SISTER NIVEDITA GOVERMENT NURSING COLLEGE

IGMC SHIMLA

SUBJECT: NURSING EDUCATION

COURSE PLAN OF
MSc NURSING

SUBMITTED TO: SUBMITTED BY:

MRS. SANGEETA SHARMA MISS. DEEPALI SHARMA
LECTURER M. Sc. NURSING 1ST YEAR
MEDICAL SURGICAL NURSING S.N.G.N.C, IGMC SHIMLA
S.N.G.N.C, IGMC SHIMLA

SUBMITTED ON: / /2023

 COURSE PLAN
Course planning refers to planning course of instruction. In curriculum planning, there were keys to successful teaching and good planning. It
severs as a guideline for the teacher as well as for the students in creating for the students in creating the atmosphere conductive for worthwhile
learning and purposeful activities.
A course plan may be defined as a complete series of studies leading to graduation or a degree as in the case of BSc. Nursing to graduation or a
degree as in the case of BSc. Nursing course requiring completion of several short courses.

PURPOSES OF COURSE PLANNING

• To ensure autonomy.
• It gives stability.
• It helps to solve the problem.
• It supports the curriculum process.
• It secures future progress.
• It brings about improvements.
• It promotes utilization of resources.

M.Sc. Nursing or Master of Science in Nursing is a postgraduate Academic Nursing course. The Course deals with the healthcare profession
focused on the care of individuals, families, and communities so they may attain, maintain, or recover optimal health and quality of life from
conception to death. The duration of M.Sc. in Nursing is mostly of two academic years. The Course is available both in full time and a part-time
basis.
It is observed that there is an acute shortage of nursing faculty in under graduate and post graduate nursing programme in India. Indian Nursing
Council believes that:
• Post Graduate programme is essential to prepare nurses to improve the quality of nursing education and practice in India. .
• Post graduate programme in nursing builds upon and extends competence acquired at the graduate levels, emphasizes application of relevant
theories into nursing practice, education, administration and development of research skills.
• The programme prepares nurses for leadership position in nursing and health fields who can function as nurse specialists, consultants, educators,
administrators and researchers in a wide variety of professional settings in meeting the National priorities and the changing needs of the society.
• This programme provides the basis for the post-masteral programme in nursing. Further the programme encourages accountability and
commitment to life-long learning which fosters improvement of quality care.

Duration
Duration of the course is 2 years for M.Sc. (N)
Available 52 weeks
Vacation 4 weeks
Examination 2 weeks
Gazetted holidays 3 weeks
Total weeks available 43 weeks
40 hours per week 1720 hours
Total hours for 2 years 3440 hours
Course of Instruction
1st year Theory hours Practical hours
Nursing education 150 150
Advance nursing practice 150 200
Nursing Research and statistics 150 100
*Clinical specialty –I 150 650
Total 600 1100

2nd Year Theory hours Practical hours

Nursing Management 150 150
Nursing Research(Dissertation) 300
 *Clinical Specialty-II 150 950
Total 300 1400

Practical

• 4 hours of practical examination per student.

• Maximum number of 10 students per day per specialty.
• The examination should be held in clinical area only for clinical specialties
• One internal and external should jointly conduct practical examination
• Examiner – Nursing faculty teaching respective specialty area in M.Sc. nursing programme with minimum 3 years’ experience after M.Sc
nursing.
Dissertation
Evaluation of the dissertation should be done by the examiner prior to viva Duration: Viva-voce -minimum 30 minutes per student

Guidelines for Dissertation

Tentative Schedule for dissertation

S. No. Activities Scheduled Time

1. Submission of the research proposal End of 9th month of 1st year

2. Submission of dissertation – Final End of 9th month of IInd Year

 NURSING EDUCATION

Placement:- First Year

Time:- Theory - 150 hours
Practical:- 150 hours
Total:- 300 hours

Course Description: This course is designed to assist students to develop a broad understanding of Fundamental Principles, concepts, trends and
issues related to education and nursing education. Further, it would provide opportunity to students to understand, appreciate and acquire skills
in teaching and evaluation, curriculum development, implementation, maintenance of standards and accreditation of various nursing educational
programs.

Objectives
At the end of the course, students will be able to:
1. Explain the aims of education, philosophies, trends in education and health: its impact on nursing education.
2. Describe the teaching learning process.
3. Prepare and utilize various instructional media and methods in teaching learning process.
4. Demonstrate competency in teaching, using various instructional strategies.
5. Critically analyze the existing nursing educational programs, their problems, issues and future trends.
6. Describe the process of curriculum development, and the need and methodology of curriculum change, innovation and integration.
7. Plan and conduct continuing nursing education programs.
8. Critically analyze the existing teacher preparation programs in nursing.
9. Demonstrate skill in guidance and counseling.
 10. Describe the problems and issues related to administration of nursing curriculum including selection and organization of clinical experience.
11. Explain the development of standards and accreditation process in nursing education programs.
12. Identify research priorities in nursing education.
13. Discuss various models of collaboration in nursing education and services.
14. Explain the concept, principles, steps, tools and techniques of evaluation
15. Construct, administer and evaluate various tools for assessment of knowledge, skill, and attitude.

Time (Hrs) Teaching Learning Assessment

Unit Content Activities method
Theory Practical
I 10 Introduction : • Lecture cum discussion • Essay Type
□ Education :Definition, aims, concepts, philosophies & their education • Seminar / Presentations • Short
implications, Answers
• Project work
□ Impact of Social, economical, political & technological changes on
education:
• Professional education
• Current trends and issues in education
• Educational reforms and National Educational policy, various
educational commissions-reports
• Trends in development of nursing education in India
II 20 30 Teaching – Learning Process • Lecture cum discussion • Essay Type
□ Concepts of teaching and learning: Definition, theories of teaching and • Demonstration/ Return • Short
learning, relationship between teaching and learning. Answers
demonstration
□ Educational aims and objectives; types, domains, levels, elements and
• Seminar / Presentations
writing of educational objectives
□ Competency based education(CBE) and outcome based
education(OBE)
 □ Instructional design: Planning and designing the lesson, writing lesson
plan : meaning, its need and importance, formats.
□ Instruction strategies – Lecture, discussion, demonstration, simulation,
laboratory, seminar, panel, symposium, problem solving, problem based
learning (PBL), workshop, project, role- play(sociodrama), clinical
teaching methods, programmed instruction, self directed learning(SDL),
micro teaching, computer assisted instruction(CAI), computer assisted
learning (CAL)
III 10 10 Instructional media and methods • Lecture cum discussion • Essay Type
□ Key concepts in the selection and use of media in education • Seminar / Presentations • Short
□ Developing learning resource material using different media Answers
• Project work
□ Instructional aids – types, uses, selection, preparation, utilization.
• Field visits
□ Teacher’s role in procuring and managing instructional Aids – Project
and non-projected aids, multimedia, video-tele conferencing etc • Workshop
IV 10 Measurement and evaluation: • Lecture cum discussion • Essay Type
□ Concept and nature of measurement and evaluation, meaning, process, • Demonstration/ Return • Short
purposes, problems in evaluation and measurement. Answers
demonstration
□ Principles of assessment, formative and summative assessment-
• Seminar / Presentations
internal assessment external examination, advantages and disadvantages.
□ Criterion and norm referenced evaluation,
• Project work
V 12 10 Standardized and non-standardized tests : • Lecture cum discussion • Essay Type
□ Meaning, characteristics, objectivity, validity, • Short
reliability, usability, norms, construction of tests- • Seminar / Presentations Answers
• Essay, short answer questions and multiple
choice questions.
• Rating scales, checklist, OSCE/OSPE(Objective
structured clinical/practical examination)
• Differential scales, and summated scales,
sociometry, anecdotal record, attitude scale,
critical incident technique
□ Question bank-preparation, validation, moderation
 by panel, utilization
□ Developing a system for maintaining confidentiality
VI 8 5 Administration, Scoring and Reporting • Lecture cum discussion • Essay Type
□ Administering a test; scoring, grading versus marks • Demonstration/ Return • Short
□ Objective tests, scoring essay test, methods of Answers
demonstration
scoring, Item analysis.
• Seminar / Presentations
VII 12 6 Administration, Scoring and Reporting • Lecture cum discussion • Essay Type
□ Administering a test; scoring, grading versus marks • Short
□ Objective tests, scoring essay test, methods of scoring, Item analysis. • Seminar / Presentations Answers
VIII 5 6 Nursing Educational programs • Essay Type
□ Perspectives of nursing education: Global and national. • Short
□ Patterns of nursing education and training programmes in India. Non- • Lecture cum discussion Answers
university and University programs: ANM, GNM, Basic B.Sc. Nursing, • Seminar / Presentations
Post Certificate B.Sc. Nursing, M.Sc(N) programs, M.Phil
and Ph.D) in Nursing, post basic diploma programs, nurse practitioner • Workshop
programs.
IX 12 25 Continuing Education in Nursing • Essay Type
□ Concepts – Definition, importance, need scope, principles of adult • Short
learning, assessments of learning needs, priorities, resources. • Lecture cum discussion Answers
□ Program planning, implementation and evaluation of continuing • Seminar / Presentations
education programs.
□ Research in continuing education. • Field visits
□ Distance education in nursing. • Workshop
X 10 10 Curriculum Development • Essay Type
□ Definition, curriculum determinants, process and steps of curriculum • Short
development, Curriculum models, Types and framework. • Lecture cum discussion Answers
□ Formulation of philosophy, objectives, selection and organization of • Demonstration/ Return
learning experiences; master plan, course plan, unit plan.
□ Evaluation strategies, process of curriculum change, role of students, demonstration
faculty, administrators, statutory bodies and other stakeholders.
 □ Equivalency of courses: Transcripts, credit system. • Seminar / Presentations
XI 8 4 Teacher preparation • Essay Type
□ Teacher – roles & responsibilities, functions, characteristics, • Short
competencies, qualities, • Lecture cum discussion Answers
□ Preparation of professional teacher • Project work
□ Organizing professional aspects of teacher preparation programs
□ Evaluation: self and peer • Field visits
□ Critical analysis of various programs of teacher education in India.

XII 10 5 Guidance and counseling • Essay Type

□ Concept, principles, need, difference between guidance and counseling, • Short
trends and issues. • Lecture cum discussion Answers
□ Guidance and counseling services: diagnostic and remedial. • Demonstration/ Return
□ Coordination and organization of services.
□ Techniques of counseling: Interview, case work, characteristics of demonstration
counselor, problems in counseling. • Seminar / Presentations
□ Professional preparation and training for counseling.

XIII 15 10 Administration of Nursing Curriculum • Lecture cum discussion • Essay Type

□ Role of curriculum coordinator – planning, implementation and • Short
evaluation. • Seminar / Presentations Answers
□ Evaluation of educational programs in nursing course and program. • Project work
□ Factors influencing faculty staff relationship and techniques of working
together.
□ Concept of faculty supervisor (dual) position.
□ Curriculum research in nursing.
□ Different models of collaboration between education and service
XIV 10 Management of nursing educational institutions • Lecture cum discussion • Essay Type
□ Planning, organizing, staffing, budgeting, recruitment, discipline, • Short
public relation, performance appraisal, welfare services, library services, • Seminar / Presentations Answers
hostel,
XV 5 5 □ Development and maintenance of standards and accreditation in • Lecture cum discussion • Essay Type
nursing education programs. • Short
□ Role of Indian Nursing Council, State Registration Nursing Councils, • Seminar / Presentations Answers
Boards and University.
□ Role of Professional associations and unions.

Activities:
• Framing philosophy, aims and objectives.
• Lesson Planning.
• Micro teaching-2.
• Conduct practice teachings using different teaching strategies -10
(Like lecture cum discussion, demonstration- lab method, field trips, seminars, project, role play, panel discussion, clinical methods etc)
• Preparation and utilization of instructional Aids using different media.
• Develop course plans, unit plans, rotation plans.
• Conduct a continuing education workshop.
• Annotated bibliography.
• Critical evaluation of any nursing education program offered by a selected institution.
• Planning and Organizing field visits.
• Educational visits.
• Field visits (INC/SNRC) to get familiar with recognition/registration process.
• Construct, administer and evaluate tools (objective & essay type test, observation checklist, rating scale etc )
• Observe and practice application of various non-standardized tests (intelligence, Aptitude, Personality, Sociometry, physical &
mentaldisabilities tests.)

Methods of Teaching
• Lecture cum discussion
• Demonstration/ Return demonstration
• Seminar / Presentations
• Project work
• Field visits
• Workshop
Methods of evaluation
• Tests
• Presentation
• Project work
• Written assignments

Internal Assessment Techniques Weightage

Test- (2 tests) 50
Assignment 25
Seminar/presentation 25

100

Practical – Internal assessment

Learning resource material 25
Practice Teaching 50
Conduct Workshop/Short Term Course 25

Practical – external assessment

Practice teaching- 1- 50
Preparation/use of learning resource material-1 25
Construction of tests/rotation plan. 25
ADVANCE NURSING PRACTICE

Placement: First Year

Time: Theory - 150 hours
Practical: - 150 hours
Total: - 300 hours

Course Description
 The course is designed to develop an understanding of concepts and constructs of theoretical basis of advance nursing practice and critically
analyze different theories of nursing and other disciplines.

Objectives:
At the end of the course the students will be able to:
1. Appreciate and analyze the development of nursing as a profession.
2. Describe ethical, legal, political and economic aspects of health care delivery and nursing practice.
3. Explain bio- psycho- social dynamics of health, life style and health care delivery system.
4. Discuss concepts, principles, theories, models, approaches relevant to nursing and their application.
5. Describe scope of nursing practice.
6. Provide holistic and competent nursing care following nursing process approach.
7. Identify latest trends in nursing and the basis of advance nursing practice.
8. Perform extended and expanded role of nurse.
9. Describe alternative modalities of nursing care.
10. Describe the concept of quality control in nursing.
11. Identify the scope of nursing research.
12. Use computer in patient care delivery system and nursing practice.
13. Appreciate importance of self development and professional advancement.

Time (Hrs) Teaching Learning Assessment

Unit Content Activities method
Theory Practical
I 10 Nursing as a Profession • Lecture cum discussion • Essay Type
• Short Answers
 □ History of development of nursing profession, characteristics, criteria • Seminar / Presentations
of the profession, perspective of nursing profession-national, global
□ Code of ethics(INC), code of professional conduct(INC), autonomy
and accountability, assertiveness, visibility of nurses, legal
considerations,
□ Role of regulatory bodies
□ Professional organizations and unions-self defense, individual and
collective bargaining
□ Educational preparations, continuing education, career opportunities,
professional advancement & role and scope of nursing education.
□ Role of research, leadership and management.
□ Quality assurance in nursing (INC).
□ Futuristic nursing.
II 5 Health care delivery • Lecture cum discussion • Essay Type
□ Health care environment, economics, constraints, planning process, • Short Answers
policies, political process vis a vis nursing profession. • Seminar / Presentations
□ Health care delivery system- national, state, district and local level. • Project work
□ Major stakeholders in the health care system-Government, non-govt,
Industry and other professionals. • Field visits
□ Patterns of nursing care delivery in India.
□ Health care delivery concerns, national health and family welfare
programs, inter-sectoral coordination, role of nongovernmental
agencies.
□ Information, education and communication (IEC).
□ Tele-medicine.
III 10 Genetics • Lecture cum discussion • Essay Type
□ Review of cellular division, mutation and law of inheritance, human • Short Answers
genome project, The Genomic era. • Demonstration/ Return
□ Basic concepts of Genes, Chromosomes & DNA. demonstration
□ Approaches to common genetic disorders.
• Seminar / Presentations
 □ Genetic testing – basis of genetic diagnosis, Pre symptomatic and
predisposition testing, Prenatal diagnosis & screening, Ethical, legal &
psychosocial issues in genetic testing.
□ Genetic counseling.
□ Practical application of genetics in nursing.
IV 10 Epidemiology • Lecture cum discussion • Essay Type
□ Scope, epidemiological approach and methods, • Short Answers
□ Morbidity, mortality, • Demonstration/ Return
□ Concepts of causation of diseases and their screening, demonstration
□ Application of epidemiology in health care delivery, Health
survelliance and health informatics • Seminar / Presentations
□ Role of nurse
V 20 Bio-Psycho social pathology • Lecture cum discussion • Essay Type
□ Pathophysiology and Psychodynamics of disease causation • Short Answers
□ Life processes, homeostatic mechanism, biological and psycho-social • Demonstration/ Return
dynamics in causation of disease, life style demonstration
□ Common problems: Oxygen insufficiency, fluid and electrolyte
imbalance, nutritional problems, hemorrhage and shock, altered body • Seminar / Presentations
temperature, unconsciousness, sleep pattern and its disturbances, pain, • Project work
sensory deprivation.
□ Treatment aspects: pharmacological and pre- post operative care
aspects,
□ Cardio pulmonary resuscitation.
□ End of life Care
□ Infection prevention (including HIV) and standard safety measures,
bio-medical waste management.
□ Role of nurse- Evidence based nursing practice; Best practices
□ Innovations in nursing
VI 20 Philosophy and Theories of Nursing • Lecture cum discussion • Essay Type
□ Values, Conceptual models, approaches. • Short Answers
• Seminar / Presentations
 □ Nursing theories: Nightingale’s, Hendersons’s, Roger’s, Peplau’s, • Project work
Abdella’s, Lewine’s, Orem’s, Johnson’s, King’s, Neuman’s, Roy’s,
Watson parsce, etc and their applications,
□ Health belief models, communication and management, etc
□ Concept of Self health.
□ Evidence based practice model.
VII 10 Nursing process approach • Lecture cum discussion • Essay Type
□ Health Assessment- illness status of patients/clients (Individuals, • Short Answers
family, community), Identification of health illness problems, health • Seminar / Presentations
behaviors, signs and symptoms of clients. • Workshop
□ Methods of collection, analysis and utilization of data relevant to
nursing process.
□ Formulation of nursing care plans, health goals, implementation,
modification and evaluation of care.
VIII 30 Psychological aspects and Human relations • Lecture cum discussion • Essay Type
□ Human behavior, Life processes & growth and development, • Short Answers
personality development, defense mechanisms, • Demonstration/ Return
□ Communication, interpersonal relationships, individual and group, demonstration
group dynamics, and organizational behavior,
□ Basic human needs, Growth and development, (Conception through • Seminar / Presentations
preschool, School age through adolescence, Young & middle adult, and
Older adult)
□ Sexuality and sexual health.
□ Stress and adaptation, crisis and its intervention,
□ Coping with loss, death and grieving,
□ Principles and techniques of Counseling.
IX 10 Nursing practice • Lecture cum discussion • Essay Type
□ Framework, scope and trends. • Short Answers
□ Alternative modalities of care, alternative systems of health and • Seminar / Presentations
complimentary therapies. • Project work
 □ Extended and expanded role of the nurse, in promotive, preventive,
curative and restorative health care delivery system in community and
institutions.
□ Health promotion and primary health care.
□ Independent practice issues,- Independent nurse-midwifery
practitioner.
□ Collaboration issues and models-within and outside nursing.
□ Models of Prevention,
□ Family nursing, Home nursing,
□ Gender sensitive issues and women empowerment.
□ Disaster nursing.
□ Geriatric considerations in nursing.
□ Evidence based nursing practice- Best practices
□ Trans-cultural nursing.
X 25 Computer applications for patient care delivery system and • Lecture cum discussion • Essay Type
nursing practice • Short Answers
□ Use of computers in teaching, learning, research and nursing practice. • Project work
□ Windows, MS office: Word, Excel, Power Point,
□ Internet, literature search,
□ Statistical packages,
□ Hospital management information system: software’s.

Practical
Clinical posting in the following areas:
• Specialty area- in-patient unit - 2 weeks
• Community health center/PHC - 2 weeks
• Emergency/ICU - 2 weeks

Activities
• Prepare Case studies with nursing process approach and theoretical basis
• Presentation of comparative picture of theories
• Family case- work using model of prevention
• Annotated bibliography
• Report of field visits (5)

Methods of Teaching
• Lecture cum discussion
• Seminar
• Panel discussion
• Debate
• Case Presentations
• Exposure to scientific conferences
• Field visits

Methods of evaluation:
• Tests
• Presentation
• Seminar
• Written assignments

Advance nursing Procedures

Definition, Indication and nursing implications;
• CPR, TPN, Hemodynamic monitoring, Endotracheal intubation, Tracheostoma, mechanical ventilation, Pacemaker, Hemodialysis,
Peritonealdialysis, LP, BT Pleural and abdominal paracentesis OT techniques, Health assessment, Triage, Pulse oximetry

Internal Assessment Techniques Weightage

Test- (2 tests) 50
Assignment 25
Seminar/presentation 25

100
 CLINICAL SPECIALITY – I

MEDICAL SURGICAL NURSING

Placement: 1st Year
Theory: 150 Hours
Practical: 650 Hours
Total : 800 Hours

Course Description
This course is common for the students undergoing clinical specialty-II in neuro science nursing/cardiovascular & thoracic nursing/critical care
nursing/oncology nursing/orthopedic and rehabilitation nursing/nephro & urology nursing, gastroenterology nursing/ geriatric nursing.
It is designed to assist students in developing expertise and in depth knowledge in the field of medical Surgical Nursing. It will help students to
appreciate the patient as a holistic individual and develop skill to function as a specialized Medical-Surgical Nurse. It will further enable the student
to function as educator, manager and researcher in the field of Medical – Surgical Nursing.

Objectives
At the end of the course the students will be able to:
1. Appreciate the trends & issues in the field of Medical – Surgical Nursing as a specialty.
2. Apply concepts & theories related to health promotion.
 3. Appreciate the client as a holistic individual.
4. Perform physical, psychosocial assessment of Medical – Surgical patients.
5. Apply Nursing process in providing care to patients.
6. Integrate the concept of family centered nursing care with associated disorder such as genetic, congenital and long-term illness.
7. Recognize and manage emergencies with Medical- Surgical patients.
8. Describe various recent technologies & treatment modalities in the management of critically ill patients.
9. Appreciate the legal & ethical issues relevant to Medical – Surgical Nursing.
10. Prepare a design for layout and management of Medical – Surgical Units.
11. Appreciate the role of alternative systems of Medicine in care of patients.
12. Incorporate evidence based Nursing practice and identify the areas of research in the field of Medical – Surgical Nursing.
13. Recognize the role of Nurse practitioner as a member of the Medical – Surgical health team.
14. Teach Medical – Surgical Nursing to undergraduate nursing students & in-service nurses.

Time (Hrs) Teaching Learning Assessment

Unit Content Activities method
Theory Practical
I 5 Introduction: • Seminar • Essay Type
□ Historical development of Medical- Surgical Nursing in India. • Short
□ Current status of health and disease burden in India. • Debate Answers
□ Current concept of health. • Case Presentations
□ Trends & issues in Medical – Surgical Nursing.
□ Ethical & cultural issues in Medical – Surgical Nursing. • Exposure to scientific
□ Rights of patients. conferences
□ National health policy, special laws & ordinances relating to older
people. • Field visits
□ National goals.
□ Five year plans.
□ National health programs related to adult health.
II 20 Health Assessment of patients • Lecture cum discussion • Essay Type
□ History taking. • Short
Answers
 □ Physical examination of various systems. • Seminar
□ Nutritional assessment.
□ Related investigations and diagnostic assessment. • Case Presentations
III 5 Care in hospital settings: • Lecture cum discussion • Essay Type
□ Ambulatory care. • Short
□ Acute and Critical care. • Seminar Answers
□ Long term care. • Panel discussion
□ Home Health Care.
□ Characteristics, care models, practice settings, interdisciplinary team. • Exposure to scientific
□ Hospitalization- effects of hospitalization on the patient & family. conferences
□ Stressors & reactions related to disease process.
□ Nursing care using Nursing process approach. • Field visits
IV 10 Management of patients with disorders of Gastro intestinal tract • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders-etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Panel discussion
□ Health assessment- History taking, physical examination,
investigation and diagnostic assessment. • Debate
□ Treatment modalities and trends. • Case Presentations
□ Nursing management.
□ Related research studies.
□ Evidence based nursing practice.
□ Rehabilitation and follow-up.
V 10 Management of patients with disorders of nervous system • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders- etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Debate
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Case Presentations
□ Treatment modalities and trends.
□ Nursing management.
 □ Related research studies.
□ Evidence based nursing practice.
□ Rehabilitation and follow-up.
VI 10 Management of patients with disorders of respiratory system • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders- etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Case Presentations
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Exposure to scientific
□ Treatment modalities and trends. conferences
□ Nursing management.
□ Related research studies. • Field visits
□ Evidence based nursing practice.
□ Rehabilitation and follow-up.
VII 10 Management of patients with disorders of cardio vascular system • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders- etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Case Presentations
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Exposure to scientific
□ Treatment modalities and trends. conferences
□ Nursing management.
□ Related research studies. • Field visits
□ Evidence based nursing practice.
□ Rehabilitation and follow-up.
VIII 5 Management of patients with disorders of blood • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders- etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Case Presentations
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Exposure to scientific
 □ Treatment modalities and trends. conferences
□ Nursing management.
□ Related research studies • Field visits
□ Evidence based nursing practice
□ Rehabilitation and follow-up
IX 10 Management of patients with disorders of genito urinary system • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders- etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Case Presentations
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Exposure to scientific
□ Treatment modalities and trends. conferences
□ Nursing management.
□ Related research studies. • Field visits
□ Evidence based nursing practice.
□ Rehabilitation and follow-up.
X 10 Management of patients with disorders of endocrine system • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders- etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Case Presentations
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Exposure to scientific
□ Treatment modalities and trends. conferences
□ Nursing management.
□ Related research studies. • Field visits
□ Evidence based nursing practice.
□ Rehabilitation and follow-up.
XI 10 Management of patients with disorders of musculo-skeletal • Lecture cum discussion • Essay Type
system • Short
□ Review of anatomy and physiology. • Seminar Answers
□ Common Disorders- etiology, Patho physiology, Clinical • Case Presentations
 manifestations, complications, prognosis. • Exposure to scientific
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. conferences
□ Treatment modalities and trends. • Field visits
□ Nursing management.
□ Related research studies.
□ Evidence based nursing practice.
□ Rehabilitation and follow-up.
XII 8 Management of patients with disorders of integumentory system • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders- etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Panel discussion
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Debate
□ Treatment modalities and trends. • Case Presentations
□ Nursing management.
□ Related research studies. • Exposure to scientific
□ Evidence based nursing practice. conferences
□ Rehabilitation and follow-up.
• Field visits
XIII 5 Management of patients with disorders of Eye and ENT • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders-etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Case Presentations
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Exposure to scientific
□ Treatment modalities and trends. conferences
□ Nursing management.
□ Related research studies. • Field visits
□ Evidence based nursing practice.
□ Rehabilitation and follow-up.
XIV 8 Management of patients with disorders of reproductive system • Lecture cum discussion • Essay Type
□ Review of anatomy and physiology. • Short
□ Common Disorders- etiology, Patho physiology, Clinical • Seminar Answers
manifestations, complications, prognosis. • Panel discussion
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Debate
□ Treatment modalities and trends. • Case Presentations
□ Nursing management.
□ Related research studies. • Exposure to scientific
□ Evidence based nursing practice. conferences
□ Rehabilitation and follow-up.
• Field visits
XV 8 Geriatric nursing • Lecture cum discussion • Essay Type
□ Nursing Assessment-History and Physical assessment. • Short
□ Ageing; • Seminar Answers
□ Demography; Myths and realities. • Panel discussion
□ Concepts and theories of ageing.
□ Cognitive Aspects of Ageing. • Debate
□ Normal biological ageing. • Case Presentations
□ Age related body systems changes.
□ Psychosocial Aspects of Aging. • Exposure to scientific
□ Medications and elderly. conferences
□ Stress & coping in older adults.
□ Common Health Problems & Nursing Management; • Field visits
□ Psychosocial and Sexual.
□ Abuse of elderly.
□ Role of nurse for care of elderly: ambulation, nutritional,
communicational, psychosocial and spiritual.
□ Role of nurse for caregivers of elderly.
□ Role of family and formal and non formal caregivers.
□ Use of aids and prosthesis (hearing aids, dentures,
 □ Legal & Ethical Issues.
□ Provisions and Programmes for elderly; privileges, Community
Programs and health services;
□ Home and institutional care.
□ Issues, problems and trends.
XVI 8 Management of patients with communicable and sexually • Lecture cum discussion • Essay Type
transmitted diseases: • Short
□ Review of immune system. • Seminar Answers
□ Common Disorders of immune system – HIV/AIDS. • Panel discussion
□ Review of infectious disease process.
□ Communicable Diseases- etiology, Patho physiology, Clinical • Debate
manifestations, complications, prognosis. • Case Presentations
□ Health assessment-History taking, physical examination,
investigation and diagnostic assessment. • Exposure to scientific
□ Treatment modalities and trends. conferences
□ Nursing management.
□ Related research studies. • Field visits
□ Evidence based nursing practice.
□ Rehabilitation and follow-up.
XVII 8 Emergency, trauma and multi-system organ failure • Lecture cum discussion • Essay Type
□ DIC (disseminated intravascular coagulation) • Short
□ Trauma, burns, poisoning • Seminar Answers
□ Etiology, Patho physiology, Clinical manifestations, complications, • Panel discussion
prognosis.
□ Health assessment-History taking, physical examination, • Debate
investigation and diagnostic assessment. • Case Presentations
• Treatment modalities and trends.
• Nursing management. • Exposure to scientific
• Related research studies. conferences
• Evidence based nursing practice.
• Rehabilitation and follow-up. • Field visits
Practical
Total = 660 Hours
1 Week = 30 Hours
S.No. Dept/Unit No. of Week Total Hours
1. General Medical Ward 4 120
2. General Surgical Ward 4 120
3. ICUs 4 120
4. Oncology 2 60
5. Ortho 2 60
6. Cardio 2 60
7. Emergency Department 2 60
8. Neuro 2 60
Total 22 Weeks 660 Hours

Student Activities:
• Clinical presentations
• History taking
• Health Assessment
• Nutritional Assessment
• Health Education related to disease conditions
• Case studies
• Project work
• Field visits
 CLINICAL SPECIALITY-I
OBSTETRIC AND GYNAECOLOGICAL NURSING
Placement : 1st year
Theory : 150 Hours.
Practical : 650 Hours.
Total : 800 Hours.

Course Description
This course is designed to assist students in developing expertise and indepth understanding in the field of Obstetric and Gynaecological Nursing.
It will help students to appreciate the client as a holistic individual and develop skill to function as an independent midwifery practitioner. It will
further enable the student to function as educator, manager, and researcher in the field of Obstetric and Gynaecological nursing.

Objectives
At the end of the course the students will be able to:
1. Appreciate the trends in the field of midwifery, obstetrics and gynaecology as a speciality.
2. Describe the population dynamics and indicators of maternal and child health
3. Describe the concepts of biophysical, psychological and spiritual aspects of normal pregnancy, labor and puerperium.
4. Provide comprehensive nursing care to women during reproductive period and newborns.
5. Integrate the concepts of family centered nursing care and nursing process approach in obstetric and gynaecological nursing.
6. Identify and analyze the deviations from normal birth process and refer appropriately.
7. Describe the pharmacological agents, their effects during pregnancy, child birth, puerperium, lactation and the role of nurse
8. Counsel adolescents, women and families on issues pertaining to pregnancy, child birth and lactation
9. Describe the role of various types of complementary and alternative therapies in obstetric and gynaecological nursing.
10. Incorporate evidence based nursing practice and identify the areas of research in the field of obstetric and gynaecological nursing.
11. Describe the recent advancement in contraceptive technology and birth control measures
12. Appreciate the legal and ethical issues pertaining to obstetric and gynaecological nursing
 Time (Hrs) Teaching Learning Assessment method
Unit Content Activities
Theory Practical
I 10 Introduction • Lecture-cum-discussion • Essay Type
□ Historical and contemporary perspectives • Short Answers
□ Epidemiological aspects of maternal and child health • Seminar/Presentations
□ Magnitude of maternal and child health problems • Class room exercises
□ Issues of maternal and child health : Age, Gender, Sexuality,
psycho Socio cultural factors
□ Preventive obstetrics
□ National health and family welfare programmes related to
maternal and child health: health care delivery system-
National Rural health mission, Role of NGO’s
□ Theories, models and approaches applied to midwifery practice
□ Role and scope of midwifery practice: Independent Nurse
midwifery practitioner
□ Legal and Ethical issues: Code of ethics and standards of
midwifery practice, standing orders
□ Evidence based midwifery practice
□ Research priorities in obstetric and gynaecological nursing.
II 15 Human reproduction • Lecture-cum-discussion • Essay Type
□ Review of anatomy and physiology of human reproductive • Short Answers
system: male and female • Seminar/Presentations
□ Hormonal cycles • Class room exercises
□ Embryology
□ Genetics, teratology and counseling
□ Clinical implications
III 25 Pregnancy • Lecture-cum-discussion • Essay Type
□ Maternal adaptation : Physiological, psychosocial • Short Answers
 • Assessment – Maternal and foetal measures Maternal measures: • Seminar/Presentations
History taking , exmanination-General, physical and obstetrical
measure, identification of high risk, • Class room exercises
• Foetal measure- clinical parameters, biochemical- human estriol,
Maternal Serum Alfa Feto Protein, Acetyl Choline esterase (AchE),
Triple Test Aminocentesis, Cordocentesis, chorionic villus sampling
(CVS)),
• Biophysical- (US IMAGING, Foetal movement count, Ultra
Sonography, Cardiotocography, cardiotomography, Non Stress Test
(NST), Contraction stress test(CST), amnioscopy, foetoscopy,
• Radiological examination,
□ Interpretation of diagnostic tests and nursing implications
□ Nursing management of the pregnant women, minor disorders
of pregnancy and management, preparation for child birth and
parenthood, importance of institutional delivery , choice of birth
setting, importance and mobilizing of transportation, prenatal
counseling, role of nurse and crisis intervention, identification
of high risk pregnancy and refer
□ Alternative/complementary therapies
IV 25 Normal Labour and nursing management: • Lecture-cum-discussion • Essay Type
□ Essential factors of labour • Short Answers
□ Stages and onset • Seminar/Presentations
First stage: Physiology of normal labour • Class room exercises
• Use of partograph: Principles, use and critical analysis, evidence
based studies
• Analgesia and anaesthesia in labour
• Nursing management
Second stage
• Physiology , intrapartum monitoring
• Nursing management.
• Resuscitation , immediate newborn care and initiate breast
 feeding (Guidelines of National neonatalogy forum of India)
Third stage
• Physiology and nursing management
Fourth stage – Observation, critical analysis and Nursing
management.
• Various child birth practice: water birth, position change etc
• Evidence based practice in relation to labour intervention
Role of nurse midwifery practitioner
• Alternative/complementary therapies
V 20 Normal puerperium and nursing management • Lecture-cum-discussion • Essay Type
□ Physiology of puerperium • Short Answers
□ Physiology of lactation, lactation management, exclusive breast • Seminar/Presentations
feeding ,Baby friendly hospital intitative(BFHI) • Project
□ Assessment of postnatal women .
□ Minor discomforts and complications of puerperium • Class room exercises
□ Management of mothers during puerperium: Postnatal
exercises Rooming in, bonding, warm chain
□ Evidence based studies
Role of nurse midwifery practitioner
• Alternative/complementary therapies
VI 20 Normal Newborn • Lecture-cum-discussion • Essay Type
□ Physiology and characteristics of normal newborn • Short Answers
□ Physical and Behavioural assessment of newborn • Seminar/Presentations
□ Needs of newborn • Class room exercises
□ Essential newborn care: Exclusive breast feeding, Immunization,
Hygiene measures, Newborn nutrition
□ Organization of neonatal care, services(Levels), transport, neonatal
intensive care unit, organization and management of nursing services in
NICU
□ Observation and care of newborn
□ Parenting process
VII 10 Pharmoco dynamics in obstetrics • Lecture-cum-discussion • Essay Type
□ Drugs used in pregnancy, labour, post partum and newborn • Short Answers
□ Calculation of drug dose and administration • Seminar/Presentations
□ Effects of drugs used • Class room exercises
□ Anaesthesia and analgesia in obstetrics
□ Roles and responsibilities of midwifery nurse practitioner
□ Standing orders and protocols and use of selected life saving
drugs and interventions of obstetric emergencies approved by the
MOHFW
VIII 10 Family welfare services • Lecture-cum-discussion • Essay Type
□ Population dynamics • Short Answers
□ Demography trends: vital statistics, calculation of indicators • Seminar/Presentations
especially maternal and neonatal mortality rates and problems
and other health problems
□ Recent advancement in contraceptive technology
□ Role of nurses in family welfare programmes in all settings
□ Role of independent nurse midwifery practitioner
□ Family life education
□ Evidence based studies
□ Information, Education and Communication(IEC)
□ Management information and evaluation system(MIES)
□ Teaching and supervision of health team members
IX 5 Infertility • Lecture-cum-discussion • Essay Type
□ Primary and secondary causes • Short Answers
□ Diagnostic procedures • Seminar/Presentations
□ Counseling: ethical and legal aspects of assisted reproductive • Class room exercises
technology(ART)
□ Recent advancement in infertility management.
□ Adoption procedures
Role of nurses in infertility management.
X 5 Menopause • Lecture-cum-discussion • Essay Type
 □ Physiological, psychological and social aspects • Seminar/Presentations • Short Answers
□ Hormone Replacement Therapy
□ Surgical menopause • Class room exercises
□ Counseling and guidance
Role of midwifery nurse practitioner
XI 5 Abortion • Lecture-cum-discussion • Essay Type
□ Types, causes • Short Answers
□ Legislations, Clinical rights and professional responsibility
□ Abortion procedures
□ Complications
□ Nursing management Role of midwifery nurse practitioner

Practical
Total = 660 Hours
1 week = 30 Hours

S.No. Deptt./Unit No. of Week Total Hours

1. Anetenatal Wards & OPDs 5 150
2. Labour Room 5 120
3. Postnatal Ward 2 60
4. Family Planning Clinics 2 60
5. PHC/Rural maternity settings 4 120
6. Gynae 2 60
7. Maternity OT 2 60
8. NICU 1 30
Total 22 Weeks 660Hours
Procedures observed
• Diagnostic investigations: amniocentesis, chordocentesis, chorionic villi sampling
• Infertility management: artificial reproduction: artificial insemination, in-vitro fertilization, and related procedures
Procedures assisted
• Medical termination of pregnancy,
Procedures performed
• Antenatal assessment-20
• Postnatal assessment-20
• Assessment during labour: use of partograph - 20
• Per vaginal examination-20
• Conduct of normal delivery-20
• Episiotomy and suturing-10
• Setting up of delivery areas
• Insertion of intra uterine devices (copper T)
Others
• Identification of high risk women and referral
• Health education: to women and their families
• Motivation of couples for planned parenthood
 CLINICAL SPECIALTY –I

CHILD HEALTH (PAEDIATRIC) NURSING

Placement : Ist Year
Theory 150 Hours
Practical 650 Hours
Total : 800 Hours

Course Description
This course is designed to assist students in developing expertise and indepth understanding in the field of Pediatric Nursing. It will help students
to appreciate the child as a holistic individual and develop skill to function as neonatal and pediatric nurse specialist. It will further enable the
student to function as educator, manager, and researcher in the field of Paediatric nursing.
 Objectives
At the end of the course the students will be able to:
1. Appreciate the history and developments in the field of pediatrics and pediatric nursing as a specialty
2. Apply the concepts of growth and development in providing care to the pediatric clients and their families.
3. Appreciate the child as a holistic individual
4. Perform physical, developmental, and nutritional assessment of pediatric clients
5. Apply nursing process in providing nursing care to neonates & children
6. Integrate the concept of family centered pediatric nursing care with related areas such as genetic disorders, congenital malformations and long
term illness.
7. Recognize and manage emergencies in neonates
8. Describe various recent technologies and treatment modalities in the management of high risk neonates
9. Appreciate the legal and ethical issues pertaining to pediatric and neonatal nursing
10. Prepare a design for layout and management of neonatal units
11. Incorporate evidence based nursing practice and identify the areas of research in the field of pediatric/neonatal nursing
12. Recognize the role of pediatric nurse practitioner and as a member of the pediatric and neonatal health team
13. Teach pediatric nursing to undergraduate students & in-service Nurses

Time (Hrs) Teaching Learning Assessment

Unit Content Activities method
Theory Practical
I 10 Introduction • Lecture-cum-discussion • Essay Type
□ Historical development of Pediatrics and Pediatric Nursing in India; • Short Answers
□ Current status of child health in India; • Seminar/Presentations
□ Trends in Pediatrics and Pediatric Nursing, • Class room exercises
□ Ethical and cultural issues in pediatric care
□ Rights of children
□ National health policy for children, special laws and ordinances
relating to children.
 □ National goals,
□ Five year plans,
□ National health programs related to child health.
II 10 Assessment of pediatric clients • Lecture-cum-discussion • Essay Type
□ History taking • Short Answers
□ Developmental assessment • Seminar/Presentations
□ Physical assessment • Class room exercises
□ Nutritional assessment
□ Family assessment
III 10 Hospitalized child • Lecture-cum-discussion • Essay Type
□ Meaning of hospitalization of the child, preparation for • Short Answers
hospitalization, effects of hospitalization on the child and family • Seminar/Presentations
□ Stressors and reactions related to developmental stages, play • Class room exercises
activities for ill hospitalized child.
□ Nursing care of hospitalized child and family -principles and
Practices
IV 15 Pre-natal Pediatrics • Lecture-cum-discussion • Essay Type
□ Embryological and fetal development, Prenatal factors • Short Answers
influencing growth and development of fetus, • Seminar/Presentations
□ Genetic patterns of common pediatric disorders, • Class room exercises
chromosomal aberrations, genetic assessment and
counseling legal and ethical aspects of genetic, screening
and counseling role of nurse in genetic counseling,
□ Importance of prenatal care and role of pediatric nurse.
V 15 Growth and Development of children • Lecture-cum-discussion • Essay Type
□ Principles of growth and development, • Short Answers
□ Concepts and theories of growth and development, • Seminar/Presentations
□ Developmental tasks and special needs from infancy to • Project
adolescence, developmental milestones,
□ Assessment of growth and development of pediatric clients, • Class room exercises
□ Factors affecting growth and development.
VI 15 Behavioral Pediatrics and Pediatric Nursing • Lecture-cum-discussion • Essay Type
□ Parent child relationship, • Short Answers
□ Basic behavioral pediatric principles and specific behavioral • Seminar/Presentations
pediatric concepts/disorders- maternal deprivation, failure to thrive, • Class room exercises
child abuse, the battered child,
□ Common behavioral problems and their management,
□ Child guidance clinic.
VII 15 Preventive Pediatrics and Pediatric Nursing • Lecture-cum-discussion • Essay Type
□ Concept, aims and scope of preventive pediatrics, • Short Answers
□ Maternal health and its influence on child health antenatal • Seminar/Presentations
aspects of preventive pediatrics, • Class room exercises
□ Immunization, expanded program on immunization/
universal immunization program and cold chain,
□ Nutrition and nutritional requirements of children, changing
patterns of feeding, baby- friendly hospital initiative and
exclusive breast feeding,
□ Health education, nutritional education for children
□ Nutritional programs
□ National and international organizations related to child
health,
Role of pediatric nurse in the hospital and community.
VIII 30 Neonatal Nursing • Lecture-cum-discussion • Essay Type
□ New born baby- profile and characteristics of the new born, • Short Answers
□ Assessment of the new born, • Seminar/Presentations
□ Nursing care of the new born at birth, care of the new born and
family,
□ High risk newborn- pre term and term neonate and growth retarded
babies,
□ Identification and classification of neonates with infections, HIV &
AIDS, Ophthalmia neonatorum, congenital syphilis.
 □ High risk new born- Identification, classification and nursing
management
□ Organization of neonatal care, services(Levels), transport, neonatal
intensive care unit, organization and management of nursing services in
NICU.
IX 30 IMNCI • Lecture-cum-discussion • Essay Type
(Integrated management of neonatal and childhood illnesses) • Short Answers
• Seminar/Presentations
• Class room exercises

Practical
Total = 660Hours
1 Week = 30Hours

S.No. Deptt./Unit No. of Week Total Hours

1. Pediatric Medicine Ward 4 120
2. Pediatric Surgery Ward 4 120
3. Labor Room/Maternity Ward 2 60
4. Pediatric OPD 2 60
5. NICU 4 120
6. Creche 1 30
7. Child Guidance Clinic 1 30
8. Community 4 120
Total 22 Weeks 660 Hours
 Student Activities
• Clinical presentations
• Growth & developmental assessment
• Assessment & prescription of nursing interventions for sick children
• Health education related to disease conditions
• Nutritional assessment
• Project work
• Field visits
 CLINICAL SPECIALITY – I

MENTAL HEALTH (PSYCHIATRIC) NURSING

Placement : 1st Year
Theory 150 hours
Practical 650 hours
Total : 800 hours

Course Description

This course is designed to assist students in developing expertise and indepth understanding in the field of Psychiatric Nursing. It will help
students to appreciate the client as a holistic individual and develop skill to function psychiatric nurse specialist. It will further enable the student
to function as educator, manager, and researcher in the field of Psychiatric nursing.

Objectives
At the end of the course the students will be able to:
1. Appreciate the trends and issues in the field of psychiatry and psychiatric nursing.
2. Explain the dynamics of personality development and human behaviour.
3. Describe the concepts of psychobiology in mental disorders and its implications for psychiatric nursing
4. Demonstrate therapeutic communications skills in all interactions
5. Demonstrate the role of psychiatric nurse practitioner in various therapeutic modalities
6. Establish and maintain therapeutic relationship with individual and groups
7. Uses assertive techniques in personal and professional actions
8. Promotes self-esteem of clients, others and self
9. Apply the nursing process approach in caring for patients with mental disorders
10. Describe the psychopharmacological agents, their effects and nurses role
11. Recognize the role of psychiatric nurse practitioner and as a member of the psychiatric and mental health team
12. Describe various types of alternative system of medicines used in psychiatric settings
13. Incorporate evidence based nursing practice and identify the areas of research in the field of psychiatric nursing.
 Time (Hrs) Teaching Learning Assessment method
Unit Content Activities
Theory Practical
Is 15 Introduction • Lecture-cum-discussion • Essay Type
□ Mental Health and Mental Illness • Short Answers
□ Historical perspectives • Seminar/Presentations
□ Trends, issues and magnitude • Class room exercises
□ Contemporary practices
□ Mental health laws/Acts
□ National mental health program -National mental health authority,
state mental health authority
□ Human rights of mentally ill
□ Mental Health/ Mental Illness Continuum
□ Classification of mental illnesses-ICD, DSM
□ Standards of Psychiatric nursing
□ Challenges and Scope of psychiatric nursing
□ Multi-disciplinary team and role of nurse
Role of psychiatric nurse- extended and expanded
II 10 Concepts of Psychobiology • Lecture-cum-discussion • Essay Type
□ The Nervous System: • Short Answers
• An Anatomical Review • Seminar/Presentations
• The Brain and limbic system • Class room exercises
• Nerve Tissue
• Autonomic Nervous system
• Neurotransmitters
□ Neuro endocrinology
• Pituitary, Thyroid Gland
 • Circadian Rhythms
□ Genetics
□ Neuro psychiatric disorders
□ Psychoimmunology
• Normal Immune response
• Implications for psychiatric Illness
□ Implications for Nursing
III 10 Theories of Personality Development and relevance to nursing • Lecture-cum-discussion • Essay Type
practice • Short Answers
□ Psychoanalytic Theory- Freud’s • Seminar/Presentations
□ Interpersonal Theory-Sullivan’s • Class room exercises
□ Theory of Psychosocial Development-Erikson’s
□ Theory of object relations
□ Cognitive Development Theory
□ Theory of Moral Development
□ A Nursing Model-Hildegard E. Peplau
IV 5 Stress and its management • Lecture-cum-discussion • Essay Type
□ An introduction to the concepts of stress • Short Answers
□ Psychological Adaptation to stress • Seminar/Presentations
□ Stress as a Biological Response. • Class room exercises
□ Stress as an Environmental Event.
□ Stress as Transaction between the Individual and the Environment.
□ Stress management.
V 10 Therapeutic communication and interpersonal relationship • Lecture-cum-discussion • Essay Type
□ Review communication process, factors affecting communication • Short Answers
□ Communication with individuals and in groups • Seminar/Presentations
□ Techniques of therapeutic communication-touch therapy • Project
□ Barrier of communication with specific reference to
psychopathology • Class room exercises
□ Therapeutic attitudes
□ Dynamics of a therapeutic Nurse-client relationship;
 Therapeutic use of self Gaining self-awareness
□ Therapeutic nurse-patient relationship its phases ; Conditions
essential to development of a therapeutic relationship
□ Therapeutic impasse and its management
VI 10 Assertive Training • Lecture-cum-discussion • Essay Type
□ Assertive Communication • Short Answers
□ Basic Human Rights • Seminar/Presentations
□ Response Patterns • Class room exercises
• (Nonassertive Behavior
• Assertive Behavior
• Aggressive Behavior
• Passive-Aggressive Behavior)
□ Behavioral Components of Assertive Behavior
□ Techniques that Promote Assertive Behavior
□ Thought-Stopping Techniques Method
Role of The Nurse
VII 10 Promoting Self-Esteem • Lecture-cum-discussion • Essay Type
□ Components of Self-Concept • Short Answers
□ The Development of Self-Esteem • Seminar/Presentations
□ The Manifestations of Low-Self-Esteem • Class room exercises
□ Boundaries
Role of The Nurse
5 Women and Mental Health • Lecture-cum-discussion • Essay Type
• Normal reaction to conception, pregnancy and puerperium • Short Answers
• Problems related to conception, pregnancy and puerperium • Seminar/Presentations
and its management.
• Counselling – Premarital, marital and genetic • Class room exercises

VIII 10 The nursing process in psychiatric/mental health nursing • Lecture-cum-discussion • Essay Type
□ Mental health assessment- History taking, mental status • Short Answers
examination • Seminar/Presentations
□ Physical and neurological examination
 □ Psychometric assessment
□ Investigations, Diagnosis and Differential diagnosis
□ Interpretation of investigations
□ Nurse’s role
□ Nursing case management
• Critical pathways of care
□ Documentation
• Problem-oriented recording
• Focus charting
• The PIE method
IX 35 Psycho social and physical therapies • Lecture-cum-discussion • Essay Type
□ Individual therapy • Short Answers
□ Behavioural Therapy- Relaxation therapy, cognitive therapy, • Seminar/Presentations
positive- negative reinforcement, bio-feedback, guided imagery, • Class room exercises
ab-reactive therapy
□ Group Therapy
□ Family Therapy
□ Milieu Therapy
□ The Therapeutic Community
□ Occupational therapy
□ Recreational therapy
□ Play therapy
□ Music therapy
□ Light therapy
□ Color therapy
□ Aroma therapy
X 5 Electroconvulsive Therapy • Lecture-cum-discussion • Essay Type
□ Historical Perspectives • Short Answers
□ Indications • Seminar/Presentations
□ Contraindications
□ Mechanisms of Action
 □ Side Effects
□ Risks Associated with Electroconvulsive Therapy
□ The Role of The Nurse in Electroconvulsive Therapy
XI 10 Psychopharmacology • Lecture-cum-discussion • Essay Type
□ Historical Perspectives • Short Answers
□ Role of a Nurse in Psychopharmacological Therapy • Seminar/Presentations
• Antianxiety Agents
• Antidepressants Agents
• Mood stabilizers
• Antipsychotics
• Sedative-Hypnotics
• Central Nervous System Stimulants
□ Future developments
XII 15 Alternative systems of medicine in mental health • Lecture-cum-discussion • Essay Type
□ Types of Therapies • Short Answers
• Herbal Medicine • Seminar/Presentations
• Unani
• Siddha
• Homeopathic
• Acupressure and Acupuncture
• Diet and Nutrition
• Chiropractic Medicine
• Therapeutic Touch and Massage
• Yoga
• Pet Therapy

Practical
Total = 660 Hours
1 Week = 30 Hours
 S.No. Area of Posting No. of Week Total Hours
1. Acute Psychiatric Ward 4 120
2. Chronic Psychiatric ward 4 120
3. Psychiatric Emergency Unit 2 60
4. O.P.D 2 60
5. Family Psychiatric Unit 2 60
6. Community Mental Health Unit 4 120
7. Rehabilitation / Occupational Therapy Unit/Half way home/ 4 120
Day care centre
Total 22 Weeks 660 Hours

Student Activities
• History taking
• Mental health assessment
• Psychometric assessment
• Personality assessment
• Process recording
• Therapies- Group Therapy
• Family Therapy
• Psychotherapy
• Milieu Therapy
• The Therapeutic Community
• Occupational therapy
• Recreational therapy
• Play therapy
• Music therapy
• Pet therapy
• Counselling
• Assisted ECT
• Assisted EEG
• Case studies
• Case presentation
• Project work
• Socio and psycho drama
• Field visits

CLINICAL SPECIALITY- I

COMMUNITY HEALTH NURSING

Placement : 1st Year
Theory 150 hours
Practical 650 hours
Total 800 hours
 Course Description
The course is designed to assist students in developing expertise and indepth understanding in the field of Community Health Nursing. It would
help students to appreciate holistic life style of individuals, families & groups and develop skills to function as Community Health Nurse
specialist/practitioner. It would further enable student to function as an educator, manager and researcher in the field of Community Health nursing.

Objectives
At the end of the course, the student will be able to:
1. Appreciate the history and development in the field of Community Health and Community Health Nursing.
2. Appreciate role of individuals and families in promoting health of the Community.
3. Perform physical, developmental and nutritional assessment of individuals, families and groups.
4. Apply the concepts of promotive, preventive, curative and rehabilitative aspects of health while providing care to the people.
5. Apply nursing process approach while providing care to individuals, families, groups and community.
6. Integrate the concepts of family centered nursing approach while providing care to the community.
7. Recognize and participate in the management of emergencies, epidemics and disasters.
8. Apply recent technologies and care modalities while delivering community health nursing care.
9. Appreciate legal and ethical issues pertaining to community health nursing care.
10. Conduct community health nursing care projects.
11. Participate in planning, implementation and evaluation of various national health and family welfare programmes at local, state and the
national level.
12. Incorporate evidence based nursing practice and identify the areas of research in the community settings.
13. Participate effectively as a member of Community Health team.
14. Coordinate and collaborate with various agencies operating in the community by using inter-sectoral approach.
15. Teach community health nursing to undergraduates, in-service nurses and the community health workers.
16. Demonstrate leadership and managerial abilities in community health nursing practice

Time (Hrs) Teaching Learning Assessment method

Unit Content Activities
Theory Practical
I 10 Introduction • Lecture cum discussion • Essay Type
□ Historical development of Community Health and Community • Short Answers
health Nursing- World and India, various health and family welfare • Seminar / Presentations
committees
 □ Current status, trends and challenges of Community Health Nursing
□ Health status of the Community-community diagnosis
□ Scope of Community health Nursing practice
□ Ethical and legal issues
□ Socio-cultural issues in Community health Nursing
□ National Policies, plans and programmes
• National health policy
• National Population policy
• National Health and welfare Programmes
• National Health goals/ indicators/ Millennium developmental
goals(MDG)/ Strategies
• Planning process: Five year plans
• National Rural Health Mission
• Panchayat raj institutions
II 10 Health • Lecture cum discussion • Essay Type
□ Concepts, issues • Short Answers
□ Determinants • Seminar / Presentations
□ Measurements • Project work
□ Alternate systems for health promotion and management of
health problems
□ Health economics
□ Health technology
□ Genetics and health
□ Waste disposal
□ Eco system
III 15 Population dynamics and control • Lecture cum discussion • Essay Type
□ Demography • Short Answers
□ Transition and theories of population • Seminar / Presentations
□ National population policy • Project work
□ National population programmes
□ Population control and related programmes • Field visits
 □ Methods of family limiting and spacing
□ Research, Census, National Family Health Survey
IV 30 Community health Nursing • Lecture cum discussion • Essay Type
□ Philosophy, Aims, Objectives, Concepts, Scope, Principles, • Short Answers
Functions • Seminar / Presentations
□ Community health Nursing theories and models • Project work
□ Quality assurance: Community health Nursing standards,
competencies, Monitoring community health nursing, nursing audits • Field visits
□ Family nursing and Family centered nursing approach
□ Family health nursing process
o Family health assessment
o Diagnosis
o Planning
o Intervention
o Evaluation
□ Nursing care for special groups: children, adolescents, adults,
women, elderly, physically and mentally challenged- Urban and rural
population at large
□ Community nutrition
□ Concept, role and responsibilities of community health Nurse
practitioners/nurse midwifery practitioners-decision making skills,
professionalism, legal issues
V 45 Maternal and neonatal care • Lecture cum discussion • Essay Type
□ IMNCI(Integrated Management of Neonatal And Childhood • Seminar / Presentations • Short Answers
Illnesses) module • Project work
□ Skilled Birth Attendant (SBA) module • Field visits
VI 15 □ Disaster nursing (INC module on Reaching out: Nursing Care in • Lecture cum discussion • Essay Type
emergencies) • Seminar / Presentations • Short Answers
• Project work
• Field visits
VII 10 Information, education and communication • Lecture cum discussion • Essay Type
 □ IEC/BCC: Principles and strategies • Seminar / Presentations • Short Answers
□ Communication Skills
□ Management information and evaluation system: Records and • Project work
reports • Field visits
□ Information technology
□ Tele-medicine and tele-nursing
□ Journalism
□ Mass media
□ Folk media
VIII 15 Health care delivery system: Urban, rural, tribal and difficult • Lecture cum discussion • Essay Type
areas • Short Answers
□ Health organization: National, State, District, CHC, PHC, Sub • Seminar / Presentations
Centre, Village - Functions, Staffing, pattern of assistance, layout, • Project work
drugs, equipments and supplies, Roles and Responsibilities of DPHNO
□ Critical review of functioning of various levels, evaluation studies, • Field visits
recommendations and nursing perspectives
□ Alternative systems of medicine
□ Training and supervision of health workers
□ Health agencies: NGO’s, Roles and functions
□ Inter-sectoral coordination
□ Public private partnership
□ Challenges of health care delivery system

Practical Total = 660 Hours

1 Week = 30 Hours

S.No. Deptt./Unit No. of Week Total Hours

1. Sub-centre, PHC, CHC 12 360
2. District family welfare bureau 1 30
3. Urban centers 6 180
4. Field visits 3 90
 Total 22 Weeks 660 Hours

Student Activities
• Identification of community leaders and resource persons (community mapping)
• Community health survey
• Community health nursing process- individual, family and special groups and community
• Counseling
• Health education – campaign, exhibition, folk media, preparation of IEC materials
• Organising and participating in special clinics/camps and national health and welfare programmes- Organize at least one health and
familywelfare mela/fair (all stalls of national health and family welfare activities should be included)
• Estimation of Vital health statistics -Exercise
• Drill for disaster preparedness
• Organize at least one in-service education to ANM’s/LHV/PHN/HW
• Nutrition – Exercise on nutritional assessment on dietary planning, demonstration and education for various age groups
• Filling up of Records, reports and registers maintained at SC/PHC/CHC
• Assist women in self breast examination
• Conduct antenatal examination
• Conduct vaginal examination
• Conduct deliveries
• Post natal visits
• Perform Episiotomy and suturing
• Prepare Pap smear
• Conduct Insertion/Removal of IUD
• Blood Slide preparation
• Field visits
• Maintenance of log book for various activities
 NURSING RESEARCH AND STATISTICS

Placement: 1st Year

Theory 150 Hours
Practical 100 Hours
Total : 250 Hours
Part-A: Nursing Research

Theory 100 Hours

Practical 50 Hours
Total: 150 Hours

Course Description:
The course is designed to assist the students to acquire an understanding of the research methodology and statistical methods as a basis for
identifying research problem, planning and implementing a research plan. It will further enable the students to evaluate research studies and
utilize research findings to improve quality of nursing practice, education and management.

General Objectives:
At the end of the course, the students will be able to:
1. Define basic research terms and concepts.
2. Review literature utilizing various sources
3. Describe research methodology
4. Develop a research proposal.
5. Conduct a research study.
6. Communicate research findings
7. Utilize research findings
8. Critically evaluate nursing research studies.
9. Write scientific paper for publication.
 Time (Hrs) Teaching Learning Activities Assessment method
Unit Content
Theory Practical
I 10 Introduction: • Lecture-cum-discussion • Essay Type
□ Methods of acquiring knowledge – problem solving and scientific
method. • Seminar/Presentations • Short Answers
□ Research – Definition, characteristics, purposes, kinds of research • Project
□ Historical Evolution of research in nursing
□ Basic research terms • Class room exercises
□ Scope of nursing research: areas, problems in nursing, health and • Journal club
social research
□ Concept of evidence based practice
□ Ethics in research
□ Overview of Research process
II 5 5 Review of Literature • Lecture-cum-discussion • Essay Type
□ Importance, purposes, sources, criteria for selection of
resources and steps in reviewing literature. • Seminar/Presentations • Short Answers
• Project
• Class room exercises
III 12 Research Approaches and designs • Lecture-cum-discussion • Essay Type
□ Type: Quantitative and Qualitative
□ Historical, survey and experimental –Characteristics, types • Seminar/Presentations • Short Answers
advantages and disadvantages • Project
□ Qualitative: Phenomenology, grounded theory, ethnography
• Class room exercises
 • Journal club
IV 10 5 Research problem: • Lecture-cum-discussion • Essay Type
□ Identification of research problem
□ Formulation of problem statement and research objectives • Seminar/Presentations • Short Answers
□ Definition of terms • Project
□ Assumptions and delimitations
□ Identification of variables • Class room exercises
□ Hypothesis – definition, formulation and types. • Journal club
V 5 5 Developing theoretical/conceptual framework. • Lecture-cum-discussion
□ Theories: Nature, characteristics, Purpose and uses
□ Using, testing and developing conceptual framework, • Seminar/Presentations
models and theories. • Project
• Class room exercises

VI 6 Sampling • Lecture-cum-discussion • Essay Type

□ Population and sample
□ Factors influencing sampling • Seminar/Presentations • Short Answers
□ Sampling techniques • Project
□ Sample size
□ Probability and sampling error • Class room exercises
□ Problems of sampling • Journal club
VII 20 10 Tools and methods of Data collection: • Lecture-cum-discussion • Essay Type
□ Concepts of data collection
□ Data sources, methods/techniques quantitative and qualitative. • Seminar/Presentations • Short Answers
□ Tools for data collection – types, characteristics and their • Project
development
□ Validity and reliability of tools • Class room exercises
□ Procedure for data collection • Journal club
VIII 5 Implementing research plan • Lecture-cum-discussion • Essay Type
□ Pilot Study, review research plan (design)., planning for
data collection, administration of tool/interventions, collection of data • Seminar/Presentations • Short Answers
• Project
IX 10 10 Analysis and interpretation of data • Lecture-cum-discussion • Essay Type
□ Plan for data analysis: quantitative and qualitative
□ Preparing data for computer analysis and presentation. • Seminar/Presentations • Short Answers
□ Statistical analysis • Project
□ Interpretation of data
□ Conclusion and generalizations • Class room exercises
□ Summary and discussion • Journal club
X 10 Reporting and utilizing research findings: • Lecture-cum-discussion • Essay Type
□ Communication of research results; oral and written
□ Writing research report purposes, methods and style vancouver, • Seminar/Presentations • Short Answers
American Psychological Association(APA), Campbell etc • Project
□ Writing scientific articles for publication: purposes & style
• Class room exercises
• Journal club

XI 3 8 Critical analysis of research reports and articles • Lecture-cum-discussion • Essay Type

• Journal club • Short Answers

XII 4 7 Developing and presenting a research proposal • Lecture-cum-discussion • Essay Type

• Journal club • Short Answers

Activities:
• Annotated Bibliography of research reports and articles.
• Review of literature of selected topic and reporting
• Formulation of problem statement, objective and hypothesis
• Developing theoretical/conceptual framework.
• Preparation of a sample research tool
• Analysis and interpretation of given data
• Developing and presenting research proposal
• Journal club presentation
• Critical evaluation of selected research studies
• Writing a scientific paper.

Method of Teaching
• Lecture-cum-discussion
• Seminar/Presentations
• Project
• Class room exercises
• Journal club

Methods of Evaluation
• Quiz, Tests (Term)
• Assignments/Term paper
• Presentations
• Project work

Internal Assessment
Techniques Weightage (15marks)
Term Test (2 tests) 40%
Assignment 20%
Presentation 20%
Project work 20%
Total 100%
 Part –B: Statistics
Theory 50 Hours
Practical 50 Hours
Total : 100 Hours

Course Description
At the end of the course, the students will be able to develop an understanding of the statistical methods and apply them in conducting research
studies in nursing.

General Objectives
At the end of the course the students will be able to:
1. Explain the basic concepts related to statistics
2. Describe the scope of statistics in health and nursing
3. Organize, tabulate and present data meaningfully.
4. Use descriptive and inferential statistics to predict results.
5. Draw conclusions of the study and predict statistical significance of the results.
6. Describe vital health statistics and their use in health related research.
7. Use statistical packages for data analysis
 Time (Hrs) Teaching Learning Activities Assessment
Unit Content method
Theory Practical
I 7 4 Introduction: • Lecture-cum-discussion • Essay Type
□ Concepts, types, significance and scope of statistics, meaning of data, • Short Answers
• Demonstration
□ sample, parameter
□ type and levels of data and their measurement
□ Organization and presentation of data – Tabulation of data;
□ Frequency distribution
□ Graphical and tabular presentations.
 II 4 4 Measures of central tendency: • Lecture-cum-discussion • Essay Type
□ Mean, Median, Mode • Short Answers
• Demonstration
III 4 5 Measures of variability; • Lecture-cum-discussion • Essay Type
□ Range, Percentiles, average deviation, quartile deviation, standard • Short Answers
• Demonstration
deviation
IV 3 2 Normal Distribution: • Lecture-cum-discussion • Essay Type
□ Probability, characteristics and application of normal probability • Short Answers
• Demonstration
curve; sampling error.
V 6 8 Measures of relationship: • Lecture-cum-discussion • Essay Type
□ Correlation – need and meaning
• Demonstration • Short Answers
□ Rank order correlation;
□ Scatter diagram method
□ Product moment correlation
□ Simple linear regression analysis and prediction.
VI 5 2 Designs and meaning: • Lecture-cum-discussion • Essay Type
□ Experimental designs • Short Answers
• Demonstration
□ Comparison in pairs, randomized block design, Latin squares.
VII 8 10 Significance of Statistic and Significance of difference • Lecture-cum-discussion • Essay Type
between two Statistics (Testing hypothesis)
□ Non parametric test – Chi-square test, Sign, median test, • Demonstration • Short Answers
Mann Whitney test.
□ Parametric test – ‘t’ test, ANOVA, MANOVA,ANCOVA
VIII 5 5 Use of statistical methods in psychology and education: • Lecture-cum-discussion • Essay Type
□ Scaling – Z Score, Z Scaling
• Demonstration • Short Answers
□ Standard Score and T Score
□ Reliability of test Scores: test-retest method, parallel forms, split half
method.
IX 4 2 Application of statistics in health: • Lecture-cum-discussion • Essay Type
□ Ratios, Rates, Trends
• Demonstration • Short Answers
□ Vital health statistics – Birth and death rates.
 □ Measures related to fertility, morbidity and mortality
X 4 8 Use of Computers for data analysis • Lecture-cum-discussion • Essay Type
□ Use of statistical package.
• Demonstration • Short Answers

Activities
• Exercises on organization and tabulation of data,
• Graphical and tabular presentation of data
• Calculation of descriptive and inferential statistics (chi square, t-test, correlation)
• Practice in using statistical package
• Computing vital health statistics

Methods of Teaching:
• Lecture-cum-discussion
• Demonstration – on data organization, tabulation, calculation of statistics, use of statistical package, Classroom exercises,
organization andtabulation of data,
• Computing Descriptive and inferential statistics; vital and health statistics and use of computer for data entry and analysis using statistical package.

Methods of Evaluation
• Test, Classroom statistical exercises.

Internal Assessment
Techniques Weightage 10 marks
Test – (2 tests) 100%

MSc. NURSING IInd YEAR

NURSING MANAGEMENT
Placement: II Year
Theory: 150 Hours
Practical: 150 Hours
Total: 300 Hours

Course Description
This course is designed to assist students to develop a broad understanding of Principles, concepts, trends and issues related to nursing
management. Further, it would provide opportunity to students to understand, appreciate and acquire skills in planning, supervision and
management of nursing services at different levels to provide quality nursing services.
Objectives
At the end of the course, students will be able to:
1. Describe the philosophy and objectives of the health care institutions at various levels.
2. Identify trends and issues in nursing
3. Discuss the public administration, health care administration via nursing administration
4. Describe the principles of administration applied to nursing
5. Explain the organization of health and nursing services at the various levels/institutions.
6. Collaborate and co-ordinate with various agencies by using multi sectoral approach
7. Discuss the planning, supervision and management of nursing workforce for various health care settings.
8. Discuss various collaborative models between nursing education and nursing service to improve the quality of nursing care
9. Identify and analyze legal and ethical issues in nursing administration
10. Describe the process of quality assurance in nursing services.
11. Demonstrate leadership in nursing at various levels
 Time (Hrs) Teaching Learning Assessment
Unit Content Activities method
Theory Practical
I 10 Introduction • Lecture cum discussion • Essay Type
□ Philosophy, purpose, elements, principles and scope of • Seminar / Presentations • Short Answers
administration
• Project work
□ Indian Constitution, Indian Administrative system vis a vis health
care delivery system: National, State and Local
□ Organisation and functions of nursing services and education at
National, State , District and institutions: Hospital and Community
□ Planning process: Five year plans, Various Committee Reports on
health, State and National Health policies, national population policy,
national policy on AYUSH and plans,
II 10 Management • Lecture cum discussion • Essay Type
□ Functions of administration • Demonstration/ Return • Short Answers
□ Planning and control
demonstration
□ Co-ordination and delegation
• Seminar / Presentations
□ Decision making – decentralization basic goals of decentralization.
□ Concept of management
Nursing management
□ Concept, types, principles and techniques
□ Vision and Mission Statements
□ Philosophy, aims and objective
□ Current trends and issues in Nursing Administration
□ Theories and models
Application to nursing service and education
III 15 Planning • Lecture cum discussion • Essay Type
□ Planning process: Concept, Principles, Institutional policies • Seminar / Presentations • Short Answers
□ Mission, philosophy, objectives,
• Project work
□ Strategic planning
• Field visits
□ Operational plans
 □ Management plans
□ Programme evaluation and review technique(PERT), Gantt chart,
Management by objectives (MBO)
□ Planning new venture
□ Planning for change
□ Innovations in nursing
Application to nursing service and education
IV 15 Organisation • Lecture cum discussion • Essay Type
□ Concept , principles, objectives, Types and theories, Minimum • Demonstration/ Return • Short Answers
requirements for organisation, Developing an organizational
demonstration
Structure, levels, organizational Effectiveness and organizational
• Seminar / Presentations
Climate,
• Project work
□ Organising nursing services and patient care: Methods of patient
assignment- Advantages and disadvantages, primary nursing care,
□ Planning and Organising: hospital, unit and ancillary
services(specifically central sterile supply department, laundry,
kitchen, laboratory services, emergency etc)
□ Disaster management: plan, resources, drill, etc
Application to nursing service and education
V 15 Human Resource for health • Lecture cum discussion • Essay Type
□ Staffing • Short Answers
• Philosophy • Seminar / Presentations
• Norms: Staff inspection unit(SIU), Bajaj Committee, High power • Field visits
committee, Indian nursing council (INC)
• Estimation of nursing staff requirement- activity analysis
• Various research studies
□ Recruitment: credentialing, selection, placement, promotion
□ Retention
□ Personnel policies
□ Termination
□ Staff development programme
 □ Duties and responsibilities of various category of nursing personnel
Applications to nursing service and education
VI 15 Directing • Lecture cum discussion • Essay Type
□ Roles and functions • Demonstration/ Return • Short Answers
□ Motivation: Intrinsic, extrinsic, Creating motivating climate,
demonstration
Motivational theories
• Seminar / Presentations
□ Communication : process, types, strategies, Interpersonal
communication, channels, barriers, problems, Confidentiality,
Public relations
□ Delegation; common delegation errors
□ Managing conflict: process, management, negotiation, consensus
□ Collective bargaining: health care labour laws, unions, professional
associations, role of nurse manager
□ Occupational health and safety
Application to nursing service and education
VII 10 Material management • Lecture cum discussion • Essay Type
□ Concepts, principles and procedures • Short Answers
• Seminar / Presentations
□ Planning and procurement procedures : Specifications
□ ABC analysis,
□ VED (very important and essential daily use) analysis
□ Planning equipments and supplies for nursing care: unit and
hospital
□ Inventory control
□ Condemnation
Application to nursing service and education
VIII 15 Controlling • Lecture cum discussion • Essay Type
□ Quality assurance – Continuous Quality Improvement • Short Answers
• Standards • Seminar / Presentations
• Models • Workshop
• Nursing audit
□ Performance appraisal: Tools, confidential reports, formats,
 Management, interviews
□ Supervision and management: concepts and principles
□ Discipline: service rules, self discipline, constructive versus
destructive discipline, problem employees, disciplinary proceedings
enquiry etc
□ Self evaluation or peer evaluation, patient satisfaction, utilization
review
Application to nursing service and education

IX 15 Fiscal planning • Lecture cum discussion • Essay Type

□ Steps • Short Answers
□ Plan and non-plan, zero budgeting, mid-term appraisal, capital and • Seminar / Presentations
revenue • Field visits
□ Budget estimate, revised estimate, performance budget
• Workshop
□ Audit
□ Cost effectiveness
□ Cost accounting
□ Critical pathways
□ Health care reforms
□ Health economics
□ Health insurance
□ Budgeting for various units and levels
Application to nursing service and education
X 10 Nursing informatics • Lecture cum discussion • Essay Type
□ Trends • Short Answers
□ General purpose • Demonstration/ Return
□ Use of computers in hospital and community demonstration
□ Patient record system
• Seminar / Presentations
□ Nursing records and reports
• Workshop
□ Management information and evaluation system (MIES)
□ E- nursing, Telemedicine, telenursing
 □ Electronic medical records
XI 10 Leadership • Lecture cum discussion • Essay Type
□ Concepts, Types, Theories • Short Answers
□ Styles • Project work
□ Manager behaviour • Field visits
□ Leader behaviour
□ Effective leader: Characteristics, skills
□ Group dynamics
□ Power and politics
□ lobbying
□ Critical thinking and decision making
□ Stress management
Applications to nursing service and education
XII 10 Legal and ethical issues • Lecture cum discussion • Essay Type
Laws and ethics • Short Answers
□ Ethical committee • Demonstration/ Return
□ Code of ethics and professional conduct demonstration
□ Legal system: Types of law, tort law, and liabilities
□ Legal issues in nursing: negligence, malpractice, invasion of privacy, • Seminar / Presentations
defamation of character
□ Patient care issues, management issues, employment issues
□ Medico legal issues
□ Nursing regulatory mechanisms: licensure, renewal, accreditation
□ Patients rights, Consumer protection act(CPA)
□ Rights of special groups: children, women, HIV, handicap, ageing
□ Professional responsibility and accountability
□ Infection control
□ Standard safety measures

PRACTICALS
1. Prepare prototype personal files for staff nurses, faculty and cumulative records
2. Preparation of budget estimate, Revised estimate and performance budget
3. Plan and conduct staff development programme
4. Preparation of Organisation Chart
5. Developing nursing standards/protocols for various units
6. Design a layout plan for speciality units /hospital, community and educational institutions
7. Preparation of job description of various categories of nursing personnel
8. Prepare a list of equipments and supplies for speciality units
9. Assess and prepare staffing requirement for hospitals, community and educational institutions
10. Plan of action for recruitment process
11. Prepare a vision and mission statement for hospital, community and educational institutions
12. Prepare a plan of action for performance appraisal
13. Identify the problems of the speciality units and develop plan of action by using problem solving approach
14. Plan a duty roster for speciality units/hospital, community and educational institutions
15. Prepare: anecdotes, incident reports, day and night reports, handing and taking over reports, enquiry reports, nurses notes, Official letters,
curriculum vitae, presentations etc
16. Prepare a plan for disaster management
17. Group work
18. Field appraisal report
 CLINICAL SPECIALITY – II

MEDICAL SURGICAL NURSING

SUB SPECIALITY – CARDIO VASCULAR AND THORACIC NURSING

Placement : II year
Theory : 150 hours.
Practical : 950 hours.
Total : 1100 hours.

Course Description
This course is designed to assist students in developing expertise and indepth understanding in the field of cardiovascular and thoracic nursing. It
will help students to develop advanced skills for nursing intervention in various cardio medical and surgical conditions. It will enable the student
to function as Cardio vascular and Thoracic Nurse practitioner/specialist. It will further enable the student to function as educator, manager and
researcher in the field of cardio vascular and thoracic nursing.
 Objectives
At the end of the course the students will be able to:
1. Appreciate trends and issues related to cardio vascular and thoracic Nursing.
2. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of cardio vascular and thoracic conditions
3. Participate in national health programs for health promotion, prevention and rehabilitation of patients with cardio vascular and
thoracic conditions
4. Perform physical, psychosocial & spiritual assessment
5. Assist in various diagnostic, therapeutic and surgical procedures
6. Apply nursing process in providing comprehensive care to patients with cardio vascular and thoracic conditions
7. Demonstrate advance skills/competence in managing patients with cardio vascular and thoracic conditions including Advance Cardiac Life
Support.
8. Describe the various drugs used in cardio vascular and thoracic conditions and nurses responsibility
9. Demonstrate skill in handling various equipments/gadgets used for critical care of cardio vascular and thoracic patients
10. Appreciate team work & coordinate activities related to patient care.
11. Practice infection control measures.
12. Identify emergencies and complications & take appropriate measures

13. Discuss the legal and ethical issues in cardio vascular and thoracic nursing
14. Assist patients and their family to cope with emotional distress, grief, anxiety and spiritual needs.
15. Appreciate the role of alternative system of medicine in care of patient
16. Incorporate evidence based nursing practice and identify the areas of research in the field of cardio vascular and thoracic nursing
17. Identify the sources of stress and manage burnout syndrome among health care providers.
18. Teach and supervise nurses and allied health workers.
19. Design a layout of ICCU and ICTU and develop standards for cardio vascular and thoracic nursing practice.

Time (Hrs) Teaching Learning Assessment

Unit Content Activities method
Theory Practical
I 5 Introduction • Lecture cum discussion Essay Type
Short Answers
 □ Historical development, trends and issues in the field of cardiology. • Seminar
□ Cardio vascular and thoracic conditions – major health problem. • Debate
□ Concepts, principles and nursing perspectives
• Case Presentations
□ Ethical and legal issues
□ Evidence based nursing and its application in cardio vascular and
thoracic nursing ( to be incorporated in all the units)
II 5 Epidemiology • Lecture cum discussion Essay Type
□ Risk factors: hereditary, psycho social factors, hypertension, • Seminar Short Answers
smoking, obesity, diabetes mellitus etc
• Case Presentations
□ Health promotion, disease prevention, Life style modification
□ National health programs related to cardio vascular and thoracic
conditions
□ Alternate system of medicine
□ Complementary therapies
III 5 Review of anatomy and physiology of cardio vascular and • Lecture cum discussion
respiratory system • Seminar
□ Review of anatomy and physiology of heart, lung, thoracic cavity
• Panel discussion
and blood vessels. Embryology of heart and lung.
□ Coronary circulation
□ Hemodynamics and electro physiology of heart.
□ Bio-chemistry of blood in relation to cardio pulmonary function.
IV 20 Assessment and Diagnostic Measures: • Lecture cum discussion Essay Type
□ History taking • Seminar Short Answers
□ Physical assessment
• Panel discussion
• Heart rate variability: Mechanisms , measurements, pattern, factors,
• Debate
impact of interventions on HRV
□ Diagnostic tests
• Hemodynamic monitoring: Technical aspects, monitoring, functional
hemodynamic indices, ventricular function indices, output
measurements (Arterial and swan Ganz monitoring).
Blood gases and its significance, oxygen supply and demand
 • Radiologic examination of the chest: interpretation, chest film
findings
• Electro cardiography(ECG) : electrical conduction through the heart,
basic electrocardiography, 12 lead electrocardiogram, axis
determination
- ECG changes in: intraventricular conduction abnormalities-
Arrhythmias, ischemia, injury and infarction, atrial and
ventricular enlargement, electrolyte imbalance,
• Echocardiography: technical aspects, special techniques,
echocardiography of cardiac structures in health and disease, newer
techniques
• Nuclear and other imaging studies of the heart: Magnetic
Resonance Imaging.
• Cardio electrophysiology procedures: diagnostic studies,
interventional and catheter ablation, nursing care
• Exercise testing: indications and objectives, safety and
personnel, pretest considerations, selection, interpretation, test
termination, recovery period
• Cardiac catheterization: indications, contraindications, patient
preparation, procedure, interpretation of data
• Pulmonary function test: Bronchoscopy and graphies
• Interpretation of diagnostic measures
• Nurse’s role in diagnostic tests
□ Laboratory tests using blood: Blood specimen collection, Cardiac
markers, Blood lipids, Hematologic studies, Blood cultures,
Coagulation studies, Arterial blood gases, Blood Chemistries, cardiac
enzyme studies, Serum Concentration of Selected drugs.
□ Interpretation and role of nurse
V 25 Cardiac disorders and nursing management: • Lecture cum discussion Essay Type
□ Etiology, clinical manifestations, diagnosis, prognosis, related • Seminar Short Answers
pathophysiology, treatment modalities and nursing management of:
• Case Presentations
 • Hypertension
• Coronary Artery Disease.
• Angina of various types.
• Cardiomegaly
• Myocardial Infarction, Congestive cardiac failure
• Heart Failure, Pulmonary Edema, Shock.
• Rheumatic heart disease and other Valvular Diseases
• Inflammatory Heart Diseases, Infective Endocarditis, Myocarditis,
Pericarditis.
• Cardiomyopathy, dilated, restrictive, hypertrophic.
• Arrhythmias, heart block Associated illnesses
VI 10 Altered pulmonary conditions • Lecture cum discussion Essay Type
□ Etiology, clinical manifestations, diagnosis, prognosis, related • Seminar Short Answers
pathophysiology, treatment modalities and nursing management of:
• Case Presentations
• Bronchitis
• Exposure to scientific
• Bronchial asthma
• Bronchiectasis conferences
• Pneumonias • Field visits
• Lung abscess, lung tumour
• Pulmonary tuberculosis, fibrosis, pneumoconiosis etc
• Pleuritis, effusion
• Pneumo, haemo and pyothorax
• Interstitial Lung Disease
• Cystic fibrosis
• Acute and Chronic obstructive pulmonary disease (conditions
leading to)
• Cor pulmonale
• Acute respiratory failure
• Adult respiratory distress syndrome
• Pulmonary embolism
• Pulmonary Hypertension
VII 10 Vascular disorders and nursing management • Lecture cum discussion Essay Type
□ Etiology, clinical manifestations, diagnosis, prognosis, related • Seminar Short Answers
pathophysiology, treatment modalities and nursing management of:
• Case Presentations
• Disorders of arteries
• Exposure to scientific
• Disorders of the aorta
• Aortic Aneurysms, conferences
• Aortic dissection • Field visits
• Raynaud’s phenomenon
• Peripheral arterial disease of the lower extremities
• Venous thrombosis
• Varicose veins
• Chronic venous insufficiency and venous leg ulcers
• Pulmonary embolism
VIII 10 Cardio thoracic emergency interventions • Lecture cum discussion Essay Type
□ CPR- BLS and ALS • Seminar Short Answers
□ Use of ventilator, defibrillator , pacemaker • Case Presentations
□ Post resuscitation care. • Exposure to scientific
□ Care of the critically ill patients conferences
□ Psychosocial and spiritual aspects of care • Field visits
□ Stress management; ICU psychosis
□ Role of nurse
IX 10 Nursing care of a patient with obstructive airway • Lecture cum discussion Essay Type
□ Assessment • Seminar Short Answers
□ Use of artificial airway
• Case Presentations
□ Endotracheal intubation, tracheostomy and its care
• Exposure to scientific
□ Complication, minimum cuff leak, securing tubes
Oxygen delivery systems. conferences
□ Nasal Cannula • Field visits
□ Oxygen mask, Venturi mask
□ Partial rebreathing bag
□ Bi-PAP and C-PAP masks
 □ Uses, advantages, disadvantages, nursing implications of each.
Mechanical Ventilation
□ Principles of mechanical ventilation
□ Types of mechanical ventilation and ventilators.
□ Modes of ventilation, advantage, disadvantage, complications.
□ PEEP therapy, indications, physiology, and complications. Weaning
off the ventilator.
□ Nursing assessment and interventions of ventilated patient.
X 10 Congenital Heart Diseases, • Lecture cum discussion Essay Type
□ Etiology, clinical manifestations, diagnois, prognosis, related • Seminar Short Answers
pathophysiology, treatment modalities and nursing management of: • Case Presentations
• Embryological development of heart.
• Exposure to scientific
• Classification – cyanotic and acyanotic heart disease.
• Tetralogy of Fallots. conferences
• Atrial Septal Defect, Ventricular Septal Defect., Eisenmenger’s • Field visits
complex.
• Patent ductus arteriosus, AP window
• Truncus Arteriosus.
• Transposition of great arteries.
• Total Anomaly of Pulmonary Venous Connection.
• Pulmonary stenosis, atresia.
• Coarctation of aorta.
• Ebstein’s anomaly
• Double outlet right ventricle, Single ventricle, Hypoplastic left
heart syndrome.
XI 10 Pharmacology • Lecture cum discussion Essay Type
□ Review • Seminar Short Answers
□ Pharmacokinetics
• Case Presentations
□ Analgesics/Anti inflammatory agents
• Exposure to scientific
□ Antibiotics, antiseptics
□ Drug reaction & toxicity
conferences
 □ Drugs used in cardiac emergencies • Field visits
□ Blood and blood components
• Antithrombolytic agents
• Inotropic agents
• Beta-blocking agents
• Calcium channel blockers.
• Vaso constrictors
• Vaso dilators
• ACE inhibitors.
• Anticoagulents
• Antiarrhythmic drugs.
• Anti hypertensives
• Diuretics
• Sedatives and tranquilizers.
• Digitalis.
• Antilipemics
□ Principles of drug administration, role and responsibilities of
nurses and care of drugs
XII 20 Nursing Care of patient undergoing cardio thoracic surgery • Lecture cum discussion Essay Type
□ Indications, selection of patient • Seminar Short Answers
□ Preoperative assessment and preparation; counselling.
• Panel discussion
□ Intraoperative care: Principles of open heart surgery, equipment,
• Debate
anaesthesia, cardiopulmonary by pass.
□ Surgical procedures for Coronary Artery Bypass Grafting, recent
• Case Presentations
advances and types of grafts, Valve replacement or reconstruction, • Exposure to scientific
cardiac transplant, Palliative surgery and different Stents, vascular conferences
surgery, other recent advances. • Field visits
□ Thoracic surgery: lobectomy, pneumonectomy, tumour excision etc
□ Immediate postoperative care : assessment, post operative problems
and interventions : Bleeding, Cardiac tamponade, Low cardiac output,
Infarction, Pericardial effusion, Pleural effusion,
 Pneumothorax, Haemothorax, Coagulopathy, Thermal imbalance,
Inadequate., ventilation/perfusion, Neurological problems, renal
problems, Psychological problems.
□ Chest physiotherapy
□ Nursing interventions- life style modification, complementary
therapy/alternative systems of medicine.
□ Intermediate and late post operative care after CABG, valve surgery,
others. Follow up care
XIII 5 Cardiac rehabilitation • Lecture cum discussion Essay Type
□ Process • Seminar Short Answers
□ Physical evaluation
• Case Presentations
□ Life style modification
• Exposure to scientific
□ Physical conditioning for cardiovascular efficiency through exercise
□ Counseling
conferences
□ Follow up care • Field visits
XIV 5 Intensive Coronary Care Unit/intensive cardio thoracic unit: • Lecture cum discussion Essay Type
□ Quality assurance • Seminar Short Answers
• Standards, Protocols, Policies, Procedures • Panel discussion
• Infection control; Standard safety measures
• Debate
• Nursing audit
• Design of ICCU/ICTU • Case Presentations
• Staffing; cardiac team • Exposure to scientific
• Burn out syndrome conferences
□ Nurse’s role in the management of I.C.C.U and ICTU. • Field visits
□ Mobile coronary care unit.
□ Planning inservice educational programme and teaching

Practical
Total – 960 Hours
1 Weeks = 30 Hours
 S.No. Deptt/ Unit No. of Week Total Hours
1. Cardio thoracic -Medical 4 120
2. -Surgical 4 120
3. OTs (Cardiac and thoracic) 4 120
4. Casualty 2 60
5. Diagnostic labs including Cath lab 2 60
6. ICCU 4 120
7. ICU 4 120
8. CCU 4 120
9. Pediatric Intensive 2 60
10. OPD 2 60
Total 32 Weeks 960 Hours

Essential Nursing Skills

Procedures Observed
1. Echo cardiogram
2. Ultrasound
3. Monitoring JVP, CVP
4. CT SCAN
5. MRI
6. Pet SCAN
7. Angiography
8. Cardiac catheterization
9. Angioplasty
10. Various Surgeries
11. Any other

I. Procedures Assisted
1. Arterial blood gas analysis
2. Thoracentesis
3. Lung biopsy
4. Computer assisted tomography (CAT scan)
5. M.R.I.
6. Pulmonary angiography
7. Bronchoscopy
8. Pulmonary function test
9. ET tube insertion
10. Tracheostomy tube insertion
11. Cardiac catheterization
12. Angiogram
13. Defibrillation
14. Treadmill test
15. Echocardiography
16. Doppler ultrasound
17. Cardiac surgery
18. Insertion of chest tube
19. CVP Monitoring
20. Measuring pulmonary artery pressure by Swan-Ganz Catheter
21. Cardiac Pacing
II. Procedures Performed
1. Preparation of assessment tool for CT client (Cardiac, thoracic and vascular).
2. ECG – Recording, Reading, Identification of abnormalities
3. Oxygen therapy – Cylinder, central supply, Catheter, nasal cannula, mask, tent Through ET and Tracheostomy tube Manual resuscitation bag
4. Mechanical ventilation
5. Spirometer
6. Tuberculin skin test
7. Aerosol therapy
8. Nebulizer therapy
9. Water seal drainage
10. Chest physiotherapy including – Breathing Exercises Coughing Exercises Percussion & Vibration
11. Suctioning – Oropharyngeal, nasotracheal, Endotracheal Through tracheostomy tube
12. Artificial airway cuff maintenance
13. CPR
14. Care of client on ventilator
15. Identification of different – Arrhythmias Abnormal pulses, respirations B.P. Variation Heart sounds Breath sounds
16. Pulse oximetry
17. Introduction of intracath
18. Bolus I.V. Injection
19. Life line
20. Maintenance of “Heplock”
21. Subcutaneous of Heparin
22. Obtaining leg measurements to detect early swelling in thrombophlebitis
23. Identification of Homans signs
24. Buergen – Allen exercises

CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING - CRITICAL CARE NURSING
Placement: II Year
Theory: 150 hours
Practical: 950 hours
Total: 1100 hours

Course Description
This course is designed to assist students in developing expertise and in depth knowledge in the field of Critical care nursing. It will help students
to develop advanced skills for nursing intervention in caring for critically ill patients. It will enable the student to function as critical care nurse
practitioner/ specialist. It will further enable the student to function as educator, manager and researcher in the field of Critical Care Nursing.

Objectives
At the end of the course the students will be able to
1. Appreciate trends and issues related to Critical Care Nursing.
2. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of critically ill patients
3. Describe the various drugs used in critical care and nurse’s responsibility
4. Perform physical, psychosocial & spiritual assessment
5. Demonstrate advance skills/competence in managing critically ill patients including Advance Cardiac Life Support.
6. Demonstrate skill in handling various equipments/gadgets used for critical care
7. Provide comprehensive care to critically ill patients.
8. Appreciate team work & coordinate activities related to patient care.
9. Practice infection control measures.
10. Assess and manage pain.
11. Identify complications & take appropriate measures.
12. Discuss the legal and ethical issues in critical care nursing
13. Assist patients and their family to cope with emotional distress, spiritual, grief and anxiety
14. Assist in various diagnostic, therapeutic and surgical procedures
15. Incorporate evidence based nursing practice and identify the areas of research in the field of critical care nursing
16. Identify the sources of stress and manage burnout syndrome among health care providers.
17. Teach and supervise nurses and allied health workers.
18. Design a layout of ICU and develop standards for critical care nursing practice.

Time (Hrs) Teaching Learning Assessment method

Unit Content Activities
Theory Practical
I. 5 Introduction to Critical Care Nursing • Lecture cum Essay Type
□ Historical review- Progressive patient care(PPC) discussion Short Answers
□ Review of anatomy and physiology of vital organs, fluid and
• Seminar
electrolyte balance
• Case Presentations
□ Concepts of critical care nursing
□ Principles of critical care nursing
• Exposure to
□ Scope of critical care nursing scientific
□ Critical care unit set up including equipments supplies, use and conferences
care of various type of monitors & ventilators
□ Flow sheets
II. 10 Concept of Holistic care applied to critical care nursing practice • Lecture cum Essay Type
□ Impact of critical care environment on patients:- discussion Short Answers
• Risk factors, Assessment of patients, Critical care psychosis, • Seminar
 prevention & nursing care for patients affected with • Case Presentations
psychophysiological & psychosocial problems of critical care • Exposure to
unit, Caring for the patient’s family, family teaching
scientific
□ The dynamics of healing in critical care unit:-therapeutic touch,
conferences
Relaxation, Music therapy, Guided Imagery, acupressure
□ Stress and burnout syndrome among health team members
III. 14 Review • Lecture cum Essay Type
□ Pharmacokinetics discussion Short Answers
□ Analgesics/Anti inflammatory agents
• Seminar
□ Antibiotics, antiseptics
• Case Presentations
□ Drug reaction & toxicity
□ Drugs used in critical care unit (inclusive of ionotropic, life saving
• Exposure to
drugs) scientific
□ Drugs used in various body systems conferences
□ IV fluids and electrolytes
□ Blood and blood components
□ Principles of drug administration, role of nurses and care of drugs
IV. 5 Pain Management • Lecture cum Essay Type
□ Pain & Sedation in Critically ill patients discussion Short Answers
□ Theories of pain, Types of pain, Pain assessment, Systemic
• Seminar
responses to pain
• Case Presentations
□ pain management-pharmacological and non-pharmacological
measures • Exposure to
□ Placebo effect scientific
conferences

V. 5 Infection control in intensive care unit • Lecture cum Essay Type

□ Nosocomial infection in intensive care unit; methyl resistant discussion Short Answers
staphylococcus aureus (MRSA), Disinfection, Sterilization, Standard
• Seminar
safety measures, Prophylaxis for staff
• Case Presentations
 • Exposure to
scientific
conferences

VI. 10 Gastrointestinal System • Lecture cum Essay Type

□ Causes, Pathophysiology, Clinical types, Clinical features, discussion Short Answers
diagnosis, Prognosis, Management: Medical, Surgical and Nursing • Seminar
management of:-Acute Gastrointestinal Bleeding, Abdominal
• Case Presentations
injury, Hepatic Disorders:-Fulminant hepatic failure, Hepatic
encephalopathy, Acute Pancreatitis, Acute intestinal obstruction, • Exposure to
perforative peritonitis scientific
conferences

VII. 10 Renal System • Lecture cum Essay Type

□ Causes, pathophysiology, Clinical types, Clinical features, diagnosis, discussion Short Answers
Prognosis, Management: Medical, Surgical and Nursing • Seminar
management of:-Acute Renal Failure, Chronic Renal Failure, Acute
• Case Presentations
tubular necrosis, Bladder trauma
□ Management Modalities: Hemodialysis, Peritoneal Dialysis,
• Exposure to
Continuous Ambulatory Peritoneal Dialysis, Continuous arteriovenous scientific
hemodialysis, Renal Transplant, conferences

VIII. 10 Nervous System • Lecture cum Essay Type

□ Causes, pathophysiology, Clinical types, Clinical features, discussion Short Answers
diagnosis, Prognosis, Management: Medical, Surgical and Nursing • Seminar
management of:-Common Neurological Disorders:-Cerebrovascular
• Case Presentations
disease, Cerebrovascular accident, Seizure disorders,
Guillain-Barre-Syndrome, Myasthenia Gravis, Coma, Persistent • Exposure to
vegetative state, Encephalopathy, Head injury, Spinal Cord injury scientific
□ Management Modalities: Assessment of Intracranial pressure, conferences
 Management of intracranial hypertension, Craniotomy
□ Problems associated with neurological disorders: Thermo
regulation, Unconsciousness, Herniation syndrome
IX. 5 Endocrine System • Lecture cum Essay Type
□ Causes, Pathophysiology, Clinical types, Clinical features, discussion Short Answers
diagnosis, Prognosis, Management: Medical, Surgical and Nursing • Seminar
Management of :-Hypoglycemia, Diabetic Ketoacidosis, Thyroid
• Case Presentations
crisis, Myxedema, Adrenal crisis, Syndrome of Inappropriate/
hypersecretion of Antidiuretic Hormone (SIADH) • Exposure to
scientific
conferences

X. 15 Management of other Emergency Conditions • Lecture cum Essay Type

□ Mechanism of injury, Thoracic injuries, Abdominal injuries, pelvic discussion Short Answers
fractures, complications of trauma, Head injuries
• Seminar
□ Shock: Shock syndrome, Hypovolemic, Cardiogenic, Anaphylactic,
• Case Presentations
Neurogenic and Septic shock
□ Systemic inflammatory Response: The inflammatory response,
• Exposure to
Multiple organ dysfunction syndrome scientific
□ Disseminated Intravascular Coagulation conferences
□ Drug Overdose and Poisoning,
□ Acquired Immunodeficiency Syndrome (AIDS)
□ Ophthalmic: Eye injuries, Glaucoma, retinal detachment
□ Ear Nose Throat: Foreign bodies, stridor, bleeding, Quincy, acute
allergic conditions
□ Psychiatric emergencies;, suicide,
□ crisis intervention
XI. 20 Cardiovascular emergencies • Lecture cum Essay Type
□ Principles of Nursing in caring for patients with Cardiovascular discussion Short Answers
disorders • Seminar
□ Assessment: Cardiovascular system: Heart sounds, Diagnostic
• Case Presentations
 studies:- Cardiac enzymes studies, Electrocardiographic monitoring, • Exposure to
Holter monitoring, Stress test. Echocardiography, Coronary scientific
angiography, Nuclear medicine studies
conferences
□ Causes, Pathophysiology, Clinical types, Clinical features,
Diagnostic Prognosis, Management : Medical, Surgical & Nursing
management of:-Hypertensive crisis, Coronary artery disease,
Acute Myocardial infarction, Cardiomyopathy, Deep vein
thrombosis, Valvular diseases, Heart block, Cardiac arrhythmias &
conduction disturbances, Aneurysms, Endocarditis, Heart failure
Cardio pulmonary resuscitation BCLS/ ACLS
□ Management Modalities: Thrombolytic therapy, Pacemaker –
temporary & permanent, Percutaneous transluminal coronary
angioplasty, Cardioversion, Intra Aortic Balloon pump monitoring,
Defibrillations, Cardiac surgeries, Coronary Artery Bypass Grafts
(CABG/MICAS), Valvular surgeries, Heart Transplantation,
Autologous blood transfusion, Radiofrequency Catheter Ablation
XII. 15 Respiratory System • Lecture cum Essay Type
□ Acid-base balance & imbalance discussion Short Answers
□ Assessment : History & Physical Examination
• Seminar
□ Diagnostic Tests: Pulse Oximetry, End –Tidal Carbon Dioxide
• Case Presentations
Monitoring, Arterial blood gas studies, chest radiography,
pulmonary Angiography, Bronchoscopy, Pulmonary function Test, • Exposure to
Ventilation perfusion scan, Lung ventilation scan scientific
□ Causes Pathophysiology, Clinical types, Clinical features, conferences
Prognosis, Management: Medical, Surgical and Nursing
management of Common pulmonary disorders:-Pneumonia, Status
asthmaticus, interstitial drug disease, Pleural effusion, Chronic
obstructive pulmonary disease, Pulmonary tuberculosis,
Pulmonary edema, Atelectasis, Pulmonary embolism, Acute
respiratory failure, Acute respiratory distress syndrome (ARDS),
Chest Trauma Haemothorax, Pneumothorax
 □ Management Modalities:-Airway Management
□ Ventilatory Management:-Invasive, non- invasive, long term
mechanical ventilations
□ Bronchial Hygiene:-Nebulization, deep breathing exercise, chest
physiotherapy, postural drainage, Inter Costal Drainage, Thoracic
surgeries
XIII. 7 Burns • Lecture cum Essay Type
□ Clinical types, classification, pathophysiology, clinical features, discussion Short Answers
assessment, diagnosis, prognosis, Management: Medical, Surgical • Seminar
& Nursing management of burns
• Case Presentations
□ Fluid and electrolyte therapy – calculation of fluids and its
administration • Exposure to
□ Pain management scientific
□ Wound care conferences
□ Infection control
□ Prevention and management of burn complications
□ Grafts and flaps
□ Reconstructive surgery
□ Rehabilitation
XIV. 5 Obstetrical Emergencies • Lecture cum Essay Type
□ Causes, Pathophysiology, Clinical types, clinical features, discussion Short Answers
diagnostic Prognosis, Management: Medical, Surgical and Nursing • Seminar
management of :Antepartum hemorrhage, Preeclampsia,
• Case Presentations
eclampsia, Obstructed labor and ruptured uterus, Post partum
hemorrhage, Peurperal sepsis, Obstetrical shock • Exposure to
scientific
conferences

XV. 10 Neonatal Pediatric emergencies • Lecture cum Essay Type

□ Causes, pathophysiology, Clinical types, Clinical features, discussion Short Answers
diagnostic, Prognosis , Management: medical, surgical and Nursing • Seminar
 management of • Case Presentations
• Neonatal emergencies • Exposure to
□ Asphyxia Neonatarum, Pathological Jaundice in Neonates,
scientific
Neonatal seizures, Metabolic disorders, Intra cranial Hemorrhage,
conferences
Neonatal Sepsis, RDS/HMD (Respiratory Distress
Syndrome/Hyaline Membrane Disease), Congenital disorders:-
• Cyanotic heart disease, trachea-esophageal fistula, congenital
hypertrophic pyloric stenosis, imperforate anus
• Pediatric emergencies
□ Dehydration, Acute bronchopneumonia, Acute respiratory distress
syndrome, Poisoning, Foreign bodies, seizures, traumas, Status
asthmaticus
XVI. 2 Legal and ethical issues in critical care-Nurse’s role • Lecture cum Essay Type
□ Brain death discussion Short Answers
□ Organ donation & Counselling
• Seminar
□ Do Not Resuscitate(DNR)
• Case Presentations
□ Euthanasia
□ Living will
• Exposure to
scientific
conferences

XVII. 2 Quality assurance • Lecture cum Essay Type

□ Standards, Protocols, Policies, Procedures discussion Short Answers
□ Infection control; Standard safety measures
• Seminar
□ Nursing audit
• Case Presentations
□ Staffing
□ Design of ICU/CCU
• Exposure to
scientific
conferences
Practical
Total = 960 Hours
1 Week = 30 Hours

S.No. Deptt./Unit No. of Week Total Hours

1. Burns ICU 2 60
2. Medical ICU 8 240
3. Surgical ICU 12 360
4. CCU 2 60
5. Emergency Department 3 90
6. Dialysis Unit 1 30
7. Transplant Room 2 60
8. Paediatric/ NICU 2 60
Total 32 Weeks 960 Hours

ESSENTIAL CRITICAL CARE NURSING SKILLS

I. Procedures Observed
1. CT Scan
2. MRI
3. EEG
4. Hemodialysis
5. Endoscopic Retrograde cholangiopancreaticogram(ERCP)
6. Heart/ Neuro/GI./ Renal Surgeries

II. Procedures Assisted

1. Advanced life support system
2. Basic cardiac life support
3. Arterial line/arterial pressure monitoring/blood taking
4. Arterial blood gas
5. ECG recording
6. Blood transfusion
7. IV cannulation therapy
8. Arterial Catheterization
9. Chest tube insertion
10. Endotracheal intubations
11. Ventilation
12. Insertion of central line/ CVP line
13. Connecting lines for dialysis

III. Procedure Performed

1. Airway management
a. Application of oropharyngeal airway
b. Oxygen therapy
c. CPAP (Continuous Positive Airway pressure)
d. Care of tracheostomy
e. Endotracheal extubation
2. Cardiopulmonary resuscitation, Basic cardiac life support, ECG
3. Monitoring of critically ill patients – clinically with monitors, capillary refill time (CRT) assessment of jaundice, ECG.
4. Gastric lavage
5. Assessment of critically ill patients
Identification & assessment of risk factors, Glasgow coma scale, and dolls eye movement, arterial pressure monitoring, cardiac output/pulmonary
artery pressure monitoring, and detection of life threatening abnormalities
6. Admission & discharge of critically ill patients
7. Nutritional needs – gastrostomy feeds, pharyngeal feeds, jejunostomy feeds, TPN, formula preparation & patient education.
8. Assessment of patient for alteration in blood sugar levels monitoring blood sugar levels periodically & administering insulin periodically.
9. Administration of drugs: IM, IV injection, IV cannulation & fixation of infusion pump, calculation of dosages, use of insulin syringes/ tuberculin,
monitoring fluid therapy, blood administration.
10. Setting up dialysis machine and starting, monitoring and closing dialysis
11. Procedures for prevention of infections:
Hand washing, disinfection & sterilization surveillance, and fumigation universal precautions.
12. Collection of specimen.
13. Setting, use & maintenance of basic equipment, ventilator, O2 analyzer, monitoring equipment, transducers, defibrillator, infusion
& syringe pumps, centrifuge machine.

IV Other Procedures

CLINICAL SPECIALITY – II
MEDICAL SURGICAL NURSING- NEUROSCIENCES NURSING
Placement: II Years
Theory – 150 Hours
Practical- 950 Hours
Total: 1100 Hours

Course Description
This course is designed to assist students in developing expertise and in-depth knowledge in the field of neurology and neurosurgical Nursing. It
will help students to develop advanced skills for nursing intervention in caring for patients with neurological and neurosurgical disorders. It will
enable the student to function as neuroscience nurse practitioner/ specialist. It will further enable the student to function as educator, manager and
researcher in the field of neurology and neurosurgical Nursing.

Objectives
At the end of the course the students will be able to
1. Appreciate trends and issues related to neurology and neurosurgical Nursing.
2. Review the anatomy and physiology of nervous system
3. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of patients with neurological and neurosurgical disorders
4. Perform neurological assessment and assist in diagnostic procedures
5. Describe the concepts and principles of neuroscience nursing
6. Describe the various drugs used in neurosciences and nurses responsibility
7. Assist in various therapeutic and surgical procedures in neuroscience nursing
8. Demonstrate advance skills/competence in managing patients with neurological and neurosurgical disorder following nursing process approach
 9. Identify psychosocial problems of patients with disabilities and assist patients and their family to cope with emotional distress, spiritual, grief
and anxiety
10. Participate in preventive, promotive and rehabilitative services for neurological and neurosurgical patients.
11. Explain the legal and ethical issues related to brain death, organ transplantation and practice of neuroscience nursing
12. Incorporate evidence based nursing practice and identify the areas of research in the field of neuroscience nursing
13. Organize and conduct in-service education program for nursing personnel.
14. Develop standards of care for quality assurance in neuroscience nursing practice
15. Identify the sources of stress and manage burnout syndrome among health care providers.
16. Teach and supervise nurses and allied health workers.
17. Plan and develop physical layout of neuro intensive care unit
Time (Hrs) Teaching Learning Assessment method
Unit Content Activities
Theory Practical
I. 5 Introduction • Lecture cum discussion Essay Type
□ Introduction to neuroscience(neurological and neurosurgical) • Seminar Short Answers
nursing
• Case Presentations
• History-Development in neurological and neurosurgical nursing,
• Exposure to scientific
Service & education
• Emerging trends and issues in neurology and neuro surgery and its conferences
implication to nursing.
• neurological and neurosurgical problems –
• Concepts, principles and nursing perspectives
• Ethical and legal issues
• Evidence based nursing and its application in neurological and
neurosurgical nursing
II 5 Epidemiology • Lecture cum discussion Essay Type
□ Major health problems- • Seminar Short Answers
□ Risk factors associated with neurological conditions- Hereditary,
• Case Presentations
Psychosocial factors, smoking, alcoholism, dietary habits, cultural and
ethnic considerations, occupational and infections.
□ Health promotion, disease prevention, life style modification and
 its implications to nursing
Alternate system of medicine/complementary therapies
III 10 Review of Anatomy and physiology • Lecture cum discussion Essay Type
□ Embryology • Seminar Short Answers
□ Structure and functions of Nervous system- CNS, ANS, cerebral
• Exposure to scientific
circulation , cranial and spinal nerves and reflexes, motor and
conferences
sensory functions
□ Sensory organs
IV 15 Assessment and diagnostic measures • Lecture cum discussion Essay Type
□ Assessment • Seminar Short Answers
• History taking • Panel discussion
• Physical assessment, psychosocial assessment
• Neurological assessments, Glasgow coma scale interpretation & its
relevance to nursing.
• Common assessment abnormalities
□ Diagnostic measures
• Cerebrospinal fluid analysis
• Radiological studies-Skull and spine X-ray Cerebral Angiography,
CT Scan, Single Photon Emission Computer Tomography(SPECT),
MRI (Magnetic Resonance Imaging), MRA, MRS, Functional MRI,
Myelography, PET (Positron Emission Test), Interventional radiology.
• Electrographic studies- Electro encephalography, MEG, EMG,
video EEG,
• Nerve conduction studies-Evoked potentials, visual evoked potentials,
brain stem auditory evoked potentials, somatosensory evoked
potentials
• Ultrasound studies-Carotid duplex, transcranial Doppler sonography,
• Immunological studies
• Biopsies – muscle, nerve and Brain. Interpretation of diagnostic
measures Nurse’s role in diagnostic tests
V 5 Meeting Nutritional needs of neurological patients • Lecture cum discussion Essay Type
 □ Basic nutritional requirements • Seminar Short Answers
□ Metabolic changes following injury and starvation • Debate
□ Nutritional assessment
• Case Presentations
□ Common neurological problems that interfere with nutrition and
strategies for meeting their nutritional needs
□ Special metabolic and electrolyte imbalances
□ Chronic fatigue syndrome
VI 5 Drugs used in neurological and neurosurgical disorders • Lecture cum discussion Essay Type
□ Classification • Seminar Short Answers
□ Indications, contraindications, actions and effects, toxic effects • Case Presentations
Role of nurse • Exposure to scientific
conferences
VII 10 Traumatic conditions. • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnosis, Prognosis, Management: medical, surgical and Nursing
• Case Presentations
management of
• Exposure to scientific
• Cranio-cerebral injuries.
• Spinal & Spinal cord injuries. conferences
• Peripheral nerve injuries. • Field visits
• Unconsciousness
VIII 10 Cerebrovascular disorders. • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnosis, Prognosis , Management: medical, surgical and Nursing • Case Presentations
management of
• Exposure to scientific
• Stroke & arteriovenous thrombosis.
• Hemorrhagic embolus. conferences
• Cerebrovascular accidents. • Field visits
• Intracranial aneurysm.
• Subarachnoid Hemorrhage.
• Arteriovenous fistula.
• Brain tumors
 □ Diseases of cranial nerves; Trigeminal neuralgia, Facial palsy,
Bulbar palsy.
IX 10 Degenerating and demyelinating disorders • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnostic, Prognosis , Management: medical, surgical and
• Case Presentations
Nursing management of
• Exposure to scientific
• Motor neuron diseases.
• Movement disorders- Tics, dystonia, chorea, Wilson’s disease, conferences
essential tremors • Field visits
• Dementia.
• Parkinson’s disease.
• Multiple sclerosis.
• Alzheimer’s
X 10 Neuro infections • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnostic, Prognosis , Management: medical, surgical and • Case Presentations
Nursing management of Neuro infections
• Exposure to scientific
• Meningitis-types
• Encephalitis. conferences
• Poliomyelitis. • Field visits
• Parasitic infections.
• Bacterial infections
• Neurosyphilis.
• HIV & AIDS.
• Brain abscess.
XI 10 Paroxysmal disorders. • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnosis, Prognosis , Management: medical, surgical and Nursing
• Case Presentations
management of
• Exposure to scientific
• Epilepsy and seizures.
• Status epilepticus. conferences
 • Syncope. • Field visits
• Meniere’s syndrome.
• Cephalgia.
XII 10 Developmental disorders. • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnostic, Prognosis , Management: medical, surgical and • Panel discussion
Nursing management of
• Debate
• Hydrocephalus.
• Craniosynostosis. • Case Presentations
• spina bifida- Meningocele, Meningomyelocele encephalocele • Exposure to scientific
• Syringomyelia. conferences
• Cerebrovascular system anomalies. • Field visits
• Cerebral palsies.
• Down’s syndrome
XIII 10 Neuro muscular disorders. • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnostic, Prognosis, Management: medical, surgical and Nursing • Case Presentations
management of
• Exposure to scientific
• Polyneuritis – G B Syndrome.
• Muscular dystrophy. conferences
• Myasthenia gravis. • Field visits
• Trigeminal neuralgia.
• Bell’s palsy.
• Menier’s disease
• Carpal tunnel syndrome
• Peripheral neuropathies
XIV 5 Neoplasms – surgical conditions. • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnostic, Prognosis , Management: medical, surgical and • Panel discussion
Nursing management of
• Debate
• Space occupying lesions -types
• Case Presentations
 • Common tumors of CNS, • Exposure to scientific
conferences
• Field visits
XV 5 Other disorders • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnostic, Prognosis , Management: medical, surgical and • Case Presentations
Nursing management of
□ Metabolic disorders- diabetes, insipidus, metabolic
encephalopathy
□ Sleep disorders
□ Auto immune disorders- multiple sclerosis, inflammatory
myopathies
XVI 10 Neuro emergencies • Lecture cum discussion Essay Type
□ Causes, pathophysiology, Clinical types, Clinical features, • Seminar Short Answers
diagnostic, Prognosis , Management: medical, surgical and
• Case Presentations
Nursing management of
• Exposure to scientific
• Increased intracranial pressure
• Unconscious conferences
• Herniation syndrome • Field visits
• Seizures
• Severe head injuries
• Spinal injuries
• Cerebro vascular accidents

XVII 5 Rehabilitation. • Lecture cum discussion Essay Type

□ Concept and Principles of Rehabilitation. • Seminar Short Answers
□ Factors affecting quality of life and coping
• Panel discussion
□ Rehabilitation in acute care setting, and following stroke, head
• Case Presentations
injury and degenerative disorders of brain
□ Physiotherapy.
• Exposure to scientific
□ Counselling conferences
 □ Care giver’s role • Field visits
Speech & Language.-Neurogenic communication disorders, Speech
therapy
XVIII 5 Ethical and legal issues in neuroscience nursing • Lecture cum discussion Essay Type
□ Brain death and organ transplantation • Seminar Short Answers
□ Euthanasia
• Case Presentations
□ Negligence and malpractice
• Exposure to scientific
□ Nosocomial infections
conferences
• Field visits
XIX 5 □ Quality assurance in neurolgical nursing practice • Lecture cum discussion Essay Type
□ Role of advance practitioner in neurological nursing • Seminar Short Answers
□ Professional practice standards
• Panel discussion
□ Quality control in neurologic nursing
• Debate
□ Nursing audit
□ Neuro ICU
• Case Presentations
• Philosophy, aims and objectives • Exposure to scientific
• Policies, staffing pattern, design and physical plan of neuro ICU conferences
• Team approach, functions • Field visits
• Psychosocial aspects in relation to staff and clients of neuro ICU,
• In-service education
Practical
Total = 960 Hours
1 Week = 30 Hours

S.No. AREA OF POSTING No. of Week Total Hours

1. O.P.D. 2 60
2. Casualty 2 60
3. Diagnostics 2 60
4. Neuro psychiatry 1 30
5. Neuro Medical wards 4 120
6. Paediatric Neuro ward 2 60
7. Neuro surgical wards 4 120
8. Head Injury ward 3 90
9. ICU- neuro medicine 4 120
10. I.C.U.- neuro surgical 4 120
11. Rehabilitation 2 60
12. Operation Theatre 2 60
Total 32 Weeks 960 Hours

ESSENTIAL NEURO NURSING SKILLS

I. Procedures Observed
1. CT scan
2. MRI
3. PET
4. EEG
5. EMG
6. Sleep pattern studies/Therapy
7. Radio graphical studies
8. Neuro surgeries
9. Nerve conduction studies
10. Ultrasound studies
11. Any other
II. Procedures Assisted
1. Advanced Cardiac life support
2. Lumbar Puncture
3. Biopsies – muscle, nerve and Brain
4. Arterial Blood Gas
5. ECG Recording
6. Blood transfusion
7. IV cannulation – open method
8. Endotracheal intubation
9. Ventilation
10. Tracheostomy
11. ICP monitoring
12. Gama Knife
13. Cereberal angiography
14. Myelography
15. Neuro surgeries
III. Procedures Performed:
1. Airway management
a. Application of Oro Pharyngeal Airway
b. Care of Tracheostomy
c. Conduct Endotracheal Intubation
d. use of AMBU bag, artificial respirators
e. Setting of Ventilators and Care of patients on ventilators
2. Cardio Pulmonary Resuscitation -Defibrillation
3. Neurological assessment -Glasgow coma scale
4. Gastric Lavage
5. IV Cannulation
6. Administration of emergency IV Drugs, fluid
7. Care of patients with incontinence, bladder training Catheterization
8. Care of patients on traction related to the neurological conditions
9. Blood Administration.
10. Muscle strengthening exercises
11. Guidance and counseling
12. Monitoring – management and care of monitors.
IV. Other Procedures

CLINICAL SPECIALITY – II

MEDICAL SURGICAL NURSING - ORTHOPEDIC NURSING

Placement : II Year
Theory : 150 Hours
Practical : 950 Hours
Total : 1100 Hours

Course Description
This course is designed to assist students in developing expertise and indepth understanding in the field of orthopedic nursing. It will help students
to develop advanced skills for nursing intervention in various orthopedic conditions. It will enable the student to function as orthopedic nurse
practitioner/specialist providing quality care. It will further enable the student to function as educator, manager, and researcher in the field of
orthopedic nursing.

Objectives
At the end of the course the students will be able to:
1. Appreciate the history and developments in the field of orthopedic nursing
2. Identify the psycho-social needs of the patient while providing holistic care.
3. Perform physical and psychological assessment of patients with orthopedic conditions and disabilities.
4. Describe various disease conditions and their management
5. Discuss various diagnostic tests required in orthopedic conditions
6. Apply nursing process in providing care to patients with orthopedic conditions and those requiring rehabilitation.
7. Recognize and manage orthopedic emergencies.
8. Describe recent technologies and treatment modalities in the management of patients with orthopedic conditions and those requiring rehabilitation.
9. Integrate the concept of family centered, long term care and community based rehabilitation to patients with orthopedic conditions.
10. Counsel the patients and their families with orthopedic conditions
11. Describe various orthotic and prosthetic appliances
12. Appreciate the legal and ethical issues pertaining to patients with orthopedic conditions and those requiring rehabilitation.
13. Appreciate the role of alternative system of medicine in care of patients with orthopedic conditions
14. Incorporate evidence based nursing practice and identify the areas of research in the field of orthopedic nursing.
15. Recognize the role of orthopedic nurse practitioner and as a member of the orthopedic and rehabilitation team.
16. Teach orthopedic nursing to undergraduate students and in-service nurses.
17. Prepare a design and layout of orthopedic and rehabilitative units.

Time (Hrs) Teaching Assessment

Unit Content Learning method
Theory Practical
Activities
1. 5 Introduction • Lecture cum Essay Type
□ Historical perspectives – History and trends in orthopedic nursing discussion Short
□ Definition and scope of orthopedic nursing Answers
• Seminar
□ Anatomy and physiology of Musculo-skeletal system
• Case
□ Posture, Body landmarks Skeletal system Muscular system.
Nervous system - Main nerves Presentations
□ Healing of - Injury, bone injury, • Exposure to
□ Repair of ligaments scientific
□ Systemic response to injury conferences
□ Ergonomics, Body mechanics, biomechanical measures
□ Orthopedic team
2. 8 Assessment of Orthopedic Patient • Lecture cum Essay Type
□ Health Assessment: History, physical examination- Inspection, discussion Short
palpation, movement, Measurement, muscle strength Testing. Answers
• Seminar
□ Diagnostic studies – Radiological studies, Muscle enzymes,
• Case
serologic studies
Presentations
• Exposure to
scientific
 conferences

3. 10 Care of patients with devices • Lecture cum Essay Type

□ Splints, braces, various types of plaster cast discussion Short
□ Various types of tractions, Answers
• Seminar
□ Various types of orthopedic beds and mattresses
• Case
□ Comfort devices
□ Implants in orthopedic
Presentations
□ Prosthetics and Orthotics • Exposure to
scientific
conferences

4. 15 Injuries • Lecture cum Essay Type

Trauma & Injuries discussion Short
□ Causes, pathophysiology, clinical types, clinical features, Answers
• Seminar
diagnosis, prognosis, management, medical surgical and nursing
• Case
management of :
• Early management of Trauma Presentations
• Fractures • Exposure to
• Injuries of the scientific
□ Shoulder and arm conferences
□ Elbow, fore arm, wrist, hand
□ Hip, thigh, knee, leg, ankle, foot
□ Spine
□ Head injury
□ Chest injury
• Polytrauma
• Nerve injuries
• Vascular injuries
• Soft tissue injuries
• Sports injuries
 • Amputation
5. 8 Infections of Bones and Joints • Lecture cum Essay Type
□ Causes, pathophysiology, clinical types, clinical features, discussion Short
diagnosis, prognosis, management, medical surgical and nursing Answers
• Seminar
management of :
• Case
• Tuberculosis
• Osteomyelitis Presentations
• Arthritis • Exposure to
• Leprosy scientific
conferences

6. 5 Bone Tumours • Lecture cum Essay Type

□ Causes, pathophysiology, clinical types, clinical features, discussion Short
diagnosis, prognosis, management, medical surgical and nursing Answers
• Seminar
management of:
• Case
• Bone tumors – Benign, Malignant and metastatic
• Different types of therapies for tumors Presentations
• Exposure to
scientific
conferences

7. 10 Deformities • Lecture cum Essay Type

□ Causes, pathophysiology, clinical types, clinical features, discussion Short
diagnosis, prognosis – medical surgical and nursing management Answers
• Seminar
of:Scoliosis, Kyphosis,Lordosis
• Case
□ Congenital disorders: Congenital dislocation of hip(CDH),
Dislocation of patella, knee, Presentations
□ Varus and valgus deformities, • Exposure to
□ Deformities of digits, scientific
□ Congenital torticollis. conferences
□ Meningocele, meningomyelocele, spina bifida,
 □ Chromosomal disorders.
□ Computer related deformities
8. 5 Disorders of the spine • Lecture cum Essay Type
□ Intervertebral disc prolapse, Fracture of the spine discussion Short
□ Low back disorder – Low back pain, PND, spinal stenosis, Answers
• Seminar
spondylosis
• Case
Presentations
• Exposure to
scientific
conferences

9. 5 Nutritional/Metabolic and Endocrine Disorders • Lecture cum Essay Type

□ Causes, pathophysiology, clinical types, clinical features, diagnosis, discussion Short
prognosis, medical surgical and nursing management of: Answers
• Seminar
• Rickets,
• Case
• Scurvy,
• Hyper vitaminosis A and D, Presentations
• Osteomalacia, • Exposure to
• Osteoporosis scientific
• Paget’s disease, conferences
• gout,
• Gigantism,
• Dwarfism,
• Acromegaly.
• Therapeutic diets for various orthopedic disorders
10. 8 Neuro-Muscular Disorders: • Lecture cum Essay Type
□ Causes, pathophysiology, clinical types, clinical features, diagnosis, discussion Short
prognosis, medical surgical and nursing management of: Answers
• Seminar
• Poliomyelitis, Cerebral Palsy
• Case
• Myasthenia gravis
 • Spina bifida. Presentations
• Peripheral nerve lesion, • Exposure to
• Paraplegia, Hemiplegia, Quadriplegia. scientific
• Muscular dystrophy
conferences

11. 8 Chronic/Degenerative Diseases of Joints and Autoimmune • Lecture cum Essay Type
Disorders: discussion Short
□ Causes, pathophysiology, clinical types, clinical features, diagnosis, Answers
• Seminar
prognosis – medical surgical and nursing management of:
• Case
• Osteo Arthritis
• Rheumatoid Arthritis Presentations
• Ankylosing spondylitis. • Exposure to
• Spinal disorders. scientific
• Systemic Lupus Erythematosus conferences

12. 5 Orthopedic Disorders in Children: • Lecture cum Essay Type

□ General and special consideration on pediatric orthopedics discussion Short
□ Genetic disorders Answers
• Seminar
□ Congenital anomalies
• Case
□ Growth disorders
□ Genetic counseling
Presentations
□ Nurses role in genetic counseling • Exposure to
scientific
conferences

13. 5 Geriatric Problems • Lecture cum Essay Type

□ Geriatric population, types of disabilities, causes, treatment and discussion Short
Management – Hospitalization, rest, physiotherapy, involvement of Answers
• Seminar
family members, social opportunities.
• Case
□ Care at home – involvement of family and community, follow up
 care and rehabilitation Presentations
• Exposure to
scientific
conferences

14. 6 Pharmacokinetics • Lecture cum Essay Type

□ Principles of drug administration discussion Short
□ Analgesics and anti inflammatory agents Answers
• Seminar
□ Antibiotics, Antiseptics,
• Case
□ Drugs used in orthopedics and neuromuscular disorders
□ Blood and blood components
Presentations
□ Care of drugs and nurses role • Exposure to
scientific
conferences

15. 30 Nurses Role in Orthopedic Conditions • Lecture cum Essay Type

□ Gait analysis discussion Short
□ Urodynamic studies Answers
• Seminar
□ Prevention of physical deformities
• Case
□ Alteration of body temperature regulatory system and immune
systems Presentations
□ Immobilization – cast, splints, braces and tractions • Exposure to
□ Prevention and care of problems related to immobility scientific
□ Altered sleep patterns conferences
□ Impaired communication
□ Self care and activities of daily living
□ Bladder and bowel rehabilitation
□ Sensory function rehabilitation
□ Psychological reaction related to disabilities and disorders.
□ Coping of individual and family with disabilities and disorders
 □ Maintaining sexuality
□ Spirituality – A rehabilitative prospective
Orthopedic Reconstructive Surgeries
□ Replacement surgeries – Hip, Knee, Shoulder
□ Spine surgeries
□ Grafts and flaps surgery
□ Deformity correction.
Physiotherapy
□ Concepts, Principles, purpose,
• Mobilization – Exercises: types, re-education in walking:
Crutch walking, wheel chair, Transfer techniques,
• Types of gaits: Non-weight bearing, partial weight bearing,
four point crutch, tripoid, walking with sticks, calipers
• Forms of therapies: Hydrotherapy, electrotherapy, wax bath,
heat therapy, ice, helio therapy, radiant heat,
• Chest physiotherapy
16. 8 Rehabilitation • Lecture cum Essay Type
□ Principles of rehabilitation, definition, philosophy, process, discussion Short
□ Various types of therapies Answers
• Seminar
□ Special therapies and alternative therapies
• Case
□ Rehabilitation counseling
□ Preventive and restorative measures.
Presentations
□ Community based rehabilitation (CBR) • Exposure to
□ Challenges in rehabilitation. scientific
□ Role of the nurse in rehabilitation, conferences
□ Legal and ethical issues in rehabilitation nursing
□ Occupational therapy
17. 5 National Policies and Programmes • Lecture cum Essay Type
□ National programmes for rehabilitation of persons with disability - discussion Short
National Institutes, artificial limbs manufacturing Corporation, Answers
• Seminar
District Rehabilitation Centers and their schemes
• Case
 □ Regional rehabilitation centers etc. Presentations
□ Public policy in rehabilitation nursing • Exposure to
□ The persons with disabilities act 1995,
scientific
□ Mental rehabilitation and Multiple disabilities act 1992,
conferences
□ The National Trust Rules 1999 and 2000
□ Rehabilitation Council of India
□ Legal and ethical aspects in orthopedic nursing
□ Rehabilitation health team and different categories of team
members.
18. 4 Quality assurance • Lecture cum Essay Type
□ Standards, Protocols, Policies, Procedures discussion Short
□ Nursing audit Answers
• Seminar
□ Staffing
• Case
□ Design of orthopedic, physiotherapy and rehabilitation unit
Presentations
• Exposure to
scientific
conferences

Practical
1. Clinical practice in Orthopedic, physiotherapy and Rehabilitation Units.
2. Application of tractions and plaster casts and removal of tractions and plaster casts and other appliances.
3. Apply Theories and Nursing Process in the management of patients with orthopedic conditions.
4. Provide various types of physical and rehabilitative therapies
5. Provide health education on related disease conditions.
6. Unit management and plan – designing

Clinical Experience
Total = 960 Hours
1 Week = 30 Hours

S. No. Deptt./Unit No. of Week Total Hours

1. Orthopedic Ward 8 240
2. Orthopedic Operation theatre 4 120
3. Neurosurgical Ward 2 60
4. Orthopedic O.P.D. 4 120
5. Casualty/Emergency and Trauma 4 120
6. Rehabilitation Units 2 60
7. Physiotherapy Unit 4 120
8. Paediatric /paediatric surgery unit 2 60
9. Field Visit 2 60
Total 32 Weeks 960 Hours

Procedures Observed
1. X-Ray
2. Ultrasound
3. MRI
4. C T Scan/bone scan
5. Arthroscopy
6. Electrothermally – assisted capsule shift or ETAC (Thermal capsulorrhaphy)
7. Fluroscopy
8. Electromyography
9. Myelography
10. Discography
11. Others

Procedures Assisted
1. Blood Transfusion
2. IV cannulation and therapy
3. Ventilation
4. Various types of tractions
5. Orthopedic surgeries – Arthrocentesis, Arthroscopy, Bone lengthening, Arthrodesis, grafting, Fractures fixation, reconstructive,
reimplantation, replantation, spinal decompression, transplantation of bone, muscle or articular cartilage, autografting, allografting.
6. Injection – Intra articular, intra osseous.
7. Advance Life Support

Procedures Performed
1. Interpretation of X ray films.
2. Application and removal of splints, casts, and braces.
3. Care of tractions – skin and skeletal traction, pin site care.
4. Cold therapy.
5. Heat therapy
6. Hydrotherapy
7. Therapeutic exercises
8. Use of TENS (Transcutaneous electrical nerve stimulation)
9. Techniques of transportation
10. Crutch walking, walkers, wheel chair.
11. Use of devices for activities of daily living and prevention of deformities.
12. Administration of drugs: IV injection, IV cannulation, and Blood transfusion.
13. Procedures for prevention of infections: disinfection and sterilization, surveillance, fumigation.
14. Special skin/ part preparations for orthopedic surgeries.
15. Surgical dressings – Debridement.
16. Bladder and bowel training

Other Procedures
 CLINICAL SPECIALITY – II

OBSTETRIC AND GYNAECOLOGICAL NURSING

Placement - II Year
Theory: 150 hrs
Practical 950 hrs
Total 1100 hrs

Course Description
This course is designed to assist the student in developing expertise and indepth understanding in the field of Obstetric and gynecological Nursing
.It will help the student to develop advanced nursing skills for nursing interventions in various obstetrical and gynecological conditions. It will
further enable the students to function as midwifery nurse practitioner/ specialist, educator, manager and researcher in the field of obstetric and
gynecological nursing.

Objectives
At the end of the course, the student will be able to:
1. Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of women with obstetric and gynaecological conditions
2. Perform physical, psychosocial, cultural & spiritual assessment
3. Demonstrate competence in caring for women with obstetrical and gynaecological conditions
4. Demonstrate competence in caring for high risk newborn.
5. Identify and Manage obstetrical and neonatal emergencies as per protocol.
6. Practice infection control measures
7. Utilize recent technology and various diagnostic, therapeutic modalities in the management of obstetrical , gynecological and neonatal care.
8. Demonstrate skill in handling various equipments/gadgets used for obstetrical, gynaecological and neonatal care
9. Teach and supervise nurses and allied health workers.
10. Design a layout of speciality units of obstetrics and gynecology
11. Develop standards for obstetrical and gynaecological nursing practice.
12. Counsel women and families
13. Incorporate evidence based nursing practice and identify the areas of research in the field of obstetrical and gynaecological nursing
14. Function as independent midwifery nurse practitioner
 Time (Hrs) Teaching Learning Activities Assessment
Unit Content method
Theory Practical
I 25 Management of problems of women during pregnancy • Lecture-cum-discussion Essay Type
□ Risk approach of obstetrical nursing care, concept &goals. • Seminar/Presentations Short Answers
□ Screening of high-risk pregnancy, newer modalities of diagnosis.
• Class room exercises
□ Nursing Management of Pregnancies at risk-due to obstetrical
complication
• Pernicious Vomiting.
• Bleeding in early pregnancy, abortion, ectopic pregnancy, and
gestational trophoblostic diseases.
• Hemorrhage during late pregnancy, ante partum hemorrhage,
Placenta praevia, abruptio placenta.
• Hypertensive disorders in pregnancy, pre-eclampsia, eclampsia,
Heomolysis Elevated liver enzyme Low Platelet count (HELLP)
• Iso–immune diseases. Rh and ABO incompatibility
• Hematological problems in pregnancy.
• Hydramnios-oligohydramnios
• Prolonged pregnancy- post term, post maturity.
• Multiple pregnancies.
• Intra uterine infection & pain during pregnancy.
• Intra Uterine Growth Retardation(IUGR), Premature
Rupture of Membrane(PROM), intra uterine death
II 15 Pregnancies at risk-due to pre-existing health problems • Lecture-cum-discussion Essay Type
□ Metabolic conditions. Short Answers
□ Anemia and nutritional deficiencies • Seminar/Presentations
□ Hepatitis • Class room exercises
□ Cardio-vascular disease.
□ Thyroid diseases.
 □ Epilepsy.
□ Essential hypertension
□ Chronic renal failure.
□ Tropical diseases.
□ Psychiatric disorders
□ Infections Toxoplasmosis Rubella Cytomegalo virus Herpes
(TORCH); Reproductive Tract Infection(RTI);STD; HIV/AIDS,
Vaginal infections; Leprosy, Tuberculosis
□ Other risk factors: Age- Adolescents, elderly; unwed mothers,
sexual abuse, substance use
□ Pregnancies complicating with tumors, uterine anomalies,
prolapse, ovarian cyst
III 15 Abnormal labour, pre-term labour & obstetrical emergencies • Lecture-cum-discussion Essay Type
□ Etiology, pathopyhsiology and nursing management of Short Answers
• Uncoordinated uterine actions, Atony of uterus, precipitate labour, • Seminar/Presentations
prolonged labour. • Class room exercises
• Abnormal lie, presentation, position compound presentation.
• Demonstration/ Return
• Contracted pelvis-CPD; dystocia.
demonstration
• Obstetrical emergencies Obstetrical shock, vasa praevia, inversion of
uterus, amniotic fluid embolism, rupture uterus, presentation and
prolapse cord.
• Augmentation of labour. Medical and surgical induction.
• Version
• Manual removal of placenta.
• Obstetrical operation: Forceps delivery, Ventouse, Caesarian section,
Destructive operations
• Genital tract injuries-Third degree perineal tear, VVF, RVF
□ Complications of third stage of labour:
• Post partum Hemorrhage.
• Retained placenta.
IV 10 post partum complications • Lecture-cum-discussion Essay Type
 □ Nursing management of • Seminar/Presentations Short Answers
• Puerperal infections, puerperal sepsis, urinary complications,
puerperal venous thrombosis and pulmonary embolism • Class room exercises
• Sub involution of uterus, Breast conditions, Thrombophlebitis
• Psychological complications, post partum blues, depression,
psychosis
V 25 High Risk Newborn • Lecture-cum-discussion Essay Type
□ Concept, goals, assessment, principles. Short Answers
□ Nursing management of • Seminar/Presentations
• Pre-term, small for gestational age, post-mature infant, and baby of • Project
diabetic and substance use mothers.
• Respiratory conditions, Asphyxia neonatorum, neonatal apnoea • Class room exercises
meconium aspiration syndrome, pneumo thorax, pneumo mediastinum • Demonstration/ Return
• Icterus neonatorum. demonstration
• Birth injuries.
• Hypoxic ischaemic encephelopathy
• Congenital anomalies.
• Neonatal seizures.
• Neonatal hypocalcaemia, hypoglycemia, hypomagnesaemia.
• Neonatal heart diseases.
• Neonatal hemolytic diseases
• Neonatal infections, neonatal sepsis, opthalmia
neonatorum, cogenital syphilis, HIV/AIDS
• Advanced neonatal procedures.
• Calculation of fluid requirements.
• Hematological conditions – erythroblastosis fetalis,
hemorrhagic disorder in the newborn
• Organization of neonatal care, services(Levels), transport,
neonatal intensive care unit, organization and
management of nursing services in NICU
VI 15 HIV/AIDS • Lecture-cum-discussion Essay Type
 □ HIV positive mother and her baby • Seminar/Presentations Short Answers
□ Epidemiology
□ Screening • Class room exercises
□ Parent to child transmission(PTCT)
□ Prophylaxis for mother and baby
□ Standard safety measures
□ Counseling
□ Breast feeding issues
□ National policies and guidelines
□ Issues: Legal,ethical, Psychosocial and rehabilitation
Role of nurse
VII 25 Gynecological problems and nursing management • Lecture-cum-discussion Essay Type
□ Gynecological assessment Short Answers
□ Gynecological procedures • Seminar/Presentations
□ Etiology, pathophysiology, diagnosis and nursing • Class room exercises
management of
• Menstrual irregularities
• Diseases of genital tract
• Genital tract infections
• Uterine displacement
• Genital prolapse
• Genital injuries
• Uterine malformation
• Uterine fibroid, ovarian tumors, Breast carcinoma, Pelvic
inflammatory diseases, reproductive tract malignancies,
hysterectomy – vaginal and abdominal.
• Sexual abuse, rape, trauma , assault
VIII 5 Administration and management of obstetrical and • Lecture-cum-discussion Essay Type
gynaecological unit Short Answers
□ Design & layout • Seminar/Presentations
□ Staffing,
 □ Equipment, supplies,
□ Infection control; Standard safety measures
□ Quality Assurance:-Obstetric auditing –records /reports,
Norms, policies and protocols
□ Practice standards for obstetrical and gynaecological unit
IX 5 Education and training in obstetrical and gynaecological care • Lecture-cum-discussion Essay Type
□ Staff orientation, training and development, Short Answers
□ In-service education program, • Seminar/Presentations
□ Clinical teaching programs. • Class room exercises
Practicals
Total = 960 Hours
1 Week = 30 Hours

S.No. Deptt./ Unit No. of Week Total Hours

1. Antenatal OPD including Infertility 6 180
clinics/Reproductive medicine, Family
welfare and postpartum clinic / PTCT
2. Antenatal and Postnatal ward 6 180
3. Labour room 4 120
4. Neonatal Intensive Care Unit 3 90
5. Obstetric/Gynae Operation Theatre 3 90
6. Gynae Ward 4 120
7. CHC, PHC, SC 6 180
Total 32 Weeks 960 Hours

Essential Obstetrical and Gynecological Skills

Procedure Observed
• Assisted Reproductive Technology procedures
• Ultra sonography
• Specific laboratory tests.
• Amniocentesis.
• Cervical & vaginal cytology.
• Fetoscopy.
• Hysteroscopy.
• MRI.
• Surgical diathermy.
• Cryosurgery.

Procedures Assisted
• Operative delivery
• Abnormal deliveries-Forceps application, Ventouse, Breech
• Exchange blood transfusion
• Culdoscopy.
• Cystoscopy
• Tuboscopy
• Laparoscopy.
• Endometrial Biopsy
• Tubal patent test
• Chemotherapy
• Radiation therapy
• Medical Termination of Pregnancy.
• Dilatation and Curettage

Procedures Performed
• History taking.
• Physical Examination-General
• Antenatal assessment. – 20
• Pelvic examination
• Assessment of risk status.
• Assessment of Intra uterine foetal well-being.kick chart and foetal movement chart, Doppler assessment, Non Stress Test,
Contractionstress test(Oxytocin challenge test)
• Universal precautions- Disposal of biomedical waste.
• Per Vaginal examination and interpretation (early pregnancy, labour, postpartum).
• Utilization of Partograph
• Medical & Surgical induction(Artificial rupture of membranes).
• Vacuum extraction
• Conduct of delivery.
• Prescription and administration of fluids and electrolytes through intravenous route.
• Application of outlet forceps, delivery of breach – Burns Marshall, Loveset manoeuvere
• Repair of tears and Episiotomy suturing.
• Vacuum extraction
• controlled cord traction, Manual removal of placenta, placental examination,
• Manual vacuum aspiration
• Postnatal assessment.- 20
• Management of breast engorgement
• Thrombophlebitis (white leg)
• Postnatal counseling.
• Reposition of inversion of uterus.
• Laboratory tests: Blood- Hb, Sugar, Urine-albumin,sugar
• Breast care, breast exam, and drainage breast abscess.
• Postnatal exercise.
• Assessment –New born assessment; physical and neurological, Apgar score, high-risk newborn, Monitoring neonates; Clinically and
Withmonitors, Capillary refill time, Assessment of jaundice, danger signs
• Anthropometric measurement
• Neonatal resuscitation
• Gastric Lavage
• Care of newborn in multi channel monitor and ventilator.
• Care of newborn in radiant warmer and incubator.
• Kangaroo mother care.
• Assisting mother with exclusive Breast-feeding
• Feeding technique: Katori, spoon, naso/orogastric, Total Parenteral nutrition
• Assessement, calculation and administration of fluids and medications:
- Oral
- I.D.
- I.M.
- I.V.- Securing IV line, infusion pump
• Administration of drug per rectum
• Capillary blood sample collection.
• Oxygen therapy.
• Phototherapy.
• Chest physiotherapy.
• counseling – Parental, bereavment, family planning, infertility etc
• Setting of operation theatre.
• Trolley and table set up for Obstetrical & gynaecoligical operations.
• Pap smear.
• Vaginal smear.
• Insertion of pessaries,
• Insertion of IUD and removal.
• Teaching skills
• communication skills
• Prepare referral slips
• Pre transport stabilization
• Networking with other stake holders
 CLINICAL SPECIALTY –II

PEDIATRIC (CHILD HEALTH) NURSING

Placement : II Year
Theory 150 hours
Practical 950 hours
Total : 1100 hours

Course Description
This course is designed to assist students in developing expertise and indepth understanding in the field of Pediatric Nursing. It will help students
to develop advanced skills for nursing intervention in various pediatric medical and surgical conditions. It will enable the student to function as
pediatric nurse practitioner/specialist. It will further enable the student to function as educator, manager, and researcher in the field of Paediatric
nursing.

Objectives
At the end of the course the students will be able to:
1. Apply the nursing process in the care of ill infants to pre adolescents in hospital and community
2. Demonstrate advanced skills/competence in nursing management of children with medical and surgical problems
3. Recognize and manage emergencies in children
4. Provide nursing care to critically ill children
5. Utilize the recent technology and various treatment modalities in the management of high risk children
6. Prepare a design for layout and describe standards for management of pediatric units/hospitals
 7. Identify areas of research in the field of pediatric nursing

Time (Hrs) Teaching Learning Activities Assessment

Unit Content method
Theory Practical
I 5 Introduction • Lecture-cum-discussion Essay Type
□ Current principles, practices and trends in Pediatric Nursing Short Answers
• Class room exercises
□ Role of pediatric nurse in various settings -Expanded and extended
II 35 □ Pathophysiology, assessment(including interpretation of various • Lecture-cum-discussion Essay Type
invasive and non-invasive diagnostic procedures), treatment modalities Short Answers
and nursing intervention in selected pediatric medical disorders • Seminar/Presentations
• Child with respiratory disorders: • Class room exercises
- Upper respiratory tract: choanal atresia, tonsillitis, epistaxis,
aspiration.
- Lower respiratory tract: Broncheolitis, Bronchopneumonia, Asthma,
cystic fibrosis
• Child with gastro-intestinal disorders:
- Diarrheal diseases, gastro-esophageal reflux.
- Hepatic disorders: Hepatitis, Indian childhood cirrhosis, liver
transplantation.
- Malabsorption syndrome, Malnutrition
 • Child with renal/ urinary tract disorders: Nephrotic syndrome,
Nephritis, Hydronephrosis, hemolytic-uremic syndrome, kidney
transplantation
• Child with cardio-vascular disorders:
- Acquired: Rheumatic fever, Rheumatic heart disease,
- Congenital: Cynotic and acynotic
• Child with endocrine/metabolic disorders: Diabetes insipidus,
Diabetes Mellitus – IDDM, NIDDM, hyper and hypo thyroidism,
phenylketonuria, galactosemia
• Child with Neurological disorders: Convulsions, Meningitis,
encephalitis, guillian- Barre syndrome
• Child with oncological disorders: Leukemias, Lymphomas, Wilms’
tumor, nephroblastomas, neuroblastomas, Rhabdomyosarcoma,
retinoblastoma, hepatoblastoma, bone tumors
• Child with blood disorders: Anemias, thalassemias, hemophilia,
polycythemia, thrombocytopenia, and disseminated intravascular
coagulation
• Child with skin disorders
• Common Eye and ENT disorders
• Common Communicable diseases
III 35 □ Assessment(including interpretation of various invasive and • Lecture-cum-discussion Essay Type
non-invasive diagnostic procedures), treatment modalities including Short Answers
cosmetic surgery and nursing interventions in selected pediatric • Seminar/Presentations
surgical problems/ Disorders • Class room exercises
• Gastrointestinal system: Cleft lip, cleft palate and conditions
requiring plastic surgery, Tracheo esophageal fistula/atresia,
Hirschsprungs’ disease/megacolon, malrotation, intestinal obstruction,
duodenal atresia, gastrochisis, exomphalus, anorectal malformation,
omphalocele, diaphragmatic hernia
• Anomalies of the nervous system: Spina bifida, Meningocele,
Myelomeningocele, hydrocephalus
 • Anomalies of the genito-urinary system: Hypospadias, Epispadias,
Undescended testes, Exstrophy bladder
• Anomalies of the skeletal system
• Eye and ENT disorders
• Nursing management of the child with traumatic injuries:
General principles of managing Pediatric trauma
- Head injury, abdominal injury, poisoning, foreign body obstruction,
burns
- & Bites
• Child with oncological disorders: Solid tumors of childhood,
Nephroblastoma, Neuro blastoma, Hodgkin's/Non Hodgkin's
Lymphoma, Hepatoblastoma, Rhabdomyosarcoma
• Management of stomas, catheters and tubes
• Management of wounds and drainages
IV 10 Intensive care for pediatric clients • Lecture-cum-discussion Essay Type
□ Resuscitation, stabilization & monitoring of pediatric patients Short Answers
□ Anatomical & physiological basis of critical illness in infancy • Seminar/Presentations
and childhood • Class room exercises
□ Care of child requiring long-term ventilation
□ Nutritional needs of critically ill child
□ Legal and ethical issues in pediatric intensive care
□ Intensive care procedures, equipment and techniques
□ Documentation
V 20 High Risk Newborn • Lecture-cum-discussion Essay Type
□ Concept, goals, assessment, principles. Short Answers
□ Nursing management of • Seminar/Presentations
• Post-mature infant, and baby of diabetic and substance use mothers. • Class room exercises
• Respiratory conditions, Asphyxia neonatorum, neonatal apnoea
meconium aspiration syndrome, pneumo thorax, pneumo mediastinum • Project
• Icterus neonatorum.
• Birth injuries.
 • Hypoxic ischaemic encephelopathy
• Congenital anomalies.
• Neonatal seizures.
• Neonatal hypocalcaemia, hypoglycemia, hypomagnesaemia.
• Neonatal heart diseases.
• Neonatal hemolytic diseases
• Neonatal infections, neonatal sepsis, opthalmia neonatorum, cogenital
syphilis, HIV/AIDS
• Advanced neonatal procedures.
• Calculation of fluid requirements.
• Hematological conditions – erythroblastosis fetalis, hemorrhagic
disorder in the newborn
• Organization of neonatal care, services(Levels), transport, neonatal
intensive care unit, organization and management of nursing services in
NICU
VI 10 Developmental disturbances and implications for nursing • Lecture-cum-discussion Essay Type
□ Adjustment reaction to school, Short Answers
□ Learning disabilities • Seminar/Presentations
□ Habit disorders, speech disorders, • Class room exercises
□ Conduct disorders,
□ Early infantile autism, Attention deficit hyperactive
disorders (ADHD), depression and childhood schizophrenia.
VII 10 Challenged child and implications for nursing • Lecture-cum-discussion Essay Type
□ Physically challenged, causes, features, early detection & Short Answers
management • Seminar/Presentations
□ Cerebral palsied child, • Class room exercises
□ Mentally challenged child.
□ Training & rehabilitation of challenged children
VIII 5 Crisis and nursing intervention • Lecture-cum-discussion Essay Type
□ The hospitalized child, Short Answers
□ Terminal illness & death during childhood • Seminar/Presentations
 □ Nursing intervention-counseling
IX 5 Drugs used in Pediatrics • Lecture-cum-discussion Essay Type
□ Criteria for dose calculation Short Answers
□ Administration of drugs, oxygen and blood • Seminar/Presentations
□ Drug interactions
□ Adverse effects and their management
X 10 Administration and management of pediatric care unit • Lecture-cum-discussion Essay Type
□ Design & layout Short Answers
□ Staffing, • Seminar/Presentations
□ Equipment, supplies, • Class room exercises
□ Norms, policies and protocols
□ Practice standards for pediatric care unit
□ Documentation
XI 5 Education and training in Pediatric care • Lecture-cum-discussion Essay Type
□ Staff orientation, training and development, Short Answers
□ In-service education program, • Seminar/Presentations
□ Clinical teaching programs. • Class room exercises

Practical
Total = 960 Hours
1 Week = 30 Hours
• Field visits

S. No. Deptt./ Unit No. of Week Total Hours

1. Pediatric medicine ICU 4 120
2. Pediatric surgical ICU 4 120
3. NICU 4 120
4. Pediatric OT 2 60
5. Pediatric medicine ward 6 180
6. Pediatric surgery ward 6 180
 7. Emergency/Casualty 4 120
8. Field visits* 2 60
Total 32 Weeks 960 Hours

*Child care center, Anganwadi, play school, Special schools for challenged children, Juvenile court, UNICEF, Orphanage, Creche, SOS village

Essential
I. Procedures Observed:
• Echo cardiogram
• Ultrasound head
• ROP screening (Retinopathy of prematurity)
• Any other

II. Procedures Assisted

• Advanced neonatal life support
• Lumbar Puncture
• Arterial Blood Gas
• ECG Recording
• Umbilical catheterization – arterial and venous
• Arterial B P monitoring
• Blood transfusion- exchange transfusion full and partial
• IV cannulation & therapy
• Arterial catheterization
• Chest tube insertion
• Endotracheal intubation
• Ventilation
• Insertion of long line
• Assist in surgery

III. Procedures Performed:

• Airway Management
 - Application of Oro Pharyngeal Airway
- Oxygen therapy
- CPAP(Continuous Positive Airway Pressure)
- Care of Tracheostomy
- Endotracheal Intubation
• Neonatal Resuscitation
• Monitoring of Neonates – clinically & with monitors, CRT(Capillary Refill Time), assessment of jaundice, ECG
• Gastric Lavage
• Setting of Ventilators
• Phototherapy
• Assessment of Neonates: Identification & assessment of risk factors, APGAR Score, gestation age, Anthropometric
assessment,Weighing the baby, Newborn examination, detection of life threatening congenital abnormalities,
• Admission & discharge of neonates
• Feeding - management of breast feeding, artificial feeding, expression of breast milk, OG(Orogastric) tube insertion,
gavagefeeding, TPN, Breast feeding counseling
• Thermoregulation- Axillary temperature, Kangaroo Mother Care (KMC), Use of Radiant warmer, incubators,
management ofthermoregulation & control
• Administration of Drugs: I/M, IV injection, IV Cannulation & fixation infusion pump, Calculation of dosages,
Neonatalformulation of drugs, use of tuberculin/ insulin syringes, Monitoring fluid therapy, Blood administration.
• Procedures for prevention of infections: Hand washing, disinfections & sterilization, surveillance, fumigation
• Collection of specimens
• Setting, Use & maintenance of basic equipment: Ventilator, O2 analyzer, monitoring equipment, Photo therapy unit, Flux
meter,Infusion pump, Radiant warmer, incubator, Centrifuge machine, Bilimeter, Refractometer, laminar flow
IV. Other Procedures

CLINICAL SPECIALITY - II
 PSYCHIATRIC (MENTAL HEALTH) NURSING
Placement: II Year
Theory 150 hrs
Practical 950 hrs
Total : 1100 Hours

Course Description
This course is designed to assist students in developing expertise and indepth understanding in the field of Psychiatric Nursing. It will help students
to develop advanced skills for nursing intervention in various psychiatric conditions. It will enable the student to function as psychiatric nurse
practitioner/specialist. It will further enable the student to function as educator, manager, and researcher in the field of Psychiatric nursing

Objectives
At the end of the course the students will be able to:
1. Apply the nursing process in the care of patients with mental disorders in hospital and community
2. Demonstrate advanced skills/competence in nursing management of patients with mental disorders
3. Identify and care for special groups like children, adolescents, women, elderly, abused and neglected, people living with HIV/AIDS.
4. Identify and manage psychiatric emergencies.
5. Provide nursing care to critically ill patients with mental disorders
6. Utilize the recent technology and various treatment modalities in the management of patients with mental disorders
7. Demonstrate skills in carrying out crisis intervention.
8. Appreciate the legal and ethical issues pertaining to psychiatric nursing.
9. Identify areas of research in the field of psychiatric nursing.
10. Prepare a design for layout and describe standards for management of Psychiatric units/emergency units/hospitals
11. Teach psychiatric nursing to undergraduate students & in-service nurses.
 Time (Hrs) Teaching Learning Assessment
Unit Content Activities method
Theory Practical
I. 2 Principles and practice of Psychiatric nursing • Lecture-cum-discussion Essay Type
□ Review • Class room exercises Short Answers
II. 10 Crisis Intervention • Lecture-cum-discussion Essay Type
□ Crisis, Definition Short Answers
□ Phases In The Development of A Crisis • Seminar/Presentations
□ Types of Crisis; Dispositional , Anticipated Life Transitions • Class room exercises
Traumatic Stress, Maturational/ Development , Reflecting
Psychopathology
□ Psychiatric Emergencies and their management
□ Grief and grief reaction
□ Crisis Intervention; Phases
□ Post traumatic stress disorder (PTSD)
□ Role of the Nurse
III. 4 Anger/ Aggression Management • Lecture-cum-discussion Essay Type
□ Anger and Aggression, Types, Predisposing Factors Short Answers
□ Management • Seminar/Presentations
□ Role of The Nurse • Class room exercises
IV. 5 The Suicidal Client • Lecture-cum-discussion Essay Type
□ Epidemiological Factors Short Answers
• Class room exercises
□ Risk Factors
• Predisposing Factors: Theories of Suicide-Psychological,
Sociological ,Biological
□ Nursing Management
V. 5 Disorders of Infancy, Childhood, and Adolescence • Lecture-cum-discussion Essay Type
□ Mentally Challenged Short Answers
□ Autistic Disorders • Seminar/Presentations
□ Attention-Deficit/Hyperactivity Disorder • Class room exercises
□ Conduct Disorders, behavioural disorders
 □ Oppositional Defiant Disorder
□ Tourette’s Disorders
□ Separation Anxiety Disorder
□ Psychopharmacological Intervention and Nursing
Management
VI. 5 Delirium, Dementia, and Amnestic Disorders • Lecture-cum-discussion Essay Type
□ Delirium Short Answers
□ Dementia • Seminar/Presentations
□ Amnesia • Class room exercises
□ Psychopharmacological Intervention and Nursing Management
VII. 10 Substance-Related Disorders • Lecture-cum-discussion Essay Type
□ Substance-Use Disorders Short Answers
□ Substance-Induced Disorders • Seminar/Presentations
□ Classes Of Psychoactive Substances • Class room exercises
□ Predisposing Factors
□ The Dynamics Of Substance-Related Disorders
□ The Impaired Nurse
□ Codependency
□ Treatment Modalities For Substance-Related Disorders and
Nursing Management
VIII. 10 Schizophrenia and Other Psychotic Disorders (Check ICD10) • Lecture-cum-discussion Essay Type
□ Nature of the Disorder Short Answers
□ Predisposing Factors • Seminar/Presentations
□ Schizophrenia -Types • Class room exercises
• Disorganized Schizophrenia
• Catatonic Schizophrenia
• Paranoid Schizophrenia
• Undifferentiated Schizophrenia
• Residual Schizophrenia
□ Other Psychotic disorders
• Schizoaffective Disorder
 • Brief Psychotic Disorder
• Schizophrenic form Disorder
• Psychotic Disorder Due to a General Medical Condition
• Substance-Induced Psychotic Disorder
□ Treatment and Nursing Management
IX. 8 Mood Disorders • Lecture-cum-discussion Essay Type
□ Historical Perspective Short Answers
□ Epidemiology • Seminar/Presentations
□ The Grief Response • Class room exercises
□ Maladaptive Responses To Loss
□ Types Of Mood Disorders
□ Depressive disorders
□ Bipolar disorders
□ Treatment and Nursing Management
X. 8 Anxiety Disorders • Lecture-cum-discussion Essay Type
□ Historical Aspects Short Answers
□ Epidemiological Statistics • Seminar/Presentations
□ How Much is too Much? • Class room exercises
□ Types
• Panic Disorder
• Generalized Anxiety Disorder
• Phobias
• Obsessive-Compulsive Disorder
• Posttraumatic Stress Disorder
• Anxiety Disorder Due to a General Medical Condition
• Substance-Induced Anxiety Disorder
□ Treatment Modalities
□ Psychopharmacology & Nursing Management
XI. 5 Somatoform And Sleep Disorders • Lecture-cum-discussion Essay Type
□ Somatoform Disorders Short Answers
□ Historical Aspects • Seminar/Presentations
 • Epidemiological Statistics • Class room exercises
• Pain Disorder
• Hypochondriasis
• Conversion Disorder
• Body Dysmorphic Disorder
□ Sleep Disorder
□ Treatment Modalities and Nursing Management
XII. 4 Dissociative Disorders and Management • Lecture-cum-discussion Essay Type
□ Historical Aspects Short Answers
□ Epidemiological Statistics • Seminar/Presentations
□ Application of the Nursing Management • Class room exercises
□ Treatment Modalities and Nursing Management
XIII. 4 Sexual And Gender Identity Disorders • Lecture-cum-discussion Essay Type
□ Development Of Human Sexuality Short Answers
□ Sexual Disorders • Seminar/Presentations
□ Variation In Sexual Orientation • Class room exercises
□ Nursing Management
XIV. 4 Eating Disorders • Lecture-cum-discussion Essay Type
□ Epidemiological Factors Short Answers
□ Predisposing Factors : Anorexia Nervosa And Bulimia Nervosa • Seminar/Presentations
obesity • Class room exercises
□ Psychopharmacology
□ Treatment & Nursing Management
XV. 4 Adjustment and Impulse Control Disorders • Lecture-cum-discussion Essay Type
□ Historical and Epidemiological Factors Short Answers
• Adjustment Disorders • Seminar/Presentations
• Impulse Control Disorders • Class room exercises
□ Treatment & Nursing Management
XVI. 4 Medical Conditions due to Psychological Factors • Lecture-cum-discussion Essay Type
□ Asthma Short Answers
□ Cancer • Seminar/Presentations
 □ Coronary Heart Disease • Class room exercises
□ Peptic Ulcer
□ Essential Hypertension
□ Migraine Headache
□ Rheumatoid Arthritis
□ Ulcerative Colitis
□ Treatment & Nursing Management
XVII. 8 Personality Disorders • Lecture-cum-discussion Essay Type
□ Historical perspectives Short Answers
□ Types Of Personality Disorders • Seminar/Presentations
• Paranoid Personality Disorder • Project
• Schizoid Personality Disorder
• Antisocial Personality Disorder • Class room exercises
• Borderline Personality Disorder
• Histrionic Personality Disorder
• Narcissitic Personality Disorder
• Avoidance Personality Disorder
• Dependent Personality Disorder
• Obsessive-Compulsive Personality Disorder
• Passive-Aggressive Personality Disorders
□ Identification, diagnostic, symptoms
□ Psychopharmacology
□ Treatment & Nursing Management
XVIII. 8 The Aging Individual • Lecture-cum-discussion Essay Type
□ Epidemiological Statistics Short Answers
□ Biological Theories • Seminar/Presentations
□ Biological Aspects of Aging • Class room exercises
□ Psychological Aspects of Aging
□ Memory Functioning
□ Socio-cultural aspects of aging
□ Sexual aspects of aging
 □ Special Concerns of the Elderly Population
□ Psychiatric problems among elderly population
□ Treatment & Nursing Management
XIX. 5 The person living with HIV Disease • Lecture-cum-discussion Essay Type
□ Psychological problems of individual HIV/AIDS Short Answers
□ Counseling • Seminar/Presentations
□ Treatment & Nursing Management • Class room exercises
XX. 5 Problems Related to Abuse or Neglect • Lecture-cum-discussion Essay Type
□ Vulnerable groups, Women, Children, elderly, psychiatric Short Answers
patients, under privileged, challenged • Seminar/Presentations
□ Predisposing Factors • Project
□ Treatment & Nursing management- Counseling
• Class room exercises

XXI. 7 Community Mental Health Nursing • Lecture-cum-discussion Essay Type

□ National Mental Health Program- Community mental health Short Answers
program • Seminar/Presentations
□ The Changing Focus of care • Project
□ The Public Health Model
□ The Role of the Nurse • Class room exercises
□ Case Management
□ The community as Client
• Primary Prevention
• Populations at Risk
• Secondary prevention
• Tertiary Prevention
□ Community based rehabilitation
XXII. 5 Ethical and Legal Issues in Psychiatric/Mental Health • Lecture-cum-discussion Essay Type
Nursing Short Answers
□ Ethical Considerations • Seminar/Presentations
□ Legal Consideration • Class room exercises
 • Nurse Practice Acts
• Types of Law
• Classification within Statutory and Common Law
• Legal Issues in Psychiatric/Mental Health Nursing
• Nursing Liability
XXIII. 5 Psychosocial rehabilitation • Lecture-cum-discussion Essay Type
□ Principles of rehabilitation Short Answers
□ Disability assessment • Seminar/Presentations
□ Day care centers • Class room exercises
□ Half way homes
□ Reintegration into the community
□ Training and support to care givers
□ Sheltered workshops
□ Correctional homes
XXIV. 5 Counseling • Lecture-cum-discussion Essay Type
□ Liaison psychiatric nursing Short Answers
□ Terminal illnesses-Counseling • Seminar/Presentations
□ Post partum psychosis-treatment, care and counseling • Class room exercises
□ Death dying- Counseling
□ Treatment, care and counseling –
• Unwed mothers
• HIV and AIDS
XXV. 5 Administration and management of psychiatric units • Lecture-cum-discussion Essay Type
including emergency units Short Answers
□ Design & layout • Seminar/Presentations
□ Staffing, • Project
□ Equipment, supplies,
□ Norms, policies and protocols • Class room exercises
□ Quality assurance
□ Practice standards for psychiatric nursing
□ Documentation
XXVI. 5 Education and training in psychiatric care • Lecture-cum-discussion Essay Type
□ Staff orientation, training and development, Short Answers
□ In-service education program, • Seminar/Presentations
□ Clinical teaching programs. • Class room exercises

Practical
Total = 960 Hours
1 Week = 30 Hours

S.No. Area of Posting No. of Week Total Hours

1. Acute Psychiatric Ward 4 120
2. Chronic Psychiatric Ward 4 120
3. De-addiction Unit 4 120
4. Psychiatric Emergency Unit 4 120
5. O.P.D (Neuro and psychiatric) 3 90
6. Child Psychiatric Unit and child guidance clinic 2 60
7. Postnatal ward 1 30
8. Family Psychiatric Unit 2 60
9. Field visits 2 60
10. Rehabilitation 2 60
11. Community Mental Health Unit 4 120
Total 32 Weeks 960 Hours

Essential Psychiatric nursing skills

Procedures Observed
1. Psychometric tests
2. Personality tests
3. Family therapy
4. Assisted
5. CT
6. MRI
7. Behavioral therapy.

Procedures Performed
1. Mental status examination
2. Participating in various therapies – Physical; ECT,
3. Administration of Oral, IM, IV psychotropic drugs
4. Interviewing skills
5. Counseling skills
6. Communication skills
7. Psychoeducation
8. Interpersonal relationship skills
9. Community Survey for identifying mental health problems
10. Rehabilitation therapy
11. Health education and life skills training.
12. Supportive psychotherapic skills
13. Group therapy
14. Milieu therapy
15. Social/Recreational therapy.
16. Occupational therapy.

CLINICAL SPECIALITY – II

COMMUNITY HEALTH NURSING

Placement : II Year
Theory- 150 hours
Practicals- 950 hours
Total- 1100 hrs
 Course Description
This course is designed to assist students in developing expertise and indepth understanding in the field of community health nursing. It will help
students to develop advanced skills for nursing intervention in various aspects of community health care settings. It will enable the student to
function as community health Nurse practitioner/specialist. It will further enable the student to function as educator, manager and researcher in the
field of community health nursing.

Objectives
At the end of the course the students will be able to:
1. Appreciate trends and issues related to community health Nursing reproductive and child health, school health, Occupational health,
international health, rehabilitation, geriatric and mental health.
2. Apply epidemiological concepts and principles in community health nursing practice
3. Perform community health assessment and plan health programmes
4. Describe the various components of Reproductive and child health programme.
5. Demonstrate leadership abilities in organizing community health nursing services by using inter-sectoral approach.
6. Describe the role and responsibilities of community health nurse in various national health and family welfare programmes
7. Participate in the implementation of various national health and family welfare programme
8. Demonstrate competencies in providing family centered nursing care independently
9. Participate/Conduct research for new insights and innovative solutions to health problems
10. Teach and supervise nurses and allied health workers.
11. Design a layout of sub center/Primary health center/Community health cenre and develop standards for community health nursing practice.

Time (Hrs) Teaching Learning Assessment

Unit Content Activities method
Theory Practical
I. 20 Epidemiology • Lecture cum discussion Essay Type
□ Introduction Short Answers
 • Concept, scope, definition, trends, History and development of • Seminar / Presentations
modern Epidemiology
• Contribution of epidemiology
• Implications
□ Epidemiological methods
□ Measurement of health and disease:
□ Health policies
□ Epidemiological approaches
• Study of disease causatives
• Health promotion
• Levels of prevention
□ Epidemiology of
• Communicable diseases
• Non-communicable diseases
□ Emerging and re-emerging diseases Epidemics
□ National Integrated disease Surveillance Programme
□ Health information system
□ Epidemiology study and reports
□ Role of Community health nurse
II. 40 Health and Family Welfare Programmes • Lecture cum discussion Essay Type
□ Objectives, Organisation/manpower/resources, Activities, Goals, Short Answers
inter-sectoral approach, implementation, item/purpose, role and • Seminar / Presentations
responsibilities of community health nurse: • Project work
• National Vector Borne Disease Control Programm (NVBDCP)
• National Filaria Control Programme • Field visits
• National Leprosy Eradication Programme
• Revised national TB Control Programme
• National Programme for Control of Blindness
• National Iodine Deficiency disorders Control Progeramme
• National Mental Health Programme
• National AIDS Control Programme
 • National Cancer Control Programme
• RCH I and II
• Non- communicable disease programmes
• NRHM
- Health Schemes:
□ ESI
□ CGHS
□ Health Insurance
III. 15 School Health • Lecture cum discussion Essay Type
□ Introduction: definition, concepts, objectives,. Short Answers
□ Health assessment, Screening, identification, referral and follow up, • Seminar / Presentations
□ Safe environment • Project work
□ Services, programmes and plans- first aid, treatment of minor
ailments • Field visits
□ Inter-sectoral coordination
□ Adolescent health
□ Disaster, disaster preparedness, and management
□ Guidance and counseling
□ School health records - maintenance and its importance
□ Roles and responsibilities of community health nurse
IV. 15 International health • Lecture cum discussion Essay Type
□ Global burden of disease Short Answers
□ Global health rules to halt disease spread • Seminar / Presentations
□ Global health priorities and programes • Project work
□ International quarantine
□ Health tourism • Field visits
□ International cooperation and assistance
□ International travel and trade
□ Health and food legislation, laws, adulteration of food
□ Disaster management
□ Migration
 □ International health agencies –World Health organizations, World
health assembly, UNICEF, UNFPA, SIDA, US AID, DANIDA, DFID.
AusAID etc
□ International health issues and problems
□ International nursing practice standards
□ International health vis-a vis national health
□ International health days and their significance
V. 15 Education and administration • Lecture cum discussion Essay Type
□ Quality assurance Short Answers
□ Standards, Protocols, Policies, Procedures • Seminar / Presentations
□ Infection control; Standard safety measures • Project work
□ Nursing audit
□ Design of Sub-Centre/Primary Health Centre/ Community health • Field visits
center
□ Staffing; Supervision and monitoring-Performance appraisal
□ Budgeting
□ Material management
□ Role and responsibilities of different categories of personnel in
community health
□ Referral chain- community outreach services
□ Transportation
□ Public relations
□ Planning in-service educational programme and Teaching
□ Training of various categories of health workers preparation
of manuals
VI. 10 Geriatric • Lecture cum discussion Essay Type
□ Concept, trends, problems and issues Short Answers
□ Aging process, and changes • Seminar / Presentations
□ Theories of ageing • Field visits
□ Health problems and needs
□ Psycho-physiological stressors and disorders
 □ Myths and facts of aging
□ Health assessment
□ Home for aged-various agencies
□ Rehabilitation of elderly
□ Care of elderly
□ Elderly abuse
□ Training and supervision of care givers
□ Government welfare measures Programmes for elderly-
Role of NGOs
□ Roles and responsibilities of Geriatric nurse in the community
VII. 10 Rehabilitation • Lecture cum discussion Essay Type
□ Introduction: Concepts, principles, trends, issues, Short Answers
□ Rehabilitation team • Seminar / Presentations
□ Models, Methods • Field visits
□ Community based rehabilitation
□ Ethical issues
□ Rehabilitation Council of India
□ Disability and rehabilitation- Use of various prosthetic devices
□ Psychosocial rehabilitation
□ Rehabilitation of chronic diseases
□ Restorative rehabilitation
□ Vocational rehabilitation
□ Role of voluntary organizations
□ Guidance and counseling
□ Welfare measures
□ Role and responsibilities of community health nurse
VIII. 10 Community mental health • Lecture cum discussion Essay Type
□ Magnitude, trends and issues Short Answers
□ National Mental Health Program- Community mental health program • Seminar / Presentations
□ The Changing Focus of care • Project work
□ The Public Health Model
 □ Case Management- Collaborative care • Field visits
□ Crisis intervention
□ Welfare agencies
□ Population at Risk
□ The community as Client
• Primary Prevention
• Secondary prevention
• Tertiary Prevention
□ Community based rehabilitation
□ Human rights of mentally ill
□ Substance use
□ Mentally challenged groups
□ Role of community health nurse
IX. 15 Occupational health • Lecture cum discussion Essay Type
□ Introduction: Trends, issues, Definition, Aims, Objectives, Short Answers
Workplace safety • Seminar / Presentations
□ Ergonomics and Ergonomic solutions • Project work
□ Occupational environment- Physical, social, Decision making,
Critical thinking • Field visits
□ Occupational hazards for different categories of peoplephysical,
chemical, biological, mechanical, , Accidents,
□ Occupational diseases and disorders
□ Measures for Health promotion of workers; Prevention and control of
occupational diseases, disability limitations and rehabilitation
□ Women and occupational health
□ Occupational education and counseling
□ Violence at workplace
□ Child labour
□ Disaster preparedness and management
□ Legal issues: Legislation, Labour unions, ILO and WHO
recommendations, Factories act, ESI act
 □ Role of Community health nurse, Occupational health team

Practical
Total = 960 Hours
1 Week = 30 Hours

S.No. Deptt./Unit No. of Week Total Hours

1. Urban and Rural community 17 510
2. School Health 3 90
3. International health 2 60
4. Administration (SC/PHC/CHC) 2 60
5. Occupational health 2 60
6. Community Mental Health 2 60
7. Home for aged and Hospice 2 60
8. Rehabilitation 2 60
Total 32 Weeks 960 Hours

Categorization of practical activities

Observed
• MCH office and DPHNO
• CHC/ First Referral Unit (FRU)
• Child guidance clinic
• Institute/Unit for mentally challenged
• District TB centre
• AIDS control society
• Filariasis clinic
• RCH clinic
• STD clinic
• Leprosy clinic
• Community based rehabilitation unit
• Cancer centers
• Palliative care
• Home of old age
• Mental health units
• De-addiction centers
• School health services
• Industry
• Selected industrial health centers
• ESI unit
• Municipality/ corporation office

Assisted
• Laparoscopic sterilization
• Vasectomy
• All clinics related to RCH
• Monitoring of national health and family welfare programmes

Performed
• Conduct various clinics
• School health assessment.
• Health survey.
• Health assessment
• Drug administration as per the protocols
• Treatment of minor ailments
• Investigating outbreak of epidemic.
• Screening for leprosy, TB and non-communicable disease
• Presumptive and radical treatment for Malaria.
• Counseling
• Report writing
• Referrals
• Writing a project proposal
• Material management- requisition for indent, condemnation, inventory maintenance.
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