Syllabus - Affiliated - Medical - B.SC - .Nursing2018-19 (1) - 1

SYLLABUS AND REGULATIONS
B.Sc. Nursing
(4 Years Program)
2018 – 2019 Revised
PONDICHERRY UNIVERSITY
R.V. Nagar, Kalapet
Pondicherry -605 014
S. No Content Page. No
I Philosophy 1
II Aims 2
III Objectives 2
IV Course Outcome 3
Regulation of the University
1. Eligibility for Admission 4
2. Selection of Candidates 4
3. Duration of the Course and Course of Study 4
4. Medium of Instruction 5
5. Minimum working days in an academic year 5
6. Registration 5
V
7. Attendance required for appearing Examination 5
8. Condonation for lack of attendance 5
9. Internal Assessment 6
10. Examinations 7
11. Marks qualifying for pass 8
12. Eligibility/ Maximum duration for the award of the degree 8
13. Declaration of Class 8
VI Course of Instruction 9
VII Scheme of Examination 11
VIII Course Description(Subjects)
1. English 13
2. Anatomy 15
3. Physiology 19
4. Nutrition 23
5. Biochemistry 27
6. Nursing Foundations 31
7. Nursing Foundations – Practical 48
8. Psychology 54
9. Microbiology 57
10. Introduction to Computer 60
11. Sociology 62
(i)
12. Pharmacology 68
13. Pathology 74
14. Genetics 79
15. Medical Surgical Nursing (Adult Including Geriatrics) – I 81
16. Medical Surgical Nursing (Adult Including Geriatrics) – I
93
Practical
17. Community Health Nursing – I 97
18. Community Health Nursing – I Practical 103

19. Communication & Educational Technology 105
20. Medical Surgical Nursing (Adult Including Geriatrics) II 109
21. Medical surgical Nursing (Adult & Geriatrics) II Practical 119
22. Child Health Nursing 123
23. Child Health Nursing – Practical 128
24. Mental Health Nursing 130
25. Mental Health Nursing – Practical 138
26. Nursing Research & Statistics 140
27. Midwifery & Obstetrical Nursing 143
28. Midwifery & Obstetrical Nursing – Practical 152
29. Community Health Nursing – II 155
30. Community Health Nursing – II Practical 162
31. Management of Nursing Services & Education 164
IX Internship 169
Appendices
X 1. Question paper pattern 172
2. Guidelines for starting College of Nursing 178
(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, medicine and nursing.
Nursing is based on values of caring, and aims to help individuals to attain independence in
self-care. It necessitates development of compassion and understanding of human behaviour among
its practitioners to provide care with respect and dignity and protect the rights of individuals &
groups.
Undergraduate nursing program is broad based education within an academic framework

specifically directed to the development of critical thinking skills, competencies & standards
required for practice of professional nursing and midwifery as envisaged in National Health Policy
2002.
The teachers have the responsibility to be role models and create learning environment that
enables students to acquire inquiry driven, self directed learning and foster an attitude of life long
learning.
Under graduate nursing education program prepares its graduates to become exemplary citizen
by adhering to code of ethics and professional conduct at all times in fulfilling personal, social and
professional obligations so as to respond to national aspirations.
1
II. AIMS:
The aim of the undergraduate nursing program is to:
 Prepare graduates to assume responsibilities as professionals, competent nurses and

midwives in providing promotive, preventive, curative, and rehabilitative services,
 Prepare nurses who can make independent decisions in nursing situations, protect the
rights of and facilitate individuals and groups in pursuit of health, functions in the
hospital, community nursing services, and conduct research studies in the areas of
nursing practice.
They are also expected to assume the role of teacher, supervisor, and manager in a
clinical / public health settings.
III. OBJECTIVES:
On completion of four year B.Sc. Nursing Program the graduate will be able to:
1. Apply knowledge from physical, biological and behavioral sciences, medicine
including alternative systems and nursing in providing nursing care to individuals,
families and communities.
2. Demonstrate understanding of life styles and other factors, which affect health of
individuals
and groups.
3. Provide nursing care based on steps of nursing process in collaboration with individuals
and groups.
4. Demonstrate critical thinking skill in making decisions in all situations in order to
provide quality care.
5. Utilize the latest trends and technology in providing health care.
6. Provide promotive, preventive and restorative health services in line with the National
Health Policies and Programmes.
7. Practice within the frame work of code of ethics and professional conduct, and
acceptable standards of practice within the legal boundaries.
8. Communicate effectively with individuals and groups, and members of the health team
in order to promote effective inter personal relationship and team work.
9. Demonstrate skills in teaching to individuals and groups in clinical and community
health settings.
10. Participate effectively as members of the health team in health care delivery system.
11. Demonstrate leadership and managerial skills in clinical / community health settings.
2
12. Conduct need based research studies in various settings and utilize the research
findings to improve the quality of care.
13. Demonstrate awareness, interest, and contribute towards advancement of self and of
the profession.
IV. COURSE OUTCOME:
At the end of the course the B.Sc(N) Program the graduate nurse will be able to
function as a 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.
3
PONDICHERRY UNIVERSITY
Puducherry-14
V. REGULATIONS OF THE UNIVERSITY

SHORT TITLE AND COMMENCEMENT
These regulations shall be called “THE REGULATIONS FOR THE BACHELOR OF

NURSING DEGREE COURSE OF PONDICHERRY UNIVERSITY, Puducherry”.
They shall come into force from the academic year 2019-2020 session.The regulation and
syllabi are subject to modifications by the standing Under Graduate Board of Studies for
nursing course from time to time.
1.ELIGIBILITY FOR ADMISSION:
1.1. The minimum age for admission shall be 17 years on or before 31st Dec. of the year of
admission
1.2. The minimum educational requirements shall be the passing of:
Higher Secondary school certificate Examination (12years course) conducted by the
Board of Tamil Nadu
Or
Senior School certificate Examination (10+2), pre-degree Examination (10+2)
Or
An equivalent with 12 years schooling from a recognized board or university with
minimum of 45 % aggregate marks (40% marks for SC, ST, for MBC, OBC candidates in
part – III subjects of Physics, Chemistry & Biology / Botany & Zoology) and should have
English as one of the subject.
1.3. Candidate shall be medically fit.
2. SELECTION OF CANDIDATES
Selection of the candidates should be based on the merit of the entrance examination
held by university or competent authority or as per regulation of the University from time
to time.
3. DURATION OF THE COURSE AND COURSE OF STUDY:
The period of certified study and training of the B.Sc. Nursing Degree course shall be of
four academic years including internship.
4
Available Weeks / Academic year 52 Weeks
Examination (including preparation) 4 Weeks
Vacation 8 Weeks
Gazetted holidays 3 Weeks
Available Weeks 37 Weeks
Hours per week 40 hours
Hours available per academic year 1480 (37weeks x 40 hours)
4. MEDIUM OF INSTRUCTION:
English shall be the medium of instruction for all the subjects of study and for
examination of the course.
5. MINIMUM WORKING DAYS IN AN ACADEMIC YEAR:

Each academic year shall consist of not less than 180 working days.
6. REGISTRATION:
A Candidate admitted into B.Sc, Nursing 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 on or before the cut-off date prescribed
for admission.
7. ATTENDANCE REQUIRED FOR APPEARING EXAMINATION:
7.1 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.
7.2 The student should complete 100% of attendance in practical before course
completion and the award of the Degree.
7.3 A student who does not meet the minimum attendance requirement in a year must
repeat the course along with the next batch of students.
8 . 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.
5
9. INTERNAL ASSESSMENT:
9.1.1. 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.
9.1.2. Minimum Internal Pass Marks for theory and practical to be 50% individually. The
minimum pass mark for theory is 13 out of 25.
9.1.3. The candidate appearing for arrear examination in the subject will have the same
internal marks secured in the previous examination (1st attempt).
9.1.4. A checklist or criteria to be developed by the respective institutions for objective
evaluation of assignments, records, reports, and clinical presentations.
Weightage for Internal Marks

The internal marks to be calculated based on the following criteria
Internal assessment for theory: (25 Marks)
Criteria Weightage Marks rounded Marks rounded

off to 25 off to 50
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
Internal assessment for Practical: (100 Marks/ 50 Marks)
Criteria Weightage 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
On Completion of Internship, Internal Assessment out of 100 marks should be sent

to the University for inclusion in the mark list.
6
10. EXAMINATIONS:
10.1. University examinations 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 all the four years from July 15th to 1st week of August and
supplementary exam in 1st week of February.
10.2. The particulars of subjects for various examinations and distribution of marks are
detailed in the Scheme of Examination.
10.3. 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.
10.4. Theory and Practical Exam for Introduction to Computer and Theory Exam or English
to be conducted as College Exam and marks to be sent to University for inclusion in
the mark sheet.
10.5. The Pondicherry University Practical Examinations shall be jointly conducted by one
internal and one external examiner duly appointed by the University.
10.6. To be an examiner the faculty should possess three years of experience after MSC
Nursing as per the Pondicherry University regulation. To be an examiner for nursing
foundations course faculty having M.Sc. (Nursing) with any specialty shall be
considered provided she / He currently handing the subject.
10.7. If a candidate fails in either theory or practical paper he/she has to re-appear for both
the papers (Theory and practical).
10.8. A candidate should clear all arrear subjects before appearing for final exam in IV year.
10.9. All practical examinations must be held in the respective clinical areas.
10.10. Maximum number of candidates for Practical examination should not exceed more
than 20 students per day.
10.11. The external practical examination should have the following criteria & weightage:
Criteria Weightage Weightage for
(100%) 100 marks
Patient care at the bed side 60% 60
OSCE in skill lab 30% 30
Viva 10% 10
Total 100% 100
10.12. The question paper setters need to submit the answer key along with question paper.
10.13. Students shall be permitted to use Simple calculator during Nursing Research &
Statistics examination for both new and old syllabus.
7
11. MARKS QUALIFYING FOR PASS:
11.1 A candidate has to pass in theory and practical exam separately in both internal and
external examination of each paper.
11.2 A candidate has to secure minimum of 50% of marks in the University Theory and
practical Examinations separately except for English.
11.3 Minimum pass mark for English shall be 40% only.
11.4 A candidate has to secure minimum of 50% of marks in Introduction to Computer.
11.5 A candidate has to secure minimum of 50% of marks in each Section A & B
separately where two subjects are combined in single paper. If a candidate who
has failed to secure the minimum pass mark of 50% either in Section A or B, the
candidate has to write again both the sections irrespective the fact whether the
candidate has passed in one section
12. ELIGIBILITY / MAXIMUM DURATION FOR THE AWARD OF THE DEGREE
12.1 The candidates shall be eligible for the Degree of Bachelor of Nursing 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.
12.2 The maximum period to complete the course successfully should not exceed a period
of eight years.
13. DECLARATION OF CLASS:
13.1 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.
13.2 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.
13.3 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.
13.4 A successful candidate obtaining 60% and more in the grand total aggregate at second
attempt shall be declared to have passed with Second Class.
13.5 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.
13.6 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 at first attempt shall be eligible for the
award of Rank.
8
VI. COURSE OF INSTRUCTION
S. No Subject Theory hrs Practical hrs Total

(Class and Lab) (Clinical) Hours
First Year
1. English 60 60
2. Anatomy 60 60
3. Physiology 60 60
4. Nutrition 40+20 60
5. Biochemistry 30 30
6. Nursing Foundations 265 + 200 450 915
7. Psychology 60 60
8. Microbiology 45+15 60
9. Introduction to computers 15 + 30 45
10. Regional Language 30 30
10. Library Work /Self Study 50 50
11. Co-curricular activities 50 50
Total Hours 1030 450 1480
Second Year
1. Sociology 930
60 60
2. Pharmacology 45 45
3. Pathology 30 30
4. Genetics 15 15
5. Medical-Surgical Nursing 210 720 930
(Adult including Geriatrics)-I
6. Community Health Nursing-I 90 135 225
7. Communication and Educational Technology 60 + 30 90
8. Library Work / Self Study 50 50
9. Co-curricular activities 35 35
Third Year
1. Medical Surgical Nursing - II 120 460 580
(Adult including Geriatrics)
2. Child Health Nursing 90 270 360
3. Mental Health Nursing 90 270 360
4. Nursing Research & Statistics 45 * 45
5. Library Work / Self Study 50 50
6 Co-curricular activities 50 50
Fourth Year
1. Midwifery and Obstetrical Nursing 90 180 270
Community Health Nursing – II
2. Including the concept of Middle Level Health 90 135 225
Provider (MLHP)
3. Management of Nursing Services and 60+30 - 90
Education
*Project to be carried out during internship
Note: Hours of course instruction can be planned at the institutional level.
9
Integrated Nursing Training (INTERNSHIP)
S. No Subject In weeks Practical (In hrs)

1
. 1. Midwifery and Obstetrical Nursing 9 432
2. Community Health Nursing – II 4 192
3. Medical Surgical Nursing 5 240
(Adult and Geriatric)
4. Child Health Nursing 3 144
5
. 5. Mental Health Nursing 2 96
6
. 6. Research Project* 1 45
24
Total 1149
Total Hours =1149+585=1734
*project work to be carried out during internship

Note:
• Internship means 8 hours of integrated clinical duties in which 2 weeks of evening and
night shift duties are included.
• Internship should be carried out as 8 hours per day @ 48 hours per week.
• Students during internship will be supervised by nursing teachers.
• Students will be eligible to appear in the fourth year final examination only after
completion of Internship (24 weeks).
• On Completion of Internship Internal Assessment out of 100 marks should be sent to the
University for inclusion in the mark list
10
VII. SCHEME OF EXAMINATION
Dura Marks
Subject
tion Internal Marks University Marks Total
Min Max Min Max
First Year
Theory 12 25 38 75
1. Anatomy & Physiology (A&B) 3 100
(6+6) (12+13) (19+19) (37+38)
2. Nutrition & Biochemistry 12 25 38 75
3 100
(A&B) (7+5) (15+10) (23+15) (45+30)
3. Nursing Foundations 3 12 25 38 75 100
4. Psychology 3 12 25 38 75 100
5. Microbiology 3 12 25 38 75 100
6. English * 2 20 50 - - 50
7. Introduction to Computers * 2 25 50 - - 50
Practical and Viva voce
50 100 50 100 200
1. Nursing Foundations
Second Year
Theory
3 12 25 38 75 100
1. Sociology
2. Medical Surgical Nursing – I 3 12 25 38 75 100
3. Pharmacology, Pathology & 12 25 38
3 75 (38+37) 100
Genetics (A & B) (6+6 ) (13+12 ) (19+ 19)
4. Community Health Nursing – I 3 12 25 38 75 100
5. Communication and
3 12 25 38 75 100
Educational Technology
50 100 50 100 200
1. Medical Surgical Nursing – I
Third Year
Theory
3 12 25 38 75 100
1. Medical – Surgical Nursing– II
2. Child Health Nursing 3 12 25 38 75 100
3. Mental Health Nursing 3 12 25 38 75 100
4. Nursing Research & Statistics 12 25 38 75
3 100
(7+5) (15+10) (25+13) (50+25)
25 50 25 50 100
1. Medical Surgical Nursing – II
2. Child Health Nursing 25 50 25 50 100
3. Mental Health Nursing 25 50 25 50 100
Fourth Year
Theory
1. Midwifery and Obstetrical 3 12 25 38 75 100
Nursing
2. Community Health Nursing – II 3 12 25 38 75 100
3. Management of Nursing
3 12 25 38 75 100
Services and Education
1. Midwifery and Obstetrical 25 50 25 50 100
Nursing
2. Community Health Nursing - II 25 50 25 50 100
* College Exam
11
PATTERN OF QUESTION PAPER
 For all the single subjects:

 Essay questions : 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 all combined subjects:
No. of No. of
No. of Short
S. Essay Short Total
Subjects Sections Answer
No questions Notes Marks
(2 Marks)
(15 Marks) (5 Marks)
Anatomy and Physiology
1. Anatomy (37 Marks) A 1 2 6 37
Physiology (38 Marks) B 1 3 4 38
Nutrition and Biochemistry
Nutrition (45 Marks) A 1 4 5 45
2.
Biochemistry (30 Marks) 1
B 2 5 30
(10 marks)
Pharmacology, Pathology
& Genetics
Pharmacology (38 Marks) A 1 3 4 38
3.
1
B 1 5 25
Pathology (25 Marks) (10 marks)
Genetics (12 Marks) - 2 1 12
Nursing Research and
Statistics
Nursing Research
4. 2 2 5 50
(50 Marks)
A
Statistics
1 2 - 25
(25 Marks)
12
VII. COURSE DESCRIPTION:
English
Placement – First Year Time: Theory – 60 hours
Course Description: The Course is designed to enable students to enhance ability to

comprehend spoken and written English (and use English) required for effective communication
in their professional work Students will practice their skills in verbal and written English during
clinical and classroom experiences.
Time Learning Teaching Learning Assessment

Unit Content
(Hrs) Objectives Activities Methods
 Speak and write  Review of  Demonstrate use  Objective
grammatically Grammar of dictionary Type
correct English  Remedial study of  Class-room  Fill in the
Grammar conversation blanks
I 10  Building  Exercise on use  Para
Vocabulary of Grammar phrasing
 Phonetics  Practice in public
 Public Speaking speaking
 Develop ability Read and comprehend  Exercise on:  Short

to read, prescribed course  Reading Answers
understand and books  Summarizing  Essay Type
express  Comprehension
II 30
meaningfully,
the prescribed
text
 Develop writing  Various forms of  Exercise on  Assessment

skills composition writing of the skills
 Letter writing  Letter writing based on
 Note taking  Nurses notes the check
 Precise writing  Precise list
 Nurses notes  Diary
 Anecdotal  Anecdote
III 10 records  Health problems
 Diary writing  Story writing
 Reports on  Resume/CV
health problems  Essay writing
etc.  Discussion on
 Resume/CV written reports/
documents
Develop skill in  Spoken English  Exercise on:  Assessment

spoken English  Oral report  Debating of the skills
IV 6  Discussion  Participating in based on the
 Debate Seminar, Panel, check list
 Telephonic symposium
13
Unit Content
(Hrs) Objectives Activities Methods
conversation  Telephonic
conversation
 Listening  Exercise on:  Assessment

Develop skill in Comprehension  Listening to of the skills
listening  Media, audio, audio, video based on the
V 4
comprehension video, speeches tapes and check list
etc. identify the key
points
Internal assessment: (50 Marks- Refer to regulations)
Three Unit test marks 45%

Two Assignment marks 25%
Model Exam 25%
Attendance 5%
Total 100%
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.
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Anatomy
Course Description: The Course is designed to enable students to acquire knowledge of the
normal structure of various human body systems and understand the alterations in anatomical
structures in disease and practice of nursing.
Teaching
Time Learning Assessment
Unit Content Learning
(Hrs) Objectives Methods
Activities
 Describe the Introduction to Anatomical  Lecture  Short
anatomical terms organization of the Discussion answer
terms, human body  Explain using questions
organization of  Human Cell structure charts,  Objective
human body and  Tissues- Definition, Types, microscopic type
structure of cell, characteristics, slides, Skeleton
tissues, classification, location, & torso
I 5
membranes and functions and formation  Demonstrate
glands  Membranes and glands – cells, types of
classification and structure tissues
Alterations in disease membranes and
Applications and implications glands
in nursing  Record book
 Describe the The Skeletal System  Lecture  Short

structure &  Bones- types, structure, Discussion answer
function of Axial & Appendicular  Explain using questions
bones and joints Skeleton, charts, skeleton,  Objective
 Bone formation and growth loose bones, and type
II 6  Description of bones joints
 Joints- classification and  Record book
structure
Alterations in disease
Applications and implications
in nursing
 Describe the The Muscular System  Lecture  Short
structure and  Types Structure of muscles Discussion answer
function of  Muscle groups  Explain using questions
muscles Alterations in disease charts, models  Objective
III 7 Applications and implications and films type
in nursing  Demonstrate
muscular
movements
 Record book
15
Teaching
Uni Time Learning Assessment
Content Learning
t (Hrs) Objectives Methods
Activities
 Describe the The Nervous System  Lecture  Short
structure &  Structure of Neurologia & Discussion answer
function of neurons  Explain using questions
nervous  Somatic Nervous system models, charts,  Objective
system  Structure of brain, spinal slides, specimens type
cord, cranial nerves,spinal  Record book
IV 6 nerves, peripheral nerves
 Autonomic Nervous System-
sympathetic, parasympathetic
 Structure, location
 Alterations in disease
 Applications and implications
in nursing
 Explain the The Sensory System  Lecture  Short
Structure &  Structure of skin, eye, ear, Discussion answer
functions of nose, tongue, (Auditory and  Explain using questions
V 6 sensory olfactory apparatus) models, charts,  Objective
organs  Alterations in disease slides, specimens type
 Applications and implications  Record book
in nursing
 Describe the Circulatory and lymphatic system  Lecture  Short
structure &  The Circulatory System Discussion answer
function of  Blood – Microscopic  Explain using questions
circulatory structure models,  Objective
and lymphatic  Structure of Heart charts, slides, type
system  Structure of blood vessels- specimens
Arterial & Venous System,  Record book
 Circulation: systemic,
Pulmonary, coronary
VI 7  Lymphatic system
Lymphatic vessels and lymph
 Lymphatic tissues
Thymus gland
Lymph nodes
Spleen
Lymphatic nodules
 Alterations in disease
in nursing
 Describe the The Respiratory System  Lecture  Short

structure &  Structure of the organs of Discussion answer
function of respiration  Explain using questions
VII 5 Respiratory  Muscles of respiration: models, torso,  Objective
system Intercostals and Diaphragm charts, slides, type
 Alterations in disease specimens
in nursing
16
Teaching
Uni Time Learning Assessment
Content Learning
t (Hrs) Objectives Methods
Activities
 Describe the The Digestive System  Lecture  Short
structure &  Structure of Alimentary tract Discussion answer
function of and accessory organs of  Explain using questions
VIII 6 Digestive digestion models, torso,  Objective
system  Alterations in disease charts, slides, type
 Applications and implications in specimens
nursing  Record book
 Describe the The Excretory System(Urinary)  Lecture  Short
structure &  Structure of organs of urinary Discussion answer
function of  System: Kidney, ureters,  Explain using questions
excretory urinary bladder, urethra, models, torso,  Objective
IX 4
system structure of skin charts, slides, type
 Alterations in disease specimens
in nursing
 Describe the The Endocrine System  Lecture  Short
structure &  Structure of Pituitary, Pancreas, Discussion answer
function of thyroid, Parathyroid, thymus  Explain using questions
X 4 endocrine and adrenal glands models, Torso,  Objective
system  Alterations in disease charts, slides, type
 Applications and implications specimens
in nursing  Record book
 Describe the The Reproductive System  Lecture  Short
structure & including breast Discussion answer
function of  Structure of female  Explain using questions
Reproductive reproductive organs models, Torso,  Objective
system  Structure of male reproductive charts, slides, type
XI 4
organs specimens
 Structure of breast  Record book
 Applications and implications in
nursing
Internal assessment: (25 Marks-Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
17
Bibliography:
1. Singh (I), Anatomy & Physiology for Nurses, JP Brothers Publications, 2005.
2. Kathleen (JW), Ross & Wilson Anatomy and Physiology in Health and Illness,
Churchil Livingston Publication, Philadelphia, 8th Edition, 1999.
3. Tortora, Principles of Anatomy & Physiology, John Wiley & Sons, New York, 8 th
Edition, 2003.
18
Physiology
Course Description: The Course is designed to assist the students to acquire knowledge of the
normal physiology of various human body systems and understand the alterations in physiology
in disease and practice of nursing.
Teaching
Activities
 Describe the Cell Physiology  Lecture  Short
physiology of  Tissue – formation, repair Discussion answer
cell, tissues,  Membranes & glands – questions
I 4 membranes functions  Objective
and glands  Alterations in disease type
nursing
 Describe the Skeletal System  Lecture  Short
bone formation  Bone formation and growth Discussion answer
and growth and  Bones – Functions and  Explain using questions
movements of movements of bones of axial charts, models  Objective
skeleton and appendicular skeleton, bone and films type
II 4 system healing  Demonstratio
 Joints and joint movement n of joint
 Alterations in disease movements
in nursing
 Describe the Muscular System  Lecture  Short
muscle  Muscle movements, Muscle Discussion answer
movements tone, Physiology of muscle  Explain using questions
and tone and contraction, levels and charts, models  Objective
demonstrate maintenance of posture and films type
III 4
muscle  Alterations in disease  Demonstratio
contraction  Applications and implications in n of muscle
and tone nursing movements,
tone and
contraction
IV 7  Describe the Nervous System  Lecture  Short
physiology  Functions of Neuralgia & Discussion answer
of nerve Neurons  Explain using questions
stimulus,  Stimulus & Nerve- Impulse- charts, models  Objective
reflexes, Definitions & Mechanism and films type
brain cranial  Functions of brain, spinal cord,  Demonstration
and spinal cranial and spinal nerves of nerve
nerves  Cerebrospinal fluid-composition, stimulus reflex
 Demonstrater circulation and function action,
eflex action  Reflex arc, reflex action and reflexes.
and stimulus reflexes
 Autonomic functions –
 Pain: Somatic, visceral and
referred
19
Teaching
Activities
 Autonomic learning and
biofeedback
 Alterations in disease
 Applications and
implications in nursing
V 8  Describe the Circulatory System  Lecture  Short
physiology of  Blood formation, composition, Discussion answer
blood and blood groups, blood coagulation  Explain using questions
functions of  Hemoglobin: Structure, Synthesis charts, films  Objective
Heart and breakdown, Variation of  Demonstration type
 Demonstrate molecules, estimation of blood cell
blood cell  Functions of Heart, count,
count, Conduction, Cardiac cycle, coagulation,
coagulation, circulation – Principles, Control, grouping,
grouping, Hb: factors influencing BP and Pulse Hemoglobin
BP and Pulse  Alterations in disease estimation,
monitoring  Applications and implications in Heart
nursing conduction
system.
 Measurement of
pulse, BP
VI 6  Describe the The Respiratory System  Lecture  Short

physiology  Functions of respiratory organs Discussion answer
and  Physiology of respiration  Explain using questions
mechanisms  Pulmonary ventilation, Volume charts, films  Objective
of respiration  Mechanics of respiration  Demonstratio type
 Demonstrates  Gaseous exchange in lungs n of
spirometry  Carriage of oxygen & carbon- spirometry
dioxide
 Exchange of gases in tissues
 Regulation of respiration
nursing
VII 6  Describe the The Digestive System  Lecture  Short
physiology of  Functions of organs of digestive Discussion answer
digestive tract. Movements of alimentary  Explain using questions
system tract, Digestion in mouth, charts, films  Objective
 Demonstrates stomach, small intestines, Large type
BMR intestines, Absorption of food.
Functions of liver, gall bladder
and pancreas
 Metabolism of carbohydrates,
protein and fat
VIII 5  Describe the The Excretory System  Lecture  Short
physiology of  Functions of kidneys, ureters, Discussion answer
excretory urinary bladder &urethra  Explain using questions
System Composition of urine charts, films  Objective
 Mechanism of urine formation type
20
Teaching
Activities
 Functions of skin
 Regulation of body temperature
 Fluid and electrolyte balance
Alterations in disease
nursing
The Sensory Organs  Lecture  Short
 Describe the  Functions of skin, eye, ear, nose, Discussion answer
physiology of tongue.  Explain using questions
IX 4
Sensory  Alterations in disease charts, films  Objective
Organs  Applications and implications in type
nursing
The Endocrine System  Lecture  Short
 Functions of Pituitary, pineal Discussion answer
 Describe the body, thymus, Thyroid,  Explain using questions
physiology of parathyroid, pancreas, Suprarenal, charts, films  Objective
X 5
Endocrine Placenta and ovaries & Testes type
glands  Alterations in disease
nursing
The Reproductive System  Lecture  Short
 Reproduction of cells – DNA, Discussion answer
Mitosis, Meosis,  Explain using questions
Spermatogenesis, oogenesis. charts, films,  Objective
 Functions of female reproductive models, type
 Describe the organs; Functions of breast, specimens
physiology of Female sexual cycle.
male and
XI 5  Introduction to embryology
female
 Functions of male reproductive
reproductive
organs, Male function in
system
reproduction, Male fertility
system,
 Applications and
implications in nursing
Lymphatic and Immunological  Lecture  Short
System Discussion answer
 Describe the
 Circulation of lymph  Explain using questions
physiology of
 Immunity charts, films  Objective
Lymphatic
XII 2  Formation of T-cells and B type
and Immuno-
cells
logical
 Types of Immune response
System
 Antigens, Cytokines
 Antibodies
21

Model Exam 25%
Attendance 5%
Total 100%
Reference Books
1. Sembulingam (K), Essentials of Medical Physiology, J.P.Brothers Publications, New

Delhi, 4th Edition, 2006 .
2. Chaudhuri, Concise Medical Physiology, New Central Book Agency Pvt. Ltd., Calcutta,
4th Edition, 2002.
3. Kathleen (JW), Ross & Wilson Anatomy and Physiology in Health and Illness, Churchil
Livingston Publication, Philadelphia, 8th Edition, 1999.
4. Tortora, Principles of Anatomy & Physiology, John Wiley & Sons, New York, 8th
Edition, 2003
5. Thibodeau (GA), Anthony’s Textbook of Anatomy & Physiology, Elsevier, 18th
Edition, 2007
22
Nutrition
Practical – 20 hours
Course Description: The course is designed to assist the students to acquire knowledge of
nutrition for maintenance of optimum health at different stages of life and its application for
practice of nursing.
Time Teaching
Learning Assessment
Unit (Hrs) Content Learning
Objectives Methods
Th. Pr. Activities
I 4 Introduction  Lecture  Short
 Describe the  Nutrition: Discussion answers
relationship  History  Explaining  Objective
between  Concepts using type
nutrition &  Role of nutrition in charts
health maintaining health  Panel
 Nutritional problem in India discussion
 National nutritional policy
 Factors affecting food and
nutrition: Socio – economic,
cultural, tradition, production,
system of distribution, life
style and food habits, etc.
 Role of food and its medicinal
value.
 Classification of foods
 Food standards
 Elements of Nutrition: Macro
and micro
 Calorie, BMR
II 2 Carbohydrates  Lecture  Short
 Describe the  Classification Discussion answers
classificatio  Caloric value  Explaining  Objective
n, functions,  Recommended daily using type
sources and allowances Dietary charts
recommende sources.
d daily  Functions
allowances  Digestion, absorption and
(RDA) of storage, metabolism of
Carbohydrat carbohydrates
es  Malnutrition: Deficiencies and
over consumption
III 2  Describe the Fats  Lecture  Short
classificatio  Classification Discussion answers
n, functions,  Caloric value  Explaining  Objective
sources and  Recommended daily using type
recommende allowances charts
d daily  Dietary sources.
allowances  Functions
23
Time Teaching
Learning Assessment
Objectives Methods
Th. Pr. Activities
(RDA) of  Digestion, absorption and
fats storage, metabolism
 Malnutrition: Deficiencies and
over consumption
IV 2 Proteins  Lecture  Short
classificatio  Caloric value  Explaining  Objective
n, functions,  Recommended daily using type
sources and allowances charts
recommende  Dietary sources.
d daily  Functions
allowances  Digestion, absorption and
(RDA) of storage, metabolism
Protein  Malnutrition: Deficiencies and
over consumption
V 3 Energy  Lecture  Short
 Unit of Energy – Kcal Discussion answers
 Describe the  Energy requirements of  Explaining  Objective
daily calorie different categories of people using type
requirement  Measurements of energy charts
for different  Body Mass Index (BMI) and  Exercise
categories of basic metabolism  Demonstrat
people  Basal Metabolic Rate (BMR) – ion
determination and factors
affecting
VI 4 Vitamins  Lecture  Short
classificatio  Recommended daily  Explaining  Objective
n, functions, allowances using type
sources and
 Dietary sources. charts
recommende
 Functions
d daily
allowances  Absorption, synthesis,
(RDA) of metabolism storage and
Vitamins excretion
 Deficiencies
 Hypervitaminosis
VII 4 Mineral  Lecture  Short
classificatio  Recommended daily  Explaining  Objective
n, functions, allowances using type
sources and  Dietary sources. charts
recommende  Functions
d daily  Absorption, synthesis,
allowances metabolism storage and
(RDA) of excretion
Minerals  Deficiencies
 Over consumption and toxicity
VIII 3 Water & electrolytes  Lecture  Short
 Describe the  Water: Daily requirements, Discussion answers
24
Time Teaching
Learning Assessment
Objectives Methods
Th. Pr. Activities
sources, regulation of water  Explaining  Objective
functions metabolism, distribution of using type
and body water, charts
requirement  Electrolytes: Types, sources,
s of water & composition of body fluids.
electrolytes  Maintenance of fluid &
electrolyte balance
 Over hydration, dehydration
and water intoxication
 Electrolyte imbalances.
IX 5 15 Cookery rules and preservation  Lecture  Short
of nutrients Discussion answers
 Describe the  Principles, methods of  Demonstrat  Objective
cookery cooking and serving ion type
rules and  Preservation of nutrients  Practice  Assessme
preservation  Safe Food handling – toxicity Session nt of
of nutrients  Storage of food practice
and  Food preservation, food sessions
 Prepare additives and its principles
serve simple  Prevention of food adulteration
beverages Act (PFA)
and different  Food standards
types of  Preparation of simple
food. beverages and different types
of food
X 7 5 Balanced Diet  Lecture  Short

 Elements Discussion answers
 Food groups  Explaining  Objective
 Recommended Daily using type
 Describe Allowance charts  Exercise
and plan  Practice
 Nutritive value of foods on menu
balanced
 Calculation of balanced diet Session planning
diet for
for different categories of  Meal
different
people Planning
categories of
people  Planning the menu
 Budgeting of food
 Introduction to therapeutic
diets: Naturopathy – Diet.
XI 4  Describe Role of nurse in nutritional  Lecture  Short

various programmes Discussion answers
National  National programmes related  Explaining  Objective
programmes to nutrition using type
related to  Vitamin A deficiency charts
Nutrition programme  Slide/ Film
 Describe the  National iodine deficiency shows
role of nurse disorders (IDD)  Demonstrat
in assessment programme. ion of
of nutritional  Mid – day meal
25
Time Teaching
Learning Assessment
Objectives Methods
Th. Pr. Activities
status and programme assessment
nutrition  Integrated child of
education development scheme nutritional
(ICDS) status
 National and International
agencies working towards food
/ nutrition.
 NIPCCD, CARE, FAO,
NIN, CFTERI (Central
food technology and
research institute) etc.
 Assessment of nutritional
status
 Nutrition education and role of
nurse.
Internal assessment for theory : (25 Marks-Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
Reference:
nd
1. Joshi (YK), Basics of Clinical Nutrition, Jaypee, Chennai, 2 Edition, 2008.
th
2. Mahan (LK), Krause’s Food, Nutrition, Diet & Therapy, Elsevier, 13 Edition, 2007.
th
3. Srilakshmi (B), Dietetics, New Age Int (P) Ltd., Publishers, Chennai, 5 Edition, 2007.
26
Biochemistry
Placement : First Year Time : Theory 30 Hours
Course Description: This course is designed to enable students to acquire knowledge of the
normal biochemical composition and functioning of human body and understand the alterations
in biochemistry in disease for practice of nursing.
Unit Time Objectives Content Teaching Assessment

(Hrs) Learning method
Activity
I 1  Describe the Introduction:  Lecture  Short
structure  Definition and significance discussion answer
composition and in nursing using charts, questions
functions of cell  Review of structure, slides.  Objective
 Differentiate Composition and Functions  Demonstrate type
between Prokaryote of use of
and eukaryote cell cell microscope
 Identify techniques  Prokaryote and Eukaryote
of Microscopy cell organization
 Microscopy
II 6  Describe the Structure and functions of  Lecture  Short
structure and Cell membrane: discussion answer
functions of cell  Fluid mosaic model tight questions
membrane junction, Cytoskeleton.  Objective
 Transport, mechanism: type
diffusion, osmosis, filtration,
active. Channel, sodium pump.
 Acid base balance
maintenance & diagnostic
tests.
 PH buffers
III 6  Explain the Composition and metabolism  Lecture  Short
metabolism of of Carbohydrates: discussion answer
carbohydrate  Types, Structure,  Demonstrate of questions
composition and uses. blood glucose  Objective
 Monosaccharide, monitoring type
Disaccharides,
Polysaccharides,
Oligosaccharides.
 Metabolism
 Pathways of glucose
- Glycolysis
- Gluconeogenesis:
Cori’s cycle, Tri
carboxylic acid (TCA)
cycle
- Glycogenolysis
- Pentose Phosphate
pathways (Hexose
mono phosphate)
 Regulation of blood
27
Activity
glucose level.
Investigations and their
Interpretations
IV 4  Explain the Composition and metabolism  Lecture  Short
metabolism of of Lipids: discussion answer
Lipids  Types, structure, using charts, questions
composition and uses of slides.  Objective
fatty acids :  Demonstration type
 Nomenclature, Roles and of laboratory
Prostaglandins. tests
 Metabolism of fatty acid :
 Breakdown
 Synthesis
 Metabolism of
triacylglycerols:
 Cholesterol Metabolism :
 Biosynthesis and its
Regulation
- Bile salts and bilirubin
- Vitamin – D
- Steroid hormones
 Lipoproteins and their
functions :
 VLDLs - IDLs, LDLs and
HDLs
 Transport of lipids
 Atherosclerosis,
interpretations.
V 6  Explain the Composition and metabolism  Lecture  Short
metabolism of of amino acids and Proteins discussion answer
amino acid and  Types, structure, using charts, questions
proteins composition and uses of slides.  Objective
amino acids and proteins.  Demonstration type
 Metabolism of amino acids of laboratory
and proteins : tests
 Protein synthesis,
targeting and
glycosylation.
 Chromatography
 Electrophoresis
 Sequencing
 Metabolism of Nitrogen :
 Fixation and
Assimilation
 Urea Cycle
 Hemes and chlorophylls
 Enzymes and coenzymes:
 Classification
28
Activity
 Properties
 Kinetics and Inhibition
 Control
interpretations.
VI 2  Describe types, Composition and vitamins  Lecture  Short
composition and and minerals: discussion answer
utilization of  Vitamins and minerals using charts, questions
vitamins &  Structure slides.  Objective
minerals  Classification  Demonstration type
 Properties of laboratory
 Absorption tests
 Storage and
transportation
 Normal Concentration
interpretations.
VII 3  Describe Immunochemistry  Lecture  Short
Immunochemistry  Immune response. discussion answer
 Structure and classification using charts, questions
of immunoglobins. slides.  Objective
 Mechanism of antibody  Demonstration type
Production. of laboratory
 Antigens : HLA typing tests
 Free radical and
antioxidants.
 Specialized Protein:
Collagen, Elastin, Keratin,
Myosin, Lens Protein.
 Electrophoretic and
Quantitative, determination
of immunoglobins, ELISA
etc.
interpretations

Model Exam 25%
Attendance 5%
Total 100%
29
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.
30
Nursing Foundations
Placement: First Year Time: Theory - 265 hours
Practical - 650 hours (200 lab and 450 clinical)
Course Description: This course is designed to help the students to develop an understanding of
the philosophy, objectives, theories and process of nursing in various Supervised Clinical
settings. It is aimed at helping the students to acquire knowledge, understanding and skills in
techniques of nursing and practice them in Supervised Clinical settings.
Unit Time Learning Objective Content Teaching Assessment

(Hrs) Learning Methods
Activities
I 10  Describe the concept Introduction  Lecture discussion  Essay type
of health, illness and Concept of Health: Health  Visit to health  Short
health care agencies – Illness continuum care agencies answers
 Factors influencing health  Objective
 Causes and risk factors for type
developing illness
 Body defences: Immunity
and immunization
 Illness and illness
Behaviour:
 Impact of illness on patient
and family
 Health Care services:
Health Promotion and
Prevention, Primary Care,
Diagnosis, Treatment,
rehabilitation and Continuing
Care
 Health care teams
 Types of health care
agencies:
 Hospitals: Types,
Organisation and Functions
 Health Promotion and
Levels of Disease Prevention
 Primary health care and its
delivery: Role of nurse
II 16  Explain concept and Nursing as a profession  Lecture  Essay type
scope of nursing  Definition and discussion  Short
 Describe values, code Characteristics of a  Case discussion answers
of ethics and profession  Role plays  Objective
professional conduct Nursing: type
for nurses in India  Definition, Concepts,
philosophy, objectives
 Characteristics, nature and
scope of nursing practice
 Functions of nurse
 Qualities of a nurse
31
Activities
 Categories of nursing
personnel
 Nursing as a profession
 History of Nursing in India
 Values: Definition, Types,
Values Clarification and
values in professional
Nursing: Caring and
Advocacy
 Ethics:
 Definition and Ethical
Principles
 Code of ethics and
professional conduct for
nurses
III 4  Explain the admission Hospital admission and  Lecture  Essay type
and discharge discharge discussion  Short
procedure  Admission to the hospital  Demonstration answers
 Performs admission  Unit and its preparation-  Lab Practice  Objective
and discharge admission bed  Supervised type
procedure  Admission procedure Clinical practice  Assess
 Special considerations skills with
 Medico-legal issues check list
 Roles and Responsibilities  Clinical
of the nurse practical
 Discharge from the examination
hospital
 Types: Planned discharge,
LAMA and abscond,
Referrals and transfers
 Discharge Planning
 Discharge procedure
 Special considerations
 Medico-legal issues
 Roles and Responsibilities
of the nurse
 Care of the unit after
discharge
IV 10  Communicate Communication and Nurse  Lecture  Essay type
effectively with patient relationship discussion  Short
patient, families and  Communication: Levels,  Role play and answers
team Elements, Types, Modes, video film on the  Objective
 members and Process, Factors Influencing nurses type
maintain effective Communication Interacting with
human  Methods of Effective the patient
relations (Projecting Communication,  Practice Session
professional image) - Attending skills on patient
 Appreciate the -Rapport building skills Teaching
importance of patient -Empathy skills  Supervised
teaching in nursing  Barriers to effective Clinical practice
communication,
32
Activities
 Helping
Relationships (NPR):
Dimensions of Helping
Relationships, Phases of a
helping relationship
 Communicating
effectively with patient,
families and team members
and maintain effective
human relations with special
reference to communicating
with vulnerable group
(children, women,
physically and mentally
challenged and elderly)
 Patient Teaching:
Importance, Purposes,
Process, role of nurse and
integrating teaching in
Nursing Process
V 15  Explain the concept, The Nursing Process:  Lecture  Essay type
uses, format and  Critical Thinking and discussion  Short
steps of nursing Nursing Judgment  Demonstration answers
process  Critical Thinking:  Exercise  Objective
 Documents nursing Thinking and Learning  Supervised type
process as per the  Competencies, Attitudes Clinical practice
format for Critical Thinking,
Levels of Critical Thinking
in Nursing.
 Nursing Process
Overview:
 Application in Practice
 Nursing Process format:
INC, Current format
 Assessment: Collection
of data: Types, Sources,
Methods
 Formulating Nursing
Judgment: Data
interpretation
 Nursing Diagnosis:
 Identification of client
problems
 Nursing diagnosis
statement
 Difference between
medical and nursing
diagnosis
 Planning
 Establishing Priorities
33
Activities
 Establishing Goals and
Expected Outcomes,
 Selection of
interventions: Protocols and
standing Orders
 Writing the Nursing
Care plan
 Implementation
 Implementation the plan
of care
 Evaluation
 Outcome of care
 Review and modify
 Documentation and
Reporting
VI 4  Describe the Documentation and  Lecture  Essay type
purposes, types and Reporting: discussion  Short
techniques of  Documentation: Purposes  Demonstration answers
recording and of Recording and reporting  Practice Session Objective type
reporting  Communication within  Supervised
the Health Care Team, Clinical practice
 Types of records; ward
records, medical / nursing
records,
 Common Record -
Keeping forms,
Computerized
documentation
 Guidelines for Reporting:
Factual Basis, Accuracy,
Completeness, Currentness,
Organization,
Confidentiality
 Methods of Recording,
 Reporting: Change -of
shift reports: Transfer
reports, Incident reports.
 Minimizing legal
Liability through effective
record keeping.
34
Activities
VII 15  Describe principles Vital signs:  Lecture  Essay type
and techniques of  Guidelines for taking discussion  Short
monitoring and vital signs  Demonstration answers
maintaining vital signs  Body temperature:  Practice Session  Objective
 Monitor and  Physiology, Regulation,  Supervised type
maintain vital signs Factors affecting body Clinical practice  Assess with
temperature. check list
 Assessment of body and clinical
temperature: sites, practical
equipments and technique, examination
special Considerations.
o Temperature
alterations:
Hyperthermia,
Heatstroke
Hypothermia
o Hot and cold
applications
 Pulse:
o Physiology and
Regulation,
Characteristics of the
pulse, Factors
affecting pulse
o Assessment of pulse:
sites, location,
equipments and
technique, special
considerations
o Alterations in pulse:
 Respiration:
o Physiology and
Regulation,
Mechanics of
breathing
respiration, Factors
affecting respiration
o Assessment of
respirations:
technique, special
considerations
o Alterations in
respiration
 Blood pressure:
o Physiology and
Regulation,
blood pressure,
Factors affecting
blood pressure
35
o
Activities
VIII 30  Describe purpose Health assessment  Lecture  Essay type
and process of  Purposes discussion  Short
health assessment  Process of Health  Demonstration answers
 Describe the health assessment  Practice on  Objective
assessment of each o Health History simulators type
body system o Physical examination  Supervised
 Perform health - Methods- Clinical practice
assessment of each Inspection,
body system Palpation,
Percussion,
Auscultation,
Olfaction
- Preparation for
exa-mination:
patient and unit
- General assessment
- Assessment of each
body system
- Recording of health
assessment
IX 5  Identifies the Machinery, Equipment and  Lecture  Essay type
Various linen discussion  Short
machinery,  Types: Disposables and  Demonstration answers
equipment and reusables-Linen, rubber  Objective
linen and their care goods, glass ware, type
metal, plastics, furniture,
machinery
 Introduction:
 Indent
 Maintenance
 Inventory
X 60  Describe the basic, Meeting needs of patient  Lecture  Essay type
physiological and  Basic needs (Activities discussion  Short
psychosocial needs of daily living)  Demonstration answers
of patient  Providing safe and  Practice  Objective
 Describe the clean environment: sessions type
principles and - Physical-environment:  Supervised  Assess with
techniques for Temperature,  Clinical practice check list
meeting basic, Humidity, Noise, and clinical
Physiological and Ventilation, light, practical
psychosocial needs Odour, pests control examination
of patient - Reduction of Physical
 Perform nursing hazards: fire, accidents
assessment, plan, - Safety devices:
implement and Restraints, side rails,
evaluate the care airways, trapez etc.
for meeting basic, - Role of nurse in
physiological and providing safe and
psychosocial needs clean environment
of patient  Hygiene:-
36
Activities
- Factors Influencing 
Hygienic Practice
- Hygienic care:Care of the
Skin-Bath and pressure
points, feet and nail, Oral
cavity, Hair Care, Eyes,
Ears, and Nose
o Assessment, Principles,
Type, Equipments,
Procedure, Special
Considerations
- Patient environment:
Room Equipment and
linen, making patient
beds
o Types of beds and bed
making
 Comfort:-
- Factors Influencing
Comfort
- Comfort devices
 Physiological needs:
 Sleep and Rest:
- Physiology of sleep
- Factors affecting sleep
- Promoting Rest and sleep
- Sleep Disorders
 Nutrition:-
- Importance
- Factors affecting
nutritional needs
- Assessment of Nutritional
needs: Variables
- Meeting Nutritional needs:
Principles, equipments,
procedure and special
considerations.
o Oral
o Enteral : Naso/Orogastirc,
gastrostomy
o Parenteral:
 Urinary Elimination
- Review of Physiology of
Urine Elimination,
Composition and
characteristics of urine
- Factors Influencing
Urination
- Alternation in Urinary
Elimination
- Types and Collection of
37
Activities
urine specimen:
Observation, urine
testing
- Facilitating urine
elimination: assessment,
types, equipments,
procedures and special
considerations
o Providing urinal / bed
pan
o Condom drainage
o Perineal care
o Catheterization
o Care of urinary drainage
o Care of urinary
diversions
o Bladder irrigation
 Bowel Elimination
- Review of Physiology of
Bowel Elimination ,
Composition and
characteristics of faeces
- Factors affecting Bowel
elimination
- Alteration in Bowel
Elimination
- Types and Collection of
specimen of faeces:
Observation
- Facilitating bowel
elimination: assessment,
equipments, procedures
and special
considerations
o Passing of Flatus tube
o Enemas
o Suppository
o Sitz bath
o Bowel wash
o Care of Ostomies
 Mobility and Immobility
- Principles of Body
Mechanics
- Maintenance of normal
body Alignment and
mobility]
- Factors affecting body
alignment and mobility
- Hazards associated with
immobility
- Alternation in body
38
Activities
Alignment and mobility
- Nursing interventions for
impaired Body
Alignment and Mobility:
assessment, types,
devices used, method and
special considerations,
rehabilitation aspects
o Range of motion
exercises
o Maintaining body
alignment: Positions
o Moving
o Lifting
o Transferring
o Walking
o Restraints
 Oxygenation
- Review of Cardiovascular
and respiratory Physiology
- Factors Affecting
Oxygenation
- Alterations in oxygenation
- Nursing interventions in
oxygenation: assessment,
types, equipment used,
procedure and special
considerations.
o Maintenance of patent
airway
o Oxygen administration
o Suction
o Inhalations: dry and moist
o Chest Physiotherapy and
postural drainage
o Care of Chest drainage
o Pulse oximetry
o CPR-Basic life support
 Fluid, electrolyte, and
Acid-Base Balances
- Review of Physiological
Regulation of Fluid,
Electrolyte, and Acid-Base
Balances
- Factors Affecting Fluid,
Electrolyte and Acid-Base
Balances
- Alterations in Fluid,
Electrolyte, and Acid- Base
Balances
- Nursing interventions in
39
Activities
Fluid, Electrolyte, and Acid
– Base Imbalances:
assessment, types,
equipment, procedure and
special considerations
o Measuring fluid intake
and output
o Correcting Fluid,
Electrolyte Imbalance:
√ Replacement of fluids:
Oral and Parenteral -
Venipuncture, regulating
IV Flow rates, changing
IV solutions and tubing,
Changing IV dressing,
√ Administering Blood
transfusion
√ Restriction of fluids
 Psychosocial Needs
 Concepts of Cultural
Diversity, Stress and
Adaptation, Self-concept,
Sexuality, Spiritual Health
Coping with loss, death
and grieving
 Assessment of
psychosocial needs
 Nursing intervention for
psychosocial needs
- Assist with coping and
adaptation
- Creating therapeutic
environment
Recreational and diversional
therapies
XI 20  Describe principles Infection control in  Lecture  Essay type
and techniques for Clinical settings discussion  Short
infection control  Infection control  Demonstration answers
and biomedical  Nature of infection  Practice session  Objective
waste management  Chain of infection  Supervised type
in supervised transmission Clinical practice
Clinical  Defenses against
settings infection: natural and
acquired
 Hospital acquired
infection (Nosocomial
infection )
 Concept of asepsis:
medical asepsis, and
surgical asepsis
40
Activities
 Isolation precautions
(Barrier nursing):
 Hand washing: simple,
hand antisepsis and
surgical antisepsis
(scrub)
 Isolation: source and
protective
 Personal protecting
equipments: types,
uses and technique of
wearing and removing
 Decontamination of
equipment and unit
 Transportation of
infected patients
 Standard safety
precautions (Universal
precautions)
 Transmission based
precautions
 Biomedical waste
management:
 Importance
 Type of hospital
waste
 Hazards associated
with hospital waste
 Decontamination of
hospital waste
 Segregation and
Transportation and
disposal
XII 40  Explain the Administration of  Lecture  Essay type

principles, routes, Medications discussion  Short
effects of  General  Demonstration answers
administration of Principles/Considerations  Practice session  Objective
medications  Purposes of  Supervised type
 Calculate Medication Clinical practice  Assess with
conversions of drugs  Principles: 5 rights, check list
and dosages within Special and clinical
and between systems Considerations, practical
of measurements
41
Activities
 Administer drugs by Prescriptions, Safety examination
the following routes in Administering
– oral, Intradermal, Medications and
Subcataneous Medication Errors
Intramuscular, Intra  Drug forms
Venous topical,  Routes of
inhalation administration
 Storage and
maintenance of drugs
and Nurses
responsibility
 Broad classification of
drugs
 Therapeutic Effect, Side
Effects, Toxic Effects,
Idiosyncratic Reaction,
Allergic Reactions, Drug
Tolerance, Drug
Interactions,
 Factors Influencing drug
Action,
 Systems of Drug
Measurement: Metric
System, Apothecary
System, Household
Measurements,
Solutions.
 Converting
Measurements Units:
Conversion within one
system, Conversion
between systems, Dosage
Calculation,
 Terminologies and
abbreviations used in
prescriptions of
medications
 Oral Drugs
Administration: Oral,
Sublingual and Buccal:
Equipment, procedure
 Parenteral
 General principles:
decontamination and
disposal of syringes
and needles
 Types of parenteral
therapies
 Types of syringes,
needles, canula, and
42
Activities
infusion sets
 Protection from
Needle stick Injures:
Giving Medications
with a safety syringes
 Routes of parenteral
therapies
- Intradermal:
purpose, site,
equipment,
procedure, special
considerations
- Subcutaneous:
purpose, site,
equipment,
procedure, special
considerations
- Intra Venous:
purpose, site,
equipment,
procedure, special
considerations
- Advanced
techniques:
Epidural, intrathecal,
intraosseous,
intraperitonial,
intraplural,
intraarterial-Role of
nurse
 Topical Administration:
purposes, site,
equipment, procedure,
special considerations
for
 Application to Skin
 Application to mucous
membrane
- Direct application of
liquids-Gargle and
swabbing the throat
- Insertion of Drug into
body cavity:
Suppository/ medicated
packing in
rectum/vagina
- Instillations:, Ear, Eye,
Nasal, Bladder, and
Rectal
- Irrigations:Eye, Ear,
Bladder, Vaginal and
43
Activities
Rectal
- Spraying: Nose and
throat
 Inhalation: Nasal, oral,
endotracheal/tracheal
(steam, oxygen and
medications)- purposes,
types, equipment,
procedure, special
considerations
 Recording and reporting
of medications
administered
XIII 10  Describe the pre Meeting needs of  Lecture  Essay type
and post operative Perioperative patients discussion  Short
care of patients  Definition and concept  Demonstration answers
 Explain the of Perioperative Nursing  Practice session  Objective
process of wound  Preoperative Phase  Supervised type
healing  Preparation of patient Clinical practice  Assess with
 Explain the for surgery check list
principles and  Intraoperative and clinical
techniques of  Operation theatre set practical
wound care up and environment examination
 Perform care of  Role of nurse
wounds  Postoperative Phase
 Recovery unit
 Post operative unit
 Postoperative care,
 Wounds: types,
Classifications, wound
Healing Process, Factors
affecting Wound,
Complications of
Wound Healing
 Surgical asepsis
 Care of the sound: types,
equipments, procedure
and special
considerations
 Dressings, Suture
care,
 Care of Drainage
 Application of
Bandages, Binders,
Splints & Slings
 Heat and Cold
Therapy
XIV 15  Explain care of Meeting special needs of  Lecture  Essay type
patients having the patient discussion  Short
alterations in body  Care of patients having  Case answers
44
Activities
functioning alternation in discussions  Objective
- Temperature (hyper and  Supervised type
hypothermia); Types, Clinical practice
Assessment,
Management
- Sensorium
(Unconsciousness);
Assessment,
Management
- Urinary Elimination
(retention and
incontinence)Assessment
, Management
- Functioning of sensory
organs: (Visual &
hearing impairment)
- Assessment of Self-Care
ability
- Communication Methods
and special
considerations
- Mobility (physically
challenged, cast),
assessment of Self-care
ability: Communication
Methods and special
considerations
- Mental state (Mentally
challenged) assessment
of Self-Care ability;
- Communication Methods
and special
considerations
- Respiration (distress);
Types, Assessment,
Management
- Comfort- (Pain)- Nature,
Types, Factors
influencing pain, Coping,
assessment,
Management;
 Treatments related to
gastrointestinal system:
nasogastric suction,
gastric irrigation, gastric
analysis
45
Activities
XV 5  Explain care of Care of Terminally ill  Lecture  Essay type
terminally ill patient discussion  Short
patient  Concepts of Loss,  Demonstration answers
Grief, grieving Process  Case  Objective
 Signs of clinical death discussions type
 Care of dying patient: /Role play
special considerations  Practice session
- Advance directives:  Supervised
euthanasia, will, Clinical practice
dying declaration,
organ donation etc
 Medico-legal issues
 Care of dead body:
equipment, procedure
and care of unit
 Autopsy
 Embalming
XVI 6  Explain the basic Professional Nursing  Lecture  Essay type
concepts of concepts and practices discussion  Short
conceptual and  Conceptual and answers
theoretical models theoretical model of  Objective
of nursing nursing practice: type
Introduction to models-
holistic model, health
belief model, health
promotion model, etc
 Introduction to Theories
in Nursing; Peplau’s,
Henderson’s, Orem’s,
Neuman’s, Roger’s and
Roy’s
 Linking theories with
nursing process
Internal assessment for theory : (25 Marks-Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
46
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.
47
Nursing Foundations - Practical
Placement: First Year Time: Practical - 650 hours
(200 lab and 450 clinical)
Course Description: This course is designed to help the students to develop an understanding of
the philosophy, objectives, theories and process of nursing in various clinical settings. It is aimed
at helping the students to acquire knowledge, understanding and skills in techniques of nursing
and practice them in clinical settings.
Area Time Objective Skills Assignments Assessment

(Hrs) Methods
200- 450  Performs  Practice in  Evaluate with
Demonstra Minimum admission Hospital admission and Unit/hospital checklist
tion Lab practice and discharge (III) : -  Assessment of
General, time in discharge • Admission clinical
Medical clinical procedure • Prepare Unit for new performance
and area patient with rating scale
Surgery • Prepare admission bed  Completion of
ward • Performs admission practical record
Procedure
 New Patient
 Transferin
• Prepare patient records
Discharge / Transfer out :
• Gives discharge
counseling
• Perform discharge
procedure (Planned
discharge, LAMA and
abscond, Referrals and  Write nursing
transfers) process records
 Prepares • Prepare records of of patient
nursing care discharge / transfer.  Simulated – 1
plan as per • Dismantle, and disinfect  Actual -1  Assessment of
the nursing unit and equipment after nursing process
process discharge / transfer. records with
format checklist
Perform assessment :  Assessment of
• History taking, Nursing actual care
diagnosis, problem list, given with
Prioritization, Goals & rating scale
Expected Outcomes,
Selection of interventions.
• Write Nursing Care plan
• Given care as per the
plan
48
(Hrs) Methods
 Communicate  Role-plays in  Assess role
effectively Communication : simulated plays with
with patient, • Use verbal non verbal situations on the check-
families and communication techniques communication list on
team techniques-1 Communic
members and Prepare a plan for patient  Health talk-1 ation
 Maintain teaching session techniques
effective
human  Write nurses  Assess
relations Write patient report : notes and health talk
 Develops plan • Change -of shift reports, present the with the
for patient Transfer reports, incidents patient report check list
teaching reports etc. of 2-3
• Presents patient report assigned  Assessme
 Prepare patient nt of
patient reportsVital signs :  Lab practice communic
 Presents • Measure, Records and  Measure Vital ation
reports interpret alterations in body signs of techniques
temperature, pulse assigned by rating
 Monitor vital respiration and blood patient scale
signs pressure.  Practice in lab
 Perform & hospital  Assessme
Health assessment :
health  Simulated nt of
assessment of • Health History taking exercise on performan
each body • Perform assessment : CPR manikin ce with
system  General rating
 Body system scale
 Provide basic •Use various meth ods of
nursing care physical examination
to patients • Inspection, Palpation,  Assessme
Percussion, Auscultation, nt of each
Olfaction. skill with
• Identification of system checklist
wise deviations.
 Completio
Prepare patient’s unit : n of
• Prepare beds: activity
•Open, closed, occupied, record
operation, amputation,  Assessme
•Cardiac, fracture, burn, nt of each
Divided, & Fowlers bed skill with
•Pain assessment and rating
provision for comfort. scale
Use comfort devices  Completio
Hygienic care n of
• Oral Hygiene activity
49
(Hrs) Methods
 Baths and care of record
pressure points.
• Hair wash, Pediculosis
treatment.
Feeding :
• Oral, Enteral, Naso /
Orogastric, gastrostomy and
Parenteral feeding.
• Naso -gastric insertion,
suction, and irrigation.
Assisting patient in urinary
elimination:
• Provides urinal / bed pan
•Condom drainage
• Perineal care
• Catheterization
• Car e of urinary drainage
Bladder irrigation Assisting
bowel Elimination :
• Insertion of Flatus tube.
• Enemas
• Insertion of suppository.
Bowel wash, Body
Alignment and Mobility :
• Range of motion
exercises
• Positioning: -
Recumbent, Lateral (rt / lt)
Fowlers, Sims, Lithotomy,
Prone, Tendelenburg
positon.
• Assist patient in moving
lifting, transferring ,
walking.
•Restraints.
 Oxygen administration
 Suctioning:
Oropharyangeal,
nasopharyngeal
 Chest physiotherapy and

postural drainage
Care of Chest drainage
 CPR - Basic life

support  Observation
study -2
 Intravenous therapy  Department of
Infection
50
(Hrs) Methods
 Blood and blood control &
component therapy CSSD
 Visits CSSD
 Collect / assist for write
collection of specimens for observation
 Perform investigations urine, report – 1
infection sputum, faces, vomitus,  Collection of
control blood and other body fluids samples for
procedures  Perform lab tests:- culture
Urine: - Sugar, albumin,  Do clinical
acetone posting in
Blood: - Sugar (with strip/ infection
gluco-meter) control
Hot and cold application: department and
local and general Sitz bath write report
Communicating and  Practice in
assisting with self-care of lab/ward
visually & hearing impaired
patients.  Assess
Communicating and observatio
assisting with self-care of n study
mentally challenged / with
disturbed patient. checklist
Recreational and divertional  Evaluate
therapies all
procedures
Caring of patient with with
alteration in sensorium. checklist
Infection control: -
 Provide care Perform following

to pre and Procedures:
post operative Hand washing techniques
patients
Simple, hand antisepsis
 Perform and surgical antisepsis
procedures (scrub).
for care of
wounds Prepare isolation unit in
lab / ward.
Practice technique of
 Administer wearing and removing
drugs Personal protective
equipment (PPE)
Practice Standard safety

Precautions (Universal
Precautions)
Decontamination of
51
(Hrs) Methods
equipment and unit: -
• Surgical asepsis:
• Sterilization
 Handling sterilized
equipment
Calculate strengths of
lotions,
Prepare lotions
Care of articles
Pre and post operative care:

 Provide care -
to dying and • Skin Preparations for
dead surgery: Local
 Counsel and • Preparation of post
support operative unit
relatives • Pre & Post operative
teaching and counseling.
• Pre & Post operative
monitoring.
• Care of the wound
• Dressings, Suture Care,
care of Drainage,
Application of Bandages,
Binders, splints & Slings.
• Bandaging of various
body parts.
Administration of
Medications: -
• Administer Medications
in different forms and
routes.
• Oral, Sublingual and
Buccal,
• Parenteral: Intradermal,
subcutaneous, Intramuscular
etc.
• Assist with Intra venous
medications
• Drug mea surements and
dose calculations.
• Preparation of lotions and
solutions.
• Administers topical
applications.
• Insertion of drug into
body cavity: Suppository &
medicated packing etc.
• Instillation of medicines
and spray into Ear, Eye,
Nose, and throat.
52
(Hrs) Methods
• Irrigations: - Eye, Ear,
Bladder, vagina and rectum.
•Inhalations: dry and moist
Care of dying patient: -

• Caring and packing of
dead body.
• Counseling and
supporting grieving
relatives.
• Terminal care of the unit.
Internal assessment for Practical: (100 Marks/ 50 Marks- Refer to regulations)
Continuous Evaluation of Clinical Performance 30%

Clinical assignment (Case study/ Practical record/Case book) 20%
Clinical Presentation 10%
Observational /field visit/ Health talk 10%
Model Practical Examination 30%
Total 100%
53
Psychology
Placement: First Year Time: Theory - 60 hours
Course Description: This course is designed to assist the students to knowledge of fundaments
of psychology and develop an insight into behavior of self and others. Further it is aimed at
helping them to practice the principles of mental hygiene for promoting mental health in nursing
practice.
Unit Time Learning Content Teaching Assessment

(Hrs) Objective Learning Methods
Activities
I 2  Describe the Introduction:  Lecture  Essay type
history, • History and origin of science of Discussion  Short answers
scope and Psychology
methods of • Definitions and scope of
psychology Psychology
• Relevance to Nursing
• Methods of Psychology
II 4  Explain the Biology of behavior: -  Lecture  Essay type

biology of Body mind relationship – Discussion  Short answers
human Modulation process in Health and
behaviour. illness.
Genetics and behavior : Heredity
and environment
Brain and Behavior: Nervous
system, Neurons and synapse.
• Association Cortex, Rt and Lt
Hemispheres
• Psychology of Sensations
• Muscular and glandular contr ols
of behavior.
• Nature of behavior of an
organism / integrated responses
III 20 Cognitive Processes: • Attention:  Lecture  Essay type
Describe Types, determinants, Duration, and Discussion  Short answers
various Degree, alterations.  Psychomet
cognitive • Perception: - Meaning, ric
processes and Principles, factors affecting, errors. assessment:
their • Learning Nature: - Types, learner  Practice
applications and learning, factors influencing, Sessions
laws and theories, process, transfer,
study habits.
• Memory: - Meaning, types,
nature, factors influencing,
development theories methods of
memorizing and Forgetting.
• Thinking: - Types and levels,
stages of development,
Relationship with language and
communication.
54
Activities
• Intelligence: - Meaning,
Classification, Uses, theories.
• Aptitude: - Concept, types,
Individual differences and
variability.
• Psychometric assessments of
cognitive, Processes.
• Alterations in cognitive
processes
• Applications
IV 8 Motivation and Emotional  Lecture  Essay type
Describe the Processes: Discussion  Short answers
motivation, • Motivation: Meaning, Concepts,  Role
emotions, Types, Theories, Motives and plays
stress, attitudes behavior, Conflict and frustration,  Case
and their conflict resolution. Discussion
influence on • Emotions & Stress :  Demonstr
behavior. Emotion: - Definition, ation
components, Changes in emotions,
theories, emotional adjustments,
emotions in health and illness.
Stress : Stressor, cycle, effect,
adaptation & Coping
• Attitude: - Meaning, nature,
development, factors affecting.
Behavior and attitudes.
 Attitudinal Change
• Psychometric assessments of
emotions and attitudes.
Alterations in emotions
• Applications.
V 7 Personality:  Lecture  Essay type
• Definitions, topography , factors Discussion  Short answers
Explain the affecting personality, types,  Demonstr
concepts of theories. ation
personality and • Psychometric assessments of
its influence on personality.
behavior • Alterations in personality
• Applications.
VI 7 Developmental Psychology:  Lecture  Essay type
Describe • Psychology of people at dif ferent Discussion  Short answers
psychology of ages from infancy to old age.  Case
people during • Psychology of vulnerable Discussion
the life cycle individuals – Challenged, women,
sick, etc.
• Psychology of groups.
VII 8 Mental hygiene and mental Health:  Lecture  Essay type
Describe the • Concepts of mental hygiene and Discussion  Short answers
characteristics mental health.  Role
of mentally • Characteristics of mentally plays
healthy person, healthy person.  Case
55
Activities
explain ego • Warning signs of poor m ental Discussion
defense health  Demonstr
mechanisms • Promotive and Preventive mental ation
health strategies and services.
• Ego Defense mechanisms and
implications.
• Personal and social adjustments.
• Guidance and Counseling
• Role of nurse
VIII 4  Explain the Psychological assessment & tests: -  Lecture  Assessment of
psychologica Types, development, Discussion Practice
l assessments Characteristics, Principles, Uses,  Demonstr
and role of Interpretations, and ation
nurse role of nurse in psychological  Practice
assessment. sessions
Internal assessment for theory : (25 Marks –Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
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,
th
Philadelphia, 13 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.
56
Microbiology
Placement: First Year Time: Theory - 60 Hours (Theory 45+15 lab)
Course Description: - This course is designed to enable students to acquire understanding of

fundamentals of Microbiology and identification of various Microorganisms. It also provides
opportunities for practicing infection control measures in hospital and community settings.
Unit Time (Hrs) Learning Content Teaching Assessment

Objective Learning Methods
Th Pr Activities
I 5 Introduction: -  Lecture  Short
 Explain • Importance and relevance to Discussion answers
concepts and nursing  Objective
principles of • Historical Perspective type
microbiology • Concepts and terminology
and their • Principles of microbiology
importance in
nursing.
II 10 5 Describe General characteristics of  Lecture  Short
structure, Microbes: - Discussion answers
classification • Structure and classification of  Demonstra  Objective
morphology Microbes. tion type
and growth of • Morphological types.
bacteria, • Size and f orm of bacteria.
identify • Motility
microorganism • Colonization
s. • Growth and nutrition of
microbes:
 Temperature
 Moisture
 Blood and body fluids
 Laboratory methods for
Identification of Micro –
Organisms.
• Staining Techniques, Gram
staining, Acid fast staining,
Hanging drop preparation
• Culture: Various Medias.
III 10 2 Describe the Infection Control: -  Lecture  Short
methods of • Infection: Sources Portals of Discussion answers
infection entry and exit, transmission.  Demonstra  Objective
control, • Asepsis tion type
identify the • Disinfection: Types and  Visits to
role of nurse in methods. CSSD
hospital • Sterilization: Types and  Clinical
infection Methods. practice
control • Chemotherapy and antibiotics.
programme • Standard safety measures.
57
Unit Time (Hrs) Learning Content Teaching Assessment
Objective Learning Methods
Th Pr Activities
• Biomedical waste
management.
• Role of nurse .
• Hospital acquired infection.
 Hospital infection control
programme
 Protocols, collection of
samples, preparation of report
and status of rate of infection
in the unit/ hospital nurses
accountability, continuing
education etc.
IV 12 4 Describe the Pathogenic organisms: -  Lecture  Short
different • Micro-organisms : Discussion answers
disease Cocci – gram positive and gram  Demonstra  Objective
producing negative tion type
organisms. Bacilli – gram positive and gram  Clinical
negative practice
Spirochaete
 Mycoplasma
 Rickettsiae
Chlamydiae
• Viruses
• Fungi – Superficial and Deep
mycoses
• Parasites
• Rodents & vectors
Characteristics, Source, Portal of
entry, transmission of infection.
Identification of disease
producing micro – organisms
Collection , handling and
transportation of various
specimens.
V 8 4 Explain the Immunity:  Lecture  Short
concept of • Immunity – Types, Discussion answers
immunity, Classification  Demonstra  Objective
hypersensitivit • Antigen and antibody reaction. tion type
y and • Hypersensitivity – skin test  Clinical
immunization • serological tests. practice
• Immunoprophylaxis :
 Vaccines & sera– Types &
Classification, Storage and
handling cold chain.
 Immunization for various
diseases
 Immunization Schedule
58
Internal assessment: (25 Marks Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
Reference :
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.
59
Introduction to Computer
Placement: First Year Time: Theory - 45 Hours
Course Description: - This course is designed for students to develop basic understanding of
uses of computer and its applications in nursing.

Th Pr Activities
I 3 Identify and Introduction:  Lecture  Short
define various • Concepts of computers. Discussion answers
concepts used • Hardware and Software:  Demonstration  Objective
in computer, trends and technology type
identify • Application of computers
application of in nursing
computer in
nursing.
II 6 20 Describe and Introduction to disk –  Lecture  Short
use the Disk operating system: Discussion answers
Operating • DOS  Demonstration  Objective
System, • Windows (all version)  Practice session type
Demonstrate Introduction :  Practical
skill in the use • MS – Word Exam
of MS Office. • MS – Excel with pictorial
presentation
• MS – Access
• MS – Power point
III 2 3 Demonstrate Multimedia: - types & uses  Lecture  Short
skill in using • Computer aided teaching Discussion answers
multimedia, & testing.  Demonstration  Objective
identify type
features of  Practical
computer aided Exam
teaching and Viva
and testing Voce
IV 1 3 Demonstrate Use of Internet and e – mail  Lecture  Short

use of internet Discussion answers
and Email.  Demonstration  Objective
 Practice session type
 Practical
Exam
and Viva
Voce
V 2 2 Describe and Statistical packages: Types  Lecture  Short
use the and their features. Discussion answers
statistical  Demonstration  Objective
packages.  Practice session type
 Practical
Exam
and Viva
Voce
60
VI 1 2 Describe the Hospital Management  Lecture  Short
use of Hospital System: Types and uses. Discussion answers
Management  Demonstration  Objective
System. type
 Practical
Exam
and Viva
Voce
Internal assessment: (25 Marks – Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
References
1.N.K.Anand & Shikha Goel ,Computers for Nurses, A.I.T.B.S. Publishers ,India.2009.
2. Thacker N Computers for Nurses, India. 2009
61
Sociology
Placement : Second Year Time : Theory 60 Hours
Course Description: This course is designed to introduce the concepts of sociology related to
community and social institutions in India and its relationship with health, illness and nursing.
Unit Time Learning Objectives Content Teaching Assessment

Activity
I 1  State the Introduction  Lecture  Essay type
importance of  Definition of Sociology Discussion  Short answers
sociology in  Nature and Scope of the
Nursing discipline
 Importance and application
of sociology in Nursing
II 3  Describe the inter- Individual & Society  Lecture  Essay type
relationship of  Society and Community Discussion  Short answers
individual in  Nature of Society
society and  Difference between society
community and community
 Process of socialization and
individualization
 Personal disorganization
III 3  Describe the Culture  Lecture  Essay type

influence of culture  Nature of culture Discussion  Short answers
on health and  Evolution of culture  Panel
disease  Diversity and uniformity of Discussion
culture
 Culture and socialization
 Transcultural society
 Influence on health and
disease
 Biodiversity and its
conservation:
 Introduction
Definition: Genetics
species and ecosystem
diversity.
 Biogeographical
classification of India
 Value of Biodiversity:
consumptive use,
Productive use, Social ,
ethical, aesthetic and
option values
 Bio diversity at global,
national and local levels.
 India has a mega –
diversity nation.
 Hot-spots of biodiversity
62
Activity
 Threats to bio-diversity:
habitat loss, poaching of
wild life, man, wild life
conflicts
 Endangered and endemic
species of India
 Conservation of
biodiversity: in-situ and
ex-situ conservation of
biodiversity.
IV 4  Identify various Social groups and processes  Lecture  Essay type
social groups and  The meaning and Discussion  Short answers
their interactions classification of groups
 Primary & Secondary
Group
 In-group V/s. Out-group,
Class Tribe, Caste
 Economic, Political,
Religious groups, Mob,
Crowd, Public and
Audience Interaction &
Social Processes
 Co-operation, Competition,
Conflict
 Accommodation,
Assimilation & Isolation
Social Issues
 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 people:
its problems and concerns
– case studies
 Environmental ethics:
Issues and possible
solutions, climate change,
Global warming, acid rain,
ocean layer depletion,
Nuclear accident and Holo
caust – Case studies
 Consumerism and waste
products, waste and
reclamation.
63
Activity
V 6  Explain the growth Population  Lecture  Essay type
of population in  Society and population Discussion  Short answers
India and its impact  Population distribution in  Community  Assessment of
on health India- Demographic Identification report on
characteristics community
 Malthusian theory of identification
populations
 Population explosion in India
and its impact on health
status
 Family welfare programmes
VI 5  Describe the Family and Marriage  Lecture  Essay type
institutions of  Family – Functions Discussion  Short answers
family and marriage  Types-Joint, Nuclear,  Family case  Assessment of
in India Blended and extended study family case
family: Characteristics study
 The Modern Family –
Changes, Problems – Dowry
etc., Welfare Services
 Changes & legislations on
family and marriage in India
– marriage acts
 Marriage: Forms and
functions of marriage,
 Marriage and family
problems in India
 Family, marriage and their
influence on health and
health practices
VII 7  Describe the class Social Stratification  Lecture  Essay type
and caste system  Meaning & types of social Discussion  Short answers
and their influence stratification  Community  Assessment of
on health and health  The Indian Caste system – Survey report on
practices origin & features community
 Features of caste in India survey
Today
 Social Class system and
status
 Social Mobility – Meaning &
Types
 Race as a biological concept,
criteria of racial classification
 Salient features of Primary
races-Racism
 Influence of Class, Caste and
Race on health and health
Practices
VIII 6  Describe the types Types of Communities in India  Lecture  Essay type
of communities in (Rural, Urban and Regional) Discussion  Short
India, their  Features of village  Visits to answers
64
Activity
practices and the community & rural and  Assessment
impact on health characteristics of Indian urban of report on
villages – panchayat system, community community
social dynamics survey
 Community Development
project & planning
 Changes in Indian Rural life
 Availability of health
facilities in rural and its
impact on health and health
practices
 Urban – Community –
features
 The growth of cities:
 Urbanisation and its impact
on health and health
practices
 Major urban problems –
Urban slums
 Region : Problems and
impact on Health
IX 4  Explain the process Social Change  Lecture  Essay type
of social change  Nature and process of social Discussion  Short
change answers
 Factors influencing social
change:Cultural change,
Cultural lag.
 Introduction to Theories of
social change: Linear,
Cyclical, Marxian,
Functionial
Role of nurse – Change agents
X 4  Describe the social Social organization and social  Lecture  Essay type
system and inter – system Discussion  Short
relationship of  Social organization:  Observatio answers
social organizations elements, types n visits  Assessment
 Democratic and of visit
authoritarian modes of reports
participation,
 Voluntary associations
 Social system : Definition
and Types of social system
 Role and status as structural
elements of social system
 Inter-relationship of
institutions
XI 2  Explain the nature Social Control  Lecture  Essay type
and process of  Nature and process of Discussion  Short answers
social control social control  Community  Assessment of
 Political, Legal, Religious, Survey report on
65
Activity
Educational, Economic, community
Industrial and survey
Technological systems,
Norms
& Values – Folkways &
Mores Customs, Laws and
fashion
Role of nurse
XII 15  Describe the role of Social Problems  Lecture  Essay type
the nurse in dealing  Social disorganization Discussion  Short answers
with social  Control & planning :  Institutiona  Assessment of
problems in India Poverty, housing, illiteracy, l visits visit reports
food supplies, prostitution,
rights of women &
children, vulnerable
groups: Elderly,
handicapped, minority
groups and other
marginalized groups, child
labour, child abuse,
delinquency and crime,
substance abuse, HIV/
AIDS – Value Education
 Social Welfare
programmes in India
Role of nurse
 Role of information
technology I environment
and human health-case
studies
Internal assessment: (25 Marks- refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
66
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.
Rao (SD), Psychology and Sociology for Paramedicals, Jaypee Brothers, New Delhi, 2006
8. Agarwal, K.C. Environmental Sciences, Nidi publishers, 2001.
9. Bharucha Erach, The Biodiversity of India, Mapin Publication, 2001.
10. Brunner RC, Hazardous waste incineration, McGraw Hill Publishers, 1989.
67
Pharmacology, Pathology and Genetics
Pharmacology
Placement : Second Year Time : Theory 45 Hours
Course Description: This course is designed to enable students to acquire understanding of

Pharmaco-dynamics, pharmacokinetics, principles of therapeutics and nursing implications.

Activity
I 3  Describe Introduction  Lecture  Short
pharmaco-  Definition Discussion answers
dynamics,  Sources  Objective
pharmaco-kinetics,  Terminology used type
classification and  Types : Classification
the principles of  Pharmacodynamics:
drug Actions, therapeutic
administration  Adverse, toxic
 Pharmacokinetics:
absorption, distribution,
metabolism, interaction,
excretion
 Review : Routes and
principles of administration
of drugs
 Indian pharmacopoeia :
Legal issues
 Rational use of drugs
 Principles of therapeutics
II 6  Explain Chemotherapy  Lecture  Short
chemotherapy of  Pharmacology of commonly Discussion answers
specific infection used;  Drug study  Objective
and infestations  Penicillin / type
and nurse’s  Cephalosporins presentation
responsibilities  Aminoglycosides
 Macrolide & Broad
Spectrum
Antibiotics
 Sulfonamides
 Quinolones
 Antiamoebic
 Antimalarials
 Anthelmintics
 Antiscabies agents
 Antiviral & anti-fungal
agents
 Antitubercular drugs
 Anti leprosy drugs
 Anticancer drugs
 Immuno-suppressants
Composition, action, dosage,
68
Activity
route, indications,
contraindications, drug
interactions, side effects,
adverse effects, toxicity and
role of nurse
III 2  Describe Pharmacology of commonly  Lecture  Short
Antiseptics, used antiseptics, disinfectants Discussion answers
disinfectants, and insecticides  Drug study  Objective
insecticides and  Antiseptics; / type
nurse’s Composition, action, dosage, presentation
responsibilities route, indications,
role of nurse
 Disinfectants
 Insecticides
IV 2  Describe Drugs Drugs acting on G.I system  Lecture  Short
acting on Gastro  Pharmacology of commonly Discussion answers
Intestinal system used  Drug study  Objective
and nurse’s  Antiemetics, / type
responsibilities  Emetics presentation
 Purgatives
 Antacids
 Cholinergic
 Anticholinergics
 Fluid and electrolyte
therapy
 Anti diarrhoeals
 Histamines
route, indications,
role of nurse
V 2  Describe Drugs Drugs used on Respiratory  Lecture  Short
used on Systems Discussion answers
Respiratory  Pharmacology of commonly  Drug study  Objective
Systems and used- / type
nurse’s  Antiasthmatics presentation
responsibilities  Mucolytics
 Decongestants
 Expectorants
 Antitussives
 Bronchodilators
 Broncho constrictors
 Antihistamines
route, indications,
69
Activity
role of nurse
VI 2  Describe Drugs Drugs used on Urinary  Lecture  Short
used on Urinary System Discussion answers
system and nurse’s  Pharmacology of commonly  Drug study  Objective
responsibilities used- / type
 Diuretics and antidiuretics presentation
 Urinary antiseptics
 Cholinergic and
anticholinergics
 Acidifiers and alkalanizers
route, indications,
role of nurse
VII 4  Describe Drugs Miscellaneous  Lecture  Short
used in Drugs used in de-addiction Discussion answers
De-addiction, Drugs used in CPR and  Drug study  Objective
emergency, emergency / type
deficiency, of Vitamins and minerals presentation
vitamins & Immunosuppresants
minerals, Antidotes
poisoning, Antivenom
immunization, Vaccines and sera
immune-
suppression and
nurse’s
responsibilities
VIII 1  Describe Drugs Drugs used on skin and  Lecture  Short
used on skin and mucous membranes Discussion answers
mucous  Topical applications for skin,  Drug study  Objective
membranes and eye, ear, nose and buccal / type
nurse’s cavity , Antipruritics presentation
responsibilities Composition, action, dosage,
route, indications,
role of nurse
IX 8  Describe Drugs Drugs acting on Nervous  Lecture  Short
used on Nervous system Discussion answers
system and nurse’s  Basic & applied  Drug study  Objective
responsibilities pharmacology of commonly / type
used: presentation
 Analgesics and Anaesthetics
 Analgesics
- Non steroidal anti-
inflammatory (NSAID)
70
Activity
drugs
 Antipyretics
 Hypnotics and Sedatives
- Opioids
- Non-Opioids
- Tranquilizers
- General & local
anesthetics
- Gases: oxygen, nitrous
oxide, carbon-dioxide
 Cholinergic and anti-
cholinergics:
 Muscle relaxants
 Major tranquilizers
 Anti-psychotics
 Antidepressants
 Anticonvulsants
 Adrenergics
 Noradregenics
 Mood stabilizers
 Acetylcholine
 Stimulants
route, indications,
role of nurse
X 5  Describe Drugs Cardiovascular drugs  Lecture  Short

used on Cardio-  Haematinics Discussion answers
vascular system  Cardiotonics,  Drug study  Objective
and nurse’s  Anti anginals / type
responsiblities  Anti-hypertensives & presentation
vasodilators
 Anti- arrhythmics
 Plasma expanders
 Coagulants & anticoagulants
 Antiplatelets &
thrombolytics
 Hypolipidemics
route, indications,
role of nurse
XI 4  Describe drugs Drugs used for hormonal  Lecture  Short
used for hormonal disorders and Discussion answers
disorders and supplementation,  Drug study  Objective
71
Activity
supplementation, contraception and medical / type
contraception and termination of pregnancy presentation
medical  Insulin’s & Oral
termination of hypoglycemic
pregnancy and  Thyroid supplements and
nurse’s suppressants
responsibilities  Steroids, Anablics
 Uterine stimulants and
relaxants
 Oral contraceptives
 Other estrogen – progesterone
preparations
 Corticotrophine &
Gonadotropines
 Adrenaline
 Prostaglandins
 Calcitonins
 Calcium salts
 Calcium regulators
route, indications,
role of nurse.
XII 6  Demonstrate Introduction to Drugs used in  Lecture  Short
awareness of the alternative system of Discussion answers
common drugs medicine:  Observation  Objective
used in alternative  Ayurveda, Homeopathy, al visit type
system of medicine Unani and Siddha etc.
Internal assessment : (25 marks- Refer to regulations)
Three Unit test marks 45% Three Unit test ma

Two Assignment marks 25% Two Assignment m
Model Exam 25% Model Exam
Attendance 5% Attendance
Total 100% Total
72
References:
1. Satoshkar, Pharmacology & Pharmacotherapeutics, 20th Edition, 2007.

2. Bennett (PN), Clinical Pharmacology, Churchil Livingston, New Delhi, 9th
Edition, 2003.
3. Tripathi (KD), Essential of Medical Pharmacology, Jaypee Brothers, New
Delhi, 6th Edition, 2007.
4. Craig (CR), Modern Pharmacology with Clinical Application, Little Brown &
Co., Newyork, 5th Edition, 1997.
5. Goodman & Gilman’s Pharmacological Basis of therapeutics, McGrawhill,
Newyork, 10th Edition, 2001.
73
Pathology
Placement: Second Year Time: Theory 30 Hours
Course Description: This course is designed to enable students to acquire knowledge of

pathology of various disease conditions and apply this knowledge in practice of nursing.

Th Pr. Activities
I 3  Define the  Introduction: -  Lecture  Short
common terms  Importance of the Discussion answers
used in pathology. study of pathology  Explain  Objective
 Appreciate the  Definition of terms using type
deviations from  Methods and charts
normal to techniques
abnormal  Cellular and Tissue
structure and changes.
functions of the  Infiltration and
body system. generation
 Inflammations and
Infections
 Wound healing
 Vascular changes
 Cellular growth,
Neoplasms:
 Normal & Cancer cell
 Benign and
Malignant growths
 In situ carcinoma
 Disturbances of fluid
and electrolyte
imbalance
II 10 5  Explain Special Pathology: -  Lecture  Short
pathological  Pathological changes in Discussion answers
changes in disease disease conditions of  Explain  Objective
condition of various systems. using type
various system  Respiratory tract charts,
 Tuberculosis, slides,
Bronchitis, Pleural specimen,
effusion and X-rays and
pneumonia. scans
 Lung abscess,  Visit to
emphysema, Pathology
bronchiectasis. lab,
 Bronchial asthma, endoscopy
chronic obstructive unit and
pulmonary disease & OT
tumours.
 Cardio – vascular system: -
74
Th Pr. Activities
 Pericardial effusion
 Rheumatic heart
disease
 Infective
endocarditis,
atherosclerosis
 Ischemia, infarction
& aneurysm.
 Gastro Intestinal Tract:
 Peptic ulcer, typhoid
 Carcinoma of GI tract
– buccal, Esophageal,
 Gastric & intestinal
 Liver, Gall bladder &
pancreas: -
 Hepatitis, Chronic
liver abscess,
cirrhosis
 Tumours of liver, gall
bladder and pancreas.
 Cholecystitis
 Kidneys & Urinary tract
 Glomerulonephritis,
Pyelonephritis
 Calculi, renal failure,
renal carcinoma &
cystitis.
 Male genital systems:
 Cryptorchidism,
testicular atrophy
 Prostatic hyperplasia,
carcinoma penis &
prostate
 Female genital systems
 Fibroids
 Carcinoma cervix and
Endometrium.
 Vesicular mole,
Choriocarcinoma
 Ectopic gestation
 Ovarian cyst & tumours
 Cancer Breast:
 Central nervous System:
 Hydrocephalus,
Meningitis, encephalitis
 Vascular disorders –
thrombosis, embolism
 Stroke, Paraplegia,
quadriplegia
75
Th Pr. Activities
 Tumours, meningiomas
–gliomas
 Metastatic tumours:
 Skeletal system:
 Bone healing,
osteoporosis,
osteomyelitis.
 Arthritis & tumours:
III 4 3  Describe various Clinical Pathology  Lecture  Short
laboratory tests in  Various blood and bone Discussion answers
assessment and marrow test in assessment  Demonstrat  Objective
monitoring of and monitoring of disease ion type
disease condition. conditions:  Visit to
 Hemoglobin Clinical
 RBC, White cell & Pathology
platelet counts & Bio-
 Bleeding time, clotting Chemistry
time and prothrombine lab and
time Blood bank
 Blood grouping and
cross matching
 Blood chemistry
 Blood culture
 Serological and
immunological tests
 Other blood tests
 Examination of Bone
marrow.
 Methods of collections
of blood specimen for
various clinical
pathology,
biochemistry,
microbiology tests,
inference and normal
values
IV 2 1  Describe the Examination of body cavity  Lecture  Short
laboratory tests fluids, transudates and Discussion answers
for examination exudates:  Demonstrat  Objective
of body cavity  The laboratories tests used ion type
fluids, transudates in CSF analysis.
and exaduates  Examination of other body
cavity fluids, transudates
and exudates – sputum
wound discharge etc.
 Analysis of gastric and
duodenal contents.
 Analysis of semen – sperm
count, motility and
morphology and their
76
Th Pr. Activities
importance in infertility.
 Methods of collection of
CSF and other cavity
fluids, specimen for
various clinical pathology,
biochemistry, microbiology
tests, inference and normal
values.
V 1 1  Describe the Urine and faeces  Lecture  Short
laboratory test for  Urine: Discussion answers
the examination  Physical  Demonstrat  Objective
of urine and characteristics ion type
faeces.  Analysis
 Culture and
sensitivity
 Faeces:
 Characteristics
 Stool examination:
occult blood, ova,
parasite and cyst,
reducing substance
etc.
 Methods of collection for
various tests, inference
and normal values.
Internal assessment: (25 Marks - Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
77
References:
th
1. Mohan (H), Textbook of Pathology, JP Publishers, Chennai, 5 Edition, 2005.
rd
2. Underwood, General and systemic Pathology, Churchill Livingstone, London, 3
Edition, 2000.
th
3. Kumar, Pathologic Basis of Disease, WB Saunders Co., New Delhi, 6 Edition,
1999.
4. Cotton (RE), Lecture Notes on Pathology, Blackwell Scientific Publication,
th
London, 4 Edition, 1992.
th
5. Krishna (V), Textbook of Pathology, Orient Longman, 4 Edition, 1999.
78
Genetics
Placement : Second Year Time : Theory 15 hours
Course Description: This course is designed to enable students to acquire understanding of

Genetics, its role in causation and management of defects and diseases.

Activities
I 3  Explain nature Introduction:  Lecture  Short
principles and  Practical application of genetics Discussion answers
perspectives of in Nursing.  Explain  Objective
heredity  Impact of genetic condition on using type
families. charts,
 Review of cellular division slides
mitosis and meiosis.
 Characteristics and structure of
genes.
 Chromosomes –sex
determination.
 Chromosomal aberrations
Patterns of inheritance.
 Mendalian theory of
inheritance
 Multiple allots and blood
groups.
 Sex linked inheritance
 Mechanism of inheritance.
 Errors in transmission.
(Mutation)
II 3  Explain Maternal, Prenatal and genetic  Lecture  Short
maternal, influences on development of Discussion answers
prenatal and defects and diseases:  Explain  Objective
genetic  Conditions affecting the mother using type
influences on genetic and infections. charts,
development of  Consanguinity atopy slides
defects and  Prenatal nutrition and food
disease allergies.
 Maternal Age.
 Maternal drug therapy.
 Prenatal testing and diagnosis.
 Effect of Radiation, drugs and
chemicals.
 Infertility
 Spontaneous abortion
 Neural tube defects and the role
of folic acid in lowering the
risks.
 Down syndrome (Trisomy 21)
III 2  Explain the Genetic testing in the neonates  Lecture  Short
screening and children: Discussion answers
79
Activities
methods for Screening for:  Explain  Objective
genetic defects  Congenital abnormalities using type
and diseases in  Development delay. charts,
neonates and  Dysmorphism slides
children.
IV 2  Identify genetic Genetic conditions of adolescents  Lecture  Short
disorders in and adults: Discussion answers
adolescents and  Cancer genetics – Familial  Explain  Objective
adults Cancer. using type
 Inborn errors of metabolism. charts,
 Blood group alleles and slides
hematological disorder.
 Genetics haemochromatosis.
 Huntington‟s disease.
 Mental illness
V 5  Describe the role  Services related to Genetics:  Lecture  Short
of nurse in Genetic testing Discussion answers
genetic service  Human genome project.  Objective
and counseling  Gene therapy. type
 The Eugenics movement.
 Genetic Counseling.
Legal and Ethical issues Role of
nurse
Internal assessment: (25 Marks - Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
References:
1. Read (A), New Clinical Genetics, Scion Publishers, New Delhi, 2007
2. Gangane (SD), Human Genetics, J. P. Brothers Publication, New Delhi, 2000
80
Medical Surgical Nursing
Placement: Second Year Time:Theory-210 hours
Practical-720 hours
Course Description: The purpose of this course is to acquire knowledge and develop proficiency
in caring for with medical and surgical disorders in varieties of health care settings and at home.

(Hrs) Objectives Learning Methods
Activities
I 15  Appreciate the Introduction:  Lecture  Short
trends in Medical  Introduction to Medical discussion answers
& Surgical Nursing Surgical Nursing - Evolution  Demonstrat  Objective
 Describe the role and trends of Medical and ion Type
of a nurse in caring Surgical Nursing  Practice  Assessment
for adult patient in  Review of concepts of session of skill with
hospital and Health and illness disease-  Supervised check list
community. concepts, causations, clinical
 Describe the classification - International practice
concepts of Classification diseases (ICD -
Medical Surgical 10 or later version), Acute
asepsis illness chronic illness, &
Terminal illness, stages of
illness
 Review of concepts of
comprehensive Nursing care
in Medical Surgical
conditions based on Nursing
process.
 Role of Nurse, patient and
family in care of adult patient
 Role and responsibilities of a
Nurse in Medical Surgical
settings:
 Outpatient department
 In - Patient unit
 Intensive care unit
 Home and community
settings
Introduction to Medical
Surgical asepsis
 Inflammation and
Infection
 Immunity
 Wound healing
 Care of Surgical patient
 Pre – operative
 Intra operative
81
Activities
 Post operative
II 15  Describe the Common signs and symptoms  Lecture  Short

common signs, and management discussion answers
symptoms,  Fluid and electrolyte  Seminar  Objective
problems and imbalance  Case Type
their specific  Vomiting discussion
nursing  Dyspnea and
interventions cough,respiratory
obstruction
 Fever
 Shock
 Unconsciousness,Syncope
 Pain
 Incontinence
 Edema
 Age related problems-
geriatric
III 20  Describe the Nursing management of  Lecture  Essay type
etiology patients(adults including discussion  Short
pathophysiology, elderly)with respiratory  Explain using answer
clinical problems Charts,graphs  Objective
manifestations,diag  Review of anatomy and  Models,flims type
nostic measures physiology of respiratory ,slides  Assessment
and management system  Demonstraio of skills
of patients(adults  Nursing Assessment- n with check
including elderly) History and physical  Practice list
with disorders of assessment session  Assessment
respiratory systems  Etiolgy,Pathophysiology,c  Case of patient
linical discussions/S management
manifestations,diagnosis,t eminar problem
reatment modalities and  Health
medical,surgical,dietetics education
& nursing management of  Supervised
adults including elderly clinical
with- practice
 Upper Respiratory tract  Drug
infections. book/present
 Bronchitis ation
 Asthma
 Emphysema
 Emphysema
 Atelectasis
 Chronic Obstructive
Pulmonary
Disease(COPD)
 Bronchiectasis
 Pneumonia
 Pulmonary tuberculosis
 Lung abscess
82
Activities
 Pleural effusion
 Cysts and Tumours
 Chest injuries
 Respiratory arrest and
insufficiency
 Pulmonary embolism
Special therapies,alternative
therapies
Nursing procedures
Drugs used in treatment of
respiratory disorders
IV 30  Describe the Nursing management of  Lecture  Essay type
etiology, patient(adults including discussion  Short
pathophysiology, elderly)with disorders of  Explain using answers
clinical digestive system Charts,graphs  Objective
manifestations,  Review of anatomy and  Models,flims type
diagnostic measures physiology of digestive ,slides  Assess with
and management of system  Demonstraio check list
patients(adults  Nursing Assessment-History n and clinical
including and Physical assessment  Practice practical
elderly)with  Etiology,Pathophysiology,cli session examination
disorders of nical  Case
digestive systems manifestations,diagnosis,treat discussions/S
ment modalities and eminar
medical,surgical,dietetics &  Health
nursing management education
 Disorder of,  Supervised
 Oral cavity- clinical
lips,gums,tongue,salivary practice
glands and teeth  Drug
 Oesophagus-inflamation,
book/present
Stricture,obstruction,bleed
ing and tumours ation
 Stomach and deudenum-
hiatus hernia,gastritis,peptic
and deudenal
ulcer,bleeding,tumors,pyloric
stenosis
 Small intestinal disorders-
inflamation and
infection,enteritis,malabsorpti
on,obstruction,tumour and
perforaton
 Large intestinal disorders-
Colitis,inflamation and
infection ,obstruction and
tumour and lump
 Hernias
 Appendix-
inflamation,mass,abscess,rupt
ure
83
Activities
 Anal & Rectum:
haemorrhoids,fissures.Fistula
s
 Peritonitis/acute abdomen
 Pancreas:inflamation,cyst,abs
ess and tumors
 Liver:inflammation,cyst,absc
ess,cirrhosis,portal
hypertension,hepatic
failure,tumours
 Gall
Bladder:inflamation,obstructi
on,stones and tumours
therapies
Nursing procedures
disorders of digestive system
V 30  Describe the Nursing management of  Lecture  Essay type
pathophysiology, elderly)with blood and cardio  Explain using answer
clinical vascular problems Charts,graphs  Objective
manifestations,  Review of anatomy and  Models,flims type
diagnostic physiology of blood and ,slides  Assessment
measures and cardio vascular system,  Demonstratio of skills
management of  Nursing Assessment- n with check
patients(adults History and physical  Practice list
including assessment session  Assessment
elderly)with blood  Etiology,Pathophysology,  Case of patient
and cardio vascular clinical discussions/S management
problems manifestations,diagnosis,t eminar problem
 Describes the reatment modalities and  Health
vascular conditions medical,surgical,dietetics education
and its nursing & nursing management  Supervised
management of- clinical
 Vascular system practice
 Hypertension,Hypotensio  Drug
n book/present
 Artheriosclerosis ation
 Raynaud’s disease  Visit to bood
 Aneurism and Perpherial bank
vascular disorders
 Participation
Heart in blood
 Coronary artery diseases donation
 Ischemic Heart Disease camps
 Coronary atherosclerosis
 Counseling
 Angina pectoris
 Myocardial infarction
 Valvular disorders of the
heart
 Congential and acquired
84
Activities
 Rheumatic Heart diseases
 Endocarditis,pericarditis
Myocarditis
 Cardio Myopathies
 Cardiac
dyshythmias,Heart Block
 Congestive cardiac failure
 Cor-pulmonale.pulmonary
edema,cardiogenic
shock,cardiac tamponade
 Cardiac emergencies and
arrest
 Cardio Pulmonary
Resuscitation(CPR)
 Blood
 Anaemias
 Polycythemia
 Bleeding
disorders;clotting factor
defects and platelets
defects
 Thalassemia
 Leukaemias
 Leukopenias and
agranulocytosis
 Lymphomas
 Myelomas
 Special therapies
 Blood transfusion,safety
checks,procedure and
requirements,management
of adverse transfusion
reaction,records for blood
transfusion.
 Management and
counselling 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
 Role of a nurse in Organ
donation,retrieval and
banking
Alternative therapies
Nursing procedures
85
Activities
Drugs used in treatment of blood
and cardio vascular disorders.
VI 10  Describe the Nursing management of  Lecture  Essay type

pathophysiolog elderly)with genito-urinary  Explain using answer
y, clinical problems Charts,graphs  Objective
manifestations,  Review of anatomy and  Models.flims type
diagnostic physiology of genitor- ,slides  Assessment
measures and urinary system  Demonstratio of skills
management of  Nursing Assessment-History n with check
patients(adults and Physical assessment  Practice list
including  Etiology,Pathophysiology,clin session  Assessment
elderly)with ical  Case of patient
disorder of manifestations,diagnosis,treat discussions/ management
genitor-urinary ment modalities and Seminar problem
system medical,surgical,detetics&nur  Supervised
sing management of- clinical
 Nephritis practice
 Nephrotic syndrome  Drug
 Nephrosis book/present
 Renal calculus ation
 Tumors
 Acute renal failure
 Chronic Renal failure
 End stage renal disease
 Dialysis,renal transplant
 Congenital disorders,urinary
infections
 Benign prostate hypertrophy
 Disorders of ureter,urinary
bladder and urethra-
inflamation,infection,stricture,
obstruction,tumour,prostrate
therapies
Nusring procedures
genitourinary disorders
VII 5  Describe the Nursing management of  Lecture  Essay type

etiology, disorder of male (adults discussion  Short
pathophysiolgy including elderly) reproductive  Explain using answer
, clinical system Charts,graphs  Objective
diagnostic physiology of male ,slides  Assessment
measures and reproductive system  Demonstratio of skills
including  Etiology, Pathophysiology, session  Assessment
86
Activities
elderly)with clinical manifestations,  Case of patient
disorders of diagnosis, treatment discussions/ management
male modalities and Seminar problem
reproductive medical,surgical,dietetics  Health
system &nursing management of Education
male reproductive system  Supervised
 Cogenital clinical
malformation,cryptorchidism practice
 Hypospadiasis,Epispadiasis  Drug
 Infections book/present
 Testis and adjacent structures ation
 Penis
 Prostate:inflamation.infection,
hypertrophy,tumour
 Sexual dysfunction
 Infertility
 Contraception
 Breast,gynacomastia,tumor
 Climacteric changes special
therapies,alternative therapies
Nusring procedures
Drugs used in treatment of male
reproductive system
VIII 10  Describe the Nursing management of  Lecture  Essay type
pathophysiolgy elderly)with disorder of  Explain using answer
,clinical endocrine system Charts,graphs  Objective
diagnostic physiology of endocrine ,slides  Assessment
measures and system  Demonstratio of skills
including  Etiology, Pathophysiology, session  Assessment
elderly)with clinical manifestations,  Case of patient
disorders of diagnosis, treatment discussions/S management
endocrine system modalities and medical, minar problem
surgical, dietetics & nursing  Supervised
management of- clinical
 Disorder of thyroid and practice
parathyroid  Drug
 Diabetetes mellitus book/present
 Diabetes insipidus ation
 Adrenal tumour
 Pitutary disorders special
therapies,alternative therapies
Nursing procedures
disorders of endocrine system
IX 10 Describe the etiology, Nursing management of  Lecture  Essay type
pathophysiolgy, patient(adults including discussion  Short
87
Activities
clinical manifestations, elderly)with disorder of  Explain using answer
diagnostic measures integumentary system Charts,graphs  Objective
and management of  Models.flims type
patients(adults  Review of anatomy and ,slides  Assessment
including elderly)with physiology of skin and it’s  Demonstratio of skills
disorder of skin appendage n with check
 Nursing Assessment-History  Practice list
and Physical assessment session  Assessment
 Case of patient
 Etiology, Pathophysiology, management
discussions/
clinical manifestations, problem
Seminar
diagnosis, treatment
modalities and medical,  Health
surgical, dietetics & nursing education
management of-disorder of  Supervised
skin and it’s appendages- clinical
 Lesions and abrasions practice
 Infection and  Drug
infestations,Dermititis book/present
 Dermatoses,infectious and ation
Non infectious
“inflammatory
dermatoses”
 Acne Vulgaris
 Allergies and Eczema
 Psoriasis
 Malignant melanoma
 Alopecia
Special therapies, alternative
therapies
Nursing procedures
disorders of integumentary
system.
X 15  Describe the Nursing management of  Lecture  Essay type
pathophysiology , elderly)with muculoskeletal  Explain using answer
manifestations,  Models.flims type
diagnostic  Review of anatomy and ,slides  Assessment
measures and physiology of muculoskeletal  Demonstratio of skills
management of system, n with check
patients(adults  Nursing Assessment-History  Practice list
including
and Physical assessment session  Assessment
elderly)with  Case of patient
disorder of  Etiology, Pathophysiology,
discussions/S management
musculo-skeletal clinical manifestations,
eminar problem
system diagnosis ,treatment
modalities and medical,  Health
surgical, dietetics & nursing education
management of-  Supervised
clinical
88
Activities
 Disorder of: practice
 Muscles, Ligaments and  Drug
Joints-inflammation, book/present
infection, trauma ation
 Bones-inflammation,
infection, dislocation,
fracture, tumor and trauma
 Osteomalacia and
osteoporosis
 Arthritis
 Congenital deformities
 Spinal column-defects and
deformities, Tumor,
Prolapsed inter vertebral
disc, pott’s spin
 Pagets disease
 Amputation
 Prosthesis
 Transplant & replacement
surgeries
 Rehabilitation.
therapies
Nursing procedures
disorder of musculoskeletal
system
XI 10  Describe the Nursing management of  Lecture  Essay type
pathophysiology, elderly)with Immunological  Explain using answer
manifestations,  Models.flims type
diagnostic  Review of Immune system, ,slides  Assessment
measures and  Nursing Assessment-History  Demonstratio of skills
management of and Physical assessment n with check
patients(adults
 Etiology, Pathophysiology,  Practice list
including
clinical manifestations, session  Assessment
elderly)with  Case of patient
disorder of diagnosis, treatment
discussions/S management
Immunological modalities and medical, minar problem
problems surgical, dietetics & nursing  Health
management of- education
 Immunodeficiency disorder  Supervised
 Primary immune deficiency clinical
 Phagocytic dysfunction practice
 B-cell and T-cell deficiencies  Drug
 Acquired immunodeficiency book/present
Syndrome(AIDS) ation
 Incidence of HIV & AIDS  Orientation
 Epidemiology visit to
89
Activities
 Transmission-Prevention of Hospital
Transmission Control
 Standard Safety precautions system
 Role of Nurse, Counseling
 Health education and home
care consideration.
 National AIDS Control
Program-NACO,Various
national and international
agencies
 Infection control program
 Rehabilitation.
therapies
Nursing procedures
disorder of immunological
system
XII 20  Describe the Nursing management of  Lecture  Essay type
pathophysiology , elderly)with Communicable  Explain using answer
clinical Diseases Charts,graphs  Objective
manifestations,  Overview of infectious  Models.flims type
diagnostic disease,the infectious process ,slides  Assessment
measures and  Nursing Assessment-History  Demonstratio of skills
management of and Physical assessment n with check
patients(adults  Epidemiology,infectious  Practice list
including process,clinical session  Assessment
elderly)with manifestations,diagnosis,treatm  Case of patient
Communicable ent,prevention and discussions/S management
Diseases dietics.Control and eradication minar problem
of common Communicable  Health
Diseases- education
 Tuberculosis  Supervised
 Diarrhoeal disease clinical
 Hepatitis A-E practice
 Herpes  Drug
 Chickenpox book/present
 Smallpox ation
 Typhoid
 Meningitis
 Gas gangrene
 Leprosy
 Dengue
 Plague
 Malaria
 Diptheria
 Pertussis
 Poliomyelitis
 Measles
90
Activities
 Mumps
 Influenza
 Tetanus
 Yellow fever
 Filariasis
 HIV,AIDS
 Reproductive Tract Infections
 Special Infection control
measures: Notification,
Isolation, Quarantine.
Immunization, Infectious
Disease Hospital
therapies
Nursing procedures
Communicable diseases.
XIII 25  Describe the Peri operative nursing:  Lecture  Essay type
Organization  Organization and physical discussion  Short
and physical set up of the Operation  Explain using answer
set up Theatre (OT): Charts,graphs  Objective
operation  Classifications  Models.flims type
theatre  O.T .DESIGN ,slides  Assessment
 Identify the  Staffing  Demonstratio of skills
various  Members of the OT team n with check
instruments  Duties and responsibilities of  Practice list
and equipment nurse in O.T session
used for  Principles of Health and  Supervised
common operating room attire. clinical
surgical  Instruments, practice
procedures  Sutures and suture materials  Drug
 Describe the  Equipments book/present
infection  O.T tables and sets for ation
control common surgical procedures
measures in the  Positions and draping for
operation common surgical procedures
theatre  Scrubbing procedures
 Describe the  Gowning and gloving
role of the  Preparation of O.T sets
nurse in the  Monitoring the patient during
Peri Operative surgical procedures
nursing care  Maintenance of therapeutic
environment in O.T.
 Standard Safety measures
 Infection control, fumigation,
disinfection and sterilization
 Biomedical waste
management
 Prevention of accidents and
hazards in O.T.
 Anesthesia
91
Activities
 Types
 Methods of administration
 Effects and Stages
 Equipments
 Drugs
 Cardio Pulmonary
Resuscitation (CPR)
 Pain management techniques
 Legal Aspects

Model Exam 25%
Attendance 5%
Total 100%
Reference Books:
1. Brunner (V), Medical Surgical Nursing , LWW, 10th Edition.

2. Black, Medical Surgical Nursing: Clinical Management for positive outcomes, Elsevier,7th
Edition.
3. Willams, Understanding Medical Surgical Nursing, Jaypee, 3rd Edition.
4. Timby, Introductory Medical Surgical Nursing, LWW, 9th Edition.
5. Lewis, Medical Surgical Nursing Assessment & Management of Clinical Problems,
Elsevier 7th edition
6. Ignatavicius, Critical Thinking for Collaborative Care, Elsevier, 5th Edition.
7. Monahan, Phipp’s Medical Surgical Nursing: Health & illness perspectives
practice, Jaypee, 8th Edition.
8. Gulanick, Nursing Care Plans: Nursing Diagnosis & Interventions, Mosby, 5th edition
9. Lippincott’s Manual of Nursing Practice, Jaypee , Edition.
10. Ulrich, Nursing Care Planning Guides: For adults in acute extended & Home care
settings, Elsevier, 6th edition.
11. White, Foundations of Adulth Health Nursing, Thompson, 2nd edition.
12. Redfern, Nursing Older People ,Churchill Livingstone , 4th edition.
13. Phillip, Berry & Kohn’s Operating room techniques, Elsevier, 11th Edition.
14. Marks, Roxburgh’s Common Skin Diseases, Arnold, 17th edition.
15. Thappa, Essential in Dermatology with MCQ’s, Ahuja publishing
92
Practical
Placement: Second year Time: 720 Hours
Areas Durati Objectives Skills Assignments Assessment

on(in Methods
week)
General 6  Provide  Assessment of the patient  Plan and give care  Assess
Medical nursing care  Taking history 3-4 assigned performanc
ward to adult  Perform general and patients e with
(Respirator patients with specific physical  Nursing care rating scale
y, GI, medical examination. plan-2  Assess
Endocrine, disorders  Identify alterations  Nursing case each skill
Renal,  Counsel and deviations study/presentation with
Hematolog and educate  Practice medical surgical -1 checklist
y patients and asepsis-Standard safety  Drug  Evaluation
families measures presentation-1 of case
 Administer medications  Maintain drug study/prese
 Oral, IV, IM, book ntation
Subcutaneous  Maintain Practical  Completion
 IV therapy record book of practical
 IV canulation record.
 Maintenance and
monitoring
 Oxygen therapy by
different methods
 Nebulization
 Chest physiotherapy
 Naso gastric feeding
 Assist in common
diagnostic
 Perform/Assist in
therapeutic procedure
 Blood and component
therapy
 Throat Suctioning
 Collect specimens for
common investigations.
 Maintain elimination
 Catheterization
 Bowel wash
 Enema
 Urinary drainage
 Maintain Intake, output
and documentation
 Counsel and teach related
to specific disease
conditions.
93
on(in Methods
week)
General 6  Provide pre  Practice medical surgical  Plan and give care  Assess
Surgical and post asepsis Standard safety 3-4 assigned performanc
Ward(GI,U operative measures patients e with
rinary,CTV nursing care  Pre-operative preparation
S)  Nursing care rating scale
to adult of patients
plan-2  Assess
patients with Post operative care-
surgical Receiving  Nursing case each skill
disorders patient,assessment,monito study/presentation with
 Counsel and ring,care -1 checklist
educate  Care of wound and  Drug  Evaluation
patients and drainage of case
presentation-1
families  Suture removal
 Maintain drug study/prese
 Ambulation and exercise book ntation
 Naso gastric aspiration
 Completion
 Care of chest drainage
of activity
 Ostomy care
record
 Gastrostomy
 Colostomy
 Enterostomy
 Blood and component
therapy
 Practice universal
precautions
Cardiology 2  Provide  Physical examination of  Plan and give care  Assess
ward nursing care the cardio vascular system to 2-3 assigned performanc
to patients Recording and patients e with
with cardiac interpreting ECG  Nursing care rating scale
disorders  Monitoring of patients plan-1
 Counsel and  Preparation and assisting  Assess
 Nursing case
educate in non-invasive and study/presentation each skill
patients and invasive diagnostic /Heath talk-1 with
families procedures.  Maintain drug checklist
 Administer cardiac drugs book  Evaluation
 Cardio pulmonary of case
Resuscitation study/prese
 Teach patients and
ntation/Hea
families
lth talk
 Practice medical and
surgical asepsis-Standard  Completion
safety measures of activity
record
Skin & 1  Identify  Assessment of patients  Plan and give care  Assess
Communic Skin with skin disorders to 2-3 assigned performanc
able problems  Assist in diagnostic and patients e with
diseases  Provide therapeutic procedures  Health rating scale
Ward nursing care  Administer topical talk/Counseling
to patients HIV positive  Evaluation
medication
health
with skin  Practice medical patients and
disorders & families-1 talk/Counse
surgical asepsis-
lling
Communica Standard safety  Maintain drug
94
on(in Methods
week)
ble diseases measures book session
 Counsel and  Use of personal  Completion
educate protective of activity
patients and equipment(PPE) record
families  Give Medicated baths
 Counselling HIV
positive patients
Orthopaedi 2  Provide  Assessment of  Plan and give care  Assess
c ward nursing orthopaedic patients to 2-3 assigned each
care of  Assist in application of patients performanc
patient plaster cast and  Nursing care e with
with removal of cast plan-1
rating scale
musculosk  Apply skin traction-  Nursing case
eletal buck’s extension study/presentation  Evaluation
disorders traction. -1 of Nursing
 Counsel  Assist application and  Maintain drug care plan
and removal of prosthesis book and
educate  Physiotherapy-Range Nursing
patient and of motion case
families exercises(ROM),muscl
study/prese
e strengthening
exercises ntation
 Crutch maneuvering  Completion
technique. of activity
 Activities of daily record
living
 Ambulation
 Teach and counsel
patients and families
Operation 6  Identify  Scrubbing,gowning,glo  Assist as a  Assess
Theater instruments ving circulatory performa
used in  Identify nurse in nce with
commen instruments,suturing  Major cases-10 rating
operations materials for common  Minor cases -5 scale
 Participate operations  Assist as a  Completi
in infection  Disinfection,Carbolizat scrub nurse in on of
control ion,fumigation  Major cases -10 activity
practice in  Preparation of  Minor cases – 5 record
the instrument sets for  Maintain drug
Operation common operations book
Theater  Sterilization of sharps
 Set-up the and other instruments
table/trolle  Prepare the OT table
ys for depending upon the
common operation
operative  Positioning and
procedures monitoring of patients
 Assist in  Endotracheal intubation
giving  Assisting in minor and
anesthesia major operations.
95
on(in Methods
week)
 Assist in  Handling specimens
the  Disposal of waste as
operative per the guidelines
procedures
 Provide
peri
operative
nursing
care
Internal assessment for Practical: (100 Marks/ 50 Marks-Refer to regulations)

Total 100%
96
Community Health Nursing – I
Placement: Second year Time: Theory – 90 Hrs
Practical – 135 Hrs
Course Description: This course is designed for students to appreciate the principles of
promotion and maintenance of Health.
Teaching
(Hrs) Objectives methods
Methods
I 2 Describe Introduction * Lecture *Short
concept and  Community health Nursing Discussion answer
dimensions of  Definition, concepts and
health dimensions of health
 Promotion of health
 Maintenance of health
II 20 Describe Determinants of health * Lecture * Essay type
determinants of  Eugenics Discussion *Short
health  Environmental studies: *Explain using answers
- Definition, Scope and charts, graphs, *Objective
Importance – Need for models, films, type
public services. slides
 Environment and * Visits to
Environmental Pollution: water supply,
- Definition, Causes, Effects sewage
and control measure of disposal, milk
Physical, Air, Light, Soil, plants,
Marine, Thermal, Nuclear slaughter house
pollution, Ventilation, Water etc.,
(Water resources : Use and
Over utilization of surface
and ground water, floods,
drought, conflicts over water,
Dams – Benefits and
problems)
- Housing, Sanitation, Noise,
Climatic change, Heat waves
and its Impact on health,
 Solid waste management:
-Causes, effects and control
measures of Urban and
Industrial waste
-Disposal of waste disposal of
dead bodies, Communication:
Infrastructure facilities and
linkages
-Forestation,
Use and over exploitation,
Deforestation, case studies,
timber extraction, mining,
dams and their effects on
97
Teaching
Methods
forests and tribal people.
- Mineral Resources
Use and exploitation,
Environmental effects of
extracting and using mineral
resources, case studies.
-Acts regulating the
environment: National
Pollution Control Board
including Acts on Air and
Water.
Role of individual in
prevention of pollution,
pollution case studies.
-Bacterial and viral: Agents,
host, carries and immunity.
-Arthropods and Rodent
 Food hygiene: Production
preservation, Purchase,
preparation, consumption,
World food problems,
changes caused by
agriculture and overgrazing,
effects of modern agriculture,
fertilizer – pesticides
problems, water logging,
salinity, case studies.
 Acts regulating food
hygiene-Prevention of food
Adulteration Act, drugs and
cosmetics Act
 Wild life protection Act,
Forest conservation Act,
Issues involved in
enforcement of
environmental legislation and
public awareness.
 Socio – Cultural:
- Customs – taboos
-Marriage System
- Family Structure
- Status of Special groups:
females, Children, elderly,
challenged groups and sick
persons.
 Lifestyle
 Hygiene
 Physical activity
-Recreation and sleep
-Sexual Life
-Spiritual life philosophy
98
Teaching
Methods
-Self reliance
-Dietary Pattern
-Education
-Occupation
 Financial Management
-Income
-Budget
-Purchasing Power
- Security
 Forest resources :
- Use and overexploitation,
Deforestation, Case studies,
Timber extraction, Mining,
Dams and their effects on
forest and tribal people
 Energy Resources
- Growing energy needs
- Renewable and
Nonrenewable energy
resources, use of alternate
energy sources, case studies.
 Land resources:
-Land as a resource, Land
degradation, Man induced
landslides, soil erosion and
desertification.
Role of an individual in
conservation of natural
resources.
Equitable use of resources for
sustainable life styles.
 Ecosystem:
- Concept of an ecosystem
- Structure & Function of an
Ecosystem producers,
consumers and decomposers.
- Energy flow in the
ecosystem
- Ecological succession
- Food chains, food webs and
ecological pyramids
- Introduction, types,
characteristics, structure and
functions of the following
ecosystems:
Forest ecosystem, Grass land
ecosystem, desert ecosystem,
aquatic ecosystem (ponds,
streams, lakes, river, ocean,
estuaries)
 Disaster Management: Floods,
99
Teaching
Methods
Earth quake, cyclone and
Land slides.
III 10 Describe Epidemiology * Lecture * Essay type
concepts, scope,  Definition, concept, aims, Discussion *Short
uses, methods scope, uses and terminology *Explain using answers
and approaches used in epidemiology. charts, graphs,
of epidemiology  Dynamics of disease models, films,
Transmission: epidemiological slides
triad
 Morbidity and mortality:
measurements.
 Levels of Prevention.
 Methods of Epidemiology -
Descriptive
-Analytical: Epidemic
investigation of an outbreak
-Experimental
IV 25 Describe Epidemiology and Nursing * Lecture * Essay type
Epidemiology management of common Discussion *Short
and nursing communicable discuses *Explain using answers
management of  Respiratory infections charts, graphs, *Objective
common -Small Pox models, films, type
Communicable -Chicken pox slides
diseases. - Measles *Seminar
- Influenza *Supervised
- Rubella field visits-
-ARI’S & Pneumonia Health centers,
-Mumps clinics and
- Diphtheria homes
- Whooping cough *Group
-Meningococcal projects/ Health
Meningitis education
-Tuberculosis
-SARS
 Intestinal infections
Poliomyelitis
-Viral hepatitis
- Cholera
- Diarrhoeal Diseases
-Typhoid fever
- Food poisoning, Food Borne
Disease
-Amoebiasis
- Hookworm infestation -
Ascariasis
-Dracunculiasis
 Arthropod Infections
-Dengue
-Malaria
- Filariasis, Chickengunia
100
Teaching
Methods
 Zoo noses.
 Viral
-Rabies
-yellow fever
-Japanese encephalitis
-kyasnur forest disease
 Bacterial
-Brucellosis
- Plague,
-Human Salmonellosis
-Anthrax
- Leptospirosis
 Rickettsial diseases
-Rickettsial Zoonoses
- Scrub typhus
- Murine typhus
-Tick typhus
- Q fever
 Parasitic Zoonoses
-Taeniasis
- Tetanus
-leprosy
- yaws
 STD & RTI, HIV/AIDS, Any
other
V 10 Describe the Epidemiology and Nursing * Lecture * Essay type
Epidemiology management of common non Discussion *Short
and nursing Communicable diseases *Explain using answers
management of  Malnutrition: under charts, graphs, *Objective
common non- nutrition, over nutrition, models, films, type
communicable nutritional deficiencies slides
diseases.  Anemia *Seminar
 Hypertension, *Supervised
 Stroke field visits-
 Rheumatic Heart disease Health centers,
 coronary heart disease clinics and
homes
 Cancer
*Group
 Diabetes mellitus
projects/ Health
 Blindness education
 Accidents
 Mental illness
 Obesity
 Iodine deficiency
 Fluorosis
 Epilepsy
VI 6 *Describe the Demography * Lecture * Essay type
concepts and  Definition, Concepts and Discussion *Short
scope of Scope. *Community answers
demography  Methods of collection, identification *Objective
*Describe analysis and interpretation of survey type
101
Teaching
Methods
methods of data demographic data. *Assessment
collection,  Demographic rates and of survey
analysis and ratios. report
interpretation of
demographic
data.
VII 17 *Identify the Population and its Control * Lecture * Essay type
impact of  Human population and Discussion *Short
population environment: Population *Counseling answers
explosion in growth, Variation among *Demonstration *Objective
India *describe nation. *Practice type
methods of  Population explosion and its session *Assessment
population impact on social, economic *Supervised of survey
control. development of individual, field practice report
society and Country.
 Population Control:
- Overall development, women
empowerment, Social,
economic and educational
development, Woman and
Child welfare.
 Limiting family size:
-Promotion of Small family
norm
- Methods of Spacing (Natural,
biological, Chemical,
Mechanical methods, etc.,)
- Terminal: Surgical Methods
-Emergency
Contraceptives
 Family welfare programmes:
 Family planning 2020
 Environment and Human
Health, Human Rights, Value
Education
Internal assessment: (25 Marks – Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
102
Field Work:
1. Visit to a local area to document environmental asserts – reiver / forest / grassland / hill/
mountain.
2. Visit to al local polluted site – urban / rural / industrial / agriculture.
3. Study of common plants, insects, birds.
4. Study of simple ecosystems – pond, river, hill slopes, etc.
Reference :
1. Park (JE), Textbook of Preventive and Social Medicine, Bhanarsida 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 Health Nursing Manual, New Gian Offset Press, New Delhi,
1989
5. Jadhav H, Environmental Protection and Laws, Himalaya Publication, 2000.
6. Odum EP, Fundamental of Ecology, WB Sannders Publication, 1971.
7. Clarke G. Elements of Ecology, John Wiley and Sons, New York.
8. Verma PS and Agarwal VK. Principles of ecology, S. Chand & Co., New Delhi.
9. Cunningham et.at. Environmental Encyclopedia, Jaico Publication, Mumbai.
10. Miller TG Jr. Environmental Science, Wadsworth Publishers.
11. Sharma BK, Environmental Chemistry, Goel Publishers, Meeru, 2001
103
Community Health Nursing I– Practical
Placement: Second Year Time: Practical – 135 Hrs
Duration Objectives Skills Assignments Assessment

Areas (in methods
Week)
Community 2 wks  Build and  Use techniques of  To work with  Assess clinical
Health Urban & maintain rapport interpersonal 2 assigned performance
Nursing 2 wks  Identify relationship families each with rating
Rural demographic  Identification of in urban and scale
characteristics, health determinants rural  Assess each
health of community  Family study-1 skills with
determinants  History taking  Observation checklist
and community  Physical report of  Evaluation of
health resources examination community -1 family study,
 Diagnose health  Collect specimens-  Health talks 2 observation
needs of sputum, malaria (1 in Urban & report and
individual and smear 1 in Rural) health talk
families  Perform simple lab  Completion of
 Provide primary tests at centre- activity record
care in health blood for
center hemoglobin and
 Counsel and urine for albumin
educate and sugar
individual,  Administer vaccines
family and and medications to
community Adults
 Counsel and teach
individual, family
and community
-Nutrition
-Hygiene
-Self health
monitoring
-Seeking health
services
-Healthy life style
-Family welfare
methods
-Health promotion
Internal assessment for Practical: (100 Marks/ 50 Marks- Refer to regulations)

Total 100%
104
Communication & Education Technology
Placement: Second Year Time: Theory - 60 Hours
Practical – 30Hours
Course Description: This course is designed to help the students acquire an understanding of
the principles and methods of communication and teaching. It helps to develop skill in
communicating effectively, maintaining effective interpersonal relations, teaching individuals
and group in clinical community health and educational settings.

Unit Content
(Hrs) Objectives Activities methods
Th. Pr.
I 5  Describe the Review of Communication  Lecture  Respond
communication Process Discussion to critical
process  Process: elements and  Role plays incidents
 Identify channel  Exercises with  Short
techniques of  Facilitators audio/video tapes answers
effective  Barriers and methods of  Objective
communication overcoming type
 techniques
II 5  Establish Interpersonal relations  Lecture  Short
effective inter-  Purpose & types Discussion answers
personal  Phases  Role plays  Objective
relations with  Barriers and methods of  Exercises with type
patients, families overcoming audio/video tapes
& co-workers  Johari Window  Process recording
III 5  Develop Human Relations  Lecture  Short
effective human  Understanding self Discussion answers
relations in  Social behavior,  Sociometry  Objective
context of motivation, social attitudes  Group games type
Nursing  Individual and groups  Psychometric  Respond
 Groups & individual exercises to test
 Human relation in context followed by based on
of Nursing discussion critical
 Group dynamics incidents
 Team work.
IV 10 5  Develop basic Guidance and Counseling  Lecture  Short
skill of guidance  Definitions Discussion answers
and counseling  Purpose, scope and need  Role play on  Objective
 Basic principles counseling in type
 Organization of different  Assess
counseling services situations performan
 Types of counseling followed by ce in role
approaches discussion play
 Roles and preparation of situations
counselor
 Issues for counseling in
Nursing: students and
practitioners
105
Unit Content
Th. Pr.
 Counseling process – steps
& techniques, tools of
counselor
 Managing disciplinary
problems
 Management of crisis &
referral
V 5  Describe the Principles of Education &  Lecture  Short
philosophy & Teaching Learning Process Discussion answers
principles of  Education: meaning,  Prepare lesson  Objective
education philosophy, aims functions plan type
& principles  Micro teaching  Assess
 Nature and characteristics  Exercise on lesson
of learning writing objectives plans &
 Principles and maxims of teaching
teaching sessions
 Formulating objectives:
general and specific
 Lesson planning
 Classroom management
VI 10 10  Demonstrate Methods of teaching  Lecture  Short
teaching skill  Lecture, demonstration, Discussion answers
using various group discussion, seminar,  Conduct 5  Objective
teaching methods symposium, panel teaching sessions type
in clinical, discussion, role play, using different  Assess
classroom and project, field trip, methods & media. teaching
community workshop, exhibition, sessions
settings programmed instruction,
computer assisted
learning, microteaching,
problem based learning,
Self instructional module,
simulation etc..
 Clinical teaching methods:
case method, nursing
rounds & reports, bedside
clinic, conference
(individual & group)
process recording
VII 10 8  Prepare and use Educational media  Lecture  Short
different types of  Purposes & types of A.V Discussion, answers
educational Aids, principles and Demonstration  Objective
media effectively sources etc.  Prepare different type
 Graphic aids: chalk board, teaching aids –  Assess the
chart, graph, poster, flash projected & non teaching
cards, flannel graph, projected aids
bulletin and cartoon. prepared
 Three dimensional aids:
objects, specimen, models
106
Unit Content
Th. Pr.
puppets.
 Printed aids: Pamphlets &
leaflets
 Projected aids: Slides,
overhead projector, films,
TV, VCR/VCD, camera,
microscope, LCD.
 Audio aids: Tape recorder,
public address system.
 Computer
VIII 5 7  Prepare different Assessment  Lecture  Short
types of  Purpose & scope of Discussion answers
questions for evaluation & assessment  Exercise on  Objective
assessment of  Criteria for selection of writing different type
knowledge, skills assessment techniques and types of  Assess the
and attitudes methods assessment tools strategies
 Assessment of knowledge: used in
Essay type question, Short practice
answer question (SAQ), teaching
Multiple choice question sessions
(MCQ) and
 Assessment of skills: exercise
Observation check list, sessions
practical exam, Viva,
Objective Structured
Clinical Examination
(OSCE)
 Assessment of Attitude:
Attitude scales.
IX 5  Teach Information, Education &  Lecture  Short
individuals, Communication for health Discussion answers
groups and (IEC)  Plan & conduct  Objective
communities  Health behavior & health health education type
about health with education sessions for  Assess the
their active  Planning for health individuals, group planning
participation education & communities & conduct
 Health education with of the
individuals, groups & education
communities al session
 Communicating health
messages
 Methods & media for
communicating health
messages
 Using mass media.
107

Model Exam 25%
Attendance 5%
Total 100%
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.
108
(Adult including Geriatrics) - II
Placement : Third Year Time: Theory – 120 hours
Practical – 460 hours
Course Description: The purpose of this course is to acquire knowledge and develop
proficiency in caring for patients with medical and surgical disorders in varieties of health care
settings and at home.
Learning Teaching
Time Assessment
Unit Objectives Content Learning
(Hrs) method
Activity
*Describe the Nursing management of patient with *Lecture *Essay type
I 15 etiology, disorders of Ear Nose and throat discussion *Short
pathophysiology * Review of anatomy and Physiology of *Explain answers
, clinical the Ear Nose and Throat using charts, *Objective
manifestations, * Nursing assessment-History and physical graphs type
diagnostic assessment *Models, *Assessment
measures and * Etiology, pathophysiology, clinical films, slides of skills with
management of manifestations, diagnosis, treatment *Demonstrati check list
patients with modalities and medical & surgical nursing on *Assessment
disorders of Ear management of Ear Nose and Throat *Practice of patient
Nose and Throat disorders; session management
_ External ear - deformities otalgia, foreign *Case problem
bodies and tumors discussions/
_ Middle ear - impacted wax, Tympanic Seminar
membrane perforation, otitis media, *Health
otosclerosis, mastoidities, tumours education
_ Inner ear - Meniere's disease, *Supervised
labyrinthitis, otottoxicity, tumours clinical
_ Upper airway infections-common cold, practice
sinusitis, rhinitis, pharyngitis, tonsillitis *Drug book/
and adenoiditis, peritonsilar abscess, Presentation
laryngitis.
* Upper respiratory airway-epistaxis,
* Nasal obstruction, laryngeal obstruction,
cancer of the larynx cancer of the oral
cavity
* Speech defects and therapy
* Deafness
* Prevention, control and rehabilitation
* Hearing aids, implanted hearing devices
Special therapies
Nursing procedures
109
Learning Teaching
Time Assessment
(Hrs) method
Activity
Drugs used in treatment of disorders of Ear
Nose and Throat
Role of nurse in communicating with
hearing impaired and muteness.
II 15 *Describe the Nursing management of patient with *Lecture *Essay type
etiology, disorders of eye discussion *Short
pathophysiology * Review of anatomy and physiology of *Explain answers
, clinical the eye – using charts, *Objective
measures and * Etiology, pathophysiology, clinical films, slides of skills with
management of manifestations, diagnosis, treatment *Demonstrati check list
patients with modalities and medical & surgical nursing on *Assessment
disorders of eye management of eye disorders; *Practice of patient
 Refractive errors session management
 Eyelids-infection, tumors and *Case problem
deformities discussions/
 Conjunctiva-inflammation and Seminar
infection, bleeding *Health
 Cornea-inflammation and infection education
 Lens-cataracts *Supervised
 Glaucoma clinical
 Disorders of the uveal tract practice
*Drug book/
 Ocular tumours
Presentation
 Retinal detachment
*Visit to eye
 Ocular emergencies and their
bank
prevention
*Participation
* Blindness
in eye camps
* National blindness control program
 Eye Banking
 Eye prostheses and rehabilitation
Role of Nurse - communication with
visually impaired patient,Eye camps
Special therapies
Nursing procedures
Drugs used in treatment of disorders of eye
III 16 *Describe the Nursing management of patient with *Lecture *Essay type
etiology, Neurological disorders discussion *Short
, clinical the neurological system using charts, *Objective
manifestations, * Nursing assessment-History and graphs type
diagnostic physical and neurological assessment and *Models, *Assessment
measures and Glasgow coma scale films, slides of skills with
110
Learning Teaching
Time Assessment
(Hrs) method
Activity
management of * Etiology, pathophysiology, clinical *Demonstrati check list
patients with manifestations, diagnosis, treatment on *Assessment
neurological modalities and medical & surgical nursing *Practice of patient
disorders management of neurological disorders session management
* Congenital malformation *Case problem
* Headache discussions/
* Head injuries Seminar
* Spinal Injuries *Health
 Paraplegia education
 Hemiplegia *Supervised
 Quadraplegia clinical
* Spinal cord compression - herniation of practice
intervertebral disc *Drug book/
* Tumours of the brain & spinal cord Presentation
* Intra cranial and cerebral aneurysms *Visit to
* Infections : rehabilitation
 Meningitis, encephalitis, brain centre
abscess, neurocysticercosis
* Movement disorders
 Chorea
 Seizures
 Epilepsies
* Cerebro vascular accident (CVA)
* Cranial, spinal neuropathies - Bell's
palsy, trigeminal neuralgia
* Peripheral Neuropathies; Guillain-Barre
syndrome
* Myasthenia gravis
* Multiple sclerosis
 Degenerative disease
 Delirium
 Dementia
 Alzheimer's disease
 Parkinson's disease
* Management of unconscious patients and
patients with stroke
* Role of the nurse in communicating with
patient having neurological deficit
* Rehabilitation of patients with
neurological deficit
Role of nurse in long stay facility
(institutions) and at home
Special therapies
111
Learning Teaching
Time Assessment
(Hrs) method
Activity
Nursing procedures
Drugs used in treatment of neurological
disorders
IV 16 *Describe the Nursing management of patient with *Lecture *Essay type
etiology, disorders of female reproductive system discussion *Short
, clinical the female reproductive system using charts, *Objective
measures and * Breast self examination films, slides of skills with
management of * Etiology, pathophysiology, clinical *Demonstrati check list
patients with manifestations, diagnosis, treatment on *Assessment
disorders of modalities and medical & surgical nursing *Practice of patient
female management of disorders of female session management
reproductive reproductive system *Case problem
system * Congenital abnormalities of female discussions/
*Describe the reproductive system Seminar
concepts of * Sexuality and reproductive health *Health
reproductive * Sexual health assessment education
health and * Menstrual disorders; Dysmenorrhea, *Supervised
family welfare Premenstrual syndrome clinical
programme * Abnormal uterine bleeding; practice
Menorrhagia, Metrorrhagia pelvic *Drug book/
inflammatory disease Presentation
* Ovarian and fallopian tube disorders,
infections, cysts, tumours
Uterine and cervical disorders,
Endometriosis,, polyps, Fibroids, Cervical
and uterine tumours, Uterine displacement,
cystocele/Urethrocele/Rectocele
* Vaginal disorders; infections, discharges,
fistulas,
*Vulvar Disorders : cysts, tumours
* Diseases of breasts;
Deformities, infections, cysts and tumours
* Menopause and hormonal replacement
therapy
* Infertility
* Contraception; Types methods, risk and
effectiveness
 Spacing methods
 Barrier methods
 Intra uterine devices
 Hormonal,
112
Learning Teaching
Time Assessment
(Hrs) method
Activity
 Post conceptional methods, etc
 Terminal methods: Sterilization
* Emergency contraception methods
* Abortion - Natural, medical and surgical
abortion - MTP Act
* Toxic shock syndrome
* Injuries and Trauma; Sexual violence
Special therapies
Nursing procedures
Drugs used in treatment of gynecological
disorders National family welfare
programme
V 10 *Describe the Nursing management of patient with *Lecture *Essay type
etiology, Burns, reconstructive and cosmetic discussion *Short
pathophysiology surgery *Explain answers
, clinical * Review of anatomy and physiology of using charts, *Objective
manifestations, skin and connective tissues and various graphs type
diagnostic deformities *Models, *Assessment
measures and * Nursing assessment-History and physical films, slides of skills with
management of assessment and assessment of burns and *Demonstrati check list
patients with fluid and electrolyte loss. on *Assessment
Burns Etiology, classification, pathophysiology, *Practice of patient
reconstructive clinical manifestations, diagnosis, session management
and cosmetic treatment modalities and medical & *Case problem
surgery surgical Nursing management of burns and discussions/
re-constructive and cosmetic surgery; Seminar
* Types of Re-constructive and cosmetic *Health
surgery; for burns, congenital deformities, education
injuries and cosmetic purposes *Supervised
* Role of Nurse clinical
* Legal aspects practice
* Rehabilitation *Drug book/
* Special therapies Presentation
_ Psycho social aspects
Nursing procedures
Drugs used in treatment of burns,
reconstructive and cosmetic surgery
VI 10 *Describe the Nursing management of patient with *Lecture *Essay type
etiology, oncological conditions discussion *Short
pathophysiology * Structure & characteristics of normal & *Explain answers
, clinical cancer cells using charts, *Objective
measures and * Prevention, screening, early detection, films, slides of skills with
113
Learning Teaching
Time Assessment
(Hrs) method
Activity
management of warning signs of cancer *Demonstrati check list
patients with * Epidemiology, Etiology, classification, on *Assessment
oncology pathophysiology staging, clinical *Practice of patient
manifestations, diagnosis, treatment session management
modalities and medical & surgical *Case problem
management of oncological conditions discussions/
* Common malignancies of various body Seminar
systems; oral larynx, lung, stomach and *Health
colon, liver, leukemias and lymphomas, education
breast, cervix, ovary, uterus, sarcoma, *Supervised
brain, renal, bladder, prostate etc clinical
* Oncological emergencies practice
* Modalities of treatment *Drug book/
_ Immunotherapy Presentation
_ Chemotherapy
_ Radiotherapy
_ Surgical interventions
_ Stem cell and bone marrow transplants
_ Gene therapy
_ Other forms of treatment
* Psycho social aspects of cancer
* Rehabilitation
* Palliative care; symptom and pain
management, nutritional support
* Home care
* Hospice care
* Stomal therapy
_ Psycho social aspects
* Nursing procedures
VII 10 *Describe Nursing management of patients in *Lecture *Essay type
organization of EMERGENCY & DISASTER situations discussion *Short
emergency and Disaster Nursing: *Explain answers
disaster care * Concepts and principles of Disaster using charts, *Objective
services Nursing graphs type
* Describe the * Causes and types of disaster: Natural and *Models, *Assessment
role of nurse in man made films, slides of skills with
disaster _ Earthquakes, floods, epidemics, cyclones *Demonstrati check list
management _ Fire, explosion, accidents on *Assessment
* Describe the _ Violence, terrorism, bio chemical, war *Practice of patient
role of nurse in * Policies related to emergency/disaster session management
management of management: International, National, State *Case problem
common and Institutional discussions/
emergencies * Disaster preparedness Seminar
* Team, guidelines, protocols, equipments, *Health
114
Learning Teaching
Time Assessment
(Hrs) method
Activity
resources education
* Co - ordination and involvement of *Supervised
Community, various Government clinical
departments, Non Govt. organizations and practice
international agencies. *Disaster
* Role of Nurse: working management
* Legal aspects of disaster Nursing drills
* Impact of health after effects: Post *Drug book/
traumatic stress disaster Presentation
* Rehabilitation: Physical, Psycho social,
Financial, Relocation
Emergency Nursing
* Concept, priorities, principles and scope
of emergency Nursing
* Organization of emergency services:
physical set up, staffing, equipment and
supplies, protocols, concept of triage and
role of triage Nurse
* Co ordination and involvement of
different departments and facilities
* Nursing assessment - History and
physical assessment
* Etiology, Pathophysiology, clinical
manifestations, diagnosis, treatment
modalities and medical surgical nursing
management of patient with medical
surgical emergency
Principles of emergency management
* Common emergencies
* Respiratory emergencies
* Cardiac emergencies
* Shock and Hemorrhage
* Pain
* Poly trauma, road accidents, crush
injuries, wound
* Bites
* Poisoning- food, gas, drugs & chemical
poisoning
* Seizures
* Thermal emergencies: Heat stroke &
cold injuries
* Pediatric emergencies
* Psychiatric emergencies
* Obstetrical emergencies
115
Learning Teaching
Time Assessment
(Hrs) method
Activity
* Violence, abuse, sexual assault
* Cardio pulmonary resuscitation
*Crisis intervention
* Role of Nurse: Communication and inter
personal relations
* Medico-legal aspects
VIII 10 Explain the Nursing care of the elderly *Lecture *Essay type
concept and _ Nursing assessment - history and discussion *Short
problems of physical assessment *Explain answers
aging _ Aging; using charts, *Objective
_ Demography; Myths and realities graphs type
_ Concepts and theories of aging *Models, *Assessment
_ Cognitive aspects of aging films, slides of skills with
_ Normal biological aging *Demonstrati check list
_ Age related body systems changes on *Assessment
_Psychosocial aspects of aging *Practice of patient
_ Medications and elderly session management
_ Stress and coping in older adults *Case problem
_ Common health problems and nursing discussions/
management Seminar
_ Cardiovascular, respiratory, *Health
musculoskeletal education
_ Endocrine, genito-urinary, *Supervised
gastrointestinal clinical
_ Neurological, skin and other sensory practice
organs *Drug book/
_ Psychosocial and sexual Presentation
_ Abuse of elderly *Visit to old
_ Role of nurse for care of elderly: age home
ambulation, Nutritional, communicable,
Psychosocial and spiritual
_ Role of nurse for caregivers of elderly
_ Role of family and formal and non-
formal care givers
_ Use of aids and prosthesis (hearing aids,
dentures)
_ Legal and ethical issues
_ Provisions and programmes for elderly;
privileges, community programs and
health services;
_ Home and institutional care
116
Learning Teaching
Time Assessment
(Hrs) method
Activity
IX 10 *Describe Nursing management of patient in *Lecture *Essay type
organization of critical care units discussion *Short
critical care _ Nursing assessment - history and *Explain answers
units physical assessment using charts, *Objective
*Describe the _ Classification graphs type
role of nurse in _ Principles of critical care nursing *Models, *Assessment
management of _ Organization; Physical setup, policies, films, slides of skills with
patients critical staffing norms *Demonstrati check list
care units _ Protocols, equipment and supplies on *Assessment
_ Special equipments; ventilators, cardiac *Role plays of patient
monitors, defibrillators *Practice management
_ Resuscitation equipments session problem
_ Infection control protocols *Case
_ Nursing management of critically ill discussions/
patients Seminar
_ Monitoring of critically ill patient *Health
_ CPR - Advance cardiac life support education
_ Treatments and procedures *Supervised
_ Transitional care clinical
_ Ethical and legal aspects practice
_ Communication with patient and family *Drug book/
_ Intensive care records Presentation
_ Crisis Intervention
_ Death and Dying -copying with
_ Drugs used in critical care unit
X 8 *Describe the Nursing management of patients adults
etiology, including elderly with occupational and
pathophysiology Industrial disorders
, clinical _ Nursing assessment-History and physical
manifestations, assessment
diagnostic _ Etiology, pathophysiology, clinical
measures and manifestations, diagnosis, treatment
management of modalities and medical & surgical nursing
patients with management of occupational and industrial
disorders of health disorders
occupational _ Role of Nurse
and industrial _ Special therapies, alternative therapies,
health disorder Nursing procedures
_ Drug used in treatment of occupational
and industrial disorders
117

Model Exam 25%
Attendance 5%
Total 100%
Recommended Books:
1. Brunner (V), Medical Surgical Nursing , LWW, 10th Edition.

2. Black, Medical Surgical Nursing: Clinical Management for positive outcomes,
Elsevier,7th Edition.
3. Willams, Understanding Medical Surgical Nursing, Jaypee, 3rd Edition.
4. Timby, Introductory Medical Surgical Nursing, LWW, 9th Edition.
5. Lewis, Medical Surgical Nursing Assessment & Management of Clinical
Problems, Elsevier 7th edition
6. Ignatavicius, Critical Thinking for Collaborative Care, Elsevier, 5th Edition.
7. Monahan, Phipp’s Medical Surgical Nursing: Health & illness perspectives
practice, Jaypee, 8thEdition.
8. Gulanick, Nursing Care Plans: Nursing Diagnosis & Interventions, Mosby, 5th edition
9. Lippincott’s Manual of Nursing Practice, Jaypee , Edition.
10. Ulrich, Nursing Care Planning Guides: For adults in acute extended & Home care
settings, Elsevier,6th edition.
11. White, Foundations of Adulth Health Nursing, Thompson, 2nd edition.
12. Redfern, Nursing Older People ,Churchill Livingstone , 4th edition.
13. Phillip, Berry & Kohn’s Operating room techniques, Elsevier, 11th Edition.
14. Marks, Roxburgh’s Common Skin Diseases, Arnold, 17th edition.
15. Thappa, Essential in Dermatology with MCQ’s, Ahuja publishing
118
(Adult including Geriatrics) – II Practical
Placement : Third Year Practical – 460 hrs

Areas Duration Objectives of Skills to be developed Assignments Assessment
(in wks) posting methods
ENT 1 *Provide care *Perform examination of *Provide care to *Assess each
of patients with ear, nose and throat 2-3 assigned skill with check
ENT disorders *Assist with diagnostic patients list
*Counsel and procedures *Nursing care *Assess
educate the *Assist with therapeutic plan – 1 performance
patient and procedures *Observation with rating scale
families * Instillation of drops reports of OPD *Evaluation of
*Perform/ assist with *Maintain drug observation
irrigations book report of OPD
*Apply ear bandage *Completion of
*Perform tracheostomy care activity record
*Teach patient and families
Ophthal 2 *Provide care *Perform examination of *Provide care to *Assess each
mology of patients with eye 2-3 assigned skill with check
Eye disorders *Assist with diagnostic patients list
*Counsel and procedures *Nursing care *Assess
educate the *Assist with therapeutic plan – 1 performance
patient and procedures *Observation with rating scale
families *Perform / assist with reports of OPD *Evaluation of
irrigations & eye bank observation
*Apply eye bandage *Maintain drug report of OPD/
*Apply eye drops/ book Eye bank
ointments *Completion of
*Assist with foreign body activity record
removal
*Teach patient and families
Neurolo 2 *Provide care *Perform neurological *Provide care to *Assess each
gy of patients with examination 2-3 assigned skill with check
neurological *Use Glasgow coma scale patients with list
disorders *Assist with diagnostic neurological *Assess
*Counsel and procedures disorders performance
educate the *Assist with therapeutic * Care study / with rating scale
patient and procedures case *Evaluation of
families *Teach patient and families presentation– 1 care study and
*Participate in rehabilitation *Maintain drug health teaching
program book *Completion of
*Health teaching activity record
-1
Gynecol 1 *Provide care *Assist with gynecological *Provide care to *Assess each
of patients with examination 2-3 assigned skill with check
ogy
gynecological *Assist with diagnostic patients list
disorders procedures *Nursing care *Assess
*Counsel and *Assist with therapeutic plan – 1 performance
educate the procedures *Maintain drug with rating scale
patient and *Teach patient and families book *Evaluation of
families *Teaching self breast care plan
119
examination *Completion of
*Assist with PAP smear activity record
collection
Burns 1 *Provide care *Assessment of the burn * Provide care to *Assess each
unit of patients with patient 1- 2 assigned skill with check
Burns - Percentage of burns patients list
*Counsel and -Degree of burns *Nursing care *Assess
educate the *Fluid and electrolyte plan – 1 performance
patient and replacement therapy *Observation with rating scale
families - Assess reports of burns *Evaluation of
- Calculate unit care plan and
- Replace observation
- Record intake/ output report
*Care of Burn wounds *Completion of
- Bathing activity record
- Dressing
*Perform active and passive
exercises
*Practice medical and
surgical asepsis
*Counsel and teach patients
and families
*Participate in rehabilitation
program
Oncolog 1 *Provide care *Screen for common * Provide care to *Assess each
y of patients with cancers – TNM 2-3 assigned skill with check
cancer classification patients list
*Counsel and *Assist with diagnostic *Nursing care *Assess
educate the procedures plan – 1 performance
patient and - Biopsies *Observation with rating scale
families - Pap smear reports of cancer *Evaluation of
- Bone marrow aspiration unit observation
*Breast self examination report
*Assist with therapeutic *Completion of
procedures activity record
*Participate in various
modalities of treatment
- Chemotherapy
- Radiotherapy
- Pain management
- Stomal therapy
- Hormonal therapy
- Immunotherapy
- Gene therapy
- Alternative therapy
* Participate in palliative
care
*Counsel and teach patients
families
- Self breast examination
- Warning signs
* Participate in
120
rehabilitation program
Critical 3 *Provide care *Monitoring of patients in * Provide care to *Assess each
care unit to critically ill ICU assigned patients skill with check
patients *Maintain flow sheet *Observation list
*Counsel *Care of patient on reports of critical *Assess
patient and ventilators care unit performance
families for *Perform endotracheal *Drugs book with rating scale
grief and suction *Evaluation of
bereavement *Demonstrates use of observation
ventilators, cardiac report
monitors, etc. *Completion of
*Collects specimens and activity record
interprets ABG analysis
* Assist with arterial
puncture
*Maintain CVP line
*Pulse oximetry
*CPR- ALS
* Defibrillators
* Pace makers
*Bag mask ventilation
*Emergency tray/ trolley –
Crash cart
* Administration of drugs
- Infusion pump
-Epidural
- Intra thecal
- Intracardiac
*Total Parenteral therapy
*Chest physiotherapy
*Perform active and passive
exercises
*Counsel the patient and
family in dealing with
grieving and bereavement
Casualty 2 *Provide care * Practice “ triage” * Observation *Assess
/ to patients in *Assist with assessment , report of performance
Emerge emergency and examination, investigations Emergency unit with rating scale
ncy disaster and their interpretations in *Evaluation of
situation emergency and disaster observation
*Counsel situations report
patient and *Assist in documentations *Completion of
families for * Assist in legal procedures activity record
grief and in emergency unit
bereavement *Participate in managing
crowd
*Counsel patient and
families in grief and
bereavement
121
Internal assessment for Practical: (100 Marks/ 50 Marks-Refer to regulations)

Total 100%
122
Child Health Nursing
Placement: Third year Time: Theory:90 hours
Practical:270 hours
Course Description: This course is designed for developing an understanding of the modern
approach to childcare, identification, prevention and nursing management of common health
problems of neonates and children.
Unit Time Learning Objectives Content Teaching Learning Assessment

(Hrs) Activities Methods
I 15  Explain the Introduction  Lecture,  Short answers
modern concept of Modern concepts of Discussion  Objective
child care childcare  Demonstration of type
&Principles of  Internationally common  Assessment of
child health accepted rights of the Paediatric skills with
nursing child procedures checklist
 Describe national  National policy and
policy programs legislations in relation
and legislation in to child health and
relation to child welfare
health and welfare  National programmes
 List major causes related to child health
of death during and welfare
infancy early &late  Agencies related to
childhood welfare services to the
 Describe the major children
functions and role  Changing trends in
of paediatric nurse hospital care
in caring for preventive,
hospitalized child. promotive and curative
 Describe the aspects of child health
principles of child  Child morbidity and
health nursing. mortality rates
 Difference between
adult and child
 Hospital environment
for a sick child
 Impact of
hospitalization on child
and family
 Grief and
bereavement
 The role of a child
health nurse in caring
for a hospitalized child
 Principles of pre and
post operative care of
infants and children
 Child health nursing
procedures
123
II 20  Describe the The healthy child  Lecture  Short answers
normal growth and  Principles of growth Discussion  Objective
Development of and development  Developmental type
children at  Factors affecting study of infant  Assessment
different ages growth and and children of field visit
 Identify the needs development  Observation and
of children at  Growth and study of normal developmenta
different ages & development from and sick child l study
provide parental birth to adolescence  Field visit to reports.
guidance  The needs of normal Anganwadi,child
 Identify the children through the guidance clinic
nutritional needs of stages of development  Film show on
children at and parental guidance breast feeding
different ages and  Nutritional needs of  Clinical
ways of meeting children &infants: practice /field
the needs Breast feeding,
 Appreciate the role exclusive breast
of play for normal feeding supplementary
& sick children /artificial feeding and
 Appreciate the weaning
preventive  Baby friendly hospital
measures and concept
strategies for  Accidents :causes and
children. prevention
 Value of play and
selection of play
materials
 Preventive
immunization
immunization
programme and cold
chain
 Preventive Peadiatrics
 Care of under five &
under five clinics /well
baby clinics
III 15  Provide care to Nursing care of a  Lecture  Short answers
normal &high risk neonate Discussion  Objective
neonates  Nursing care of a  Workshop on type
 Perform neonatal normal newborn neonatal  Assessment
resuscitation /essential newborn resuscitation of skills with
 Recognize and care  Demonstration checklist
manage common  Neonatal resuscitation  Practice session
neonatal problems  Nursing management  Clinical practice
of a low birth baby
 Kangaroo mother care
 Nursing management
of common neonatal
disorders
 Organization of
neonatal unit.
124
 Identification of
common congenital
malformations
IV 10 Integrated management  Lecture  Short answers
of neonatal and Discussion  Objective
childhood type
illnesses(IMNCI) Assessment of
skills with
checklist
V 20  Provide Nursing management in  Lecture  Short answers
nursing care in common childhood Discussion  Objective
common diseases  Demonstration type
childhood  Nutritional deficiency  Practice session  Assessment of
diseases disorders  Clinical practice skills with
 Identify  Respiratory disorders checklist
measures to and infections
prevent  Gastro intestinal
common infections,
childhood infestations and
diseases congenital disorders
including  Cardiovascular
immunization problems: congenital
defects and Rheumatic
fever ,Rheumatic
heart disease
 Genitourinary
disorders: Acute
glomerulo nephritis,
Nephrotic syndrome,
Wilms tumor,
infections and
congenital disorders.
 Neurological
infections and
disorders:
convulsions,
Epilepsy,
meningitis
hydrocephalus,
Spina bifida.
 Hematological
disorders: Anemia’s,
Thalassemia,ITP
Leukemia,
Hemophilia.
 Endocrine disorders:
Juvenile diabetes
mellitus
 Orthopedic disorders:
Clubfoot,
Hip dislocation
125
Fracture
 Disorders of skin
Eye and ears
 Common
communicable diseases
in children, their
identification nursing
management in
hospital and home and
prevention
 Child health
emergencies:
Poisoning,
Foreign bodies
hemorrhage, burns
drowning.
 Nursing care of infant
and children with
HIV/AIDS
VI 10  Manage the Management of  Lecture  Short answers
child with behavioral &social Discussion  Objective
behavioral problems in children  Field visit to type
&social  Management of child guidance  Assessment
problems common behavioral clinics, of field
 Identify the disorders School for mentally reports.
social &  Management of physically,
welfare common psychiatric socially
services for problems challenged.
challenged  Management of
children challenged children:
mentally, physically,
socially challenged
 Welfare services for
challenged children in
India
 Child guidance clinic
Internal assessment: (25 Marks -Refer to regulations)

Model Exam 25%
Attendance 5%
Total 100%
126
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.
127
Child Health Nursing –Practical
Placement: Third year Time: 270Hours (9weeks)
Areas Duration Objectives Skills Assignments Assessment

wks methods
Paediatric 3  Provide  Taking Paediatric history  Give care to Assess
Medicine nursing care  Physical examination three assigned clinical
Ward of children and assessment of Paediatric performance
with various children patients with rating
medical  Administration of  Nursing care scale
disorders oral,IM,IV medicine/ plan-I Assess each
 Counsel and Fluids  Case study skill with
educate  Calculation of fluid /presentation –I checklist
parents requirements  Health talk-I OSCE/
 Prepare different OSPE
strengths of IV fluid  Evaluation
 Apply restrains of case
 Administer O2 study,
inhalation by different presentation
methods & Health
 Give baby bath education
 Feed children by Katori session
spoon etc.  Completion
 Collect specimens for of activity
common investigation record
 Assist with common
diagnostic procedures
 Teach mothers
/parents
 Malnutrition
 Oral rehydration therapy
 Feeding& weaning
 Immunization schedule
 Play therapy
 Specific disease
conditions
Paediatric 3  Recognize  Calculate ,prepare and  Give care to three  Assess

surgery different administer IV fluids assigned clinical
ward pediatric  Do bowel wash Paediatric performance
surgical  Care for ostomies: patients with rating
conditions  Colostomy irrigation  Nursing care scale
/malformations  Ureterostomy plan-I  Assess each
 Provide pre  Gastrostomy  Case study skill with
and post  Enterostomy /presentation –I checklist
operative care  Urinary catheterization OSCE/
to children and drainage OSPE
with common
 Feeding  Evaluation
paediatric of case
 Nasogastric
surgical
128
conditions/  Gastrostomy study,
Malformations.  Jejunostomy presentation
 Counsel and  Care of surgical wounds &
educate parents  Dressing
 Suture removal  Completion
of activity
record
Paediatric 1  Perform  Assessment of children  Developmental  Assess
OPD/ assessment of  Health assessment study-I clinical
Immuniz children  Developmental performan
ation health assessment ce with
room development  Anthropometric rating
and assessment scale
anthropometri  Immunization  Completio
c  Health/Nutritional n of
 Perform education activity
immunization record
 Give health
education
/Nutritional
education
Pediatric 1+1  Provide  Care of baby in  Nursing care  Assess
medicine nursing care incubator/warmer plan –I clinical
and to critically  Care of child on  Observation performan
surgery ill children ventilator report-I ce with
ICU  Endotracheal suction rating
 Chest physiotherapy scale
 Administer fluids with  Completio
Infusion pump n of
 Total parenteral nutrition activity
 Phototherapy record
 Monitoring of babies  Evaluation
 Cardiopulmonary of
resuscitation observatio
n report
Internal assessment for Practical: (100 Marks/ 50 Marks -Refer to regulations)

Total 100%
129
Mental Health Nursing
Placement: Third Year Time: Theory - 90 Hours
Practical - 270 Hours
Course Description: This course is designed for developing an understanding of the modern approach
to mental health, identification, prevention and nursing management of common mental health problems
with special emphasis on therapeutic interventions for individuals, family and community.
Teaching
(Hrs) Objective Method
Activity
I. 5  Describes the Introduction  Lecture  Objective
historical  Perspectives of Mental Discussion type
development & Health and Mental Health  Short answer
current trends Nursing; Evolution of  Assessment
in Mental Mental Health Services, of the field
Health Nursing treatments and Nursing visit reports
 Describe the practices
epidemiology  Prevalence and incidence
of mental health of mental health problems
problems and disorders
 Describe the  Mental Health Act
National Mental  National Mental Health
Health Act, Policy vis a vis National
programmes health Policy
and Mental  National Mental health
Health Policy Programme
 Discuss the  Mental Health Team
scope of Mental  Nature and scope of
Health Nursing Mental Health nursing
 Describe the  Role and function of
concepts of Mental Health Nurse in
normal & various settings and
abnormal factors affecting the level
behaviour of nursing practice.
 Concepts of normal and
abnormal behaviour
II. 5  Define the Principles and Concepts of  Lecture  Essay type
various terms Mental Health Nursing Discussion  Short answer
used in Mental  Definition: Mental Health  Explain using  Objective
Health nursing nursing and terminologies charts type
used  Review of
 Classification of mental personality
disorders: ICD development
 Review of personality
development, defense
mechanisms
 Maladaptive behavior of
individuals and groups:
stress, crisis and
disaster(s)
 Etiology: Bio – psycho –
130
Teaching
Activity
social factors
 Psychopathology of
mental disorders: Review
of structure and functions
of brain, limbic system
and abnormal neuro
transmission
 Principles of Mental
Health Nursing practice
 Standards of Mental
Health Nursing practice
 Conceptual models and
the roles of nurse:
 Existential model
 Psycho – analytical
models
 Behavioral models
 Inter personal model
III. 8  Describe Assessment of Mental  Lecture  Short answer
nature, purpose, health status Discussion  Objective
and process of  History taking  Demonstration type
assessment of  Mental status examination  Practice  Assessment
mental health  Mini mental status Session of skills with
nursing examination  Clinical check list
 Neurological Practice
examination: Review
 Investigations: Related
Blood chemistry, EEG,
CT, & MRI
 Psychological Tests
 Role and responsibilities
of nurse
IV. 6  Identify Therapeutic  Lecture  Short answer

therapeutic communication and nurse Discussion  Objective
communication - patient relationship  Demonstration type
techniques  Therapeutic  Role play
 Describe communication:  Process
therapeutic Types, techniques, Recording
relationship characteristics
 Describe  Types of relationship
therapeutic  Ethics and responsibilities
impasse and its  Elements of nurse patient
intervention contract
 Review of technique of
IPR – Johari window
 Goals, phases, tasks,
therapeutic techniques
 Therapeutic impasse and
its interventions
131
Teaching
Activity
V. 14  Explain Treatment modalities and  Lecture  Essay type
treatment therapies used in mental Discussion  Short answer
modalities and disorders  Demonstration  Objective
therapies used  Psycho Pharmacology  Group Work type
in mental  Psychological therapies  Practice
disorders and Therapeutic community, session
role of the nurse psycho therapy –  Clinical
Individual: psycho- practice
analytical, cognitive and
supportive, Family,
Group, Behavioural, Play,
Psycho-drama, Music,
Dance, Recreational and
Light Therapy, Relaxation
Therapies: Yoga,
Meditation, Bio feedback
 Alternative Systems of
Medication
 Occupational Therapy
 Physical Therapy: Electro
Convulsive Therapy
 Geriatric Considerations
Role of nurse in above
therapies
VI. 5  Describe the Nursing management of  Lecture  Essay type

etiology, patients with Discussion  Short
psycho- Schizophrenia, and other  Case Answers
pathology, psychotic disorders. Discussion  Assessment
clinical  Classification: ICD  Case of patient
manifestations,  Etiology, psycho- presentation management
diagnostic pathology, types, clinical  Clinical problems
criteria and manifestation, diagnosis practice
management of  Nursing Assessment-
patients with History, Physical and
Schizophrenia, Mental assessment
and other  Treatment modalities and
psychotic nursing management of
disorders patients with
Schizophrenia and other
psychotic disorders
 Geriatric considerations
 Follow up and home care
and rehabilitation
132
Teaching
Activity
VII. 5  Describe the Nursing management of  Lecture  Essay type
etiology, patients with mood Discussion  Short
psycho- disorders  Case Answers
pathology,  Mood disorders: Bipolar discussion  Assessment
clinical affective disorder, Mania,  Case of patient
manifestations, Depression, and presentation management
diagnostic Dysthymia etc.,  Clinical problems
criteria and  Etiology, psycho – practice
management of pathology, types, clinical
patients with manifestation, diagnosis
mood disorders  Nursing assessment –
History, Physical and
Mental assessment
 Treatment modalities and
nursing management of
patients with mood
disorders
and rehabilitation
VIII. 8  Describe the Nursing management of  Lecture  Essay type

etiology, patients with neurotic, Discussion  Short
psycho- stress related and  Case Answers
pathology, somatization disorders discussion  Assessment
clinical  Anxiety disorders,  Case of patient
manifestations, Phobias, Dissociation and presentation management
diagnostic Conversion disorders,  Clinical problems
criteria and Obsessive Compulsive practice
management of Disorders, Somatoform
patients with disorders, Post Traumatic
neurotic, stress Stress Disorders
related and  Etiology, psycho –
somatization pathology, clinical
disorders manifestations, diagnosis
 Nursing assessment:
Mental assessment
patients with neurotic,
stress related and
somatization disorders
and rehabilitation
IX. 5  Describe the Nursing management of  Lecture  Essay type
etiology, patients with substance Discussion  Short
133
Teaching
Activity
psycho- use disorders  Case Answers
pathology,  Commonly used discussion  Assessment
clinical psychotropic substance:  Case of patient
manifestations, Classification, forms, presentation management
diagnostic routes, action,  Clinical problems
criteria and intoxication and practice
management of withdrawal
patients with  Etiology of dependence:
substance use Tolerance, psychological
disorder and physical dependence,
withdrawal syndrome,
diagnosis
 Nursing assessment:
Mental assessment and
drug assay
 Treatment
(Detoxification, and
abuse, and narcotic
antagonist therapy and
harm reduction) and
patients with substance
use disorders
and rehabilitation
X. 4  Describe the Nursing management of  Lecture  Essay type
etiology, patients with Personality, Discussion  Short
psycho- Sexual and eating  Case Answers
pathology, disorders discussion  Assessment
clinical  Classification of disorders  Case of patient
manifestations,  Etiology, psycho – presentation management
diagnostic pathology, clinical  Clinical problems
criteria and manifestations, diagnosis practice
management of  Nursing assessment:
patients with History, Physical and
personality, Mental assessment
sexual and  Treatment modalities and
eating disorders nursing management of
patients with Personality,
Sexual and Eating
disorders
and rehabilitation
XI. 6  Describe the Nursing management of  Lecture  Essay type
etiology, Childhood and adolescent Discussion  Short
psycho- disorders including mental  Case answers
pathology, deficiency:  Assessment
134
Teaching
Activity
clinical  Classification discussion of patient
manifestations,  Etiology, psycho –  Case management
diagnostic pathology, diagnosis presentation problems
criteria and
management of  Clinical
Nursing assessment: practice
childhood and History, Physical ,Mental
adolescent and IQ assessment
disorders  Treatment modalities and
including
mental
deficiency. childhood disorders
including mental
deficiency.
and rehabilitation
XII. 5  Describe the Nursing management of  Lecture  Essay type
etiology, patients with Organic Discussion  Short
psycho- brain disorders  Case Answers
pathology,  Classification : ICD discussion  Assessment
clinical  Etiology, psycho –  Case of patient
manifestations, pathology, clinical presentation management
diagnostic manifestations, diagnosis  Clinical problems
criteria and and differential diagnosis practice
management of (Parkinson’s and
patients with Alzheimer’s)
organic brain  Nursing assessment:
disorders History, Physical and
Mental assessment
patients with organic
brain disorders
and rehabilitation
XIII. 6  Identify Psychiatric emergencies  Lecture  Short
psychiatric and crisis intervention Discussion Answers
emergencies  Types of psychiatric  Demonstration  Objective
and carry out emergencies and their  Practice type
crisis management Session
intervention  Stress adaptation model:  Clinical
Stress and stressors, practice
coping, resources and
mechanism
 Grief: Theories of
grieving process,
principles, techniques of
counseling
 Types of crisis
 Crisis intervention:
135
Teaching
Activity
principles, techniques and
process
Roles and responsibilities of
nurse
XIV. 4  Explain legal Legal issues in mental  Lecture  Short
aspects applied health nursing Discussion Answers
in mental health  The Mental Health Act  Case  Objective
settings and 1987: Act, Sections, discussion type
role of the nurse Articles and their
implications etc.,
 Indian Lunacy Act 1912
 Rights of Mentally ill
clients
 Forensic psychiatry
 Acts related to narcotic
and psychotropic
substances and illegal
drug trafficking
 Admission and Discharge
procedure
Role and responsibilities of
nurse
XV. 4  Describe the Community Mental  Lecture  Short
model of Health Nursing Discussion Answers
preventive  Development of  Clinical /field  Objective
psychiatry community mental health practice type
 Describe services:  Field visit to  Assessment
community  National Mental Health mental health of the field
Mental Health Programme service visit report
services and  Institutionalization versus agencies
role of nurses De- institutionalization
 Model of Preventive
psychiatry: Levels of
Prevention
 Mental Health services
available at the primary,
secondary, tertiary levels
including rehabilitation
and role of nurse
 Mental Health Agencies:
Government and
Voluntary, National and
International
 Mental Health Nursing
issues for special
populations: Children,
Adolescence, Women,
Elderly, Victims of
violence and abuse,
136
Teaching
Activity
Handicapped, HIV/AIDS,
etc.,

Model Exam 25%
Attendance 5%
Total 100%
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
137
Mental Health Nursing - Practical
Placement: Third Year Time: Practical - 270 Hours
Duration Assessment
Areas Objectives Skills Assignments
(in week) Methods
Psychiatric 1  Assess  History taking  History taking  Assess
OPD patients  Perform mental and Mental performance
with mental Status Status with rating
health Examination Examination -2 scale
problems  Assist in  Health  Assess each
 Observe and psychometric Education – 1 skill with
assist in assessment  Observation check list
therapies  Perform report of OPD  Evaluation of
 Counsel and neurological health
educate examination education
patient and  Observe and  Assessment of
families assist therapies observation
 Teach Patient report
and family  Completion of
members activity record
Child 1  Assessment  History taking  Case work – 1  Assess

Guidance of children  Assist in  Observation performance
Clinic with various psychometric report of with rating
mental assessment different scale
health  Observe and therapies  Assess each
problems assist various skill with
 Counsel and therapies check list
educate  Teach family  Evaluation of
children, and significant the
families and others observation
significant report
others
Inpatient 6  Assessment  History taking  Give care to 2 -  Assess
Ward Patients  Perform mental 3 patients with performance
with mental Status various mental with rating
health Examination disorders scale
problems  Assist in  Case study -1  Assess each
 To provide psychometric  Care plan – 2 skill with
nursing care assessment check list
for patients  Record  Clinical  Evaluation of
with various therapeutic Presentation -1 the case study,
mental communication  Process care plan,
health  Administer recording- 2 clinical
problem medication  Maintain drug presentation,
 Assist in  Assist in Electro book process
various Convulsive recording
therapies Therapy(ECT)  Completion of
 Counsel and  Participate in all activity record
educate therapies
patients,  Prepare patients
138
Duration Assessment
Areas Objectives Skills Assignments
(in week) Methods
families and for Activities of
significant Daily Living
others (ADL)
 Conduct
admission and
discharge
counseling
 Counsel and
teach patients
and families
Community 1  To identify  Conduct case  Case work – 1  Assess

Psychiatry patients work  Observation performance
with various  Identify report on field with rating
mental individuals with visits scale
disorders mental health  Evaluation of
 To motivate problems case work and
patients for  Assist in mental observation
early health camps and report
treatment clinics  Completion of
and follow  Counsel and activity record
up teach family
 To assist in members,
follow up patients and
clinic community
 Counsel and
educate
patient,
family and
community

Total 100%
139
Nursing Research and Statistics
Placement: Third Year Time: Theory-45 Hours
Course Description: The Course is designed to enable students to develop an understanding of

basic concepts of research, research process and statistics. It is further, structured to conduct/
participate in need based research studies in various settings and utilize the research findings to
provide quality nursing care. The hours for practical will be utilized for conducting individual/
group research project.
Activities
I 4  Describe the Research and research process  Lecture  Short
concept of  Introduction and need for Discussion answer
research, terms, nursing research  Narrate steps of  Objective
need and areas  Definition of Research & research process Type
of research in nursing research followed from
Nursing  Steps of scientific method examples of
 Explain the  Characteristics of good published
steps of research research studies
process.  Steps of Research process-
overview
II 3  Identify and Research Problem/Question  Lecture  Short
state the  Identification of problem area Discussion answer
research  Problem statement  Exercise on  Objective
problem and  Criteria of a good research writing Type
objectives problem statement of
 Writing objectives problem and
objectives
III 3  Review the Review of Literature  Lecture  Short
related literature  Location Discussion answer
 Sources  Exercise on  Objective
 On line search; CINHAL, reviewing one Type
COCHRANE etc research report/
 Purposes article for a
 Method of review selected
research
problem
 Prepare
annotated
bibliography
IV 4  Describe the Research approaches and  Lecture  Short
research designs Discussion answer
approaches and  Historical, survey and  Explain types of  Objective
designs experimental research Type
 Qualitative and Quantitative approaches used
designs from examples
of published and
unpublished
research studies
with rationale.
140
Activities
V 8  Explain the Sampling and data collection  Lecture  Short
sampling process  Definition of population, Discussion answer
 Describe the sample, sampling criteria,  Reading  Objective
methods of data factors influencing sampling assignment on Type
collection process, types of sampling examples of data
techniques. collection tools.
 Data –Why, What, from Whom,  Preparation of
When and Where to collect. sample data
 Data collection methods and collection tool.
instruments:  Conduct group
 Methods of data research project.
collection
 Questioning,
interviewing
 Observations, record
analysis and
measurement
 Types of instruments
 Validity & Reliability of
the Instrument
 Pilot study
 Data collection procedure
VI 4  Analyze , Analysis of data  Lecture  Short
Interpret and  Compilation, Tabulation, Discussion answer
summarize the classification,  Preparation of  Objectiv
research data summarization, presentation, sample tables. e Type
interpretation of data
VII 15  Explain the use Introduction to statistics  Lecture  Short
of statistics,  Definition, use of statistics, Discussion answer
scales of scales of measurement.  Practice on  Objectiv
measurement  Frequency distribution and graphical e Type
and graphical graphical presentation of presentations
presentation of data  Practice on
data  Mean, Median, Mode, computation
 Describe the Standard deviation of measures of
measures of  Normal probability and tests central
central tendency of significance tendency,
and variability  Co-efficient of correlation variability &
and methods of  Statistical packages and its correlation
correlation. application
VIII 4  Communicate Communication and utilization  Lecture  Short
and utilize the of Research Discussion answer
research  Communication of research  Read/  Objectiv
findings. findings presentations e Type
 Verbal report of a sample  Oral
 Writing research report published/ presentat
 Writing scientific unpublished ion
article/ paper research  Assessm
− Critical review report. ent of
of published  Writing group group
141
Activities
research research research
− Utilization of project project.
research findings

Model Exam 25%
Attendance 5%
Total 100%
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.
142
Midwifery and Obstetrical Nursing
Placement: Fourth year Time: Theory - 90 hours
Practical – 180
Course Description:
This course is designed for students to appreciate the concepts and principles of midwifery
and obstetrical nursing. It helps them to acquire knowledge and skills in rendering nursing care to
normal and high risk pregnant woman during antenatal, natal and post natal periods in hospitals
and community settings. It also helps to develop skills in managing normal and high risk neonates
and participate in family welfare programme.
Unit Time Learning Content Teaching

(Hrs) Objectives Learning
Activities
I 3 Recognize the Introduction to midwifery and Lecture discussion
trends and obstetrical Nursing
issues in Explain using Charts
midwifery  Introduction to concepts of and graphs
and midwifery and obstetrical
obstetrical Nursing
Nursing  Trends in midwifery and
obstetrical nursing
 Historical perspectives & current
trends
 Legal and ethical aspects in
midwifery
 Preconception care and
preparing for parenthood
 Role of nurse in midwifery and
obstetrical care
 National policies and legislations
in relation to maternal health and
welfare
 Maternal morbidity, mortality
and fertility rates
 Perinatal morbidity and mortality
rates
II 8 Describe the Review of anatomy and physiology Lecture discussion
anatomy and of female reproductive system and Review with Charts
female fetal development and models
reproductive
system  Female pelvis — general
description of the bones joints,
ligaments, planes of the pelvis
diameters of the true pelvis,
important landmarks, and
variations in pelvis shape.
 Female organs of reproduction
- external genitalia, internal
genital organs and their
143
Activities
anatomical relations,
musculature — blood- supply,
nerves, lymphatic, pelvic cellular
tissue, pelvic peritoneum
 Physiology of menstrual cycle
 Human sexuality
 Fetal development
 Conception
 Review of fertilization,
implantation (embedding of
the ovum), Development of
the embryo and placenta at
term — functions,
abnormalities, the fetal sac,
Amniotic fluid, The umbilical
cord
 Fetal circulation, Fetal skull:
bones, sutures and
measurements.
 Review of Genetics
III 8 Describe the Assessment and management of  Lecture discussion

diagnosis and pregnancy (ante-natal) : Normal  Demonstration
management pregnancy  Casediscussion
of women presentation
during  Physiological changes during  Health talk
antenatal pregnancy.  Practice session
period  Counseling session
 Reproductive system
 Cardio vascular system Supervised Clinical
practice
 Respiratory system
 Urinary system
 Gastro intestinal system
 Metabolic changes
 Skeletal changes
 Skin changes
 Endocrine system
 Psychological changes
 Discomforts of pregnancy
 Diagnosis of pregnancy
 Signs
 Differential diagnosis
 Confirmatory tests
 Ante-natal care
 Objectives
 Assessment: History and
physical examination
 Antenatal Examination
 Modalities of diagnostics:
invasive, noninvasive,
144
Activities
ultrasonic, cardio
tomography, NST, CST.
 Signs of previous child-birth
 Relationship of fetus to uterus

and pelvis: Lie, Attitude,
Presentation, Position
pervaginal examination
 Per vaginal examination
 Assessment of fetal well being
 Screening and assessment for
high risk: Risk approach
 Education for child-birth
 Preparation for safe-
confinement
 Psycho-social and cultural
aspects of pregnancy
 Adjustment to pregnancy
 Unwed mother
 Single parent
 Teenage pregnancy
 Sexual violence
 Substance use
 Adoption
IV 12  Describe Assessment and management of  Lecture discussion
the intra-natal period  Demonstration
physiology  Case discussion
and stages  Physiology of labour  Case presentation
 Onset of labour: causes,
of labour  Simulated practice
 Signs and symptoms ,Per
Describe
vaginal examination  Supervised
the Clinical
manageme  Stages of labour practice
nt of  First stage : physiology,
women signs and symptoms,
during Duration, assessment and
intra- natal observation of women in
period labour : partogram, Pain
relief and comfort in labour
 Second stage : physiology,
signs and symptoms,
mechanism of labour,
duration, preparation of
labour room, conduction of
delivery : principles and
techniques, episiotomy
 Third stage : physiology,
145
Activities
signs and symptoms,
Duration, methods of
placental delivery, active
management of third stage of
labour.
 Examination placenta
 Examination of perineum
 Immediate new born care :
receiving the newborn, Care
of umbilical cord, Immediate
assessment, including
screening for congenital
anomalies , Identification,
Bonding, Initiate feeding,
Screening and transportation
of the neonate
 Neonatal resuscitation;
initial steps and subsequent
resuscitation.
 Active management of
labour: Induction of labour
 Pain relief and comfort in
labour
V 5  Describe Assessment and management of  Lecture
the women during post natal period:  Discussion
physiology Normal puerperium  Demonstration
of  Health talk
puerperium  Physiology, Duration &
 Practice
 Describe management
Session
the  Postnatal assessment
manageme  Promoting physical and  Supervised
nt of emotional well-being Clinical practice
women  Post natal diet and exercise
during  Minor disorders of puerperium
postnatal  Lactation management
period  Immunization
 Family dynamics after child-
birth: Family welfare services;
methods, counseling, Follow-up
 Records and reports
VI 6  Describe Assessment and management of  Lecture discussion

the normal neonates  Demonstration
Assessment  Practice Session
 Normal Neonate
and  Supervised
manageme  Physiological adaptation
Clinical practice
nt of  Initial & Daily assessment
normal  Essential newborn care;
neonate Thermal control
146
Activities
 Breast feeding, prevention of
infections, Immunization
 Minor disorders of newborn
and its management
 Levels of Neonatal care
(level I, II, & IlI) At primary,
secondary and tertiary levels
 Maintenance of Reports
and Records
VII 10  Describe High-risk pregnancy -  Lecture
the assessment & management discussion
Identificati  Demonstrate
on and  Screening and assessment: using video
manageme Ultrasonics, cardiotomography, films,scan reports,
nt of NST, CST, non-invasive , invasive partograph etc
women & Newer modalities of diagnosis  Case
with high  Levels of care; primary, secondary discussion/prese
risk and tertiary levels ntation
pregnancy  Disorders of pregnancy  Health talk
 Hyper-emesis gravidarum  Practice Session
 Bleeding in early
 Supervised
pregnancy: abortion, ectopic
Clinical practice
Pregnancy, vesicular mole
 Ante-partum hemorrhage
 Pregnancy induced
hypertension
 Gestational Diabetes Mellitus
 Hydramnios
 Rh incompatibility
 Mental disorders
 Multiple pregnancy
 Abnormalities of placenta and
cord
 Intra-uterine growth-
retardation
 Gynaecological diseases
complicating pregnancy:
Uterine abnormality and
displacement
 Medical and surgical
conditions complicating
pregnancy
 Infections, RTI (STD), UTI,
HIV, TORCH,
 Adolescent pregnancy,
Elderly primi and grand
multipara
 Nursing management of
mothers with high-risk
pregnancy
147
Activities
 Maintenance of Records and
Report
VIII 10  Describe Abnormal Labour – assessment  Lecture discussion

manageme and management  Demonstrate using
nt of video films,scan
abnormal  Disorders in labour reports, partograph
labour And  CPD and contracted pelvis etc
obstetrical  Malpositions and  Case
emergencie malpresentations discussion/prese
s  Premature labour ntation
 Disorders of uterine actions -
 Health talk
precipitate labour , prolonged
 Practice Session
labour
 Supervised
 Complications of third stage:
Clinical practice
injuries to birth canal
 Obstetrical emergencies and their
management
 Presentation and prolapse of
cord,
 Vasa praevia
 Amniotic fluid embolism
 Rupture of uterus
 Shoulder dystocia
 Obstetrical shock
 Obstetrical procedures and
operations
 Induction of labour
 Forceps
 Vacuum
 Version
 Manual removal of placenta
 Cesarean Section
 Destructive operations
 Nursing management of women
undergoing Obstetrical operations
and procedures
IX 4  Describe Abnormalities during Postnatal  Lecture discussion
manageme Periods  Demonstrate using
nt of post video films,scan
natal  Assessment and management of reports, partograph
complicatio woman with postnatal etc
ns complications  Case
 Puerperal infections discussion/prese
 Breast engorgement & UTI ntation
infections
 Health talk
 Thrombo- Embolic disorders
 Post- partum haemorrage
 Eclampsia  Supervised
 Subinvolution Clinical practice
148
Activities
 Psychological complications
 Post partum Blues
 Post partum Depression
 Post partum Psychosis
X 10  Identify the Assessment and management of  Lecture discussion
high risk High risk newborn  Demonstrate using
neonates video films,scan
and their  Admission of neonates in the reports, partograph
nursing neonatal intensive care units- etc
manageme protocols  Case
nt  Nursing management of: discussion/prese
 Low birth weight babies ntation
 Infections  Health talk
 Respiratory problems
 Haemolytic disorders
Supervised Clinical
 Birth injuries
practice
 Malformations
 Monitoring of high risk
neonates
 Feeding of high risk neonates
 Organization and
management of neonatal
intensive care units
 Infection control in neonatal
intensive care units
 Maintenance of reports and
records
XI 4 Describe Pharmaco-therapeutics in  Lecture
indication, obstetrics discussion
dosage, action,  Drug book
side effects and  Indication, dosage, action, contra  Drug presentation
nurses indication and side effects of
responsibilities drugs
in the  Effect of drugs on pregnancy,
administration labour & puerperium,
of drugs used  Nursing responsibilities in the
for mothers administration of drug in
Obstetrics
 Oxytocins
 Antihypertensives
 Diuretics
 Tocolytic Agents
 Anti Convulsants
 Analgesics and anesthetics in
obstetrics.
 Effects of maternal medication on
foetus and neonate
XII 10  Appreciate Family Welfare Programme  Lecture
the discussion
Importance of Population trends and problems in  Demonstration
149
Activities
family India  Practice session
welfare  Supervised
programme Concepts, aims, importance and practice Group
history of family welfare programme project
 Describe
the National Population: dynamics, policy  Counseling session
and education Field visits
Methods
contraception National family welfare programme;
and role of RCH, ICDS, MCH, Safe motherhood
nurse in
Organization and administration at
Family welfare national, state, district, block and
programme village levels
importance of
methods of Methods of contraception; spacing,
family welfare temporary and permanent, Emergency
contraception
Infertility and its management
Latest research in contraception
Maintenance of vital statistics
Role of national, international and
voluntary organizations
Role of a nurse in family welfare
programme
Training / Supervision / Collaboration
with other functionaries in community
like ANMs. LHVs, Anganwadi
workers, TBAs (Traditional birth
attendant - Dai)
150
151
Midwifery and Obstetrical Nursing- Practical
Placement: Fourth year Practical: 180 hours (Fourth year)

on in methods
Weeks
Antenatal 1 Assessment of  Antenatal history taking *Conduct  Verification
clinic/ pregnant  Physical examination, Antenatal of findings
OPD women Recording of Weight & Examinations of Antenatal
B.P Hb.& Urine testing for 30 examinations
sugar and albumin  Completion
Health talk – I
 Antenatal examination- of casebook
 abdomen and breast Case book recordings
 Immunization recordings
 Assessment of risk status
 Teaching antenatal mothers
 Maintenance of Antenatal
records
Labour 2  Assessment of Woman in *Conduct normal  Assessment of
room labour deliveries – 20 clinical
O.T.  Per vaginal examinations performance
and interpretation *Per vaginal with rating
 Assess examinations-5
woman in Monitoring and caring of scale
*Perform and  Assessment of
labour woman in labour
 Maintenance of partograph each skill
 Carry out Suture the
 Conduct normal delivery
pervaginal episiotomies – 5 With
 Newborn assessment and checklists
examination
immediate care *Resuscitate Completion of
s
Resuscitation of newborns newborns – 5 Case book
 Conduct
 Assessment of risk status of recordings
normal *Assist with
newborn
deliveries
 Episiotomy aid suturing Caesarean
 Perform  Maintenance of labour and Sections – 2
episiotomy birth records
and suture it  Arrange for and assist with *Witness
 Resuscitate Cesarean section and care abnormal
newborns for woman& baby during deliveries – 5
 Assist with Cesarean
Cesarean Assist with MTP
 Arrange for and assist with and other
Sections MTP and other surgical Surgical
 MTP and procedures
other procedures –
surgical Case book
procedures recordings
Postnatal 1  Examination and  Case  Assessment

 Provide assessment of mother and presentation - of clinical
152
ward nursing care Baby 1 performance
to post natal Identification of deviations  Case book  Assessment
mother and  Care of postnatal mother recordings of each skill
baby and baby  Give care to With
 Counsel and  Perineal care Post natal - checklists
teach Lactation. Management mothers – 20  Completion
mother and  Breast feeding  Health talks-I of Case book
family for  Babybath  Case study —  Recording
parent hood  Immunization, Teaching 1  Evaluation
postnatal mother: of case study
 Mother craft and
 Post natal care & presentation
Exercises and health
 Immunization education
sessions
Newborn 1  Provide  Newborn assessment  Case study-1  Assessment
nursing care  Admission of neonates  Observation of clinical
Nursery to newborn  Feeding of neonates at risk study -1 performance
at risk  Katori spoon, paladi, tube Assessment
feeding, total parenteral of each skill
nutrition With
 Thermal management of checklists
neonates-kangaroo mother Evaluation
care, care of baby in of
incubator observation
 Monitoring and care of study
neonates Administering
medications
 Intravenous therapy
 Assisting with diagnostic
procedure
 Assisting with exchange
transfusion
 Care of baby on ventilator
 Phototherapy
 Infection control protocols
in the nursery
 Teaching and counseling of
parents
 Maintenance of Neonatal
records
Family 1  Counsel for  Counseling technique  IUD insertion-  Assessment
Planning and provide  Insertion of IUD 5 of each skill
Clinic family  Teaching on use of family  Observation With
welfare planning methods Study-1 checklists
services  Arrange for and Assist with  Counseling- 2  Evaluation
family planning operations  Simulation of and
Maintenance of records and exercise on observation
reports recording and study
reporting - 1
153
Essential Requirements for registration as midwife
 Antenatal examination : 30
 Conducting normal deliveries in Hospital/home/health centre : 20
 Vagina! Examination : 5
 Episiotomy and suturing : 5
 Neonatal resuscitation : 5
 Assist with Cesarean Section : 2
 Witness/Assist abnormal deliveries : 5
 Postnatal cases nursed in hospital/home/health centre : 20
 Insertion of IUD : 5
Note: All casebooks must be certified by teacher on completion of essential requirements

Total 100%
154
Community Health Nursing - II
Placement – Fourth Year Time: Theory- 90 hours
Practical - 330 hours
Course Description: This Course is designed for students to practice community health nursing
for the individual, family and groups at both urban and rural settings by using concept and
principles of health and community health nursing.

Activities
I 4  Define concepts, Introduction  Lecture
scope, principles  Definition, concept & scope of discussion
and historical community Health and
development of community Health Nursing
community  Historical development of
Health and Community health
community Community health Nursing.
Health Nursing - Pre Independence
- Post Independence
II 6  Describe health Health planning and policies and  Lecture

plans, policies, problems discussion
various health  National health planning in  Panel
committees and India - Five Year Plans discussion
health problems  Various committees and
in India. commissions on health and
family welfare, Central council
for health and family welfare
(CCH and FW)
 NRHM, NUHM, MDG, SDG
 National Health Policy (1983,
2002)
 National population policy
 Health problems in India
 Recent health policies
III 15  Describe the Delivery of community health  Lecture
system of services discussion
delivery of  Planning, budgeting and  Visits to
community material management of SCs, various health
health services in PHC and CHC delivery
rural and urban  Programme management systems
areas including supervision and  Supervised
 List the functions monitoring. field practice
of various levels  Ayushman Bharath
155
Activities
and their staffing  Rural: Organization, staffing  Panel
pattern and functions of rural health discussion
 Explain the services provided by
components of government at:
health services - Village
 Describe - Sub centre
alternative - Primary health centre : Concept
systems of health of Health and Wellness centre
promotion and - Community health centre / sub
health divisional
maintenance - Hospitals - District, State &
 Describe the Centre.
chain of referral  Urban: Organization, staffing
system. and functions of urban health
services provided by
government at:
- Slums
-Dispensaries
- Maternal and child health
centres
- Special Clinics
- Hospitals
- Corporation / Municipality /
Board.
 Components of health services
o Environmental sanitation
o Health education
o Vital statistics
o M.C.H - antenatal, natal,
postnatal, MTP Act, female
feticide act, child adoption
act.
o Introduction to Rashtreeya
Balsuraksha Karyakram
(RBSK)
o Mother and child tracking
system
o Safe birth checklist
o Postpartum visits by health
worker
o Family welfare
o National health programmes
o School health services
156
Activities
o Occupational health
o Defense services
o Institutional Services.
 System of Medicine and health
care Allopathy
o Indian System of Medicine and
o Homeopathy
o Alternative health care systems
like yoga, meditation, social and
spiritual healing etc.
Referral system.
IV 25 Describe Community health nursing  Lecture
Community Health approaches, concepts and roles discussion
Nursing approaches and responsibilities of nursing  Demonstration
and Describe the personnel.  Practice
roles and  Approaches session
responsibilities of - Nursing theories and Nursing  Supervised
Community health process field practice
nursing personnel. - Epidemiological approach  Participation in
- Problem solving approach camps
- Evidence based approach  Group Project
- Empowering people to care
for themselves
 Concepts of Primary Health
Care:
- Equitable distribution
- Community Participation
- Focus on prevention
- Use of appropriate
technology
- Multi-sectoral approach
 Roles and responsibilities of
Community health nursing
personnel in
- Family health services
- Information Education
Communication (IEC)
- Management information
(MIS)
- Maintenance of Records &
Reports
- Training and supervision of
various categories of health
157
Activities
workers
- National Health programmes
- Environmental sanitation
- Maternal and Child health
and family welfare
- Organization of labour room
- Treatment of minor ailments
- School Health Services
- Occupational Health
- Organization of clinics,
camps: Types, Preparation,
Planning, Concept, conduct
and evaluation
- Waste management in the
centre , clinics etc.,
- Home visit: Concept,
Principles, Process,
Techniques: Bag technique
home visit.
 Qualities of Community Health
Nurse – Behavioral change,
Communication & Soft skill
 Job description of Community
health nursing personnel.
 Middle level health provider-
Roles & Responsibilities
V 15 Describe and Assisting individuals and groups  Lecture
appreciate the to promote and maintain their discussion
activities of health.  Demonstration
community health  Empowerment for self care of  Practice
nurse in assisting individual, families and groups session
individuals and in –  Supervised
groups to promote - Diagnosing & Treatment skills field practice
and maintain their using SOP’s  Individual /
health A. Assessment of self and family group / family /
Monitoring growth and Community
development health
- Mile stones education.
- Weight measurement
- Social development
- Temperature and Blood pressure
monitoring
- Menstrual cycle
158
Activities
- Breast self examination and
testicles
- Warning signs of various
diseases
- Tests: Urine for sugar and
albumin, blood sugar
B. Seek health services for
- Routine checkup
- Immunization
- Counseling
- Diagnosis
- Treatment
- Follow up
C. Maintenance of Health Records
for self and family
D. Continue medical care and
follow up in community for
various diseases and disabilities
E. Carryout therapeutic procedures
as prescribed / required for self
and family – Drug Dispensing
F. Waste Management
- Collection and disposal of waste
at home and community
G. Sensitize and handle social
issues affecting health and
development for self and family
- Social Mobilization
- Women Empowerment
- Women and child abuse
- Abuse of elders
- Female feticide
- Commercial sex workers
- Food adulteration
- Substance abuse
H. Utilize community resources for
self and family
- Trauma services
- Old age homes
- Orphanage
- Homes for physically and
mentally challenged individuals
- Homes for destitute .
159
Activities
VI 20  Describe National National health and family welfare  Lecture
health and family programmes and the role of a discussion
welfare nurse.  Participation in
 National ARI Programme
programmes and National
 Revised National Tuberculosis
role of a nurse. Programme
(RNTCP)
 Describe various  National Anti-Malaria  Field visits
health schemes in Programme
India.  National Filaria control
programme
 National Guinea worm
eradication programme
 National Leprosy eradication
programme
 National AIDS control
programme
 STD control programme
 National programme for control
of blindness
 Iodine deficiency disorder
programme
 Expanded programme on
immunization
 National family welfare
programme historical
development, organization,
administration, Research,
constraints
 National water supply and
sanitation programme
 Minimum Need programme
 National Diabetics control
programme
 Polio Eradication: Pulse Polio
Programme
 National cancer control
Programme
 Yaws Eradication Programme
 National Nutritional Anemia
prophylaxis programme
 20 point programme
 ICDS programme
 Mid-day meal applied nutritional
programme
 National mental health
programme
 Health schemes
- ESI
160
Activities
- CGHS
- Health insurance, other
schemes
 Recent health programmes.
VII 5  Explain the roles Health Agencies  Lecture

and functions of  International - WHO,UNFPA, discussion
various national UNDP, World Bank, FAO,  Field visits
and international UNICEF, DANIDA, European
health agencies Commission (EC). Red cross,
USAID, UNESCO,Colombo
Plan, ILO,CARE etc.
 National - Indian Red Cross,
Indian Council for child welfare,
Family Planning Association of
India (FPAI), Tuberculosis
Association of India, Hindu Kusht
Nivaran Sangh, Central Social
Welfare Board, All India
Women's conference, Blind
Association of India etc.
161
Community Health Nursing - II - Practical
Placement –Fourth Year Time: Practical - 330

Hours
Areas Duration Objectives Skills Assignments Assignmen

( in week) Method
Commu 1 week for  Identify  Community health survey  Community  Assess
nity urban ,4 community  Community diagnosis survey report clinical
Health week for profile  Family care: Home –1 performan
Nursing rural  Identify prevalent adaptation of common  Family care ce with
communicable procedures study – 1 rating
and non-  Home visit: Bag technique  Project-1 scale
communicable  Organize and conduct Health talk-1  Evaluatio
diseases clinics antenatal, postnatal,  Case book of
 Diagnose health well baby clinic, camps etc. recording communi
needs of  Screen manage and y survey
Individual, referrals for: report,
families and o High risk mothers and family
community neonates care study
 Plan, provide and o Accidents and project an
evaluate care. emergencies health talk
 Participate o Illnesses: Physical and  Completio
school health mental n of case
programme o Disabilities book
 Participate in  Conduct delivery at centre / recording
National health home: episiotomy and
programmes suturing
 Organize group  Resuscitate newborn
for self help and  School health programme
involve clients in o Screen, manage, refer
their own health children
activities  Collaborate with health and
 Provide family allied agencies
welfare services  Train and supervise health
 Counsel and workers
162
Areas Duration Objectives Skills Assignments Assignmen
( in week) Method
educate  Provide family welfare
Individual, services: insertion of IUD
family and  Counsel and teach
community individual, family and
 Collect Vital community about: HIV,TB,
health statistics Diabetes, hypertension,
 Maintain Mental health, adolescents,
Records & elderly health, physically,
Reports physically and mentally
challenged individuals etc.
 Collect and calculate Vital
health statistics
 Document and maintain.
o Individual, family and
administrative records.
o Write reports-center,
disease, national health
programme / projects.

Total 100%
163
Management of Nursing Services and Education
Placement – Fourth Year Time: Theory – 90 hours
Practical - 25
Course Description: The course is designed to enable to student to acquire understanding of

management of clinical and community health nursing services, Nursing Educational programme.
This is also designed to enable students to acquire understanding of the professional
responsibilities, prospects and contribution to the growth of the profession.
Time Teaching
(Hrs) Learning
Objectives
Th. Pr. Activities
I 4  Explain the Introduction to Management  Lecture
principles in Nursing:- Discussion
and  Definition, Concepts &  Explain
functions of theories. using
management  Functions of Management. organizatio
.  Principles of Management. n chart
 Role of a Nurse as a
Manager.
II 5  Describe the Management Process:-  Lecture
elements  Planning; mission, Discussion
and process Philosophy, Objectives &  Simulated
of Operational plan. Exercises
management  Staffing: - Philosophy staffing  Case
study, norms, activities, studies
patient Classification system,
Scheduling.
 Human resources,
Management; recruiting,
selecting, development,
retaining, Promoting, Super
annuation etc.
 Budgeting: - Concept,
Principles, types cost, benefit
analysis and audit.
 Material Management: -
Equipment & Supplies
 Directing (Leading) Process.
 Controlling: - Quality
Management.
 Program evaluation Review
Technique (PERT), Bench
marking, Activity Plan (Gantt
Chart)
III 8 20  Describe the Management of Nursing  Lecture
management Services in the Hospital & Discussion
of nursing Community  Demonstra
services in  Planning: - tion
164
the hospital  Hospital & Patient care units  Simulated
and including ward management. Exercises
community  Emergency & Disaster  Case
Management. studies
 Human Resource  Supervise
Management: practice in
 Recruiting selecting, ward –
development superannuation writing
etc. indents,
 Categories of nursing preparing
personnel including job, duty
description of all levels. roaster,
 Patient / Population ward
Classification Systems supervisio
 Patient / Population n
assignment & Nursing care  Assignmen
responsibilities. t on duties
 Staff development & well and
fare. responsibil
 Budgeting proposal, ities of
projecting requirements for ward sister
staff, equipment and supplies  Writing
for report
 Hospital & Patient care units.
 Emergency and disaster
Management.
 Material Management;
procurement, inventory
control, auditing and
maintenance in:
 Hospital & Patient care units.
 Emergency and disaster
Management.
 Directing & Leading: -
Delegation, Participatory
Management.
 Assignments, Rotations,
delegation,
 Supervision & Guidance.
 Implement standards, Polices,
Procedures & Practices.
 Staff Development & Welfare.
 Maintenance of Discipline.
 Controlling: -
 Nursing rounds / Visits,
Nursing protocols manuals.
 Quality Assurance model,
Documentation.
 Records & reports
performance appraisal.
165
IV 5   Describe the Organizational Behavior and  Lecture
concepts, Human Relations:- Discussion
theories and  Role Plays
techniques  Concept and theories of  Group
of Organizational Behaviors. games
organization  Review of Channels of  Self
al behavior Communication. assessment
and human  Leadership styles.  Case
relations.  Review of Motivation discussion
concepts and theories  Practice
 Group dynamics session
 Techniques of:
 Communication and
 Interpersonal relationships.
 Human Relations
 Public Relations in Context
of Nursing.
 Relations with Professional
associations & employees
Unions & Collective
bargaining.
V 5 5  Participate In service Education:-  Lecture
in planning Discussion
and  Nature & Scope of in service  Plan and
organizing education program. conduct an
in service  Organization of in service educationa
education education. l session
program.  Principles of adult learning. for in
 Planning for in service service
education program; nursing
techniques, Methods & personnel
Evaluation of staff education
programme
 Preparation of Report.
VI 10   Describe Management of Nursing  Lecture
management educational institutions Discussion
of nursing  Establishment of Nursing  Role plays
educational Educational institution INC  Counseling
institutions norms and guidelines. session
 Co – ordination with:-  Group
 Regulatory bodies Exercises
 Accreditation
 Affiliation
 Philosophy / Objectives
 Organization
 Structure
 Committees
 Physical Facilities
 College / School
 Hostel,
 Student
166
 Selection
 Admission
 Guidance & Counseling
 Maintaining discipline
 -faculty and Staff.
 Selection
 Recruitment
 Job description
 Placement,
 Performance appraisal
 Development & Welfare
 Budgeting.
 Equipment & Supplies A.V.
Aids, books, Laboratory
equipment, books, Journals
etc.
 Curriculum; Planning,
implementations &
Evaluation.
 Clinical Facilities
 Transport Facilities
 Institutional Records &
reports Administrative,
Faculty, Staff & Students.
VII 10   Describe the Nursing as a Profession:-  Lecture
ethical and Discussion
legal  Nursing as a Profession.  Case
responsibilit  Philosophy; Nursing practice discussion
ies of a  Aims & Objectives  Panel
professional  Characteristics of discussion
nurse; Professional Nurse.  Role plays
 Explain the  Regulatory bodies; INC, SNC  Critical
nursing Acts;- constitution, functions incidents
practice  Current trends and issues in  Visit to
standards. Nursing INC /
 Professional ethics SNRCs
 Code of ethics; INC, ICN
 Code of Professional conduct;
INC, ICN
 Practice Standards for
Nursing, INC
 Consumer Protection act.
 Legal Aspects in Nursing.
 Legal terms related to
practice, registration &
Licensing.
 Laws related to Nursing
Practice, Breach and penalties.
 Malpractice and Negligence.
167
VIII 3  Explain the Professional Advancement:-  Lecture
various  Continuing Education Discussion
opportunitie  Career Opportunity  Review /
s for  Collective bargaining Presentation
professional  Membership with of published
advancemen Professional, Organizations, articles
t. national & International.  Group work
 Participation in research on
activities. maintenance
 Publications, Journals, News of bulletin
Papers etc. board
168
VIII. Integrated Nursing Training (INTERNSHIP)
S. No Subject In weeks Practical (In hrs)
1 1. Midwifery and Obstetrical Nursing 9 432

.
2. Community Health Nursing – II 4 192
3. Medical Surgical Nursing 5 240

(Adult and Geriatric)
4. Child Health Nursing 3 144
5 5. Mental Health Nursing 2 96

.
6 6. Research Project* 1 45
.
Total 24 1150
*project work to be carried out during internship
1. MIDWIFERY AND OBSTETRICAL NURSING Duration- 432 Hours (9

weeks)
Areas Duration in Objectives Skills Assignments Assessment
weeks methods
 Labour Ward 3 Provide Integrated  Completion Assess clinical

 Neonatal comprehensive practice of other performance
intensive 1 care to mothers essential with rating
care unit and neonates requirements scale
 Antenatal 2  Case book
Completion of
 Postnatal 3 recordings
case book
recordings
2. COMMUNITY HEALTH NURSING-II Duration:192 Hours

(4weeks)
Areas Duration Objectives Skills Assessment
( in week)
Urban 2 weeks  Provide  Integrated practice  Assess clinical
comprehensive care and group project-1 performance with
to individual, family in each rural and rating scale
and community urban  Evaluation of project.
Rural or 2 weeks  Provide  Integrated practice  Assess clinical
urban comprehensive care as MLHP performance with
PHC / to individual, family rating scale.
SC / and community as
CHC  Completion of log
MLHP
book.
Note: During the rural posting they should stay in health centers under the supervision of
teachers.
169
MIDDLE LEVEL HEALTHCARE PROVIDER ( MLHP)
TOPICS INCORPORATED
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 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
 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.
170
3. MEDICAL SURGICAL NURSING Duration: 240 Hours (5
weeks)
Area Duration Objective Skills Assessment

(in weeks)
Medical ward 1 Provide Integrated Assess clinical
comprehensive practice performance with
care to patients rating scale
Surgical ward 1 with medical and
surgical
conditions
Critical care 1 including
unit/ICCU emergencies
Casualty/ 1
Emergency
Operation theatre 1 Assist with

(Eye, ENT, common
Neuro) operations
4. CHILD HEALTH NURSING Duration: 144 Hours

(3weeks)
Area Duration Objective Skills Assessment

(weeks)
Paediatric 1  Provide  Integrated  Assess clinical
medicine comprehensive care practice performance with
ward/ICU to children with rating scale
medical conditions
Paediatric surgery 1  Provide  Integrated  Assess clinical
ward /ICU comprehensive care practice performance with
to children with rating scale
surgical conditions
NICU 1  Provide intensive  Integrated  Assess clinical
care to neonates practice performance with
rating scale
MENTAL HEALTH NURSING Duration: 96 Hours

(2weeks)
Areas Duration Objectives Skills Assessment

Psychiatry Ward 2 Weeks Provide comprehensive Integrated Assess clinical
care to patients with practice performance with
mental health problems rating scale
6. RESEARCH PROJECT Duration: 45 Hours (1week)
171
X. APPENDICES
1. QUESTION PAPER PATTERN:
B.Sc. (Nursing) DEGREE EXAMINATION
I YEAR
ALL NURSING SUBJECTS
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.
172
I YEAR
ANATOMY & PHYSIOLOGY
SECTION A (ANATOMY) – 37 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 two) 2 X 5 = 10

3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
SECTION B (PHYSIOLOGY ) –38 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)
V Short notes (Answer any three) 3 X 5 = 15

15.
16.
17.
18.
19.
VI Short answers (Answer all) 4X2=8
20.
21.
22.
23.
173
II - YEAR
NUTRITION AND BIOCHEMISTRY
SECTION A (NUTRITION) – 45 marks

1. a) (7 marks)
b) (8 marks)
2. a) (7 marks)
b) (8 marks)
II Short notes (Answer any four) 4 X 5 = 20
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
SECTION B (BIOCHEMISTRY) – 30 marks

IV. Essay Questions (Answer any one) 1 X 10 = 10
14. a) (5 marks)
b) (5 marks)
15. a) (5 marks)
b) (5 marks)
V Short notes (Answer any two) 2 X 5 = 10

16.
17.
18.
19.
VI Short answers (Answer all) 5X 2 = 10
20.
21.
22.
23.
24.
174
I YEAR
MICROBIOLOGY
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.
Short answers (Answer all) 10 X 2 = 20
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
175
II - YEAR
PHARMACOLOGY, PATHOLOGY AND GENETICS

SECTION A (PHARMACOLOGY) – 38 marks
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) 4X2=8
8.
9.
10.
11.
SECTION B (PAHOLOGY & GENTICS) – 37 marks

IV. Essay Questions - Pathology (Answer any one) 1 X 10 = 10
12. a) (5 marks)
b) (5 marks)
13. a) (5 marks)
b) (5 marks)
V Short notes (Answer any three) 3 X 5 = 15

14. Pathology
15. Pathology
16. Genetics
17. Genetics
18. Genetics
VI Short answers (Answer all) 6 X 2 = 12
19. Pathology
20. Pathology
21. Pathology
22. Pathology
23. Pathology
24. Genetics
176
III - YEAR
RESEARCH AND STATISTICS
SECTION A (RESEARCH) – 50 marks
I Essay Questions (Answer any Two) 2 X 15 =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 two) 2 X 5 = 10

4.
5.
6.
7.

8.
9.
10.
11.
12.
SECTION B (STATISTICS) – 25 marks
IV. Essay Questions (Answer any one) 1 X 15 = 15
13. a) (5 marks)
b) (5 marks)
14. a) (5 marks)
b) (5 marks)
V Short notes (Answer any two) 2 X 5 = 10
15.
16.
17.
18.
177
GUIDELINES TO OPEN B.SC.(N) College OF NURSING
(ADOPTED FROM INC WEBSITE)
1. The following Establishments / Organizations are eligible to establish / Open a B.Sc.

(N) College of Nursing.
a. Central Government/State Government/Local body;
b. Registered Private or Public Trust;
c. Organizations Registered under Societies Registration Act including Missionary
Organizations;
d. Companies incorporated under section 8 of Company’s Act;
2. The eligible Organizations / Establishments should have their own 100 bedded Parent
Hospital. Provided that in respect of Tribal and Hilly Area the requirement of own Parent
Hospital is exempted.
 Tribal area – Scheduled notified area; [Areas as the President of India may
by order declare to be Scheduled Areas;]
 Hilly area – North East States, Jammu &Kashmir, Himachal Pradesh & Uttarakhand.
3. The eligible Organizations / Establishments should obtain Essentiality Certificate /
No objection Certificate from the concerned State Government where the B.Sc (N) College
of Nursing is sought to be established. The particulars of the name of the College / 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.
4. After receipt of the Essentiality Certificate/ No objection Certificate, the eligible institution
shall get recognition from the concerned State Nursing Council for the B.Sc. (N)
programme for the particular Academic Year, which is a mandatory requirement.
5. 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.
Minimum Requirement to establish B.Sc. (N) Programme
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:
178
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.
 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 four classrooms 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.
179
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.
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.
180
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 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.
181
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.
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.
182
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.
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.
183
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.
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
VI. NURSING TEACHING FACULTY

Qualifications & experience of teachers of college of Nursing
S. POST, QUALIFICATION & EXPERIENCE

NO.
1. Principal cum Professor- 15 years experience with 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- 12 years experience with

M.Sc.(N) out of which 10 years should be teaching experience
with minimum of 5 years in collegiate programme.
3. Professor- 10 years experience with M.Sc.(N) out of which 7 years should be

teaching experience.
4. Associate Professor- M.Sc. (N) with 8 years experience including 5 years
teaching experience
Ph.D.(N) desirable
5. Assistant Professor- M.Sc. (N) with 3 years teaching experience
Ph.D.(N) desirable
6. Tutor- M.Sc.(N) Or B.Sc.(N)/P.B.B.Sc.(N) with 1 year experience
184
S. Designation B.Sc.(N) B.Sc.(N)
No. 40-60 1-100
(Students intake) (Students intake)
1 Principal 1 1
2 Vice-Principal 1 1
3 Professor 0 1
4 Associate Professor 2 4
5 Assistant Professor 3 6
6 Tutor 10-18 19-28
Principal is excluded for 1:10 teacher student ratio norms (Teacher) Tutor student ratio will be
1:10
(For example for 40 students intake minimum number of teacher required is 17 including
Principal. The strength of tutors will be 10, and 6 will be as per sl. No.02 to 05)
S. Designation B.Sc.(N) P.B.B.Sc.(N)

No. 40-60 20-60
(students intake) (students 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
Sl. Designation B.Sc.(N) P.B.B.Sc.(N) M.Sc.(N)

No. 40-60 (students 20-60 10-25
intake) (students (students
intake) intake)
1 Professor cum 1
PRINCIPAL
2 Professor cum 1
VICE- PRINCIPAL
3 Professor 0 1
4 Associate Professor 2 1
5 Assistant Professor 3 2 3*
6 Tutor 10-18 2-10
*1:10 teacher student ratio for M.Sc.(N) if B.Sc. (N) is also offered by the institution.
*Candidates having 3 years experience after M.Sc. (N) only will be
considered for M.Sc. (N) programme.
185
Sl. Designation GNM B.Sc.(N) P.B.B.Sc.(N) M.Sc.(N)
No.
1 Professor cum 20-60 1
40-60 20-60 10-25
PRINCIPAL
2 Professor cum 1
VICE- PRINCIPAL
3 Professor 0 1*
4 Associate Professor 2 1*
5 Assistant Professor 3 2 3*
6 Tutor 6-18 10-18 2-10
Considered for M.Sc. (N) programme.
Sl. Designation ANM GNM B.Sc.(N) P.B.B.Sc.(N) M.Sc.(N)

No. 20-60 20-60 40-60 20-60 10-25
1 Professor cum 1
PRINCIPAL
2 Professor cum 1
VICE- PRINCIPAL
3 Professor 0 1*
4 Associate 2 1*
Professor
5 Assistant 3 2 3*
Professor
6 Tutor 4-12 6-18 10-18 2-10
considered for M.Sc. (N) programme.
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)
186
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.
 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
187
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/Affiliate d 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 INC regulations as required.

*** END ***
188
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SYLLABUS AND REGULATIONS

2018 – 2019 Revised

17. Community Health Nursing – I 97

18. Community Health Nursing – I Practical 103

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

Undergraduate nursing program is broad based education within an academic framework

 Prepare graduates to assume responsibilities as professionals, competent nurses and

IV. COURSE OUTCOME:

V. REGULATIONS OF THE UNIVERSITY

These regulations shall be called “THE REGULATIONS FOR THE BACHELOR OF

3. DURATION OF THE COURSE AND COURSE OF STUDY:

5. MINIMUM WORKING DAYS IN AN ACADEMIC YEAR:

7. ATTENDANCE REQUIRED FOR APPEARING EXAMINATION:

8 . CONDONATION FOR LACK OF ATTENDANCE:

Weightage for Internal Marks

Criteria Weightage Marks rounded Marks rounded

Internal assessment for Practical: (100 Marks/ 50 Marks)

Criteria Weightage Marks rounded

On Completion of Internship, Internal Assessment out of 100 marks should be sent

S. No Subject Theory hrs Practical hrs Total

S. No Subject In weeks Practical (In hrs)

Total Hours =1149+585=1734

*project work to be carried out during internship

• Students during internship will be supervised by nursing teachers.

 For all the single subjects:

 For all combined subjects:

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

Time Learning Teaching Learning Assessment

 Develop ability Read and comprehend  Exercise on:  Short

 Develop writing  Various forms of  Exercise on  Assessment

Develop skill in  Spoken English  Exercise on:  Assessment

 Listening  Exercise on:  Assessment

Internal assessment: (50 Marks- Refer to regulations)

Three Unit test marks 45%

 Describe the The Skeletal System  Lecture  Short

 Describe the The Respiratory System  Lecture  Short

Internal assessment: (25 Marks-Refer to regulations)

Three Unit test marks 45%

VI 6  Describe the The Respiratory System  Lecture  Short

Three Unit test marks 45%

1. Sembulingam (K), Essentials of Medical Physiology, J.P.Brothers Publications, New

5. Thibodeau (GA), Anthony’s Textbook of Anatomy & Physiology, Elsevier, 18th

X 7 5 Balanced Diet  Lecture  Short

XI 4  Describe Role of nurse in nutritional  Lecture  Short

Three Unit test marks 45%

Unit Time Objectives Content Teaching Assessment

Internal assessment: (25 Marks- Refer to regulations)

Three Unit test marks 45%

Unit Time Learning Objective Content Teaching Assessment

XII 40  Explain the Administration of  Lecture  Essay type

Internal assessment for theory : (25 Marks-Refer to regulations)

Three Unit test marks 45%

1. Potter & Perry, Fundamentals of Nursing, Elsevier, 6th Edition.

(200 lab and 450 clinical)

Area Time Objective Skills Assignments Assessment

 Chest physiotherapy and

Care of Chest drainage

 CPR - Basic life

 Provide care Perform following