B.
Infrastructure
Lecture Room standard
1.
2 LCD /Projector 1 1:25
3 Laptop/PIC
4 White board 1 1:25
5 Power point pointer 1 1:25
6. Library Standard
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5

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Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE -11
MODULE TITLE: Providing Community Health Nursing
MODULE CODE: HLT NUR M11 0122
NOMINAL DURATION:71 Hours
MODULE DESCRIPTION: This unit describes the knowledge, skills and attitude required to
provide care for the community in line with the needs of prevention & control of diseases in
Accomplishing organizational activities relating to its coverage.
LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Professional relationship in health team & community.
LO2. Privacy and confidential to rural health service environment.
LO3. Health care teaching
LO4. Physical & psychological safe environment
MODULE CONTENTS:
LO1. Professional relationship in health team & community.
1.8 . Community health nursing
1.9 . Community and institutional health
1.10 . Goals and Responsibilities of nurse
1.11 . Importance of Community involvement
1.12 . Socio cultural and behavior needs of community
1.13 . Quality health care
LO2. Privacy and confidential to rural health service environment.
2.7 . Working relationship in the community
2.8 . Assessing health & nursing situation in the community
2.9 . Formulating community diagnosis
2.10 . Nursing process for Prevention level of diseases
2.11 . Evaluating nursing process in the community
LO3. Health care teaching
3.8 Basic nursing care at home
3.9 Family assessment during home visit
3.10 Identifying Cultural diversity in the family
3.11 Risk factors affecting family health
3.12 Preventive, promotive and rehabilitative nursing care for the family

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Ministry `of Labor and Skills Level-IV January 2022
LO4. . Physical & psychological safe environment
4.11 Health service to the community
4.12 School health service
4.13 Basic prison health service
4.14 Basic Occupational health service
4.15 Health education in the community
4.16 Safety & accident prevention
4.17 Environmental health
4.18 Community waste treatment system
4.19 Sanitation programmers
4.10. Assessing Food and drink
Learning Methods:
 Interactive lecture
 Group discussion
 Role play
 Group assignment
 Individual assignment
Assessment Methods: Continuous 70%, Final 30%
 Continuous assessments (quiz, assignment, tests etc.).
 Oral questioning
 Final written exam

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Ministry `of Labor and Skills Level-IV January 2022
Assessment Criteria
LO1. Identifying different elements of food
 Different classifications of nutrients are described.
 Different elements of food are described based on a given nutritional standards
 Components ,source, classification, composition and function of different food
elements are identified based on nutritional guideline
LO2. Assessing nutritional requirements
• Nutritional requirement is addressed based on the standards.
• Factors affecting energy (calorie) requirement and reason for nutritional requirements
are addressed.
• Nutritional deficiency status in Ethiopia is addressed
LO3. Applying feeding infants and children
 Infants feeding bottles are cleaned and sterilized as needed.
 Milk formula is prepared as prescribed for infants.
 Nutritional requirements of infants and children are determined according to their
developmental stage.
LO4. Nutritional assessment and intervention
 Nutritional assessment is applied by using nutritional guide line.
 Nutritional intervention is addressed based on the guideline.

Annex: Resource Requirements

HLTNUR4 M11 0122 Providing Community Health Nursing


Recommended
Item Description/ Quanti
Category/Item Ratio
No. Specifications ty
(Item: Learner)
A. Learning Materials
1. TTLM 25 1:1
2. Textbooks
3. Reference Books

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Ministry `of Labor and Skills Level-IV January 2022
Lewis & Co.
3.1 Alcock PA. Food hygiene manual. Ltd. London, 5 1:5
1980
Chichester: John
Cairncross S, and Feachem RG. Wiley & Sons,
3.2 5 1:5
Environmental health engineering 1983
in the tropics: an introductory text.
3.3 Medical surgical /Sharon 5 1:5
4. Journals/Publication/Magazines
Learning Facilities &
B.
Infrastructure
Lecture Room standard
1.
2 LCD /Projector 1 1:25
3 Laptop/PIC
4 White board 1 1:25
5 Power point pointer 1 1:25
6. Library Standard
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pencil HB 5 1:5
3. Pen Ball point 5 1:5

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Ministry `of Labor and Skills Level-IV January 2022
.

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Ministry `of Labor and Skills Level-IV January 2022
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Ministry `of Labor and Skills Level-IV January 2022
Page 74 of 87 Author/Copyright : Nursing Version -I
Ministry `of Labor and Skills Level-IV January 2022
LEARNING MODULE 12 Logo of TVET Provider
TVET-PROGRAMME TITLE: Nursing -Level-IV
MODULE TITLE : Managing Community Health Service
MODULE CODE : HLT NUR4 M12 0122
NOMINAL DURATION: 100 Horus
MODULE DESCRIPTION: This module covers the knowledge, skills and attitude required to
manage health service of the area to improve quality of service.
LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Follow organizational guidelines, understand health policy and service delivery system
LO2. Plan, manage, monitor and evaluate health system
LO3. Lead and build individual’s and team’s capacity
MODULE CONTENTS:
LO1. Follow Organizational Guidelines, Understand Health Policy and Service Delivery
System
1.1 Recognizing the policy and organization of the health care system
1.2 Discussing primary healthcare in Ethiopia
1.3 Identifying elements of primary health care
1.4 Describing health service extension program
1.5 Tracking workplace instructions and policies
1.6 Enduring organizational programs and procedures
1.7 Using organizational resources
1.8 Identifying equity issues in population health
1.9 Describing basic principles of leadership
LO2. Plan, Manage, Monitor and Evaluate Health System
2.1. Demanding management skills to bring efficient health care system
2.2. Planning Health programs
2.3. Managing Resources
2.4. Developing individual and team capacity
2.5. Resolving issues promptly and effectively
2.6. Developing health service monitoring and evaluation mechanism

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Ministry `of Labor and Skills Level-IV January 2022
LO3. Lead and Build Individual’s and Team’s Capacity
3.1. Identifying Self- improvement areas
3.2. Identifying goals and objectives of learning and development program
3.3. Identifying and implementing, learning and development needs
3.4. Providing coaching and mentoring
3.5. Developing joint action plans
3.6. Allocating duties and responsibilities
3.7. Attaining organizational goals through collaborative efforts
3.8. Developing feedback mechanism
LEARNING METHODS:
 Lecture-discussion
 Demonstration
 Group discussion
 Exercise
 Individual assignment

ASSESSMENT METHODS:
 Interview
 Written test
 Demonstration/Observation

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Ministry `of Labor and Skills Level-IV January 2022
ASSESSMENT CRITERIA:
LO.1 Follow organizational guidelines, understand health policy and service delivery
system
 The policy and organization of the health care system of Ethiopia is comprehended
 Primary healthcare in Ethiopia is understood
 Elements of primary health care are identified
 Health service extension program is understood
 Workplace instructions and policies are followed.
 Organizational programs and procedures are supported within the job role.
 Organizational resources are used for the purpose intended
 equity issues in population health are identified
 basic principles of leadership are described
LO2. Plan, manage, monitor and evaluate health system
 Management skills required to bring about efficient health care system are dealt with
 Health programs are planned
 Resources for health care are managed
 Individual and team capacity is developed
 Issues raised through participation and consultation are resolved promptly and effectively
 Health service monitoring and evaluation mechanisms are developed
LO3. Lead and build individual’s and team’s capacity
 Self- improvement areas are identified based on individual’s self- performance evaluation.
 Learning and development needs are systematically identified and implemented in line with
organizational requirements
 Learning and development program goals and objectives are identified to match the specific
knowledge and skills requirements of competence standards
 Workplace learning opportunities and coaching/ mentoring are provided to facilitate
individual and team achievement of competencies
 Joint action plans are developed by team and individuals.
 Duties and responsibilities are allocated based on the skills, knowledge and aptitude required
to properly undertake the assigned task as well as considering individual’s preference,
 Collaborative efforts are made to attain organizational goals

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Ministry `of Labor and Skills Level-IV January 2022
 Feedback from individuals or teams is used to identify challenges, develop interventional
strategies, and implement them to bring about improvement.

ANNEX: RESOURCE REQUIREMENTS


HLT NUR4 M12 01 22: Managing Community Health Service
Recommend
Ite
ed Ratio
m Category/Item Description/ Specifications Quantity
(Item:
No.
Learner)
A. Learning Materials
1. TTLM 25 1:1
National health policy guidelines
2. Reference Books 5 1:5
SBCC modules
Health Indicators/latest
Journals/Publication/
3. EDHS,2016 Fact sheets 5 1:5
Magazines
Standard formats
Learning Facilities &
B.
Infrastructure
1. Lecture Room 5*5m 1 1:25
2. Library Standard (colleges library) 1
Consumable
C.
Materials
1. Paper A4 5rim 1:5
2. Pen
3 Pencil and rubber As required
4 Graph paper
5 Bucher paper 10 1:3
6 Marker 12 per pack
7 Printer ink 4
8 White board marker 6 per pack 15
9 Plaster Rol3
D. Tools and

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Ministry `of Labor and Skills Level-IV January 2022
Equipment’s
1. Computer Lap top 1 1:25
2. LCD projector LCD Projector 1 1:25
3. Printer 1 1:25
4 Photocopy machine 1 1:25
5 Scanner Smart 1 1:25
6 Hard disk 500 GB 1 1:25
7 White board 110X80mm 1 1:25

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Ministry `of Labor and Skills Level-IV January 2022
Logo of TVET
LEARNING MODULE 13
Provider
TVET-PROGRAM TITLE: Nursing Level IV
MODULE TITLE: Preventing and Eliminating MUDA
MODULE CODE: HLT NUR4 M13 0122
NOMINAL DURATION: 56 Hours

MODULE DESCRIPTION: This module covers the knowledge, skills and attitude required by
a worker to prevent and eliminate MUDA/wastes in his/her workplace by applying scientific
problem-solving techniques and tools to enhance quality, productivity and other kaizen elements
on continual basis. It covers responsibility for the day-to-day operation of the work and ensures
Kaizen Elements are continuously improved and institutionalized.

LEARNING OUTCOMES
At the end of the module the learner will be able to:
LO1. Prepare for work
LO2. Identify MUDA and problem
LO3. Analyze causes of a problem
LO4. Eliminate MUDA and Assess effectiveness of the solution
LO5. Prevent occurrence of wastes and sustain operation

MODULE CONTENTS:
LO1. Prepare for work
1.1 Using work instructions.
1.2 Reading and interpreting Job specification
1.3 Observing OHS requirements
1.4 Selecting appropriate material
1.5 Safety equipment and tools
LO2. Identify MUDA and problem
2.1 Preparing and implementing Plan of MUDA.
2.2 Causes and effects of MUDA.
2.3 Tools and techniques to draw &analyze current situation.
2.4 Identifying and measuring waste/MUDA.
2.5 Relevant procedures of identifying &measuring MUDA.
2.6 Reporting Identified and measured wastes

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Ministry `of Labor and Skills Level-IV January 2022
LO3. Analyze causes of a problem
3.1 Listing possible case of the problems.
3.2 Analyzing Cause relationships using4M1E.
3.3 Identifying Causes of the problems
3.4 Select the root cause
3.5 Listing all possible ways to eliminate the most critical root cause
3.6 Testing and evaluating the solutions
3.7 Action plan summaries.
LO4. Eliminate MUDA and Assess effectiveness of the solution
4.1 Preparing and implementing elimination plan of MUDA
4.2 Necessary attitude to eliminate MUDA
4.3 The ten basic principles to eliminate MUDA
4.4 Tools and techniques to eliminate wastes/MUDA.
4.5 Reducing and eliminating Wastes/MUDA.
4.6 Reporting Improvements.
LO5. Prevent occurrence of wastes and sustain operation

4.1 Preparing and implementing prevention plan of MUDA.


4.2 Discussing and preparing standards for
4.2.1 Machines
4.2.2 Operations
4.2.3 Defining normal and abnormal conditions.
4.2.4 Clerical procedures and procurement.
4.3 Visual and auditory control methods.
4.4 Using 5W and 1H sheet for waste-free workplace
4.5 Doing completion of required operation.
4.6 Updating of standard procedures and practices.
4.7 Ensuring capability of the work team

LEARNING METHODS:
 Lecture-discussion

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Ministry `of Labor and Skills Level-IV January 2022
 Demonstration
 Group discussion
 Exercise
 Individual assignment
ASSESSMENT METHODS:
 Interview
 Written test
 Demonstration/Observation

ASSESSMENT CRITERIA:
LO1. Prepare for work
 Work instructions are used to determine job requirements, including method, material and
equipment.
 Job specifications are read and interpreted following working manual.
 OHS requirements, including dust and fume collection, breathing apparatus and eye and
ear personal protection needs are observed throughout the work.
 Appropriate material is selected for work.
 Safety equipment and tools are identified and checked for safe and effective operation.
LO2. Identify MUDA and problem
 Plan of MUDA and problem identification is prepared and implemented.
 Causes and effects of MUDA are discussed.
 All possible problems related to the process /Kaizen elements are listed using statistical
tools and techniques.
 All possible problems related to kaizen elements are identified
 Are used to draw and analyze current and listed on Visual Management Board/Kaizen
Board.
 Tools and techniques situation of the work place.
 Wastes/MUDA are identified and measured based on relevant procedures.
 Identified and measured wastes are reported to relevant personnel
LO3. Analyze causes of a problem
 All possible causes of a problem are listed.

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Ministry `of Labor and Skills Level-IV January 2022
 Cause relationships are analyzed using4M1E.
 Causes of the problems are identified.
 The root cause which is most directly related to the problem is selected.
 All possible ways are listed using creative idea generation to eliminate the most critical root
cause.
 The suggested solutions are carefully tested and evaluated for potential complications.
 Detailed summaries of the action plan are prepared to implement the suggested solution.
LO4. Eliminate MUDA and Assess effectiveness of the solution
 Plan of MUDA elimination is prepared and implemented by medium KPT members.
 Necessary attitude and the ten basic principles for improvement are adopted to eliminate
waste/MUDA.
 Tools and techniques are used to eliminate wastes/MUDA based on the procedures and
OHS.
 Wastes/MUDA are reduced and eliminated in accordance with OHS and organizational
requirements.
 Tangible and intangible results are identified.
 Tangible results are compared with targets using various types of diagrams.
 Improvements gained by elimination of waste/MUDA are reported to relevant bodies.
LO5. Prevent occurrence of wastes and sustain operation
 Plan of MUDA prevention is prepared and implemented.
 Standards required for machines, operations, defining normal and abnormal conditions,
clerical procedures and procurement are discussed and prepared.
 Occurrences of wastes/MUDA are prevented by using visual and auditory control methods.
 Waste-free workplace is created using 5W and 1Hsheet.
 The completion of required operation is done in accordance with standard procedures and
practices.
 The updating of standard procedures and practices is facilitated.
 The capability of the work team that aligns with the requirements of the procedure is
ensured and trained on the new Standard Operating Procedures (SOPs).

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Ministry `of Labor and Skills Level-IV January 2022
ANNEX: RESOURCE REQUIREMENTS

HLT NUR4 M13 0122 Preventing and Eliminating MUDA


Item Category/Item Description/ Specifications Quantity Recommended
No. Ratio
(Item: Learner)
A. Learning Materials
1. TTLM 25 1:1
 National health policy
2. Reference Books  Guidelines 5 1:5
 HES Training modules
 Health Indicators/latest
Journals/Publication/  EDHS,2016
3. 5 1:5
Magazines  Fact sheets
 Standard formats
Learning Facilities &
B.
Infrastructure
1. Lecture Room Standard 1 1:25
2. Library Standard (colleges library) 1
3. Demonstration room 1 1:25
C. Consumable Materials
1. Paper A4 5rim 1:5
2. Pen
As
3 Pencil and rubber
required
4 Graph paper

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Ministry `of Labor and Skills Level-IV January 2022
12 per
5 Marker
pack
6 Printer ink 4
7 White board marker 6 per pack 15
8 Plaster Rol3
As
9 Medical supplies
required
D. Tools and Equipment
1. Computer Lap top 1 1:25
2. LCD projector LCD Projector 1 1:25
3. Printer 1 1:25
4 Photocopy machine 1 1:25
5 Scanner Standard 1 1:25
6 Hard disk 1 TB 1 1:25
7 White board 110X80mm 1 1:25

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Ministry `of Labor and Skills Level-IV January 2022
Acknowledgement

The Ministry of Health and Ministry of Science and Higher Education (Federal TVET
Agency) wishes to extend thanks and appreciation to the many representatives of industry,
academe and government agencies who donated their time and expertise to the development
of this Model Curriculum for the TVET Program
Nursing Level IV

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Ministry `of Labor and Skills Level-IV January 2022
The trainers who developed the curriculum
No Name Qualification Educational Region Organization Mobile number E-mail
background
1 Tajebe Kumela MPH(EVA Environmental AA MoH 0936562574 Tajebe.kumela@moh.gov.et
&OCCP) health
2 Kubera Gobeze MPH Nurse/Midwife AA MoH 0921970038 Kubera.gobeze@moh.gov.et

3 Mulken Kasahun BED Electronics AA TVET 0910779269 Muluk.last@gmail.com


technology
4 Fikre Bojola MPH Nurse SNNPR Arbaminch 0924744202 fikrebojola94@gmail.com
CHS
5 Befikadu Worku MSC TEVET Nurse AA ENA 0929336909 Befikaduworku026@gmail.com
L&Mgt.
6 Dagmawit Birhanu MSC(Maternity Nurse AA ENA 0953316590 dagbirhanu@gmial.com
Nurse)
7 Setusega Jote MPH Nurse AA Minilik II 0911894431 jotiye@yahoo.com
heath since
collage
8 Dinke Tadesse MSC Medical Nurse AA Dessie Health 0914736645 dinkitu@gmail.com
nurse since collage
This model curriculum was developed on Jan 2022 at Adama.

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Ministry `of Labor and Skills Level-IV January 2022

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