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SYLLABUS AND REGULATIONS

Post Basic B.Sc. Nursing


(2 years program)

2018 – 2019 Revised

PONDICHERRY UNIVERSITY
R .V. Nagar, Kalapet
Pondicherry -605014
S. No Content Page No.
I Philosophy 1
2
II Aims
III Objectives 2

IV Course Outcome 2
Regulations of the university 3
1. Eligibility for admission 3
2. Duration of the course and course of study 4
3. Medium of Instruction 4
4. Minimum working days in an academic year 4
5. Registration 4
6. Attendance required for appearing examination 4
7. Condonation for lack of Attendance 4
8. Internal Assessment 5
V 9. Examinations 6
10. Marks qualifying for Pass 7
11. Eligibility/Maximum duration for the award of the degree 7
12. Declaration of Class 7
VI Course of Instruction 8
VII Scheme of Examination 9
VIII Course Description 11
I Year
1. Nursing Foundation 11
2. Nutrition & Dietetics 13
3. Biochemistry and Biophysics 15
4. Psychology 19
5. Microbiology 22
6. Maternal Nursing 25
7. Child Health Nursing 28
8. Medical & Surgical Nursing 31
9. English 37
II Year
10. Sociology 39
11. Community Health Nursing 42
12. Mental Health Nursing 47
13. Introduction to Nursing Education 51
14. Introduction to Nursing Service Administration 54
15. Introduction to Nursing Research &Statistics 57
Appendices
IX 1. Question Paper Pattern 60
2. Guidelines for starting College of Nursing
65

(i)
I. Philosophy:

(Adapted from Indian Nursing Council ) *


We believe that:
Health is a state of well- being that enables a person to lead a psychologically,
socially and economically productive life. Health is a right of all the people. Individuals,
families and communities have a responsibility towards maintaining their health.
Nursing contributes to the health services in a vital and significant way in the health
care delivery system. It recognizes national health goals and is committed to participate in
the implementation of National Health Policies and programmes. It aims at identifying
health needs of the people, planning and providing quality care in collaboration with other
health professional and community groups.
Scope of nursing practice encompasses provision of promotive, preventive, curative
and rehabilitative aspects of care to people across their life span in wide variety of health
care settings. Practice of nursing is based upon application of basic concepts and
principles derived from the physical, biological and behavioural sciences
Nursing is based on values of caring, and aims to help individuals to attain
independence in self-care. It necessitates development of compassion and understanding
of human behaviour among its practitioners to provide care with respect and dignity and
protect the rights of individuals & groups.
Undergraduate nursing program at post basic level is broad based education within
an academic framework specifically directed to the development of critical thinking skills,
competencies & standards required for practice of professional nursing and midwifery as
envisaged in National Health Policy 2002.
The teachers have the responsibility to be role models and create learning
environment that enables students to acquire inquiry driven, self directed learning and
foster an attitude of life long learning.
Under graduate nursing education program at post basic level prepares its
graduates to become exemplary citizen by adhering to code of ethics and professional
conduct at all times in fulfilling personal, social and professional obligations so as to
respond to national aspirations.

1
II. AIMS:
The aim of the undergraduate Nursing program at the Post Basic level is to upgrade
the diploma (GNM) Nurses to:
• Assume responsibilities as professional, competent nurses and midwives at basic
level in providing promotive, preventive, curative, and rehabilitative services.
• Make independent decisions in nursing situations, protect the rights and facilitate
individuals and groups in pursuit of health, function in the hospital, community nursing
services, and conduct research studies in the areas of nursing practice. They are
also expected to assume the role of teacher, supervisor, and manager in clinical/public
health settings.

III. OBJECTIVES:
On completion of Post-Basic B.Sc. Nursing degree course the graduates will be able to:
1. Assess health status, identify nursing needs, plan, implement and evaluate nursing care
for patients / clients that contribute to health of individuals, families and communities.
2. Demonstrate competency in techniques of nursing based on concepts and principles
from selected areas of nursing, physical, biological and behavioral sciences.
3. Participate as members of health team in the promotive, preventive, curative and
restorative health care delivery system of the country.
4. Demonstrate skills in communication and interpersonal relationship.
5. Demonstrate leadership qualities and decision-making abilities in various situations.
6. Demonstrate skills in teaching to individuals and groups in community health settings.
7. Demonstrate managerial skills in community health settings.
8. Practice ethical values in their personal and professional life.
9. Participate in research activities and utilize research findings in improving nursing
practice.
10. Recognise the need for continued learning for their personal and professional
development.
IV. COURSE OUTCOME
At the end of the course of P.B.B.Sc(N) Program, the graduate nurse will be able to
function as General Nurse practitioner to provide comprehensive care / supervise and train
nursing students at various health care settings and educational institutions and adhere to the
code of Nursing Ethics.

2
PONDICHERRY UNIVERSITY

Purducherry-14

V. REGULATIONS OF THE UNIVERSITY


SHORT TITLE AND COMMENCEMENT

These regulations shall be called “The Regulations For The Post Basic Bachelor Of
Science (Nursing) Degree Course of Pondicherry University, Puducherry”.
They shall come into force from the academic year 2018-2019 onwards.
The regulation and syllabi are subject to modifications by the standing Under
Graduate Board of Studies for nursing course from time to time.
REGULATIONS
1. ELIGIBILITY FOR ADMISSION:

1.1. Passed the Higher Secondary or Senior Secondary or Intermediate or 10+2 or an


equivalent examination recognized by the university for this purpose. Those who
have done 10+1 in or before 1986, will be eligible for admission.
1.2. Obtained a certificate in General Nursing and Midwifery and registered as
R.N.R.M. with the State Nurses Registration Council. A male nurse, trained before
the implementation of the new integrated course besides being registered as a nurse
with State Nurses Registration Council, shall produce evidence of training approved
by Indian Nursing Council for a similar duration in lieu of midwifery in any one of
the following areas:

 O.T. Techniques
 Ophthalmic Nursing
 Leprosy Nursing
 TB Nursing
 Psychiatric Nursing
 Neurological and Neuro surgical Nursing
 Community Health Nursing
 Cancer Nursing
 Orthopedic Nursing

1.3. Candidates shall be medically fit.


1.4. Students shall be admitted once in a year.

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2. DURATION OF THE COURSE AND COURSE OF STUDY:

The period of certified study and training of the P.B.B.Sc. Nursing Degree course shall be
of two academic years including internship.
Available Weeks / Academic year 52 Weeks
Examination (including preparation) 4 Weeks
Vacation 6 Weeks
Gazetted holidays 3 Weeks
Available Weeks 39 Weeks
Hours per week 40 hours
Hours available per academic year 1560 (39weeks x 40 hours)
3. MEDIUM OF INSTRUCTION:
English shall be the medium of instruction for all the subjects of study and for examination
of the course.

4. MINIMUM WORKING DAYS IN AN ACADEMIC YEAR:


Each academic year shall consist of not less than 180 working days.
5. REGISTRATION:
A Candidate admitted into B.Sc, Nursing (Post Basic) Degree course in any one of the
affiliated institutions of the PONDICHERRY UNIVERSITY, Puducherry shall submit the
prescribed application form for registration duly filled along with prescribed fee and
declaration in the format, to the Academic Officer of this university within 60 days from the
cut-off date prescribed for admission.
6. ATTENDANCE REQUIRED FOR APPEARING EXAMINATION:

6.1 Examination will be conducted in both theory and practical as prescribed. The candidates
will be permitted to appear for the University Examinations, only if they secure 80% of
attendance in theory and Practical for a subject irrespective of any kind of absence overall
in a year.
6.2 The student should complete 100% of attendance in practical/clinical in each subject before
course completion and the award of the Degree.
6.3 A student who does not meet the minimum attendance requirement in a year must
compensate their adequacies before appearing exam
7. CONDONATION FOR LACK OF ATTENDANCE:

Condonation for shortage of attendance upto 10% in aggregate (between 70 and 80%) in a
year may be recommended by the College Academic Committee to the university and the same
may be granted based on the regulations of University
4
8. INTERNAL ASSESSMENT:

8.1. Internal assessment will be done in each subject of study and the marks will be awarded to
the candidates as detailed in the scheme of examinations.
8.2. The marks awarded will be based on the basis of candidates performance in the
assignments, class tests, laboratory work, clinical training, preparation and presentation of
the seminars as assessed by the teachers
8.3. A checklist or criteria to be developed by the respective institutions for objective evaluation
of assignments, records, reports, and clinical presentations.
8.4. The candidate appearing for arrear examination in the subject will have the same internal
marks secured in the previous examination (1st attempt).
8.5. The internal marks to be calculated based on the following criteria
a. Internal assessment for theory : (25/50 Marks)

Criteria Weightage Marks rounded Marks rounded


off to 25 off to 50
for 100%

Best of three Unit test marks 45% 12 23


Best of two Assignment marks 25% 6 12
Model Exam 25% 6 12
Attendance 5% 2 3
Total 100% 25 50
b. Internal assessment for Practical: (100 Marks/ 50 Marks)
Criteria Weightage for Marks rounded
100 % off to 50
Continuous Evaluation of Clinical Performance 30% 15
Clinical assignment 20% 10
(Case study/ Practical record/Case book)
Clinical Presentation 10% 5
Observational /field visit/ Health talk 10% 5
Model Practical Examination 30% 15
Total 100% 50

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9. EXAMINATIONS:

9.1 University examination to be conducted after the completion of Eleven months of the
course for the annual pattern. The University Examinations will be conducted in the annual
pattern for both 2 (two) years from July 15th to 1st week of August and supplementary exam
in 1st week of February.
9.2 The particulars of subjects for various examinations and distribution of marks are detailed
in the Scheme of Examination.
9.3 The examination for the main subjects will be conducted by the University and the marks
for the internal subjects will be awarded by the subject handling faculty and forwarded to
University by the concerned college.
9.4 Theory and Practical Exam for Introduction to Computer to be conducted as College Exam
and marks to be sent to University for inclusion in the mark sheet.
9.5 The Pondicherry University Practical Examinations shall be jointly conducted by one
internal and one external examiner duly appointed by the University.
9.6 To be an examiner the faculty should possess three years of experience after MSC Nursing
as per the Pondicherry University regulation.
9.7 If a candidate fails in either theory or practical paper he/she has to re-appear for both the
papers (Theory and practical).
9.8 A candidate should clear all the arrear subjects before appearing for final exam in II year.

9.9 All practical examinations must be held in the respective clinical areas.
9.10 Maximum number of candidates for Practical examination should not exceed more than
20 students per day
9.11 The external practical examination should have the following criteria and weightage:
Criteria Weightage Weightage for
for 100% 100 marks
Patient care at the bed side 60% 60
OSCE in skill lab 30% 30
Viva 10% 10
Total 100% 100

9.12. The question paper setters need to submit the answer key along with the question paper
9.13. Students shall be permitted to use Simple calculator during Nursing Research & Statistics
examination for both new and old syllabus.

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10. MARKS QUALIFYING FOR PASS:
10.1 A candidate has to pass in theory and practical exam separately in both internal and
external examination of each paper.
10.2 A candidate has to secure minimum of 50% of marks in the University Theory and
practical Examinations separately - Except for English.
10.3 Minimum pass mark for English shall be 40% only.
10.4 A candidate has to secure minimum of 50% of marks in Introduction to Computer.
10.5 If a candidate who has failed to secure the minimum pass mark of 50% either in
theory or practical has to reappear for both the papers. (Theory and practical)

11. ELIGIBILITY / MAXIMUM DURATION FOR THE AWARD OF THE


DEGREE:
11.1 A candidate must complete 100% of hours notified in each of the practical areas
before course completion and award of degree
11.2 The candidates shall be eligible for the Degree of Bachelor of Nursing(Post Basic) when
they have Undergone the prescribed course of study for a period of not less than four years
in an institution approved by the University and have passed the prescribed examinations
in all subjects.
11.3 The maximum period to complete the course successfully should not exceed a period of
four years.

12. DECLARATION OF CLASS:

12.1 A successful candidate obtaining 75% and more marks in the grand total aggregate at
first attempt shall be declared to have passed with First Class with Distinction.
12.2 A successful candidate obtaining 60% and more but less than 75% of marks in the grand
total aggregate at first attempt shall be declared to have passed with First Class.
12.3 A successful candidate obtaining 50% and more but less than 60% of marks in the grand
total aggregate at first attempt shall be declared to have passed with Second Class.
12.4 A successful candidate obtaining 60% and more in the grand total aggregate at second
attempt shall be declared to have passed with Second Class.
12.5 A successful candidate obtaining 50% and more but less than 60% in the grand total
aggregate at second attempt shall be declared to have passed with Third Class.
12.6 Ranks shall be declared on the basis of the aggregate marks obtained by a candidate in the
University Examination subjects of the course. Only those candidates who have passed all
the subjects in all examination in the first attempt shall be eligible for the award of Rank.
7
VI. COURSES OF INSTRUCTION

Total
S. No Subject Hours Theory Hours Practical
Hours

First Year

1. Nursing Foundation 45 45
2. Nutrition & Dietetics 30 15 45
3. Biochemistry and Biophysics 60
(30+30) 60
4. Psychology 60 15 75
5. Maternal Nursing 60 240 300
6. Child Health Nursing 60 240 300
7. Microbiology 60 30 90
8. Medical & Surgical Nursing 90 270 390
9. English (Qualifying) 60 60
11. Library 50
12. Co-curricular Activities 50
Total 525 810 1465

Second Year

1. Sociology 60 60

2. Community Health Nursing 60 240 300

3. Mental Health Nursing 60 240 300

4. Introduction to Nursing 60 75 135


Education
5. Introduction to Nursing 60 180 240
Administration
6. Introduction to Nursing 45
120 165
Research & Statistics (30 +15)
7. Library 50

8. Co-curricular Activities 50

Total 345 855 1300

Note:

1. Teaching of Anatomy, Physiology, Pharmacology and Pathology will be integrated with


clinical subjects.

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VII. SCHEME OF EXAMINATION

Marks
SUBJECT Dura Int. Assessment Uni. Examination Total
tion Min. Max Min. Max

1st year
1. Nursing foundation 2 8 15 18 35 50
2. Nutrition & Dietetics 2 8 15 18 35 50
3. Biochemistry and Biophysics 12 25 38 75
3 (20+18) 100
(6+6) (13 +12) (40 + 35)
4. Psychology 3 12 25 38 75 100
5. Microbiology 3 12 25 38 75 100
6. Maternal Nursing 3 12 25 38 75 100
7. Maternal Nursing
(Practicals) 25 50 25 50 100
8. Child Health Nursing 3 12 25 38 75 100
9.Child Health Nursing
(Practicals) 25 50 25 50 100
10.Medical and surgical Nursing 3 12 25 38 75 100
11.Medical & Surgical Nursing
(Practicals) 25 50 25 50 100
12.English 3 8 25 25 75 100

2nd Year
1. Sociology 3 12 25 38 75 100
2. Community Health Nursing 3 12 25 38 75 100
3. Community Health Nursing
(Practicals) 25 50 25 50 100
4. Mental Health Nursing 3 12 25 38 75 100
5. Mental Health Nursing
(Practicals) 25 50 25 50 100
6. Introduction to Nursing
Education 3 12 25 38 75 100
7. Introduction to Nursing
Administration 3 12 25 38 75 100
8. Introduction to Nursing 2
Research and Statistics * 25 50 - - 50
9. Research Project 50 - - 50
25

Note: * College Examination

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VIII. QUESTION PAPER PATTERN

* For all the single subjects:

 Essay question : 2 x 15 marks = 30 marks

 Short Notes : 5 x 5 marks = 25 marks

 Short Answer : 10 x 2 marks = 20 marks

Total = 75 marks

* For Biochemistry and Biophysics

Biochemistry (40 Marks)

 Essay question : 1 x 15 marks = 15 marks

 Short Notes : 3 x 5 marks = 15 marks

 Short Answer : 5 x 2 marks = 10 marks

Total = 40 marks

Biophysics (35 Marks)

 Essay question : 1 x 15 marks = 15 marks

 Short Notes : 2 x 5 marks = 10 marks

 Short Answer : 5 x 2 marks = 10 marks

Total = 35 marks

*For Nursing Foundation AND Nutrition & Dietetics (35 Marks)

 Essay question : 1 x 15 marks = 15 marks

 Short Notes : 2 x 5 marks = 10 marks

 Short Answer : 5 x 2 marks = 10 marks

Total = 35 marks

10
VIII. Course Description

NURSING FOUNDATION

Placement : First Year Time Allotted: Theory -45 hrs.


.
COURSE DESCRIPTION

This course will help students develop an understanding of the philosophy,


objectives and responsibilities of nursing as a profession. The purpose of the course is to
orient to the current concepts involved in the practice of nursing and developments in the
nursing profession.

OBJECTIVES

At the end of the course, the student will


1. Identify professional aspects of nursing
2. Explain theories of nursing
3. Identify ethical aspects of nursing profession.
4. Utilize steps of nursing process.
5. Identify the role of the nursing in various levels of health services.
6. Appreciate the significance of quality assurance in nursing
7. Explain current trends in health and nursing.

COURSE CONTENTS

UNIT –I 7 Hours

➢ Development of Nursing as a profession


o its philosophy
o Objectives and responsibilities of a graduate nurse
➢ Trends influencing nursing practice
➢ Expanded and extended role of the nurse
➢ Development of nursing education in India and trends in nursing education
➢ Professional organizations, career planning
➢ Code of ethics & Professional conduct for nurse.

Unit II 7 Hours
➢ Ethical, legal and other issues in nursing
➢ Concepts of health and illness, effects on the person
➢ Stress and adaptation
➢ Health care concept and nursing care concept
➢ Developmental concept, needs, roles and problems of the developmental stages of
individual –newborn, infant, toddler, pre-adolescent, adolescent, adulthood,
middle-age, old age.

11
UNIT III 7 Hours

➢ Theory of nursing practice


➢ Meta paradigm of nursing –characterized by four central concepts i.e.
nurse, person (client/patient), health and environment.

UNIT IV 10Hours

➢ Nursing process.
➢ Assessment: Tools for assessment, methods, recording.
➢ Planning: Techniques for planning care, types of care plans.
➢ Implementation: Different approaches to care, organizations and
implementation of care, recording.
➢ Evaluation: Tools for evaluation, process of evaluation.

UNIT V 7 Hours

➢ Quality assurance: nursing standards, nursing audit, total quality management.


➢ Role of council and professional bodies in maintenance of standards.

UNIT VI 7 Hours
 Primary health care concept:
 Family oriented nursing concept:
 Functional Assignment
➢ Community oriented nursing
➢ Holistic nursing
➢ Primary nursing
➢ Problem oriented nursing
➢ Progressive patient care
➢ Team nursing

Reference
1. Potter & Perry, Fundamentals of Nursing, Elsevier, 6th Edition.
2. Harkreader, Fundamentals of Nursing: Catering and Clinical Judgment, Elsevier,
3rd Edition
3. Kozier, Fundamentals of Nursing: Concepts, Process & Practice, Pearson, 7th
Edition
4. Taylor, Fundamentals of Nursing: Arts and science of Nursing Process, Saunders,
7th Editon.
5. Fuller, Health Assessment: Nursing Approach, Lippincott, 3rd Edition
6. Ackley (BJ), Nursing Diagnosis Handbook: An evidence based guide to
planning care, Mosby, 8th Edition
7. Craven, Fundamentals of Nursing: Human health & function, LWW, 5th Edition.

12
NUTRITION AND DIETETICS

Placement: First Year Time Allotted: Theory -30 hrs.


Practical -15 hrs

COURSE DESCRIPTION

This course is designed to provide the students with a wide knowledge of dietetics in
Indian setting, that the practice of teaching optimum and realistic dietary planning can
become an integral part of nursing practice.

OBJECTIVES

At the end of the course, the student will

1. Explain the principles and practices of nutrition and dietetics.


2. Plan therapeutic diets in different settings.
3. Identify nutritional needs of different age groups and plan diet accordingly.
4. Prepare meals using different methods utilizing cookery rules.

COURSE CONTENTS
UNIT I 5 hours
➢ Introduction to nutrition and dietetics.
➢ Balanced diet, factors on which it depends.
➢ Factors to be considered in planning.
➢ Guides available for planning.
➢ Food hygiene, preparation and preservation
➢ Review of nutrients –micro and macro.
➢ Food chain, Food webs and ecological pyramids

UNIT II 10 Hours

➢ Introduction to diet therapy


➢ Routine hospital diets
➢ Therapeutic diet under each unit i.e. cardiovascular disease, Gastro intestinal
diseases, Renal disorders, endocrine and metabolic disorders, allergy, infections
and fevers, pre and post operative stage, deficiency diseases and malnutrition,
overweight and underweight.

UNIT III 7 Hours


➢ Infant and child nutrition
➢ Feeding of normal infants: factors to be considered in planning, nutritional
requirements.
➢ Feeding of premature infants: factors to be considered in planning, nutritional
requirements.
➢ Supplementary feeding of infants: Advantage and method of introduction.
➢ Weaning, effects on mother and child
➢ Psychology of infant and child feeding.
➢ Feed the sick child. Diet in diseases of infancy and childhood.

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➢ Deficiency states – malnutrition and under nutrition.
➢ Feeding pre-school child: nutritional needs, factors to be considered in planning
diets. Problems in feeding.
➢ School lunch programme: Advantages, Need in India.

UNIT IV 8 hours

➢ Community Nutrition: Need for community nutrition programme.


➢ Nutritional needs for special groups: infant, child, adolescent, pregnant woman,
lactating mother and old people.
➢ Substitutes for non-vegetarian foods.
➢ Selection of cheap and nutritious foods. Nutrition education- needs and methods.
➢ Methods of assessing nutritional status of individual/group/community.
➢ Current nutritional problems and national programmes.

PRACTICUM

I. Methods of cooking and cookery rules. 8 Hours


1. Simple preparation of beverages, soups, cereals and pulses, eggs, vegetables, meat.
2. Menu Plans.

II. Preparation of supplementary food for infants. 7 Hours

1. Food for toddlers.


2. Low cost nutritious dishes for vulnerable groups.
3. Dietary case study of patient on special diet and planning of low cost dietary
instructions for home adaptations.
4. Planning of therapeutic diets.

Reference:

1. Joshi (YK), Basics of Clinical Nutrition, Jaypee, Chennai, 2nd Edition, 2008.
2. Mahan (LK), Krause’s Food, Nutrition, Diet & Therapy, Elsevier, 13th Edition,
2007.
3. Srilakshmi (B), Dietetics, New Age Int (P) Ltd., Publishers, Chennai, 5th Edition,
2007.

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BIOCHEMISTRY AND BIOPHYSICS

Placement: First Year Time Allotted:


Section A (Biochemistry) – Theory 30 hrs.
Section B (Biophysics) - Theory 30 hrs.

COURSE DESCRIPTION:

This course introduces the basic principles of biochemistry and biophysics related
to nursing.

OBJECTIVES:

At the end of the course, the student will

1. Identify the basic principles of biochemistry and biophysics.


2. Synthesize the knowledge of these principles in various nursing situations.

SECTION A: BIOCHEMISTRY Theory – 30 hrs


COURSE CONTENTS
UNIT I 3 Hours

➢ Introduction : Importance of biochemistry in nursing


➢ Study of cell and its various components.

UNIT II 5 Hours
➢ Water and Electrolytes: Water-sources, property and functions in human body.
➢ Water and fluid balance.
➢ Electrolytes of human body, functions, sources.

UNIT III 7 Hours


➢ Enzymes
•Mechanism of action
• Factors affecting enzyme activity
• Diagnostic applications
• Precautions for handling specimens for enzyme estimation
➢ Digestion and absorption of carbohydrates, proteins and fats
➢ Various factors influencing the digestion and absorption, mal-absorption
syndrome.

UNIT IV 5 Hours
➢ Carbohydrates: Catabolism of carbohydrates for energy purposes
➢ Mitochondrial oxidation and oxidation phosphorylation.
➢ Fats of glucose in the body. Storage of glucose in the body, glycogenesis,
glycogenolysis and neoglucogenesis, blood glucose and its regulation.
➢ Glucose tolerance test, hyperglycemia, hypoglycemia, glycemia.

15
UNIT V 5 Hours
➢ Protein : Amino acids, hormones.
➢ Essential amino acids. Biosynthesis of protein in the cells
➢ Role of nucleic acid in protein synthesis.
➢ Nitrogenous constituents of urine, blood, their origin –urea cycle, uric acid
formation, gout.
➢ Plasma proteins and their functions.

UNIT VI 5 Hours
➢ Fat: Biosynthesis of fats and storage of fats in the body.
➢ Role of liver in fat metabolism
➢ Biological importance of important lipids and their functions
➢ Cholesterol and lipoprotein
• Sources, occurrence and distribution
• Blood level and metabolism
• Ketone bodies and utilization.
➢ Inter- relationships in metabolism and cellular control of metabolic processes.

Reference :

1. Vasudevan (DM),Text Book of Biochemistry, J.P.Brothers Publication New Delhi,


3rd Edition, 2001.
2. Lehninger, Principles of Biochemistry, Worth Publishers, New York, 3rd Edition,
2002.
3. Striyer (L), (1988). Biochemistry, Freeman & Company, New York, 3rd Edition,
1988.
4. Muray (RK), Harper’s Illustrated Biochemistry, McGraw Hill, New Delhi, 27th
Edition, 2006.

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SECTION B: BIOPHYSICS

COURSE CONTENTS Theory 30 Hours

UNIT I 2 Hours
➢ Introduction :Concepts of unit and measurements.
➢ Fundamental and derived units.
➢ Units of length, weight, mass, time.
UNIT II 2 Hours
➢ Vector and scalar motion, speed, velocity and acceleration.
UNIT III 3 Hours
➢ Gravity: Specific gravity, centre of gravity, principles of gravity.
➢ Effect of gravitational forces on human body.
➢ Application of principles of gravity in nursing.

UNIT IV 3 Hours
➢ Force, work, Energy: Their units of measurement.
➢ Type and transformation of energy, forces of the body, static forces.
➢ Principles of machines, friction and body mechanics.
➢ Simple mechanics – lever and body mechanics, pulley and traction, incline
plane,screw.
➢ Application of these principles in nursing.

UNIT V 3 Hours
➢ Heat: Nature, measurement, transfer of heat
➢ Effects of heat on matter
➢ Relative humidity, specific heat
➢ Temperature scales
➢ Regulation of body temperature
➢ Use of heat for sterilization
➢ Application of these principles in nursing

UNIT VI 3 Hours
➢ Light: Laws of reflection
➢ Focusing elements of the eye, defective vision and its correction, use of lenses.
➢ Relationship between energy, frequency and wavelength of light
➢ Biological effects of light.
➢ Use of light in therapy.
➢ Application of these principles in Nursing.

UNIT VII 3 Hours


➢ Pressures: Atmospheric pressure, hydrostatic pressure, osmotic pressure.
➢ Measurements of pressures in the body
• Arterial and venous blood pressures
• Ocular pressure
• Intracranial pressure
• Applications of these principles in nursing.
17
UNIT VIII 3 Hours

➢ Sound: Frequency, Velocity and intensity


➢ Vocalization and hearing
➢ Use of ultrasound. Noise pollution and its prevention
➢ Application of these principles in nursing.

UNIT IX 3 Hours

➢ Electricity and Electromagnetism: Nature of electricity. Voltage,


current, resistance and their units.
➢ Flow of electricity in solids, electrolytes, gases and vacuum.
➢ Electricity and human body.
➢ ECG, EEG,EMG, ECT
➢ Pace makers and defibrillation
➢ Magnetism and electricity.
➢ M.R.I Scanning, CAT Scan

UNIT X 3 Hours

➢ Atomic Energy: Structure of Atom, Isotopes and Isobars.


➢ Radioactivity: Use of radioactive isotopes.
➢ Radiation protection units and limits, instruments used for detection of
Ionizing radiation. X-rays.

UNIT XI 2 Hours

➢ Principles of Electronics: Common electronic equipments used in patient care.

Practicum:

Experiments and Tests should be demonstrated wherever applicable.

18
PSYCHOLOGY
Placement :First Year Time Allotted: Theory -60 hrs.
Practical- 15 hrs

COURSE DESCRIPTION

This course is designed to reorient and widen the student’s knowledge of


fundamentals of psychology. The student is offered an opportunity to apply the
theoretical concepts in the clinical setting and thereby understand the psychodynamics of
patient behaviour. This course would also help the student to develop an insight into her
own behaviour.

OBJECTIVES

At the end of the course, the student will

1. Apply psychological principles while performing nursing duties.


2. Distinguish the psychological processes during health and sickness.
3. Analyze own behaviour patterns.
4. Tabulate the psychological needs of the patients for planning nursing care.
5. Participate in psychometric assessment of the client.

COURSE CONTENTS
UNIT I 3 Hours
➢ Introduction: Definition of psychology, scope and methods of psychology.
➢ Relationship with other subjects.

UNIT II 6 Hours
➢ Sensation, Attention and perception: Definitions
➢ Sensory processes: Normal and abnormal
➢ Attention and distraction: Contributory factors
➢ Characteristics of perception, perception: Normal and abnormal

UNIT III 6 Hours

➢ Motivation: Definition and nature of motivation


➢ Biological and social motives
➢ Frustration and conflicts
➢ Self-actualization

UNIT IV 4 Hours
➢ Emotions: Definition of emotions, expression and perception
➢ Emotions in sickness

19
UNIT V 5 Hours
➢ Personality : Definition , constituents of personality
➢ Personality in sickness and nursing

UNIT VI 5 Hours

➢ Psychological aspects of nursing


➢ Behaviour and sickness.
➢ Psychological needs of

 Child and adolescents


 Adult, Aged, Attendants
 Chronically ill individual

UNIT VII 5 Hours


➢ Individual differences
➢ Significance of individual differences.
➢ Heredity and environment
➢ Role of individual differences both in health and sickness.
➢ Implications of individual differences in nursing.

UNIT VIII 5 Hours


➢ Intelligence and Abilities: Definition
➢ Intelligence and abilities during sickness
➢ Measurement of intelligence and abilities.

UNIT IX 6 Hours
➢ Learning: Definition, conditions of learning
➢ Laws of learning
➢ Learning during health and sickness.

UNIT X 4 Hours
➢ Memory and forgetting: Definition and nature of memory
➢ Memory during health and sickness.
➢ Forgetting during health and sickness

UNIT XI 5 hours

➢ Attitudes: Definition, Development and modification


➢ Role of attitudes in health and sickness.
UNIT XII 6 Hours

➢ Concept of mental hygiene and mental health


➢ Characteristics of a mentally healthy person.
➢ Defense mechanisms.

20
PRACTICUM

1.Simple experiments on (i) perception (ii) measuring thresholds (iii) reaction time.
2. Administration of psychological tests
3. Observation and recording data: (i) field observation (ii) interview (iii) case study (iv)
self –rating.

References:

1. Morgon (CT), Introduction to Psychology, Tata McGraw Hill, New Delhi, 20th
edition, 2003.
2. Atkinson (RL), Hilgard’s Introduction to psychology, Harcourt college
publishers, Philadelphia, 13th edition, 2000.
3. Shelley, Taylor’s Health Psychology, Tata McGraw hill publishing co. Ltd,
Sidney, 6th Edition 2006.
4. Santrock (JW), Educational Psychology, Tata McGraw Hill Pub. Co. Ltd., Sidney
2006.
5. Fernald (L.D) Introduction to Psychology A.I.T.B.S. Pub. New Delhi 2006.
6. Mangal (SK), Advanced Educational Psychology, Pentice Hall of India, New
Delhi, 2nd Edition, 2006.
7. Gross (R), Psychology for Nurses and Allied Health Professionals, Hodder
Arnold, London, 2007.

21
MICROBIOLOGY

PLACEMENT: First Year TIME Allotted: Theory -60 hrs


Practical 30 hrs
COURSE DESCRIPTION

This course reorients the students to the fundamentals of Microbiology and its
various sub-divisions. It provides opportunities to gain skill in handling and use of
microscope for identifying various micro-organisms. It also provides opportunities
for safe handling of materials containing harmful bacteria and methods of destroying
microorganisms.
OBJECTIVES

At the end of the course, the student will

1. Identify common disease producing micro-organisms.


2. Explain the basic principles of microbiology and their significance in health
and disease.
3. Demonstrate skill in handling specimens.
4. Explain various methods of dis-infection and sterilization.
5. Identify the role of the nurse in hospital infection control system.
COURSE CONTENTS

UNIT I 4 Hours

➢ Structure and classification of microbes


➢ Morphological types
➢ Size and form of bacteria
➢ Motility.
➢ Classification of Microorganisms.

Practical: 4 Hours
➢ Use and care of microscope.
➢ Common examination :Smear, blood, modules, yeasts.

UNIT II 4 Hours

➢ Identification of Micro-organisms
➢ Discussion of laboratory methods
➢ Diagnosis of bacterial diseases.

Practical: 4 Hours
➢ Staining techniques-gram staining, acid fast staining.
➢ Hanging drop preparation.

22
UNIT III 4 Hours

➢ Growth and Nutrition of Microbes


➢ Temperature
➢ Moisture
➢ Blood
Practical: 4 Hours

➢ Preparation of Media and culture techniques.


➢ Collection, handling and transportation of various specimens.

UNIT IV 6 Hours
➢ Destruction of Micro-organisms.
➢ Sterilization and disinfection
➢ Chemotherapy and antibiotics
➢ Effects of heat and cold
➢ Hospital infection control procedure and role of nurses.

Practical: Sterilization methods –physical, chemical and mechanical 6 Hours

UNIT V 8 Hours
➢ Disease producing micro-organisms
➢ Gram positive bacilli
➢ Tuberculosis and Leprosy
➢ Anaerobes
➢ Cocci
➢ Spirochaete
➢ Rickettsiae

Practical: 5 Hours
Identification and study of the following bacteria: Streptococci, pneumococci and
Staphylococci, Corynebacteria, Spirochaete and gonococci. Enteric bacteria. Posting in
infection control department.
UNIT VI 6 Hours
➢ Pathogenic Fungi
➢ Dermatophytes
➢ Systemic mycotic infection
➢ Laboratory diagnosis of mycotic infection

UNIT VII 6 Hours


➢ Immunity
➢ Immunity and hypersensitivity –Skin test
➢ Antigen and antibody reaction
➢ Immunization in disease.

Practical: Demonstration of serological methods 3 Hours

23
UNIT VIII 10 Hours
➢ Parasites and vectors.
➢ Characteristics and classification of parasites
➢ Protozoal infection including amoebiasis
➢ Helminthes infection
➢ Diagnosis of parasitic infection
➢ Vectors and diseases transmitted by them.

Practical: Identification of Parasites and Vectors. 4 Hours

UNIT IX 6 Hours

➢ Viruses.
➢ Classification and general character of virus
➢ Diseases caused by viruses in man and animal and their control.

UNIT X 6 Hours

➢ Micro-organisms transmitted through food.


➢ Food poisoning. Food borne infections.

Practicum

Each student will practice in the laboratory as indicated in each unit of the
courses outline. While giving nursing care in the wards they will practice
collection and processing of specimens, prevention and control of hospital infections,
sterilization, immunization, chemotherapy and maintenance of personal and
environmental hygiene. Observation visit to incinerator, Posting in CSSD and infection
control department.

References :
1. Ananthanarayanan (R), Textbook of Microbiology, Orient Longman Ltd., Madras,
1994.
2. Bhatia (R), Essentials of Medical Microbiology, J.P Brotheres Publishers, New
Delhi, 3rd Edition, 2004.
3. Ichhpujani (RL), Microbiology for Nurses, J.P Brotheres Publishers, New Delhi,
2nd Edition, 2003.

24
MATERNAL NURSING

Placement :First Year Time Allotted :Theory -60 hrs


Practical - 240 hrs

COURSE DESCRIPTION

This course is designed to widen the student’s knowledge of obstetrics during


pregnancy, labour and puerperium. It also helps to acquire knowledge and develop
skill in rendering optimum nursing care to a child bearing mother in a hospital or
community and help in the management of common gynecological problems.

OBJECTIVES
At end of the course, the student will

1. Describe the physiology of pregnancy, labour and puerperium.


2. Manage normal pregnancy, labour and puerperium.
3. Explain the physiology of lactation and advice on management of
breast feeding.
4. Be skilled in providing pre and post operative nursing care in
obstetric conditions.
5. Identify and manage high risk pregnancy including appropriate referrals.
6. Propagate the concept and motivate acceptance of family planning methods.
7. Teach, guide and supervise auxiliary midwifery personnel.

COURSE CONTENTS
UNIT I 3 Hours
➢ Introduction and historical review
➢ Planned parenthood
➢ Maternal morbidity and mortality rates
➢ Legislations related to maternity benefits, MTP acts, incentives for
family planning etc.,

UNIT II 5 Hours
➢ Review of the anatomy and physiology of female reproductive system.
➢ Female pelvis(normal and contracted)
➢ Review of foetal development.

UNIT III 15 Hours


➢ Physiology and management of pregnany, labour and puerperium
➢ Signs and symptoms and diagnosis of pregnancy
➢ Antenatal care
➢ Pregnant women with HIV/AIDS
➢ Management of common gynaecological problems.

25
UNIT IV 4 Hours
➢ The New born baby
➢ Care of the baby at birth including resuscitation
➢ Essential Newborn Care
• Feeding
• Jaundice and infection
• Small and large for date babies
• Intensive care of the new born
• Trauma and haemorrhage.

UNIT V 24 Hours
➢ Management of abnormal pregnancy, labour and puerperium
➢ Abortion, ectopic pregnancy and vesicular mole.
➢ Pregnancy induced hypertension, gestational diabetes, anaemia, heart disease.
➢ Urinary infections, Antepartum hemorrhage
➢ Abnormal labour (malposition and malpresentation)
➢ Uterine inertia
➢ Disorders or puerperium
➢ Management of engorged breast, cracked nipples, breast abscess and mastitis
➢ Pueperal sepsis
➢ Post partum haemorrhage
➢ Inversion and prolapse of uterus, obstetrical emergencies
➢ Obstetrical operations i.e. forceps, vacuum, episiotomy, caesarean section.

UNIT VI 4 Hours

➢ Drugs in obstetrics
➢ Effects of drugs during pregnancy, labour and puerperium on mother and
baby.

UNIT VII 5 Hours

➢ National Welfare programmes for women


➢ National Family welfare programme
➢ Infertile family
➢ Problems associated with unwated pregnancy
➢ Unwed mothers.

26
PRACTICUM
1. The students will
a. Be posted in antenatal clinic, MCH Clinic, antenatal ward, labour room, postnatal
ward, maternity
OT, MTP room.
b. Visit welfare agencies for women and write observation report.
c. Follow nursing process in providing care to 3-6 patients.
d. Write at least two nursing care studies and do a presentation
e. Give at least one planned health teaching to a group of mothers.

2. Practice following nursing procedures.

a. Antenatal and post natal examination, per vaginal exam.


b. Conduct normal delivery, stitching of episiotomy, (For male candidates minimum
conduct of 5 deliveries)
c. Motivate family for planned parenthood.
d. Motivation of family for adopting family planning methods.
e. Assist in various diagnostic and therapeutic procedures including IUD insertion
and removal.

Reference Books:

1. Fraser (DM), MMyles Textbook of Midwives, Churchill Livingstone, 14th Edtion,


2003
2. Dutta (DC), Textbook of Obstetrics, New Central Book Agency.
3. Lowdermilk, Maternity Nursing, Mosby, 7th Edition.
4. Willams, Obstetrics, McGrawhill, 22nd Edition.
5. Bobak, Maternity Nursing Care, Elsevier.
6. Maternity & Child Health Nursing Care for the childbearing family, LWW, 5th
edition.
7. Wong, Maternity Child Nursing Care, Mosby, 3rd Edition.

27
CHILD HEALTH NURSING

Placement : First Year Time Allotted :Theory -60 hrs


Practical - 240 hrs
COURSE DESCRIPTION

This course is aimed at developing an understanding of the modern approach to child


care, the common health problems of children and neonates in health and sickness.

OBJECTIVES

At the end of the course, the student will

1. Explain the modern concept of child care and the principles of child health
nursing.
2. Describe the normal growth and development of children at different ages.
3. Manage sick as well as healthy neonates and children.
4. Identify various aspects of preventive pediatric nursing and apply them in
providing nursing care to children in hospital and community.

COURSE CONTENTS
UNIT I 8 Hours
➢ Introduction
➢ Modern concept of child care
➢ Internationally accepted rights of the child
➢ National policy and legislations in relation to child health and welfare.
➢ National programmes related to child health and welfare.
➢ Changing trends in hospital care, preventive, promotive and curative aspects of
child health.
➢ Child morbidity and mortality rates.
➢ Differences between an adult and child.
➢ Hospital environment for a sick child.
➢ The role of a paediatric nursing in caring for a hospitalized child
➢ Principles of pre and post operative care of infants and children.
➢ Paediatric nursing procedures.

UNIT II 12 Hours
➢ The healthy child
➢ Growth and development form birth to adolescence
➢ The needs of normal children through the stages of development and parental
guidance.
➢ Nutritional needs of children and infants breast-feeding,
supplementary/artificial feeding and weaning.
➢ Accidents, causes and prevention
➢ Value of play and selection of play material
➢ Preventive immunization.

28
UNIT III 12 Hours
➢ Nursing care of a neonate
➢ Nursing care of a normal newborn
➢ Neonatal resuscitation
➢ Nursing management of a low birth weight baby.
➢ Nursing management of common neonatal disorders.
➢ Organization of neonatal unit. Prevention of infections in the nursery.

UNIT IV 24 Hours
➢ Nursing management in common childhood diseases
➢ Nutritional Deficiency Disorders
➢ Respiratory disorders and infections
➢ Gastrointestinal infections, infestations and congenital disorders.
➢ Cardio vascular problem-congenital defects and rheumatic fever.
➢ Genito-urinary disorder –Nephrotic syndrome, wilms’ tumor, infection and
congenital disorders.
➢ Neurological infections and disorders-convulsions, epilepsy,
meningitis,hydrocephalus, spinabifida.
➢ Hematological disorders –Anemias thalassemia, ITP, Leukemia, hemophilia.
➢ Endocrine disorders – Juvenile diabetes mellitus.
➢ Orthopedic disorders –club feet, hip dislocation and fracture.
➢ Disorders of skin, eye and ears.
➢ Common communicable diseases in children, their identification,
nursing management in hospital and home and prevention.
➢ Paediatric emergencies –poisoning, foreign bodies, haemorrage, burns
anddrowning.

UNIT V 4 Hours
➢ Management of behaviour disorders in children.
➢ Management of challenged children:
o Mentally challenged
o Physically challenged
o Socially challenged

PRACTICUM

The student will:-


1. Be posted in paediatric medical and surgical ward, OPD in hospital, health
centre and neonatal unit.
2. Visit a centre for handicapped children and child welfare centre and
write observation report.
3. Write an observation study of normal children of various age groups
in home/nursery school/ crèche.
4. Follow nursing process in providing care to 3-6 children.
5. Write at least two nursing care studies and do a presentation.
6. Give two planned health teachings, one in hospital and one in OPD/health centre.
7. Practice the following nursing procedures:
8. Taking pediatric history.
29
9. Physical assessment of children.
10. Baby bath.
11. Feeding
12. Restraining
13. Calculation of dosage of drugs and administration of medications and injections.
14. Collection of specimens.
15. Enema, bowel wash, colostomy irrigation.
16. Steam and Oxygen inhalation
17. Preparation to assist with diagnostic tests and operations.
18. Examination/Assessment of a newborn
19. Neonatal resuscitation
20. Care of a baby in incubator and on ventilator
21. Photo therapy
22. Assist in exchange transfusion and other therapeutic procedures.

Reference Books:

1. Whaley & Wongs, Nursing Care of Infants & Children, Mosby, Philadelphia.
2. Marlow, Textbook of Paediatric Nursing, Harecourt (India) Ltd.
3. Nelson, Textbook of Paediatrics, Harecourt India private Ltd.
4. Parthasarathy, IAP Textbook of Paediatrics, Jaypee Brothers Medical Publishers, New
Delhi.
5. Hockenberry, Wong’s Maternal Child Nursing Care, Mosby.
6. Kenner (C), Comprehensive Neonatal Nursing, Saunders.
7. Pilltteri (A), Maternal and Child Health Nursing Care, LWW, Philadelphia,
8. Achar’s textbook of Paediatrics, Orient Longman.
9. Ghai (OP), Essential Paediatrics.
10. Fox (JA), Primary Health Care of Infants, Children & Adolescents, Mosby.

30
MEDICAL SURGICAL NURSING

Placement: First Year Time Allotted: Theory – 90 hrs


Practical - 270 hrs

COURSE DESCRIPTION
The purpose of this course is to widen the student’s knowledge and develop
proficiency in caring for patients with medical surgical problems. This course includes
review of relevant anatomy and physiology, pathophysiology in medical-surgical
disorders and the nursing management of these conditions.
OBJECTIVES

At the end of the course, the student will


1. Explain relevant Anatomy and Physiology of various systems of the body.
2. Explain pathophysiology of various disorders.
3. Explain the actions, side effects and nursing implications in administering drugs
for various disorders.
4. Discuss the recent advancement in the treatment and care of patients with medical
surgical conditions.
5. Develop skill in giving comprehensive nursing care to patients following the steps
of nursing process.
6. Assist the patients and their families in identifying and meeting their own health
needs.
7. Appreciate the role of the nurse in the medical surgical health team.

COURSE CONTENTS
UNIT I 3 Hours
➢ Introduction to medical surgical nursing.
➢ Review of concepts of comprehensive nursing care in medical surgical conditions.
➢ Nurse, patient and his/her family.
➢ Functions of nurse in the outpatient department.
➢ Intensive care unit.

UNIT II 6 Hours
Nursing management of patient with specific problems.

➢ Fluid and electrolyte imbalance.


➢ Dyspnea and cough, respiratory obstruction
➢ Fever
➢ Shock
➢ Unconsciousness
➢ Pain
➢ Acute illness
➢ Chronic Illness
➢ Terminal illness
➢ Age Related Illness
➢ Patient undergoing Surgery
➢ Incontinence

31
UNIT III 9 Hours
➢ Nursing management of patient with neurological and neuro surgical
conditions.
➢ Review of anatomy and physiology of the nervous system.
➢ Pathophysiology, diagnostic procedures and management of:
• Cerebro-vascular accident.
• Cranial, spinal and peripheral neuropathies.
• Head-ache and intractable pain
• Epilepsy
• Infectious and inflammatory diseases and trauma of the nervous system.
• Common disorders of the system.
• Recent advances in diagnostic and treatment modalities.
• Drugs used in these disorders.
• Tumors of brain and spinal cord, congenital malformations, degenerative
diseases.
UNIT IV 8 Hours
➢ Nursing management of patient with cardiovascular problems.
➢ Review of relevant anatomy and physiology of cardio vascular
system.
➢ Pathophysiology, diagnostic procedures and management of
• Ischemic heart diseases.
• Cardiac arrhythmias.
• Congestive heart failure.
• Rheumatic and other valvular heart diseases.
• Endocarditis, cardiomyopathies, congenital heart, diseases, hypertension,
heart block.
• Cardiac emergencies: cardiac arrest, acute pulmonary oedema,
cardiac tamponade, cardiogenic shock, aneurysms and peripherovascular
disorders, recent advancement in cardiology.
UNIT V 8 Hours
➢ Nursing management of patient with respiratory problems.
➢ Review of anatomy and physiology of respiratory system,
 Pathophysiology, diagnostic procedures and management of upper respiratory tract
infections.
• Bronchitis
• Asthma
• Emphysema, empyema, Atelectasis, COPD
• Bronchiectasis
• Pneumonia
• Pulmonary tuberculosis
• Lung abscess
• Pleural effusion
• Tumours and Cysts
• Chest injuries
• Respiratory arrest and insufficiency
• Pulmonary embolism
• Drugs used in the management of these patients.
• Special respiratory therapies.
32
UNIT VI 6 Hours

➢ Nursing management of patient with genitor-urinary


problems.
➢ Review of anatomy and physiology of the genitor-urinary system
• Nephritis
• Renal Calculus
• Acute renal failure
• Chronic renal failure
• End stage renal disease
➢ Special procedures, dialysis, renal transplant
➢ Drugs used in management of these patients
➢ Congenital disorders, urinary infections
➢ Benign prostate hypertrophy.

UNIT VII 8 Hours


➢ Nursing management of patients with problems of the digestive systems.
➢ Review of anatomy and physiology of gastrointestinal system and accessory
organs.
➢ Pathophysiology, diagnostic procedures and management of
• G.I.Bleeding
• Peptic ulcer
• Infections
• Acute abdomen
• Colitis, diarrhea, dysentery and mal-absorption syndrome.
• Cholecystitis
• Hepatitis, hepatic coma and cirrhosis of liver.
• Portal hypertension
• Pancreatitits
• Tumors, hernias, fistulas, fissures,
hemorrhoids.
➢ Drugs used in the management of these patients.
UNIT VIII 4 Hours
➢ Nursing management of patients with endocrine problems
➢ Review of anatomy and physiology and patho-physiology of patients with
• Thyroid disorders
• Diabetes mellitus
• Diabetes insipidus
• Adrenal tumour
• Pituitary disorders
• Diagnostic procedures
➢ Nursing management of patient with above problems.
➢ Drugs used in endocrine problems.

33
UNIT IX 7 Hours

➢ Nursing management of patients with musculoskeletal problems.


➢ Review of anatomy and physiology and pathophysiology
• Arthritis, osteomyelitis, bursitis,
• Fractures, dislocation and trauma
• Prolapsed disc
• Osteomalacia and osteoporosis
• Tumor
• Amputation
➢ Diagnositc procedures
➢ Nursing management of patients with above problems.
➢ Prosthesis and rehabilitation.
➢ Transplant and replacement surgeries.

UNIT X 4 Hours

➢ Nursing management of patients with disorders of female reproductive tract.


➢ Disorder of menstruation
➢ Infections of the genital tract
➢ Benign and malignant tumors of the genital tract
➢ R.V.F., V.V.F
➢ Climatic changes and associated problems.

UNIT XI 7 Hours

➢ Nursing management of patients with oncological disorders.


➢ Types of neoplasms and related pathophysiology
➢ Diagnostic procedures
➢ Modalities of treatment and nurse’s role
➢ Special therapies –Chemotherapy and radiotherapy
➢ Preventive measures, other therapies.

UNIT XII 4 Hours

➢ Nursing management of patient with burns.


➢ Nursing management of patient with reconstructive surgeries.

UNIT XIII 4 Hours

➢ Nursing management of patients with common communicable diseases and


STD’S
➢ Nursing management of patient with immunological disorders including
HIV/AIDS

UNIT XIV 5 Hours

➢ Nursing management of patients with diseases of eye, ear, nose, throat and skin.

34
UNIT XV 4 Hours

➢ Nursing management of patients with blood disorders


➢ Review of anatomy and physiology of blood products.
➢ Patho-physiology, diagnostic procedures and management of blood disorders

• Anemia
• Leukemia
• Bleeding disorders
• Hemophilia
• Purpura etc.

➢ Blood transfusion, safety checks, procedure and requirements, management of


adverse transfusion reaction, records for blood transfusion.
➢ Management and counseling of blood donors, phlebotomy procedure, and post
donation management.
➢ Blood bank functioning and hospital transfusion committee
➢ Bio-safety and waste management in relation to blood transfusion.

UNIT XVI 3 Hours


➢ Nursing in emergencies.
➢ Cardiac emergencies
➢ Trauma
➢ Poisoning
➢ Crisis management: Thyroid crisis, Hypertensive crisis, adrenal crisis.

PRACTICUM
Students should rotated in the selected medical and surgical areas, like cardio thoracic,
neurology, urology, orthopedics, Gynecology, Oncology, burns and Reconstructive
surgical units.

The students should given patient assignment. They have to practice patient
cantered comprehensive nursing.
Each student is required to give planned health teachings, conduct clinical teaching,
case presentation and drug study.

35
Reference Books:

1. Brunner (V), Medical Surgical Nursing , LWW, 10th Edition.


1. Black, Medical Surgical Nursing: Clinical Management for positive
outcomes, Elsevier,7th Edition.
2. Willams, Understanding Medical Surgical Nursing, Jaypee, 3rd Edition.
3. Timby, Introductory Medical Surgical Nursing, LWW, 9th Edition.
4. Lewis, Medical Surgical Nursing Assessment & Management of Clinical
Problems, Elsevier 7th edition
5. Ignatavicius, Critical Thinking for Collaborative Care, Elsevier, 5th Edition.
6. Monahan, Phipp’s Medical Surgical Nursing: Health & illness perspectives
practice,
Jaypee, 8th Edition.
7. Gulanick, Nursing Care Plans: Nursing Diagnosis & Interventions, Mosby, 5th
edition
8. Lippincott’s Manual of Nursing Practice, Jaypee , Edition.
9. Ulrich, Nursing Care Planning Guides: For adults in acute extended & Home
care settings, Elsevier, 6th edition.
10. White, Foundations of Adulth Health Nursing, Thompson, 2nd edition.
11. Redfern, Nursing Older People ,Churchill Livingstone , 4th edition.
12. Phillip, Berry & Kohn’s Operating room techniques, Elsevier, 11th Edition.
13. Marks, Roxburgh’s Common Skin Diseases, Arnold, 17th edition.
14. Thappa, Essential in Dermatology with MCQ’s, Ahuja publishing

36
ENGLISH

Placement: First Year Time Allotted: Theory -60 hrs

COURSE DESCRIPTION

This course is designed to help the student understand and usage of English language
required for their professional work.

OBJECTIVES

After the course the students will develop

1. Ability to speak and write grammatically correct English


2. Effective skill in reading and understanding the English language
3. Skill in reporting

COURSE CONTENTS
UNIT I 10 Hours

➢ Remedial study of grammar


➢ Review of grammar, vocabulary and effective use of dictionary
➢ Prepare task oriented seminars.
➢ Symposia and panel discussion.

UNIT II 10 Hours

➢ The ability to understand selected passage and express meaning in one’s own
words.
➢ Reading and comprehension of the prescribed books.

UNIT III 10 Hours

➢ The study of various forms of composition


• Note taking
• Diary
• Nurses notes, anecdotal records
• Writing of summary
• Nurses reports on health problems
➢ The student will submit one sample of each item from her own
practical experience.

UNIT IV 10 Hours

➢ Verbal communication
➢ Oral reports
➢ Summarization of discussion
➢ Debate
➢ Listening comprehension –Film, Cassette and Radio.

37
PRACTICUM 20 Hours

The clinical experience in the wards and bed side nursing will provide opportunity for
students to fulfill the objectives of learning language.

Assignment on writing and conversation through participation in discussion, debates,


seminars and symposia. The students will gain further skills in task oriented
communication.

References:

1. David (MT), English for Professional Nursing, BI Publications Pvt. Ltd., Chennai,
2007.
2. Koorkkakala (T), Communicative English for BSc., Nursing Students, KJ
Publications, Kerala, 2007.

38
II YEAR

SOCIOLOGY

Placement: Second Year Time allotted :Theory -60 hrs

COURSE DESCRIPTION

This course it reorient students to sociology related to community and social institution in
India and its relationship with health, illness and nursing.

OBJECTIVES
At the end of the course, the student will

1. Describe sociological concepts that are applicable to nursing.


2. Determine role of sociology in nursing as related to social institutions in India
3. Develop positive attitudes towards individual, family and community.

COURSE CONTENTS

UNIT I 3 Hours

 Introduction
 Importance of study of sociology in nursing, relationship of anthropology,
sociology, etc.

UNIT II 5 Hours
➢ Individual and society
➢ Socialization
➢ Interdependence of the individual and society
➢ Personal disorganization.

UNIT III 5 Hours


➢ Culture
➢ Nature of culture
➢ Evolution of culture
➢ Diversity and uniformity of culture

UNIT IV 8 Hours
➢ Social organization
➢ Social groups, crowds and public groups, nations, race.
➢ Social institutions: The family marriage, education, religion, arts, economic
organization, political organization.
➢ The urban and rural community in India: Ecology, characteristics of the village,
characteristics of the town and city.
➢ Social stratification: Class and caste.

39
UNIT V 5 Hours

➢ Social process
➢ Process of Social Interaction: Competition, Conflict-war, cooperation,
accommodation and assimilation

UNIT VI 5 Hours
➢ Social change
➢ Nature and process of social change: Factors influencing cultural change.
Cultural lag.

UNIT VII 14 Hours

➢ Social problems
➢ Social disorganization, control and planning: poverty, population, housing,
illiteracy, food supplies, growth of urbanization, prostitution, minority groups,
rights of women and children, child labour, child abuse, delinquency and crime,
substance abuse.
 Role of information technology in environment and human health-case studies.
➢ Social issues and environment:
• From unsustainable to sustainable development
• Urban problems and related to energy
• Water conservation, rain water harvesting, water shed management
• Resettlement and rehabilitation of peole: its problem and concern-case studies
• Environmental ethics: issues and possible solutions, climate change, global
warming, acid rain, ocean layer depletion, nuclear accident and holocaust-case
studies
• Wasteland reclamation
• Consumerism and waste products.

UNIT VIII 15 Hours


➢ Bio-Diversity & Its Conservation
• Biogeographical classification of India
• Value of bio-diversity: Consumptive use, productive use, social,
ethical, aesthetic and option values
• Bio-diversity at global, national and local levels
• India as a mega diversity nation
• Hot-Spot of bio-diversity
• Threats to bio-diversity: habitat loss, poaching of wild life conflicts.
• Endangered and endemic species of India
• Conservation of Bio-diversity: in situ-and ex-situ conservation of
bio- diversity

40
Reference :

1. Bhushan (V), Introduction to Sociology, Kitab Mahan, 2002.


2. Madan (GR), Indian Social Problems, Allied Publishers, Chennai.
3. Mehta (SA), Study of Rural Sociolgy in India, Chand & Co.
4. Ogbern (F), Handbook of Sociology, Eurasoa Publishing, New Delhi.
5. Majmudar (DN), An Introduction to Social Anthropology, Asia Publishing House,
Bombay.
6. Indrani (TK), Textbook of Sociology for Nurses, Jaypee Brothers, New Delhi, 2006.
7. Neeraja (KP), Textbook of Sociology for Nursing Students, Jaypee Brothers, New
Delhi, 2005.
8. Rao (SD), Psychology and Sociology for Paramedicals, Jaypee Brothers, New Delhi,
2006

41
COMMUNITY HEALTH NURSING

Placement: Second Year Time allotted: Theory – 60hrs


Practical -240 hrs
COURSE DESCRIPTION

The course enables the students to understand the national health care delivery
system and to participate in the delivery of community heath nursing.

OBJECTIVES

At the end of the course, the student will


1. Explain the concept of various factors contributing to health of individual,
family and community.
2. Identify the role of community health nurse.
3. Describe national health care delivery system.
4. Describe epidemiological methods and principles of prevention and control
of illness in the community.
5. Identify the role of personnel working in the community health set up.
6. Plan the work of community health nurse and supervise and train health workers.

COURSE CONTENTS

UNIT I 5 Hours

Introduction
➢ Introduction to community health –Concepts, Principles and elements of primary
health care.
➢ Introduction to community health nursing.
➢ Concepts of community health nursing –community nursing process.
➢ Objectives, scope and principles of community health nursing.

UNIT – II 10 Hours

Environment & Health


➢ Environment Scope:
• Definition, scope and importance-need for public services.
• Environment and Human Health – Human Rights
➢ Forest Resources: use and over-exploitation, forestation deforestation, case
studies, timber extraction mining, dams and their effects on forests and tribal
people.
➢ Water Resources: Sources, types of water ,methods of water purification, use and
over-utilization of surface, and ground water, floods, drought, conflicts over
water dams-benefits and problems
➢ Mineral resources: Uses and exploitation, environmental effects of extracting and
using mineral resources, Case studies.

42
➢ Food Resources: World food problems, changes caused by agriculture and
overgrazing, effects of modern agriculture, fertilizer-pesticide problems, water
logging, salinity, case studies.
➢ Energy Resources: growing energy needs, renewable and non-renewable energy
resources, use of alternate energy sources, case studies
➢ Land resources: land as a resources, land degradation, man induced landslides,
soil erosion and desertification.
 Role of an individual in conservation of natural resources,
 Equitable use of resources for sustainable lifestyle
➢ Environmental Pollution:
• Definition, causes, effects and control measure of: Air pollution, water
pollution, soil pollution, marine pollution, noise pollution, Thermal pollution,
nuclear pollution, pollution case studies, Impact of environmental pollution on
health.
➢ Pollution Control:
• Environment protection act (Air, Water, Wild Life Protection, Forest
Conservation) Issues involved in enforcement of environmental legislation,
Public Awareness
➢ Solid waste management: Causes, effects and control measures of urban and
industrial waste, and waste disposal methods.
➢ Disaster management: floods, earth quake, cyclone, and land slides
• Role of Information Technology in Environment and Human health – case
studies.
• Role of an individual in prevention of pollution

UNIT III Ecosystems: 10 Hours


➢ Introduction- Definition: Genetics, species and ecosystem diversity
➢ Concept of an ecosystem
➢ Structure and function of an ecosystem producers, consumers and decomposers.
➢ Energy flow in the ecosystem
➢ Ecological succession
➢ Forest ecosystem
➢ Grassland ecosystem
➢ Desert ecosystem
➢ Aquatic ecosystem (ponds, streams, lakes, river, ocean, estuaries)
➢Climatic changes, Heat changes, Heat waves and its impact on health.

UNIT IV 5 Hours

➢ Family health/welfare services


➢ Concept, objectives, scope and principles.
➢ Individual family and community as a unit of service
➢ Principles and techniques of home visiting

43
➢ Establishing working relationship with the family.
➢ Working with families in relation to prevention of disease, promotion of health.
➢ Care of the sick in the home, physically handicapped and mentally challenged.
➢ Surveillance and monitoring

UNIT V 7 Hours
➢ Organisation and administration of health services in India.
➢ National health policy
➢ Health care delivery system in India
• Primary Health Centre : Concept of Health and wellness centre – Middle level
Health provider
➢ Health team concept
• Centre, State, district, urban health services, rural health services
• System of medicines
• Centrally sponsored health schemes
• Role of voluntary health organizations and international health agencies
• Role of health personnel in the community
• Public health legislation.

UNIT VI 5 Hours
➢ Health Education
• Aims concepts and scope of the health education
• National plan for health education
• Communication techniques
• Methods and media for health education programmes
• Planning for health education and role of nurse
➢ Value education on HIV/AIDS, women and child welfare

UNIT VII 5 Hours


➢ Role of the community health nurse.
➢ National health programmes
• Maternal and child health programmes
• Family welfare and school health services
• Occupational health services.
➢ As a member of the health team.
➢ Training and supervision of health care workers.

UNIT VIII 5 Hours

➢ Epidemiology
➢ Definition-concepts, aims, objectives, methods, principles
➢ Epidemiology – Theories and models
➢ Application of Epidemiology, principles and concepts in community health.

UNIT IX 8 Hours
➢ Bio statistics and vital statistics
➢ Introduction, definition and scope, legislation
➢ Report, recording and compiling of vital statistics at the local, state, national and
international level.
➢ Definitions and methods of computing vital statistics
44
➢ Methods of presenting data
➢ Management information system.
➢ Human Population and Environment – population growth, Variations among
nations.
➢ Population explosion

PRACTICUM
 Each student will prepare a community profile.
 The students will be allotted families for gaining experience in identifying
family health needs, health counseling and guidance and family budgeting for
optimum health.
 The students will participate in the activities of primary health centre, Sub-
centre, MCH Centre.
 Visits will be made to selected health and welfare agencies, water purification
plant and sewage disposal plant, infectious disease hospital.
 Conduct health educational programmes for individual/groups/community.

Mid level health care Provider


1. Roles and responsibilities of middle level health care providers ( MLHP)
2. New National health programs
3. AYUSHMAN BHARAT- The up gradation of sub centers into health and
wellness centers, concept of comprehensive primary health care and key
elements of CPHC, Services delivery and continuum of care and roles of middle
level health care providers ( MLHP)
4. Diagnosing and treatment skills essential at sub center level using standard
treatment protocols as per national health programmes
5. Introduction to Rashtriya Bal Sureksha Karyakaram ( RBSK)
6. Social mobilization skills
7. Drug dispensing
8. Programme management including supervision and monitoring
9. Investigation of an outbreak
10. Behavior change communication and soft skills
11. Integrated disease surveillance project (IDSP)
12. Mother and child tracking system
13. Chikungunya
14. Organization of labour room
15. Safe child birth checklist
16. Postpartum visits by health workers
17. Family planning 2020
18. National family planning programs
19. Food borne diseases
TOPICS TO BE REVIEWED:-

 Health planning and health care delivery system in India (IPHS guidelines )
 Health management information system (HMIS)
 Electronic medical records(EMR)
 Micro birth planning
 Adolescent counseling
 Sources of vital statistics
45
 Financial management, accounts and computing at sub center
 Mental health act, drug de addiction program
 Time trends in disease occurrence in epidemiology
 Infant and young child feeding and counseling
 Nutrition across lifecycle and update on National nutritional programmes
 Use of equipment
 Throat problems and febrile seizures in children
 Transportation of baby and common accidents and mishaps in labour room
 Counseling - GATHER approach
 Update Biomedical waste management by specifying biomedical waste
management rule 2016
 Suturing of superficial wounds
 Postpartum Intra Uterine Contraceptive Device ( PPIUCD)
 All the national health programmes on communicable, non communicable.

Reference Books

1. Park (JE), Text Book of Preventive and Social Medicine, Bhanarsidas Bhanot
Publishers, Jabalpur, 19th Edition, 2007.
2. Stanhope(M), Public Health Nursing: Population-centered Health Care in the
Community, Elsevier, 7th Edition, 2008.
3. Rao (KS), Introduction to Community Health Nursing, S.I.Publications, Chennai,
1989.
4. T.N.A.I., A Community Nursing Manual, New Gian Offset Press, New Delhi,
1989.
5. Allender, Community Health Nursing: Promoting & protecting the Public’s
Health, Lippincott, 6th Edition.
6. Piyush, Textbook of Preventive and social Medicine, CBS, 2nd Edition.
7. Clark, Community Nursing, Reston Publishing Company Inc., Virginia.
8. Freeman, Community Health Nursing Practice, W.B.Saunders
Company, Philadelphia.
9. Ghosh, Manual of Social and Preventive Medicine, Vijoya Publishing
House, Calcutta.

46
MENTAL HEALTH
NURSING

PLACEMENT :SECOND YEAR TIME ALLOTTED: Theory : -60 hrs


Practical – 240 hrs
COURSE DESCRIPTION
This course enable the students to recognize and appreciate the causes,
symptoms and process of abnormal human behaviour. It also introduces the student
to the present day treatment modalities in the light of psychological, social and
cultural factors affecting human behaviour. This course helps the student to learn
principles of mental health and psychiatric nursing and to develop beginning skills in
the management of the mentally ill in hospital and community.

OBJECTIVES
At the end of course, the student will
1. Identify and describe the philosophy and principles of mental health nursing
2. Describe the historical development of mental health and psychiatric nursing
3. Classify mental disorders
4. Develop skill in history taking and performing mental status examination.
5. Describe etiological factors, psycho-pathology, clinical features,
diagnostic criterial and treatment methods used for mental disorders.
6. Manage the patients with various mental disorders.
7. Communicate therapeutically with patients and their families.
8. Identify role of the nurse in preventive psychiatry.
9. Identify the legal aspects in practice of mental health and psychiatric nursing.

COURSE CONTENTS

UNIT I 5
Hours
➢ Introduction and historical development
➢ History of psychiatry
➢ Historical development of mental health nursing
➢ Philosophy, principles of mental health and psychiatric nursing
➢ Concept of normal and abnormal behaviour
➢ Role and qualities of mental health and psychiatric nursing
➢ Mental health team and functions of team members
➢ Legal aspects in psychiatry and mental health services

UNIT II 7
Hours
➢ Classification and assessment of mental disorders
➢ Terminologies used in psychiatry
➢ Classification of mental disorders
 Etiological factors and psychopathology of mental disorders
➢ History taking and assessment methods for mental disorders.

47
UNIT III 5 Hours

➢ Therapeutic communication
➢ Communication process
➢ Interview skills, therapeutic communication techniques, Nurse
patient Relationship, therapeutic impasse and it’s management process
recording.

UNIT IV 10 Hours

➢ Management of mental disorders.


➢ Etiological factors, psychopathology, types, clinical features, diagnostic
criteria, treatment and nursing management of patient with following disorders:
• Neurotic Disorders: Anxiety Neurosis, Depressive Neurosis,
Obsessive compulsive Neurosis, phobic Neurosis and Hypochnodriacal
Neurosis, Stress related and somatoform disorders.
• Psychotic Disorders: Schizophrenic form, affective and organic psychosis.
• Organic Brain syndromes
• Psychosomatic disorders
• Personality disorders
• Disorders of childhood and adolescence.
UNIT V 7 Hours

➢ Management of patients with substance use disorders


➢ Substance use and misuse.
➢ Dependence, intoxication and withdrawal
 Classification of psychoactive substances
 Etiological and contributory factors
 Psychopathology
 Clinical features
 Diagnostic criteria
➢ Treatment and nursing management of patient with substance use disorders.
➢ Preventive and rehabilitative aspects in substance abuse.

UNIT VI 7 Hours

➢ Management of mental sub-normality


➢ Classification of mental sub-normality
➢ Etiological factors, psychopathology, psychometric assessment,
diagnostic criteria and management of sub-normality.

48
UNIT VII 7 Hours

➢ Psychiatric Emergencies
➢ Types of emergencies, psychopathology, clinical features,
assessment and diagnosis, treatment and nursing management of patient
with psychiatric emergencies.
➢ Crisis intervention therapy.

UNIT VIII 8 Hours

 Therapeutic Modalities
 Principles, indication, contraindications and role of nurse in various treatment
methods:
➢ Therapeutic community and Milieu therapy
➢ Occupational therapy
➢ Psychotherapy
➢ Behaviour therapy
➢ Group therapy
➢ Family therapy
➢ Pharmacotherapy
➢ Electro convulsive therapy
➢ Other miscellaneous therapies.

UNIT IX 4 Hours

➢ Preventive Psychiatry
➢ Model of prevention
➢ Role of nurse in preventive psychiatry
➢ Psychiatric social work
➢ Community mental health nursing
➢ Community mental health agencies
➢ National mental health programmes

PRACTICUM

The student will be provided opportunity to:


 Observe, record and report the behavior of their selected patients. Record the
process of interaction
 Assess the nursing needs of their selected patients, plan and implement the
nursing intervention.
 Counsel the attendant and family members of patient. Participate in the activities
of psychiatric team
 Write observation report after a field visit to the following places: Child
guidance clinic,School/Special Schools (For Mentally subnormal) Mental
Hospital, Community mental health centres, De-addiction centre.

49
Reference Books:

1. Kapoor, Textbook of Psychiatric Nursing,


2. Boyd (MA), Psychiatric Nursing, LWW, London, 3rd Edition, 2005.
3. Bhatia (MS), Essentials of Psychiatry, CBJ publishers and distributers, NewDelhi,
3rd Edition, 2000.
4. Sadock (BJ), Textbook of Psychiatry, LWW, Philadelphia..
5. Straight A’s Psychiatric and Mental Health Nursing, LWW, Philadelphia.
6. Fortinesh (KM), Psychiatric Nursing Care, Mosby, 4th Edition, 2000.
7. Shives (LS), Basic Concepts of Psychiatric Mental Health Nursing LWW,
Philadelphia, 7th Edition, 2005.
8. Mohr (WK), Psychiatric Mental Health Nursing, LWW, Philadelphia, 6th Edition,
2007.
9. Stuart (GW), Principles and Practice of Psychiatric Nursing, Elsevier, 8th Edition,
2005

50
INTRODUCTION TO NURSING EDUCATION

Placement : Second year Time Allotted: Theory -60 hrs


Practical -75 hrs

COURSE DESCRIPTION

This course introduces the students to principles and concepts of education, curriculum
development and methods and media of teaching. It also describes the steps in curriculum
development and implementation of educational programmes in nursing.

OBJECTIVES

At the end of the course, the students will


1. Describe the philosophy and principles of education.
2. Explain the teaching – learning process
3. Develop the ability to teach, using various methods and media.
4. Describe the process of assessment.
5. Describe the administrative aspects of school of nursing
6. Participate in planning and organizing an in-service education programme.
7. Develop basic skill of counseling and guidance.

COURSE CONTENTS

UNIT I 5 Hours

Introduction to education

➢ Meaning of education, aims, function and principles.


➢ Philosophy of education
➢ Factors influencing development of Philosophy of Nursing Education

UNIT II 5 Hours

➢ Teaching learning process


➢ Nature and characteristics of learning
➢ Principles and maxims of teaching
➢ Formulating objectives
➢ Lesson planning.

UNIT III 5 Hours

➢ Methods of teaching
➢ Teaching methods
o Lecture
o Discussion
o Demonstration
o Group discussion

51
o Project
o Role play
o Panel discussion
o Symposium
o Seminar
o Field trip
o Workshop
o Exhibition
o Programmed instruction
o Computer assisted learning
➢ Clinical teaching methods:
o Case methods
o Case presentation
o Nursing rounds and reports
o Bedside clinic
o Conference(individual and group)
➢ Recording of interaction process

UNIT IV 15 Hours

➢ Educational media
➢ The communication process: factors affecting communication
➢ Purposes and types of audio-visual aids
➢ Graphics aid: Chalk-board, charts, graphics, posters, Flash cards,
f l a s flash
Flannel graph/khadigraph, bulletin, cartoon. flannel
➢ Three dimensional aids: Objects, specimen, models, puppets.
➢ Printed aids: pamphlets and leaflets
➢ Projected aids: slides, films and televisions, VCR,VCP,Overhead
projector, camera, microscope.
➢ Audio – Aids: Tape-recorder, public address system, computer

UNIT V 8 Hours

➢ Methods of assessment
➢ Purpose and scope of evaluation and assessment
➢ Critieria for selection of assessment techniques and methods
➢ Assessment of knowledge: essay type question, SAQ(Short Answer
Questions) MCQ(multiple choice questions)
➢ Assessment of skills: Observation, check list. Practical examination,
Viva, objective structured clinical examination.
➢ Assessment of attitude: Attitude scale.

UNIT VI 8 Hours

➢ Management of school of Nursing


➢ Planning of school of nursing, organization

52
➢ Recruitment of teaching staff, budget, facilities for the school, student
selection and admission procedure, administrative planning for students, welfare
services for students, maintenance of school records, preparation of annual
reports. INC guidelines for school of nursing

UNIT VII 10 Hours

➢ Guidance and counseling definition


➢ Basic principles of guidance and counseling
➢ Organisation of guidance and counseling services
➢ Counselling process
➢ Managing disciplinary problems
➢ Management of crisis

UNIT VIII 4 Hours

➢ In-service education
➢ Introduction to nature and scope of in-service education programme.
 Principles of adult learning
 Planning for in-service programme
 Techniques, and methods of staff education programme
 Evaluation of in-service programme

PRACTICUM 75 Hours

Each student should:


 Conduct five planned teaching using different methods and media
 Prepare different types of teaching aids
 Plan, organize and conduct inservice education
programme. Conduct at least one counseling session
 Prepare rotation plans.

Reference Books:-

1. Heidgerkohn (DE), Teaching and Learning in School of Nursing, Philadlphia, J.O.


2. Billioet Co. W.H.O. Curriculum Guide for the Schools of Nursing in India, Delhi
WHO.
3. Neeraja, Textbook of Nursing Education, Jaypere Brothers.
4. Tyler (RW), Basic of Curriculum and Instruction, Chicago, The university of Chicago
press.

53
INTRODUCTION TO NURSING SERVICE ADMINSTRATION

Placement : Second year Time Allotted: Theory -60 hrs


Practical -180 hrs

COURSE CONTENTS

This course is designed to give an opportunity to the student to gain an understanding of


the principles of administration and its application to nursing service. It is also intended
to assist the students to develop an understanding of professional leadership need.

OBJECTIVES
At the end of the course, the student will
1. Identify the principles of administration
2. Describe the principles and techniques of supervision
3. Explain the principles and methods of personnel management
4. Explain the principles of budgeting
5. Organize and manage a nursing unit effectively
6. Identity dynamics of organizational behavior, styles and functions of effective
leadership.

COURSE CONTENTS

UNIT I 12 Hours

➢ Principles and practice of Administration


➢ Significance, elements and principles of administration,
➢ Organization of hospital – Definition ,Aims, functions and classifications, health
team.
➢ Policies of hospital, different departments with special emphasis to department of
nursing and office management.

➢ Responsibilities of the nursing personnel specially of ward sister, medico legal


aspects, concept of cost effectiveness.

UNIT II 12 Hours

➢ Nursing unit Management


➢ Physical layout of a nursing unit and necessary facilities
➢ Factors affecting the quality of nursing care
➢ Maintenance of a therapeutic environment
➢ Administration of the unit-management of patient care
➢ Maintenance of physical environment
➢ Assignment of duties and time plan.
➢ Patient assignment, safety measures, prevention of accidents and infections,
➢ Maintenance of patients records and reports, legal responsibilities.
➢ Maintenance of quality nursing care, nursing audit.

54
UNIT III 7 Hours

➢ Personnel management
➢ Staff recruitment and selection, appointment, promotions, personnel policies
and job descriptions.
➢ Job analysis.
➢ Staffing the unit, staffing norms, rotation plan, leave planning,
performance appraisal, staff welfare and management of disciplinary problems.

UNIT IV 8 Hours
➢ Supervision
➢ Principles of supervision, nature and objectives
➢ Tools and techniques of supervision
➢ Evaluation
➢ Nursing audit
➢ Staff development –orientation program
➢ Skill training
➢ Leadership development
➢ Problem solving process.

UNIT V 7 Hours
➢ Material management
➢ Principles of material management
➢ Quality control
➢ Inventory, care of equipment, safekeeping
➢ Role of nursing personnel in material management.

UNIT VI 4 Hours
➢ Financial Management
➢ Budgeting – Principles of budgeting, audit.

UNIT VII 10 Hours


➢ Organizational behaviour
➢ Group dynamic and human relation, organizational communication
(hospital information system)
➢ Public relations, leadership styles and functions
➢ Methods of reporting
➢ Maintaining records and reports

PRACTICUM
 Observe the functioning of nursing administration at various level i.e.
institution, department, unit.
 Each student will practice ward management under supervision.
 Student will prepare rotation plan of the staff, write reports, give verbal
report of the ward and assist in maintaining the inventory of the nursing unit.
 Visit to private and government hospital and write observation reports.

55
Reference Books:

1. Basavanthappa (BT), Nursing Administration, Jaypee Brother, New Delhi, 2002.


2. Stanhope(M), Public Health Nursing: Population-centered Health Care in the
Community, Elsevier, 7th Edition, 2008.
3. T.N.A.I., A Community Nursing Manual, New Gian Offset Press, New Delhi, 1989.

56
INTRODUCTION TO NURSING RESEARCH AND STATISTICS

Placement :Second Year Time Allotted: Theory -45 hrs


Practical -120 hrs

COURSE DESCRIPTION

The course is designed to assist the students to develop an understanding of basic


concepts of research and statistics, use the findings of nursing research in nursing
practice, apply the knowledge in conducting project(s) and solve problems related to
nursing using scientific method.

OBJECTIVES
At the end of the course, the students will:-

1. Define the terms and concepts of nursing research


2. Identify needs and scope of nursing research
3. Identify and define a research problem
4. Locate and list sources of literature for a specific study
5. Describe different research approaches, methods of data collection and
sampling techniques with a special reference to survey method.
6. Develop tool for data collection
7. Enumerate steps of data analysis and present data summary in tabular form.
8. Use descriptive and co-relational statistics in data analysis
9. Conduct a group research project.

COURSE CONTENTS
A. INTRODUCTION TO RESEARCH METHODOLOGY

UNIT I 5 Hours

➢ Steps of scientific methods.


➢ Definition of research
➢ Need for nursing research
➢ Characteristics of good research. Research process.

UNIT II 5 Hours

➢ Statement of research problem


➢ Statement of purpose and objectives
➢ Definition or research terms
➢ Review of literature.

UNIT III 5 Hours


Research approaches:- historical, survey and experimental

57
UNIT IV 5 Hours
➢ Sampling techniques and methods of data collection.
➢ Sampling
➢ Instruments-questionnarie. Interview
➢ Observation schedule, records, measurements
➢ Reliability and validity or instruments.

UNIT V 5 Hours
➢ Analysis of Data: Tabulation
 Classification and summarization
 Presentation
 Interpretation of data

UNIT VI 5 Hours
➢ Communication of research findings
➢ Writing Report:
 Organizing materials for writing
 Format of the report
 Use of computers

B.INTRODUCTION TO STATISTICS

UNIT VII 5 Hours

➢ Descriptive Statistics.
➢ Frequency Distribution –Types of measure – frequencies, class interval, graphic
methods of describing frequency.
➢ Measures of central tendency –Mode, Median and mean.
➢ Measures of variability : Range, standard deviation
➢ Introduction to normal probability.

UNIT VIII 3 Hours


➢ Correlation
➢ Computation by rank difference methods
➢ Uses of correlation co-efficient

UNIT IX 2 Hours

Biostatistics: Crude rates and standardized rates, ratio and estimation of the trends.

UNIT X 5 Hours
➢ Introduction to computers in nursing
➢ Introduction to computers and disk-operating system.
➢ Introduction to word processing
➢ Introduction to data base

58
➢ Windows applications, word, excel, power point, multimedia.
➢ Use of statistical packages.
➢ Introduction to internet & use of electronic mail
➢ Computer aided teaching and testing.

PRACTICUM 120 Hours

Students will conduct research project in small groups in selected areas of nursing and
submit a report(Group studies may include studying of existing health practices,
improved practices of nursing (procedures) health records, patient records and survey of
nursing literature)

Reference Books:

1. Polit – Essentials of Nursing Research ,2009,LWW

2. Kothari – Research Methodology,2007,Newage Publishers Jagadeesh – Bio


Medical Research, 2009,

3. Rao (S), Introduction to Biostatistics & Research methods, Riachard, 4th


Edition.

4. Rao (V), A manual of Statistical and Anthropology, Jaypee, 2nd Edition.

5. Norman, Biostatistics,B.C Decker, 2nd Edition.

6. Rao, Applied Statistics in Health Sciences, Jaypee.

59
IX. APPENDICES

1.Question Paper Pattern:

Post Basic B.Sc. Nursing Degree Examination

I YEAR
NURSING FOUNDATION

Time : 2 hrs Maximum: 35 marks

I Essay Questions (Answer any ONE) 1 X15 = 15

1. a) (7 marks)
b) (8 marks)

2. a) (7 marks)
b) (8 marks)

II Short notes (Answer any TWO) 2 X 5 = 10

3.
4.
5.

III Short answers (Answer all) 5 X 2 = 10

6.
7.
8.
9.
10.

60
Post Basic B.Sc. Nursing Degree Examination
I YEAR
NUTRITION & DIETETICS

Time : 2 hrs Maximum: 35 marks

I Essay Questions (Answer any ONE) 1 X15 = 15

1. a) (7 marks)
b) (8 marks)

2. a) (7 marks)
b) (8 marks)

II Short notes (Answer any TWO) 2 X 5 = 10

3.
4.
5.

III Short answers (Answer all) 5 X 2 = 10

6.
7.
8.
9.
10.

61
Post Basic B.Sc. Nursing Degree Examination
I YEAR
BIOCHEMISTRY & BIOPHYSICS

Time : 3 hrs Maximum: 75 marks

Answer Section A & Section B separately

SECTION A – Biochemistry (40 marks)

I Essay Questions (Answer any one) 1 X 15 =15

1. a) (7 marks)
b) (8 marks)

2. a) (7 marks)
b) (8 marks)

II Short notes (Answer any three) 3 x 5 = 15

3.
4.
5.
6.
7.

III Short answers (Answer all) 5 X 2 = 10

8.
9.
10.
11.
12.

SECTION B – Biophysics (35 marks)

IV Essay Questions (Answer any one) 1 X 15 =15

13. a) (7 marks)
b) (8 marks)

14. a) (7 marks)
b) (8 marks)

62
V Short notes (Answer any two) 2 X 5 = 10

15.
16.
17.
18.

VI Short answers (Answer all) 5 X 2 = 10

19.
20.
21.
22.
23.

63
Post Basic B.Sc. Nursing Degree Examination
I YEAR
PSYCHOLOGY
Time : 3 hrs Maximum: 75 marks

I Essay Questions (Answer any two) 2 X15 = 30

1. a) (7 marks)
b) (8 marks)

2. a) (7 marks)
b) (8 marks)

3. a) (7 marks)
b) (8 marks)

II Short notes (Answer any five) 5 X 5 = 25

4.
5.
6.
7.
8.
9.
10.

III. Short answers (Answer all) 10 X 2 = 20

11.
12.
13.
14.
15.
16.
17.
18.

19.

20.

64
2. Guidelines and Minimum requirements for setting up of a College of
Nursing

a. The following Establishments / Organizations are eligible to establish /


Open a Post Basic B.Sc (N) Programmes.

i) Central Government/State Government/Local body;


ii) Registered Private or Public Trust;

iii) Organizations Registered under Societies Registration Act including


Missionary Organizations;

iv) Companies incorporated under section 8 of Company’s Act;

b. An institute already offering B.Sc (N) programme is eligible to establish


Post Basic B.Sc (N) Course.

c. The eligible Organizations/Establishments should obtain Essentiality


Certificate/No objection Certificate from the concerned State Government
where the Post Basic B.Sc (N) Programmes is sought to be established. The
particulars of the name of the Nursing Institution along with the name of the
Trust /Society [as mentioned in Trust Deed or Memorandum of Association
as also full address shall be mentioned in No Objection
certificate/Essentiality Certificate.

d. After receipt of the Essentiality Certificate/ No objection Certificate, the


eligible institution shall get recognition from the concerned State Nursing
Council for the Post Basic B.Sc. (N) for the particular Academic Year, which
is a mandatory requirement.

e. The Indian Nursing Council shall after receipt of the above documents /
proposal would then conduct Statutory Inspection of the recognized training
nursing institution under Section 13 of Indian Nursing Council Act 1947 in
order to assess the suitability with regard to availability of Teaching faculty,
Clinical and Infrastructural facilities in conformity with Regulations framed
under the provisions of Indian Nursing Council Act, 1947.

65
I. PHYSICAL FACILITIES
i. Building:

The College of Nursing should have a separate building. The college of Nursing should
be near to its parent hospital having space for expansion in an institutional area. For a
College with an annual admission capacity of 40-60 students, the constructed area
of the college should be 23720 square feet. Adequate hostel/residential accommodation for
students and staff should be available in addition to the above mentioned built up area of the
Nursing College respectively. The details of the constructed area are given below for
admission capacity of 40-60 students:

ii. Teaching Block:

Sl.No Teaching Block Area (Figures in


Sq feet)
1. Lecture Hall 4 @ 1080 = 4320
2. (i) Nursing foundation lab 1500
(ii) CHN 900
(iii) Nutrition 900
(iv) OBG and Paediatrics lab 900
(v) Pre-clinical science lab 900
(vi) Computer Lab 1500
3. Multipurpose Hall 3000
4. Common Room (Male & Female) 1100
5. Staff Room 1000
6. Principal Room 300
7. Vice Principal Room 200
8. Library 2400
9. A.V. Aids Room 600
10. One room for each Head of 800

11. Departments
Faculty Room 2400
12. Provisions for Toilets 1000
Total 23720 Sqr. Ft.

Note: -

 Nursing Educational institution should be in Institutional area only and not in


residential area.
 If the institute has non-nursing programme in the same building, Nursing
programme should have separate teaching block.
 Shift-wise management with other educational institutions will not be accepted.

66
 Separate teaching block shall be available if it is in hospital premises.
 Proportionately the size of the built-up area will increase according to the number of
students admitted.
 School and College of nursing can share laboratories, if they are in same campus
under same name and under same trust, that is the institution is one but offering
different nursing programmes. However they should have equipments and
articles proportionate to the strength of admission. And the class rooms should be
available as per the requirement stipulated by Indian Nursing Council of each
programme.
a. Class rooms
There should be at least six classrooms (4 classrooms for B.Sc. (N) & 2 class rooms
for P.B.B.S.c. (N)) for 40-60 Students intake with the capacity of accommodating the
number of students admitted in each class. The rooms should be well ventilated with
proper lighting system. There should be built in Black/Green/White Boards. Also there
should be a desk/ dais/a big table and a chair for the teacher and racks/cupboards for
keeping teaching aids or any other equipment needed for the conduct of classes
also should be there.

Note: Proportionately the rooms & other facilities will increase according to the number
of students admitted.

b. Departments: College should have following departments,


 Fundamentals of Nursing including Nutrition
 Medical Surgical Nursing
 Community Health Nursing
 Obstetric and Gynecological Nursing
 Child Health Nursing
 Psychiatry and Mental Health Nursing
c. Laboratories

Nursing Foundations and Medical Surgical


Community Health Nursing
OBG and Peadiatracs
Nutrition
Computer with 10 computers
Pre Clinical Science Lab. (Biochemistry, Microbiology, Biophysics,
Anatomy & Physiology)
d. Auditorium
Auditorium should be spacious enough to accommodate at least double the
sanctioned/actual strength of students, so that it can be utilized for hosting
functions of the college, educational conferences/ workshops, examinations etc. It
should have proper stage with green room facilities. It should be well – ventilated
and have proper lighting system. There should be arrangements for the use of
all kinds of basic and advanced audio-visual aids.
67
e. Multipurpose Hall
College of Nursing should have multipurpose hall, if there is no auditorium.
f. Library
There should be a separate library for the college. The size of the
Library should be of minimum 2400 sqr. Ft. It should be easily accessible to the
teaching faculty and the students. Library should have seating arrangements for
at least 60 students for reading and having good lighting and ventilation and
space for stocking and displaying of books and journals. The library should
have at least 3000 books. In a new College of Nursing the total number of books
should be proportionately divided on yearly basis in four years. At least 10 set of
books in each subject to facilitate for the students to refer the books. The number of
journals should 15 out of which one- third shall be foreign journals and subscribed
on continuous basis. There should be sufficient number of cupboards, book shelves
and racks with glass doors for proper and safe storage of books, magazines,
journals, newspapers and other literature.

In the library there should be provision for:

Staff reading room for 10 persons.

 Rooms for librarian and other staff with intercom phone facility
 Video and cassette / CD room (desirable)
 Internet facility.
g. Offices Requirements

a) Principal’s Office
There should be a separate office for the Principal with attached toilet and
provision for visitor’s room. Independent telephone facility is a must for the
Principal’s office with intercom facility connected/linked to the hospital and hostel
and a computer with internet facility. The size of the office should be 300 sqr. ft.

b) Office for Vice-Principal


There should be a separate office for the Vice-Principal with attached
toilet and provision for visitor’s room. Independent telephone facility is a must
for Vice- principal’s office with intercom facility connected/linked to the hospital
and hostel and a computer with internet facility. The size of the office should be
200 sqr. ft.

c) Office for Faculty Members


There should be adequate number of office rooms in proportion to the
number of teaching faculty. One office room should accommodate 2 teachers
only.Separate toilet facility should be provided for the teaching faculty with hand
washing facility. There should be a separate toilet for male teachers. The size

68
of the room should be 200 sqr. ft. Separate chambers for heads of the department
should be there.

d) One separate office room for the office staff should be provided with adequate
toilet facility. This office should be spacious enough to accommodate the entire
office staff with separate cabin for each official. Each office room should be
adequately furnished with items like tables, chairs, cupboards, built –in racks and
shelves, filing cabinets and book cases. Also there should be provision for
typewriters, computers and telephone.
h. Common Rooms
A minimum of 3 common rooms should be provided. One for the teaching
faculty, one for the student and one for the office staff. Sufficient space with
adequate seating arrangements, cupboards, lockers, cabinets, built-in-shelves and
racks should be provided in all the common rooms. Toilet and hand washing
facilities should be made available in each room.
i. Record Room
There should be a separate record room with steel racks, built-in shelves and
racks, cupboards and filing cabinets for proper storage of records and other
important papers/ documents belonging to the college.
j. Store room
A separate store room should be provided to accommodate the equipments
and other inventory articles which are required in the laboratories of the
college. This room should have the facilities for proper and safe storage of these
articles and equipments like cupboards, built-in-shelves, racks, cabinets, furniture
items like tables and chairs. This room should be properly lighted and well-
ventilated.

k. Room for Audio-Visual Aids

This room should be provided for the proper and safe storage of size 600 sq. ft. for
all the Audio- Visual Aids.

l. Other Facilities

Students’ welfare hall of size 400 sqr. ft. Indoor games hall of size 4000
ft. Safe drinking water and adequate sanitary/toilet facilities should be available for
both men and women separately in the college in each floor common toilets
for teachers (separate for male and female) i.e 4 toilets with Wash basins.
Common toilets for students (separate for male and female) 12 with Wash Basins
for 60 students.

m. Garage
Garage should accommodate a 60 seater vehicle.

69
n. Fire Extinguisher
Adequate provision for extinguishing fire should be available as per the local
bye-laws.
o. Playground
Playground should be spacious for outdoor sports like Volleyball, football,
badminton and for Athletics.
iii. Hostel Block (60 Students):

S. No. Hostel Block Area (Figures in Sq feet)


1. Single Room 24000
Double Room
2. Sanitary One latrine & One Bath room
(for 5 students) - 500
3. Visitor Room 500
4. Reading Room 250
5. Store 500
6. Recreation Room 500
7. Dining Hall 3000
8. Kitchen & Store 1500
Total 30750 Sqr. Ft.
Grand Total : 23720 + 30750 = 54470 Sqr. Ft.

Note: Proportionately the size of the built-up area will increase according to the number of
students admitted.

Hostel Facilities: There should be a separate hostel for the male and female students. It
should have the following facilities.

1. Hostel Room
It should be ideal for 2 students with the minimum 100 sq. ft. carpet area.
The furniture provided should include a cot, a table, a chair, a book rack, a
cupboard and a cloth rack for each student.
2. Toilet and Bathroom
Toilet and bathroom facilities should be provided on each floor of the
students hostel at the rate of one toilet and one bathroom for 2-6 students. Geysers
in bathroom and wash basins should also be provided.
3. Recreation
There should be facilities for indoor and outdoor games. There should be
provision for T.V., radio and video cassette player.

70
4. Visitor’s Room
There should be a visitor room in the hostel with comfortable seating,
lighting and toilet facilities.

5. Kitchen & Dining Hall


There should be a hygienic kitchen and dining hall to seat at least 80%
of the total students strength at one time with adequate tables, chairs, water
coolers, refrigerators and heating facilities. Hand washing facilities must be
provided.
6. Pantry
One pantry on each floor should be provided. It should have water cooler and
heating arrangements.
7. Washing & Ironing Room
Facility for drying and ironing clothes should be provided in each floor.

8. Sick Room
A sick room should have a comfortable bed, linen, furniture and attached
toilet. Minimum of 5 beds should be provided.
9. Room for Night Duty Nurses
Should be in a quiet area.

10. Guest Room


A guest room should be made available.
11. Warden’s Room
Warden should be provided with a separate office room besides her
residential accommodation.

12. Canteen
There should be provision for a canteen for the students, their guests, and all
other staff members.

13. Transport
College should have separate transport facility under the control of the
Principal. 50 seated bus is preferable.

14. Residential Accommodation:


Residential family accommodation for faculty, should be provided, according to
their marital status. Telephone facility for the Principal at her residence must be provided.
Residential accommodation with all facilities is to be provided to the Hostel Warden.
IV.CRÈCHE
There should be a crèche in the college campus.

71
V. STAFF FOR THE HOSTEL:
1. Warden (Female) -3: Qualification- B.Sc. Home Science or Diploma in
Housekeeping/ Catering. Minimum three wardens must be there in every hostel for
morning, evening and night shifts. If number of students s more than 150, one
more warden/ Asst. Warden/ House keeper for every additional 50 students.
2. Cook-1: For every 20 students for each shift.
3. Kitchen & Dining Room helper- 1: For every 20 students for each shift.
4. Sweeper-3
5. Gardener-2
6. Security Guard/ Chowkidar-3
I. Nursing Teaching Faculty:

Qualifications & experience of teachers of college of Nursing

S. NO. POST, QUALIFICATION & EXPERIENCE

1. Principal cum Professor- M.Sc. (N) with 15 years experience


after M.Sc.(N) out of which 12 years should be teaching
experience with minimum of 5 years in collegiate programme.

Ph.D.(N) is desirable
2. Vice- Principal cum Professor- M.Sc. (N) with 12 years
experience after M.Sc.(N) out of which 10 years should
teaching experience with minimum of 5 years in collegiate
programme.

Ph.D.(N) is desirable
3. Professor- M.Sc. (N) with 10 years experience after M.Sc.(N) out
of which 7 years should be teaching experience.

Ph.D.(N) is desirable
4. Associate Professor- M.Sc. (N) with 08 years experience after
M.Sc.(N) including 5 years teaching experience

Ph.D.(N) is desirable
5. Assistant desirable
Ph.D.(N) Professor- M.Sc. (N) with 3 years experience after M.Sc.(N)

6. Tutor- M.Sc.(N) Or B.Sc.(N)/P.B.B.Sc.(N) with 1 year experience

72
S. B.Sc.(N) P.B.B.Sc.(N)
Designation 40-60 (students 20-60 (students
No.
intake) intake)
1 Professor cum 1
PRINCIPAL
2 Professor cum 1
VICE- PRINCIPAL
3 Professor 0
4 Associate Professor 2
5 Assistant Professor 3 2
6 Tutor 10-18 2-10

B.Sc. (N) + P.B.B.Sc. (N) Teacher Student Ratio = 1 : 10

Part time Teachers / External Teachers**

(i) Microbiology
(ii) Bio – Chemistry
(iii) Sociology
(iv) Bio – Physics
(v) Psychology
(vi) Nutrition
(vii) English
(viii) Computer
(ix) Hindi / Any other language
(x) Any other – clinical disciplines
(xi) Physical Education.
**(The above teachers should have post graduate qualification with
teaching experience in respective area)

NOTE:

 No part time nursing faculty will be counted for calculating total no. of faculty
required for a college.
 Irrespective of number of admissions, all faculty positions (Professor to
Lecturer) must be filled.
 For M.Sc.(N) programme appropriate number of M.Sc. faculty in each speciality be
appointed subject to the condition that total number of teaching faculty ceiling is
maintained.

73
 All nursing teachers must possess a basic university or equivalent
qualification as laid down in the schedules of the Indian Nursing Council Act, 1947.
They shall be registered under the State Nursing Registration Act.
 Nursing faculty in nursing college except tutor/clinical instructors must
possess the requisite recognized postgraduate qualification in nursing subjects.
 All teachers of nursing other than Principal and Vice-Principal should spend at
least 4 hours in the clinical area for clinical teaching and/or supervision of care every
day.

OTHER STAFF (Minimum requirements)

(To be reviewed and revised and rationalized keeping in mind the mechanization and contract
service)

 Ministerial
a. Administrative Officer : 1
b. Office Superintendent : 1
c. PA to Principal : 1
d. Accountant/ Cashier : 1
 Upper Division Clerk : 2
 Lower Division Clerk : 2
 Store Keeper : 1
a. Maintenance of stores : 1
b. Classroom attendants : 2
c. Sanitary staff : As per the physical space
d. Security Staff : As per the requirement
 Peons/Office attendants : 4
 Library
a. Librarian : 2
b. Library Attendants : As per the requirement
 Hostel
a. Wardens : 2
b. Cooks, Bearers, : As per the requirement
Sanitary Staff
c. Ayas /Peons : As per the requirement
d. Security Staff : As per the requirement
e. Gardeners & Dhobi : Depends on structural (desirable)
facilities
VII. College Management Committee: Refer to INC guidelines
VIII. Admission /Selection Committee: Refer to INC guidelines

74
IX. CLINICAL FACILITIES

a. College of nursing should have a 100 bedded Parent Hospital


b. Distribution of beds in different areas/ for 40 annual intake is,
Medical : 30
Surgical : 30
Obst. & Gynaecology : 30
Pediatrics : 20
Ortho : 10
c. Bed Occupancy of the Hospital should be minimum 75%.
d. The size of the Hospital/Nursing Home for affiliation should not be less than beds.
e. Other Specialties/Facilities for clinical experience required are as follows:
 Major OT/ Minor OT
 Dental Eye/ENT
 Burns and Plastic
 Neonatology with Nursery
 Communicable disease
 Community Health Nursing
 Cardiology
 Oncology
 Neurology/Neuro-surgery
 Nephrology etc.
 ICU/ICCU
f. Affiliation of psychiatric hospital should be of minimum 50 beds.
g. The Nursing Staffing norms in the affiliated Hospital should be as per the INC
norms.
h. The affiliated Hospital should give student status to the candidates of the nursing
programme
i. Maximum Distance between affiliated hospitals & institutions:-
a. Institutions generally can be in the radius of 15-30 kms. from the affiliated
hospital.
b. Hilly & Tribal area it can be in the radius of 30-50 kms. from the affiliated
hospital.
j. 1:3 student patient ratio to be maintained.
k. For the grant of 100 students minimum 300 bedded Parent Hospital is mandatory.
*Parent Hospital for a nursing institution having the same trust which has
established nursing institutions and has also established the hospital.
OR
For a nursing institution (manage d by trust) a “Parent Hospital” would be a hospital
either owned and controlled by the trust or managed and controlled by a member of the
trust. In case the owner of the hospital is a member of the Trust that the hospital would
continue to function as a “Parent Hospital” till t he life of the nursing institution. The
undertaking would also be to the effect that the Member of the Trust would not allow
the hospital to be treated” Parent/Affiliated Hospital” to any other nursing institution
and will be for minimum 30 years [ ie , signed by all members of trust ] to the
undertaking to be submitted from the Members of the Trust
*Refer to InNC regulations as required
*** End ***
75
76
SYLLABUS AND REGULATIONS

Post Basic B.Sc. Nursing


(2 years program)

2018 – 2019 Revised

PONDICHERRY UNIVERSITY
R .V. Nagar, Kalapet
Pondicherry -605014
S. No Content Page No.
I Philosophy 1
2
II Aims
III Objectives 2

IV Course Outcome 2
Regulations of the university 3
1. Eligibility for admission 3
2. Duration of the course and course of study 4
3. Medium of Instruction 4
4. Minimum working days in an academic year 4
5. Registration 4
6. Attendance required for appearing examination 4
7. Condonation for lack of Attendance 4
8. Internal Assessment 5
V 9. Examinations 6
10. Marks qualifying for Pass 7
11. Eligibility/Maximum duration for the award of the degree 7
12. Declaration of Class 7
VI Course of Instruction 8
VII Scheme of Examination 9
VIII Course Description 11
I Year
1. Nursing Foundation 11
2. Nutrition & Dietetics 13
3. Biochemistry and Biophysics 15
4. Psychology 19
5. Microbiology 22
6. Maternal Nursing 25
7. Child Health Nursing 28
8. Medical & Surgical Nursing 31
9. English 37
II Year
10. Sociology 39
11. Community Health Nursing 42
12. Mental Health Nursing 47
13. Introduction to Nursing Education 51
14. Introduction to Nursing Service Administration 54
15. Introduction to Nursing Research &Statistics 57
Appendices
IX 1. Question Paper Pattern 60
2. Guidelines for starting College of Nursing
65

(i)
I. Philosophy:

(Adapted from Indian Nursing Council ) *


We believe that:
Health is a state of well- being that enables a person to lead a psychologically,
socially and economically productive life. Health is a right of all the people. Individuals,
families and communities have a responsibility towards maintaining their health.
Nursing contributes to the health services in a vital and significant way in the health
care delivery system. It recognizes national health goals and is committed to participate in
the implementation of National Health Policies and programmes. It aims at identifying
health needs of the people, planning and providing quality care in collaboration with other
health professional and community groups.
Scope of nursing practice encompasses provision of promotive, preventive, curative
and rehabilitative aspects of care to people across their life span in wide variety of health
care settings. Practice of nursing is based upon application of basic concepts and
principles derived from the physical, biological and behavioural sciences
Nursing is based on values of caring, and aims to help individuals to attain
independence in self-care. It necessitates development of compassion and understanding
of human behaviour among its practitioners to provide care with respect and dignity and
protect the rights of individuals & groups.
Undergraduate nursing program at post basic level is broad based education within
an academic framework specifically directed to the development of critical thinking skills,
competencies & standards required for practice of professional nursing and midwifery as
envisaged in National Health Policy 2002.
The teachers have the responsibility to be role models and create learning
environment that enables students to acquire inquiry driven, self directed learning and
foster an attitude of life long learning.
Under graduate nursing education program at post basic level prepares its
graduates to become exemplary citizen by adhering to code of ethics and professional
conduct at all times in fulfilling personal, social and professional obligations so as to
respond to national aspirations.

1
II. AIMS:
The aim of the undergraduate Nursing program at the Post Basic level is to upgrade
the diploma (GNM) Nurses to:
• Assume responsibilities as professional, competent nurses and midwives at basic
level in providing promotive, preventive, curative, and rehabilitative services.
• Make independent decisions in nursing situations, protect the rights and facilitate
individuals and groups in pursuit of health, function in the hospital, community nursing
services, and conduct research studies in the areas of nursing practice. They are
also expected to assume the role of teacher, supervisor, and manager in clinical/public
health settings.

III. OBJECTIVES:
On completion of Post-Basic B.Sc. Nursing degree course the graduates will be able to:
1. Assess health status, identify nursing needs, plan, implement and evaluate nursing care
for patients / clients that contribute to health of individuals, families and communities.
2. Demonstrate competency in techniques of nursing based on concepts and principles
from selected areas of nursing, physical, biological and behavioral sciences.
3. Participate as members of health team in the promotive, preventive, curative and
restorative health care delivery system of the country.
4. Demonstrate skills in communication and interpersonal relationship.
5. Demonstrate leadership qualities and decision-making abilities in various situations.
6. Demonstrate skills in teaching to individuals and groups in community health settings.
7. Demonstrate managerial skills in community health settings.
8. Practice ethical values in their personal and professional life.
9. Participate in research activities and utilize research findings in improving nursing
practice.
10. Recognise the need for continued learning for their personal and professional
development.
IV. COURSE OUTCOME
At the end of the course of P.B.B.Sc(N) Program, the graduate nurse will be able to
function as General Nurse practitioner to provide comprehensive care / supervise and train
nursing students at various health care settings and educational institutions and adhere to the
code of Nursing Ethics.

2
PONDICHERRY UNIVERSITY

Purducherry-14

V. REGULATIONS OF THE UNIVERSITY


SHORT TITLE AND COMMENCEMENT

These regulations shall be called “The Regulations For The Post Basic Bachelor Of
Science (Nursing) Degree Course of Pondicherry University, Puducherry”.
They shall come into force from the academic year 2018-2019 onwards.
The regulation and syllabi are subject to modifications by the standing Under
Graduate Board of Studies for nursing course from time to time.
REGULATIONS
1. ELIGIBILITY FOR ADMISSION:

1.1. Passed the Higher Secondary or Senior Secondary or Intermediate or 10+2 or an


equivalent examination recognized by the university for this purpose. Those who
have done 10+1 in or before 1986, will be eligible for admission.
1.2. Obtained a certificate in General Nursing and Midwifery and registered as
R.N.R.M. with the State Nurses Registration Council. A male nurse, trained before
the implementation of the new integrated course besides being registered as a nurse
with State Nurses Registration Council, shall produce evidence of training approved
by Indian Nursing Council for a similar duration in lieu of midwifery in any one of
the following areas:

 O.T. Techniques
 Ophthalmic Nursing
 Leprosy Nursing
 TB Nursing
 Psychiatric Nursing
 Neurological and Neuro surgical Nursing
 Community Health Nursing
 Cancer Nursing
 Orthopedic Nursing

1.3. Candidates shall be medically fit.


1.4. Students shall be admitted once in a year.

3
2. DURATION OF THE COURSE AND COURSE OF STUDY:

The period of certified study and training of the P.B.B.Sc. Nursing Degree course shall be
of two academic years including internship.
Available Weeks / Academic year 52 Weeks
Examination (including preparation) 4 Weeks
Vacation 6 Weeks
Gazetted holidays 3 Weeks
Available Weeks 39 Weeks
Hours per week 40 hours
Hours available per academic year 1560 (39weeks x 40 hours)
3. MEDIUM OF INSTRUCTION:
English shall be the medium of instruction for all the subjects of study and for examination
of the course.

4. MINIMUM WORKING DAYS IN AN ACADEMIC YEAR:


Each academic year shall consist of not less than 180 working days.
5. REGISTRATION:
A Candidate admitted into B.Sc, Nursing (Post Basic) Degree course in any one of the
affiliated institutions of the PONDICHERRY UNIVERSITY, Puducherry shall submit the
prescribed application form for registration duly filled along with prescribed fee and
declaration in the format, to the Academic Officer of this university within 60 days from the
cut-off date prescribed for admission.
6. ATTENDANCE REQUIRED FOR APPEARING EXAMINATION:

6.1 Examination will be conducted in both theory and practical as prescribed. The candidates
will be permitted to appear for the University Examinations, only if they secure 80% of
attendance in theory and Practical for a subject irrespective of any kind of absence overall
in a year.
6.2 The student should complete 100% of attendance in practical/clinical in each subject before
course completion and the award of the Degree.
6.3 A student who does not meet the minimum attendance requirement in a year must
compensate their adequacies before appearing exam
7. CONDONATION FOR LACK OF ATTENDANCE:

Condonation for shortage of attendance upto 10% in aggregate (between 70 and 80%) in a
year may be recommended by the College Academic Committee to the university and the same
may be granted based on the regulations of University
4
8. INTERNAL ASSESSMENT:

8.1. Internal assessment will be done in each subject of study and the marks will be awarded to
the candidates as detailed in the scheme of examinations.
8.2. The marks awarded will be based on the basis of candidates performance in the
assignments, class tests, laboratory work, clinical training, preparation and presentation of
the seminars as assessed by the teachers
8.3. A checklist or criteria to be developed by the respective institutions for objective evaluation
of assignments, records, reports, and clinical presentations.
8.4. The candidate appearing for arrear examination in the subject will have the same internal
marks secured in the previous examination (1st attempt).
8.5. The internal marks to be calculated based on the following criteria
a. Internal assessment for theory : (25/50 Marks)

Criteria Weightage Marks rounded Marks rounded


off to 25 off to 50
for 100%

Best of three Unit test marks 45% 12 23


Best of two Assignment marks 25% 6 12
Model Exam 25% 6 12
Attendance 5% 2 3
Total 100% 25 50
b. Internal assessment for Practical: (100 Marks/ 50 Marks)
Criteria Weightage for Marks rounded
100 % off to 50
Continuous Evaluation of Clinical Performance 30% 15
Clinical assignment 20% 10
(Case study/ Practical record/Case book)
Clinical Presentation 10% 5
Observational /field visit/ Health talk 10% 5
Model Practical Examination 30% 15
Total 100% 50

5
9. EXAMINATIONS:

9.1 University examination to be conducted after the completion of Eleven months of the
course for the annual pattern. The University Examinations will be conducted in the annual
pattern for both 2 (two) years from July 15th to 1st week of August and supplementary exam
in 1st week of February.
9.2 The particulars of subjects for various examinations and distribution of marks are detailed
in the Scheme of Examination.
9.3 The examination for the main subjects will be conducted by the University and the marks
for the internal subjects will be awarded by the subject handling faculty and forwarded to
University by the concerned college.
9.4 Theory and Practical Exam for Introduction to Computer to be conducted as College Exam
and marks to be sent to University for inclusion in the mark sheet.
9.5 The Pondicherry University Practical Examinations shall be jointly conducted by one
internal and one external examiner duly appointed by the University.
9.6 To be an examiner the faculty should possess three years of experience after MSC Nursing
as per the Pondicherry University regulation.
9.7 If a candidate fails in either theory or practical paper he/she has to re-appear for both the
papers (Theory and practical).
9.8 A candidate should clear all the arrear subjects before appearing for final exam in II year.

9.9 All practical examinations must be held in the respective clinical areas.
9.10 Maximum number of candidates for Practical examination should not exceed more than
20 students per day
9.11 The external practical examination should have the following criteria and weightage:
Criteria Weightage Weightage for
for 100% 100 marks
Patient care at the bed side 60% 60
OSCE in skill lab 30% 30
Viva 10% 10
Total 100% 100

9.12. The question paper setters need to submit the answer key along with the question paper
9.13. Students shall be permitted to use Simple calculator during Nursing Research & Statistics
examination for both new and old syllabus.

6
10. MARKS QUALIFYING FOR PASS:
10.1 A candidate has to pass in theory and practical exam separately in both internal and
external examination of each paper.
10.2 A candidate has to secure minimum of 50% of marks in the University Theory and
practical Examinations separately - Except for English.
10.3 Minimum pass mark for English shall be 40% only.
10.4 A candidate has to secure minimum of 50% of marks in Introduction to Computer.
10.5 If a candidate who has failed to secure the minimum pass mark of 50% either in
theory or practical has to reappear for both the papers. (Theory and practical)

11. ELIGIBILITY / MAXIMUM DURATION FOR THE AWARD OF THE


DEGREE:
11.1 A candidate must complete 100% of hours notified in each of the practical areas
before course completion and award of degree
11.2 The candidates shall be eligible for the Degree of Bachelor of Nursing(Post Basic) when
they have Undergone the prescribed course of study for a period of not less than four years
in an institution approved by the University and have passed the prescribed examinations
in all subjects.
11.3 The maximum period to complete the course successfully should not exceed a period of
four years.

12. DECLARATION OF CLASS:

12.1 A successful candidate obtaining 75% and more marks in the grand total aggregate in the
first attempt shall be declared to have passed with First Class with Distinction.
12.2 A successful candidate obtaining 60% and more but less than 75% of marks in the grand
total aggregate in the first attempt shall be declared to have passed with First Class.
12.3 A successful candidate obtaining 50% and more but less than 60% of marks in the grand
total aggregate shall be declared to have passed with Second Class.
12.4 Ranks shall be declared on the basis of the aggregate marks obtained by a candidate in the
University Examination subjects of the course. Only those candidates who have passed all
the subjects in all examination in the first attempt shall be eligible for the award of Rank.

7
VI. COURSES OF INSTRUCTION

Total
S. No Subject Hours Theory Hours Practical
Hours

First Year

1. Nursing Foundation 45 45
2. Nutrition & Dietetics 30 15 45
3. Biochemistry and Biophysics 60
(30+30) 60
4. Psychology 60 15 75
5. Maternal Nursing 60 240 300
6. Child Health Nursing 60 240 300
7. Microbiology 60 30 90
8. Medical & Surgical Nursing 90 270 390
9. English (Qualifying) 60 60
11. Library 50
12. Co-curricular Activities 50
Total 525 810 1465

Second Year

1. Sociology 60 60

2. Community Health Nursing 60 240 300

3. Mental Health Nursing 60 240 300

4. Introduction to Nursing 60 75 135


Education
5. Introduction to Nursing 60 180 240
Administration
6. Introduction to Nursing 45
120 165
Research & Statistics (30 +15)
7. Library 50

8. Co-curricular Activities 50

Total 345 855 1300

Note:

1. Teaching of Anatomy, Physiology, Pharmacology and Pathology will be integrated with


clinical subjects.

8
VII. SCHEME OF EXAMINATION

Marks
SUBJECT Dura Int. Assessment Uni. Examination Total
tion Min. Max Min. Max

1st year
1. Nursing foundation 2 8 15 18 35 50
2. Nutrition & Dietetics 2 8 15 18 35 50
3. Biochemistry and Biophysics 13 25 38 75
3 (7+6) (20+18) 100
(13 +12) (40 + 35)
4. Psychology 3 13 25 38 75 100
5. Microbiology 3 13 25 38 75 100
6. Maternal Nursing 3 13 25 38 75 100
7. Maternal Nursing
(Practicals) 25 50 25 50 100
8. Child Health Nursing 3 13 25 38 75 100
9.Child Health Nursing
(Practicals) 25 50 25 50 100
10.Medical and surgical Nursing 3 13 25 38 75 100
11.Medical & Surgical Nursing
(Practicals) 25 50 25 50 100
12.English 3 8 25 25 75 100

2nd Year
1. Sociology 3 13 25 38 75 100
2. Community Health Nursing 3 13 25 38 75 100
3. Community Health Nursing
(Practicals) 25 50 25 50 100
4. Mental Health Nursing 3 13 25 38 75 100
5. Mental Health Nursing
(Practicals) 25 50 25 50 100
6. Introduction to Nursing
Education 3 13 25 38 75 100
7. Introduction to Nursing
Administration 3 13 25 38 75 100
8. Introduction to Nursing 2
Research and Statistics * 25 50 - - 50
9. Research Project 25 50 - - 50

Note: * College Examination

9
VIII. QUESTION PAPER PATTERN

* For all the single subjects:

 Essay question : 2 x 15 marks = 30 marks

 Short Notes : 5 x 5 marks = 25 marks

 Short Answer : 10 x 2 marks = 20 marks

Total = 75 marks

* For Biochemistry and Biophysics

Biochemistry (40 Marks)

 Essay question : 1 x 15 marks = 15 marks

 Short Notes : 3 x 5 marks = 15 marks

 Short Answer : 5 x 2 marks = 10 marks

Total = 40 marks

Biophysics (35 Marks)

 Essay question : 1 x 15 marks = 15 marks

 Short Notes : 2 x 5 marks = 10 marks

 Short Answer : 5 x 2 marks = 10 marks

Total = 35 marks

*For Nursing Foundation AND Nutrition & Dietetics (35 Marks)

 Essay question : 1 x 15 marks = 15 marks

 Short Notes : 2 x 5 marks = 10 marks

 Short Answer : 5 x 2 marks = 10 marks

Total = 35 marks

10
VIII. Course Description

NURSING FOUNDATION

Placement : First Year Time Allotted: Theory -45 hrs.


.
COURSE DESCRIPTION

This course will help students develop an understanding of the philosophy,


objectives and responsibilities of nursing as a profession. The purpose of the course is to
orient to the current concepts involved in the practice of nursing and developments in the
nursing profession.

OBJECTIVES

At the end of the course, the student will


1. Identify professional aspects of nursing
2. Explain theories of nursing
3. Identify ethical aspects of nursing profession.
4. Utilize steps of nursing process.
5. Identify the role of the nursing in various levels of health services.
6. Appreciate the significance of quality assurance in nursing
7. Explain current trends in health and nursing.

COURSE CONTENTS

UNIT –I 7 Hours

➢ Development of Nursing as a profession


o its philosophy
o Objectives and responsibilities of a graduate nurse
➢ Trends influencing nursing practice
➢ Expanded and extended role of the nurse
➢ Development of nursing education in India and trends in nursing education
➢ Professional organizations, career planning
➢ Code of ethics & Professional conduct for nurse.

Unit II 7 Hours
➢ Ethical, legal and other issues in nursing
➢ Concepts of health and illness, effects on the person
➢ Stress and adaptation
➢ Health care concept and nursing care concept
➢ Developmental concept, needs, roles and problems of the developmental stages of
individual –newborn, infant, toddler, pre-adolescent, adolescent, adulthood,
middle-age, old age.

11
UNIT III 7 Hours

➢ Theory of nursing practice


➢ Meta paradigm of nursing –characterized by four central concepts i.e.
nurse, person (client/patient), health and environment.

UNIT IV 10Hours

➢ Nursing process.
➢ Assessment: Tools for assessment, methods, recording.
➢ Planning: Techniques for planning care, types of care plans.
➢ Implementation: Different approaches to care, organizations and
implementation of care, recording.
➢ Evaluation: Tools for evaluation, process of evaluation.

UNIT V 7 Hours

➢ Quality assurance: nursing standards, nursing audit, total quality management.


➢ Role of council and professional bodies in maintenance of standards.

UNIT VI 7 Hours
 Primary health care concept:
 Family oriented nursing concept:
 Functional Assignment
➢ Community oriented nursing
➢ Holistic nursing
➢ Primary nursing
➢ Problem oriented nursing
➢ Progressive patient care
➢ Team nursing

Reference
1. Potter & Perry, Fundamentals of Nursing, Elsevier, 6th Edition.
2. Harkreader, Fundamentals of Nursing: Catering and Clinical Judgment, Elsevier,
3rd Edition
3. Kozier, Fundamentals of Nursing: Concepts, Process & Practice, Pearson, 7th
Edition
4. Taylor, Fundamentals of Nursing: Arts and science of Nursing Process, Saunders,
7th Editon.
5. Fuller, Health Assessment: Nursing Approach, Lippincott, 3rd Edition
6. Ackley (BJ), Nursing Diagnosis Handbook: An evidence based guide to
planning care, Mosby, 8th Edition
7. Craven, Fundamentals of Nursing: Human health & function, LWW, 5th Edition.

12
NUTRITION AND DIETETICS

Placement: First Year Time Allotted: Theory -30 hrs.


Practical -15 hrs

COURSE DESCRIPTION

This course is designed to provide the students with a wide knowledge of dietetics in
Indian setting, that the practice of teaching optimum and realistic dietary planning can
become an integral part of nursing practice.

OBJECTIVES

At the end of the course, the student will

1. Explain the principles and practices of nutrition and dietetics.


2. Plan therapeutic diets in different settings.
3. Identify nutritional needs of different age groups and plan diet accordingly.
4. Prepare meals using different methods utilizing cookery rules.

COURSE CONTENTS
UNIT I 5 hours
➢ Introduction to nutrition and dietetics.
➢ Balanced diet, factors on which it depends.
➢ Factors to be considered in planning.
➢ Guides available for planning.
➢ Food hygiene, preparation and preservation
➢ Review of nutrients –micro and macro.
➢ Food chain, Food webs and ecological pyramids

UNIT II 10 Hours

➢ Introduction to diet therapy


➢ Routine hospital diets
➢ Therapeutic diet under each unit i.e. cardiovascular disease, Gastro intestinal
diseases, Renal disorders, endocrine and metabolic disorders, allergy, infections
and fevers, pre and post operative stage, deficiency diseases and malnutrition,
overweight and underweight.

UNIT III 7 Hours


➢ Infant and child nutrition
➢ Feeding of normal infants: factors to be considered in planning, nutritional
requirements.
➢ Feeding of premature infants: factors to be considered in planning, nutritional
requirements.
➢ Supplementary feeding of infants: Advantage and method of introduction.
➢ Weaning, effects on mother and child
➢ Psychology of infant and child feeding.
➢ Feed the sick child. Diet in diseases of infancy and childhood.

13
➢ Deficiency states – malnutrition and under nutrition.
➢ Feeding pre-school child: nutritional needs, factors to be considered in planning
diets. Problems in feeding.
➢ School lunch programme: Advantages, Need in India.

UNIT IV 8 hours

➢ Community Nutrition: Need for community nutrition programme.


➢ Nutritional needs for special groups: infant, child, adolescent, pregnant woman,
lactating mother and old people.
➢ Substitutes for non-vegetarian foods.
➢ Selection of cheap and nutritious foods. Nutrition education- needs and methods.
➢ Methods of assessing nutritional status of individual/group/community.
➢ Current nutritional problems and national programmes.

PRACTICUM

I. Methods of cooking and cookery rules. 8 Hours


1. Simple preparation of beverages, soups, cereals and pulses, eggs, vegetables, meat.
2. Menu Plans.

II. Preparation of supplementary food for infants. 7 Hours

1. Food for toddlers.


2. Low cost nutritious dishes for vulnerable groups.
3. Dietary case study of patient on special diet and planning of low cost dietary
instructions for home adaptations.
4. Planning of therapeutic diets.

Reference:

1. Joshi (YK), Basics of Clinical Nutrition, Jaypee, Chennai, 2nd Edition, 2008.
2. Mahan (LK), Krause’s Food, Nutrition, Diet & Therapy, Elsevier, 13th Edition,
2007.
3. Srilakshmi (B), Dietetics, New Age Int (P) Ltd., Publishers, Chennai, 5th Edition,
2007.

14
BIOCHEMISTRY AND BIOPHYSICS

Placement: First Year Time Allotted:


Section A (Biochemistry) – Theory 30 hrs.
Section B (Biophysics) - Theory 30 hrs.

COURSE DESCRIPTION:

This course introduces the basic principles of biochemistry and biophysics related
to nursing.

OBJECTIVES:

At the end of the course, the student will

1. Identify the basic principles of biochemistry and biophysics.


2. Synthesize the knowledge of these principles in various nursing situations.

SECTION A: BIOCHEMISTRY Theory – 30 hrs


COURSE CONTENTS
UNIT I 3 Hours

➢ Introduction : Importance of biochemistry in nursing


➢ Study of cell and its various components.

UNIT II 5 Hours
➢ Water and Electrolytes: Water-sources, property and functions in human body.
➢ Water and fluid balance.
➢ Electrolytes of human body, functions, sources.

UNIT III 7 Hours


➢ Enzymes
•Mechanism of action
• Factors affecting enzyme activity
• Diagnostic applications
• Precautions for handling specimens for enzyme estimation
➢ Digestion and absorption of carbohydrates, proteins and fats
➢ Various factors influencing the digestion and absorption, mal-absorption
syndrome.

UNIT IV 5 Hours
➢ Carbohydrates: Catabolism of carbohydrates for energy purposes
➢ Mitochondrial oxidation and oxidation phosphorylation.
➢ Fats of glucose in the body. Storage of glucose in the body, glycogenesis,
glycogenolysis and neoglucogenesis, blood glucose and its regulation.
➢ Glucose tolerance test, hyperglycemia, hypoglycemia, glycemia.

15
UNIT V 5 Hours
➢ Protein : Amino acids, hormones.
➢ Essential amino acids. Biosynthesis of protein in the cells
➢ Role of nucleic acid in protein synthesis.
➢ Nitrogenous constituents of urine, blood, their origin –urea cycle, uric acid
formation, gout.
➢ Plasma proteins and their functions.

UNIT VI 5 Hours
➢ Fat: Biosynthesis of fats and storage of fats in the body.
➢ Role of liver in fat metabolism
➢ Biological importance of important lipids and their functions
➢ Cholesterol and lipoprotein
• Sources, occurrence and distribution
• Blood level and metabolism
• Ketone bodies and utilization.
➢ Inter- relationships in metabolism and cellular control of metabolic processes.

Reference :

1. Vasudevan (DM),Text Book of Biochemistry, J.P.Brothers Publication New Delhi,


3rd Edition, 2001.
2. Lehninger, Principles of Biochemistry, Worth Publishers, New York, 3rd Edition,
2002.
3. Striyer (L), (1988). Biochemistry, Freeman & Company, New York, 3rd Edition,
1988.
4. Muray (RK), Harper’s Illustrated Biochemistry, McGraw Hill, New Delhi, 27th
Edition, 2006.

16
SECTION B: BIOPHYSICS

COURSE CONTENTS Theory 30 Hours

UNIT I 2 Hours
➢ Introduction :Concepts of unit and measurements.
➢ Fundamental and derived units.
➢ Units of length, weight, mass, time.
UNIT II 2 Hours
➢ Vector and scalar motion, speed, velocity and acceleration.
UNIT III 3 Hours
➢ Gravity: Specific gravity, centre of gravity, principles of gravity.
➢ Effect of gravitational forces on human body.
➢ Application of principles of gravity in nursing.

UNIT IV 3 Hours
➢ Force, work, Energy: Their units of measurement.
➢ Type and transformation of energy, forces of the body, static forces.
➢ Principles of machines, friction and body mechanics.
➢ Simple mechanics – lever and body mechanics, pulley and traction, incline
plane,screw.
➢ Application of these principles in nursing.

UNIT V 3 Hours
➢ Heat: Nature, measurement, transfer of heat
➢ Effects of heat on matter
➢ Relative humidity, specific heat
➢ Temperature scales
➢ Regulation of body temperature
➢ Use of heat for sterilization
➢ Application of these principles in nursing

UNIT VI 3 Hours
➢ Light: Laws of reflection
➢ Focusing elements of the eye, defective vision and its correction, use of lenses.
➢ Relationship between energy, frequency and wavelength of light
➢ Biological effects of light.
➢ Use of light in therapy.
➢ Application of these principles in Nursing.

UNIT VII 3 Hours


➢ Pressures: Atmospheric pressure, hydrostatic pressure, osmotic pressure.
➢ Measurements of pressures in the body
• Arterial and venous blood pressures
• Ocular pressure
• Intracranial pressure
• Applications of these principles in nursing.
17
UNIT VIII 3 Hours

➢ Sound: Frequency, Velocity and intensity


➢ Vocalization and hearing
➢ Use of ultrasound. Noise pollution and its prevention
➢ Application of these principles in nursing.

UNIT IX 3 Hours

➢ Electricity and Electromagnetism: Nature of electricity. Voltage,


current, resistance and their units.
➢ Flow of electricity in solids, electrolytes, gases and vacuum.
➢ Electricity and human body.
➢ ECG, EEG,EMG, ECT
➢ Pace makers and defibrillation
➢ Magnetism and electricity.
➢ M.R.I Scanning, CAT Scan

UNIT X 3 Hours

➢ Atomic Energy: Structure of Atom, Isotopes and Isobars.


➢ Radioactivity: Use of radioactive isotopes.
➢ Radiation protection units and limits, instruments used for detection of
Ionizing radiation. X-rays.

UNIT XI 2 Hours

➢ Principles of Electronics: Common electronic equipments used in patient care.

Practicum:

Experiments and Tests should be demonstrated wherever applicable.

18
PSYCHOLOGY
Placement :First Year Time Allotted: Theory -60 hrs.
Practical- 15 hrs

COURSE DESCRIPTION

This course is designed to reorient and widen the student’s knowledge of


fundamentals of psychology. The student is offered an opportunity to apply the
theoretical concepts in the clinical setting and thereby understand the psychodynamics of
patient behaviour. This course would also help the student to develop an insight into her
own behaviour.

OBJECTIVES

At the end of the course, the student will

1. Apply psychological principles while performing nursing duties.


2. Distinguish the psychological processes during health and sickness.
3. Analyze own behaviour patterns.
4. Tabulate the psychological needs of the patients for planning nursing care.
5. Participate in psychometric assessment of the client.

COURSE CONTENTS
UNIT I 3 Hours
➢ Introduction: Definition of psychology, scope and methods of psychology.
➢ Relationship with other subjects.

UNIT II 6 Hours
➢ Sensation, Attention and perception: Definitions
➢ Sensory processes: Normal and abnormal
➢ Attention and distraction: Contributory factors
➢ Characteristics of perception, perception: Normal and abnormal

UNIT III 6 Hours

➢ Motivation: Definition and nature of motivation


➢ Biological and social motives
➢ Frustration and conflicts
➢ Self-actualization

UNIT IV 4 Hours
➢ Emotions: Definition of emotions, expression and perception
➢ Emotions in sickness

19
UNIT V 5 Hours
➢ Personality : Definition , constituents of personality
➢ Personality in sickness and nursing

UNIT VI 5 Hours

➢ Psychological aspects of nursing


➢ Behaviour and sickness.
➢ Psychological needs of

 Child and adolescents


 Adult, Aged, Attendants
 Chronically ill individual

UNIT VII 5 Hours


➢ Individual differences
➢ Significance of individual differences.
➢ Heredity and environment
➢ Role of individual differences both in health and sickness.
➢ Implications of individual differences in nursing.

UNIT VIII 5 Hours


➢ Intelligence and Abilities: Definition
➢ Intelligence and abilities during sickness
➢ Measurement of intelligence and abilities.

UNIT IX 6 Hours
➢ Learning: Definition, conditions of learning
➢ Laws of learning
➢ Learning during health and sickness.

UNIT X 4 Hours
➢ Memory and forgetting: Definition and nature of memory
➢ Memory during health and sickness.
➢ Forgetting during health and sickness

UNIT XI 5 hours

➢ Attitudes: Definition, Development and modification


➢ Role of attitudes in health and sickness.
UNIT XII 6 Hours

➢ Concept of mental hygiene and mental health


➢ Characteristics of a mentally healthy person.
➢ Defense mechanisms.

20
PRACTICUM

1.Simple experiments on (i) perception (ii) measuring thresholds (iii) reaction time.
2. Administration of psychological tests
3. Observation and recording data: (i) field observation (ii) interview (iii) case study (iv)
self –rating.

References:

1. Morgon (CT), Introduction to Psychology, Tata McGraw Hill, New Delhi, 20th
edition, 2003.
2. Atkinson (RL), Hilgard’s Introduction to psychology, Harcourt college
publishers, Philadelphia, 13th edition, 2000.
3. Shelley, Taylor’s Health Psychology, Tata McGraw hill publishing co. Ltd,
Sidney, 6th Edition 2006.
4. Santrock (JW), Educational Psychology, Tata McGraw Hill Pub. Co. Ltd., Sidney
2006.
5. Fernald (L.D) Introduction to Psychology A.I.T.B.S. Pub. New Delhi 2006.
6. Mangal (SK), Advanced Educational Psychology, Pentice Hall of India, New
Delhi, 2nd Edition, 2006.
7. Gross (R), Psychology for Nurses and Allied Health Professionals, Hodder
Arnold, London, 2007.

21
MICROBIOLOGY

PLACEMENT: First Year TIME Allotted: Theory -60 hrs


Practical 30 hrs
COURSE DESCRIPTION

This course reorients the students to the fundamentals of Microbiology and its
various sub-divisions. It provides opportunities to gain skill in handling and use of
microscope for identifying various micro-organisms. It also provides opportunities
for safe handling of materials containing harmful bacteria and methods of destroying
microorganisms.
OBJECTIVES

At the end of the course, the student will

1. Identify common disease producing micro-organisms.


2. Explain the basic principles of microbiology and their significance in health
and disease.
3. Demonstrate skill in handling specimens.
4. Explain various methods of dis-infection and sterilization.
5. Identify the role of the nurse in hospital infection control system.
COURSE CONTENTS

UNIT I 4 Hours

➢ Structure and classification of microbes


➢ Morphological types
➢ Size and form of bacteria
➢ Motility.
➢ Classification of Microorganisms.

Practical: 4 Hours
➢ Use and care of microscope.
➢ Common examination :Smear, blood, modules, yeasts.

UNIT II 4 Hours

➢ Identification of Micro-organisms
➢ Discussion of laboratory methods
➢ Diagnosis of bacterial diseases.

Practical: 4 Hours
➢ Staining techniques-gram staining, acid fast staining.
➢ Hanging drop preparation.

22
UNIT III 4 Hours

➢ Growth and Nutrition of Microbes


➢ Temperature
➢ Moisture
➢ Blood
Practical: 4 Hours

➢ Preparation of Media and culture techniques.


➢ Collection, handling and transportation of various specimens.

UNIT IV 6 Hours
➢ Destruction of Micro-organisms.
➢ Sterilization and disinfection
➢ Chemotherapy and antibiotics
➢ Effects of heat and cold
➢ Hospital infection control procedure and role of nurses.

Practical: Sterilization methods –physical, chemical and mechanical 6 Hours

UNIT V 8 Hours
➢ Disease producing micro-organisms
➢ Gram positive bacilli
➢ Tuberculosis and Leprosy
➢ Anaerobes
➢ Cocci
➢ Spirochaete
➢ Rickettsiae

Practical: 5 Hours
Identification and study of the following bacteria: Streptococci, pneumococci and
Staphylococci, Corynebacteria, Spirochaete and gonococci. Enteric bacteria. Posting in
infection control department.
UNIT VI 6 Hours
➢ Pathogenic Fungi
➢ Dermatophytes
➢ Systemic mycotic infection
➢ Laboratory diagnosis of mycotic infection

UNIT VII 6 Hours


➢ Immunity
➢ Immunity and hypersensitivity –Skin test
➢ Antigen and antibody reaction
➢ Immunization in disease.

Practical: Demonstration of serological methods 3 Hours

23
UNIT VIII 10 Hours
➢ Parasites and vectors.
➢ Characteristics and classification of parasites
➢ Protozoal infection including amoebiasis
➢ Helminthes infection
➢ Diagnosis of parasitic infection
➢ Vectors and diseases transmitted by them.

Practical: Identification of Parasites and Vectors. 4 Hours

UNIT IX 6 Hours

➢ Viruses.
➢ Classification and general character of virus
➢ Diseases caused by viruses in man and animal and their control.

UNIT X 6 Hours

➢ Micro-organisms transmitted through food.


➢ Food poisoning. Food borne infections.

Practicum

Each student will practice in the laboratory as indicated in each unit of the
courses outline. While giving nursing care in the wards they will practice
collection and processing of specimens, prevention and control of hospital infections,
sterilization, immunization, chemotherapy and maintenance of personal and
environmental hygiene. Observation visit to incinerator, Posting in CSSD and infection
control department.

References :
1. Ananthanarayanan (R), Textbook of Microbiology, Orient Longman Ltd., Madras,
1994.
2. Bhatia (R), Essentials of Medical Microbiology, J.P Brotheres Publishers, New
Delhi, 3rd Edition, 2004.
3. Ichhpujani (RL), Microbiology for Nurses, J.P Brotheres Publishers, New Delhi,
2nd Edition, 2003.

24
MATERNAL NURSING

Placement :First Year Time Allotted :Theory -60 hrs


Practical - 240 hrs

COURSE DESCRIPTION

This course is designed to widen the student’s knowledge of obstetrics during


pregnancy, labour and puerperium. It also helps to acquire knowledge and develop
skill in rendering optimum nursing care to a child bearing mother in a hospital or
community and help in the management of common gynecological problems.

OBJECTIVES
At end of the course, the student will

1. Describe the physiology of pregnancy, labour and puerperium.


2. Manage normal pregnancy, labour and puerperium.
3. Explain the physiology of lactation and advice on management of
breast feeding.
4. Be skilled in providing pre and post operative nursing care in
obstetric conditions.
5. Identify and manage high risk pregnancy including appropriate referrals.
6. Propagate the concept and motivate acceptance of family planning methods.
7. Teach, guide and supervise auxiliary midwifery personnel.

COURSE CONTENTS
UNIT I 3 Hours
➢ Introduction and historical review
➢ Planned parenthood
➢ Maternal morbidity and mortality rates
➢ Legislations related to maternity benefits, MTP acts, incentives for
family planning etc.,

UNIT II 5 Hours
➢ Review of the anatomy and physiology of female reproductive system.
➢ Female pelvis(normal and contracted)
➢ Review of foetal development.

UNIT III 15 Hours


➢ Physiology and management of pregnany, labour and puerperium
➢ Signs and symptoms and diagnosis of pregnancy
➢ Antenatal care
➢ Pregnant women with HIV/AIDS
➢ Management of common gynaecological problems.

25
UNIT IV 4 Hours
➢ The New born baby
➢ Care of the baby at birth including resuscitation
➢ Essential Newborn Care
• Feeding
• Jaundice and infection
• Small and large for date babies
• Intensive care of the new born
• Trauma and haemorrhage.

UNIT V 24 Hours
➢ Management of abnormal pregnancy, labour and puerperium
➢ Abortion, ectopic pregnancy and vesicular mole.
➢ Pregnancy induced hypertension, gestational diabetes, anaemia, heart disease.
➢ Urinary infections, Antepartum hemorrhage
➢ Abnormal labour (malposition and malpresentation)
➢ Uterine inertia
➢ Disorders or puerperium
➢ Management of engorged breast, cracked nipples, breast abscess and mastitis
➢ Pueperal sepsis
➢ Post partum haemorrhage
➢ Inversion and prolapse of uterus, obstetrical emergencies
➢ Obstetrical operations i.e. forceps, vacuum, episiotomy, caesarean section.

UNIT VI 4 Hours

➢ Drugs in obstetrics
➢ Effects of drugs during pregnancy, labour and puerperium on mother and
baby.

UNIT VII 5 Hours

➢ National Welfare programmes for women


➢ National Family welfare programme
➢ Infertile family
➢ Problems associated with unwated pregnancy
➢ Unwed mothers.

26
PRACTICUM
1. The students will
a. Be posted in antenatal clinic, MCH Clinic, antenatal ward, labour room, postnatal
ward, maternity
OT, MTP room.
b. Visit welfare agencies for women and write observation report.
c. Follow nursing process in providing care to 3-6 patients.
d. Write at least two nursing care studies and do a presentation
e. Give at least one planned health teaching to a group of mothers.

2. Practice following nursing procedures.

a. Antenatal and post natal examination, per vaginal exam.


b. Conduct normal delivery, stitching of episiotomy, (For male candidates minimum
conduct of 5 deliveries)
c. Motivate family for planned parenthood.
d. Motivation of family for adopting family planning methods.
e. Assist in various diagnostic and therapeutic procedures including IUD insertion
and removal.

Reference Books:

1. Fraser (DM), MMyles Textbook of Midwives, Churchill Livingstone, 14th Edtion,


2003
2. Dutta (DC), Textbook of Obstetrics, New Central Book Agency.
3. Lowdermilk, Maternity Nursing, Mosby, 7th Edition.
4. Willams, Obstetrics, McGrawhill, 22nd Edition.
5. Bobak, Maternity Nursing Care, Elsevier.
6. Maternity & Child Health Nursing Care for the childbearing family, LWW, 5th
edition.
7. Wong, Maternity Child Nursing Care, Mosby, 3rd Edition.

27
CHILD HEALTH NURSING

Placement : First Year Time Allotted :Theory -60 hrs


Practical - 240 hrs
COURSE DESCRIPTION

This course is aimed at developing an understanding of the modern approach to child


care, the common health problems of children and neonates in health and sickness.

OBJECTIVES

At the end of the course, the student will

1. Explain the modern concept of child care and the principles of child health
nursing.
2. Describe the normal growth and development of children at different ages.
3. Manage sick as well as healthy neonates and children.
4. Identify various aspects of preventive pediatric nursing and apply them in
providing nursing care to children in hospital and community.

COURSE CONTENTS
UNIT I 8 Hours
➢ Introduction
➢ Modern concept of child care
➢ Internationally accepted rights of the child
➢ National policy and legislations in relation to child health and welfare.
➢ National programmes related to child health and welfare.
➢ Changing trends in hospital care, preventive, promotive and curative aspects of
child health.
➢ Child morbidity and mortality rates.
➢ Differences between an adult and child.
➢ Hospital environment for a sick child.
➢ The role of a paediatric nursing in caring for a hospitalized child
➢ Principles of pre and post operative care of infants and children.
➢ Paediatric nursing procedures.

UNIT II 12 Hours
➢ The healthy child
➢ Growth and development form birth to adolescence
➢ The needs of normal children through the stages of development and parental
guidance.
➢ Nutritional needs of children and infants breast-feeding,
supplementary/artificial feeding and weaning.
➢ Accidents, causes and prevention
➢ Value of play and selection of play material
➢ Preventive immunization.

28
UNIT III 12 Hours
➢ Nursing care of a neonate
➢ Nursing care of a normal newborn
➢ Neonatal resuscitation
➢ Nursing management of a low birth weight baby.
➢ Nursing management of common neonatal disorders.
➢ Organization of neonatal unit. Prevention of infections in the nursery.

UNIT IV 24 Hours
➢ Nursing management in common childhood diseases
➢ Nutritional Deficiency Disorders
➢ Respiratory disorders and infections
➢ Gastrointestinal infections, infestations and congenital disorders.
➢ Cardio vascular problem-congenital defects and rheumatic fever.
➢ Genito-urinary disorder –Nephrotic syndrome, wilms’ tumor, infection and
congenital disorders.
➢ Neurological infections and disorders-convulsions, epilepsy,
meningitis,hydrocephalus, spinabifida.
➢ Hematological disorders –Anemias thalassemia, ITP, Leukemia, hemophilia.
➢ Endocrine disorders – Juvenile diabetes mellitus.
➢ Orthopedic disorders –club feet, hip dislocation and fracture.
➢ Disorders of skin, eye and ears.
➢ Common communicable diseases in children, their identification,
nursing management in hospital and home and prevention.
➢ Paediatric emergencies –poisoning, foreign bodies, haemorrage, burns
anddrowning.

UNIT V 4 Hours
➢ Management of behaviour disorders in children.
➢ Management of challenged children:
o Mentally challenged
o Physically challenged
o Socially challenged

PRACTICUM

The student will:-


1. Be posted in paediatric medical and surgical ward, OPD in hospital, health
centre and neonatal unit.
2. Visit a centre for handicapped children and child welfare centre and
write observation report.
3. Write an observation study of normal children of various age groups
in home/nursery school/ crèche.
4. Follow nursing process in providing care to 3-6 children.
5. Write at least two nursing care studies and do a presentation.
6. Give two planned health teachings, one in hospital and one in OPD/health centre.
7. Practice the following nursing procedures:
8. Taking pediatric history.
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9. Physical assessment of children.
10. Baby bath.
11. Feeding
12. Restraining
13. Calculation of dosage of drugs and administration of medications and injections.
14. Collection of specimens.
15. Enema, bowel wash, colostomy irrigation.
16. Steam and Oxygen inhalation
17. Preparation to assist with diagnostic tests and operations.
18. Examination/Assessment of a newborn
19. Neonatal resuscitation
20. Care of a baby in incubator and on ventilator
21. Photo therapy
22. Assist in exchange transfusion and other therapeutic procedures.

Reference Books:

1. Whaley & Wongs, Nursing Care of Infants & Children, Mosby, Philadelphia.
2. Marlow, Textbook of Paediatric Nursing, Harecourt (India) Ltd.
3. Nelson, Textbook of Paediatrics, Harecourt India private Ltd.
4. Parthasarathy, IAP Textbook of Paediatrics, Jaypee Brothers Medical Publishers, New
Delhi.
5. Hockenberry, Wong’s Maternal Child Nursing Care, Mosby.
6. Kenner (C), Comprehensive Neonatal Nursing, Saunders.
7. Pilltteri (A), Maternal and Child Health Nursing Care, LWW, Philadelphia,
8. Achar’s textbook of Paediatrics, Orient Longman.
9. Ghai (OP), Essential Paediatrics.
10. Fox (JA), Primary Health Care of Infants, Children & Adolescents, Mosby.

30
MEDICAL SURGICAL NURSING

Placement: First Year Time Allotted: Theory – 90 hrs


Practical - 270 hrs

COURSE DESCRIPTION
The purpose of this course is to widen the student’s knowledge and develop
proficiency in caring for patients with medical surgical problems. This course includes
review of relevant anatomy and physiology, pathophysiology in medical-surgical
disorders and the nursing management of these conditions.
OBJECTIVES

At the end of the course, the student will


1. Explain relevant Anatomy and Physiology of various systems of the body.
2. Explain pathophysiology of various disorders.
3. Explain the actions, side effects and nursing implications in administering drugs
for various disorders.
4. Discuss the recent advancement in the treatment and care of patients with medical
surgical conditions.
5. Develop skill in giving comprehensive nursing care to patients following the steps
of nursing process.
6. Assist the patients and their families in identifying and meeting their own health
needs.
7. Appreciate the role of the nurse in the medical surgical health team.

COURSE CONTENTS
UNIT I 3 Hours
➢ Introduction to medical surgical nursing.
➢ Review of concepts of comprehensive nursing care in medical surgical conditions.
➢ Nurse, patient and his/her family.
➢ Functions of nurse in the outpatient department.
➢ Intensive care unit.

UNIT II 6 Hours
Nursing management of patient with specific problems.

➢ Fluid and electrolyte imbalance.


➢ Dyspnea and cough, respiratory obstruction
➢ Fever
➢ Shock
➢ Unconsciousness
➢ Pain
➢ Acute illness
➢ Chronic Illness
➢ Terminal illness
➢ Age Related Illness
➢ Patient undergoing Surgery
➢ Incontinence

31
UNIT III 9 Hours
➢ Nursing management of patient with neurological and neuro surgical
conditions.
➢ Review of anatomy and physiology of the nervous system.
➢ Pathophysiology, diagnostic procedures and management of:
• Cerebro-vascular accident.
• Cranial, spinal and peripheral neuropathies.
• Head-ache and intractable pain
• Epilepsy
• Infectious and inflammatory diseases and trauma of the nervous system.
• Common disorders of the system.
• Recent advances in diagnostic and treatment modalities.
• Drugs used in these disorders.
• Tumors of brain and spinal cord, congenital malformations, degenerative
diseases.
UNIT IV 8 Hours
➢ Nursing management of patient with cardiovascular problems.
➢ Review of relevant anatomy and physiology of cardio vascular
system.
➢ Pathophysiology, diagnostic procedures and management of
• Ischemic heart diseases.
• Cardiac arrhythmias.
• Congestive heart failure.
• Rheumatic and other valvular heart diseases.
• Endocarditis, cardiomyopathies, congenital heart, diseases, hypertension,
heart block.
• Cardiac emergencies: cardiac arrest, acute pulmonary oedema,
cardiac tamponade, cardiogenic shock, aneurysms and peripherovascular
disorders, recent advancement in cardiology.
UNIT V 8 Hours
➢ Nursing management of patient with respiratory problems.
➢ Review of anatomy and physiology of respiratory system,
 Pathophysiology, diagnostic procedures and management of upper respiratory tract
infections.
• Bronchitis
• Asthma
• Emphysema, empyema, Atelectasis, COPD
• Bronchiectasis
• Pneumonia
• Pulmonary tuberculosis
• Lung abscess
• Pleural effusion
• Tumours and Cysts
• Chest injuries
• Respiratory arrest and insufficiency
• Pulmonary embolism
• Drugs used in the management of these patients.
• Special respiratory therapies.
32
UNIT VI 6 Hours

➢ Nursing management of patient with genitor-urinary


problems.
➢ Review of anatomy and physiology of the genitor-urinary system
• Nephritis
• Renal Calculus
• Acute renal failure
• Chronic renal failure
• End stage renal disease
➢ Special procedures, dialysis, renal transplant
➢ Drugs used in management of these patients
➢ Congenital disorders, urinary infections
➢ Benign prostate hypertrophy.

UNIT VII 8 Hours


➢ Nursing management of patients with problems of the digestive systems.
➢ Review of anatomy and physiology of gastrointestinal system and accessory
organs.
➢ Pathophysiology, diagnostic procedures and management of
• G.I.Bleeding
• Peptic ulcer
• Infections
• Acute abdomen
• Colitis, diarrhea, dysentery and mal-absorption syndrome.
• Cholecystitis
• Hepatitis, hepatic coma and cirrhosis of liver.
• Portal hypertension
• Pancreatitits
• Tumors, hernias, fistulas, fissures,
hemorrhoids.
➢ Drugs used in the management of these patients.
UNIT VIII 4 Hours
➢ Nursing management of patients with endocrine problems
➢ Review of anatomy and physiology and patho-physiology of patients with
• Thyroid disorders
• Diabetes mellitus
• Diabetes insipidus
• Adrenal tumour
• Pituitary disorders
• Diagnostic procedures
➢ Nursing management of patient with above problems.
➢ Drugs used in endocrine problems.

33
UNIT IX 7 Hours

➢ Nursing management of patients with musculoskeletal problems.


➢ Review of anatomy and physiology and pathophysiology
• Arthritis, osteomyelitis, bursitis,
• Fractures, dislocation and trauma
• Prolapsed disc
• Osteomalacia and osteoporosis
• Tumor
• Amputation
➢ Diagnositc procedures
➢ Nursing management of patients with above problems.
➢ Prosthesis and rehabilitation.
➢ Transplant and replacement surgeries.

UNIT X 4 Hours

➢ Nursing management of patients with disorders of female reproductive tract.


➢ Disorder of menstruation
➢ Infections of the genital tract
➢ Benign and malignant tumors of the genital tract
➢ R.V.F., V.V.F
➢ Climatic changes and associated problems.

UNIT XI 7 Hours

➢ Nursing management of patients with oncological disorders.


➢ Types of neoplasms and related pathophysiology
➢ Diagnostic procedures
➢ Modalities of treatment and nurse’s role
➢ Special therapies –Chemotherapy and radiotherapy
➢ Preventive measures, other therapies.

UNIT XII 4 Hours

➢ Nursing management of patient with burns.


➢ Nursing management of patient with reconstructive surgeries.

UNIT XIII 4 Hours

➢ Nursing management of patients with common communicable diseases and


STD’S
➢ Nursing management of patient with immunological disorders including
HIV/AIDS

UNIT XIV 5 Hours

➢ Nursing management of patients with diseases of eye, ear, nose, throat and skin.

34
UNIT XV 4 Hours

➢ Nursing management of patients with blood disorders


➢ Review of anatomy and physiology of blood products.
➢ Patho-physiology, diagnostic procedures and management of blood disorders

• Anemia
• Leukemia
• Bleeding disorders
• Hemophilia
• Purpura etc.

➢ Blood transfusion, safety checks, procedure and requirements, management of


adverse transfusion reaction, records for blood transfusion.
➢ Management and counseling of blood donors, phlebotomy procedure, and post
donation management.
➢ Blood bank functioning and hospital transfusion committee
➢ Bio-safety and waste management in relation to blood transfusion.

UNIT XVI 3 Hours


➢ Nursing in emergencies.
➢ Cardiac emergencies
➢ Trauma
➢ Poisoning
➢ Crisis management: Thyroid crisis, Hypertensive crisis, adrenal crisis.

PRACTICUM
Students should rotated in the selected medical and surgical areas, like cardio thoracic,
neurology, urology, orthopedics, Gynecology, Oncology, burns and Reconstructive
surgical units.

The students should given patient assignment. They have to practice patient
cantered comprehensive nursing.
Each student is required to give planned health teachings, conduct clinical teaching,
case presentation and drug study.

35
Reference Books:

1. Brunner (V), Medical Surgical Nursing , LWW, 10th Edition.


1. Black, Medical Surgical Nursing: Clinical Management for positive
outcomes, Elsevier,7th Edition.
2. Willams, Understanding Medical Surgical Nursing, Jaypee, 3rd Edition.
3. Timby, Introductory Medical Surgical Nursing, LWW, 9th Edition.
4. Lewis, Medical Surgical Nursing Assessment & Management of Clinical
Problems, Elsevier 7th edition
5. Ignatavicius, Critical Thinking for Collaborative Care, Elsevier, 5th Edition.
6. Monahan, Phipp’s Medical Surgical Nursing: Health & illness perspectives
practice,
Jaypee, 8th Edition.
7. Gulanick, Nursing Care Plans: Nursing Diagnosis & Interventions, Mosby, 5th
edition
8. Lippincott’s Manual of Nursing Practice, Jaypee , Edition.
9. Ulrich, Nursing Care Planning Guides: For adults in acute extended & Home
care settings, Elsevier, 6th edition.
10. White, Foundations of Adulth Health Nursing, Thompson, 2nd edition.
11. Redfern, Nursing Older People ,Churchill Livingstone , 4th edition.
12. Phillip, Berry & Kohn’s Operating room techniques, Elsevier, 11th Edition.
13. Marks, Roxburgh’s Common Skin Diseases, Arnold, 17th edition.
14. Thappa, Essential in Dermatology with MCQ’s, Ahuja publishing

36
ENGLISH

Placement: First Year Time Allotted: Theory -60 hrs

COURSE DESCRIPTION

This course is designed to help the student understand and usage of English language
required for their professional work.

OBJECTIVES

After the course the students will develop

1. Ability to speak and write grammatically correct English


2. Effective skill in reading and understanding the English language
3. Skill in reporting

COURSE CONTENTS
UNIT I 10 Hours

➢ Remedial study of grammar


➢ Review of grammar, vocabulary and effective use of dictionary
➢ Prepare task oriented seminars.
➢ Symposia and panel discussion.

UNIT II 10 Hours

➢ The ability to understand selected passage and express meaning in one’s own
words.
➢ Reading and comprehension of the prescribed books.

UNIT III 10 Hours

➢ The study of various forms of composition


• Note taking
• Diary
• Nurses notes, anecdotal records
• Writing of summary
• Nurses reports on health problems
➢ The student will submit one sample of each item from her own
practical experience.

UNIT IV 10 Hours

➢ Verbal communication
➢ Oral reports
➢ Summarization of discussion
➢ Debate
➢ Listening comprehension –Film, Cassette and Radio.

37
PRACTICUM 20 Hours

The clinical experience in the wards and bed side nursing will provide opportunity for
students to fulfill the objectives of learning language.

Assignment on writing and conversation through participation in discussion, debates,


seminars and symposia. The students will gain further skills in task oriented
communication.

References:

1. David (MT), English for Professional Nursing, BI Publications Pvt. Ltd., Chennai,
2007.
2. Koorkkakala (T), Communicative English for BSc., Nursing Students, KJ
Publications, Kerala, 2007.

38
II YEAR

SOCIOLOGY

Placement: Second Year Time allotted :Theory -60 hrs

COURSE DESCRIPTION

This course it reorient students to sociology related to community and social institution in
India and its relationship with health, illness and nursing.

OBJECTIVES
At the end of the course, the student will

1. Describe sociological concepts that are applicable to nursing.


2. Determine role of sociology in nursing as related to social institutions in India
3. Develop positive attitudes towards individual, family and community.

COURSE CONTENTS

UNIT I 3 Hours

 Introduction
 Importance of study of sociology in nursing, relationship of anthropology,
sociology, etc.

UNIT II 5 Hours
➢ Individual and society
➢ Socialization
➢ Interdependence of the individual and society
➢ Personal disorganization.

UNIT III 5 Hours


➢ Culture
➢ Nature of culture
➢ Evolution of culture
➢ Diversity and uniformity of culture

UNIT IV 8 Hours
➢ Social organization
➢ Social groups, crowds and public groups, nations, race.
➢ Social institutions: The family marriage, education, religion, arts, economic
organization, political organization.
➢ The urban and rural community in India: Ecology, characteristics of the village,
characteristics of the town and city.
➢ Social stratification: Class and caste.

39
UNIT V 5 Hours

➢ Social process
➢ Process of Social Interaction: Competition, Conflict-war, cooperation,
accommodation and assimilation

UNIT VI 5 Hours
➢ Social change
➢ Nature and process of social change: Factors influencing cultural change.
Cultural lag.

UNIT VII 14 Hours

➢ Social problems
➢ Social disorganization, control and planning: poverty, population, housing,
illiteracy, food supplies, growth of urbanization, prostitution, minority groups,
rights of women and children, child labour, child abuse, delinquency and crime,
substance abuse.
 Role of information technology in environment and human health-case studies.
➢ Social issues and environment:
• From unsustainable to sustainable development
• Urban problems and related to energy
• Water conservation, rain water harvesting, water shed management
• Resettlement and rehabilitation of peole: its problem and concern-case studies
• Environmental ethics: issues and possible solutions, climate change, global
warming, acid rain, ocean layer depletion, nuclear accident and holocaust-case
studies
• Wasteland reclamation
• Consumerism and waste products.

UNIT VIII 15 Hours


➢ Bio-Diversity & Its Conservation
• Biogeographical classification of India
• Value of bio-diversity: Consumptive use, productive use, social,
ethical, aesthetic and option values
• Bio-diversity at global, national and local levels
• India as a mega diversity nation
• Hot-Spot of bio-diversity
• Threats to bio-diversity: habitat loss, poaching of wild life conflicts.
• Endangered and endemic species of India
• Conservation of Bio-diversity: in situ-and ex-situ conservation of
bio- diversity

40
Reference :

1. Bhushan (V), Introduction to Sociology, Kitab Mahan, 2002.


2. Madan (GR), Indian Social Problems, Allied Publishers, Chennai.
3. Mehta (SA), Study of Rural Sociolgy in India, Chand & Co.
4. Ogbern (F), Handbook of Sociology, Eurasoa Publishing, New Delhi.
5. Majmudar (DN), An Introduction to Social Anthropology, Asia Publishing House,
Bombay.
6. Indrani (TK), Textbook of Sociology for Nurses, Jaypee Brothers, New Delhi, 2006.
7. Neeraja (KP), Textbook of Sociology for Nursing Students, Jaypee Brothers, New
Delhi, 2005.
8. Rao (SD), Psychology and Sociology for Paramedicals, Jaypee Brothers, New Delhi,
2006

41
COMMUNITY HEALTH NURSING

Placement: Second Year Time allotted: Theory – 60hrs


Practical -240 hrs
COURSE DESCRIPTION

The course enables the students to understand the national health care delivery
system and to participate in the delivery of community heath nursing.

OBJECTIVES

At the end of the course, the student will


1. Explain the concept of various factors contributing to health of individual,
family and community.
2. Identify the role of community health nurse.
3. Describe national health care delivery system.
4. Describe epidemiological methods and principles of prevention and control
of illness in the community.
5. Identify the role of personnel working in the community health set up.
6. Plan the work of community health nurse and supervise and train health workers.

COURSE CONTENTS

UNIT I 5 Hours

Introduction
➢ Introduction to community health –Concepts, Principles and elements of primary
health care.
➢ Introduction to community health nursing.
➢ Concepts of community health nursing –community nursing process.
➢ Objectives, scope and principles of community health nursing.

UNIT – II 10 Hours

Environment & Health


➢ Environment Scope:
• Definition, scope and importance-need for public services.
• Environment and Human Health – Human Rights
➢ Forest Resources: use and over-exploitation, forestation deforestation, case
studies, timber extraction mining, dams and their effects on forests and tribal
people.
➢ Water Resources: Sources, types of water ,methods of water purification, use and
over-utilization of surface, and ground water, floods, drought, conflicts over
water dams-benefits and problems
➢ Mineral resources: Uses and exploitation, environmental effects of extracting and
using mineral resources, Case studies.

42
➢ Food Resources: World food problems, changes caused by agriculture and
overgrazing, effects of modern agriculture, fertilizer-pesticide problems, water
logging, salinity, case studies.
➢ Energy Resources: growing energy needs, renewable and non-renewable energy
resources, use of alternate energy sources, case studies
➢ Land resources: land as a resources, land degradation, man induced landslides,
soil erosion and desertification.
 Role of an individual in conservation of natural resources,
 Equitable use of resources for sustainable lifestyle
➢ Environmental Pollution:
• Definition, causes, effects and control measure of: Air pollution, water
pollution, soil pollution, marine pollution, noise pollution, Thermal pollution,
nuclear pollution, pollution case studies, Impact of environmental pollution on
health.
➢ Pollution Control:
• Environment protection act (Air, Water, Wild Life Protection, Forest
Conservation) Issues involved in enforcement of environmental legislation,
Public Awareness
➢ Solid waste management: Causes, effects and control measures of urban and
industrial waste, and waste disposal methods.
➢ Disaster management: floods, earth quake, cyclone, and land slides
• Role of Information Technology in Environment and Human health – case
studies.
• Role of an individual in prevention of pollution

UNIT III Ecosystems: 10 Hours


➢ Introduction- Definition: Genetics, species and ecosystem diversity
➢ Concept of an ecosystem
➢ Structure and function of an ecosystem producers, consumers and decomposers.
➢ Energy flow in the ecosystem
➢ Ecological succession
➢ Forest ecosystem
➢ Grassland ecosystem
➢ Desert ecosystem
➢ Aquatic ecosystem (ponds, streams, lakes, river, ocean, estuaries)
➢Climatic changes, Heat changes, Heat waves and its impact on health.

UNIT IV 5 Hours

➢ Family health/welfare services


➢ Concept, objectives, scope and principles.
➢ Individual family and community as a unit of service
➢ Principles and techniques of home visiting

43
➢ Establishing working relationship with the family.
➢ Working with families in relation to prevention of disease, promotion of health.
➢ Care of the sick in the home, physically handicapped and mentally challenged.
➢ Surveillance and monitoring

UNIT V 7 Hours
➢ Organisation and administration of health services in India.
➢ National health policy
➢ Health care delivery system in India
• Primary Health Centre : Concept of Health and wellness centre – Middle level
Health provider
➢ Health team concept
• Centre, State, district, urban health services, rural health services
• System of medicines
• Centrally sponsored health schemes
• Role of voluntary health organizations and international health agencies
• Role of health personnel in the community
• Public health legislation.

UNIT VI 5 Hours
➢ Health Education
• Aims concepts and scope of the health education
• National plan for health education
• Communication techniques
• Methods and media for health education programmes
• Planning for health education and role of nurse
➢ Value education on HIV/AIDS, women and child welfare

UNIT VII 5 Hours


➢ Role of the community health nurse.
➢ National health programmes
• Maternal and child health programmes
• Family welfare and school health services
• Occupational health services.
➢ As a member of the health team.
➢ Training and supervision of health care workers.

UNIT VIII 5 Hours

➢ Epidemiology
➢ Definition-concepts, aims, objectives, methods, principles
➢ Epidemiology – Theories and models
➢ Application of Epidemiology, principles and concepts in community health.

UNIT IX 8 Hours
➢ Bio statistics and vital statistics
➢ Introduction, definition and scope, legislation
➢ Report, recording and compiling of vital statistics at the local, state, national and
international level.
➢ Definitions and methods of computing vital statistics
44
➢ Methods of presenting data
➢ Management information system.
➢ Human Population and Environment – population growth, Variations among
nations.
➢ Population explosion

PRACTICUM
 Each student will prepare a community profile.
 The students will be allotted families for gaining experience in identifying
family health needs, health counseling and guidance and family budgeting for
optimum health.
 The students will participate in the activities of primary health centre, Sub-
centre, MCH Centre.
 Visits will be made to selected health and welfare agencies, water purification
plant and sewage disposal plant, infectious disease hospital.
 Conduct health educational programmes for individual/groups/community.

Mid level health care Provider


1. Roles and responsibilities of middle level health care providers ( MLHP)
2. New National health programs
3. AYUSHMAN BHARAT- The up gradation of sub centers into health and
wellness centers, concept of comprehensive primary health care and key
elements of CPHC, Services delivery and continuum of care and roles of middle
level health care providers ( MLHP)
4. Diagnosing and treatment skills essential at sub center level using standard
treatment protocols as per national health programmes
5. Introduction to Rashtriya Bal Sureksha Karyakaram ( RBSK)
6. Social mobilization skills
7. Drug dispensing
8. Programme management including supervision and monitoring
9. Investigation of an outbreak
10. Behavior change communication and soft skills
11. Integrated disease surveillance project (IDSP)
12. Mother and child tracking system
13. Chikungunya
14. Organization of labour room
15. Safe child birth checklist
16. Postpartum visits by health workers
17. Family planning 2020
18. National family planning programs
19. Food borne diseases
TOPICS TO BE REVIEWED:-

 Health planning and health care delivery system in India (IPHS guidelines )
 Health management information system (HMIS)
 Electronic medical records(EMR)
 Micro birth planning
 Adolescent counseling
 Sources of vital statistics
45
 Financial management, accounts and computing at sub center
 Mental health act, drug de addiction program
 Time trends in disease occurrence in epidemiology
 Infant and young child feeding and counseling
 Nutrition across lifecycle and update on National nutritional programmes
 Use of equipment
 Throat problems and febrile seizures in children
 Transportation of baby and common accidents and mishaps in labour room
 Counseling - GATHER approach
 Update Biomedical waste management by specifying biomedical waste
management rule 2016
 Suturing of superficial wounds
 Postpartum Intra Uterine Contraceptive Device ( PPIUCD)
 All the national health programmes on communicable, non communicable.

Reference Books

1. Park (JE), Text Book of Preventive and Social Medicine, Bhanarsidas Bhanot
Publishers, Jabalpur, 19th Edition, 2007.
2. Stanhope(M), Public Health Nursing: Population-centered Health Care in the
Community, Elsevier, 7th Edition, 2008.
3. Rao (KS), Introduction to Community Health Nursing, S.I.Publications, Chennai,
1989.
4. T.N.A.I., A Community Nursing Manual, New Gian Offset Press, New Delhi,
1989.
5. Allender, Community Health Nursing: Promoting & protecting the Public’s
Health, Lippincott, 6th Edition.
6. Piyush, Textbook of Preventive and social Medicine, CBS, 2nd Edition.
7. Clark, Community Nursing, Reston Publishing Company Inc., Virginia.
8. Freeman, Community Health Nursing Practice, W.B.Saunders
Company, Philadelphia.
9. Ghosh, Manual of Social and Preventive Medicine, Vijoya Publishing
House, Calcutta.

46
MENTAL HEALTH
NURSING

PLACEMENT :SECOND YEAR TIME ALLOTTED: Theory : -60 hrs


Practical – 240 hrs
COURSE DESCRIPTION
This course enable the students to recognize and appreciate the causes,
symptoms and process of abnormal human behaviour. It also introduces the student
to the present day treatment modalities in the light of psychological, social and
cultural factors affecting human behaviour. This course helps the student to learn
principles of mental health and psychiatric nursing and to develop beginning skills in
the management of the mentally ill in hospital and community.

OBJECTIVES
At the end of course, the student will
1. Identify and describe the philosophy and principles of mental health nursing
2. Describe the historical development of mental health and psychiatric nursing
3. Classify mental disorders
4. Develop skill in history taking and performing mental status examination.
5. Describe etiological factors, psycho-pathology, clinical features,
diagnostic criterial and treatment methods used for mental disorders.
6. Manage the patients with various mental disorders.
7. Communicate therapeutically with patients and their families.
8. Identify role of the nurse in preventive psychiatry.
9. Identify the legal aspects in practice of mental health and psychiatric nursing.

COURSE CONTENTS

UNIT I 5
Hours
➢ Introduction and historical development
➢ History of psychiatry
➢ Historical development of mental health nursing
➢ Philosophy, principles of mental health and psychiatric nursing
➢ Concept of normal and abnormal behaviour
➢ Role and qualities of mental health and psychiatric nursing
➢ Mental health team and functions of team members
➢ Legal aspects in psychiatry and mental health services

UNIT II 7
Hours
➢ Classification and assessment of mental disorders
➢ Terminologies used in psychiatry
➢ Classification of mental disorders
 Etiological factors and psychopathology of mental disorders
➢ History taking and assessment methods for mental disorders.

47
UNIT III 5 Hours

➢ Therapeutic communication
➢ Communication process
➢ Interview skills, therapeutic communication techniques, Nurse
patient Relationship, therapeutic impasse and it’s management process
recording.

UNIT IV 10 Hours

➢ Management of mental disorders.


➢ Etiological factors, psychopathology, types, clinical features, diagnostic
criteria, treatment and nursing management of patient with following disorders:
• Neurotic Disorders: Anxiety Neurosis, Depressive Neurosis,
Obsessive compulsive Neurosis, phobic Neurosis and Hypochnodriacal
Neurosis, Stress related and somatoform disorders.
• Psychotic Disorders: Schizophrenic form, affective and organic psychosis.
• Organic Brain syndromes
• Psychosomatic disorders
• Personality disorders
• Disorders of childhood and adolescence.
UNIT V 7 Hours

➢ Management of patients with substance use disorders


➢ Substance use and misuse.
➢ Dependence, intoxication and withdrawal
 Classification of psychoactive substances
 Etiological and contributory factors
 Psychopathology
 Clinical features
 Diagnostic criteria
➢ Treatment and nursing management of patient with substance use disorders.
➢ Preventive and rehabilitative aspects in substance abuse.

UNIT VI 7 Hours

➢ Management of mental sub-normality


➢ Classification of mental sub-normality
➢ Etiological factors, psychopathology, psychometric assessment,
diagnostic criteria and management of sub-normality.

48
UNIT VII 7 Hours

➢ Psychiatric Emergencies
➢ Types of emergencies, psychopathology, clinical features,
assessment and diagnosis, treatment and nursing management of patient
with psychiatric emergencies.
➢ Crisis intervention therapy.

UNIT VIII 8 Hours

 Therapeutic Modalities
 Principles, indication, contraindications and role of nurse in various treatment
methods:
➢ Therapeutic community and Milieu therapy
➢ Occupational therapy
➢ Psychotherapy
➢ Behaviour therapy
➢ Group therapy
➢ Family therapy
➢ Pharmacotherapy
➢ Electro convulsive therapy
➢ Other miscellaneous therapies.

UNIT IX 4 Hours

➢ Preventive Psychiatry
➢ Model of prevention
➢ Role of nurse in preventive psychiatry
➢ Psychiatric social work
➢ Community mental health nursing
➢ Community mental health agencies
➢ National mental health programmes

PRACTICUM

The student will be provided opportunity to:


 Observe, record and report the behavior of their selected patients. Record the
process of interaction
 Assess the nursing needs of their selected patients, plan and implement the
nursing intervention.
 Counsel the attendant and family members of patient. Participate in the activities
of psychiatric team
 Write observation report after a field visit to the following places: Child
guidance clinic,School/Special Schools (For Mentally subnormal) Mental
Hospital, Community mental health centres, De-addiction centre.

49
Reference Books:

1. Kapoor, Textbook of Psychiatric Nursing,


2. Boyd (MA), Psychiatric Nursing, LWW, London, 3rd Edition, 2005.
3. Bhatia (MS), Essentials of Psychiatry, CBJ publishers and distributers, NewDelhi,
3rd Edition, 2000.
4. Sadock (BJ), Textbook of Psychiatry, LWW, Philadelphia..
5. Straight A’s Psychiatric and Mental Health Nursing, LWW, Philadelphia.
6. Fortinesh (KM), Psychiatric Nursing Care, Mosby, 4th Edition, 2000.
7. Shives (LS), Basic Concepts of Psychiatric Mental Health Nursing LWW,
Philadelphia, 7th Edition, 2005.
8. Mohr (WK), Psychiatric Mental Health Nursing, LWW, Philadelphia, 6th Edition,
2007.
9. Stuart (GW), Principles and Practice of Psychiatric Nursing, Elsevier, 8th Edition,
2005

50
INTRODUCTION TO NURSING EDUCATION

Placement : Second year Time Allotted: Theory -60 hrs


Practical -75 hrs

COURSE DESCRIPTION

This course introduces the students to principles and concepts of education, curriculum
development and methods and media of teaching. It also describes the steps in curriculum
development and implementation of educational programmes in nursing.

OBJECTIVES

At the end of the course, the students will


1. Describe the philosophy and principles of education.
2. Explain the teaching – learning process
3. Develop the ability to teach, using various methods and media.
4. Describe the process of assessment.
5. Describe the administrative aspects of school of nursing
6. Participate in planning and organizing an in-service education programme.
7. Develop basic skill of counseling and guidance.

COURSE CONTENTS

UNIT I 5 Hours

Introduction to education

➢ Meaning of education, aims, function and principles.


➢ Philosophy of education
➢ Factors influencing development of Philosophy of Nursing Education

UNIT II 5 Hours

➢ Teaching learning process


➢ Nature and characteristics of learning
➢ Principles and maxims of teaching
➢ Formulating objectives
➢ Lesson planning.

UNIT III 5 Hours

➢ Methods of teaching
➢ Teaching methods
o Lecture
o Discussion
o Demonstration
o Group discussion

51
o Project
o Role play
o Panel discussion
o Symposium
o Seminar
o Field trip
o Workshop
o Exhibition
o Programmed instruction
o Computer assisted learning
➢ Clinical teaching methods:
o Case methods
o Case presentation
o Nursing rounds and reports
o Bedside clinic
o Conference(individual and group)
➢ Recording of interaction process

UNIT IV 15 Hours

➢ Educational media
➢ The communication process: factors affecting communication
➢ Purposes and types of audio-visual aids
➢ Graphics aid: Chalk-board, charts, graphics, posters, Flash cards,
f l a s flash
Flannel graph/khadigraph, bulletin, cartoon. flannel
➢ Three dimensional aids: Objects, specimen, models, puppets.
➢ Printed aids: pamphlets and leaflets
➢ Projected aids: slides, films and televisions, VCR,VCP,Overhead
projector, camera, microscope.
➢ Audio – Aids: Tape-recorder, public address system, computer

UNIT V 8 Hours

➢ Methods of assessment
➢ Purpose and scope of evaluation and assessment
➢ Critieria for selection of assessment techniques and methods
➢ Assessment of knowledge: essay type question, SAQ(Short Answer
Questions) MCQ(multiple choice questions)
➢ Assessment of skills: Observation, check list. Practical examination,
Viva, objective structured clinical examination.
➢ Assessment of attitude: Attitude scale.

UNIT VI 8 Hours

➢ Management of school of Nursing


➢ Planning of school of nursing, organization

52
➢ Recruitment of teaching staff, budget, facilities for the school, student
selection and admission procedure, administrative planning for students, welfare
services for students, maintenance of school records, preparation of annual
reports. INC guidelines for school of nursing

UNIT VII 10 Hours

➢ Guidance and counseling definition


➢ Basic principles of guidance and counseling
➢ Organisation of guidance and counseling services
➢ Counselling process
➢ Managing disciplinary problems
➢ Management of crisis

UNIT VIII 4 Hours

➢ In-service education
➢ Introduction to nature and scope of in-service education programme.
 Principles of adult learning
 Planning for in-service programme
 Techniques, and methods of staff education programme
 Evaluation of in-service programme

PRACTICUM 75 Hours

Each student should:


 Conduct five planned teaching using different methods and media
 Prepare different types of teaching aids
 Plan, organize and conduct inservice education
programme. Conduct at least one counseling session
 Prepare rotation plans.

Reference Books:-

1. Heidgerkohn (DE), Teaching and Learning in School of Nursing, Philadlphia, J.O.


2. Billioet Co. W.H.O. Curriculum Guide for the Schools of Nursing in India, Delhi
WHO.
3. Neeraja, Textbook of Nursing Education, Jaypere Brothers.
4. Tyler (RW), Basic of Curriculum and Instruction, Chicago, The university of Chicago
press.

53
INTRODUCTION TO NURSING SERVICE ADMINSTRATION

Placement : Second year Time Allotted: Theory -60 hrs


Practical -180 hrs

COURSE CONTENTS

This course is designed to give an opportunity to the student to gain an understanding of


the principles of administration and its application to nursing service. It is also intended
to assist the students to develop an understanding of professional leadership need.

OBJECTIVES
At the end of the course, the student will
1. Identify the principles of administration
2. Describe the principles and techniques of supervision
3. Explain the principles and methods of personnel management
4. Explain the principles of budgeting
5. Organize and manage a nursing unit effectively
6. Identity dynamics of organizational behavior, styles and functions of effective
leadership.

COURSE CONTENTS

UNIT I 12 Hours

➢ Principles and practice of Administration


➢ Significance, elements and principles of administration,
➢ Organization of hospital – Definition ,Aims, functions and classifications, health
team.
➢ Policies of hospital, different departments with special emphasis to department of
nursing and office management.

➢ Responsibilities of the nursing personnel specially of ward sister, medico legal


aspects, concept of cost effectiveness.

UNIT II 12 Hours

➢ Nursing unit Management


➢ Physical layout of a nursing unit and necessary facilities
➢ Factors affecting the quality of nursing care
➢ Maintenance of a therapeutic environment
➢ Administration of the unit-management of patient care
➢ Maintenance of physical environment
➢ Assignment of duties and time plan.
➢ Patient assignment, safety measures, prevention of accidents and infections,
➢ Maintenance of patients records and reports, legal responsibilities.
➢ Maintenance of quality nursing care, nursing audit.

54
UNIT III 7 Hours

➢ Personnel management
➢ Staff recruitment and selection, appointment, promotions, personnel policies
and job descriptions.
➢ Job analysis.
➢ Staffing the unit, staffing norms, rotation plan, leave planning,
performance appraisal, staff welfare and management of disciplinary problems.

UNIT IV 8 Hours
➢ Supervision
➢ Principles of supervision, nature and objectives
➢ Tools and techniques of supervision
➢ Evaluation
➢ Nursing audit
➢ Staff development –orientation program
➢ Skill training
➢ Leadership development
➢ Problem solving process.

UNIT V 7 Hours
➢ Material management
➢ Principles of material management
➢ Quality control
➢ Inventory, care of equipment, safekeeping
➢ Role of nursing personnel in material management.

UNIT VI 4 Hours
➢ Financial Management
➢ Budgeting – Principles of budgeting, audit.

UNIT VII 10 Hours


➢ Organizational behaviour
➢ Group dynamic and human relation, organizational communication
(hospital information system)
➢ Public relations, leadership styles and functions
➢ Methods of reporting
➢ Maintaining records and reports

PRACTICUM
 Observe the functioning of nursing administration at various level i.e.
institution, department, unit.
 Each student will practice ward management under supervision.
 Student will prepare rotation plan of the staff, write reports, give verbal
report of the ward and assist in maintaining the inventory of the nursing unit.
 Visit to private and government hospital and write observation reports.

55
Reference Books:

1. Basavanthappa (BT), Nursing Administration, Jaypee Brother, New Delhi, 2002.


2. Stanhope(M), Public Health Nursing: Population-centered Health Care in the
Community, Elsevier, 7th Edition, 2008.
3. T.N.A.I., A Community Nursing Manual, New Gian Offset Press, New Delhi, 1989.

56
INTRODUCTION TO NURSING RESEARCH AND STATISTICS

Placement :Second Year Time Allotted: Theory -45 hrs


Practical -120 hrs

COURSE DESCRIPTION

The course is designed to assist the students to develop an understanding of basic


concepts of research and statistics, use the findings of nursing research in nursing
practice, apply the knowledge in conducting project(s) and solve problems related to
nursing using scientific method.

OBJECTIVES
At the end of the course, the students will:-

1. Define the terms and concepts of nursing research


2. Identify needs and scope of nursing research
3. Identify and define a research problem
4. Locate and list sources of literature for a specific study
5. Describe different research approaches, methods of data collection and
sampling techniques with a special reference to survey method.
6. Develop tool for data collection
7. Enumerate steps of data analysis and present data summary in tabular form.
8. Use descriptive and co-relational statistics in data analysis
9. Conduct a group research project.

COURSE CONTENTS
A. INTRODUCTION TO RESEARCH METHODOLOGY

UNIT I 5 Hours

➢ Steps of scientific methods.


➢ Definition of research
➢ Need for nursing research
➢ Characteristics of good research. Research process.

UNIT II 5 Hours

➢ Statement of research problem


➢ Statement of purpose and objectives
➢ Definition or research terms
➢ Review of literature.

UNIT III 5 Hours


Research approaches:- historical, survey and experimental

57
UNIT IV 5 Hours
➢ Sampling techniques and methods of data collection.
➢ Sampling
➢ Instruments-questionnarie. Interview
➢ Observation schedule, records, measurements
➢ Reliability and validity or instruments.

UNIT V 5 Hours
➢ Analysis of Data: Tabulation
 Classification and summarization
 Presentation
 Interpretation of data

UNIT VI 5 Hours
➢ Communication of research findings
➢ Writing Report:
 Organizing materials for writing
 Format of the report
 Use of computers

B.INTRODUCTION TO STATISTICS

UNIT VII 5 Hours

➢ Descriptive Statistics.
➢ Frequency Distribution –Types of measure – frequencies, class interval, graphic
methods of describing frequency.
➢ Measures of central tendency –Mode, Median and mean.
➢ Measures of variability : Range, standard deviation
➢ Introduction to normal probability.

UNIT VIII 3 Hours


➢ Correlation
➢ Computation by rank difference methods
➢ Uses of correlation co-efficient

UNIT IX 2 Hours

Biostatistics: Crude rates and standardized rates, ratio and estimation of the trends.

UNIT X 5 Hours
➢ Introduction to computers in nursing
➢ Introduction to computers and disk-operating system.
➢ Introduction to word processing
➢ Introduction to data base

58
➢ Windows applications, word, excel, power point, multimedia.
➢ Use of statistical packages.
➢ Introduction to internet & use of electronic mail
➢ Computer aided teaching and testing.

PRACTICUM 120 Hours

Students will conduct research project in small groups in selected areas of nursing and
submit a report(Group studies may include studying of existing health practices,
improved practices of nursing (procedures) health records, patient records and survey of
nursing literature)

Reference Books:

1. Polit – Essentials of Nursing Research ,2009,LWW

2. Kothari – Research Methodology,2007,Newage Publishers Jagadeesh – Bio


Medical Research, 2009,

3. Rao (S), Introduction to Biostatistics & Research methods, Riachard, 4th


Edition.

4. Rao (V), A manual of Statistical and Anthropology, Jaypee, 2nd Edition.

5. Norman, Biostatistics,B.C Decker, 2nd Edition.

6. Rao, Applied Statistics in Health Sciences, Jaypee.

59
IX. APPENDICES

1.Question Paper Pattern:

Post Basic B.Sc. Nursing Degree Examination

I YEAR
NURSING FOUNDATION

Time : 2 hrs Maximum: 35 marks

I Essay Questions (Answer any ONE) 1 X15 = 15

1. a) (7 marks)
b) (8 marks)

2. a) (7 marks)
b) (8 marks)

II Short notes (Answer any TWO) 2 X 5 = 10

3.
4.
5.

III Short answers (Answer all) 5 X 2 = 10

6.
7.
8.
9.
10.

60
Post Basic B.Sc. Nursing Degree Examination
I YEAR
NUTRITION & DIETETICS

Time : 2 hrs Maximum: 35 marks

I Essay Questions (Answer any ONE) 1 X15 = 15

1. a) (7 marks)
b) (8 marks)

2. a) (7 marks)
b) (8 marks)

II Short notes (Answer any TWO) 2 X 5 = 10

3.
4.
5.

III Short answers (Answer all) 5 X 2 = 10

6.
7.
8.
9.
10.

61
Post Basic B.Sc. Nursing Degree Examination
I YEAR
BIOCHEMISTRY & BIOPHYSICS

Time : 3 hrs Maximum: 75 marks

Answer Section A & Section B separately

SECTION A – Biochemistry (40 marks)

I Essay Questions (Answer any one) 1 X 15 =15

1. a) (7 marks)
b) (8 marks)

2. a) (7 marks)
b) (8 marks)

II Short notes (Answer any three) 3 x 5 = 15

3.
4.
5.
6.
7.

III Short answers (Answer all) 5 X 2 = 10

8.
9.
10.
11.
12.

SECTION B – Biophysics (35 marks)

IV Essay Questions (Answer any one) 1 X 15 =15

13. a) (7 marks)
b) (8 marks)

14. a) (7 marks)
b) (8 marks)

62
V Short notes (Answer any two) 2 X 5 = 10

15.
16.
17.
18.

VI Short answers (Answer all) 5 X 2 = 10

19.
20.
21.
22.
23.

63
Post Basic B.Sc. Nursing Degree Examination
I YEAR
PSYCHOLOGY
Time : 3 hrs Maximum: 75 marks

I Essay Questions (Answer any two) 2 X15 = 30

1. a) (7 marks)
b) (8 marks)

2. a) (7 marks)
b) (8 marks)

3. a) (7 marks)
b) (8 marks)

II Short notes (Answer any five) 5 X 5 = 25

4.
5.
6.
7.
8.
9.
10.

III. Short answers (Answer all) 10 X 2 = 20

11.
12.
13.
14.
15.
16.
17.
18.

19.

20.

64
2. Guidelines and Minimum requirements for setting up of a College of
Nursing

a. The following Establishments / Organizations are eligible to establish /


Open a Post Basic B.Sc (N) Programmes.

i) Central Government/State Government/Local body;


ii) Registered Private or Public Trust;

iii) Organizations Registered under Societies Registration Act including


Missionary Organizations;

iv) Companies incorporated under section 8 of Company’s Act;

b. An institute already offering B.Sc (N) programme is eligible to establish


Post Basic B.Sc (N) Course.

c. The eligible Organizations/Establishments should obtain Essentiality


Certificate/No objection Certificate from the concerned State Government
where the Post Basic B.Sc (N) Programmes is sought to be established. The
particulars of the name of the Nursing Institution along with the name of the
Trust /Society [as mentioned in Trust Deed or Memorandum of Association
as also full address shall be mentioned in No Objection
certificate/Essentiality Certificate.

d. After receipt of the Essentiality Certificate/ No objection Certificate, the


eligible institution shall get recognition from the concerned State Nursing
Council for the Post Basic B.Sc. (N) for the particular Academic Year, which
is a mandatory requirement.

e. The Indian Nursing Council shall after receipt of the above documents /
proposal would then conduct Statutory Inspection of the recognized training
nursing institution under Section 13 of Indian Nursing Council Act 1947 in
order to assess the suitability with regard to availability of Teaching faculty,
Clinical and Infrastructural facilities in conformity with Regulations framed
under the provisions of Indian Nursing Council Act, 1947.

65
I. PHYSICAL FACILITIES
i. Building:

The College of Nursing should have a separate building. The college of Nursing should
be near to its parent hospital having space for expansion in an institutional area. For a
College with an annual admission capacity of 40-60 students, the constructed area
of the college should be 23720 square feet. Adequate hostel/residential accommodation for
students and staff should be available in addition to the above mentioned built up area of the
Nursing College respectively. The details of the constructed area are given below for
admission capacity of 40-60 students:

ii. Teaching Block:

Sl.No Teaching Block Area (Figures in


Sq feet)
1. Lecture Hall 4 @ 1080 = 4320
2. (i) Nursing foundation lab 1500
(ii) CHN 900
(iii) Nutrition 900
(iv) OBG and Paediatrics lab 900
(v) Pre-clinical science lab 900
(vi) Computer Lab 1500
3. Multipurpose Hall 3000
4. Common Room (Male & Female) 1100
5. Staff Room 1000
6. Principal Room 300
7. Vice Principal Room 200
8. Library 2400
9. A.V. Aids Room 600
10. One room for each Head of 800

11. Departments
Faculty Room 2400
12. Provisions for Toilets 1000
Total 23720 Sqr. Ft.

Note: -

 Nursing Educational institution should be in Institutional area only and not in


residential area.
 If the institute has non-nursing programme in the same building, Nursing
programme should have separate teaching block.
 Shift-wise management with other educational institutions will not be accepted.

66
 Separate teaching block shall be available if it is in hospital premises.
 Proportionately the size of the built-up area will increase according to the number of
students admitted.
 School and College of nursing can share laboratories, if they are in same campus
under same name and under same trust, that is the institution is one but offering
different nursing programmes. However they should have equipments and
articles proportionate to the strength of admission. And the class rooms should be
available as per the requirement stipulated by Indian Nursing Council of each
programme.
a. Class rooms
There should be at least six classrooms (4 classrooms for B.Sc. (N) & 2 class rooms
for P.B.B.S.c. (N)) for 40-60 Students intake with the capacity of accommodating the
number of students admitted in each class. The rooms should be well ventilated with
proper lighting system. There should be built in Black/Green/White Boards. Also there
should be a desk/ dais/a big table and a chair for the teacher and racks/cupboards for
keeping teaching aids or any other equipment needed for the conduct of classes
also should be there.

Note: Proportionately the rooms & other facilities will increase according to the number
of students admitted.

b. Departments: College should have following departments,


 Fundamentals of Nursing including Nutrition
 Medical Surgical Nursing
 Community Health Nursing
 Obstetric and Gynecological Nursing
 Child Health Nursing
 Psychiatry and Mental Health Nursing
c. Laboratories

Nursing Foundations and Medical Surgical


Community Health Nursing
OBG and Peadiatracs
Nutrition
Computer with 10 computers
Pre Clinical Science Lab. (Biochemistry, Microbiology, Biophysics,
Anatomy & Physiology)
d. Auditorium
Auditorium should be spacious enough to accommodate at least double the
sanctioned/actual strength of students, so that it can be utilized for hosting
functions of the college, educational conferences/ workshops, examinations etc. It
should have proper stage with green room facilities. It should be well – ventilated
and have proper lighting system. There should be arrangements for the use of
all kinds of basic and advanced audio-visual aids.
67
e. Multipurpose Hall
College of Nursing should have multipurpose hall, if there is no auditorium.
f. Library
There should be a separate library for the college. The size of the
Library should be of minimum 2400 sqr. Ft. It should be easily accessible to the
teaching faculty and the students. Library should have seating arrangements for
at least 60 students for reading and having good lighting and ventilation and
space for stocking and displaying of books and journals. The library should
have at least 3000 books. In a new College of Nursing the total number of books
should be proportionately divided on yearly basis in four years. At least 10 set of
books in each subject to facilitate for the students to refer the books. The number of
journals should 15 out of which one- third shall be foreign journals and subscribed
on continuous basis. There should be sufficient number of cupboards, book shelves
and racks with glass doors for proper and safe storage of books, magazines,
journals, newspapers and other literature.

In the library there should be provision for:

Staff reading room for 10 persons.

 Rooms for librarian and other staff with intercom phone facility
 Video and cassette / CD room (desirable)
 Internet facility.
g. Offices Requirements

a) Principal’s Office
There should be a separate office for the Principal with attached toilet and
provision for visitor’s room. Independent telephone facility is a must for the
Principal’s office with intercom facility connected/linked to the hospital and hostel
and a computer with internet facility. The size of the office should be 300 sqr. ft.

b) Office for Vice-Principal


There should be a separate office for the Vice-Principal with attached
toilet and provision for visitor’s room. Independent telephone facility is a must
for Vice- principal’s office with intercom facility connected/linked to the hospital
and hostel and a computer with internet facility. The size of the office should be
200 sqr. ft.

c) Office for Faculty Members


There should be adequate number of office rooms in proportion to the
number of teaching faculty. One office room should accommodate 2 teachers
only.Separate toilet facility should be provided for the teaching faculty with hand
washing facility. There should be a separate toilet for male teachers. The size

68
of the room should be 200 sqr. ft. Separate chambers for heads of the department
should be there.

d) One separate office room for the office staff should be provided with adequate
toilet facility. This office should be spacious enough to accommodate the entire
office staff with separate cabin for each official. Each office room should be
adequately furnished with items like tables, chairs, cupboards, built –in racks and
shelves, filing cabinets and book cases. Also there should be provision for
typewriters, computers and telephone.
h. Common Rooms
A minimum of 3 common rooms should be provided. One for the teaching
faculty, one for the student and one for the office staff. Sufficient space with
adequate seating arrangements, cupboards, lockers, cabinets, built-in-shelves and
racks should be provided in all the common rooms. Toilet and hand washing
facilities should be made available in each room.
i. Record Room
There should be a separate record room with steel racks, built-in shelves and
racks, cupboards and filing cabinets for proper storage of records and other
important papers/ documents belonging to the college.
j. Store room
A separate store room should be provided to accommodate the equipments
and other inventory articles which are required in the laboratories of the
college. This room should have the facilities for proper and safe storage of these
articles and equipments like cupboards, built-in-shelves, racks, cabinets, furniture
items like tables and chairs. This room should be properly lighted and well-
ventilated.

k. Room for Audio-Visual Aids

This room should be provided for the proper and safe storage of size 600 sq. ft. for
all the Audio- Visual Aids.

l. Other Facilities

Students’ welfare hall of size 400 sqr. ft. Indoor games hall of size 4000
ft. Safe drinking water and adequate sanitary/toilet facilities should be available for
both men and women separately in the college in each floor common toilets
for teachers (separate for male and female) i.e 4 toilets with Wash basins.
Common toilets for students (separate for male and female) 12 with Wash Basins
for 60 students.

m. Garage
Garage should accommodate a 60 seater vehicle.

69
n. Fire Extinguisher
Adequate provision for extinguishing fire should be available as per the local
bye-laws.
o. Playground
Playground should be spacious for outdoor sports like Volleyball, football,
badminton and for Athletics.
iii. Hostel Block (60 Students):

S. No. Hostel Block Area (Figures in Sq feet)


1. Single Room 24000
Double Room
2. Sanitary One latrine & One Bath room
(for 5 students) - 500
3. Visitor Room 500
4. Reading Room 250
5. Store 500
6. Recreation Room 500
7. Dining Hall 3000
8. Kitchen & Store 1500
Total 30750 Sqr. Ft.
Grand Total : 23720 + 30750 = 54470 Sqr. Ft.

Note: Proportionately the size of the built-up area will increase according to the number of
students admitted.

Hostel Facilities: There should be a separate hostel for the male and female students. It
should have the following facilities.

1. Hostel Room
It should be ideal for 2 students with the minimum 100 sq. ft. carpet area.
The furniture provided should include a cot, a table, a chair, a book rack, a
cupboard and a cloth rack for each student.
2. Toilet and Bathroom
Toilet and bathroom facilities should be provided on each floor of the
students hostel at the rate of one toilet and one bathroom for 2-6 students. Geysers
in bathroom and wash basins should also be provided.
3. Recreation
There should be facilities for indoor and outdoor games. There should be
provision for T.V., radio and video cassette player.

70
4. Visitor’s Room
There should be a visitor room in the hostel with comfortable seating,
lighting and toilet facilities.

5. Kitchen & Dining Hall


There should be a hygienic kitchen and dining hall to seat at least 80%
of the total students strength at one time with adequate tables, chairs, water
coolers, refrigerators and heating facilities. Hand washing facilities must be
provided.
6. Pantry
One pantry on each floor should be provided. It should have water cooler and
heating arrangements.
7. Washing & Ironing Room
Facility for drying and ironing clothes should be provided in each floor.

8. Sick Room
A sick room should have a comfortable bed, linen, furniture and attached
toilet. Minimum of 5 beds should be provided.
9. Room for Night Duty Nurses
Should be in a quiet area.

10. Guest Room


A guest room should be made available.
11. Warden’s Room
Warden should be provided with a separate office room besides her
residential accommodation.

12. Canteen
There should be provision for a canteen for the students, their guests, and all
other staff members.

13. Transport
College should have separate transport facility under the control of the
Principal. 50 seated bus is preferable.

14. Residential Accommodation:


Residential family accommodation for faculty, should be provided, according to
their marital status. Telephone facility for the Principal at her residence must be provided.
Residential accommodation with all facilities is to be provided to the Hostel Warden.
IV.CRÈCHE
There should be a crèche in the college campus.

71
V. STAFF FOR THE HOSTEL:
1. Warden (Female) -3: Qualification- B.Sc. Home Science or Diploma in
Housekeeping/ Catering. Minimum three wardens must be there in every hostel for
morning, evening and night shifts. If number of students s more than 150, one
more warden/ Asst. Warden/ House keeper for every additional 50 students.
2. Cook-1: For every 20 students for each shift.
3. Kitchen & Dining Room helper- 1: For every 20 students for each shift.
4. Sweeper-3
5. Gardener-2
6. Security Guard/ Chowkidar-3
I. Nursing Teaching Faculty:

Qualifications & experience of teachers of college of Nursing

S. NO. POST, QUALIFICATION & EXPERIENCE

1. Principal cum Professor- M.Sc. (N) with 15 years experience


after M.Sc.(N) out of which 12 years should be teaching
experience with minimum of 5 years in collegiate programme.

Ph.D.(N) is desirable
2. Vice- Principal cum Professor- M.Sc. (N) with 12 years
experience after M.Sc.(N) out of which 10 years should
teaching experience with minimum of 5 years in collegiate
programme.

Ph.D.(N) is desirable
3. Professor- M.Sc. (N) with 10 years experience after M.Sc.(N) out
of which 7 years should be teaching experience.

Ph.D.(N) is desirable
4. Associate Professor- M.Sc. (N) with 08 years experience after
M.Sc.(N) including 5 years teaching experience

Ph.D.(N) is desirable
5. Assistant desirable
Ph.D.(N) Professor- M.Sc. (N) with 3 years experience after M.Sc.(N)

6. Tutor- M.Sc.(N) Or B.Sc.(N)/P.B.B.Sc.(N) with 1 year experience

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S. B.Sc.(N) P.B.B.Sc.(N)
Designation 40-60 (students 20-60 (students
No.
intake) intake)
1 Professor cum 1
PRINCIPAL
2 Professor cum 1
VICE- PRINCIPAL
3 Professor 0
4 Associate Professor 2
5 Assistant Professor 3 2
6 Tutor 10-18 2-10

B.Sc. (N) + P.B.B.Sc. (N) Teacher Student Ratio = 1 : 10

Part time Teachers / External Teachers**

(i) Microbiology
(ii) Bio – Chemistry
(iii) Sociology
(iv) Bio – Physics
(v) Psychology
(vi) Nutrition
(vii) English
(viii) Computer
(ix) Hindi / Any other language
(x) Any other – clinical disciplines
(xi) Physical Education.
**(The above teachers should have post graduate qualification with
teaching experience in respective area)

NOTE:

 No part time nursing faculty will be counted for calculating total no. of faculty
required for a college.
 Irrespective of number of admissions, all faculty positions (Professor to
Lecturer) must be filled.
 For M.Sc.(N) programme appropriate number of M.Sc. faculty in each speciality be
appointed subject to the condition that total number of teaching faculty ceiling is
maintained.

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 All nursing teachers must possess a basic university or equivalent
qualification as laid down in the schedules of the Indian Nursing Council Act, 1947.
They shall be registered under the State Nursing Registration Act.
 Nursing faculty in nursing college except tutor/clinical instructors must
possess the requisite recognized postgraduate qualification in nursing subjects.
 All teachers of nursing other than Principal and Vice-Principal should spend at
least 4 hours in the clinical area for clinical teaching and/or supervision of care every
day.

OTHER STAFF (Minimum requirements)

(To be reviewed and revised and rationalized keeping in mind the mechanization and contract
service)

 Ministerial
a. Administrative Officer : 1
b. Office Superintendent : 1
c. PA to Principal : 1
d. Accountant/ Cashier : 1
 Upper Division Clerk : 2
 Lower Division Clerk : 2
 Store Keeper : 1
a. Maintenance of stores : 1
b. Classroom attendants : 2
c. Sanitary staff : As per the physical space
d. Security Staff : As per the requirement
 Peons/Office attendants : 4
 Library
a. Librarian : 2
b. Library Attendants : As per the requirement
 Hostel
a. Wardens : 2
b. Cooks, Bearers, : As per the requirement
Sanitary Staff
c. Ayas /Peons : As per the requirement
d. Security Staff : As per the requirement
e. Gardeners & Dhobi : Depends on structural (desirable)
facilities
VII. College Management Committee: Refer to INC guidelines
VIII. Admission /Selection Committee: Refer to INC guidelines

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IX. CLINICAL FACILITIES

a. College of nursing should have a 100 bedded Parent Hospital


b. Distribution of beds in different areas/ for 40 annual intake is,
Medical : 30
Surgical : 30
Obst. & Gynaecology : 30
Pediatrics : 20
Ortho : 10
c. Bed Occupancy of the Hospital should be minimum 75%.
d. The size of the Hospital/Nursing Home for affiliation should not be less than beds.
e. Other Specialties/Facilities for clinical experience required are as follows:
 Major OT/ Minor OT
 Dental Eye/ENT
 Burns and Plastic
 Neonatology with Nursery
 Communicable disease
 Community Health Nursing
 Cardiology
 Oncology
 Neurology/Neuro-surgery
 Nephrology etc.
 ICU/ICCU
f. Affiliation of psychiatric hospital should be of minimum 50 beds.
g. The Nursing Staffing norms in the affiliated Hospital should be as per the INC
norms.
h. The affiliated Hospital should give student status to the candidates of the nursing
programme
i. Maximum Distance between affiliated hospitals & institutions:-
a. Institutions generally can be in the radius of 15-30 kms. from the affiliated
hospital.
b. Hilly & Tribal area it can be in the radius of 30-50 kms. from the affiliated
hospital.
j. 1:3 student patient ratio to be maintained.
k. For the grant of 100 students minimum 300 bedded Parent Hospital is mandatory.
*Parent Hospital for a nursing institution having the same trust which has
established nursing institutions and has also established the hospital.
OR
For a nursing institution (manage d by trust) a “Parent Hospital” would be a hospital
either owned and controlled by the trust or managed and controlled by a member of the
trust. In case the owner of the hospital is a member of the Trust that the hospital would
continue to function as a “Parent Hospital” till t he life of the nursing institution. The
undertaking would also be to the effect that the Member of the Trust would not allow
the hospital to be treated” Parent/Affiliated Hospital” to any other nursing institution
and will be for minimum 30 years [ ie , signed by all members of trust ] to the
undertaking to be submitted from the Members of the Trust
*Refer to InNC regulations as required
*** End ***
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