Indian Nursing Council (Revised Regulations and Curriculum for B.Sc. (Nursing) Program) Regulations, 2020

Indian Nursing Council Act, 1947

Published vide Notification No. F.No. 11-1/2019-INC, dated 05.07.2021

Last Updated 11th May, 2022 [act3908]

F.No. 11-1/2019-INC. - In exercise of the powers conferred by sub-section (1) of Section 16 of the Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations namely: -

1. Short Title And Commencement. - i. These Regulations may be called The Indian Nursing Council (Revised Regulations and Curriculum for B.Sc. (Nursing) Program) Regulations, 2020.

ii. These Regulations shall come into force on the date of notification of the same in the official Gazette of India.

2. Definitions. - In these Regulations, unless the context otherwise requires,

i. 'the Act' means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time;

ii. 'the Council' means the Indian Nursing Council constituted under the Act of 1947;

iii. 'SNRC' means the State Nurses and Midwives Registration Council by whichever name constituted and called by the respective State Governments;

iv. 'B.Sc. (Nursing)' means the four year B.Sc. (Nursing) Degree qualification in Nursing recognized by the Council under Section 10 of the Act and included in Part-II of the Schedule to the Act;

v. 'Authority' means a University or Body created by an Act for awarding the B.Sc. (Nursing) qualification recognized by the Council and included in Part-II of the Schedule to the Act;

vi. 'School of Nursing' means a recognized training institution for the purpose of teaching of the GNM course;

vii. 'College' means a recognized training institution for the purpose of training and teaching of the B.Sc. (Nursing) course;

viii. 'CNE' means Continuing Nursing Education to be compulsorily undergone by the RN&RM/ RANM/RLHV for renewal of registration after every 5 (five) years.

I. Introduction Of The Program. - The B.Sc. nursing degree program is a four-year fulltime program comprising eight semesters, which prepares B.Sc. nursing graduates qualified to practice nursing and midwifery in a variety of settings in either public/government or private healthcare settings. It adopts credit system and semester system as per the Authority guidelines with minor modifications suitable to professional education in a hybrid form. The program encompasses foundational, core and elective courses. The choice-based system is applicable to electives only and is offered in the form of modules. Modular learning is also integrated in the foundational as well as core courses that is mandatory.

The program prepares nurses and midwives for generalist nursing including midwifery practice. Knowledge acquisition related to wellness, health promotion, illness, disease management and care of the dying is core to nursing practice. Mastery of competencies is the main focus. Students are provided with opportunities to learn a whole range of skills in addition to acquiring knowledge related to nursing practice (nursing and midwifery). This is achieved through learning in skill lab/simulated lab and clinical environment. Simulation will be integrated throughout the curriculum wherever feasible to enable them to develop competencies before entry into real field of practice.

The revised curriculum embraces competency-based and outcome-based approach throughout the program integrating mastery learning and self-directed learning. Transformational and relationship based educational approaches are emphasized. Through the educational process the students assimilate and synthesize knowledge, cultivate critical thinking skills and develop care strategies. Competencies that reflect practice standards of the Council address the areas of cultural diversity, communication technology, teamwork and collaboration, safety, quality, therapeutic interventions and evidencebased practice. They are prepared to provide safe and competent care to patients across life span and influence patient outcomes.

II. Philosophy. - The Council believes that:

Health and wellness are two fundamental concepts that are integrated throughout the program. Health is a state of wellbeing that encompasses physical, psychological, social, economic and spiritual dimensions. Wellness is the individual's perception of wellness and is influenced by the presence of disease and individual's ability to adapt. Health is a right of all people. Individuals have a right to be active participants in achieving health as they perceive it. Society consists of dynamic and interactive systems involving individuals, families, groups and communities. Cultural diversity, race, caste, creed, socio economic levels, religion, lifestyles, changes in environment and political factors influence it. Nurses and midwives recognize and respect human differences and diversity of population within society and provide ethical care with respect and dignity and protect their rights.

Nursing as a profession and a discipline utilizes knowledge derived from arts, sciences (physical, biological and behavioral), humanities and human experience. Nursing science incorporates clinical competence, critical thinking, communication, teaching learning, professionalism, and caring and cultural competency. Nurses collaborate with other health disciplines to solve individual and community health problems. Nursing facilitates evidence-based practice, compassionate caring among its practitioners in response to emerging issues in healthcare and new discoveries and technologies in profession. Nursing practice requires personal commitment to professional development and life-long learning.

Scope of nursing and midwifery practice encompasses provision of promotive, preventive, curative and rehabilitative aspects of care to people across the life span in a wide variety of healthcare settings. Nursing practice is based on acquisition of knowledge, understanding, attitude, competencies and skills through the Council's curricular and practice standards. The competencies in which the students are trained will guide them in performing their scope of practice. Nursing offers qualified nurses and midwives a wealth of opportunities in the field of practice, education, management and research in India and overseas.

The undergraduate nursing program is broad based education within an academic curricular framework specifically directed to the development of critical thinking skills, competencies appropriate to human and professional values. Blended learning approach comprising of experiential learning, reflective learning, scenario based learning and simulated learning is also inbuilt. The teaching learning process encourages mastery learning, modular, self-directed and self-accountable in choice making in terms of elective courses. The program prepares its graduates to become exemplary citizens by adhering to code of ethics and professional conduct at all times in fulfilling personal, social and professional obligations so as to respond to national aspirations. Health and community orientation are provided with special emphasis on national health problems, national health programs and national health policy directives to achieve universal health care for all citizens of India. The main roles of graduates would be provider of care with beginning proficiency in delivering safe care, coordinator/manager of care by being active participant of inter-professional team and member of a profession demonstrating self-responsibility and accountability for practice as well as to support the profession.

The faculty has the responsibility to be role models and create learning environment that facilitates cultivation of critical thinking, curiosity, creativity and inquiry driven self- directed learning and attitude of life-long learning in students. Learners and educators interact in a process whereby students gain competencies required to function within their scope of practice.

III. Aims & Objectives

Aims.

The aims of the undergraduate program are to

1. Produce knowledgeable competent nurses and midwives with clear critical thinking skills who are caring, motivated, assertive and well-disciplined responding to the changing needs of profession, healthcare delivery system and society.

2. Prepare them to assume responsibilities as professional, competent nurses and midwives in providing promotive, preventive, curative and rehabilitative healthcare services in any healthcare setting.

3. Prepare nurses and midwives who can make independent decisions in nursing situations within the scope of practice, protect the rights of individuals and groups and conduct research in the areas of nursing practice and apply evidencebased practice.

4. Prepare them to assume role of practitioner, teacher, supervisor and manager in all healthcare settings.

Objectives

On completion of the B.Sc. Nursing program, the B.Sc. nursing graduates will be able to

1. Utilize critical thinking to synthesize knowledge derived from physical, biological, behavioural sciences, and humanities, in the practice of professional nursing and midwifery.

2. Practice professional nursing and midwifery competently and safely in diverse settings, utilizing caring, critical thinking and therapeutic nursing interventions with individuals, families, populations and communities at any developmental stage and with varied lived health experiences.

3. Provide promotive, preventive and restorative health services in line with national health policies and programs.

4. Integrate professional caring into practice decisions that encompass values, ethical, and moral and legal aspects of nursing.

5. Respect the dignity, worth, and uniqueness of self and others.

6. Apply concepts of leadership, autonomy and management to the practice of nursing and midwifery to enhance quality and safety in health care.

7. Utilize the latest knowledge and skills related to information and technology to enhance patient outcomes.

8. Communicate effectively with patients, peers, and all health care providers.

9. Utilize the requisite knowledge, skills and technologies to practice independently and collaboratively with all health professionals applying the principles of safety and quality improvement.

10. Integrate research findings and nursing theory in decision making in evidence-based practice.

11. Accept responsibility and accountability for the effectiveness of one's own nursing and midwifery practice and professional growth as a learner, clinician and leader.

12. Participate in the advancement of the profession to improve health care for the betterment of the global society.

IV. Core Competencies For Nursing And Midwifery Practice By B.Sc. Graduate

{Is adapted from NLN Model and Massachusetts: Nurse of the Future - Core Competencies (2016) as shown in figure 1}

The B.Sc. Graduate nurse will be able to:

1. Patient centered care: Provide holistic care recognizing individual patient's preferences, values and needs, that is compassionate, coordinated, age and culturally appropriate safe and effective care.

2. Professionalism: Demonstrate accountability for the delivery of standard-based nursing care as per the Council standards that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles.

3. Teaching & Leadership: Influence the behavior of individuals and groups within their environment and facilitate establishment of shared goals through teaching and leadership

4. System-based practice: Demonstrate awareness and responsiveness to the context of healthcare system and ability to manage resources essential to provide optimal quality of care.

5. Health informatics and Technology: Use technology and synthesize information and collaborate to make critical decisions that optimize patient outcomes.

6. Communication: Interact effectively with patients, families and colleagues fostering mutual respect and shared decision making to enhance patient satisfaction and health outcomes.

7. Teamwork and Collaboration: Function effectively within nursing and interdisciplinary teams, fostering open communication, mutual respect, shared decision making, team learning and development.

8. Safety: Minimize risk of harm to patients and providers through both system effectiveness and individual performance.

9. Quality improvement: Use data to monitor the outcomes of care processes and utilize improvement methods to design and test changes to continuously improve the quality and safety of healthcare system.

10. Evidence based practice: Identify, evaluate and use the best current evidence coupled with clinical expertise and consideration of patient's preferences, experience and values to make practical decisions.

Core Competencies Required For Professional Nursing And Midwifery Practice In All Practice Settings

Figure 1. Core competencies for nursing and midwifery practice by B.Sc. Nursing Graduate {Adapted from NLN Model and Massachusetts: Nurse of the Future - Core Competencies (2016)}

V. Guidelines Regarding Minimum Pre-Requisites For Granting Suitability For B.Sc. (Nursing) College Of Nursing

1. The following Organizations/Establishments are eligible to establish/open a B.Sc. (Nursing) College of Nursing:

a) Central Government/State Government/Local Body;

b) Registered Private or Public Trust;

c) Organizations Registered under Societies Registration Act including Missionary Organizations;

d) Companies incorporated under Section 8 of Company's Act.

2. The eligible Organizations/Establishments should have their own 100 bedded Parent Hospital.

Provided that in respect of Tribal and Hilly Area the requirement of own Parent Hospital is exempted.

a) Tribal Area - Scheduled notified area [Areas as the President of India may by order declare to be Scheduled Areas];

b) Hilly Area - UTs of Jammu & Kashmir and Ladakh, North Eastern States, Himachal Pradesh and Uttarakhand.

3. The eligible Organizations/Establishments should obtain Essentiality Certificate/No Objection Certificate from the concerned State Government where the B.Sc. (Nursing) College of Nursing is sought to be established. The particulars of the name of the College/Nursing Institution along with the name of the Trust/Society/Company [as mentioned in Trust Deed or Memorandum of Association] as also full address shall be mentioned in No Objection Certificate/Essentiality Certificate.

4. After receipt of the Essentiality Certificate/No objection Certificate, the eligible institution shall get recognition from the concerned SNRC for the B.Sc. (Nursing) program for the particular academic year, which is a mandatory requirement.

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

*Provided that training institutions shall apply for statutory inspection, under Section 13 of the Act, to the Council within 6 months from obtaining recognition from the SNRC.

1. Parent Hospital (Unitary/Single Hospital)

College of Nursing should have 100 bedded parent/own hospital which is compulsory requirement.

Parent Hospital for a nursing institution having the same Trust/Society/Company which has established the nursing institution and has also established the hospital.

For a nursing institution (managed by Trust/Society/Company under Section 8), a 'Parent Hospital' would be a hospital either owned and controlled by the Trust/Society/Company or managed and controlled by a trustee/member/director of the Trust/Society/Company. In case the owner of the hospital is a trustee/ member/director of the Trust/Society/Company, then the hospital would continue to function as a 'Parent Hospital' till the life of the nursing institution.

The Undertaking would also be to the effect that the trustee/member/director of the Trust/Society/ Company would not allow the hospital to be treated 'Parent/Affiliated Hospital' to any other nursing institution and will be for minimum 30 years [i.e., signed by all trustees/members/directors of Trust/Society/ Company] to the Undertaking to be submitted from the trustee/member/director of the Trust/Society/ Company.

The beds of Parent Hospital shall be in one Unitary Hospital i.e. in same building/same campus. Further, the Parent Hospital shall be in the same State i.e. where the institution is located.

a) It is to be noted that once a particular hospital is shown as 'Parent Hospital' and permission given to the nursing institution to conduct nursing courses, then, the permission/suitability granted would last as long as the sai d hospital is attached as a 'Parent Hospital'.

b) In case the trustee/member/director of the Trust/Society/Company withdraws the Undertaking given, in that case even the permission/ suitability letter issued would be deemed to have lapsed/stand withdrawn with immediate effect.

2. Change of Trust/Society

• The Trust/Society cannot be purchased as per Indian Trust Act, but there can be change of trustees/ members. It is therefore the purchase of institution or change of membership will not be considered for continua tion of the program. The institution which is purchased/taken over will be considered as closed. And a fresh Govt. Order shall be required mentioning the Trust/Society name along with programs.

• The change of membership in Society/change of trustees in the Trust to be submitted immediately after incorporating through Registrar Cooperative Societies/Indian Trust Act.

• As per law Trust/Society can open number of institutions, but it will be considered as one institution under the ambit of one Trust/Society. It is therefore, a Trust/Society can open only one nursing institution in one city/town.

• If already an institution is existing in that city or town with an abbreviated name (e.g R K College of Nursing) then another institution with expanded name (Rama Krishna College of Nursing) will not be allowed).

• No two Institutions will have same name in same city/town.

3. Change of Address

SNRC shall issue a certificate, certifying the fact that the nursing institution is being shifted to the new building/premises at the address indicated. The certificate issued should indicate clearly complete address. The certificate issued should indicate clearly the total covered area of the nursing institution, owner of the nursing institution, and detailed physical facilities like laboratories, classrooms etc. along with area specification, provision of adequate washroom facilities, lighting, ventilation etc. of the new building.

4. Change of Location (District/Town/City/Village) shall be considered under new proposal, i.e. fresh Essentiality Certificate from the State Government and recognition from the SNRC is mandatory.

5. Strict Compliance of the Syllabus prescribed by the Council

No Institutions/SNRC/University will modify the syllabi prescribed by the Council for a course/ program. However they can add units/subjects if need be.

6. Close/Re-start of the Nursing Programs

If Institutions have not admitted the students for 2 consecutive years, it shall be considered as closed. Institute may apply for suitability to the Council under Section 13 & 14 of the Act through online within 5 years of the closure. While conducting the inspection they will not be covered under the new guidelines with regard to Parent Hospital. However, the above relaxation will be applicable only for five years. In case the proposal is submitted after 5 years from the year of closure, it has to submit a fresh proposal with due Essentiality Certificate from the State Government and recognition from the SNRC. In such cases the new guidelines with regards to parent hospital and calendar of events shall be applicable.

7. Change of Name of the Institution

If the Trust/Society/Company proposes to change the name of the institute, a valid reason has to be submitted. If SNRC/University have accepted the change of name of institute it may be accepted by the Council provided the Trust/Society/Company is same and does not come under para no. 2 above.

8. Re-Inspection

Re-inspection application shall be considered only two times. If the institution is found deficient even after that, then the institution shall have to submit a proposal for Suitability under Section 13 & 14 of the Act online within 5 years. However in case the proposal is submitted after 5 years it has to submit a fresh proposal with due Essentiality Certificate from the State Government and recognition from the SNRC.

9. Number of Sanctioned Seats

• Maximum of 100 seats will be sanctioned for the B.Sc. (Nursing) program for which institute must have parent Medical College or parent hospital having 300 beds or above subject to teaching and physical facilities available for B.Sc. (Nursing) program.

• Maximum of 60 seats will be sanctioned for the institution with parent hospital having less than 300 beds on the basis of teaching and physical facilities for B.Sc. (Nursing) program.

10. Enhancement of Seats

Inspection for Enhancement of seats under Section 13 of the Act shall be conducted only once in an academic year i.e., only one application/proposal shall be accepted, in one academic year. Further, SNRC approval is mandatory for enhancement of seats.

11. Bond System

Taking service bonds from students and forcefully retaining their Original Certificates is viewed as an Unethical Practice by the Council. If any such practice comes to the notice of the Council, appropriate action under Section 14 of the Act will be taken against the erring institution.

Minimum Requirements Of Physical Facilities

Regulations pertaining to Building and Laboratories

(i) School and College of nursing can share laboratories, if they are in same campus under same name an d under same Trust/Society/Company, that is the institution is one but offering different nursing programs. However they should have equipments and articles proportionate to the strength of admission. The classrooms should be available as per the requirement stipulated by the Council for each program.

(ii) Further, two same programs by the same institute/Trust/Society/Company is not allowed in the same campus.

(iii) The nursing institution can have all the nursing programs in the same building but with requisite progr am wise infrastructure. However, laboratories can be shared.

(iv) If the Trust/Society/Company has some other educational programs, the nursing program shall be in separate block/floor with prescribed sq.ft. area.

(v) Nursing program may be in hospital premises with a condition that it shall be in separate block/floor with prescribed sq.ft. area.

(vi) Long lease by the Government will be considered. However, rented building shall not be considered as their own building.

(vii) It is mandatory that institution shall have its own building within two years of its establishment.

(viii) Own Building/Lease/Rented Building:

(a) If one of the trustee/member/director of the Trust/Society/Company desires to lease the building owned by him for nursing program, it should be for a period of 30 years. I t should also be ensured that lease deed that is entered into between the Trust/Society/Company and the trustee/member/ director, owning the building, should contain a clause that the lease deed cannot be terminated for a period of 30 years.

Further, it is clarified that, for a Nursing Institution (Managed by a Trust/Society/Company), own building would be a building either owned and controlled by the Trust/Society/Company or owned and controlled by a trustee/member/director of the Trust/Society/Company. That is, if the owner of the building is a trustee/member/director of the Trust/ Society/Company and she/he leases the building to the Trust/Society/Company for 30 years, it will be considered as own building of the nursing institution.

(b) A duly registered gift deed of the building in favor of the Trust/Society/Company should be construed to be "own building".

Further it is clarified that if the lease of the building is between any government authority and the Trust/Society/Company/nursing institution and the lease is for 30 years or more, it will also be considered as own building.

Any deed of the building which is not as per either clause (a) or (b) above shall be considered as "Rented Building" only.

(d) Penalty for not having own building: Institutions which do not have their own building within two years of establishment has to pay the penalty for not having the own building. The penalty fees is Rs. 1 Lakh for

B.Sc. (Nursing) Program for 6 consecutive years. Even after 6 years if the institution does not have own building then action shall be taken under Section 14 of the Act. However, a lease of 30 years is permissible with the trustee/member/director of the Trust/Society/ Company.

A. Teaching Block

The College of Nursing should be within 30 km distance from its parent hospital having space for expansion in an institutional area. For a college with an annual admission capacity of 60 students, the constructed area of the college should be 23200 square feet.

The details of the constructed area are given below for admission capacity of 60 students.

S.No.	Teaching Block	Area (in sq.ft.)
1	Lecture Hall	4 @ 900 = 3600
2	Skill Lab/Simulation Laboratory
	i. Nursing Foundation including Adult Health Nursing & Advanced Nursing Lab	1600
	ii. Community Health Nursing & Nutrition Lab	1200
	iii. Obstetrics and Gynaecology Nursing Lab	900
	iv. Child Health Nursing Lab	900
	v. Pre-Clinical Science Lab	900
3	Computer Lab*	1500
4	A.V. Aids Room	600
5	Multipurpose Hall	3000
6	Common Room (Male and Female)	1000
7	Staff Room	800
8	Principal Room	300
9	Vice Principal Room	200
10	Library	2300
11	One Room for each Head of Departments	5 @ 200 = 1000
12	Faculty Room	2400
13	Provisions for Toilets	1000
Total Constructed Area		23200 sq.ft.

*Note: 1:5 computer student ratio as per student intake.

Note:
i. Nursing educational institution should be in institutional area only and not in residential area.
ii. If the institute has non-nursing program in the same building, nursing program should have separate teaching block.
iii. Shift-wise management with other educational institutions will not be accepted.
iv. Separate teaching block shall be available if it is in hospital premises.
v. Proportionately the size of the built-up area will increase/decrease according to the number of seats approved.
vi. The distance between two nursing colleges shall be more than 10 kilometres.

1. Class Rooms

There should be at least four classrooms with the capacity of accommodating the number of students admitted each year. The rooms should be well ventilated with proper lighting. The seating arrangements for students should provide adequate space and comfortable desk/chairs with tables. There should be built-in white/green/black boards and provision for projection facilities. Also, there should be a desk/dais/big table and a chair for teacher and racks/cupboards for storing teaching aids or other equipment needed for the conduct of class.

2. Laboratories

As listed above. One large skill lab/simulation lab can be constructed consisting of the labs specified with a total of 5500 sq.ft. size or can have five separate labs in the college.

(a) Nursing Foundation including Adult Health Nursing & Advanced Nursing Lab: The lab should have adequate demonstration beds with dummies/ mannequins/simulators in proportion to the number of students practicing a nursing skill at a given point of time. (Desired ratio being 1 bed : 6 practicing students)

It should be fully equipped with built-in-cupboards and racks, wash-basins with running water supply, electric fitting, adequate furniture like table, chairs, stools, patient lockers footsteps etc. Sufficient necessary inventory articles should be there i.e. at least 10-12 sets of all items needed for the practice of nursing procedure by the students. The laboratory equipment and articles mentioned in the 'Laboratory Equipment and Articles' published by the Council should be available.

There should be simulators used to teach, practice & learn advance skills e.g., administration of tube feeding, tracheostomy, gastrostomy, I/V injection, BLS, newborn resuscitation model, etc. The laboratory should have computers, internet connection, monitors and ventilator models/manikins/ simulators for use in Critical Care Units.

(b) Community Health Nursing Practice Laboratory & Nutrition Laboratory: It should have all required articles needed for practicing nursing procedures in a community set-up. The laboratory should give appearance of that of a rural setting, with community maps, records put on display & cupboards. The laboratory equipment and articles mentioned in the 'Laboratory Equipment and Articles' published by the Council should be available.

The Nutrition Laboratory should have facilities for imparting basic knowledge of various methods of cooking for the healthy as well as for the sick. The furnishing and equipment should include worktables, cooking cutlery, trays, and plates, dietetic scales, cooking utensils, microwave, racks/shelves, refrigerator, pressure cookers, mixie and cupboards for storage of food items. The food items shall be purchased for the conduct of practical classes as and when required. Sets of crockery and cutlery for preparation, napkins for serving and display of food also should be there. The laboratory equipment and articles mentioned in the 'Laboratory Equipment and Articles' published by the Council should be available.

(c) Obstetrics and Gynaecology Laboratory: The laboratory should have equipment and articles as mentioned in 'Laboratory Equipment and Articles' published by the Council.

(d) Paediatrics Nursing Laboratory: The laboratory should have equipment and articles as mentioned in 'Laboratory Equipment and Articles' published by the Council.

(e) Pre-Clinical Sciences Laboratory: It is the laboratory of Biochemistry, Anatomy, and Microbiology. The laboratory equipment and articles mentioned in the 'Laboratory Equipment & Articles' published by the Council should be available.

(f) Computer Laboratory: It shall have minimum computers in the ratio of 1 : 5 (computer : students) i.e., 12 computers for 60 students' intake. The laboratory equipment and articles mentioned in the 'Laboratory Equipment and Articles' published by the Council should be available.

3. Multipurpose Hall

The College of Nursing should have a multipurpose hall, which can be utilized for hosting functions of the college, educational conferences/workshops, Continuing Nursing Education (CNEs), examinations etc. It should have proper stage with green room facilities. It should be well-ventilated and should have proper lighting facilities. Arrangements should be there in place for the use of all kinds of basic and advanced audio-visual aids.

4. Library

There should be a separate library for the College of Nursing. It should be easily accessible to the teaching faculty and the students, during college hours and extended hours also.

It should have comfortable seating arrangements for half of the total strength of the students and teachers in the college.

There should be separate budget for the library. The library committee should meet regularly for keeping the library updated with current books, journals and other literature. Internet facility should be provided in the library.

The library should have proper lighting facilities and it should be well-ventilated. It should have a cabin for librarian with intercom phone facility.

There should be sufficient number of cupboards, bookshelves and racks with glass doors for proper and safe storage of books, magazines, journals, newspapers and other literature. There should be provision for catalogue cabinets, racks for student's bags etc., book display racks, bulletin boards and stationery items like index cards, borrower's cards, labels and registers. Current books, magazines, journals, newspapers and other literature should be available in the library.

A minimum of 500 of different subject titled nursing books (all new editions), in the multiple of editions, 3 kinds of nursing journals, 3 kinds of magazines, 2 kinds of newspapers and other kinds of current health related literature should be available in the library.

There should be a separate record room with steel racks, built-in shelves and racks, cupboards and filing cabinets for proper storage of records and other important papers/documents belonging to the college.

5. Audio-Visual Aids Room & Store Room

This room should be provided for the proper and safe storage of all the Audio-Visual Aids. The college should possess all kind of basic as well as advanced training aids like chalk boards, overhead projectors, slide and film-strip projector, models specimen, charts and posters, T.V. & V.C.R., Photostat machine, tape recorder and computers, LCD, laptop.

It should be provided to accommodate the equipment and other inventory articles which are required in the laboratories of the college. This room should have the facilities for proper and safe storage of these articles and equipment like cupboards, built-in-shelves, racks, cabinets, furniture items like tables and chairs. This room should be properly lighted and well-ventilated.

6. Other Facilities

Safe drinking water and adequate sanitary/toilet facilities should be available for both men and women separately in the college. Toilet facility to the students should be there along with hand washing facility.

7. Garage

Garage should accommodate a 50 seater vehicle.

8. Fire Extinguisher

Adequate provision for extinguishing fire should be available as per the local bye-laws.

9. Playground

Playground should be spacious for outdoor sports like volleyball, football, badminton and for athletics.

B. Hostel Block

Adequate hostel/residential accommodation for students and staff should be available in addition to the mentioned builtup area of the Nursing College respectively.

Hostel Block (60 Students)

S.No.	Hostel Block	Area (in sq,ft.)
1.	Single Room	12000 (50 sq.ft. for each student)
1.	Double Room	12000 (50 sq.ft. for each student)
2.	Sanitary	One Latrine & One Bath Room (for 5 students) – 600 × 4 = 2400
3.	Visitor Room	500
4.	Reading Room	250
5.	Store	500
6.	Recreation Room	500
7.	Dining Hall	3000
8.	Kitchen & Store	1500
9.	Warden's room	450
Total		21100 sq.ft.

Grand Total of Constructed Area
Teaching Block	23200 sq.ft.
Hostel Block	21100 sq.ft.
Grand Total	44300 sq.ft.

{Note: Minimum provision of hostel accommodation for 30% of the total student's intake is compulsory for the institution and accordingly the staff for hostel shall be provided as prescribed in the syllabi.}

Hostel Facilities

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

1. Pantry

One pantry on each floor should be provided. It should have water cooler and heating arrangements.

2. Washing & Ironing Space

Facility for drying and ironing clothes should be provided on each floor.

3. Warden's Room

Warden should be provided with a separate office room besides her residential accommodation. Intercom facility with College & hospital shall be provided.

4. Telephone

Telephone facility accessible to students in emergency situation shall be made available.

5. Canteen

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

6. Transport

College should have separate transport facility under the control of the Principal. 25 and 50 seater bus is preferable and number of vehicles shall be as per strength of the students.

Staff for the Hostel

1. Warden (Female) - 3: Qualification: B.Sc. Home Science or Diploma in Housekeeping/Catering. Minimum three wardens must be there in every hostel for morning, evening and night shifts. If number of students are more than 150, one more Warden/Assistant Warden for every additional 50 students.

2. Cook - 1: For every 20 students for each shift.

3. Kitchen & Dining Room helper - 1: For every 20 students for each shift.

4. Sweeper - 3

5. Gardener - 2

6. Security Guard/Chowkidar - 3

Clinical Facilities for 60 students

1. Parent hospital

College of Nursing should have a 100 bedded Parent/Own Hospital.

2. Additional Affiliation of Hospital

In addition to Parent Hospital of 100 beds, institution shall take affiliation of the hospital, if all the required learning experience are not available in the parent hospital. As 100 beds is not sufficient to offer clinical experience/specialities to students as laid down in the B.Sc. (Nursing) syllabus. The students should be sent to affiliated hospital/agencies/institutions where it is available.

a. Criteria for Affiliation

The types of experience for which a nursing college can affiliate are:

• Community Health Nursing

• Mental Health (Psychiatric) Nursing

• Specialty like Cardiology, Neurology, Oncology Nephrology, Orthopaedics, communicable/ infectious disease etc.

• Obstetrics, Gynaecology, Paediatrics etc.

b. The size of the Hospital for Affiliation

• Should not be less than 50 beds apart from having own hospital

• Bed occupancy of the hospital should be minimum 75%

3. Clinical requirements for Nursing program are as given below:

S.No.	Areas of Clinical Experience	Number of Beds
1	Medicine	50
2	Surgery including OT	50
3	Obstetrics & Gynaecology	50
4	Paediatrics	30
5	Orthopaedics	15
6	Emergency medicine	10
7	Psychiatry	20

4. Additional/Other Specialties/Facilities for clinical experience required are as follows:

• Community Health Nursing - own/affiliated rural and urban community health centre

• Major OT

• Minor OT

• Dental, Otorhinolaryngology, Ophthalmology

• Burns and Plastic

• Neonatology care unit

• Communicable disease/Respiratory medicine/TB & chest diseases

• Dermatology

• Cardiology

• Oncology/Neurology/Neuro-surgery

• Nephrology

• ICU/ICCU

• Geriatric Medicine

• Any other specialty as per syllabus requirements

Note:
i. Educational visits will also be conducted as per the B.Sc. (Nursing) syllabus (for example: Milk Treatment plant, Water and Sewage plant, Rehabilitation Centres, Orphanage, Geriatric Care, Home for Destitute, Professional Organisation etc.).
ii. The Nursing Staffing norms in the Parent and Affiliated Hospital should be as per the Staff Inspection Unit (SIU) norms.
iii. The Parent/affiliated Hospital should give student status to the candidates of the nursing program.
iv. Maximum Distance between affiliated hospitals & institutions should not be more than 30 kms.
v. For Hilly & Tribal the maximum distance can be 50 kms.
vi. 1:3 student patient ratio to be maintained.
vii. Distribution of Beds: At least one third of the total number of beds should be for medical patients and one third for surgical patients. The number of beds for male patients should not be less than 1/6th of the total number of beds i.e. at least 40 beds. There should be minimum of 100 deliveries per month. Provision should be made for clinics in health and family welfare and for preventive medicine.

5. Community Health Nursing Field Practice Area

The students should be sent for community health nursing experience in urban as well as rural field area. The institution can be attached to primary health centre. A well set up field teaching centre should be provided with facilities for accommodation of at least 10-15 students and one staff member at a time. Peon, cook and chowkidar should be available at health centre. Each College of Nursing should have its own transport facility and it must be under the control of the principal. The security of staff and students should be ensured.

Anti-Ragging

Anti-ragging guidelines as per gazette notification shall be followed.

Budget

In the overall budget of the institution, there should be provision for college budget under a separate head. Principal of the College of Nursing should be the drawing and disbursing authority.

Teaching Faculty

The principal should be the administrative head of the College. He/She should hold qualifications as laid down by the Council. The principal should be the controlling authority for the budget of the College and also be the drawing and disbursing officer. The Principal and Vice-Principal should be gazetted officers in Government Colleges and of equal status (though non-Gazetted) in non-government Colleges.

A. Qualifications & Experience of Teachers of College of Nursing

S.No.	Post, Qualification & Experience
1	Principal cum Professor- Essential Qualification: M.Sc. (Nursing) Experience: M.Sc. (Nursing) having total 15 years' experience with M.Sc. (Nursing) out of which 10 years after M.Sc. (Nursing) in collegiate program. Ph.D. (Nursing) is desirable
2	Vice-Principal cum Professor - Essential Qualification: M.Sc. (Nursing) Experience: M.Sc. (Nursing) Total 12 years' experience with M.Sc. (Nursing) out of which 10 years teaching experience after M.Sc. (Nursing) Ph.D. (Nursing) is desirable
3	Professor - Essential Qualification: M.Sc. (Nursing) Experience: M.Sc. (Nursing) Total 12 years' experience with M.Sc. (Nursing) out of which 10 years teaching experience after M.Sc. (Nursing). Ph.D. (Nursing) is desirable
4	Associate Professor - Essential Qualification: M.Sc. (Nursing) Experience: Total 8 years' experience with M.Sc. (Nursing) including 5 years teaching experience Ph.D. (Nursing) desirable
5	Assistant Professor - Essential Qualification: M.Sc. (Nursing) Experience: M.Sc. (Nursing) with total 3 years teaching experience Ph.D. (Nursing) desirable
6	Tutor - M.Sc. (Nursing) preferable Experience: B.Sc. (Nursing)/P.B.B.Sc. (Nursing) with 1 year experience.

B. College of Nursing which has a parent hospital shall adopt the integration of service and education model recommended by the Council placed at www.indiannursingcouncil.org

C. Departments

Number of Nursing departments = 6 (Six)

i. Nursing Foundation

ii. Adult Health Nursing

iii. Community Health Nursing

iv. Midwifery/Obstetrics & Gynaecology Nursing

v. Child Health Nursing vi. Mental Health Nursing

Note: Professor shall be head of the department.

S.No.	Designation	B.Sc. (Nursing) 40-60	B.Sc. (Nursing) 61-100
1	Principal	1	1
2	Vice-Principal	1	1
3	Professor	1	1-2
4	Associate Professor	2	2-4
5	Assistant Professor	3	3-8
6	Tutor	8-16	16-24
	Total	16-24	24-40

(For example for 40 students intake minimum number of teachers required is 16 including Principal, i.e., 1 - Principal, 1 - Vice Principal, 1 - Professor, 2 - Associate Professor, 3 - Assistant Professor, and 8 tutors)

To start the program, minimum 3 M.Sc. (Nursing) shall be appointed.

	Ist year	IInd Year	IIIrd year	IVth year
40 Students	3 M.Sc. (Nursing) (2 - Med Surg., 1 - Pediatrics) + 2 Tutors	5 M.Sc. (Nursing) (2 - Med Surg., 1 - Pediatrics, 1 - Community Health Nursing, 1 - Psychiatric) + 3 Tutors	7 M.Sc. (Nursing) (2 - Med Surg., 1 - Pediatrics, 1 - Community Health Nursing, 1 - Psychiatric, 2 - OBG) + 5 Tutors	8 M.Sc. (Nursing) (2 - Med Surg., 1 - Pediatrics, 1 - Community Health Nursing, 1 - Psychiatric, 3 - OBG) + 8 Tutors
60 Students	3 M.Sc. (Nursing) (2 - Med Surg., 1 - Pediatrics) + 3 Tutors	5 M.Sc. (Nursing) (2 - Med Surg., 1 - Pediatrics, 1 - Community Health Nursing, 1 - Psychiatric) + 7 Tutors	7 M.Sc. (Nursing) (2 - Med Surg., 1 - Pediatrics, 1 - Community Health Nursing, 1 - Psychiatric, 2 - OBG) + 11 Tutors	8 M.Sc. (Nursing) (2 - Med Surg., 1 - Pediatrics, 1 - Community Health Nursing, 1 - Psychiatric, 3 - OBG) + 16 Tutors
100 Students	5 M.Sc. (Nursing) (3 - Med Surg., 2 – Pediatrics) + 5 Tutors	8 M.Sc. (Nursing) (4 - Med Surg., 2 - Pediatrics, 1 - Community Health Nursing, 1 - Psychiatric) + 12 Tutors	12 M.Sc. (Nursing) (4 - Med Surg., 2 - Pediatrics, 2 - Community Health Nursing, 2 - Psychiatric, 2 - OBG) + 18 Tutors	16 M.Sc. (Nursing) (4 - Med Surg., 2 - Pediatrics, 2 - Community Health Nursing, 2 - Psychiatric, 6 - OBG) + 24 Tutors

D. Teachers for non-nursing courses (Part-time/external faculty**)

Sl.No.	Courses/Subjects
1	English
2	Anatomy
3	Physiology
4	Sociology
5	Psychology
6	Biochemistry
7	Nutrition & Dietetics
8	Health Nursing Informatics and Technology
9	Microbiology
10	Pharmacology
11	Pathology & Genetics
12	Forensic Nursing
13	Any other Clinical Discipline
14	Physical Education
15	Elective Courses

**The above teachers should have postgraduate qualification with teaching experience in respective discipline.

Note:
i. 1:10 teacher student ratio.
ii. All teachers including Principal & Vice Principal shall take classes, perform clinical teaching and supervision and other academic activities. Every faculty including Principal shall spend at least four hours each day.
iii. One of the tutors need to stay at the community health field by rotation.
iv. The salary of the teaching faculty in private Colleges of Nursing should not be less than what is admissible in the Colleges of Nursing under State/Central government or as per the UGC scales.
v. Nursing service personnel should actively participate in instruction, supervision, guidance and evaluation of students in the clinical/community practice areas. The teaching faculty of the College of Nursing should work in close coordination with the nursing service personnel.
vi. The teaching faculty of the College and nursing service personnel should be deputed to attend short term educational courses/workshops/conferences etc. to update their knowledge, skills and attitude.
vii. It is mandatory for College authorities to treat teaching faculty of College of Nursing on duty with respect and dignity, when nominated/selected for the purpose of examination or inspection by the Council.
viii. 50% of non-nursing courses/subjects should be taught by the nursing faculty. However, it will be supplemented by external faculty who are doctors or faculty in other disciplines having Post Graduate qualification in their requisite course. Nursing faculty who teach these courses shall be examiners for the taught course/s.

E. Additional Staff for College of Nursing

•	Ministerial
(a) Administrative Officer	1
(b) Office Superintendent	1
(c) PA to Principal	1
(d) Accountant/Cashier	1
• Upper Division Clerk	2
• Lower Division Clerk	2
• Store Keeper	1
• Classroom Attendants	2
• Sanitary Staff - As per the physical space
• Security Staff - As per the requirement
• Peons/Office Attendants 4
• Library
(a) Librarian 2
(b) Library Attendants - As per the requirement
• Hostel
(a) Wardens	3
○ Cooks, Bearers - As per the requirement
○ Gardeners and Dhobi (Desirable)

Note: Provision should be made to have leave reserve staff in addition to the regular staff according to rules.

F. College Management Committee

Following members should constitute the Board of Management of the College:
Principal	Chairperson
Vice-Principal	Member
Professor/Associate Professor/Assistant Professor	Member
Chief Nursing Officer/Nursing Superintendent	Member
Representative of Medical Superintendent	Member

Admission Terms And Conditions

1. The minimum age for admission shall be 17 years on 31st December of the year in which admission is sought. The maximum age limit for admission shall be 35 years.

2. Minimum Educational Qualification

(a) Candidate with Science who have passed the qualifying 12th Standard examination (10+2) and must have obtained a minimum of 45% marks in Physics, Chemistry and Biology taken together and passed in English individually.

(b) Candidates are also eligible from State Open School recognized by State Government and National Institute of Open School (NIOS) recognized by Central Government having Science subjects and English only.

3. Colour blind candidates are eligible provided that colour corrective contact lens and spectacles are worn by such candidates.

4. Candidate shall be medically fit.

5. Married candidates are also eligible for admission.

6. Students shall be admitted once in a year.

7. Selection of candidates should be based on the merit of the entrance examination. Entrance test** shall comprise of:

(a)	Aptitude for Nursing	20 marks
(b)	Physics	20 marks
(c)	Chemistry	20 marks
(d)	Biology	20 marks
(e)	English	20 marks
The minimum qualifying criteria of entrance test to admission to B.Sc. Nursing is as under:

General	50th percentile
SC/ST/OBC	40th percentile
General - PwD	45th percentile
SC/ST/OBC - PwD	40th percentile

**Entrance test shall be conducted by University/State Government.

8. Reservation Policy

• Reservation of seats in for admission in Nursing Colleges for SC/ST/OBC/EWSs/PH

Admission under the reserved quota shall be subject to reservation policy and eligibility criteria for SC/ST/OBC/EWSs prescribed by the Central Govt./State Govt./Union Territory as applicable to the College concerned.

In respect of candidates belonging to SC/ST/OBC the marks obtained in 3 subjects Physics, Chemistry, Biology shall be 40% and passed in English individually.

• Reservation for disability

5% Disability reservation to be considered for disabled candidates with a disability of loco-motor to the tune of 40% to 50% of the lower extremity and other eligibility criteria with regard to qualification will be same as prescribed for General category candidates. The upper age limit shall be relaxed by 5 years for disabled candidates.

Note: A committee to be formed consisting of medical officer authorized by medical board of State government and a nursing expert in the panel which may decide whether the candidates have the disability of loco-motor to the tune of 40% to 50%.

Note:
i. Reservations shall be applicable within the sanctioned number of the seats.
ii. The start of the semester shall be 1st August every year.
iii. No admission after the cut-off date i.e. 30th September will be undertaken. Further Hall Tickets/Admit Card shall not be issued to the candidates who are admitted after 30th September.
iv. The responsibility of obtaining and verifying the requisite documents for admission lies with the Institution and

University.

9. Foreign Nationals:

The entry qualification equivalency i.e., 12th standard will be obtained by Association of Indian Universities, New Delhi. Institution, SNRC and University will be responsible to ensure that the qualification and eligibility will be equivalent to what has been prescribed by the Council.

10. Admission/Selection Committee

This committee should comprise of:

• Principal (Chairperson)

• Vice-Principal

• Professor

• Chief Nursing Officer or Nursing Superintendent

11. Admission Strength

Maximum intake of students shall be sixty if the institution has a 100 bedded unitary parent hospital and 61-100 if the institution has 300 or more bedded unitary parent hospital.

12. Health Services

There should be provisions for the following health services for the students.

• An annual medical examination.

• Vaccination against Tetanus, Hepatitis B or any other communicable disease as considered necessary.

• Free medical care during illness.

• A complete health record should be kept in respect of each individual student. The criteria for continuing the training of a student with long term chronic illness, will be decided by the individual College.

13. Records

Following are the minimum records which needs to be/should be maintained in the College:

(a) For Students

i. Admission record

ii. Health record

iii. Class attendance record

iv. Clinical and Field Experience record

v. Internal assessment record for both theory and practical vi. Mark Lists (University Results)

vii. Record of extracurricular activities of student (both in the College as well as outside)

viii. Leave record

ix. Practical record books - Procedure Book and Midwifery Record Book to be maintained as prescribed by the Council.

(b) For each academic year, for each class/batch

i. Course contents record (for each course/subjects)

ii. The record of the academic performance

iii. Rotation plans for each academic year

iv. Record of committee meetings

v. Record of the stock of the College

vi. Affiliation record

vii. Grant-in-aid record (if the College is receiving grant-in-aid from any source like State Govt. etc.)

viii. Cumulative record.

(c) Record of educational activities organized for teaching faculty (CNEs) and student, both in the College as well as outside.

(d) Annual reports (Record) of the achievement of the College prepared annually.

(e) College of Nursing should possess detailed and up-to-date record of each activity carried out in the College.

14. Transcript

All institutions to issue the transcript upon completion of the program and to submit only one single copy of transcript per batch to respective SNRC.

VI. Curriculum

Curricular Framework

The B.Sc. Nursing program is a four-year program comprising of eight semesters that is credit and semester based. It is choice based only for elective courses. Competency based curriculum is the main approach that is based on ten core competencies. The courses are categorized into foundational courses, core courses and elective courses. The curricular framework shown in Figure 2 depicts the entire course of curriculum, which is further outlined in the program structure.

Ten Core Competencies (Figure 1)

Figure 2. Curricular Framework

1. Program Structure

B.Sc. Nursing Program Structure

I Semester

Communicative English
Applied Anatomy
Applied Physiology
Applied Sociology
Applied Psychology
*Nursing Foundation I

Mandatory Module

*First Aid as part of Nursing Foundation I Course

III Semester

Applied Microbiology and Infection Control including Safety
Pharmacology I
Pathology I
*Adult Health (Medical Surgical) Nursing I with integrated pathophysiology

Mandatory Module

*BCLS as part of Adult Health Nursing I

V Semester

*Child Health Nursing I
Mental Health Nursing I
Community Health Nursing I (including Environmental Science & Epidemiology)
Educational Technology/Nursing Education
Introduction to Forensic Nursing and Indian Laws

Mandatory Modules

*Essential Newborn Care (ENBC), Facility Based Newborn Care (FBNBC), IMNCI and PLS as part of Child Health Nursing

VII Semester

Community Health Nursing II
Nursing Research & Statistics
Midwifery/Obstetrics and Gynecology (OBG) Nursing II

Mandatory Modules

*Safe delivery app under OBG Nursing I/II (VI/VII Semester)

II Semester

Applied Biochemistry
Applied Nutrition and Dietetics
*Nursing Foundation II
Health/Nursing Informatics & Technology

Mandatory Module

*Health Assessment as part of Nursing Foundation II Course

IV Semester

*Pharmacology II
Pathology II & Genetics
Adult Health Nursing II with integrated pathophysiology including Geriatric Nursing
Professionalism, Professional Values & Ethics including Bioethics

Mandatory Module

*Fundamentals of Prescribing under Pharmacology II

*Palliative care module under Adult Health Nursing II

VI Semester

Child Health Nursing II
Mental Health Nursing II
Nursing Management & Leadership
*Midwifery/Obstetrics and Gynecology (OBG) Nursing I

Mandatory Module

* SBA Module under OBG Nursing I/II (VI/VII Semester)

VIII Semester

Internship (Intensive Practicum/Residency Posting)

Note: No institute/University will modify the curriculum. However they can add units/subject in the syllabus as deemed necessary.

#Modules both mandatory and elective shall be certified by the institution/external agency.

Mandatory Modules

The prepared modules/modules outlined by the Council such as Health Assessment & Fundamentals of Prescribing and available modules as National Guidelines (First Aid - NDMA, IMNCI, ENBC, FBNBC), Palliative Care, Safe Delivery App and SBA module will be provided in separate learning resource package.

For BCLS, PLS - Standard national/international modules can be used.

The mandatory modules are offered during the time allotted for respective courses in the course content as theory and practicum Lab/Clinical.

Elective Modules

Number of electives to be completed: 3 (Every module = 1 credit = 20 hours)

III & IV Semesters: To complete any one elective by end of 4th semester across 1st to 4th semesters

• Human values

• Diabetes care

• Soft skills

V & VI Semesters: To complete any one of the following before end of 6th semester

• CBT

• Personality development

• Addiction psychiatry

• Adolescent health

• Sports health

• Accreditation and practice standards

• Developmental psychology

• Menopausal health

• Health Economics

VII & VIII Semesters: To complete any one of the following before end of 8th semester

• Scientific writing skills

• Lactation management

• Sexuality & Health

• Stress management

• Job readiness and employability in health care setting

2. Curriculum Implementation: Overall Plan

Duration of the program: 8 semesters

1-7 Semesters

One Semester Plan for the first 7 Semesters

Total Weeks per Semester: 26 weeks per semester

Number of Weeks per Semester for instruction: 20 weeks (40 hours per week × 20 weeks = 800 hours)

Number of Working Days: Minimum of 100 working days (5 days per week × 20 weeks)

Vacation, Holidays, Examination and Preparatory Holidays: 6 weeks

Vacation: 3 weeks

Holidays: 1 week

Examination and Preparatory Holidays: 2 weeks

8th Semester

One semester: 22 weeks

Vacation: 1 week

Holidays: 1 week

Examination and Preparatory Holidays: 2 weeks

3. Courses Of Instruction With Credit Structure
S.No	Semester	Course Code	Course/Subject Title	Theory credits	Theory Contacts hours	Lab skill Lab credits	Lab / Skill Lab contacts hours	Clinical credits	Clinical Contact hours	Total Credits	Total (hours)
1	First	ENGL 101	Communicative English	2	40						40
		ANAT 105	Applied Anatomy	3	60						60
		PHYS 110	Applied Physiology	3	60						60
		SOCI 115	Applied Sociology	3	60						60
		PSYC 120	Applied Psychology	3	60						60
		N-NF (I) 125	Nursing Foundation I including First Aid module	6	120	2	80	2	160	10	360
		SSCC (I) 130	Self-study/Co-curricular								40+40
			TOTAL	20	400	2	80 2		160	20+2++2=24	640+80 = 720
2	Second	BIOC 135	Applied Biochemistry	2	40						40
		NUTR 140	Applied Nutrition and Dietetics	3	60						60
		N-NF (II) 125	Nursing Foundation II including Health Assessment module	6	120	3	120	4	320		560
		HNIT 145	Health/Nursing Informatics & Technology	2	40	1	40				80
		SSCC(II) 130	Self-study/Co-curricular								40+20
			TOTAL	13	260	4	160	4	320 +	13+4+4=21	740+60= 800
3	Third	MICR 201	Applied Microbiology and Infection Control including Safety	2	40	1	40				80
		PHAR (I) 205	Pharmacology I	1	20						20
		PATH (I) 210	Pathology I	1	20						20
		N-AHN (I) 215	Adult Health Nursing I with integrated pathophysiology including BCLS module	7	140	1	40	6	480		660
		SSCC (I) 220	Self-study/Co-curricular								20
			TOTAL	11	220	2	80	6	480	11+2+6=19	780+20 = 800
4	Fourth	PHAR (II) 205	Pharmacology II including Fundamentals of prescribing module	3	60						60
		PATH (II) 210	Pathology II and Genetics	1	20						20
		N-AHN (II) 225	Adult Health Nursing II with integrated pathophysiology including Geriatric Nursing + Palliative care module	7	140	1	40	6	480		660
		PROF 230	Professionalism, Professional Values and Ethics including bioethics	1	20						20
		SSCC(II) 220	Self-study/Co-curricular								40
			TOTAL	12	240	1	40	6	480	12+1+6=19	760+40=800
5	Fifth	N-CHN(I) 301	Child Health Nursing I including Essential Newborn Care (ENBC), FBNC, IMNCI and PLS, modules	3	60	1	40	2	160		260
		N-MHN(I) 305	Mental Health Nursing I	3	60			1	80		140
		N-COMH(I) 310	Community Health Nursing I including Environmental Science & Epidemiology	5	100			2	160		260
		EDUC 315	Educational Technology/Nursing Education	2	40	1	40				80
		N-FORN 320	Introduction to Forensic Nursing and Indian laws	1	20						20
		SSCC(I) 325	Self-study/Co-curricular								20+20
			TOTAL	14	280	2	80	5	400	14+2+5=21	760+40=800
6	Sixth	N-CHN(II) 301	Child Health Nursing II	2	40			1	80		120
		N-MHN(II) 305	Mental Health Nursing II	2	40			2	160		200
		NMLE 330	Nursing Management & Leadership	3	60			1	80		140
		N-MIDW(I) / OBGN 335	Midwifery/Obstetrics and Gynaecology (OBG) Nursing I including SBA module	3	60	1	40	3	240		340
		SSCC(II) 325	Self-study/Co-curricular								-
			TOTAL	10	200	1	40	7	560	10+1+7=18	800
7	Seventh	N-COMH(II)401	Community Health NursingII	5	100			2	160		260
		NRST 405	Nursing Research & Statistics	2	40	2	80(Projec t- 40)				120
		N-MIDW(II)/ OBGN 410	Midwifery/Obstetrics and Gynaecology (OBG) Nursing II including Safe delivery app module	3	60	1	40	4	320		420
			Self-study/Co-curricular								-
			TOTAL	10	200	3	120	6	480	10+3+6=19	800
8	Eight (Internship)	INTE 415	Community Health Nursing – 4 weeks
		INTE 420	Adult Health Nursing – 6 weeks
		INTE 425	Child Health Nursing – 4 weeks
		INTE 430	Mental Health Nursing – 4 weeks
		INTE 435	Midwifery – 4 weeks
			TOTAL = 22 weeks	12 (1 credit = 4 hours per week per semester )					1056 {4 hours × 22 weeks = 88 hours × 12 credits = 1056 hours} (48 hours per week × 22 weeks)
			TOTAL = 22 weeks	12 (1 credit = 4 hours per week per semester )

1 credit theory - 1 hour per week per semester

1 credit practical/lab/skill lab/simulation lab - 2 hours per week per semester

1 credit clinical - 4 hours per week per semester

1 credit elective course-1 hour per week per semester

(Electives can be offered during self-study hours as shown in the following tables).

Total Semesters = 8

(Seven semesters: One semester = 20 weeks × 40 hours per week = 800 hours)

(Eighth semester - Internship: One semester = 22 weeks × 48 hours per week = 1056 hours)

Total number of course credits including internship and electives - 156 (141+12+3)

Distribution of credits and hours by courses, internship and electives

S.No.

Credits

Theory (Cr/Hrs)

Lab (Cr/Hrs)

Clinical (Cr/Hrs)

Total credits

Hours

Course credits

90 credit per 1800 hours

15/600

36/2880

141

5280

Internship

1056

Electives

Total

156

6396

Self-study and Co-curricular

Saturdays (one semester = 5 hours per week × 20 weeks × 7 semesters = 700 hours)

240

700

940

Distribution of credits, hours and percentage for theory and practicum (Skill Lab & Clinical) across eight semesters

S.No.	Theory & Practicum (Skill Lab & Clinical)	Credits	Hours	Percentage
1	Theory	90	1800	28
2	Lab/Skill Lab	15	600	10
3	Clinical	36	3936	62
	Total	141	6336 hours	100

Practicum (7 semesters) excluding internship

Lab/skill lab/simulation lab - 600 (17%)

Clinical - 2880 (83%)

Total - 3480

Lab/skill lab/simulation lab = 17% of the total practicum planned

Note: Besides the stipulated lab and clinical hours, a maximum of 13% (400-450 hours) from the clinical hours can be used in simulation lab/skill lab for skill lab/simulation learning and not to exceed 30% of total hours.

4. Scheme Of Examination

The distribution of marks in internal assessment, End Semester College Exam, and End Semester University Exam for each course is shown below.

I Semester

S.No.	Course	Assessment (Marks)
		Internal	End Semester College Exam	End Semester University Exam	Hours	Total Marks
	Theory
1	Communicative English	25	25		2	50
2	Applied Anatomy & Applied Physiology	25		75	3	100
3	Applied Sociology & Applied Psychology	25		75	3	100
4	Nursing Foundation I	*25
	Practical
5	Nursing Foundation I	*25

*Will be added to the internal marks of Nursing Foundation II Theory and Practical respectively in the next semester (Total weightage remains the same)

Example:

Nursing Foundation Theory: Nursing Foundation I Theory Internal marks in 1st semester will be added to Nursing Foundation II Theory Internal in the 2nd semester and average of the two semesters will be taken.

II Semester

S.No.	Course	Assessment (Marks)
		Internal	End Semester College Exam	End Semester University Exam	Hours	Total Marks
	Theory
1	Applied Biochemistry and Applied Nutrition & Dietetics	25		75	3	100
2	Nursing Foundation (I & II)	25 I Sem-25 & II Sem-25 (with average of both)		75	3	100
3	Health/Nursing Informatics & Technology	25	25		2	50
	Practical
4	Nursing Foundation (I & II)	50 I Sem-25 & II Sem-25		50		100

III Semester

S.No.	Course	Assessment (Marks)
		Internal	End Semester College Exam	End Semester University Exam	Hours	Total Marks
	Theory
1	Applied Microbiology and Infection Control including Safety	25		75	3	100
2	Pharmacology I and Pathology I	*25
3	Adult Health Nursing I	25		75	3	100
	Practical
4	Adult Health Nursing I	50		50		100

*Will be added to the internal marks of Pharmacology II and Pathology II & Genetics in the next semester (Total weightage remains the same).

IV Semester

S.No.	Course	Assessment (Marks)
		Internal	End Semester College Exam	End Semester University Exam	Hours	Total Marks
	Theory
1	Pharmacology & Pathology (I & II) and Genetics	25 III Sem-25 & IV Sem-25 (with average of both)		75	3	100
2	Adult Health Nursing II	25		75	3	100
3	Professionalism, Ethics and Professional Values	25	25		2	50
	Practical
4	Adult Health Nursing II	50		50		100

V Semester

S.No.	Course	Assessment (Marks)
		Internal	End Semester College Exam	End Semester University Exam	Hours	Total Marks
	Theory
1	Child Health Nursing I	*25
2	Mental Health Nursing I
3	Community Health Nirsing I including Environmental Science & Epidemiology	25		75	3	100
4	Educational Technology / Nursing Education	25		75	3	100
5	Introduction to Forensic Nursing and Indian Laws	25	25		2	50
	Practical
6	Child Health Nursing I	*25
7	Mental Health Nursing I	*25
8	Community Health Nursing I	50		50		100

*Will be added to the internal marks of Child Health Nursing II and Mental Health Nursing II in both theory and practical respectively in the next semester (Total weightage remains same).

VI Semester

S.No.	Course	Assessment (Marks)
		Internal	End Semester College Exam	End Semester University Exam	Hours	Total Marks
	Theory
1	Child Health Nursing (I & II)	25 Sem V-25 & Sem VI -25 (with the average of both)		75	3	100
2	Mental Health Nursing I	25 Sem V-25 & Sem VI -25 (with the average of both)		75	3	100
3	Nursing Management & Leadership	25		75	3	100
4	Midwifery / Obsetetrics & Gynecology	25
	Practical
5	Child Health Nursing (I & II)	50 (Sem V- 25 & Sem VI- 25)		50		100
6	Mental Health Nursing (I & II)	50 (Sem V- 25 & Sem VI- 25)		50		100
7	Midwifery / Obstetrics & Gyneloogy I	*25

*Will be added to Internal marks of Midwifery II theory and practical respectively in the next semester (Total weightage remains the same)

VII Semester

S.No.	Course	Assessment (Marks)
		Internal	End Semester College Exam	End Semester University Exam	Hours	Total Marks
	Theory
1	Community Health Nursing II	25		75	3	100
2	Nursing Research & Statistics	25		75	3	100
	Midwifery / Obstetrics and Gynecology (OBG)Nursing (I & II)	25 Sem VI-25 & Sem VII-25 (with the average of both)		75	3	100
	Practical
3	Community Health Nursing II	50		50		100
4	Midwifery / Obstetrics and Gynecology (OBG) Nursing (I & II)	50 (Sem VI-25 & Sem VII -25)		50		100

VIII Semester

S.No.	Course	Assessment (Marks)
		Internal	End Semester College Exam	End Semester University Exam	Hours	Total Marks
	Practical
1	Competency Assesment	100		100		200

5. Examination Regulations

Note:
1. Applied Anatomy and Applied Physiology: Question paper will consist of Section-A Applied Anatomy of 37 marks and Section-B Applied Physiology of 38 marks.
2. Applied Sociology and Applied Psychology: Question paper will consist of Section-A Applied Sociology of 37 marks and Section-B Applied Psychology of 38 marks.
3. Applied Microbiology and Infection Control including Safety: Question paper will consist of Section-A Applied Microbiology of 37 marks and Section-B Infection Control including Safety of 38 marks.
4. Applied Biochemistry and Applied Nutrition and Dietetics: Question paper will consist of Section-A Applied Biochemistry with 25 marks and Section-B Applied Nutrition and Dietetics with 50 marks.
5. Pharmacology, Genetics and Pathology: Question paper will consist of Section-A of Pharmacology with 38 marks, Section-B of Pathology with 25 marks and Genetics with 12 marks.
6. Nursing Research and Statistics: Nursing Research should be of 55 marks and Statistics of 20 marks.
7. A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory and practical in each course/subject for appearing for examination.
8. A candidate must have 100% attendance in each of the practical areas before award of degree.
9. Following exams shall be conducted as College exams. The minimum pass is 50% except for Communicative English. The marks for all the college exams listed below alongside all other university exams must be sent to university for inclusion in the mark sheet and shall be considered for calculating aggregate and ranking for awards by university.
i. Communicative English
ii. Health/Nursing Informatics and Technology
iii. Professionalism, Professional Values and Ethics including Bioethics
iv. Introduction to Forensic Nursing & Indian Laws
Award of rank will not be considered for those who fail in one or more courses and must have completed the program by 4 years.
The mark sheet with grades and grade point average shall be given by the University for all courses.
Communicative English and Elective Modules are not included for calculating Semester Grade Point Average (SGPA).
10. Minimum pass mark shall be 40% for Communicative English and in each of the Elective module. All Electives modules must be completed as indicated in specified semester and pass marks sent to university before appearing for final examination.
11. Minimum pass marks shall be 50% in each of the Theory and practical papers separately except in English.
12. The student has to pass in all mandatory modules placed within courses and the pass mark for each module is 50%.
13. A candidate has to pass in theory and practical exam separately in each of the paper.
14. If a candidate fails in either theory or practical, he/she has to re-appear for both the papers (Theory and Practical).
15. If the student has failed in only one subject and has passed in all the other subjects of a particular semester and Grace marks of up to 5 marks to theory marks can be added for one course/subject only, provided that by such an addition the student passes the semester examination.
16. The candidate shall appear for exams in each semester:
i. The candidate shall have cleared all the previous examinations before appearing for fifth semester examination. However, the candidates shall be permitted to attend the consecutive semesters.
ii. The candidate shall have cleared all the previous examinations before appearing for seventh semester examination. However, the candidates shall be permitted to attend the consecutive semesters.
iii. The candidate shall have cleared all the previous examination before appearing for final year examination.
iv. The maximum period to complete the course successfully should not exceed 8 years.
17. The candidate has to pass separately in internal and external examination (shall be reflected in the marks sheet). No institution shall submit average internal marks of the students not more than 75% (i.e. if 40 students are admitted in a course the average score of the 40 students shall not exceed 75% of total internal marks).
18. At least 50% of the Non-nursing subjects like Applied Anatomy & Physiology, Applied Biochemistry, Applied Psychology & Sociology, Applied Microbiology, Pharmacology, Genetics, Nutrition & Dietetics, Communicative English and Health/Nursing Informatics & Technology should be taught by the Nursing teachers. Teachers who are involved in teaching non-nursing subjects can be the examiners for the program.
19. Maximum number of candidates for practical examination should not exceed 20 per day. Particular year and of same institution batch shall be examined by the same set of examiners.
20. All practical examinations must be held in the respective clinical areas.
21. One internal and one external examiner should jointly conduct practical examination for each student.
22. An examiner for theory and practical/OSCE examination should be an Assistant Professor or above in a College of Nursing with M.Sc. (Nursing) in concerned subject and minimum 3 years of teaching experience. To be an examiner for Nursing Foundation course, the faculty having M.Sc. (Nursing) with any specialty shall be considered.
23. Examiner for Competency Assessment VIII Semester: There must be a total of five examiners, one from each specialty i.e. External examiners 2 and Internal examiners 3. The internal examiners may be from the college faculty or from hospital with the required qualification and experience i.e. M.Sc. (Nursing) in respective specialty with minimum three years of teaching experience.

VII. Assessment Guidelines

1. Grading of Performance

Based on the performance, each student shall be awarded a final grade at the end of the semester for each course. Absolute grading is used by converting the marks to grade, based on predetermined class intervals. UGC 10 point grading system is used with pass grade modified.

Letter grade	Grade point	Percentage of marks
O (Outstanding)	10	85% & Above
A+ (Excellent)	9	80-84.99%
A (Very Good)	8	75-79.99%
B+ (Good)	7	65-74.99%
B (Above Average)	6	60-64.99%
C (Average)	5	50-59.99%
P (Pass)	-	50% and above
F (Fail)	0	<50%
Ab (Absent)	0	0
*Pass for Communicative English and Electives 40% and above. Grade point 4 (40-49.99%)

For Nursing Courses and all other courses - Pass is at C Grade (5 grade point) 50% and above

For English and electives - Pass is at P Grade (4 grade point) 40% and above

Computation of Semester Grade Point Average (SGPA) and Cumulative Grade Point Average (CGPA)

SPGA is the weighted average of the grade points obtained in all courses by the student during the semester (All courses excluding English and electives)

Ex. SGPA Computation

Course Number	Credit/s	Letter grade	Grade point	Credit point (Credit × grade)
1	3 (C1)	A	8 (G1)	3 × 8 = 24
2	4 (C2)	B+	7 (G2)	4 × 7 = 28
3	3 (C3)	B	6 (G3)	3 × 6 = 18

SGPA =

C1G1 + C2G2 + C3G3

C1 + C2 + C3

7(rounded off to two decimal points)

Computation of CGPA. - CGPA is calculated with SGPA of all semesters to two decimal points and is indicated in final grade in mark card/transcript showing grades of all 8 semesters and their courses/subjects.

CGPA reflects the failed status in case of fail till the course/s are passed.

Semester 1	Semester 2	Semester 3	Semester 4
Credit - Cr
Cr: 20	Cr: 22	Cr: 25	Cr: 26

SGPA: 6.5	SGPA: 7.0	SGPA: 5.5	SGPA: 6.0
Cr × SGPA = 20 × 6.5

CGPA =

20 x 6.5 + 22 x 7 + 25 x 5.5 + 26 x 6

577.5

6.2

Transcript Format. - Based on the above recommendation on letter grades, grade points, SGPA and CGPA, the transcript shall be issued for each semester with a consolidated transcript indicating the performance in all semesters.

Declaration of Pass

First Class with Distinction - CGPA of 7.5 and above

First Class - CGPA of 6.00-7.49

Second Class - CGPA of 5.00-5.99

2. Internal Assessment and Guidelines. - The marks distribution of internal assessment is shown in Appendix 1 and the specific guidelines in Appendix 2.

3. University Theory and Practical Examination Pattern. - The theory question paper pattern and practical exam pattern are shown in Appendix 3.

Syllabus

Communicative English

Placement: I Semester

Theory: 2 Credits (40 hours)

Description: The course is designed to enable students to enhance their ability to speak and write the language (and use English) required for effective communication in their professional work. Students will practice their skills in verbal and written English during clinical and classroom experience.

Competencies: On completion of the course, the students will be able to

1. Identify the significance of Communicative English for healthcare professionals.

2. Apply the concepts and principles of English Language use in professional development such as pronunciation, vocabulary, grammar, paraphrasing, voice modulation, Spelling, pause and silence.

3. Demonstrate attentive listening in different hypothetical situations.

4. Converse effectively, appropriately and timely within the given context and the individual or team they are communicating with either face to face or by other means.

5. Read, interpret and comprehend content in text, flow sheet, framework, figures, tables, reports, anecdotes etc.

6. Analyse the situation and apply critical thinking strategies.

7. Enhance expressions through writing skills.

8. Apply LSRW (Listening, Speaking, Reading and Writing) Skill in combination to learn, teach, educate and share information, ideas and results.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/ Learning Activities	Assessment Methods
I	3 (T)	Identify the significance of communicativeEnglish	Communication What is communication What are communication roles of listeners, speakers, readers and writers as healthcare professionals	Definitions with examples, illustrations and explanations Identifying competencies/ communicative strategies in LSRW Reading excerpts on the above and interpreting them through tasks	Checking for understanding through tasks
II	5 (T)	Describe concepts and principles of Language (English) use in professional development such as pronunciation, vocabulary, grammar, paraphrasing, voice modulation, spelling, pause and silence	Introduction to LSRGW L - Listening: Different types of listening S - Speaking: Understanding Consonants, Vowels, Word and Sentence Stress, Intonation R - Reading: Medical vocabulary, Gr - Grammar: Understanding tenses, linkers W - Writing simple sentences and short paragraphs - emphasis on correct grammar	Exercises on listening to news, announcements, telephone conversations and instructions from others Information on fundamentals of Speech - Consonant, Vowel, Stress and Intonation with tasks based on these through audio/video and texts Reading a medical dictionary/ glossary of medical terms with matching exercises Information on tenses and basic concepts of correct grammar through fill in the blanks, true/false questions	Through check your understanding' exercises
III	5 (T)	Demonstrate attentive listening in different hypothetical situations	Attentive Listening Focusing on listening in different situations - announcements, descriptions, narratives, instructions, discussions, demonstrations Reproducing Verbatim Listening to academic talks/ lectures Listening to presentation	Listening to announcements, news, documentaries with tasks based on listening With multiple choice, Yes/No and fill in the blank activities	Checking individually against correct answers Listening for specific information Listening for overall meaning and instructions Listening to attitudes and opinions Listening to audio, video and identify key points
IV	9 (T)	Converse effectively, appropriately and timely within the given context and the individual or team they are communicating with either face to face or other means	Speaking - Effective Conversation Conversation situations - informal, formal and neutral Factors influencing way of speaking - setting, topic, social relationship, attitude and language Greetings, introductions, requesting, asking for and giving permission, speaking personally and casual conversations Asking for information, giving instructions and directions Agreeing and disagreeing, giving opinions Describing people, places, events and things, narrating, reporting & reaching conclusions Evaluating and comparing Complaints and suggestions Telephone conversations Delivering presentations	Different types of speaking activities related to the content Guided with prompts and free discussions Presentation techniques Talking to peers and other adults. Talking to patients and Patient attenders Talking to other healthcare professionals Classroom conversation Scenario based learning tasks	Individual and group/peer assessment through live speaking tests Presentation of situation in emergency and routine Handoff Reporting in doctors/nurses' rounds Case presentation Face to face oral communication Speaking individually (Nurse to nurse/patient/ doctor) and to others in the group Telephonic talking
V	5 (T)	Read, interpret and comprehend content in text, flow sheet, framework, figures, tables, reports, anecdotes	Reading Reading strategies, reading notes and messages Reading relevant articles and news items Vocabulary for everyday activities, abbreviations and medical vocabulary Understanding visuals, graphs, figures and notes on instructions Reading reports and interpreting them Using idioms and phrases, spotting errors, vocabulary for presentations Remedial Grammar	Detailed tasks and exercises on reading for information, inference and evaluation Vocabulary games and puzzles for medical lexis Grammar activities	Reading/ summarizing/ justifying answers orally Patient document Doctor's prescription of care Journal/news reading and interpretation Notes / Reports
VI	5 (T)	Enhance expressions through writing skills	Writing Skills Writing patient history Note taking Summarising Anecdotal records Letter writing Diary/Journal writing Report writing Paper writing skills Abstract writing	Writing tasks with focus on task fulfilment, coherence and cohesion, appropriate vocabulary and correct grammar Guided and free tasks Different kinds of letter writing tasks	Paper based assessment by the teacher/ trainer against set band descriptors Presentation of situation Documentation Report writing Paper writing skills Verbatim reproducing Letter writing Resume/CV
VII	8 (T)	Apply LSRW Skill in combination to learn, teach, educate and share information, ideas and results	LSRW Skills Critical thinking strategies for listening and reading Oral reports, presentations Writing instructions, letters and reports Error analysis regarding LSRW	Valuating different options/multiple answers and interpreting decisions through situational activities Demonstration - individually and in groups Group Discussion Presentation Role Play Writing reports	Consolidated assessment orally and through written tasks/exercises

Applied Anatomy

Placement: I Semester

Theory: 3 Credits (60 hours)

Description: The course is designed to assists student to recall and further acquire the knowledge of the normal structure of human body, identify alteration in anatomical structure with emphasis on clinical application to practice nursing.

Competencies: On completion of the course, the students will be able to

1. Describe anatomical terms.

2. Explain the general and microscopic structure of each system of the body.

3. Identify relative positions of the major body organs as well as their general anatomic locations.

4. Explore the effect of alterations in structure.

5. Apply knowledge of anatomic structures to analyze clinical situations and therapeutic applications.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/ Learning Activities	Assessment Methods
I	8 (T)	Define the terms relative to the anatomical position Describe the anatomical planes Define and describe the terms used to describe movements Organization of human body and structure of cell, tissues membranes and glands Describe the types of cartilage Compare and contrast the features of skeletal, smooth and cardiac muscle	Introduction to anatomical terms and organization of the human body Introduction to anatomical terms relative to position - anterior, ventral, posterior dorsal, superior, inferior, median, lateral, proximal, distal, superficial, deep, prone, supine, palmar and plantar Anatomical planes (axial/ transverse/ horizontal, sagittal/vertical plane and coronal/frontal/oblique plane) Movements (flexion, extension, abduction, adduction, medial rotation, lateral rotation, inversion, eversion, supination, pronation, plantar flexion, dorsal flexion and circumduction Cell structure, Cell division Tissue - definition, types, characteristics, classification, location Membrane, glands - classification and structure Identify major surface and bony landmarks in each body region, Organization of human body Hyaline, fibro cartilage, elastic cartilage Features of skeletal, smooth and cardiac muscle Application and implication in nursing	Lecture cum Discussion Use of models Video demonstration Use of microscopic slides Lecture cum Discussion Video/Slides Anatomical Torso	Quiz MCQ Short answer
II	6 (T)	Describe the structure of respiratory system Identify the muscles of respiration and examine their contribution to the mechanism of breathing	The Respiratory system Structure of the organs of respiration Muscles of respiration Application and implication in nursing	Lecture cum Discussion Models Video/Slides	Short answer Objective type
III	6 (T)	Describe the structure of digestive system	The Digestive system Structure of alimentary canal and accessory organs of digestion Application and implications in nursing	Lecture cum Discussion Video/Slides Anatomical Torso	Short answer Objective type
IV	6 (T)	Describe the structure of circulatory and lymphatic system.	The Circulatory and Lymphatic system Structure of blood components, blood vessels Arterial and Venous system Position of heart relative to the associated structures Chambers of heart, layers of heart Heart valves, coronary arteries Nerve and blood supply to heart Lymphatic tissue Veins used for IV injections Application and implication in nursing	Lecture Models Video/Slides	Short answer MCQ
V	4 (T)	Identify the major endocrine glands and describe the structure of endocrine Glands	The Endocrine system Structure of Hypothalamus, Pineal Gland,Pituitary gland, Thyroid,Parathyroid,Thymus, Pancreas and Adrenal glands	Lecture Models/charts	Short answer Objective type
VI	4 (T)	Describe the structure of various sensory organs	The Sensory organs Structure of skin, eye, ear, nose and tongue Application and implications in nursing	Lecture Explain with Video/ models/charts	Short answer MCQ
VII	10 (T)	Describe anatomical position and structure of bones and joints Identify major bones that make up the axial and appendicular skeleton Classify the joints Identify the application and implications in nursing Describe the structure of muscle Apply the knowledge in performing nursing procedures/skills	The Musculoskeletal system: The Skeletal system Anatomical positions Bones - types, structure, growth and ossification Axial and appendicular skeleton Joints - classification, major joints and structure Application and implications in nursing Types and structure of muscles Muscle groups - muscles of the head, neck, thorax, abdomen, pelvis, upper limb and lower limbs Principal muscles - deltoid, biceps, triceps, respiratory, abdominal, pelvic floor, pelvic floor muscles, gluteal muscles and vastus lateralis Major muscles involved in nursing procedures	Review - discussion Lecture Discussions Explain using charts, skeleton and loose bones and torso Identifying muscles involved in nursing procedures in lab	Short answer Objective type
VIII	5 (T)	Describe the structure of renal system	The Renal system Structure of kidney, ureters, bladder, urethra Application and implication in nursing	Lecture Models/charts	MCQ Short answer
IX	5 (T)	Describe the structure of reproductive system	The Reproductive system Structure of male reproductive organs Structure of female reproductive organs Structure of breast	Lecture Models/charts	MCQ Short answer
X	6 (T)	Describe the structure of nervous system including the distribution of the nerves, nerve plexuses Describe the ventricular system	The Nervous system Review Structure of neurons CNS, ANS and PNS (Central, autonomic and peripheral) Structure of brain, spinal cord, cranial nerves, spinal nerves, peripheral nerves, functional areas of cerebral cortex Ventricular system - formation, circulation, and drainage Application and implication in nursing	Lecture Explain with models Video slides	MCQ Short answer

Note: Few lab hours can be planned for visits, observation and handling
(less than 1 credit lab hours are not specified separately)

Applied Physiology

Placement: I Semester

Theory: 3 Credits (60 hours)

Description: The course is designed to assists student to acquire comprehensive knowledge of the normal functions of the organ systems of the human body to facilitate understanding of physiological basis of health, identify alteration in functions and provide the student with the necessary physiological knowledge to practice nursing.

Competencies: On completion of the course, the students will be able to

1. Develop understanding of the normal functioning of various organ systems of the body.

2. Identify the relative contribution of each organ system towards maintenance of homeostasis.

3. Describe the effect of alterations in functions.

4. Apply knowledge of physiological basis to analyze clinical situations and therapeutic applications.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/ Learning Activities Assessment	Methods
I	4 (T)	Describe the physiology of cell, tissues, membranes and glands	General Physiology - Basic concepts Cell physiology including transportation across cell membrane Body fluid compartments, Distribution of total body fluid, intracellular and extracellular compartments, major electrolytes and maintenance of homeostasis Cell cycle Tissue - formation, repair Membranes and glands - functions Application and implication in nursing	Review - discussion Lecture cum Discussion Video demonstrations	Quiz MCQ Short answer
II	6 (T)	Describe the physiology and mechanism of respiration Identify the muscles of respiration and examine their contribution to the mechanism of breathing	Respiratory system Functions of respiratory organs Physiology of respiration Pulmonary circulation - functional features Pulmonary ventilation, exchange of gases Carriage of oxygen and carbon-dioxide, Exchange of gases in tissue Regulation of respiration Hypoxia, cyanosis, dyspnea, periodic breathing Respiratory changes during exercise Application and implication in nursing	Lecture Video slides Essay	Short answer MCQ
III	8 (T)	Describe the functions of digestive system	Digestive system Functions of the organs of digestive tract Saliva - composition, regulation of secretion and functions of saliva Composition and function of gastric juice, mechanism and regulation of gastric secretion Composition of pancreatic juice, function, regulation of pancreatic secretion Functions of liver, gall bladder and pancreas Composition of bile and function Secretion and function of small and large intestine Movements of alimentary tract Digestion in mouth, stomach, small intestine, large intestine, absorption of food Application and implications in nursing	Lecture cum Discussion Video slides	Essay Short answer MCQ
IV	6 (T)	Explain the functions of the	Circulatory and Lymphatic system Functions of heart, conduction system,cardiac cycle, Stroke volume and cardiac output Blood pressure and Pulse Circulation - principles, factors influencing blood pressure, pulse Coronary circulation, Pulmonary and systemic circulation Heart rate - regulation of heart rate Normal value and variations Cardiovascular homeostasis in exercise and posture Application and implication in nursing	Lecture Discussion Video/Slides	Short answer MCQ
V	5 (T)	Describe the composition and functions of blood	Blood Blood - Functions, Physical characteristics Formation of blood cells Erythropoiesis - Functions of RBC, RBC life cycle WBC - types, functions Platelets - Function and production of platelets Clotting mechanism of blood, clotting time, bleeding time, PTT Hemostasis - role of vasoconstriction, platelet plug formation in hemostasis, coagulation factors, intrinsic and extrinsic pathways of coagulation Blood groups and types Functions of reticuloendothelial system, immunity Application in nursing	Lecture Discussion Videos	Essay Short answer MCQ
VI	5 (T)	Identify the major endocrine glands and describe their functions	The Endocrine system Functions and hormones of Pineal Gland, Pituitary gland, Thyroid, Parathyroid, Thymus, Pancreas and Adrenal glands. Other hormones Alterations in disease Application and implication in nursing	Lecture Explain using charts	Short answer MCQ
VII	4 (T)	Describe the structure of various sensory organs	The Sensory Organs Functions of skin Vision, hearing, taste and smell Errors of refraction, aging changes Application and implications in nursing	Lecture Video	Short answer MCQ
VIII	6 (T)	Describe the functions of	Musculoskeletal system Bones - Functions, movements of bones of axial and appendicular skeleton, Bone healing Joints and joint movements Alteration of joint disease Properties and Functions of skeletal muscles - mechanism of muscle contraction Structure and properties of cardiac muscles and smooth muscles Application and implication in nursing	Lecture Discussion Video presentation	Structured essay Short answer MCQ
IX	4 (T)	Describe the physiology of renal system	Renal system Functions of kidney in maintaining homeostasis GFR Functions of ureters, bladder and urethra Micturition Regulation of renal function Application and implication in nursing	Lecture Charts and models	Short answer MCQ
X	4 (T)	Describe the structure of reproductive system	The Reproductive system Female reproductive system - Menstrual cycle, function and hormones of ovary, oogenesis, fertilization, implantation, Functions of breast Male reproductive system - Spermatogenesis, hormones and its functions, semen Application and implication in providing nursing care	Lecture Explain using charts, models, specimens	Short answer MCQ
XI	8 (T)	Describe the functions of brain, physiology of nerve stimulus, reflexes, cranial and spinal nerves	Nervous system Overview of nervous system Review of types, structure and functions of neurons Nerve impulse Review functions of Brain-Medulla, Pons, Cerebrum, Cerebellum Sensory and Motor Nervous system Peripheral Nervous system Autonomic Nervous system Limbic system and higher mental Functions- Hippocampus, Thalamus, Hypothalamus Vestibular apparatus Functions of cranial nerves Autonomic functions Physiology of Pain-somatic, visceral and referred Reflexes CSF formation, composition, circulation of CSF, blood brain barrier and blood CSF barrier Application and implication in nursing	Lecture cum Discussion Video slides	Brief structured essays Short answer MCQ Critical reflection

Note: Few lab hours can be planned for visits, observation and handling
(less than 1 credit lab hours are not specified separately)

Applied Sociology

Placement: I Semester

Theory: 3 Credits (60 hours)

Description: This course is designed to enable the students to develop understanding about basic concepts of sociology and its application in personal and community life, health, illness and nursing.

Competencies: On completion of the course, the students will be able to

1. Identify the scope and significance of sociology in nursing.

2. Apply the knowledge of social structure and different culture in a society in identifying social needs of sick clients.

3. Identify the impact of culture on health and illness.

4. Develop understanding about types of family, marriage and its legislation.

5. Identify different types of caste, class, social change and its influence on health and health practices.

6. Develop understanding about social organization and disorganization and social problems in India.

7. Integrate the knowledge of clinical sociology and its uses in crisis intervention.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/ Learning Activities Assessment	Methods
I	1 (T)	Describe the scope and significance of sociology in nursing	Introduction Definition, nature and scope of sociology Significance of sociology in nursing	Lecture Discussion	Essay Short answer
II	15 (T)	Describe the individualization, Groups, processes of Socialization, social change and its importance	Social structure Basic concept of society, community, association and institution Individual and society Personal disorganization Social group - meaning, characteristics, and classification. Social processes - definition and forms, Cooperation, competition, conflict, accommodation, assimilation, isolation Socialization - characteristics, process, agencies of socialization Social change - nature, process, and role of nurse Structure and characteristics of urban, rural and tribal community. Major health problems in urban, rural and tribal communities Importance of social structure in nursing profession	Lecture cum Discussion	Essay Short answer Objective type
III	8 (T)	Describe culture and its impact on health and disease	Culture Nature, characteristic and evolution of culture Diversity and uniformity of culture Difference between culture and civilization Culture and socialization Transcultural society Culture, Modernization and its impact on health and disease	Lecture Panel discussion	Essay Short answer
IV	8 (T)	Explain family, marriage and legislation related to marriage	Family and Marriage Family - characteristics, basic need, types and functions of family Marriage - forms of marriage, social custom relating to marriage and importance of marriage Legislation on Indian marriage and family. Influence of marriage and family on health and health practices	Lecture Essay	Short answer Case study report
V	8 (T)	Explain different types of caste and classes in society and its influence on health	Social stratification Introduction - Characteristics & forms of stratification Function of stratification Indian caste system - origin and characteristics Positive and negative impact of caste in society. Class system and status Social mobility-meaning and types Race - concept, criteria of racial classification Influence of class, caste and race system on health.	Lecture Panel discussion	Essay Short answer Objective type
VI	15 (T)	Explain social organization,disorganization, social problems and role of nurse in reducing social problems	Social organization and disorganization Social organization - meaning, elements and types Voluntary associations Social system - definition, types, role and status as structural element of social system. Interrelationship of institutions Social control - meaning, aims and process of social control Social norms, moral and values Social disorganization - definition, causes, Control and planning Major social problems - poverty, housing, food supplies, illiteracy, prostitution, dowry, Child labour, child abuse, delinquency, crime, substance abuse, HIV/AIDS, COVID-19 Vulnerable group - elderly, handicapped, minority and other marginal group. Fundamental rights of individual, women and children Role of nurse in reducing social problem and enhance coping Social welfare programs in India	Lecture Group discussion Observational visit	Essay Short answer Objective type Visit report
VII	5 (T)	Explain clinical sociology and its application in the hospital and community	Clinical sociology Introduction to clinical sociology Sociological strategies for developing services for the abused Use of clinical sociology in crisis intervention	Lecture, Group discussion Role play	Essay Short answer

Applied Psychology

Placement: I Semester

Theory: 3 Credits (60 Hours)

Description: This course is designed to enable the students to develop understanding about basic concepts of psychology and its application in personal and community life, health, illness and nursing. It further provides students opportunity to recognize the significance and application of soft skills and self-empowerment in the practice of nursing.

Competencies: On completion of the course, the students will be able to

1. Identify the importance of psychology in individual and professional life.

2. Develop understanding of the biological and psychological basis of human behaviour.

3. Identify the role of nurse in promoting mental health and dealing with altered personality.

4. Perform the role of nurses applicable to the psychology of different age groups.

5. Identify the cognitive and affective needs of clients.

6. Integrate the principles of motivation and emotion in performing the role of nurse in caring for emotionally sick client.

7. Demonstrate basic understanding of psychological assessment and nurse's role.

8. Apply the knowledge of soft skills in workplace and society.

9. Apply the knowledge of self-empowerment in workplace, society and personal life.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/ Learning Activities Assessment	Methods
I	2 (T)	Describe scope, branches and significance of psychology in nursing	Introduction Meaning of Psychology Development of psychology - Scope, branches and methods of psychology Relationship with other subjects Significance of psychology in nursing Applied psychology to solve everyday issues	Lecture cum Discussion	Essay Short answer
II	4 (T)	Describe biology of human behaviour	Biological basis of behavior -Introduction Body mind relationship Genetics and behaviour Inheritance of behaviour Brain and behaviour. Psychology and sensation - sensory process - normal and abnormal	Lecture Discussion	Essay Short answer
III	5(T)	Describe mentally healthy person and defense mechanisms	Mental health and mental hygiene Concept of mental health and mental hygiene Characteristic of mentally healthy person Warning signs of poor mental health Promotive and preventive mental health strategies and services Defense mechanism and its implication Frustration and conflict - types of conflicts and measurements to overcome Role of nurse in reducing frustration and conflict and enhancing coping Dealing with ego	Lecture Case discussion Role play	Essay Short answer Objective type
IV		7 (T) Describe psychology of people in different age groups and role of nurse	Developmental psychology Physical, psychosocial and cognitive development across life span - Prenatal through early childhood, middle to late childhood through adolescence, early and mid-adulthood, late adulthood, death and dying Role of nurse in supporting normal growth and development across the life span Psychological needs of various groups in health and sickness - Infancy, childhood, adolescence, adulthood and older adult Introduction to child psychology and role of nurse in meeting the psychological needs of children Psychology of vulnerable individuals - challenged, women, sick etc. Role of nurse with vulnerable groups	Lecture Group discussion	Essay Short answer
V	4 (T)	Explain personality and role of nurse in identification and improvement in altered personality	Personality Meaning, definition of personality Classification of personality Measurement and evaluation of personality - Introduction Alteration in personality Role of nurse in identification of individual personality and improvement in altered personality	Lecture Discussion Demonstration	Essay and short answer Objective type
VI	16 (T)	Explain cognitive process and their applications	Cognitive process Attention - definition, types, determinants, duration, degree and alteration in attention Perception - Meaning of Perception, principles, factor affecting perception, Intelligence - Meaning of intelligence - Effect of heredity and environment in intelligence, classification, Introduction to measurement of intelligence tests - Mental deficiencies Learning - Definition of learning, types of learning, Factors influencing learning -Learning process, Habit formation Memory - meaning and nature of memory, factors influencing memory, methods to improve memory, forgetting Thinking - types, level, reasoning and problem solving. Aptitude - concept, types, individual differences and variability Psychometric assessment of cognitive processes - Introduction Alteration in cognitive processes	Lecture Discussion	Essay and short answer Objective type
VII	6 (T)	Describe motivation,emotion, attitude and role of nurse in emotionally sick client	Motivation and emotional processes Motivation - meaning, concept, types, theories of motivation, motivation cycle, biological and special motives Emotions - Meaning of emotions, development of emotions, alteration of emotion, emotions in sickness - handling emotions in self and other Stress and adaptation - stress, stressor, cycle, effect, adaptation and coping Attitudes - Meaning of attitudes, nature, factor affecting attitude, attitudinal change, Role of attitude in health and sickness Psychometric assessment of emotions and attitude - Introduction Role of nurse in caring for emotionally sick client	Lecture Group discussion	Essay and short answer Objective type
VIII	4 (T)	Explain psychological assessment and tests and role of nurse	Psychological assessment and tests -introduction Types, development, characteristics, principles, uses, interpretation Role of nurse in psychological assessment	Lecture Discussion Demonstration	Short answer Assessment of practice
IX	10 (T)	Explain concept of soft skill and its application in work place and society	Application of soft skill Concept of soft skill Types of soft skill - visual, aural and communication skill The way of communication Building relationship with client and society Interpersonal Relationships (IPR): Definition, Types, and Purposes,Interpersonal skills, Barriers, Strategies to overcome barriers Survival strategies - managing time, coping stress, resilience, work - life balance Applying soft skill to workplace and society Presentation skills, social etiquette, telephone etiquette, motivational skills, teamwork etc. Use of soft skill in nursing	Lecture Group discussion Role play Refer/Complete Soft skills module	Essay and short answer
X	X 2 (T)	Explain selfempowerment	Self-empowerment Dimensions of self-empowerment Self-empowerment development Importance of women's empowerment in society Professional etiquette and personal grooming Role of nurse in empowering others	Lecture Discussion	Short answer Objective type

Nursing Foundation - I (including First Aid module)

Placement: I Semester

Theory: 6 Credits (120 hours)

Practicum: Skill Lab: 2 Credits (80 hours) and Clinical: 2 Credits (160 hours)

Description: This course is designed to help novice nursing students develop knowledge and competencies required to provide evidence-based, comprehensive basic nursing care for adult patients, using nursing process approach.

Competencies: On completion of the course, the students will be able to

1. Develop understanding about the concept of health, illness and scope of nursing within health care services.

2. Apply values, code of ethics and professional conduct in professional life.

3. Apply the principles and methods of effective communication in establishing communication links with patients, families and other health team members.

4. Develop skill in recording and reporting.

5. Demonstrate competency in monitoring and documenting vital signs.

6. Describe the fundamental principles and techniques of infection control and biomedical waste management.

7. Identify and meet the comfort needs of the patients.

8. Perform admission, transfer, and discharge of a patient under supervision applying the knowledge.

9. Demonstrate understanding and application of knowledge in caring for patients with restricted mobility.

10. Perform first aid measures during emergencies.

11. Identify the educational needs of patients and demonstrate basic skills of patient education.

*Mandatory Module used in Teaching/Learning:

First Aid: 40 Hours (including Basic CPR)

Course Outline

T - Theory, SL - Skill Lab

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/ Learning Activities Assessment	Methods
I	5 (T)	Describe the concept of health and illness	Introduction to health and illness Concept of Health - Definitions (WHO), Dimensions Maslow's hierarchy of needs Health - Illness continuum Factors influencing health Causes and risk factors for developing illnesses Illness - Types, illness behavior Impact of illness on patient and family	Lecture Discussion Essay	Short answer Objective type
II	5 (T)	Describe the levels of illness prevention and care, health care services	Health Care Delivery Systems -Introduction of Basic Concepts & Meanings Levels of Illness Prevention - Primary (Health Promotion), Secondary and Tertiary Levels of Care - Primary, Secondary and Tertiary Types of health care agencies/ services - Hospitals, clinics, Hospice, rehabilitation centres, extended care facilities Hospitals - Types, Organization and Function Health care teams in hospitals - members and their role	Lecture Discussion Essay	Short answer Objective type
III	12 (T)	Trace the history of Nursing Explain the concept, nature and scope of nursing Describe values, code of ethics and professional conduct for nurses in India	History of Nursing and Nursing as a profession History of Nursing, History of Nursing in India Contributions of Florence Nightingale Nursing - Definition - Nurse, Nursing, Concepts, philosophy, objectives, Characteristics, nature and Scope of Nursing/ Nursing practice, Functions of nurse, Qualities of a nurse, Categories of nursing personnel Nursing as a profession - definition and characteristics/criteria of profession Values - Introduction - meaning and importance Code of ethics and professional conduct for nurses - Introduction	Lecture Discussion Case discussion Role plays	Essay Short answers Objective type
IV	8 (T) 3 (SL)	Describe the process, principles, and types of communication Explain therapeutic, non-therapeutic and professional communication Communicate effectively with patients, their families and team members	Communication and Nurse Patient Relationship Communication - Levels, Elements and Process, Types, Modes, Factors influencing communication Methods of effective communication/therapeutic communication techniques Barriers to effective communication/nontherapeutic communication techniques Professional communication Helping Relationships (Nurse Patient Relationship) - Purposes and Phases Communicating effectively with patient, families and team members Maintaining effective human relations and communication with vulnerable groups (children, women, physically and mentally challenged and elderly)	Lecture Discussion Role play and video film on Therapeutic Communication	Essay Short answer Objective type
V	4 (T) 2 (SL)	Describe the purposes, types and techniques of recording and reporting Maintain records and reports accurately	Documentation and Reporting Documentation - Purposes of Reports and Records Confidentiality Types of Client records/Common Recordkeeping forms Methods/Systems of documentation/Recording Guidelines for documentation Do's and Don'ts of documentation/Legal guidelines for Documentation/Recording Reporting - Change of shift reports, Transfer reports, Incident reports	Lecture Discussion Demonstration	Essay Short answer Objective type
VI	15 (T) 20 (SL)	Describe principles and techniques of monitoring and maintaining vital signs Assess and record vital signs accurately	Vital signs Guidelines for taking vital signs Body temperature Definition, Physiology, Regulation, Factors affecting body temperature Assessment of body temperature - sites, equipment and technique Temperature alterations - Hyperthermia, Heat Cramps, Heat Exhaustion, Heatstroke, Hypothermia Fever/Pyrexia - Definition, Causes, Stages, Types Nursing Management Hot and Cold applications Pulse: Definition, Physiology and Regulation, Characteristics, Factors affecting pulse Assessment of pulse - sites, equipment and technique Alterations in pulse Respiration: Definition, Physiology and Regulation, Mechanics of breathing, Characteristics, Factors affecting respiration Assessment of respirations - technique Arterial Oxygen saturation Alterations in respiration Blood pressure: Definition, Physiology and Regulation, Characteristics, Factors affecting BP Assessment of BP - sites, equipment and technique, Common Errors in BP Assessment Alterations in Blood Pressure Documenting Vital Signs	Lecture Discussion Demonstration & Re-demonstration	Essay Short answer Objective type Document the given values of temperature, pulse, and respiration in the graphic sheet OSCE
VII	3 (T)	Maintain equipment and linen	Equipment and Linen Types - Disposables and reusable Linen, rubber goods, glassware, metal, plastics, furniture Introduction - Indent, maintenance, Inventory
VIII	10 (T) 3 (SL)	Describe the basic principles and techniques of infection control and biomedical waste management	Introduction to Infection Control in Clinical setting Infection Nature of infection Chain of infection Types of infection Stages of infection Factors increasing susceptibiity to infection Body defenses against infection - Inflammatory response & Immune response Health care associated infection (Nosocomial infection) Introductory concept of Asepsis - Medical & Surgical asepsis Precautions Hand Hygiene (Hand washing and use of hand Rub) Use of Personal Protective Equipment (PPE) Standard precautions Biomedical Waste management Types of hospital waste, waste segregation and hazards - Introduction	Lecture Discussion Demonstration Observation of autoclaving and other sterilization techniques Video presentation on medical & surgical asepsis	Essay Short answer Objective type
IX	15 (T) 15 (SL)	Identify and meet the comfort needs of the patients	Comfort, Rest & Sleep and Pain Comfort Factors Influencing Comfort Types of beds including latest beds, purposes & bed making Therapeutic positions Comfort devices Sleep and Rest Physiology of sleep Factors affecting sleep Promoting Rest and sleep Sleep Disorders Pain (Discomfort) Physiology Common cause of pain Types Assessment - pain scales and narcotic scales Pharmacological and Nonpharmacological pain relieving measures - Use of narcotics, TENS devices, PCA Invasive techniques of pain management Any other newer measures CAM (Complementary & Alternative healing Modalities)	Lecture Discussion Demonstration & Re-demonstration	Essay Short answer Objective type OSCE
X	5 (T) 3 (SL)	Describe the concept of patient environment	Promoting Safety in Health Care Environment Physical environment - Temperature, Humidity, Noise, Ventilation, Light, Odor, Pest control Reduction of Physical hazards - fire, accidents Fall Risk Assessment Role of nurse in providing safe and clean environment Safety devices - Restraints - Types, Purposes, Indications, Legal Implications and Consent, Application of Restraints- Skill and Practice guidelines Other Safety Devices - Side rails, Grab bars, Ambu alarms, non-skid slippers etc.	Lecture Discussion Demonstration	Essay Short answer Objective type
XI	6 (T) 2 (SL)	Explain and perform admission, transfer, and discharge of a patient	Hospital Admission and discharge Admission to the hospital Unit and preparation of unit Admission bed Admission procedure Medico-legal issues Roles and Responsibilities of the nurse Discharge from the hospital Types - Planned discharge, LAMA and Abscond, Referrals and transfers Discharge Planning Discharge procedure Medico-legal issues Roles and Responsibilities of the nurse Care of the unit after discharge	Lecture Discussion Demonstration	Essay Short answer Objective type
XII	8 (T) 10 (SL)	Demonstrate skill in caring for patients with restricted mobility	Mobility and Immobility Elements of Normal Movement, Alignment & Posture, Joint Mobility, Balance, Coordinated Movement Principles of body mechanics Factors affecting Body Alignment and activity Exercise - Types and benefits Effects of Immobility Maintenance of normal Body Alignment and Activity Alteration in Body Alignment and mobility Nursing interventions for impaired Body Alignment and Mobility - assessment, types, devices used, method Range of motion exercises Muscle strengthening exercises Maintaining body alignment - positions Moving Lifting Transferring Walking Assisting clients with ambulation Care of patients with Immobility using Nursing process approach Care of patients with casts and splints	Lecture Discussion Demonstration & Re-demonstration	Essay Short answer Objective type OSCE
XIII	4 (T) 2 (SL)	Describe the principles and practice of patient education	Patient education Patient Teaching - Importance, Purposes, Process Integrating nursing process in patient teaching	Discussion Role plays	Essay Short answer Objective type
XIV	20 (T) 20 (SL)	Explain and apply principles of First Aid during emergencies	First Aid* Definition, Basic Principles, Scope & Rules First Aid Management Wounds, Hemorrhage & Shock Musculoskeletal Injuries - Fractures, Dislocation, Muscle injuries Transportation of Injured persons Respiratory Emergencies & Basic CPR Unconsciousness Foreign Bodies - Skin, Eye, Ear, Nose, Throat & Stomach Burns & Scalds Poisoning, Bites & Stings Frostbite & Effects of Heat Community Emergencies	Lecture Discussion Demonstration & Re-demonstration Module completion National Disaster Management Authority (NDMA) / Indian Red Cross Society (IRCS) First Aid module	Essay Short answer Objective type OSCE

*Mandatory module

Clinical Practicum

Clinical Practicum: 2 Credits (160 hours), 10 weeks × 16 hours per week

Practice Competencies: On completion of the clinical practicum, the students will be able to

1. Maintain effective human relations (projecting professional image)

2. Communicate effectively with patient, families and team members

3. Demonstrate skills in techniques of recording and reporting

4. Demonstrate skill in monitoring vital signs

5. Care for patients with altered vital signs

6. Demonstrate skill in implementing standard precautions and use of PPE

7. Demonstrate skill in meeting the comfort needs of the patients

8. Provide safe and clean environment

9. Demonstrate skill in admission, transfer, and discharge of a patient

10. Demonstrate skill in caring for patients with restricted mobility

11. Plan and provide appropriate health teaching following the principles

12. Acquire skills in assessing and performing First Aid during emergencies.

Skill Lab

Use of Mannequins and Simulators

S.No.	Competencies	Mode of Teaching
1.	Therapeutic Communication and Documentation	Role Play
2.	Vital signs	Simulator/Standardized patient
3.	Medical and Surgical	Asepsis Videos/Mannequin
4.	Pain Assessment	Standardized patient
5.	Comfort Devices	Mannequin
6.	Therapeutic Positions	Mannequin
7.	Physical Restraints and Side rails	Mannequin
8.	ROM Exercises	Standardized patient
9.	Ambulation	Standardized patient
10.	Moving and Turning patients in bed	Mannequin
11.	Changing position of helpless patients	Mannequin/Standardized patient
12.	Transferring patients bed to stretcher/wheel chair	Mannequin/Standardized patient
13.	Admission, Transfer, Discharge & Health Teaching	Role Play

Clinical Postings - General Medical/Surgical Wards

10 weeks × 16 hours/week = 160 Hours

Clinical Unit	Duration (in Weeks)	Learning Outcomes	Procedural Competencies/ Clinical Skills (Supervised Clinical Practice)	Clinical Requirements	Assessment Methods
General Medical/ Surgical wards	2	Maintain effective human relations (projecting professional image) Communicate effectively with patient, families and team members Demonstrate skills in techniques of recording and reporting	Communication and Nurse patient relationship Maintaining Communication with patient and family and interpersonal relationship Documentation and Reporting Documenting patient care and procedures Verbal report Written report		OSCE
	2	Demonstrate skill in monitoring vital signs Care for patients with altered vital signs Demonstrate skill in implementing standard precautions and use of PPE	Vital signs Monitor/measure and document vital signs in a graphic sheet Temperature (oral, tympanic, axillary) Pulse (Apical and peripheral pulses) Respiration Blood pressure Pulse oximetry Interpret and report alteration Cold Applications - Cold Compress, Ice cap, Tepid Sponging Care of equipment - thermometer, BP apparatus, Stethoscope, Pulse oximeter Infection control in Clinical settings Hand hygiene Use of PPE	Care of patients with alterations in vital signs- 1	Assessment of clinical skills using checklist OSCE
	3	Demonstrate skill in meeting the comfort needs of the patients	Comfort, Rest & Sleep, Pain and Promoting Safety in Health Care Environment Comfort, Rest & Sleep Bed making Open Closed Occupied Post-operative Cardiac bed Fracture bed Comfort devices Pillows Over bed table/cardiac table Back rest Bed Cradle Therapeutic Positions Supine Fowlers (low, semi, high) Lateral Prone Sim's Trendelenburg Dorsal recumbent Lithotomy Knee chest Pain Pain assessment and provision for comfort Promoting Safety in Health Care Environment Care of Patient's Unit Use of Safety devices: Side Rails Restraints (Physical) Fall risk assessment and Post Fall Assessment	Fall risk assessment-1	Assessment of clinical skills using checklist OSCE
	2	Demonstrate skill in admission, transfer, and discharge of a patient	Hospital Admission and discharge, Mobility and Immobility and Patient education Hospital Admission and discharge Perform & Document: Admission Transfer Planned Discharge		Assessment of clinical skills using checklist OSCE
	2	Demonstrate skill in caring for patients with restricted mobility Plan and provide appropriate health teaching following the principles	Mobility and Immobility Range of Motion Exercises Assist patient in: Moving Turning Logrolling Changing position of helpless patient Transferring (Bed to and from chair/wheelchair/ stretcher) Patient education	Individual teaching-1	Assessment of clinical skills using checklist OSCE
	1	Demonstrate skills in assessing and performing First Aid during emergencies	First aid and Emergencies Bandaging Techniques Basic Bandages: Circular Spiral Reverse-Spiral Recurrent Figure of Eight Special Bandages: Caplin Eye/Ear Bandage Jaw Bandage Shoulder Spica Thumb spica Triangular Bandage/ Sling (Head & limbs) Binders	Module completion National Disaster Management Authority (NDMA) First Aid module (To complete it in clinicals if not completed during lab)	Assessment of clinical skills using checklist OSCE (first aid competencies)

Applied Biochemistry

Placement: II Semester

Theory: 2 credits (40 hours) (includes lab hours also)

Description: The course is designed to assist the students to acquire knowledge of the normal biochemical composition and functioning of human body, its alterations in disease conditions and to apply this knowledge in the practice of nursing.

Competencies: On completion of the course, the students will be able to

1. Describe the metabolism of carbohydrates and its alterations.

2. Explain the metabolism of lipids and its alterations.

3. Explain the metabolism of proteins and amino acids and its alterations.

4. Explain clinical enzymology in various disease conditions.

5. Explain acid base balance, imbalance and its clinical significance.

6. Describe the metabolism of hemoglobin and its clinical significance.

7. Explain different function tests and interpret the findings.

8. Illustrate the immunochemistry.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/ Learning Activities	Assessment Methods
I	8 (T)	Describe the metabolism of carbohydrates and its alterations	Carbohydrates Digestion, absorption and metabolism of carbohydrates and related disorders Regulation of blood glucose Diabetes Mellitus - type 1 and type 2, symptoms, complications & management in brief Investigations of Diabetes Mellitus OGTT - Indications, Procedure, Interpretation and types of GTT curve Mini GTT, extended GTT, GCT, IV GTT HbA1c (Only definition) Hypoglycemia - Definition & causes	Lecture cum Discussion Explain using charts and slides Demonstration of laboratory tests	Essay Short answer Very short answer
II	8 (T)	Explain the metabolism of lipids and its alterations	Lipids Fatty acids - Definition, classification Definition & Clinical significance of MUFA & PUFA, Essential fatty acids, Trans fatty acids Digestion, absorption & metabolism of lipids & related disorders Compounds formed from cholesterol Ketone bodies (name, types & significance only) Lipoproteins - types & functions (metabolism not required) Lipid profile Atherosclerosis (in brief)	Lecture cum Discussion Explain using charts and slides Demonstration of laboratory tests	Essay Short answer Very short answer
III	9 (T)	Explain the metabolism of amino acids and proteins Identify alterations in disease conditions	Proteins Classification of amino acids based on nutrition, metabolic rate with examples Digestion, absorption & metabolism of protein & related disorders Biologically important compounds synthesized from various amino acids (only names) In born errors of amino acid metabolism - only aromatic amino acids (in brief) Plasma protein - types, function & normal values Causes of proteinuria, hypoproteinemia, hyper-gamma globinemia Principle of electrophoresis, normal & abnormal electrophoretic patterns (in brief)	Lecture cum Discussion Explain using charts, models and slides	Essay Short answer Very short answer
IV	4 (T)	Explain clinical enzymology in various disease conditions	Clinical Enzymology Isoenzymes - Definition & properties Enzymes of diagnostic importance in Liver Diseases - ALT, AST, ALP, GGT Myocardial infarction - CK, cardiac troponins, AST, LDH Muscle diseases - CK, Aldolase Bone diseases - ALP Prostate cancer - PSA, ACP	Lecture cum Discussion Explain using charts and slides Essay	Short answer Very short answer
V	3 (T)	Explain acid base balance, imbalance and its clinical significance	Acid base maintenance pH - definition, normal value Regulation of blood pH - blood buffer, respiratory & renal ABG - normal values Acid base disorders - types, definition & causes	Lecture cum Discussion Explain using charts and slides	Short answer Very short answer
VI	2 (T)	Describe the metabolism of hemoglobin and its clinical significance	Heme catabolism Heme degradation pathway Jaundice - type, causes, urine & blood investigations (van den berg test)	Lecture cum Discussion Explain using charts and slides	Short answer Very short answer
VII	3 (T)	Explain different function tests and interpret the findings	Organ function tests (biochemical parameters & normal values only) Renal Liver Thyroid	Lecture cum Discussion Visit to Lab Explain using charts and slides	Short answer Very short answer
VIII	3 (T)	Illustrate the immunochemistry	Immunochemistry Structure & functions of immunoglobulin Investigations & interpretation - ELISA	Lecture cum Discussion Explain using charts and slides Demonstration of laboratory tests	Short answer Very short answer

Note: Few lab hours can be planned for observation and visits (Less than 1 credit, lab hours are not specified separately).

Applied Nutrition And Dietetics

Placement: II SEMESTER

Theory: 3 credits (60 hours)

Theory : 45 hours

Lab : 15 hours

Description: The course is designed to assist the students to acquire basic knowledge and understanding of the principles of Nutrition and Dietetics and apply this knowledge in the practice of Nursing.

Competencies: On completion of the course, the students will be able to

1. Identify the importance of nutrition in health and wellness.

2. Apply nutrient and dietary modifications in caring patients.

3. Explain the principles and practices of Nutrition and Dietetics.

4. Identify nutritional needs of different age groups and plan a balanced diet for them.

5. Identify the dietary principles for different diseases.

6. Plan therapeutic diet for patients suffering from various disease conditions.

7. Prepare meals using different methods and cookery rules.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/ Learning Activities	Assessment Methods
I	2 (T)	Define nutrition and its relationship to Health	Introduction to Nutrition Concepts Definition of Nutrition & Health Malnutrition - Under Nutrition & Over Nutrition Role of Nutrition in maintaining health Factors affecting food and nutrition Nutrients Classification Macro & Micronutrients Organic & Inorganic Energy Yielding & Non-Energy Yielding Food Classification - Food groups Origin	Lecture cum Discussion Charts/Slides	Essay Short answer Very short answer
II	3 (T)	Describe the classification, functions, sources and recommended daily allowances (RDA) of carbohydrates Explain BMR and factors affecting BMR	Carbohydrates Composition - Starches, sugar and cellulose Recommended Daily Allowance (RDA) Dietary sources Functions Energy Unit of energy - Kcal Basal Metabolic Rate (BMR) Factors affecting BMR	Lecture cum Discussion Charts/Slides Models Display of food items	Essay Short answer Very short answer
III	3 (T)	Describe the classification, Functions, sources and RDA of proteins.	Proteins Composition Eight essential amino acids Functions Dietary sources Protein requirements - RDA	Lecture cum Discussion Charts/Slides Models Display of food items answer	Essay Short answer Very short
IV	2 (T)	Describe the classification, Functions, sources and RDA of fats	Fats Classification - Saturated & unsaturated Calorie value Functions Dietary sources of fats and fatty acids Fat requirements - RDA	Lecture cum Discussion Charts/Slides Models Display of food items	Essay Short answer Very short answer
V	3 (T)	Describe the classification, functions, sources and RDA of vitamins	Vitamins Classification - fat soluble & water soluble Fat soluble - Vitamins A, D, E, and K Water soluble - Thiamine (vitamin B1), Riboflavin (vitamin B2), Nicotinic acid, Pyridoxine (vitamin B6), Pantothenic acid, Folic acid, Vitamin B12, Ascorbic acid (vitamin C) Functions, Dietary Sources & Requirements - RDA of every vitamin	Lecture cum Discussion Charts/Slides Models Display of food items	Essay Short answer Very short answer
VI	3 (T)	Describe the classification, functions, sources and RDA of minerals	Minerals Classification - Major minerals (Calcium, phosphorus, sodium, potassium and magnesium) and Trace elements Functions Dietary Sources Requirements - RDA	Lecture cum Discussion Charts/Slides Models Display of food items	Short answer Very short answer
VII	7 (T) 8 (L)	Describe and plan balanced diet for different age groups, pregnancy, and lactation	Balanced diet Definition, principles, steps Food guides - Basic Four Food Groups RDA - Definition, limitations, uses Food Exchange System Calculation of nutritive value of foods Dietary fibre Nutrition across life cycle Meal planning/Menu planning - Definition, principles, steps Infant and Young Child Feeding (IYCF) guidelines - breast feeding, infant foods Diet plan for different age groups -Children, adolescents and elderly Diet in pregnancy - nutritional requirements and balanced diet plan Anemia in pregnancy - diagnosis, diet for anemic pregnant women, iron & folic acid supplementation and counseling Nutrition in lactation - nutritional requirements, diet for lactating mothers, complementary feeding/ weaning	Lecture cum Discussion Meal planning Lab session on Preparation of baliet for different categories Loanced dw cost nutritious dishes	Short answer Very short answer
VIII	6 (T)	Classify and describe the common nutritional deficiency disorders and identify nurses' role in assessment, management and prevention	Nutritional deficiency disorders Protein energy malnutrition - magnitude of the problem, causes, classification, signs & symptoms, Severe acute malnutrition (SAM), management & prevention and nurses' role Childhood obesity - signs & symptoms, assessment, management & prevention and nurses' role Vitamin deficiency disorders - vitamin A, B, C & D deficiency disorders -causes, signs & symptoms, management & prevention and nurses' role Mineral deficiency diseases - iron, iodine and calcium deficiencies -causes, signs & symptoms, management & prevention and nurses' role	Lecture cum Discussion Charts/Slides Models	Essay Short answer Very short answer
IX	4 (T) 7 (L)	Principles of diets in various diseases	Therapeutic diets Definition, Objectives, Principles Modifications - Consistency, Nutrients, Feeding techniques. Diet in Diseases - Obesity, Diabetes Mellitus, CVD, Underweight, Renal diseases, Hepatic disorders Constipation, Diarrhea, Pre and Post-operative period	Lecture cum Discussion Meal planning Lab session on preparation of therapeutic diets	Essay Short answer Very short answer
X	3 (T)	Describe the rules and preservation of nutrients	Cookery rules and preservation of nutrients Cooking - Methods, Advantages and Disadvantages Preservation of nutrients Measures to prevent loss of nutrients during preparation Safe food handling and Storage of foods Food preservation Food additives and food adulteration Prevention of Food Adulteration Act (PFA) Food standards	Lecture cum Discussion Charts/Slides	Essay Short answer Very short answer
XI	4 (T)	Explain the methods of nutritional assessment and nutrition education	Nutrition assessment and nutrition education Objectives of nutritional assessment Methods of assessment - clinical examination, anthropometry, laboratory & biochemical assessment, assessment of dietary intake including Food frequency questionnaire (FFQ) method Nutrition education - purposes, principles and methods	Lecture cum Discussion Demonstration Writing nutritional assessment report	Essay Short answer Evaluation of Nutritional assessment report
XII	3 (T)	Describe nutritional problems in India and nutritional programs	National Nutritional Programs and role of nurse Nutritional problems in India National nutritional policy National nutritional programs - Vitamin A Supplementation, Anemia Mukt Bharat Program, Integrated Child Development Services (ICDS), Mid-day Meal Scheme (MDMS), National Iodine Deficiency Disorders Control Program (NIDDCP), Weekly Iron Folic Acid Supplementation (WIFS) and others as introduced Role of nurse in every program	Lecture cum Discussion	Essay Short answer Very short answer
XIII	2 (T)	Discuss the importance of food hygiene and food safety Explain the Acts related to food safety	Food safety Definition, Food safety considerations & measures Food safety regulatory measures in India - Relevant Acts Five keys to safer food Food storage, food handling and cooking General principles of food storage of food items (ex. milk, meat) Role of food handlers in food borne diseases Essential steps in safe cooking practices	Guided reading on related acts	Quiz Short answer

Food born diseases and food poisoning are dealt in Community Health Nursing I.

Nursing Foundation - II (including Health Assessment Module)

Placement: II Semester

Theory: 6 Credits (120 hours)

Practicum: Skill Lab: 3 Credits (120 hours), Clinical: 4 Credits (320 hours)

Competencies: On completion of the course, the students will be able to

1. Develop understanding about fundamentals of health assessment and perform health assessment in supervised clinical settings

2. Demonstrate fundamental skills of assessment, planning, implementation and evaluation of nursing care using Nursing process approach in supervised clinical settings

3. Assess the Nutritional needs of patients and provide relevant care under supervision

4. Identify and meet the hygienic needs of patients

5. Identify and meet the elimination needs of patient

6. Interpret findings of specimen testing applying the knowledge of normal values

7. Promote oxygenation based on identified oxygenation needs of patients under supervision

8. Review the concept of fluid, electrolyte balance integrating the knowledge of applied physiology

9. Apply the knowledge of the principles, routes, effects of administration of medications in administering medication

10. Calculate conversions of drugs and dosages within and between systems of measurements

11. Demonstrate knowledge and understanding in caring for patients with altered functioning of sense organs and unconsciousness

12. Explain loss, death and grief

13. Describe sexual development and sexuality

14. Identify stressors and stress adaptation modes

15. Integrate the knowledge of culture and cultural differences in meeting the spiritual needs

16. Explain the introductory concepts relevant to models of health and illness in patient care

*Mandatory Module used in Teaching/Learning:

Health Assessment Module: 40 hours

Course Outline

T - Theory, SL - Skill Lab

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/ Learning Activities	Assessment Methods
I	20 (T) 20 (SL)	Describe the purpose and process of health assessment and perform assessment under supervised clinical practice	Health Assessment Interview techniques Observation techniques Purposes of health assessment Process of Health assessment Health history Physical examination: Methods: Inspection, Palpation, Percussion, Auscultation, Olfaction Preparation for examination: patient and unit General assessment Assessment of each body system Documenting health assessment findings	Modular Learning *Health Assessment Module Lecture cum Discussion Demonstration	Essay Short answer Objective type OSCE
II	13 (T) 8 (SL)	Describe assessment, planning, implementation and evaluation of nursing care using Nursing process approach	The Nursing Process Critical Thinking Competencies, Attitudes for Critical Thinking, Levels of critical thinking in Nursing Nursing Process Overview Assessment Collection of Data: Types, Sources, Methods Organizing Data Validating Data Documenting Data Nursing Diagnosis Identification of client problems, risks and strengths Nursing diagnosis statement - parts, Types, Formulating, Guidelines for formulating Nursing Diagnosis NANDA approved diagnoses Difference between medical and nursing diagnosis Planning Types of planning Establishing Priorities Establishing Goalsand Expected Outcomes- Purposes, types guidelines, Components of goals and outcome statements Types of Nursing Interventions,Selecting interventions: Protocols and Standing Orders Introduction to Nursing Intervention Classification and Nursing Outcome Classification Guidelines for writing care plan Implementation Process of Implementing the plan of care Types of care - Direct and Indirect Evaluation Evaluation Process, Documentation and Reporting	Lecture Discussion Demonstration Supervised ClinicalPractice	Essay Short answer Objective type Evaluation of care plan
III	5 (T) 5 (SL)	Identify and meet the Nutritional needs of patients	Nutritional needs Importance Factors affecting nutritional needs Assessment of nutritional status Review: special diets - Solid, Liquid,Soft Review on therapeutic diets Care of patient with Dysphagia, Anorexia, Nausea, Vomiting Meeting Nutritional needs: Principles, equipment, procedure, indications Oral Enteral: Nasogastric/Orogastric Introduction to other enteral feeds - types, indications,Gastrostomy, Jejunostomy Parenteral - TPN (TotaL Parenteral Nutrition)	Lecture Discussion Demonstration Exercise Supervised Clinical practice	Essay Short answer Objective type Evaluation of nutritional assessment & diet planning
IV	5 (T) 15 (SL)	Identify and meet the hygienic needs of patients	Hygiene Factors Influencing Hygienic Practice Hygienic care: Indications and purposes, effects of neglected care Care of the Skin - (Bath, feet and nail, Hair Care) Care of pressure points Assessment of Pressure Ulcers using Braden Scale and Norton Scale Pressure ulcers - causes, stages and manifestations, care and prevention Perineal care/Meatal care Oral care, Care of Eyes, Ears and Nose including assistive devices (eye glasses, contact lens, dentures, hearing aid)	Lecture Discussion Demonstration	Essay Short answer Objective type OSCE
V	10 (T) 10(SL)	Identify and meet the elimination needs of patient	Elimination needs Urinary Elimination Review of Physiology of Urine Elimination, Composition and characteristics of urine Factors Influencing Urination Alteration in Urinary Elimination Facilitating urine elimination: assessment, types, equipment, procedures and special considerations Providing urinal/bed pan Care of patients with Condom drainage Intermittent Catheterization Indwelling Urinary catheter and urinary drainage Urinary diversions Bladder irrigation Bowel Elimination Review of Physiology of Bowel Elimination, Composition and characteristics of feces Factors affecting Bowel elimination Alteration in Bowel Elimination Facilitating bowel elimination: Assessment, equipment, procedures Enemas Suppository Bowel wash Digital Evacuation of impacted feces Care of patients with Ostomies (Bowel Diversion Procedures)	Lecture Discussion Demonstration	Essay Short answer Objective type OSCE
VI	3(T) 4 (SL)	Explain various types of specimens and identify normal values of tests Develop skill in specimen collection, handling and transport	Diagnostic testing Phases of diagnostic testing (pre-test, intra-test & post-test) in Common investigations and clinical implications Complete Blood Count Serum Electrolytes LFT Lipid/Lipoprotein profile Serum Glucose - AC, PC, HbA1c Monitoring Capillary Blood Glucose (Glucometer Random Blood Sugar - GRBS) Stool Routine Examination Urine Testing - Albumin, Acetone, pH, Specific Gravity Urine Culture, Routine, Timed Urine Specimen Sputum culture Overview of Radiologic & Endoscopic Procedures	Lecture Discussion Demonstration	Essay Short answer Objective type
VII	11(T) 10(SL)	Assess patients for oxygenation needs, promote oxygenation and provide care during oxygen therapy	Oxygenation needs Review of Cardiovascular and Respiratory Physiology Factors affecting respiratory functioning Alterations in Respiratory Functioning Conditions affecting Airway Movement of air Diffusion Oxygen transport Alterations in oxygenation Nursing interventions to promote oxygenation: assessment, types, equipment used & procedure Maintenance of patent airway Oxygen administration Suctioning - oral, tracheal Chest physiotherapy - Percussion, Vibration & Postural drainage Care of Chest drainage - principles & purposes Pulse Oximetry - Factors affecting measurement of oxygen saturation using pulse oximeter, Interpretation Restorative & continuing care Hydration Humidification Coughing techniques Breathing exercises Incentive spirometry	Lecture Discussion Demonstration & Re-demonstration	Essay Short answer Objective type
VIII	5 (T) 10(SL)	Describe the concept of fluid, electrolyte balance	Fluid, Electrolyte, and Acid - Base Balances Review of Physiological Regulation of Fluid, Electrolyte and Acid-Base Balances Factors Affecting Fluid, Electrolyte and Acid-Base Balances Disturbances in fluid volume: Deficit Hypovolemia Dehydration Excess Fluid overload Edema Electrolyte imbalances (hypo and hyper) Acid-base imbalances Metabolic - acidosis & alkalosis Respiratory - acidosis & alkalosis Intravenous therapy Peripheral venipuncture sites Types of IV fluids Calculation for making IV fluid plan Complications of IV fluid therapy Measuring fluid intake and output Administering Blood and Blood components Restricting fluid intake Enhancing Fluid intake	Lecture Discussion Demonstration	Essay Short answer Objective type Problem solving - calculations
IX	20 (T) 22(SL)	Explain the principles, routes, effects of administration of medications Calculate conversions of drugs and dosages within and between systems of measurements Administer oral and topical medication and document accurately under supervision	Administration of Medications Introduction - Definition of Medication, Administration of Medication, Drug Nomenclature, Effects of Drugs, Forms of Medications, Purposes, Pharmacodynamics and Pharmacokinetics Factors influencing Medication Action Medication orders and Prescriptions Systems of measurement Medication dose calculation Principles, 10 rights of Medication Administration Errors in Medication administration Routes of administration Storage and maintenance of drugs and Nurses responsibility Terminologies and abbreviations used in prescriptions and medications orders Developmental considerations Oral, Sublingual and Buccal routes: Equipment, procedure Introduction to Parenteral Administration of Drugs -Intramuscular, Intravenous, Subcutaneous, Intradermal: Location of site, Advantages and disadvantages of the specific sites, Indication and contraindications for the different routes and sites. Equipment - Syringes & needles, cannulas, Infusion sets - parts, types, sizes Types of vials and ampoules, Preparing Injectable medicines from vials and ampoules Care of equipment: decontamination and disposal of syringes, needles, infusion sets Prevention of Needle-Stick Injuries Topical Administration: Types, purposes, site, equipment, procedure Application to skin & mucous membrane Direct application of liquids, Gargle and swabbing the throat Insertion of Drug into body cavity: Suppository/ medicated packing in rectum/vagina Instillations: Ear, Eye, Nasal, Bladder, and Rectal Irrigations: Eye, Ear, Bladder, Vaginal and Rectal Spraying: Nose and throat Inhalation: Nasal, oral, endotracheal/tracheal (steam, oxygen and medications) - purposes, types, equipment, procedure, recording and reporting of medications administered Other Parenteral Routes: Meaning of epidural, intrathecal, intraosseous, intraperitoneal, intra-pleural, intraarterial	Lecture Discussion Demonstration & Re-demonstration	Essay Short answer Objective type OSCE
X	5 (T)6 (SL)	Provide care to patients with altered functioning of sense organs and unconsciousness in supervised clinical practice	Sensory needs Introduction Components of sensory experience - Reception, Perception & Reaction Arousal Mechanism Factors affecting sensory function Assessment of Sensory alterations - sensory deficit, deprivation, overload & sensory poverty Management Promoting meaningful communication (patients with Aphasia, artificial airway & Visual and Hearing impairment) Care of Unconscious Patients Unconsciousness: Definition, causes & risk factors, pathophysiology, stages of Unconsciousness, Clinical Manifestations Assessment and nursing management of patient with unconsciousness, complications	Lecture Discussion Demonstration	Essay Short answer Objective type
XI	4 (T)6 (SL)	Explain loss, death and grief	Care of Terminally ill, death and dying Loss - Types Grief, Bereavement & Mourning Types of Grief responses Manifestations of Grief Factors influencing Loss & Grief Responses Theories of Grief & Loss - Kubler Ross 5 Stages of Dying The R Process model (Rando's) Death - Definition, Meaning, Types (Brain & Circulatory Deaths) Signs of Impending Death Dying patient's Bill of Rights Care of Dying Patient Physiological changes occurring after Death Death Declaration, Certification Autopsy Embalming Last office/Death Care Counseling & supporting grieving relatives Placing body in the Mortuary Releasing body from Mortuary Overview - Medico-legal Cases, Advance directives, DNI/DNR, Organ Donation, Euthanasia	Lecture Discussion Case discussions Death care/last office	Essay Short answer Objective type
			PSYCHOSOCIAL NEEDS (A-D)
XII	3 (T)	Develop basic understanding of self-concept	A. Self-concept Introduction Components (Personal Identity, Body Image, Role Performance, Self Esteem) Factors affecting Self Concept Nursing Management	Lecture Discussion Demonstration Case Discussion/ Role play	Essay Short answer Objective type
XIII	2 (T)	Describe sexual development and sexuality	B. Sexuality Sexual development throughout life Sexual health Sexual orientation Factors affecting sexuality Prevention of STIs, unwanted pregnancy, avoiding sexual harassment and abuse Dealing with inappropriate sexual behaviour	Lecture Discussion	Essay Short answer Objective type
XIV	2 (T)4 (SL)	Describe stress and adaptation	C. Stress and Adaptation - Introductory concepts Introduction Sources, Effects, Indicators & Types of Stress Types of stressors Stress Adaptation - General Adaptation Syndrome (GAS), Local Adaptation Syndrome (LAS) Manifestation of stress - Physical & psychological Coping strategies/ Mechanisms Stress Management Assist with coping and adaptation Creating therapeutic environment Recreational and diversion therapies	Lecture Discussion	Essay Short answer Objective typ
XV	6 (T)	Explain culture and cultural norms Integrate cultural differences and spiritual needs in providing care to patients under supervision	D. Concepts of Cultural Diversity and Spirituality Cultural diversity Cultural Concepts - Culture, Subculture, Multicultural, Diversity, Race, Acculturation, Assimilation Transcultural Nursing Cultural Competence Providing Culturally Responsive Care Spirituality Concepts - Faith, Hope, Religion, Spirituality, Spiritual Wellbeing Factors affecting Spirituality Spiritual Problems in Acute, Chronic, Terminal illnesses & Near-Death Experience Dealing with Spiritual Distress/Problems	Lecture Discussion	Essay Short answer Objective type
XVI	6 (T)	Explain the significance of nursing theories	Nursing Theories: Introduction Meaning &Definition, Purposes, Types of theories with examples, Overview of selected nursing theories - Nightingale, Orem, Roy Use of theories in nursing practice	Lecture Discussion	Essay Short answer Objective type

Clinical Practicum

Clinical: 4 Credits (320 hours)

Pract|ice Competencies: On completion of the course, the student will be able to

1. Perform health assessment of each body system

2. Develop skills in assessment, planning, implementation and evaluation of nursing care using Nursing process approach

3. Identify and meet the Nutritional needs of patients

4. Implement basic nursing techniques in meeting hygienic needs of patients

5. Plan and Implement care to meet the elimination needs of patient

6. Develop skills in instructing and collecting samples for investigation.

7. Perform simple lab tests and analyze & interpret common diagnostic values

8. Identify patients with impaired oxygenation and demonstrate skill in caring for patients with impaired oxygenation

9. Identify and demonstrate skill in caring for patients with fluid, electrolyte and acid - base imbalances

10. Assess, plan, implement & evaluate the basic care needs of patients with altered functioning of sense organs and unconsciousness

11. Care for terminally ill and dying patients

Skill Lab

Use of Mannequins and Simulators

S.No.	Competencies	Mode of Teaching
1.	Health Assessment	Standardized Patient
2.	Nutritional Assessment	Standardized Patient
3.	Sponge bath, oral hygiene, perineal care	Mannequin
4.	Nasogastric tube feeding	Trainer/ Simulator
5.	Providing bed pan & urinal	Mannequin
6.	Catheter care	Catheterization Trainer
7.	Bowel wash, enema, insertion of suppository	Simulator/ Mannequin
8.	Oxygen administration - face mask, venture mask, nasal prongs	Mannequin
9.	Administration of medication through Parenteral route - IM, SC, ID, IV	IM injection trainer, ID injection trainer, IV arm (Trainer)
10.	Last Office	Mannequin

Clinical Postings - General Medical/Surgical Wards

(16 weeks × 20 hours per week = 320 hours)

Clinical Unit	Duration (Weeks)	Learning Outcomes	Procedural Competencies/Clinical Skills (Supervised Clinical Practice)	Clinical Requirements	Assessment Methods
General Medical/Surgical wards	3	Perform health assessment of each body system	Health Assessment Nursing/Health history taking Perform physical examination: General Body systems Use various methods of physical examination - Inspection, Palpation, Percussion, Auscultation,Olfaction Identification of system wise deviations Documentation of findings	History Taking - 2 Physical examination - 2	Assessment of clinical skills using checklist OSCE
	1	Develop skills in assessment, planning, implementation and evaluation of nursing care using Nursing process approach	The Nursing Process Prepare Nursing care plan for the patient based on the given case scenario	Nursing process - 1	Evaluation of Nursing process with criteria
	2	Identify and meet the Nutritional needs of patients Implement basic nursing techniques in meeting hygienic needs of patients	Nutritional needs, Elimination needs& Diagnostic testing Nutritional needs Nutritional Assessment Preparation of Nasogastric tube feed Nasogastric tube feeding Hygiene Care of Skin & Hair: - Sponge Bath/ Bed bath - Care of pressure points & back massage Pressure sore risk assessment using Braden/Norton scale - Hair wash - Pediculosis treatment Oral Hygiene Perineal Hygiene Catheter care	Nutritional Assessment and Clinical Presentation – 1 Pressure sore assessment - 1	Assessment of clinical skills using checklist OSCE
	2	Plan and Implement care to meet the elimination needs of patient Develop skills in instructing and collecting samples for investigation. Perform simple lab tests and analyze & interpret common diagnostic values	Elimination needs Providing - Urinal - Bedpan Insertion of Suppository Enema Urinary Catheter care Care of urinary drainage Diagnostic testing Specimen Collection Urine routine and culture Stool routine Sputum Culture Perform simple Lab Tests using reagent strips Urine - Glucose, Albumin, Acetone, pH, Specific gravity Blood - GRBS Monitoring	Clinical Presentation on Care of patient with Constipation – 1 Lab values - inter-pretation	Assessment of clinical skills using checklist OSCE
	3	Identify patients with impaired oxygenation and demonstrate skill in caring for patients with impaired oxygenation Identify and demonstrate skill in caring for patients with fluid, electrolyte and acid - base imbalances	Oxygenation needs, Fluid, Electrolyte, and Acid – Base Balances Oxygenation needs Oxygen administration methods Nasal Prongs Face Mask/Venturi Mask Steam inhalation Chest Physiotherapy Deep Breathing & Coughing Exercises Oral Suctioning Fluid, Electrolyte, and Acid - Base Balances Maintaining intake output chart Identify & report complications of IV therapy Observe Blood & Blood Component therapy Identify & Report Complications of Blood & Blood Component therapy		Assessment of clinical skills using checklist OSCE Assessment of clinical skills using checklist OSCE
	3	Explain the principles, routes, effects of administration of medications Calculate conversions of drugs and dosages within and between systems of Measurements Administer drugs by the following routes- Oral, Intradermal, Subcutaneous, Intramuscular, IntraVenous Topical, inhalation	Administration of Medications Calculate Drug Dosages Preparation of lotions & solutions Administer Medications Oral Topical Inhalations Parenteral Intradermal Subcutaneous Intramuscular Instillations Eye, Ear, Nose -instillation of medicated drops, nasal sprays, irrigations		Assessment of clinical skills using checklist OSCE
	2	Assess, plan, implement & evaluate the basic care needs of patients with altered functioning of sense organs and unconsciousness Care for terminally ill and dying patients	Sensory Needs and Care of Unconscious patients, Care of Terminally ill, death and dying Sensory Needs and Care of Unconscious patients Assessment of Level of Consciousness using Glasgow Coma Scale Terminally ill, death and dying Death Care	Nursing rounds on care of patient with altered sensorium	Assessment of clinical skills using checklist OSCE Assessment of clinical skills using checklist

Health/nursing Informatics And Technology

Placement: II Semester

Theory: 2 Credits (40 hours)

Practical/lab: 1 Credit (40 hours)

Description: This course is designed to equip novice nursing students with knowledge and skills necessary to deliver efficient informatics-led health care services.

Competencies: On completion of the course, the students will be able to

1. Develop a basic understanding of computer application in patient care and nursing practice.

2. Apply the knowledge of computer and information technology in patient care and nursing education, practice, administration and research.

3. Describe the principles of health informatics and its use in developing efficient healthcare.

4. Demonstrate the use of information system in healthcare for patient care and utilization of nursing data.

5. Demonstrate the knowledge of using Electronic Health Records (EHR) system in clinical practice.

6. Apply the knowledge of interoperability standards in clinical setting.

7. Apply the knowledge of information and communication technology in public health promotion.

8. Utilize the functionalities of Nursing Information System (NIS) system in nursing.

9. Demonstrate the skills of using data in management of health care.

10. Apply the knowledge of the principles of digital ethical and legal issues in clinical practice.

11. Utilize evidence-based practices in informatics and technology for providing quality patient care.

12. Update and utilize evidence-based practices in nursing education, administration, and practice.

Course Outline

T - Theory, P/L - Lab

Unit	Time(Hrs)		Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
Unit	T	P/L	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	10	15	Describe the importance of computer and technology in patient care and nursing practice	Introduction to computer applications for patient care delivery system and nursing practice Use of computers in teaching, learning, research and nursing practice	Lecture Discussion Practice session Supervised clinical practice on EHR use Participate in data analysis using statistical package with statistician	(T) Short answer Objective type Visit reports Assessment of assignments
			Demonstrate the use of computer and technology in patient care, nursing education, practice, administration and research.	Windows, MS office: Word, Excel, Power Point Internet Literature search Statistical packages Hospital management information system	Visit to hospitals with different hospital management systems	(P) Assessment of skills using checklist
II	4	5	Describe the principles of health informatics Explain the ways data, knowledge and information can be used for effective healthcare	Principles of Health Informatics Health informatics - needs, objectives and limitations Use of data, information and knowledge for more effective healthcare and better health	Lecture Discussion Practical session Work in groups with health informatics team in a hospital to extract nursing data and prepare a report	(T) Essay Short answer Objective type questions Assessment of report
III	3	5	Describe the concepts of information system in health Demonstrate the use of health information system in hospital setting	Information Systems in Healthcare Introduction to the role and architecture of information systems in modern healthcare environments Clinical Information System (CIS)/Hospital information System (HIS)	Lecture Discussion Demonstration Practical session Work in groups with nurse leaders to understand the hospital information system	(T) Essay Short answer Objective type
IV	4	4	Explain the use of electronic health records in nursing practice Describe the latest trend in electronic health records standards and interoperability	Shared Care & Electronic Health Records Challenges of capturing rich patient histories in a computable form Latest global developments and standards to enable lifelong electronic health records to be integrated from disparate systems.	Lecture Discussion Practice on Simulated EHR system Practical session Visit to health informatics department of a hospital to understand the use of EHR in nursing practice Prepare a report on current EHR standards in Indian setting	(T) Essay Short answer Objective type (P) Assessment of skills using checklist
V	3		Describe the advantages and limitations of health informatics in maintaining patient safety and risk management	Patient Safety & Clinical Risk Relationship between patient safety and informatics Function and application of the risk management process	Lecture Discussion	(T) Essay Short answer Objective type
VI	3	6	Explain the importance of knowledge management Describe the standardized languages used in health informatics	Clinical Knowledge & Decisio Making Role of knowledge management in improving decision-making in both the clinical and policy contexts Systematized Nomenclature of Medicine, Clinical Terms, SNOMED CT to ICD-10-CM Map, standardized nursing terminologies (NANDA, NOC), Omaha system.	Lecture Discussion Demonstration Practical session Work in groups to prepare a report on standardized languages used in health informatics. Visit health informatics department to understand the standardized languages used in hospital setting	(T) Essay Short answer Objective type
VII	3		Explain the use of information and communication technology in patient care Explain the application of public health informatics	eHealth: Patients and the Internet Use of information and communication technology to improve or enable personal and public healthcare Introduction to public health informatics and role of nurses	Lecture Discussion Demonstration	Essay Short answer Objective type Practical exam
VIII	3	5	Describe the functions of nursing information system Explain the use of healthcare data in management of health care organization	Using Information in Healthcare Management Components of Nursing Information system(NIS) Evaluation, analysis and presentation of healthcare data to inform decisions in the management of health-care organizations	Lecture Discussion Demonstration on simulated NIS software Visit to health informatics department of the hospital to understand use of healthcare data in decision making	(T) Essay Short answer Objective type
IX	4		Describe the ethical and legal issues in healthcare informatics Explains the ethical and legal issues related to nursing informatics	Information Law & Governance in Clinical Practice Ethical-legal issues pertaining to healthcare information in contemporary clinical practice Ethical-legal issues related to digital health applied to nursing	Lecture Discussion Case discussion Role play	(T) Essay Short answer Objective type
X	3		Explain the relevance of evidence-based practices in providing quality healthcare	Healthcare Quality & Evidenc Based Practice Use of scientific evidence in improving the quality of healthcare and technical and professional informatics standards	Lecture Discussion Case study	(T) Essay Short answer Objective type

Skills

• Utilize computer in improving various aspects of nursing practice.

• Use technology in patient care and professional advancement.

• Use data in professional development and efficient patient care.

• Use information system in providing quality patient care.

• Use the information system to extract nursing data.

• Develop skill in conducting literature review.

Applied Microbiology And Infection Control Including Safety

Placement: III SEMESTER

Theory: 2 Credits (40 hours)

Practical: 1 Credit (40 hours) (Lab/Experiential Learning - L/E)

Section A: Applied Microbiology

Theory: 20 hours

Practical: 20 hours (Lab/Experiential Learning - L/E)

Description: This course is designed to enable students to acquire understanding of fundamentals of Microbiology, compare and contrast different microbes and comprehend the means of transmission and control of spread by various microorganisms. It also provides opportunities for practicing infection control measures in hospital and community settings.

Competencies: On completion of the course, the students will be able to:

1. Identify the ubiquity and diversity of microorganisms in the human body and the environment.

2. Classify and explain the morphology and growth of microbes.

3. Identify various types of microorganisms.

4. Explore mechanisms by which microorganisms cause disease.

5. Develop understanding of how the human immune system counteracts infection by specific and non-specific mechanisms.

6. Apply the principles of preparation and use of vaccines in immunization.

7. Identify the contribution of the microbiologist and the microbiology laboratory to the diagnosis of infection.

Course Outline

T - Theory, L/E - Lab/Experiential Learning

Unit	Time(Hrs)		Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
Unit	T	P	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
1	3		Explain concepts and principles of microbiology and its importance in nursing	Introduction : Importance and relevance to nursing Historical perspective Concepts and terminology Principles of microbiology	Lecture cum Discussion	Short answer Objective type
II	10	10(L/E)	Describe structure, classification morphology and growth of bacteria Identif Microorganisms	General characteristics of Microbes: Structure and classification of Microbes Morphological types Size and form of bacteria Motility Colonization Growth and nutrition of microbes Temperature Moisture Blood and body fluids Laboratory methods for Identification of Microorganisms Types of Staining - simple, differential (Gram's, AFB), special - capsular staining (negative), spore, LPCB, KOH mount. Culture and media preparation - solid and liquid. Types of media -semi synthetic, synthetic, enriched, enrichment, selective and differential media. Pure culture techniques - tube dilution, pour, spread, streak plate. Anaerobic cultivation of bacteria	Lecture cum Discussion Demonstration Experiential Learning through visual	Short answer Objective type
III	4	6 (L/E)	Describe the different disease producing organisms	Pathogenic organisms Micro-organisms: Cocci - gram positive and gram negative; Bacilli -gram positive and gram negative Viruses Fungi: Superficial and Deep mycoses Parasites Rodents & Vectors Characteristics, Source, portal of entry, transmission of infection, Identification of disease producing micro-organisms	Lecture cum Discussion Demonstration Experiential learning through visual	Short answer Objective type
IV	3	4(L/E)	Explain the concepts of immunity, hyper sensitivity and immunization	Immunity Immunity: Types, classification Antigen and antibody reaction Hypersensitivity reactions Serological tests Immunoglobulins: Structure, types & properties Vaccines: Types & classification, storage and handling, cold chain, Immunization for various diseases Immunization Schedule	Lecture Discussion Demonstration Visit to observe vaccine storage Clinical practice	Short answer Objective type Visit report

Section B: Infection Control & Safety

Theory: 20 hours

Practical/lab: 20 hours (Lab/Experiential Learning - L/E)

Description: This course is designed to help students to acquire knowledge and develop competencies required for fundamental patient safety and infection control in delivering patient care. It also focuses on identifying patient safety indicators, preventing and managing hospital acquired infections, and in following universal precautions.

Competencies: The students will be able to:

1. Develop knowledge and understanding of Hospital acquired Infections (HAI) and effective practices for prevention.

2. Integrate the knowledge of isolation (Barrier and reverse barrier) techniques in implementing various precautions.

3. Demonstrate and practice steps in Hand washing and appropriate use of different types of PPE.

4. Illustrate various disinfection and sterilization methods and techniques.

5. Demonstrate knowledge and skill in specimen collection, handling and transport to optimize the diagnosis for treatment.

6. Incorporate the principles and guidelines of Bio Medical waste management.

7. Apply the principles of Antibiotic stewardship in performing the nurses' role.

8. Identify patient safety indicators and perform the role of nurse in the patient safety audit process.

9. Apply the knowledge of International Patient Safety Goals (IPSG) in the patient care settings.

10. Identify employee safety indicators and risk of occupational hazards.

11. Develop understanding of the various safety protocols and adhere to those protocols.

Course Outline

T - Theory, L/E - Lab/Experiential Learning

Unit	Time(Hrs)		Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
Unit	T	P	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	2	2(E)	Summarize the evidence based and effective patient care practices for the prevention of common healthcare associated infections in the healthcare setting	HAI (Hospital acquired Infection) Hospital acquired infection Bundle approach - Prevention of Urinary Tract Infection (UTI) - Prevention of Surgical Site Infection (SSI) - Prevention of Ventilator Associated events (VAE) - Prevention of Central Line Associated Blood Stream Infection (CLABSI) Surveillance of HAI - Infection control team & Infection control committee	Lecture & Discussion Experiential learning	Knowledge assessment MCQ Short answer
II	3	4(L)	Demonstrate appropriate use of different types of PPEs and the critical use of risk assessment	Isolation Precautions and use of Personal Protective Equipment (PPE) Types of isolation system, standard precaution and transmission-based precautions (Direct Contact, Droplet, Indirect) Epidemiology & Infection prevention - CDC guidelines Effective use of PPE	Lecture Demonstration & Re-demonstration	Performance assessment OSCE
III	1	2(L)	Demonstrate the hand hygiene practice and its effectiveness on infection control	Hand Hygiene Types of Hand hygiene. Hand washing and use of alcohol hand rub Moments of Hand Hygiene WHO hand hygiene promotion	Lecture Demonstration & Re-demonstration	Performance assessment
IV	1	2(E)	Illustrates disinfection and sterilization in the healthcare setting	Disinfection and sterilization Definitions Types of disinfection and sterilization Environment cleaning Equipment Cleaning Guides on use of disinfectants Spaulding's principle	Lecture Discussion Experiential learning through visit	Short answer Objective type
V	1	2(E)	Illustrate on what, when, how, why specimens are collected to optimize the diagnosis for treatment and management.	Specimen Collection (Review) Principle of specimen collection Types of specimens Collection techniques and special considerations Appropriate containers Transportation of the sample Staff precautions in handling specimens	Discussion	Knowledge evaluation Quiz Performance assessment Checklist
VI	2	2(E)	Explain on Bio Medical waste management & laundry management	BMW (Bio Medical Waste Management) Laundry management process and infection control and prevention Waste management process and infection prevention Staff precautions Laundry management Country ordinance and BMW National guidelines 2017: Segregation of wastes, Colour coded waste containers, waste collection & storage, Packaging & labeling, Transportation	Discussion Demonstration Experiential learning through visit	Knowledge assessment by short answers, objective type Performance assessment
VII	2		Explain in detail about Antibiotic stewardship, AMR Describe MRSA/ MDRO and its prevention	Antibiotic stewardship Importance of Antibiotic Stewardship Anti-Microbial Resistance Prevention of MRSA, MDRO in healthcare setting	Lecture Discussion Written assignment -Recent AMR (Antimicrobial resistance) guidelines	Short answer Objective type Assessment of assignment
VIII	3	5(L/E)	Enlist the patient safety indicators followed in a health care organization and the role of nurse in the patient safety audit process Captures and analyze incidents and events for quality improvement	Patient Safety Indicators Care of Vulnerable patients Prevention of Iatrogenic injury Care of lines, drains and tubing's Restrain policy and care - Physical and Chemical Blood & blood transfusion policy Prevention of IV Complication Prevention of Fall Prevention of DVT Shifting and transporting of patients Surgical safety Care coordination event related to medication reconciliation and administration Prevention of communication errors Prevention of HAI Documentation Incidents and adverse Events Capturing of incidents RCA (Root Cause Analysis) CAPA (Corrective and Preventive Action) Report writing	Lecture Demonstration Experiential learning Lecture Role play Inquiry Based Learning	Knowledge assessment Performance assessment Checklist/ OSCE Knowledge assessment Short answer Objective type
IX	1		Enumerate IPSG and application of the goals in the patient care settings.	IPSG (International Patient safety Goals) Identify patient correctly Improve effective communication Improve safety of High Alert medication Ensure safe surgery Reduce the risk of health care associated infection Reduce the risk of patient harm resulting from falls Reduce the harm associated with clinical alarm system	Lecture Role play	Objective type
X	2	3(L/E)	Enumerate the various safety protocols and its applications	Safety protocol 5S (Sort, Set in order, Shine, Standardize, Sustain) Radiation safety Laser safety Fire safety - Types and classification of fire - Fire alarms - Firefighting equipment HAZMAT (Hazardous Materials) safety - Types of spill - Spillage management - MSDS (Material Safety Data Sheets) Environmental safety - Risk assessment - Aspect impact analysis - Maintenance of Temp and Humidity (Department wise) - Audits Emergency Codes Role of Nurse in times of disaster	Lecture Demonstration/ Experiential learning	Mock drills Post tests Checklist
XI	2		Explain importance of employee safety Identify risk of occupational hazards, prevention and post exposure prophylaxis.	Employee Safety Indicators Vaccination Needle stick injuries (NSI)indicators prevention Fall prevention Radiation safety Annual health check Healthcare Worker Immunization Program and management of occupational exposure Occupational health ordinance Vaccination program for healthcare staff Needle stick injuries and prevention and post exposure prophylaxis	Lecture Discussion Lecture method Journal review	Knowledge assessment by short answers, objective type Short answer

*Experiential Learning:

Experiential learning is the process by which knowledge is created through the process of experience in the clinical field. Knowledge results from the combination of grasping and transforming experience. (Kolb, 1984). The experiential learning cycle begins with an experience that the student has had, followed by an opportunity to reflect on that experience.

Then students may conceptualize and draw conclusions about what they experienced and observed, leading to future actions in which the students experiment with different behaviors. This begins the new cycle as the students have new experiences based on their experimentation. These steps may occur in nearly and order as the learning progresses. As per the need of the learner, the concrete components and conceptual components can be in different order as they may require a variety of cognitive and affective behaviors.

Pharmacology - I

Placement: III Semester

Theory: 1 Credit (20 hours)

Description: This course is designed to enable students to acquire understanding of Pharmacodynamics, Pharmacokinetics, principles of therapeutics and nursing implications.

Competencies: On completion of the course, the students will be able to

1. Describe pharmacodynamics and pharmacokinetics.

2. Review the principles of drug calculation and administration.

3. Explain the commonly used antiseptics and disinfectants.

4. Describe the pharmacology of drugs acting on the GI system.

5. Describe the pharmacology of drugs acting on the respiratory system.

6. Describe drugs used in the treatment of cardiovascular and blood disorders.

7. Explain the drugs used in the treatment of endocrine system disorders.

8. Describe the drugs acting on skin and drugs used to treat communicable diseases.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	3(T)	Describe Pharmacodynamics, Pharmacokinetics, Classification, principles of administration of drugs	Introduction to Pharmacology Definitions & Branches Nature & Sources of drugs Dosage Forms and Routes of drug administration Terminology used Classification, Abbreviations,Prescription, Drug Calculation, Weights and Measures Pharmacodynamics: Actions, Drug Antagonism, Synergism, Tolerance, Receptors, Therapeutic, adverse, toxic effects, pharmacovigilance Pharmacokinetics: Absorption, Bioavailability, Distribution, Metabolism, Interaction, Excretion Review: Principles of drug administration and treatment individualization Factors affecting dose, route etc. Indian Pharmacopoeia: Legal Issues, Drug Laws, Schedule Drugs Rational Use of Drugs Principles of Therapeutics	Lecture cum Discussion Guided reading and written assignment on schedule K drugs	Short answer Objective type Assessment of assignments
II	1(T)	Describe antiseptics, and disinfectant & nurse's responsibilities	Pharmacology of commonly used antiseptics and disinfectants Antiseptics and Disinfectants Composition, action, dosage, route, indications, contraindications, Drug interactions, side effects, adverse effects, toxicity and role of nurse	Lecture cum Discussion Drug study/ presentation	Short answer Objective type
III	2(T)	Describe drugs acting on gastro-intestinal system & nurse's responsibilities	Drugs acting on G.I. system Pharmacology of commonly used drugs Emetics and Antiemetics Laxatives and Purgatives Antacids and antipeptic ulcer drugs Anti-diarrhoeals - Fluid and electrolyte therapy, Furazolidone, dicyclomine Composition, action, dosage, route, indications, contraindications,drug interactions, side effects, adverse effects, toxicity and role of nurse	Lecture cum Discussion Drug study/presen	Short answer Objective type
IV	2(T)	Describe drugs acting on respiratory system & nurse's responsibilities	Drugs acting on respiratory system Pharmacology of commonly used Antiasthmatics - Bronchodilators (Salbutamol inhalers) Decongestants Expectorants, Antitussives and Mucolytics Broncho-constrictors and Antihistamines Composition, action, dosage, route, indications, contraindications, drug interactions, side effects, adverse effects toxicity and role of nurse	Lecture cum Discussion Drug study/presentation	Short answer Objective type
V	4(T)	Describe drugs used on cardio-vascular system & nurse's responsibilities	Drugs used in treatment of Cardiovascular system and blood disorders Haematinics, & treatment of anemia and antiadrenergics Cholinergic and anticholinergic Adrenergic Drugs for CHF & vasodilators Antianginals Antiarrhythmics Antihypertensives Coagulants & Anticoagulants Antiplatelets & thrombolytics Hypolipidemics Plasma expanders & treatment of shock Drugs used to treat blood disorders Composition, action, dosage, route, indications, contraindications, drug interactions, side effects, adverse effects, toxicity and role of nurse	Lecture cum Discussion Drug study/presentation	Short answer Objective type
VI	2(T)	Describe the drugs used in treatment of endocrine system disorders	Drugs used in treatment of endocrine system disorders Insulin & oral hypoglycemics Thyroid and anti-thyroid drugs Steroids Corticosteroids Anabolic steroids Calcitonin, parathormone, vitamin D3, calcium metabolism Calcium salts	Lecture cum Discussion Drug study/presentation	Short answer Objective type
VII	1(T)	Describe drugs used in skin diseases & nurse's responsibilities	Drugs used in treatment of integumentary system Antihistaminics and antipruritics Topical applications for skin-Benzyl benzoate, Gamma BHC, Clotrimazole, Miconazole, Silver Sulphadiazine (burns) Composition, action, dosage, route, indications, contraindications, drug interactions, side effects, adverse effects toxicity and role of nurse	Lecture cum Discussion Drug study/presentation	Short answer Objective type
VIII	5(T)	Explain drug therapy/chemotherapy of specific infections & infestations & nurse's responsibilities	Drugs used in treatment of communicable diseases (common infections, infestations) General Principles for use of Antimicrobials Pharmacology of commonly used drugs: Penicillin, Cephalosporin's, Aminoglycosides, Macrolide & broad spectrum antibiotics, Sulfonamides, quinolones, Misc. antimicrobials Anaerobic infections Antitubercular drugs, Antileprosy drugs Antimalarials Antiretroviral drugs Antiviral agents Antihelminthics, Antiscabies agents Antifungal agents Composition, action, dosage, route, indications, contraindications, Drug interactions, side effects, adverse effects, toxicity and role of nurse	Lecture cum Discussion Drug study/presentation	Short answer Objective type

Pathology - I

Placement: III Semester

Theory: 1 Credit (20 hours) (includes lab hours also)

Description: This course is designed to enable students to acquire knowledge of pathology of various disease conditions, understanding of genetics, its role in causation and management of defects and diseases and to apply this knowledge in practice of nursing.

Competencies: On completion of the course, the students will be able to

1. Apply the knowledge of pathology in understanding the deviations from normal to abnormal pathology.

2. Rationalize the various laboratory investigations in diagnosing pathological disorders.

3. Demonstrate the understanding of the methods of collection of blood, body cavity fluids, urine and feces for various tests.

4. Apply the knowledge of genetics in understanding the various pathological disorders.

5. Appreciate the various manifestations in patients with diagnosed genetic abnormalities.

6. Rationalize the specific diagnostic tests in the detection of genetic abnormalities.

7. Demonstrate the understanding of various services related to genetics.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	8 (T)	Define the common terms used in pathology Identify the deviations from normal to abnormal structure and functions of body system	Introduction Importance of the study of pathology Definition of terms in pathology Cell injury: Etiology, pathogenesis of reversible and irreversible cell injury, Necrosis, Gangrene Cellular adaptations: Atrophy, Hypertrophy, Hyperplasia, Metaplasia, Dysplasia, Apoptosis Inflammation: Acute inflammation (Vascular and Cellular events, systemic effects of acute inflammation) Chronic inflammation (Granulomatous inflammation, systemic effects of chronic inflammation) Wound healing Neoplasia: Nomenclature, Normal and Cancer cell, Benign and malignant tumors, Carcinoma in situ, Tumor metastasis: general mechanism, routes of spread and examples of each route Circulatory disturbances: Thrombosis, embolism, shock Disturbance of body fluids and electrolytes: Edema, Transudates and Exudates	Lecture Discussion Explain using slides Explain with clinical scenarios	Short answer Objective type
II	5 (T)	Explain pathological changes in disease conditions of various systems	Special Pathology Pathological changes in disease conditions of selected systems: 1. Respiratory system Pulmonary infections: Pneumonia, Lung abscess, pulmonary tuberculosis Chronic Obstructive Pulmonary Disease: Chronic bronchitis, Emphysema, Bronchial Asthma, Bronchiectasis Tumors of Lungs 2. Cardio-vascular system Atherosclerosis Ischemia and Infarction. Rheumatic Heart Disease Infective endocarditis 3. Gastrointestinal tract Peptic ulcer disease (Gastric and Duodenal ulcer) Gastritis-H Pylori infection Oral mucosa: Oral Leukoplakia, Squamous cell carcinoma Esophageal cancer Gastric cancer Intestinal: Typhoid ulcer, Inflammatory Bowel Disease (Crohn's disease and Ulcerative colitis), Colorectal cancer 4. Liver, Gall Bladder and Pancreas Liver: Hepatitis, Amoebic Liver abscess, Cirrhosis of Liver Gall bladder: Cholecystitis. Pancreas: Pancreatitis Tumors of liver, Gall bladder and Pancreas 5. Skeletal system Bone: Bone healing, Osteoporosis, Osteomyelitis, Tumors Joints: Arthritis - Rheumatoid arthritis and Osteoarthritis 6. Endocrine system Diabetes Mellitus Goitre Carcinoma thyroid	Lecture Discussion Explain using slides, X-rays and scans Visit to pathology lab, endoscopy unit and OT	Short answer Objective type
III	7 (T)	Describe various laboratory tests in assessment and monitoring of disease conditions	Hematological tests for the diagnosis of blood disorders Blood tests: Hemoglobin, White cell and platelet counts, PCV, ESR Coagulation tests: Bleeding time (BT), Prothrombin time (PT), Activated Partial Prothrombin Time (APTT) Blood chemistry Blood bank: Blood grouping and cross matching Blood components Plasmapheresis Transfusion reactions Note: Few lab hours can be planned for observation and visits (Less than 1 credit, lab hours are not specified separately)	Lecture Discussion Visit to clinical lab, biochemistry lab and blood bank	Short answer Objective type

Adult Health Nursing - I With Integrated Pathophysiology (Including Bcls module)

Placement: III Semester

Theory: 7 Credits (140 hours)

Practicum: Lab/Skill Lab (SL) - 1 Credit (40 hours) Clinical - 6 Credits (480 hours)

Description: This course is designed to equip the students to review and apply their knowledge of Anatomy, Physiology, Biochemistry and Behavioral sciences in caring for adult patients with Medical/Surgical disorders using nursing process approach and critical thinking. It also intends to develop competencies required for assessment, diagnosis, treatment, nursing management, and supportive/palliative care to patients with various Medical Surgical disorders.

Competencies: On completion of Medical Surgical Nursing I course, students will be able to

1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and complications of common medical and surgical disorders.

2. Perform complete health assessment to establish a data base for providing quality patient care and integrate the knowledge of anatomy, physiology and diagnostic tests in the process of data collection.

3. Identify nursing diagnoses, list them according to priority and formulate nursing care plan.

4. Perform nursing procedures skillfully and apply scientific principles while giving comprehensive nursing care to patients.

5. Integrate knowledge of pathology, nutrition and pharmacology in caring for patients experiencing various medical and surgical disorders.

6. Identify common diagnostic measures related to the health problems with emphasis on nursing assessment and responsibilities.

7. Demonstrate skill in assisting/performing diagnostic and therapeutic procedures.

8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical disorders.

9. Identify the drugs used in treating patients with medical surgical conditions.

10. Plan and give relevant individual and group education on significant medical surgical topics.

11. Maintain safe environment for patients and the health care personnel in the hospital.

12. Integrate evidence-based information while giving nursing care to patients.

Course Content

T - Theory, L/SL - Lab/Skill Lab

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	6 (T) 4(L/SL)	Narrate the evolution of medical surgical nursing Apply nursing process in caring for patients with medical surgical problems Execute the role of a nurse in various medical surgical setting Develop skills in assessment and care of wound Develop competency in providing pre and postoperative care	Introduction Evolution and trends of medical and surgical nursing International classification of diseases Roles and responsibility of a nurse in medical and surgical settings Outpatient department In-patient unit Intensive care unit Introduction to medical and surgical asepsis Inflammation, infection Wound healing - stages, influencing factors Wound care and dressing technique Care of surgical patient pre-operative post-operative Alternative therapies used in caring for patients with Medical Surgical Disorders	Lecture cum discussion Demonstration & Practice session Role play Visit to outpatient department, in patient and intensive care unit	Short Answer OSCE
II	15 (T) 4 (L/SL)	Explain organizational set up of the operating theatre Differentiate the role of scrub nurse and circulating nurse Describe the different positioning for various surgeries Apply principles of asepsis in handling the sterile equipment Demonstrate skill in scrubbing procedures Demonstrate skill in assessing the patient and document accurately the surgical safety checklist Develop skill in assisting with selected surgeries Explain the types, functions, and nursing considerations for different types of anaesthesia	Intraoperative Care Organization and physical set up of the operation theatre Classification O.T Design Staffing Members of the OT team Duties and responsibilities of the nurse in OT Position and draping for common surgical procedures Instruments, sutures and suture materials, equipment for common surgical procedures Disinfection and sterilization of equipment Preparation of sets for common surgical procedures Scrubbing procedures - Gowning, masking and gloving Monitoring the patient during the procedures Maintenance of the therapeutic environment in OT Assisting in major and minor operation, handling specimen Prevention of accidents and hazards in OT Anaesthesia - types, methods of administration, effects and stages, equipment & drugs Legal aspects	Lecture cum Discussion Demonstration, Practice session, and Case Discussion Visit to receiving bay	Caring for patient intra operatively Submit a list of disinfectants used for instruments with the action and precaution
III	6 (T) 4 (L/SL)	Identify the signs and symptoms of shock and electrolyte imbalances Develop skills in managing fluid and electrolyte imbalances Perform pain assessment and plans for the nursing management	Nursing care of patients with common signs and symptoms and management Fluid and electrolyte imbalance Shock Pain	Lecture, discussion, demonstration Case discussion	Short answer MCQ Case report
IV	18 (T) 4 (L)	Demonstrate skill in respiratory assessment Differentiates different breath sounds and lists the indications Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of common respiratory problems Describe the health behaviour to be adopted in preventing respiratory illnesses	Nursing Management of patients with respiratory problems Review of anatomy and physiology of respiratory system Nursing Assessment - history taking, physical assessment and diagnostic tests Common respiratory problems: Upper respiratory tract infections Chronic obstructive pulmonary diseases Asthma Pleural effusion, Empyema Bronchiectasis Pneumonia Lung abscess Cyst and tumors Chest Injuries Acute respiratory distress syndrome Pulmonary embolism Health behaviours to prevent respiratory illness	Lecture, discussion, Demonstration Practice session Case presentation Visit to PFT Lab	Essay Short answer OSCE
V	16 (T) 5 (L)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of gastrointestinal disorders Demonstrate skill in gastrointestinal assessment Prepare patient for upper and lower gastrointestinal investigations Demonstrate skill in gastric decompression, gavage, and stoma care Demonstrate skill in different feeding techniques	Nursing Management of patients with disorders of digestive system Review of anatomy and physiology of GI system Nursing assessment -History and physical assessment GI investigations Common GI disorders: Oral cavity: lips, gums and teeth GI: Bleeding, Infections, Inflammation, tumors, Obstruction, Perforation & Peritonitis Peptic & duodenal ulcer, Mal-absorption, Appendicitis, Hernias Hemorrhoids, fissures, Fistulas Pancreas: inflammation, cysts, and tumors Liver: inflammation, cysts, abscess, cirrhosis, portal hypertension, hepatic failure, tumors Gall bladder: inflammation, Cholelithiasis, tumors Gastric decompression, gavage and stoma care, different feeding techniques Alternative therapies, drugs used in treatment of disorders of digestive system	Lecture, Discussion Demonstration, Role play Problem Based Learning Visit to stoma clinic	Short answer Quiz OSCE
VI	20 (T) 5 (L)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of cardiovascular disorders Demonstrate skill in cardiovascular assessment Prepare patient for invasive and noninvasive cardiac procedures Demonstrate skill in monitoring and interpreting clinical signs related to cardiac disorders Complete BLS/BCLS module	Nursing Management of patients with cardiovascular problems Review of anatomy and physiology of cardio-vascular system Nursing Assessment: History and Physical assessment Invasive & non-invasive cardiac procedures Disorders of vascular system-Hypertension, arteriosclerosis, Raynaud's disease, aneurysm and peripheral vascular disorders Coronary artery diseases:coronary atherosclerosis, Angina pectoris, myocardial infarction Valvular disorders: congenital and acquired Rheumatic heart disease:pericarditis, myocarditis, endocarditis, cardiomyopathies Cardiac dysrhythmias, heart block Congestive heart failure, corpulmonale, pulmonary edema, cardiogenic shock, cardiac tamponade Cardiopulmonary arrest	Lecture, discussion Demonstration Practice session Case Discussion Health education Drug Book/presentation Completion of BCLS Module	Care plan Drug record BLS/ BCLS evaluation
VII	7 (T) 3 (L)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of hematological disorders Interpret blood reports Prepare and provides health education on blood donation	Nursing Management of patients with disorders of blood Review of Anatomy and Physiology of blood Nursing assessment: history, physical assessment & Diagnostic tests Anemia, Polycythemia Bleeding Disorders: clotting factor defects and platelets defects, thalassemia, leukemia, leukopenia, agranulocytosis Lymphomas, myelomas	Field visit to blood bank Counseling	Interpretation of blood reports Visit report
VIII	8 (T) 2 (L)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of endocrine disorders Demonstrate skill in assessment of endocrine organ dysfunction Prepare and provides health education on diabetic diet Demonstrate skill in insulin administration	Nursing management of patients with disorders of endocrine system Review of anatomy and physiology of endocrine system Nursing Assessment -History and Physical assessment Disorders of thyroid and Parathyroid, Adrenal and Pituitary(Hyper, Hypo, tumors) Diabetes mellitus	Lecture, discussion, demonstration Practice session Case Discussion Health education	Prepare health education on selfadministration of insulin Submits a diabetic diet plan
IX	8 (T) 2 (L)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of disorders of integumentary system Demonstrate skill in integumentary assessment Demonstrate skill in medicated bath Prepare and provide health education on skin care	Nursing management of patients with disorders of Integumentary system Review of anatomy and physiology of skin Nursing Assessment: History and Physical assessment Infection and infestations; Dermatitis Dermatoses; infectious and Non infectious Acne, Allergies, Eczema & Pemphigus Psoriasis, Malignant melanoma, Alopecia Special therapies, alternative therapies Drugs used in treatment of disorders of integumentary system	Lecture, discussion Demonstration Practice session Case Discussion	Drug report Preparation of Home care plan
X	16 (T) 2 (L)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of musculoskeletal disorders Demonstrate skill in musculoskeletal assessment Prepare patient for radiological and nonradiological investigations of musculoskeletal system Demonstrate skill in crutch walking and splinting Demonstrate skill in care of patient with replacement surgeries Prepare and provide health education on bone healing	Nursing management of patients with musculoskeletal problems Review of Anatomy and physiology of the musculoskeletal system Nursing Assessment: History and physical assessment, diagnostic tests Musculoskeletal trauma: Dislocation, fracture, sprain, strain, contusion, amputation Musculoskeletal infections and tumors: Osteomyelitis, benign and malignant tumour Orthopedic modalities: Cast, splint, traction, crutch walking Musculoskeletal inflammation: Bursitis, synovitis, arthritis Special therapies, alternative therapies Metabolic bone disorder: Osteoporosis, osteomalacia and Paget's disease Spinal column defects and deformities - tumor, prolapsed intervertebral disc, Pott's spine Rehabilitation, prosthesis Replacement surgeries	Lecture/ Discussion Demonstration Case Discussion Health education	Nursing care plan Prepare health teaching on care of patient with cast
XI	20 (T) 3 (L)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of patients with communicable diseases Demonstrate skill in barrier and reverse barrier techniques Demonstrate skill in execution of different isolation protocols	Nursing management of patients with Communicable diseases Overview of infectious diseases, the infectious process Nursing Assessment: History and Physical assessment, Diagnostic tests Tuberculosis Diarrhoeal diseases, hepatitis AE, Typhoid Herpes, chickenpox, Smallpox, Measles, Mumps, Influenza Meningitis Gas gangrene Leprosy Dengue, Plague, Malaria, Chikungunya, swine flu, Filariasis Diphtheria, Pertussis, Tetanus, Poliomyelitis COVID-19 Special infection control measures: Notification, Isolation, Quarantine, Immunization	Lecture, discussion, demonstration Practice session Case Discussion/seminar Health education Drug Book/presentation Refer TB Control& Management module	Prepares and submits protocol on various isolation techniques

Clinical Practicum

Clinical Practicum: 6 Credits (480 hours) - 18 weeks × 27 hours

Practice Competencies: On completion of the clinical practicum, the students will be able to apply nursing process and critical thinking in delivering holistic nursing care including rehabilitation to the adult patients undergoing surgery, with shock and fluid and electrolyte imbalance and with selected medical & surgical conditions i.e., Gastrointestinal, Respiratory, Endocrine, Orthopedic, Dermatology and Cardiovascular disorders.

The students will be competent to:

1. Utilize the nursing process in providing care to the sick adults in the hospital:

a. Perform complete health assessment to establish a data base for providing quality patient care.

b. Integrate the knowledge of diagnostic tests in the process of data collection.

c. Identify nursing diagnoses and list them according to priority.

d. Formulate nursing care plan, using problem solving approach.

e. Apply scientific principles while giving nursing care to patients.

f. Perform nursing procedures skillfully on patients.

g. Establish/develop interpersonal relationship with patients and family members.

h. Evaluate the expected outcomes and modify the plan according to the patient needs.

2. Provide comfort and safety to adult patients in the hospital.

3. Maintain safe environment for patients during hospitalization.

4. Explain nursing actions appropriately to the patients and family members.

5. Ensure patient safety while providing nursing procedures.

6. Assess the educational needs of the patient and their family related to medical and surgical disorders and provide appropriate health education to patients.

7. Provide pre, intra and post-operative care to patients undergoing surgery.

8. Integrate knowledge of pathology, nutrition and pharmacology for patients experiencing various medical and surgical disorders.

9. Integrate evidence-based information while giving nursing care to patients.

10. Demonstrate the awareness of legal and ethical issues in nursing practice.

I. Nursing Management Of Patients With Medical Conditions

A. Skill Lab

Use of manikins and simulators

B. Clinical Postings

Clinical area/unit

Duration (weeks)

Learning Outcomes

Procedural Competencies/ Clinical Skills

Clinical Requirements

Assessment Methods

General medical

Develop skill in intravenous injection administration and IV therapy

Assist with diagnostic procedures

Develop skill in the management of patients with Respiratory problems

Develop skill in managing patients with metabolic abnormality

Intravenous therapy

IV cannulation
IV maintenance and monitoring
Administration of IV medication

Care of patient with Central line
Preparation and assisting and monitoring of patients undergoing diagnostic procedures such as thoracentesis, Abdominal paracentesis

Management patients with respiratory problems
Administration of oxygen through mask, nasal prongs, venturi mask
Pulse oximetry
Nebulization
Chest physiotherapy
Postural drainage
Oropharyngeal suctioning
Care of patient with chest drainage
- Diet Planning
- High Protein diet
Diabetic diet
Insulin administration
Monitoring GRBS

Care Study - 1
Health education
Clinical presentation/ Care note) - 1

Clinical evaluation
OSCE
Care Study evaluation
Care Note/
Clinical presentation

II. Nursing Management Of Patients With Surgical Conditions

A. Skill Lab

Use of manikins and simulators

B. Clinical Postings

Clinical area/unit

Duration (weeks)

Learning Outcomes

Procedural Competencies/ Clinical Skills

Clinical Requirements

Assessment Methods

General surgical wards

Develop skill in caring for patients during pre- and post- operative period

Assist with diagnostic procedures

Develop skill in managing patient with Gastrointestinal Problems

Develop skill in wound management

Pre-Operative care
Immediate Post-operative care
Post-operative exercise
Pain assessment
Pain Management
Assisting diagnostic procedure and after care of patients undergoing

Colonoscopy
ERCP
Endoscopy
Liver Biopsy

Nagogastric aspiration
Gastrostomy/Jejunostomy feeds
IIeostomy/Colostomy care
Surgical dressing
Suture removal
Surgical soak
Sitz bath
Care of drain

Care study - 1
Health teaching

Clinical evaluation, OSCE
Care study
Care note/Clinical presentation

III. Nursing Management Of Patients With Cardiac Conditions

A. Skill Lab

Use of manikins and simulators

B. Clinical Postings

Clinical area/unit

Duration (weeks)

Learning Outcomes

Procedural Competencies/ Clinical Skills

Clinical Requirements

Assessment Methods

Cardiology wards

Develop skill in management of patients with cardiac problems

Develop skill in management of patients with disorders of Blood

Cardiac monitoring
Recording and interpreting ECG
Arterial blood gas analysis - interpretation
Administer cardiac drugs
Preparation and after care of patients for cardiac catheterization
CPR
Collection of blood sample for:
Blood grouping/cross matching
Blood sugar
Serum electrolytes
Assisting with blood transfusion
Assisting for bone marrow aspiration
Application of anti-embolism stockings (TED hose)
Application/maintenance of sequential Compression device

Cardiac assessment - 1
Drug presentation - 1

Clinical evaluation
Drug presentation

IV. Nursing Management Of Patients With Disorders Of Integumentary System

A. Skill Lab

Use of manikins and simulators

Application of topical medication

B. Clinical Postings

Clinical area/unit	Duration (weeks)	Learning Outcomes	Procedural Competencies/ Clinical Skills	Clinical Requirements	Assessment Methods
Dermatology wards	1	Develop skill in management of patients with disorders of integumentary system	Intradermal injection-Skin allergy testing Application of topical medication Medicated bath		Clinical evaluation

V. Nursing Management Of Patients With Communicable Diseases

A. Skill Lab

• Barrier Nursing

• Reverse Barrier Nursing

• Standard precautions

B. Clinical Postings

Clinical area/unit	Duration (weeks)	Learning Outcomes	Procedural Competencies/ Clinical Skills	Clinical Requirements	Assessment Methods
Isolation ward	1	Develop skill in the management of patients requiring isolation	Barrier Nursing Reverse barrier nursing Standard precautions (Universal precaution), use of PPE, needle stick and sharp injury prevention, Cleaning and disinfection, Respiratory hygiene, waste disposal and safe injection practices)	Care Note - 1	Clinical evaluation Care note

VI. Nursing Management Of Patients With Musculoskeletal Problems

A. Skill Lab

Use of manikins and simulators

• Muscle strengthening exercises

• Crutch walking

B. Clinical Postings

Clinical area/unit	Duration (weeks)	Learning Outcomes	Procedural Competencies/ Clinical Skills	Clinical Requirements	Assessment Methods
Orthopedic wards	2	Develop skill in management of patients with musculoskeletal problems	Preparation of patient with Myelogram/CT/MRI Assisting with application & removal of POP/Cast Preparation, assisting and after care of patient with Skin traction/skeletal traction Care of orthotics Muscle strengthening exercises Crutch walking Rehabilitation	Care Note - 1	Clinical evaluation, Care note

VII. Nursing Management Of Patients In The Operating Rooms

A. Skill Lab

Use of manikins and simulators

• Scrubbing, gowning and gloving

• Orient to instruments for common surgeries

• Orient to suture materials

• Positioning

B. Clinical Postings

Clinical area/unit	Duration (weeks)	Learning Outcomes	Procedural Competencies/ Clinical Skills	Clinical Requirements	Assessment Methods
Operation theatre	4	Develop skill in caring for intraoperative patients	Position and draping Preparation of operation table Set up of trolley with instrument Assisting in major and minor operation Disinfection and sterilization of equipment Scrubbing procedures - Gowning, masking and gloving Intra operative monitoring	Assist as circulatory nurse -4 Positioning & draping - 5 Assist as scrub nurse in major surgeries - 4 Assist as scrub nurse in minor surgeries - 4	Clinical evaluation OSCE

Pharmacology - II

including Fundamentals of Prescribing Module

Placement: IV Semester

Theory: 3 Credits (60 hours)

Description: This course is designed to enable students to acquire understanding of Pharmacodynamics, Pharmacokinetics, principles of therapeutics & nursing implications. Further it develops understanding of fundamental principles of prescribing in students.

Competencies: On completion of the course, the students will be able to

1. Explain the drugs used in the treatment of ear, nose, throat and eye disorders.

2. Explain the drugs used in the treatment of urinary system disorders.

3. Describe the drugs used in the treatment of nervous system disorders.

4. Explain the drugs used for hormonal replacement and for the pregnant women during antenatal, intra natal and postnatal period.

5. Explain the drugs used to treat emergency conditions and immune disorders.

6. Discuss the role and responsibilities of nurses towards safe administration of drugs used to treat disorders of various systems with basic understanding of pharmacology.

7. Demonstrate understanding about the drugs used in alternative system of medicine.

8. Demonstrate understanding about the fundamental principles of prescribing.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	4 (T)	Describe drugs used in disorders of ear, nose, throat and eye and nurses' responsibilities	Drugs used in disorders of ear, nose, throat & Eye Antihistamines Topical applications for eye (Chloramphenicol, Gentamycin eye drops), ear (Soda glycerin, boric spirit ear drops), nose and buccal cavitychlorhexidine mouthwash Composition, action, dosage, route, indications, contraindications, drug interactions, side effects, adverse effects, toxicity and role of nurse	Lecture cum Discussion Drug study/presentation	Short answer Objective type
II	4 (T)	Describe drugs acting on urinary system & nurse's responsibilities	Drugs used on urinary system Pharmacology of commonly used drugs Renin angiotensin system Diuretics and antidiuretics Drugs toxic to kidney Urinary antiseptics Treatment of UTI - acidifiers and alkalinizers Composition, action, dosage, route, indications, contraindications, Drug interactions, side effects, adverse effects toxicity and role of nurse	Lecture cum Discussion Drug study/presentation	Short answer Objective type
III	10 (T)	Describe drugs used on nervous system & nurse's responsibilities	Drugs acting on nervous system Basis & applied pharmacology of commonly used drugs Analgesics and anaesthetics Analgesics: Non-steroidal antiinflammatory (NSAID) drugs Antipyretics Opioids & other central analgesics ✓General (techniques of GA, pre anesthetic medication) & local anesthetics ✓Gases: oxygen, nitrous, oxide, carbon-dioxide & others Hypnotics and sedatives Skeletal muscle relaxants Antipsychotics Mood stabilizers Antidepressants Antianxiety Drugs Anticonvulsants Drugs for neurodegenerative disorders & miscellaneous drugs Stimulants, ethyl alcohol and treatment of methyl alcohol poisoning Composition, action, dosage, route, indications, contraindications, drug interactions, side effects, adverse effects toxicity and role of nurse	Lecture cum Discussion Drug study/presentation	Short answer Objective type
IV	5 (T)	Describe drugs used for hormonal disorder & supplementation, contraception & medical termination of pregnancy & nurse's responsibilities	Drugs used for hormonal, disorders and supplementation, contraception and medical termination of pregnancy Estrogens and progesterones Oral contraceptives and hormone replacement therapy Vaginal contraceptives Drugs for infertility and medical termination of pregnancy Uterine stimulants and relaxants Composition, actions dosage route indications contraindications, drugs interactions, side effects, adverse effects, toxicity and role of nurse	Lecture cum Discussion Drug study/presentation	Short answer Objective type
V	3 (T)	Develop understanding about important drugs used for women before, during and after labour	Drugs used for pregnant women during antenatal, labour and postnatal period Tetanus prophylaxis Iron and Vit K1 supplementation Oxytocin, Misoprostol Ergometrine Methyl prostaglandin F2-alpha Magnesium sulphate Calcium gluconate	Lecture cum Discussion Drug study/presentation	Short answer Objective type
VI	10 (T)	Describe drugs used in deaddication, emergency, poisoning, vitamins & minerals supplementation, drugs used for immunization & immune-suppression & nurse's responsibilities	Miscellaneous Drugs used for deaddiction Drugs used in CPR and emergencyadrenaline, Chlorpheniramine, hydrocortisone, Dexamethasone IV fluids & electrolytes replacement Common poisons, drugs used for treatment of poisoning Activated charcoal Ipecac Antidotes, Anti-snake venom (ASV) Vitamins and minerals supplementation Vaccines & sera (Universal immunization program schedules) Anticancer drugs: Chemotherapeutic drugs commonly used Immuno-suppressants and Immunostimulants	Lecture cum Discussion Drug study/presentation	Short answer Objective type
VII	4 (T)	Demonstrate awareness of common drugs used in alternative system of medicine	Introduction to drugs used in alternative systems of medicine Ayurveda, Homeopathy, Unani and Siddha etc. Drugs used for common ailments	Lecture cum Discussion Observational visit	Short answer Objective type
VIII	20 (T)	Demonstrate understanding about fundamental principles of prescribing	Fundamental principles of prescribing Prescriptive role of nurse practitioners: Introduction Legal and ethical issues related to prescribing Principles of prescribing Steps of prescribing Prescribing competencies	Completion of module on Fundamental principles of prescribing	Short answer Assignments evaluation

Pathology - II And Genetics

Placement: IV Semester

Theory: 1 Credit (20 hours) (Includes lab hours also)

Competencies: On completion of the course, the students will be able to

1. Apply the knowledge of pathology in understanding the deviations from normal to abnormal pathology

2. Rationalize the various laboratory investigations in diagnosing pathological disorders

3. Demonstrate the understanding of the methods of collection of blood, body cavity fluids, urine and feces for various tests

4. Apply the knowledge of genetics in understanding the various pathological disorders

5. Appreciate the various manifestations in patients with diagnosed genetic abnormalities

6. Rationalize the specific diagnostic tests in the detection of genetic abnormalities.

7. Demonstrate the understanding of various services related to genetics.

Course Outline

T - Theory

Unit

Time (Hrs)

Learning Outcomes

Content

Teaching/Learning Activities

Assessment Methods

5 (T)

Explain pathological changes in disease conditions of various systems

Special Pathology:

Pathological changes in disease conditions of selected systems

1. Kidneys and Urinary tract

Glomerulonephritis
Pyelonephritis
Renal calculi
Cystitis
Renal Cell Carcinoma
Renal Failure (Acute and Chronic)

2. Male genital systems

Cryptorchidism
Testicular atrophy
Prostatic hyperplasia
Carcinoma penis and Prostate.

3. Female genital system

Carcinoma cervix
Carcinoma of endometrium
Uterine fibroids
Vesicular mole and Choriocarcinoma
Ovarian cyst and tumors

4. Breast

Fibrocystic changes
Fibroadenoma
Carcinoma of the Breast

5. Central nervous system

Meningitis.
Encephalitis
Stroke
Tumors of CNS

Lecture
Discussion
Explain using slides, X-rays and scans
Visit to pathology lab, endoscopy unit and OT

Short answer
Objective type

5(T)

Describe the laboratory tests for examination of body cavity fluids, urine and faeces

Clinical Pathology

Examination of body cavity fluids:
- Methods of collection and examination of CSF and other body cavity fluids (sputum, wound discharge) specimen for various clinical pathology, biochemistry and microbiology tests
Analysis of semen:
- Sperm count, motility and morphology and their importance in infertility
Urine:
- Physical characteristics, Analysis, Culture and Sensitivity
Faeces:
- Characteristics
- Stool examination: Occult blood, Ova, Parasite and Cyst, Reducing substance etc.
- Methods and collection of urine and faeces for various tests

Lecture
Discussion
Visit to clinical lab and biochemistry lab

Short answer
Objective type

Genetics

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learniing Activities	Assessment Methods
I	2 (T)	Explain nature, principles and perspectives of heredity	Introduction: Practical application of genetics in nursing Impact of genetic condition on families Review of cellular division: mitosis and meiosis Characteristics and structure of genes Chromosomes: sex determination Chromosomal aberrations Patterns of inheritance Mendelian theory of inheritance Multiple allots and blood groups Sex linked inheritance Mechanism of inheritance Errors in transmission (mutation)	Lecture Discussion Explain using slides	Short answer Objective type
II	2(T)	Explain maternal, prenatal and genetic influences on development of defects and diseases	Maternal, prenatal and genetic influences on development of defects and diseases Conditions affecting the mother: genetic and infections Consanguinity atopy Prenatal nutrition and food allergies Maternal age Maternal drug therapy Prenatal testing and diagnosis Effect of Radiation, drugs and chemicals Infertility Spontaneous abortion Neural Tube Defects and the role of folic acid in lowering the risks Down syndrome (Trisomy 21)	Lecture Discussion Explain using slides	Short answer Objective type
III	2(T)	Explain the screening methods for genetic defects and diseases in neonates and children	Genetic testing in the neonates and children Screening for Congenital abnormalities Developmental delay Dysmorphism	Lecture Discussion Explain using slides	Short answer Objective type
IV	2(T)	Identify genetic disorders in adolescents and adults	Genetic conditions of adolescents and adults Cancer genetics: Familial cancer Inborn errors of metabolism Blood group alleles and hematological disorder Genetic haemochromatosis Huntington's disease Mental illness	Lecture Discussion Explain using slides	Short answer Objective type
V	2(T)	Describe the role of nurse in genetic services and counselling	Services related to genetics Genetic testing Gene therapy Genetic counseling Legal and Ethical issues Role of nurse	Lecture Discussion	Short answer Objective type

Adult Health Nursing - II With Integrated Pathophysiology including Geriatric Nursing And Palliative Care Module

Placement: IV Semester

Theory: 7 Credits (140 hours)

Practicum: Lab/Skill Lab (SL): 1 Credit (40 hours) Clinical: 6 Credits (480 hours)

Description: This course is designed to equip the students to review and apply their knowledge of Anatomy, Physiology, Biochemistry and Behavioral sciences in caring for adult patients with Medical/Surgical disorders using nursing process approach. It also intends to develop competencies required for assessment, diagnosis, treatment, nursing management, and supportive/palliative and rehabilitative care to adult patients with various Medical Surgical disorders.

Competencies: On completion of the course the students will apply nursing process and critical thinking in delivering holistic nursing care with selected Medical and Surgical conditions.

At the completion of Adult Health Nursing II course, students will

1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and complications of selected common medical and surgical disorders.

2. Perform complete health assessment to establish a data base for providing quality patient care and integrate the knowledge of diagnostic tests in the process of data collection.

3. Identify diagnoses, list them according to priority and formulate nursing care plan.

4. Perform nursing procedures skillfully and apply scientific principles while giving comprehensive nursing care to patients.

5. Integrate knowledge of anatomy, physiology, pathology, nutrition and pharmacology in caring for patients experiencing various medical and surgical disorders.

6. Identify common diagnostic measures related to the health problems with emphasis on nursing assessment and responsibilities.

7. Demonstrate skill in assisting/performing diagnostic and therapeutic procedures.

8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical disorders.

9. Identify the drugs used in treating patients with selected medical surgical conditions.

10. Plan and provide relevant individual and group education on significant medical surgical topics.

11. Maintain safe environment for patients and the health care personnel in the hospital.

Course Outline

T - Theory, L/SL - Lab/Skill Lab

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learniing Activities	Assessment Methods
I	12 (T) 4 (SL)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic measures and medical, surgical, nutritional and nursing management of patients with ENT disorders	Nursing management of patient with disorders of Ear, Nose and Throat (Includes etiology, pathophysiology, clinical manifestations, diagnostic measures and medical, surgical, nutritional and nursing management) Review of anatomy and physiology of the ear, nose and throat History, physical assessment, and diagnostic tests Ear External ear: deformities otalgia, foreign bodies and tumors Middle ear: impacted wax, tympanic, membrane perforation, otitis media, and tumors Inner ear: Meniere's disease, labyrinthitis, ototoxicity tumors Upper respiratory airway infections: Rhinitis, sinusitis, tonsillitis, laryngitis Epistaxis, Nasal obstruction, laryngeal obstruction Deafness and its management	Lecture and discussion Demonstration of hearing aids, nasal packing, medication administration Visit to audiology and speech clinic	MCQ Short answer Essay OSCE Assessment of skill (using checklist) Quiz Drug book
II	12(T) 4(SL)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic measures and management of patients with disorders of eye Describe eye donation, banking and transplantation	Nursing management of patient with disorder of eye Review of anatomy and physiology of the eye History, physical assessment, diagnostic assessment Eye Disorders Refractive errors Eyelids: infection, deformities Conjunctiva: inflammation and infection bleeding Cornea: inflammation and infection Lens: cataract Glaucoma Retinal detachment Blindness Eye donation, banking and transplantation	Lecture and discussion Demonstration of visual aids, lens, medication administration Visit to eye bank	MCQ Short Essay OSCE Drug book
III	15(T)4(L/SL)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of Kidney and urinary system disorders Demonstrate skill in genitourinary assessment Prepare patient for genitourinary investigations Prepare and provide health education on prevention of renal calculi	Nursing management of patient with Kidney and Urinary problems Review of Anatomy and physiology of the genitourinary system History, physical assessment, diagnostic tests Urinary tract infections: acute, chronic, lower, upper Nephritis, nephrotic syndrome Renal calculi Acute and chronic renal failure Disorders of ureter, urinary bladder and Urethra Disorders of prostate: inflammation, infection, stricture, obstruction, and Benign Prostate Hypertrophy	Lecture cum Discussion Demonstration Case Discussion Health education Drug book Field visit - Visits hemodialysis unit	MCQ Short Note Long essay Case report Submits health teaching on prevention of urinary calculi
IV	6(T)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of male reproductive disorders	Nursing management of disorders of male reproductive system Review of Anatomy and physiology of the male reproductive system History, Physical Assessment, Diagnostic tests Infections of testis, penis and adjacent structures: Phimosis, Epididymitis, andOrchitis Sexual dysfunction, infertility, contraception Male Breast Disorders: gynecomastia, tumor, climacteric changes	Lecture, Discussion Case Discussion Health education	Short essay
V	10 (T) 4 (SL)	Explain the etiology, pathophysiology, clinical manifestations, types, diagnostic measures and management of patients with disorders of burns/cosmetic surgeries and its significance	Nursing management of patient with burns, reconstructive and cosmetic surgery Review of anatomy and physiology of the skin and connective tissues History, physical assessment, assessment of burns and fluid & electrolyte loss Burns Reconstructive and cosmetic surgery for burns, congenital deformities, injuries and cosmetic purposes, gender reassignment Legal and ethical aspects Special therapies: LAD, vacuumed dressing. Laser, liposuction, skin health rejuvenation, use of derma filters	Lecture and discussion Demonstration of burn wound assessment, vacuum dressing and fluid calculations Visit to burn rehabilitation centers	OSCE Short notes
VI	16 (T) 4 (L/SL)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic measures and management of patients with neurological disorders	Nursing management of patient with neurological disorders Review of anatomy and physiology of the neurological system History, physical and neurological assessment, diagnostic tests Headache, Head injuries Spinal injuries: Paraplegia, Hemiplegia, Quadriplegia Spinal cord compression: herniation of in vertebral disc Intra cranial and cerebral aneurysms Meningitis, encephalitis, brain, abscess, neuro-cysticercosis Movement disorders: Chorea, Seizures & Epilepsies Cerebrovascular disorders: CVA Cranial, spinal neuropathies: Bell's palsy, trigeminal neuralgia Peripheral Neuropathies Degenerative diseases: Alzheimer's disease, Parkinson's disease Guillain-Barré syndrome, Myasthenia gravis & Multiple sclerosis Rehabilitation of patient with neurological deficit	Lecture and discussion Demonstration of physiotherapy, neuro assessment, tracheostomy care Visit to rehabilitation center, long term care clinics, EEG, NCV study unit,	OSCE Short notes Essay Drug book
VII	12 (T) 4 (L/SL)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic tests, and medical, surgical, nutritional, and nursing management of immunological disorders Prepare and provides health education on prevention of HIV infection and rehabilitation Describe the national infection control programs	Nursing management of patients with Immunological problems Review of Immune system Nursing Assessment: History and Physical assessment HIV & AIDS: Epidemiology, Transmission, Prevention of Transmission and management of HIV/AIDS Role of Nurse; Counseling, Health education and home care consideration and rehabilitation National AIDS Control Program - NACO, various national and international agencies for infection control	Lecture, discussion Case Discussion/ seminar Refer Module on HIV/AIDS
VIII	12 (T) 4 (L/SL)	Explain the etiology, pathophysiology, types, clinical manifestations, staging, diagnostic measures and management of patients with different cancer, treatment modalities including newer treatments	Nursing management of patient with Oncological conditions Structure and characteristics of normal and cancer cells History, physically assessment, diagnostic tests Prevention screening early detections warning sign of cancer Epidemiology, etiology classification, Pathophysiology, staging clinical manifestations, diagnosis, treatment modalities and medical and surgical nursing management of Oncological condition Common malignancies of various body system eye, ear, nose, larynx, breast, cervix, ovary, uterus, sarcoma, renal, bladder, kidney, prostate Brain, Spinal cord. Oncological emergencies Modalities of treatment: Chemotherapy, Radiotherapy: Radiation safety, AERB regulations, Surgical intervention, Stem cell and bone marrow transplant, Immunotherapy, Gene therapy Psychological aspects of cancer: anxiety, depression, insomnia, anger Supportive care Hospice care	Lecture and discussion Demonstration of chemotherapy preparation and administration Visit to BMT, radiotherapy units (linear accelerator, brachytherapy, etc.), nuclear medicine unit Completion of palliative care module during clinical hours (20 hours)	OSCE Essay Quiz Drug book Counseling, health teaching
IX	15(T)4(L/SL)	Explain the types, policies, guidelines, prevention and management of disaster and the etiology, pathophysiology, clinical manifestations, diagnostic measures and management of patients with acute emergencies	Nursing management of patient in Emergency and Disaster situations Disaster Nursing Concept and principles of disaster nursing, Related Policies Types of disaster: Natural and manmade Disaster preparedness: Team, guidelines, protocols, equipment, resources Etiology, classification, Pathophysiology, staging, clinical manifestation, diagnosis, treatment modalities and medical and surgical nursing management of patient with medical and surgical emergencies - Poly trauma, Bites, Poisoning and Thermal emergencies Principles of emergency management Medico legal aspects	Lecture and discussion Demonstration of disaster preparedness (Mock drill) and triaging Filed visit to local disaster management centers or demo by fire extinguishers Group presentation (role play, skit, concept mapping) on different emergency care Refer Trauma care management/ ATCN module Guided reading on National Disaster Management Authority (NDMA) guidelines	OSCE Case presentations and case study
X	10 (T)	Explain the Concept, physiological changes, and psychosocial problems of ageing Describe the nursing management of the elderly	Nursing care of the elderly History and physical assessment Aging process and age-related body changes and psychosocial aspects Stress and coping in elder patient Psychosocial and sexual abuse of elderly Role of family and formal and nonformal caregivers Use of aids and prosthesis (hearing aids, dentures) Legal and ethical issues National programs for elderly, privileges, community programs and health services Home and institutional care	Lecture and discussion Demonstration of communication with visual and hearing impaired Field visit to old age homes	OSCE Case presentations Assignment on family systems of India focusing on geriatric population
XI	15 (T) 8 (L/SL)	Explain the etiology, pathophysiology, clinical manifestations, diagnostic measures and management of patients in critical care units	Nursing management of patients in critical Care units Principles of critical care nursing Organization: physical set-up, policies, staffing norms Protocols, equipment and supplies Use and application of critical care biomedical equipment: ventilators, cardiac monitors, defibrillators, infusion pump, Resuscitation equipment and any other Advanced Cardiac Life support Nursing management of critically ill patient Transitional care Ethical and Legal Aspects Breaking Bad News to Patients and/or their families: Communication with patient and family End of life care	Lecture and discussion Demonstration on the use of mechanical ventilators, cardiac monitors etc. Clinical practice in different ICUs	Objective type Short notes Case presentations Assessment of skill on monitoring of patients in ICU. Written assignment on ethical and legal issues in critical care
XII	5 (T)	Describe the etiology, pathophysiology, clinical manifestations, diagnostic measures and management of patients with occupational/ industrial health disorders	Nursing management of patients occupational and industrial disorders History, physical examination, Diagnostic tests Occupational diseases and management	Lecture and discussion Industrial visit	Assignment on industrial health hazards

Clinical Practicum

Clinical Practicum: 6 Credits (480 Hours) - 20 weeks × 24 hours

Practice Competencies: On completion of the clinical practicum, the students will develop proficiency in applying nursing process and critical thinking in rendering holistic nursing care including rehabilitation to the adult/geriatric patients admitted in Critical Care Units, undergoing cosmetic and reconstructive surgery and with selected medical & surgical disorders of ear, nose, throat, eye, Genitourinary, reproductive, immunologic, nervous systems and in emergency/disaster conditions.

The students will be competent to

1. Utilize the nursing process in providing care to the sick adults in the hospital

I. Nursing Management of Patients with ENT Disorders

A. Skill Lab

Use of manikins and simulators

• Tracheostomy care

• Instilling Ear and Nasal medications

• Bandage application

B. Clinical Postings

Clinical area/Unit

Duration (weeks)

Learning Outcomes

Procedural Competencies/Clinical Skills

Clinical Requirement

Assessment Methods

ENT Ward and OPD

Provide care to patients with ENT disorders

Educate the patients and their families

Examination of ear, nose, throat and History taking
Applying bandages to Ear, Nose
Tracheostomy care
Preparation of patient, assisting and monitoring of patients undergoing diagnostic procedures
- Auditory screening tests
- Audiometric tests
Preparing the patient and assisting in special procedures like Anterior/ posterior nasal packing, Ear Packing and Syringing
Preparation and after care of patients undergoing ENT surgical procedures
Instillation of drops/medication

ENT assessment -1
Case study/Clinical presentation - 1

Clinical evaluation
OSCE
Case report study/Clinical presentation

II. Nursing Management of Patients with Eye Conditions

A. Skill Lab

Use of manikins and simulators

• Instilling Eye medications

• Eye irrigation

• Eye bandage

B. Clinical Postings

Clinical area/Unit

Duration (weeks)

Learning Outcomes

Procedural Competencies/Clinical Skills

Clinical Requirement

Assessment Methods

Ophthalmology unit

Develop skill in providing care to patients with Eye disorders

Educate the patients and their families

History taking, Examination of eyes and interpretation
Assisting procedures
- Visual acuity
- Fundoscopy, retinoscopy, ophthalmoscopy, tonometry,
- Refraction tests
Pre and post-operative care
Instillation of drops/ medication
Eye irrigation
Application of eye bandage
Assisting with foreign body removal

Eye assessment - 1
Health teaching
Case study/Clinical Presentation- 1

Clinical evaluation
OSCE
Clinical presentation

III. Nursing Management of Patients with Kidney and Urinary System Disorders

A. Skill Lab

Use of manikins and simulators

• Assessment: kidney & urinary system

• Preparation: dialysis

• Catheterization and care

B. Clinical Postings

Clinical area/Unit	Duration (weeks)	Learning Outcomes	Procedural Competencies/Clinical Skills	Clinical Requirement	Assessment Methods
Renal ward/nephrology ward including Dialysis unit	2	Develop skill in Management of patients with urinary, male reproductive problems	Assessment of kidney and urinary system History taking Physical examination Testicular self-examination digital rectal exam Preparation and assisting with diagnostic and therapeutic procedures Cystoscopy, Cystometrogram, Contrast studies: IVP etc. Peritoneal dialysis Hemodialysis, Lithotripsy Specific tests: Semen analysis, gonorreoea test, Renal/ Prostate Biopsy etc. Catheterization: care Bladder irrigation I/O recording and monitoring Ambulation and exercise	Assessment - 1 Drug presentation - 1 Care study/Clinical presentation - 1 Preparing and assisting in hemodialysis	Clinical evaluation Care plan OSCE Quiz Drug presentation

IV. Nursing Management of Patients with Burns and Reconstructive Surgery

A. Skill Lab

Use of manikins and simulators

• Assessment of burns wound

• Wound dressing

B. Clinical Postings

Clinical area/Unit

Duration (weeks)

Learning Outcomes

Procedural Competencies/Clinical Skills

Clinical Requirement

Assessment Methods

Burns unit/reconstructive surgical unit

Develop skill in burns assessment and providing care to patients with different types of burns

Develop skill in providing care to patients with different types of cosmetic and reconstructive surgeries

Assessment of burns
First aid of burns
Fluid & electrolyte replacement therapy
Skin care
Care of Burn wounds-
- Bathing
- Dressing
Pre-operative and postoperative care of patients
Caring of skin graft and post cosmetic surgery
Rehabilitation

burn wound assessment - 1
care study/case presentation - 1

Clinical evaluation,
Care study/case report

V. Nursing Management of Patients with neurological disorders

A. Skill Lab

Use of manikins and simulators

• Range of motion exercises

• Muscle strengthening exercises

• Crutch walking

B. Clinical Postings

Clinical area/Unit

Duration (weeks)

Learning Outcomes

Procedural Competencies/Clinical Skills

Clinical Requirement

Assessment Methods

Neurologymedica /

Surgery wards

Develop skill in Management of patients with Neurological problems

History taking; Neurological Examination
Patient monitoring
Prepare and assist for various invasive and non-invasive diagnostic procedures
Range of motion exercises, muscle strengthening
Care of medical, surgical and rehabilitative patients

Neuro- assessment-1
Case study/ case presentation - 1
Drug presentation - 1

Clinical evaluation
Neuro assessment
OSCE
Case report/presentations

VI. Nursing Management of Patients with Immunological Disorders

A. Skill Lab

• Barrier Nursing

• Reverse Barrier Nursing

B. Clinical Postings

Clinical area/Unit	Duration (weeks)	Learning Outcomes	Procedural Competencies/Clinical Skills	Clinical Requirement	Assessment Methods
Isolation ward/Medical ward	1	Develop skill in the Management of patients with immunological disorders	History taking Immunological status assessment (e.g. HIV) and Interpretation of specific tests Caring of patients with low immunity Practicing of standard safety measures, precautions/barrier nursing/reverse barrier/isolation skills	Assessment of immune status Teaching of isolation to patient and family care givers Nutritional management Care Note - 1	Care note Quiz Health Teaching

VII. Nursing Management of Patients with disorders of Oncological conditions

A. Skill Lab

Use of manikins and simulators

• Application of topical medication

• Administration of chemotherapy

B. Clinical Postings

Clinical area/Unit

Duration (weeks)

Learning Outcomes

Procedural Competencies/Clinical Skills

Clinical Requirement

Assessment Methods

Oncology wards (including day care radiotherapy unit)

Develop skill in providing care to patients with oncological disorders

History taking & physical examination of cancer patients
Screening for common cancers: TNM classification
Preparation, assisting and after care patients undergoing diagnostic procedures

- Biopsies/FNAC

- Pap smear

- Bone-marrow aspiration
Various modalities of treatment

- Chemotherapy

- Radiotherapy

- Pain management

- Stoma therapy

- Hormonal therapy

- Immuno therapy

- Gene therapy

- Alternative therapy

Stoma care and feeding
Caring of patients treated with nuclear medicine
Rehabilitation

Assessment - 1
Care study/ clinical presentation - 1
Pre and postoperative care of patient with various modes of cancer treatment
Teaching on BSE to family members
Visit to palliative care unit

Clinical evaluation
Care study
Quiz
Drug book

VIII. Nursing Management of Patients in emergency conditions

A. Skill Lab

Use of manikins and simulators

• Assessment: primary and secondary survey

• Trauma care: bandaging, wound care, splinting, positions

B. Clinical Postings

Clinical area/Unit	Duration (weeks)	Learning Outcomes	Procedural Competencies/Clinical Skills	Clinical Requirement	Assessment Methods
Emergency room/Emergency unit	2	Develop skill in providing care to patients with emergency health problems	Practicing triage' Primary and secondary survey in emergency Examination, investigations & their interpretations, in emergency & disaster situations Emergency care of medical and traumatic injury patients Documentations, assisting in legal procedures in emergency unit Managing crowd Counseling the patient and family in dealing with grieving & bereavement	Triage Immediate care Use of emergency trolley	Clinical evaluation Quiz

IX. Nursing Management of geriatric patients

A. Skill Lab

Use of manikins and simulators

• Use of assistive safety devices

B. Clinical Postings

Clinical area/Unit	Duration (weeks)	Learning Outcomes	Procedural Competencies/Clinical Skills	Clinical Requirement	Assessment Methods
Geriatric ward	1	Develops skill in geriatric assessment and providing care to patients with geriatric illness	History taking and assessment of Geriatric patient	Geriatric assessment - 1 Care of normal and geriatric patient with illness Fall risk assessment – 1 Functional status assessment - 1	Clinical evaluation Care plan

X. Nursing Management of Patients in critical care units

A. Skill Lab

Use of manikins and simulators

• Assessment critically ill

• ET tube set up -suction

• TT suction

• Ventilator set up

• Chest drainage

• Bag mask ventilation

• Central & Peripheral line

• Pacemaker

B. Clinical Postings

Clinical area/Unit

Duration (weeks)

Learning Outcomes

Procedural Competencies/Clinical Skills

Clinical Requirement

Assessment Methods

Critical Care Unit

Develop skill in assessment of critically ill and providing care to patients with critical health conditions

Assessment of critically ill patients
Assisting in arterial puncture, ET tube intubation & extubation
ABG analysis & interpretation - respiratory acidosis, respiratory alkalosis, metabolic acidosis, metabolic alkalosis
Setting up of Ventilator modes and settings and care of patient on a ventilator
Set up of trolley with instruments
Monitoring and maintenance of Chest drainage system
Bag and mask ventilation
Assisting and maintenance of Central and peripheral lines invasive
Setting up of infusion pump, defibrillator,
Drug administration-infusion, intracardic, intrathecal, epidural,

Monitoring pacemaker
ICU care bundle
Management of the dying patient in the ICU

Hemodynamic monitoring
Different scales used in ICU
Communicating with critically ill patients

Clinical evaluation
OSCE
RASS scale assessment
Use of VAE bundle VAP, CAUTI, BSI
Case Presentation

Professionalism, Professional Values & Ethics Including Bioethics

Placement: IV Semester

Theory: 1 Credit (20 hours)

Description: This course is designed to help students to develop an understanding of professionalism and demonstrate professional behavior in their workplace with ethics and professional values. Further the students will be able to identify ethical issues in nursing practice and participate effectively in ethical decision making along with health team members.

Competencies: On completion of this course, the students will be able to

1. Describe profession and professionalism.

2. Identify the challenges of professionalism.

3. Maintain respectful communication and relationship with other health team members, patients and society.

4. Demonstrate professional conduct.

5. Describe various regulatory bodies and professional organizations related to nursing.

6. Discuss the importance of professional values in patient care.

7. Explain the professional values and demonstrate appropriate professional values in nursing practice.

8. Demonstrate and reflect on the role and responsibilities in providing compassionate care in the healthcare setting.

9. Demonstrate respect, human dignity and privacy and confidentiality to self, patients and their caregivers and other health team members.

10. Advocate for patients' wellbeing, professional growth and advancing the profession.

11. Identify ethical and bioethical concerns, issues and dilemmas in nursing and healthcare.

12. Apply knowledge of ethics and bioethics in ethical decision making along with health team members.

13. Protect and respect patient's rights.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	5 (T)	Discuss nursing as a profession Describe the concepts and attributes of professionalism Identify the challenges of professionalism Maintain respectful communication and relationship with other health team members, patients and society Demonstrate professional conduct Respect and maintain professional boundaries between patients, colleagues and society Describe the roles and responsibilities of regulatory bodies and professional organizations	Professionalism Profession Definition of profession Criteria of a profession Nursing as a profession Professionalism Definition and characteristics of professionalism Concepts, attributes and indicators of professionalism Challenges of professionalism Personal identity vs professional identity Preservation of self-integrity: threat to integrity, Deceiving patient: withholding information and falsifying records Communication & Relationship with team members: Respectful and open communication and relationship pertaining to relevant interests for ethical decision making Relationship with patients and society Professional Conduct Following ethical principles Adhering to policies, rules and regulation of the institutions Professional etiquettes and behaviours Professional grooming: Uniform, Dress code Professional boundaries: Professional relationship with the patients, caregivers and team members Regulatory Bodies & Professional Organizations: Roles & Responsibilities Regulatory bodies: Indian Nursing Council, State Nursing Council Professional Organizations: Trained Nurses Association of India (TNAI), Student Nurses Association (SNA), Nurses League of Christian Medical Association of India, International Council of Nurses (ICN) and International Confederation of Midwives	Lecture cum Discussion Debate Role play Case based discussion Lecture cum Discussion Visit to INC, SNC, TNAI	Short answer Essay Objective type Visit reports
II	5 (T)	Discuss the importance of professional values Distinguish between personal values and professional values Demonstrate appropriate professional values in nursing practice	Professional Values Values: Definition and characteristics of values Value clarification Personal and professional values Professional socialization: Integration of professional values with personal values Professional values in nursing Importance of professional values in nursing and health care Caring: definition, and process Compassion: Sympathy Vs empathy, Altruism Conscientiousness Dedication/devotion to work Respect for the person- Human dignity Privacy and confidentiality: Incidental disclosure Honesty and integrity: Truth telling Trust and credibility: Fidelity, Loyalty Advocacy: Advocacy for patients, work environment, nursing education and practice, and for advancing the profession	Lecture cum Discussion Value clarification exercise Interactive learning Story telling Sharing experiences Scenario based discussion	Short answer Essay Assessment of student's behavior with patients and families
III	10 (T)	Define ethics & bioethics Explain ethical principles Identify ethical concerns Ethical issues and dilemmas in health care Explain process of ethical decision making and apply knowledge of ethics and bioethics in making ethical decisions Explain code of ethics stipulated by ICN and INC Discuss the rights of the patients and families to make decisions about health care Protect and respect patients' rights	Ethics & Bioethics Definitions: Ethics, Bioethics and Ethical Principles Beneficence Non-maleficence: Patient safety, protecting patient from harm, Reporting errors Justice: Treating each person as equal Care without discrimination, equitable access to care and safety of the public Autonomy: Respects patients' autonomy, Self-determination, Freedom of choice Ethical issues and ethical dilemma: Common ethical problems Conflict of interest Paternalism Deception Privacy and confidentiality Valid consent and refusal Allocation of scarce nursing resources Conflicts concerning new technologies Whistle-blowing Beginning of life issues Abortion Substance abuse Fetal therapy Selective deduction Intrauterine treatment of fetal conditions Mandated contraception Fetal injury Infertility treatment End of life issues End of life Euthanasia Do Not Resuscitate (DNR) Issues related to psychiatric care Non compliance Restrain and seclusion Refuse to take food Process of ethical decision making Assess the situation (collect information) Identify the ethical problem Identify the alternative decisions Choose the solution to the ethical decision Implement the decision Evaluate the decision Ethics committee: Roles and responsibilities Clinical decision making Research Code of Ethics International Council of Nurses (ICN) Indian Nursing Council Patients' Bill of Rights-17 patients' rights (MoH&FW, GoI) Right to emergency medical care Right to safety and quality care according to standards Right to preserve dignity Right to nondiscrimination Right to privacy and confidentiality Right to information Right to records and reports Right to informed consent Right to second opinion Right to patient education Right to choose alternative treatment options if available Right to choose source for obtaining medicines or tests Right to proper referral and transfer, which is free from perverse commercial influences Right to take discharge of patient or receive body of deceased from hospital Right to information on the rates to be charged by the hospital for each type of service provided and facilities available on a prominent display board and a brochure Right to protection for patients involved in clinical trials, biomedical and health research Right to be heard and seek redressal	Lecture cum discussion Group discussion with examples Flipping/ selfdirected learning Role play Story telling Sharing experiences Case based Clinical discussion Role modeling Group exercise on ethical decisionmaking following steps on a given scenario Assignment	Short answer Essay Quiz Reflective diary Case report Attitude test Assessment of assignment

Child Health Nursing - I

Placement: V Semester

Theory: 3 Credits (60 hours)

Practicum: Lab/Skill Lab: 1 Credit (40 hours) Clinical: 2 Credits (160 hours)

Description: This course is designed for developing an understanding of the modern approach to child-care, identification, prevention and nursing management of common health problems of neonates and children.

Competencies: On completion of the course, the students will be able to

1. Develop understanding of the history and modern concepts of child health and child-care.

2. Explore the national child welfare services, national programs and legislation in the light of National Health Policy 2017.

3. Describe the role of preventive pediatrics and perform preventive measures towards accidents.

4. Participate in national immunization programs/Universal Immunization Program (UIP).

5. Identify the developmental needs of children and provide parental guidance.

6. Describe the principles of child health nursing and perform child health nursing procedures.

7. Demonstrate competencies in newborn assessment, planning and implementation of care to normal and high-risk newborn including neonatal resuscitation.

8. Apply the principles and strategies of Integrated management of neonatal and childhood illness (IMNCI).

9. Apply the knowledge of pathophysiology and provide nursing care to children with respiratory system disorders.

10. Identify and meet childhood emergencies and perform child CPR.

Course Outline

T - Theory, L/SL - Lab/Skill Lab

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	10 (T) 10 (L)	Explain the modern concept of child-care Describe National policy, programs and legislation in relation to child health & welfare Describe role of preventive pediatrics List major causes of death during infancy, early & late childhood Differentiate between an adult and child in terms of illness and response Describe the major functions & role of the pediatric nurse in caring for a hospitalized child. Describe the principles of child health nursing and perform child health nursing procedures	Introduction: Modern concepts of childcare Historical development of child health Philosophy and modern concept of child-care Cultural and religious considerations in child-care National policy and legislations in relation to child health and welfare National programs and agencies related to welfare services to the children Internationally accepted rights of the child Changing trends in hospital care, preventive, promotive and curative aspect of child health Preventive pediatrics: Concept Immunization Immunization programs and cold chain. Care of under-five and Under-five Clinics/Well-baby clinics Preventive measures towards accidents Child morbidity and mortality rates Difference between an adult and child which affect response to illness Physiological Psychological Social Immunological Hospital environment for sick child Impact of hospitalization on the child and family Communication techniques for children Grief and bereavement The role of a child health nurse in caring for a hospitalized child Principles of pre and postoperative care of infants and children. Child Health Nursing procedures: Administration of medication: oral, I/M, & I/V Calculation of fluid requirement Application of restraints Assessment of pain in children. FACES pain rating scale FLACC scale Numerical scale	Lecture Discussion Demonstration of common pediatric procedures	Short answer Objective type Assessment of skills with checklist
II	12 (T)	Describe the normal growth and development of children at different ages Identify the needs of children at different ages & provide parental guidance Identify the nutritional needs of children at different ages & ways of meeting needs Identify the role of play for normal & sick children	The Healthy Child Definition and principles of growth and development Factors affecting growth and development Growth and development from birth to adolescence Growth and developmental theories (Freud, Erickson, Jean Piaget, Kohlberg) The needs of normal children through the stages of developmental and parental guidance Nutritional needs of children and infants - breast feeding - exclusive breast feeding - Supplementary/artificial feeding and weaning Baby friendly hospital concept Types and value of play and selection of play material	Lecture Discussion Demonstration Developmental study of infant and children Observation study of normal & sick child Field visit to Anganwadi, child guidance clinic Videos on breast feeding Clinical practice/field Refer/consult MAA Mothers Absolute Affection Program for Breast Feeding module (National guidelines)	Short answer Objective type Assessment of field visits and developmental study reports
III	15 (T) 20 (L)	Provide care to normal and high- risk neonates Perform neonatal resuscitation Recognize and manage common neonatal problems	Nursing care of neonate: Appraisal of Newborn Nursing care of a normal newborn/essential newborn care Neonatal resuscitation Nursing management of low birth weight baby Kangaroo mother care Nursing management of common neonatal disorder - Hyperbilirubinemia - Hypothermia - Hyperthermia - Metabolic disorder - Neonatal infections - Neonatal seizures - Respiratory distress syndrome - Retinopathy of Prematurity Organization of neonatal care unit Neonatal equipment	Modular based teaching: ENBC and FBNC module (oral drills, videos, self-evaluation exercises) Workshop on neonatal resuscitation: NRP module Demonstration Practice Session Clinical practice Lecture Discussion	OSCE Short answer Objective type
IV	10 (T) 5 (L)	Apply principles and strategies of IMNCI	Integrated management of neonatal and childhood Illnesses	Modular based teaching: IMNCI module Clinical practice/field	OSCE
V	8 (T)	Describe the etiology, pathophysiology, clinical manifestation and nursing management of children with disorders of respiratory, and endocrine system	Nursing management in common childhood diseases Respiratory system: Identification and Nursing management of congenital malformations Congenital disorders: Tracheoesophageal fistula, Diaphragmatic hernia Others: Acute naso-pharyngitis, Tonsillitis, Croup, Bronchitis, Bronchiolitis, Pneumonia, Asthma Endocrine system: Juvenile Diabetes mellitus, Hypo-thyroidism	Lecture Discussion Demonstration Practice session Clinical practice	Short answer Objective type Assessment of skills with checklist
VI	5 (T)	Develop ability to meet child- hood emergencies and perform child CPR	Childhood emergencies Accidents - causes and prevention, Poisoning, Foreign bodies, Hemorrhage, Burns and Drowning PLS (AHA Guidelines)	Lecture Discussion Demonstration PLS Module/ Workshop	OSCE

Child Health Nursing - I & II Clinical (3 Credits - 240 hours)

Placement: V & VI Semester

Practicum: Skill Lab: 1 Credit (40 hours)

Clinical: V Semester - 2 Credits (160 hours)

VI Semester - 1 Credit (80 hours)

Practice Competencies: On completion of the course, the students will be able to

1. Perform assessment of children: health, developmental & anthropometric.

2. Provide nursing care to children with various medical disorders.

3. Provide pre & postoperative care to children with common pediatric surgical conditions/ malformation.

4. Perform immunization as per NIS.

5. Provide nursing care to critically ill children.

6. Give health education/nutritional education to parents.

7. Counsel parents according to identified counseling needs.

Skill Lab

Use of Manikins and Simulators

PLS, CPAP, Endotracheal Suction

Pediatric Nursing Procedures:

• Administration of medication - Oral, IM & IV

• Oxygen administration

• Application of restraints

• Specimen collection

• Urinary catheterization and drainage

• Ostomy care

• Feeding - NG, gastrostomy, Jejunostomy

• Wound dressing

• Suture removal

Clinical Postings

8 weeks × 30 hours per week (5 weeks + 3 weeks)

Clinical area/unit	Duration (Weeks)	Learning Outcomes	Procedural Competencies/Clinical Skills	Clinical Requirements	Assessment Methods
Pediatric Medical Ward	V Sem - 2 weeks VI Sem - 1 week	Provide nursing care to children with various medical disorders	Taking pediatric history Physical examination & assessment of children Administration of oral, I/M, & I/V medicine/fluids Calculation of fluid replacement Preparation of different strengths of I/V fluids Application of restraints Administration of O2 inhalation by different methods Baby bath/sponge bath Feeding children by Katori spoon, Paladai cup Collection of specimens for common investigations Assisting with common diagnostic procedures Teaching mothers/ parents Malnutrition Oral rehydration therapy Feeding & Weaning Immunization schedule Play therapy	Nursing care plan - 1 Case study presentation - 1 Health talk - 1	Assess performance with rating scale Assess each skill with checklist OSCE/OSPE Evaluation of case study/ presentation & health education session Completion of activity record
Pediatric Surgical Ward	V Sem - 2 weeks VI Sem - 1 week	Recognize different pediatric surgical conditions/malformations Provide pre & post-operative care to children with common paediatric surgical conditions/malformation Counsel & educate parents	Calculation, preparation & administration of I/V fluids Bowel wash, insertion of suppositories Care for ostomies: Colostomy Irrigation Ureterostomy Gastrostomy Enterostomy Urinary catheterization & drainage Feeding Naso-gastric Gastrostomy Jejunostomy Care of surgical wounds Dressing Suture removal	Nursing care plan - 1 Case study/ presentation - 1	Assess performance with rating scale Assess each skill with checklistOSCE/OSPE Evaluation of case study/presentation Completion of activity record
Pediatric OPD/ Immunization room	V Sem - 1 week	Perform assessment of children: health, developmental & anthropometric Perform immunization Give health education/nutritional education	Assessment of children Health assessment Developmental assessment Anthropometric assessment Nutritional assessment Immunization Health/Nutritional education	Growth and developmental study: Infant - 1 Toddler - 1 Preschooler - 1 Schooler - 1 Adolescent - 1	Assess performance with rating scale Completion of activity record.
NICU & PICU	VI Sem - 1 week	Provide nursing care to critically ill children	Care of a baby in incubator/warmer Care of a child on ventilator, CPAP Endotracheal Suction Chest Physiotherapy Administration of fluids with infusion pumps Total Parenteral Nutrition Phototherapy Monitoring of babies Recording & reporting Cardiopulmonary Resuscitation (PLS)	Newborn assessment - 1 Nursing Care Plan - 1	Assess performance with rating scale Evaluation of observation report Completion of activity record

Mental Health Nursing - I

Placement: V Semester

Theory: 3 Credits (60 hours)

Practicum: Clinical: 1 Credit (80 hours)

Description: This course is designed to develop basic understanding of the principles and standards of mental health nursing and skill in application of nursing process in assessment and care of patients with mental health disorders.

Competencies: On completion of the course, the students will be competent to

1. Trace the historical development of mental health nursing and discuss its scope.

2. Identify the classification of the mental disorders.

3. Develop basic understanding of the principles and concepts of mental health nursing.

4. Apply the Indian Nursing Council practice standards for psychiatric mental health nursing in supervised clinical settings.

5. Conduct mental health assessment.

6. Identify and maintain therapeutic communication and nurse patient relationship.

7. Demonstrate knowledge of the various treatment modalities and therapies used in mental disorders.

8. Apply nursing process in delivering care to patients with mental disorders.

9. Provide nursing care to patients with schizophrenia and other psychotic disorders based on assessment findings and treatment/therapies used.

10. Provide nursing care to patients with mood disorders based on assessment findings and treatment/therapies used.

11. Provide nursing care to patients with neurotic disorders based on assessment findings and treatment/ therapies used.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	6 (T)	Describe the historical development & current trends in mental health nursing Discuss the scope of mental health nursing Describe the concept of normal & abnormal behaviour	Introduction Perspectives of Mental Health and Mental Health Nursing, evolution of mental health services, treatments and nursing practices Mental health team Nature & scope of mental health nursing Role & functions of mental health nurse in various settings and factors affecting the level of nursing practice Concepts of normal and abnormal behaviour	Lecture cum Discussion	Essay Short answer
II	10 (T)	Define the various terms used in mental health Nursing Explain the classification of mental disorders Explain the psychodynamics of maladaptive behaviour Discuss the etiological factors & psychopathology of mental disorders Explain the principles and standards of Mental health Nursing Describe the conceptual models of mental health nursing	Principles and Concepts of Mental Health Nursing Definition: mental health nursing and terminology used Classification of mental disorders: ICD11, DSM5, Geropsychiatry manual classification Review of personality development, defense mechanisms Etiology bio-psycho-social factors Psychopathology of mental disorders: review of structure and function of brain, limbic system and abnormal neurotransmission Principles of Mental health Nursing Ethics and responsibilities Practice Standards for Psychiatric Mental Health Nursing (INC practice standards) Conceptual models and the role of nurse: Existential model Psychoanalytical models Behavioural model Interpersonal model Preventive psychiatry and rehabilitation	Lecture cum Discussion Explain using Charts Review of personality development	Essay Short answer
III	6 (T)	Describe nature, purpose and process of assessment of mental health status	Mental Health Assessment History taking Mental status examination Mini mental status examination Neurological examination Investigations: Related Blood chemistry, EEG, CT & MRI Psychological tests	Lecture cum Discussion Demonstration Practice session Clinical practice	Essay Short answer Assessment of mental health status
IV	6 (T)	Identify therapeutic communication & techniques Describe therapeutic relationship Describe therapeutic impasses and its interventions	Therapeutic Communication and Nurse - Patient Relationship Therapeutic communication: Types, techniques, characteristics and barriers Therapeutic nurse-patient relationship Interpersonal relationship- Elements of nurse patient contract, Review of technique of IPR- Johari window Therapeutic impasse and its management	Lecture cum Discussion Demonstration Role Play Process recording Simulation (video)	Essay Short answer OSCE
V	10 (T)	Explain treatment modalities and therapies used in mental disorders and role of the nurse	Treatment modalities and therapies used in mental disorders Physical therapies: Psychopharmacology, Electro Convulsive therapy Psychological Therapies: Psychotherapy, Behaviour therapy, CBT Psychosocial: Group therapy, Family therapy, Therapeutic Community, Recreational therapy, Art therapy (Dance, Music etc), Occupational therapy Alternative & Complementary: Yoga, Meditation, Relaxation Consideration for special populations	Lecture cum Discussion Demonstration Group work Practice session Clinical practice	Essay Short answer Objective type
VI	8 (T)	Describe the etiology, psycho-dynamics/pathology, clinical manifestations, diagnostic criteria and management of patients with Schizophrenia, and other psychotic disorders	Nursing management of patient with Schizophrenia, and other psychotic disorders Prevalence and incidence Classification Etiology, psychodynamics, clinical manifestation, diagnostic criteria/formulations Nursing process Nursing Assessment: History, Physical and mental assessment Treatment modalities and nursing management of patients with Schizophrenia and other psychotic disorders Geriatric considerations and considerations for special populations Follow up and home care and rehabilitation	Lecture and Discussion Case discussion Case presentation Clinical practice	Essay Short answer Assessment of patient management problems
VII	6 (T)	Describe the etiology, psycho-dynamics, clinical manifestations, diagnostic criteria and management of patients with mood disorders	Nursing management of patient with mood disorders Prevalence and incidence Mood disorders: Bipolar affective disorder, mania depression and dysthymia etc. Etiology, psycho dynamics, clinical manifestation, diagnosis Nursing Assessment History, Physical and mental assessment Treatment modalities and nursing management of patients with mood disorders Geriatric considerations/ considerations for special populations Follow-up and home care and rehabilitation	Lecture and Discussion Case discussion Case presentation Clinical practice	Essay Short answer Assessment of patient management problems
VIII	8 (T)	Describe the etiology, psycho-dynamics, clinical manifestations, diagnostic criteria and management of patients with neurotic, stress related and somatization disorders	Nursing management of patient with neurotic, stress related and somatisation disorders Prevalence and incidence classifications Anxiety disorders - OCD, PTSD, Somatoform disorders, Phobias, Disassociative and Conversion disorders Etiology, psychodynamics, clinical manifestation, diagnostic criteria/ formulations Nursing Assessment: History, Physical and mental assessment Treatment modalities and nursing management of patients with neurotic and stress related disorders Geriatric considerations/ considerations for special populations Follow-up and home care and rehabilitation	Lecture and Discussion Case discussion Case presentation Clinical practice	Essay Short answer Assessment of patient management problems

Clinical Practicum

Mental Health Nursing - I & II

Placement: Semester V & VI

Mental Health Nursing - I - 1 Credit (80 hours)

Mental Health Nursing - II - 2 Credits (160 hours)

Practice Competencies: On completion of the course, the students will be able to:

1. Assess patients with mental health problems/disorders

2. Observe and assist in various treatment modalities or therapies

3. Counsel and educate patients and families

4. Perform individual and group psychoeducation

5. Provide nursing care to patients with mental health problems/disorders

6. Motivate patients in the community for early treatment and follow up

7. Observe the assessment and care of patients with substance abuse disorders in deaddiction centre.

Clinical Postings

(8 weeks × 30 hours per week = 240 hours)

Clinical Area/Unit	Duration (Weeks)	Learning Outcomes	Skills/Procedural Competencies	Clinical Requirements	Assessment Methods
Psychiatric OPD	2	Assess patients with mental health problems Observe and assist in therapies Counsel and educate patients, and families	History taking Perform mental status examination (MSE) Observe/practice Psychometric assessment Perform Neurological examination Observing and assisting in therapies Individual and group psychoeducation Mental hygiene practice education Family psycho-education	History taking and Mental status examination - 2 Health education - 1 Observation report of OPD	Assess performance with rating scale Assess each skill with checklist Evaluation of health education Assessment of observation report Completion of activity record
Child Guidance clinic	1	Assess children with various mental health problems Counsel and educate children, families and significant others	History & mental status examination Observe/practice psychometric assessment Observe and assist in various therapies Parental teaching for child with mental deficiency	Case work - 1 Observation report of different therapies - 1	Assess performance with rating scale Assess each skill with checklist Evaluation of the observation report
Inpatient ward	4	Assess patients with mental health problems Provide nursing care for patients with various mental health problems Assist in various therapies Counsel and educate patients, families and significant others	History taking Mental status examination(MSE) Neurological examination Assisting in psychometric assessment Recording therapeutic communication Administration of medications Assist Electro-Convulsive Therapy (ECT) Participating in all therapies Preparing patients for Activities of Daily Living (ADL) Conducting admission and discharge counselling Counseling and teaching patients and families	Give care to 2-3 patients with various mental disorders Case study – 1 Care plan Clinical presentation - 1 Process recording - 2 Maintain drug book	Assess performance with rating scale Assess each skill with checklist Evaluation of the case study, care plan, clinical presentation, process recording Completion of activity record
Community psychiatr & Deaddiction centre	1	Identify patients with various mental disorders Motivate patients for early treatment and follow up Assist in follow up clinic Counsel and educate patient, family and community Observe the assessment and care of patients at deaddiction centre	Conduct home visit and case work Identifying individuals with mental health problems Assisting in organizations of Mental Health camp Conducting awareness meetings for mental health & mental illness Counseling and Teaching family members, patients and community Observing deaddiction care	Case work - 1 Observation report on field visits Visit to deaddiction centre	Assess performance with rating scale Evaluation of case work and observation report Completion of activity record

Community Health Nursing - I

including Environmental Science & Epidemiology

Placement: V Semester

Theory: 5 Credits (100 hours) includes Lab hours also

Practicum: Clinical: 2 Credits (160 hours)

Description: This course is designed to help students develop broad perspectives of health, its determinants, about community health nursing and understanding about the health care delivery services, health care policies and regulations in India. It helps the students to develop knowledge and understanding of environmental science. It further helps them to apply the principles and concepts of BCC and health education for health promotion and maintenance of health within the community in wellness and illness continuum. It helps students to practice Community Health Nursing for the individuals, family and groups at rural, urban and tribal settings by applying principles of community health nursing and epidemiological approach. It also helps the students to develop knowledge and competencies required to screen, assess, diagnose, manage and refer clients appropriately in various health care settings. It prepares the students to provide primary healthcare to clients of all ages in the community, DH, PHC, CHC, SC/HWC and develop beginning skills in participating in all the National Health Programs.

Competencies: On completion of the course, the students will be able to

1. Explore the evolution of public health in India and community health nursing

2. Explain the concepts and determinants of health

3. Identify the levels of prevention and health problems of India

4. Develop basic understanding about the health care planning and the present health care delivery system in India at various levels

5. Locate the significance of primary health care and comprehensive primary health care as part of current health care delivery system focus

6. Discuss health care policies and regulations in India

7. Demonstrate understanding about an overview of environmental science, environmental health and sanitation

8. Demonstrate skill in nutritional assessment for different age groups in the community and provide appropriate nutritional counseling

9. Provide health education to individuals and families applying the principles and techniques of behavior change appropriate to community settings

10. Describe community health nursing approaches and concepts

11. Describe the role and responsibilities of community health nursing personnel

12. Utilize the knowledge and skills in providing comprehensive primary health care across the life span at various settings

13. Make effective home visits applying principles and methods used for home visiting

14. Use epidemiological approach in community diagnosis

15. Utilize the knowledge of epidemiology, epidemiological approaches in caring for people with communicable and noncommunicable diseases

16. Investigate an epidemic of communicable diseases

17. Assess, diagnose, manage and refer clients for various communicable and non- communicable diseases appropriately at the primary health care level

18. Identify and perform the roles and responsibilities of nurses in implementing various national health programs in the community for the prevention, control and management of communicable and non-communicable diseases particularly in screening, identification, primary management and referral to a health facility/First Referral Unit (FRU)

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	4 (T)	Define public health, community health and community health nursing Explain the evolution of public health in India and scope of community health nursing Explain various concepts of health and disease, dimensions and determinants of health Explain the natural history of disease and levels of prevention Discuss the health problems of India	Concepts of Community Health and Community Health Nursing Definition of public health, community health and community health nursing Public health in India and its evolution and Scope of community health nursing Review: Concepts of Health & Illness/ disease: Definition, dimensions and determinants of health and disease Natural history of disease Levels of prevention: Primary, Secondary & tertiary prevention - Review Health problems (Profile) of India	Lecture Discussion Explain using chart, graphs Community needs assessment (Field survey on identification of demographic characteristics, health determinants and resources of a rural and an urban community) Explain using examples	Short answer Essay Objective type Survey report
II	8 (T)	Describe health planning and its steps, and various health plans, and committees Discuss health care delivery system in India at various levels Describe SDGs, primary health care and comprehensive primary health care (CPHC) Explain health care policies and regulations in India	Health Care Planning and Organization of Health Care at various levels Health planning steps Health planning in India: various committees and commissions on health and family welfare and Five Year plans Participation of community and stakeholders in health planning Health care delivery system in India: Infrastructure and Health sectors, Delivery of health services at sub-centre (SC), PHC, CHC, District level, state level and national level Sustainable development goals (SDGs), Primary Health Care and Comprehensive Primary Health Care (CPHC): elements, principles CPHC through SC/Health Wellness Center (HWC) Role of MLHP/CHP National Health Care Policies and Regulations National Health Policy (1983, 2002, 2017) National Health Mission (NHM): National Rural Health Mission (NRHM), National Urban Health Mission (NUHM), NHM National Health Protection Mission (NHPM) Ayushman Bharat Universal Health Coverage	Lecture Discussion Field visits to CHC, PHC, SC/ Health Wellness Centers (HWC) Directed reading	Short answer Essay Evaluation of Field visit reports & presentation
III	15 (T)	Identify the role of an individual in the conservation of natural resources Describe ecosystem, its structure, types and functions Explain the classification, value and threats to biodiversity Enumerate the causes, effects and control measures of environmental pollution Discuss about climate change, global warming, acid rain, and ozone layer depletion Enumerate the role of an individual in creating awareness about the social issues related to environment List the Acts related to environmental protection and preservation Describe the concept of environmental health and sanitation Describe water conservation, rain water harvesting and water shed management Explain waste management	Environmental Science, Environmental Health, and Sanitation Natural resources: Renewable and nonrenewable resources, natural resources and associated problems: Forest resources, water resources, mineral resources, food resources, energy resources and land resources Role of individuals in conservation of natural resources, and equitable use of resources for sustainable lifestyles Ecosystem: Concept, structure and functions of ecosystems, Types & Characteristics - Forest ecosystem, Grassland ecosystem, Desert ecosystem, Aquatic ecosystem, Energy flow in ecosystem Biodiversity: Classification, value of bio-diversity, threats to biodiversity, conservation of biodiversity Environmental pollution: Introduction, causes, effects and control measures of Air pollution, Water pollution, Soil pollution, Marine pollution, Noise pollution, Thermal pollution, nuclear hazards & their impact on health Climate change, global warming: ex. heat wave, acid rain, ozone layer depletion, waste land reclamation & its impact on health Social issues and environment: sustainable development, urban problems related to energy, water and environmental ethics Acts related to environmental protection and preservation Environmental Health & Sanitation Concept of environment health and sanitation Concept of safe water, sources of water, waterborne diseases, water purification processes, household purification of water Physical and chemical standards of drinking water quality and tests for assessing bacteriological quality of water Concepts of water conservation: rain water harvesting and water shed management Solid waste management, human excreta disposal & management and sewage disposal and management Commonly used insecticides and pesticides	Lecture Discussion Debates on environmental protection and preservation Explain using Charts, graphs, Models, films, slides Directed reading Visits to water supply & purification sites Observe rain water harvesting plants Visit to sewage disposal and treatment sites, and waste disposal sites	Short answer Essay Field visit reports
IV	7 (T)	Describe the various nutrition assessment methods at the community level Plan and provide diet plans for all age groups including therapeutic diet Provide nutrition counseling and education to all age groups and describe the national nutrition programs and Identify early the food borne diseases, and perform initial management and referral appropriately	Nutrition Assessment and Nutrition Education Review of Nutrition Concepts, types Meal planning: aims, steps & diet plan for different age groups Nutrition assessment of individuals, families and community by using appropriate methods Planning suitable diet for individuals and families according to local availability of foods, dietary habits and economic status General nutritional advice Nutrition education: purpose, principles & methods and Rehabilitation Review: Nutritional deficiency disorders National nutritional policy & programs in India Food Borne Diseases and Food Safety Food borne diseases Definition, & burden, Causes and classification Signs & Symptoms Transmission of food borne pathogens & toxins Early identification, initial management and referral Food poisoning & food intoxication Epidemiological features/clinical characteristics, Types of food poisoning Food intoxication-features, preventive & control measures Public health response to food borne diseases	Lecture Discussion Demonstration Role play Market visit Nutritional assessment for different age groups Lecture Discussion Field visits to milk purification plants, slaughterhouse Refer Nutrition module-BPCCHN Block 2-unit I & UNIT 5	Performance assessment of nutrition assessment for different age groups Evaluation on nutritional assessment reports Short answer Essay Field visit reports
V	6 (T)	Describe behaviour change communication skills Counsel and provide health education to individuals, families and community for promotion of healthy life style practices using appropriate methods and media	Communication management and Health Education Behaviour change communication skills communication Human behaviour Health belief model: concepts & definition, ways to influence behaviour Steps of behaviour change Techniques of behaviour change: Guiding principles in planning BCC activity Steps of BCC Social and Behaviour Change Communication strategies (SBCC): techniques to collect social history from clients Barriers to effective communication, and methods to overcome them Health promotion and Health education: methods/techniques, and audio-visual aids	Lecture Discussion Role play Demonstration: BCC skills Supervised field practice Refer: BCC/SBCC module (MoHFW & USAID)	Short answer Essay Performance evaluation of health education sessions to individuals and families
VI	7 (T)	Describe community health nursing approaches and concepts Describe and identify the activities of community health nurse to promote and maintain family health through home visits	Community health nursing approaches, concepts, roles and responsibilities of community health nursing personnel Approaches: Nursing process Epidemiological approach Problem solving approach Evidence based approach Empowering people to care for themselves Review: Primary health care and Comprehensive Primary Health Care (CPHC) Home Visits: Concept, Principles, Process, & Techniques: Bag technique Qualities of Community Health Nurse Roles and responsibilities of community health nursing personnel in family health services Review: Principles & techniques of counseling	Lecture Discussion Demonstration Role plays Supervised field practice	Short answer Essays Assessment of supervised field practice
VII	10 (T)	Explain the specific activities of community health nurse in assisting individuals and groups to promote and maintain their health Provide primary care at home/ health centers (HWC) using standing orders/ protocols as per public health standards/approved by MoH&FW and INC regulation Develop skill in maintenance of records and reports Develop beginning skills in handling social issues affecting the health and development of the family Identify and assist the families to utilize the community resources appropriately	Assisting individuals and families to promote and maintain their health A. Assessment of individuals and families (Review from Child health nursing, Medical surgical nursing and OBG Nursing) Assessment of children, women, adolescents, elderly etc. Children: Monitoring growth and development, milestones Anthropometric measurements, BMI Social development Temperature and Blood pressure monitoring Menstrual cycle Breast self-examination (BSE) and testicles selfexamination (TSE) Warning Signs of various diseases Tests: Urine for sugar and albumin, blood sugar, Hemoglobin B. Provision of health services/primary health care: Routine check-up, Immunization, counseling, and diagnosis Management of common diseases at home and health centre level Care based on standing orders/protocols approved by MoH&FW Drugs dispensing and injections at health centre C. Continue medical care and follow up in community for various diseases/disabilities D. Carry out therapeutic procedures as prescribed/required for client and family E. Maintenance of health records and reports Maintenance of client records Maintenance of health records at the facility level Report writing and documentation of activities carried out during home visits, in the clinics/centers and field visits F. Sensitize and handle social issues affecting health and development of the family Women empowerment Women and child abuse Abuse of elders Female foeticide Commercial sex workers Substance abuse G. Utilize community resources for client and family Trauma services Old age homes Orphanages Homes for physically challenged individuals Homes for destitute Palliative care centres Hospice care centres Assisted living facility	Lecture Discussion Demonstration Role plays Document and maintain: Individual records Family records Health center records Field visits	Short answer Essay Assessment of clinical performance in the field practice area Assessment of procedural skills in lab procedures Evaluation of records and reports Evaluation of field visit reports
VIII	10 (T)	Describe the concepts, approaches and methods of epidemiology Investigate an epidemic of communicable disease	Introduction to Epidemiology – Epidemiological Approaches and Processes Epidemiology: Concept and Definition Distribution and frequency of disease Aims & uses of epidemiology Epidemiological models of causation of disease Concepts of disease transmission Modes of transmission: Direct, Indirect and chain of infection Time trends or fluctuations in disease occurrence Epidemiological approaches: Descriptive, analytical and experimental Principles of control measures/levels of prevention of disease Investigation of an epidemic of communicable disease Use of basic epidemiological tools to make community diagnosis for effective planning and intervention	Lecture Discussion Demonstration Role play Field visits: communicable disease hospital & Entomology office Investigation of an epidemic of communicable disease	Short answer Essay Report on visit to communicable disease hospital Report on visit to entomology office Report and presentation on investigating an epidemic of communicable disease
IX	15 (T)	Explain the epidemiology of specific communicable diseases Describe the various methods of prevention, control and management of communicable diseases and the role of nurses in screening, diagnosing, primary management and referral to a health facility Identify the national health programs relevant to communicable diseases and explain the role of nurses in implementation of these programs	Communicable Diseases and National Health Programs Communicable Diseases - Vector borne diseases (Every disease will be dealt under the following headlines) Epidemiology of the following vector born diseases Prevention & control measures Screening, and diagnosing the following conditions, primary management, referral and follow up Malaria Filaria Kala-azar Japanese encephalitis Dengue Chickungunya 2. Communicable diseases: Infectious diseases (Every disease will be dealt under the following headlines) Epidemiology of the following infectious diseases Prevention & Control measures Screening, diagnosing the following conditions, primary management, referral and follow up Leprosy Tuberculosis Vaccine preventable diseases - Diphtheria, whooping cough, tetanus, poliomyelitis and measles Enteric fever Viral hepatitis HIV/AIDS/RTI infections HIV/AIDS, and Sexually Transmitted Diseases/ Reproductive tract infection (STIs/RTIs) Diarrhoea Respiratory tract infections COVID-19 Helminthic - soil & food transmitted and parasitic infections-Scabies and pediculosis 3. Communicable diseases: Zoonotic diseases Epidemiology of Zoonotic diseases Prevention & control measures Screening and diagnosing the following conditions, primary management, referral and follow up Rabies: Identify, suspect, primary management and referral to a health facility Role of a nurses in control of communicable diseases National Health Programs UIP: Universal Immunization Program (Diphtheria, Whooping cough, Tetanus, Poliomyelitis, Measles and Hepatitis B) National Leprosy Eradication Program (NLEP) Revised National Tuberculosis Control Program (RNTCP) Integrated Disease Surveillance Program (IDSP): Enteric fever, Diarrhea, Respiratory infections and Scabies National Aids Control Organization (NACO) National Vector Borne Disease Control Program National Air Quality Monitoring Program Any other newly added program	Lecture Discussion, Demonstration Role play Suggested field visits Field practice Assessment of clients with communicable diseases	Field visit reports Assessment of family case study OSCE assessment Short answer Essay
X	15 (T)	Describe the national health program for the control of noncommunicable diseases and the role of nurses in screening, identification, primary management and referral to a health facility	Non-Communicable Diseases and National Health Program (NCD) National response to NCDs (Every disease will be dealt under the following headlines Epidemiology of specific diseases Prevention and control measures Screening, diagnosing/ identification and primary management, referral and follow up care NCD-1 Diabetes Mellitus Hypertension Cardiovascular diseases Stroke & Obesity Blindness: Categories of visual impairment and national program for control of blindness Deafness: national program for prevention and control of deafness Thyroid diseases Injury and accidents: Risk factors for Road traffic injuries and operational guidelines for trauma care facility on highways NCD-2 Cancers Cervical Cancer Breast Cancer Oral cancer Epidemiology of specific cancers, Risk factors/Causes, Prevention, Screening, diagnosis - signs, Signs & symptoms, and early management & referral Palliative care Role of a nurse in noncommunicable disease control program National Health Programs National program for prevention and control of cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) National program for control of blindness National program for prevention and control of deafness National tobacco control program Standard treatment protocols used in National Health Programs	Lecture Discussion Demonstration Role play Suggested field visits Field practice Assessment of clients with noncommunicable diseases Participation in national health programs	Field visit reports Assessment of family case study OSCE assessment Short answer Essay
XI	3 (T)	Enumerate the school health activities and the role functions of a school health nurse	School Health Services Objectives Health problems of school children Components of school health services Maintenance of school health recordsa Initiation and planning of school health services Role of a school health nurse	Lecture Discussion Demonstration Role play Suggested field visits Field practice	Short answer Essay Evaluation of health counseling to school children Screen, diagnose, manage and refer school children OSCE assessment

Note: Lab hours less than 1 Credit is not specified separately.

Clinical Practicum

Clinical: 2 Credits (160 hours)

Clinical Postings: (4 weeks × 40 hours per week)

Clinical Area/Unit

Duration (Weeks)

Learning Outcomes

Skills/Procedural Competencies

Clinical Requirements

Assessment Methods

Urban

Rural

2 weeks

Build and maintain rapport

Identify the socio-demographic characteristics, health determinants and resources of a rural and an urban community

Observe the functioning and document significant observations

Perform nutritional assessment and plan diet plan for adult

Educate individuals/family/community on

- Nutrition

- Hygiene

- Food hygiene

- Healthy lifestyle

-Health promotion

Perform health assessment for clients of various age groups

Maintain records and reports

Investigate epidemic of communicable disease

Identify prevalent communicable and noncommunicable diseases

Screen, diagnose, manage and refer clients with common health problems in the community and refer high risk clients using standing orders/protocols

Participate in implementation of national health programs

Participate in school health program

Interviewing skills using communication and interpersonal relationship

Conducting community needs assessment/survey to identify health determinants of a community

Observation skills

Nutritional assessment skills

Skill in teaching individual/family on:
- Nutrition, including food hygiene and safety
- Healthy lifestyle
- Health promotion

Health assessment including nutritional assessment for clients of different age groups

Documentation skills

Investigating an epidemic - Community health survey

Screening, diagnosing, primary management of common health problems in the community and referral of high-risk clients to FRUs

Conduct home visit

Participation in implementation of national health programs

Participation in school health program

Community needs assessment/ Survey - Rural/urban – 1 Field visits:
SC/HWC, PHC,CHC
Water resources & purification site - water quality standards
Rain water harvesting
Sewage disposa Observation of
milk diary
slaughterhouse - meat hygiene
Observation of nutrition programs
Visit to market
Nutritional assessment of an individual (adult) - 1
Health teaching (Adult) - 1
Use of audio-visual aids
- Flash cards
- Posters
- Flannel graph
- Flip charts
Health assessment of woman – 1, infant/under five – 1, adolescent – 1, adult - 1
Growth monitoring of under-five children - 1

Document and maintain:

Individual record
Family record
Health center record
Community health survey to investigate an epidemic – 1

Screening, diagnosing and primary management and referral:

Communicable disease - 1
Non- communicable diseases - 1
Home visits - 2
Participation in any two national health programs
Participation in school health program - 1

Evaluation of survey report

Evaluation of field visit and observation reports

Health talk evaluation

Assessment of clinical performance

Evaluations of reports & records

Clinical performance assessment

OSCE

Final clinical examination

Evaluation of home visit

Educational Technology/nursing Education

Placement: V Semester

Theory: 2 Credits (40 hours)

Practicum: Lab/Practical: 1 Credit (40 hours)

Description: This course is designed to help the students to develop knowledge, attitude and beginning competencies essential for applying basic principles of teaching and learning among individuals and groups both in educational and clinical settings. It also introduces basics of curriculum planning and organization. It further enables students to participate actively in team and collaborative learning.

Competencies: On completion of the course, the students will be competent to

1. Develop basic understanding of theoretical foundations and principles of teaching and learning

2. Identify the latest approaches to education and learning

3. Initiate self- assessment to identify one's own learning styles

4. Demonstrate understanding of various teaching styles that can be used, based on the learners' readiness and generational needs

5. Develop understanding of basics of curriculum planning, and organizing

6. Analyze and use different teaching methods effectively that are relevant to student population and settings

7. Make appropriate decisions in selection of teaching learning activities integrating basic principles

8. Utilize active learning strategies that enhance critical thinking, team learning and collaboration

9. Engage in team learning and collaboration through inter professional education

10. Integrate the principles of teaching and learning in selection and use of educational media/technology

11. Apply the principles of assessment in selection and use of assessment and evaluation strategies

12. Construct simple assessment tools/tests integrating cognitive, psychomotor and affective domains of learning that can measure knowledge and competence of students

13. Develop basic understanding of student guidance through mentoring and academic advising

14. Identify difficult situations, crisis and disciplinary/grievance issues experienced by students and provide appropriate counseling

15. Engage in ethical practice in educational as well as clinical settings based on values, principles and ethical standards

16. Develop basic understanding of evidence-based teaching practices

Course Outline

T - Theory, P - Practical (Laboratory)

Unit	Time (Hrs)		Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
Unit	T	P	Learning Outcomes	Content	Teaching/Learning Activities
I	6	3	Explain the definition, aims, types, approaches and scope of educational technology Compare and contrast the various educational philosophies Explain the teaching learning process, nature, characteristics and principles	Introduction and Theoretical Foundations: Education and educational technology Definition, aims Approaches and scope of educational technology Latest approaches to education: Transformational education Relationship based education Competency based education Educational philosophy: Definition of philosophy, education and philosophy Comparison of educational philosophies Philosophy of nursing education Teaching learning process: Definitions Teaching learning as a process Nature and characteristics of teaching and learning Principles of teaching and learning Barriers to teaching and learning Learning theories Latest approaches to learning Experiential learning Reflective learning Scenario based learning Simulation based learning Blended learning	Lecture cum discussion Group exercise: Create/discuss scenario-based exercise	Quiz Assessment of Assignment: Learning theories - analysis of any one
II	6	6	Identify essential qualities/attributes of a teacher Describe the teaching styles of faculty Explain the determinants of learning and initiates self-assessment to identify own learning style Identify the factors that motivate the learner Define curriculum and classify types Identify the factors influencing curriculum development Develop skill in writing learning outcomes, and lesson plan	Assessment and Planning Assessment of teacher Essential qualities of a teacher Teaching styles - Formal authority, demonstrator, facilitator, delegator Assessment of learner Types of learners Determinants of learning - learning needs, readiness to learn, learning styles Today's generation of learners and their skills and attributes Emotional intelligence of the learner Motivational factors - personal factors, environmental factors and support system Curriculum Planning Curriculum - definition, types Curriculum design - components, approaches Curriculum development - factors influencing curriculum development, facilitators and barriers Writing learning outcomes/behavioral objectives Basic principles of writing course plan, unit plan and lesson plan	Lecture cum discussion Self-assessment exercise: Identify your learning style using any learning style inventory (ex. Kolb's learning style inventory) Lecture cum discussion Individual/group exercise: Writing learning outcomes Preparation of a lesson plan	Short answer Objective type Assessment of Assignment: Individual/Group
III	8	15	Explain the principles and strategies of classroom management Describe different methods/strategies of teaching and develop beginning skill in using various teaching methods Explain active learning strategies and participate actively in team and collaborative learning	Implementation Teaching in Classroom and Skill lab -Teaching Methods Classroom management-principles and strategies Classroom communication Facilitators and Barriers to classroom communication Information communication technology (ICT) - ICT used in education Teaching methods - Features, advantages and disadvantages Lecture, Group discussion, microteaching Skill lab – simulations, Demonstration & re-demonstration Symposium, panel discussion, seminar, scientific workshop, exhibitions Role play, project Field trips Self-directed learning (SDL) Computer assisted learning One-to-one instruction Active learning strategies Team based learning Problem based learning Peer sharing Case study analysis Journaling Debate Gaming STYLE="font-weight: normal">Inter-professional education	Lecture cum Discussion Practice teaching/Micro teaching Exercise (Peer teaching) Patient teaching session Construction of game - puzzle Teaching in groups-interdisciplinary	Short answer Objective type Assessment of microteaching
IV	3	3	Enumerate the factors influencing selection of clinical learning experiences Develop skill in using different clinical teaching strategies	Teaching in the Clinical Setting -Teaching Methods Clinical learning environment Factors influencing selection of clinical learning experiences Practice model Characteristics of effective clinical teacher Writing clinical learning outcomes/practice competencies Clinical teaching strategies - patient assignment - clinical conference, clinical presentation/bedside clinic, Case study/care study, nursing rounds, concept mapping, project, debate, game, role play, PBL, questioning, written assignment, process recording	Lecture cum discussion Writing clinical outcomes - assignments in pairs	Short answer Assessment of written assignment
V	5	5	Explain the purpose, principles and steps in the use of media Categorize the different types of media and describe its advantages and disadvantages Develop skill in preparing and using media	Educational/Teaching Media Media use - Purpose, components, principles and steps Types of media Still visuals Non projected - drawings & diagrams, charts, graphs, posters, cartoons, board devices (chalk/white board, bulletin board, flannel board, flip charts, flash cards, still pictures/photographs, printed materials-handout, leaflet, brochure, flyer Projected - film stripes, microscope, power point slides, overhead projector Moving visuals Video learning resources - videotapes & DVD, blu-ray, USB flash drive Motion pictures/films Realia and models Real objects & Models Audio aids/audio media Audiotapes/Compact discs Radio & Tape recorder Public address system Digital audio Electronic media/computer learning resources Computers Web-based videoconferencing E-learning, Smart classroom Telecommunication (Distance education) Cable TV, satellite broadcasting, videoconferencing Telephones – Telehealth/ telenursing Mobile technology	Lecture cum discussion Preparation of different teaching aids - (Integrate with practice teaching sessions)	Short answer Objective type Assessment of the teaching media prepared
VI	5	3	Describe the purpose, scope, principles in selection of evaluation methods and barriers to evaluation Explain the guidelines to develop assessment tests Develop skill in construction of different tests Identify various clinical evaluation tools and demonstrate skill in selected tests	Assessment/Evaluation Methods/Strategies Purposes, scope and principles in selection of assessment methods and types Barriers to evaluation Guidelines to develop assessment tests Assessment of knowledge: Essay type questions, Short answer questions (SAQ) Multiple choice questions (MCQ - single response & multiple response) Assessment of skills: Clinical evaluation Observation (checklist, rating scales, videotapes) Written communication - progress notes, nursing care plans, process recording, written assignments Verbal communication (oral examination) Simulation Objective Structured Clinical Examination (OSCE) Self-evaluation Clinical portfolio, clinical logs Assessment of Attitude: Attitude scales Assessment tests for higher learning: Interpretive questions, hot spot questions, drag and drop and ordered response questions	Lecture cum discussion Exercise on constructing assessment tool/s	Short answer Objective type Assessment of tool/s prepared
VII	3	3	Explain the scope, purpose and principles of guidance Differentiate between guidance and counseling Describe the principles, types, and counseling process Develop basic skill of counseling and guidance Recognize the importance of preventive counseling and develop skill to respond to disciplinary problems and grievance among students	Guidance/academic advising, counseling and discipline Guidance Definition, objectives, scope, purpose and principles Roles of academic advisor/ faculty in guidance Counseling Difference between guidance and counseling Definition, objectives, scope, principles, types, process and steps of counseling Counseling skills/techniques - basics Roles of counselor Organization of counseling services Issues for counseling in nursing students Discipline and grievance in students Managing disciplinary/grievance problems - preventive guidance & counseling Role of students' grievance redressal cell/committee	Lecture cum discussion Role play on student counseling in different situations Assignment on identifying situations requiring counseling	Assessment of performance in role play scenario Evaluation of assignment
VIII	4	2	Recognize the importance of value-based education Develop skill in ethical decision making and maintain ethical standards for students Introduce knowledge of EBT and its application in nursing education	Ethics and Evidence Based Teaching (EBT) in Nursing Education Ethics - Review Definition of terms Value based education in nursing Value development strategies Ethical decision making Ethical standards for students Student-faculty relationship Evidence based teaching - Introduction Evidence based education process and its application to nursing education	Value clarification exercise Case study analysis (student encountered scenarios) and suggest ethical decision-making steps Lecture cum discussion	Short answer Evaluation of case study analysis Quiz - MCQ

Introduction To Forensic Nursing And Indian Laws

Placement: V Semester

Theory: 1 Credit (20 hours)

Description: This course is designed to help students to know the importance of forensic science in total patient care and to recognize forensic nursing as a specialty discipline in professional nursing practice.

Competencies: On completion of the course, the students will be able to

1. Identify forensic nursing as an emerging specialty in healthcare and nursing practice

2. Explore the history and scope of forensic nursing practice

3. Identify forensic team, role and responsibilities of forensic nurse in total care of victim of violence and in preservation of evidence

4. Develop basic understanding of the Indian judicial system and legal procedures

Course Outline

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	3 (T)	Describe the nature of forensic science and discus issues concerning violence	Forensic Science Definition History Importance in medical science Forensic Science Laboratory Violence Definition Epidemiology Source of data Sexual abuse - child and women	Lecture cum discussion Visit to Regional Forensic Science Laboratory	Quiz – MCQ Write visit report
II	2 (T)	Explain concepts of forensic nursing and scope of practice for forensic nurse	Forensic Nursing Definition History and development Scope - setting of practice, areas of practice and subspecialties Ethical issues Roles and responsibilities of nurse INC & SNC Acts	Lecture cum discussion	Short answer Objective type
III	7 (T)	Identify members of forensic team and describe role of forensic nurse	Forensic Team Members and their roles Comprehensive forensic nursing care of victim and family Physical aspects Psychosocial aspects Cultural and spiritual aspects Legal aspects Assist forensic team in care beyond scope of her practice Admission and discharge/referral/death of victim of violence Responsibilities of nurse as a witness Evidence preservation - role of nurses Observation Recognition Collection Preservation Documentation of Biological and other evidence related to criminal/traumatic event Forwarding biological samples for forensic examination	Lecture cum Discussion Hypothetical/real case presentation Observation of postmortem Visit to department of forensic medicine	Objective type Short answer Write report
IV	3 (T)	Describe fundamental rights and human rights commission	Introduction of Indian Constitution Fundamental Rights Rights of victim Rights of accused Human Rights Commission	Lecture cum discussion Written Assignment Visit to prison	Short answer Assessment of written assignment Write visit report
V	5 (T)	Explain Indian judicial system and laws Discuss the importance of POSCO Act	Sources of laws and law-making powers Overview of Indian Judicial System JMFC (Judicial Magistrate First Class) District State Apex Civil and Criminal Case Procedures IPC (Indian Penal Code) ICPC IE Act (Indian Evidence Act) Overview of POSCO Act	Lecture cum discussion Guided reading Lecture cum discussion	Quiz Short answer

Child Health Nursing - II

Placement: VI Semester

Theory: 2 Credits (40 hours)

Practicum: Clinical: 1 Credit (80 hours)

Competencies: On completion of the course, the students will be able to

1. Apply the knowledge of pathophysiology and provide nursing care to children with Cardiovascular, GI, genitourinary, nervous system disorders, orthopedic disorders, eye, ear and skin disorders and communicable diseases

2. Provide care to children with common behavioural, social and psychiatric problems

3. Manage challenged children

4. Identify the social and welfare services for challenged children

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	20 (T)	Describe the etiology, pathophysiology, clinical manifestation and nursing management of children with disorders of cardiovascular, gastrointestinal, genitourinary, and nervous system	Cardiovascular system: Identification and Nursing management of congenital malformations Congenital heart diseases: Cyanotic and Acyanotic (ASD,VSD, PDA,TOF) Others: Rheumatic fever and Rheumatic heart disease, Congestive cardiac failure Hematological conditions: (a) Congenital: Hemophilia, Thalassemia (b) Others: Anemia, Leukemia, Idiopathic thrombocytopenic purpura, Hodgkins and nonhodgkins lymphoma Gastro-intestinal system: Identification and Nursing management of congenital malformations. Congenital: Cleft lip, Cleft palate, Congenital hypertrophic pyloric stenosis, Hirschsprungs disease (Megacolon), Anorectal malformation, Malabsorption syndrome, Abdominal wall defects, Hernia Others: Gastroenteritis, Diarrhea, Vomiting, Protein energy malnutrition, Intestinal obstruction, Hepatic diseases, intestinal parasites Genitourinary urinary system: Identification and Nursing management of congenital malformations. Congenital: Wilms tumor, Extropy of bladder, Hypospadias, Epispadias, Obstructive uropathy Others: Nephrotic syndrome, Acute glomerulonephritis, renal failure Nervous system: Identification and Nursing management of congenital malformations (a) Congenital: Spina bifida, Hydrocephalous. (b) Others: Meningitis, Encephalitis, Convulsive disorders (convulsions and seizures), Cerebral palsy head injury	Lecture cum discussion Demonstration and practice session Refer/consult SAM operational guidelines on facility-based management of children with severe acute malnutrition.	Short answer Objective type Assessment of skills with checklist
II	10 (T)	Describe the etiology, pathophysiology, clinical manifestation and nursing management of children with Orthopedic disorders, eye, ear and skin disorders Explain the preventive measures and strategies for children with communicable diseases	Orthopedic disorders: Club foot Hip dislocation and Fracture Disorder of eye, ear and skin: Refractory errors Otitis media and Atopic dermatitis Communicable diseases in children, their identification/ diagnosis, nursing management in hospital, in home, control & prevention: Tuberculosis Diphtheria Tetanus Pertussis Poliomyelitis Measles Mumps, and Chickenpox HIV/AIDS Dengue fever COVID-19	Lecture cum discussion Demonstration Practice session Clinical practice	Short answer Objective type Assessment of skills with checklist
IV	10 (T)	Describe the management of children with behavioral & social problems Identify the social & welfare services for challenged children	Management of behavior and social problems in children Child Guidance clinic Common behavior disorders in children and management Enuresis and Encopresis Nervousness Nail biting Thumb sucking Temper tantrum Stealing Aggressiveness Juvenile delinquency School phobia Learning disability Psychiatric disorders in children and management Childhood schizophrenia Childhood depression Conversion reaction Posttraumatic stress disorder Autistic spectrum disorders Eating disorder in children and management Obesity Anorexia nervosa Bulimia Management of challenged children. Mentally Physically Socially Child abuse, Substance abuse Welfare services for challenged children in India	Lecture cum discussion Field visits to child guidance clinics, school for mentally & physically, socially challenged	Short answer Objective type Assessment of field reports

Child Health Nursing - II - Clinical Practicum (1 Credit - 80 hours)

Given under Child Health Nursing - I as I & II

Mental Health Nursing - II

Placement: VI Semester

Theory: 1 Credit (40 Hours)

Practicum: Clinical: 2 Credits (160 Hours)

Description: This course is designed to provide the students with basic understanding and skills essential to meet psychiatric emergencies and perform the role of community mental health nurse.

Competencies: On completion of the course, the students will be able to

1. Apply nursing process in providing care to patients with substance use disorders, and personality and sexual disorders.

2. Apply nursing process in providing care to patients with behavioural and emotional disorders occurring during childhood and adolescence.

3. Apply nursing process in providing care to patients with organic brain disorders.

4. Identify and respond to psychiatric emergencies.

5. Carry out crisis interventions during emergencies under supervision.

6. Perform admission and discharge procedures as per MHCA 2017.

7. Explore the roles and responsibilities of community mental health nurse in delivering community mental health services.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	6 (T)	Describe the etiology, psychodynamics, clinical manifestations, diagnostic criteria and management of patients with substance use disorders	Nursing Management of Patients with Substance Use Disorders Prevalence and incidence Commonly used psychotropic substance: classifications, forms, routes, action, intoxication and withdrawal Psychodynamics/etiology of substance use disorder (Terminologies: Substance Use, Abuse, Tolerance, Dependence, Withdrawal) Diagnostic criteria/formulations Nursing Assessment: History (substance history), Physical, mental assessment and drug and drug assay Treatment (detoxification, antabuse and narcotic antagonist therapy and harm reduction, Brief interventions, MET, refusal skills, maintenance therapy) and nursing management of patients with substance use disorders Special considerations for vulnerable population Follow-up and home care and rehabilitation	Lecture cum discussion Case discussion Case presentation Clinical practice	Essay Short answer Assessment of patient management problems
II	6 (T)	Describe the etiology, psychodynamics, clinical manifestations, diagnostic criteria and management of patients with personality, and sexual disorders	Nursing Management of Patient withPersonality and Sexual Disorders Prevalence and incidence Classification of disorders Etiology, psychopathology, characteristics, diagnosis Nursing Assessment: History, Physical and mental health assessment Treatment modalities and nursing management of patients with personality, and sexual disorders Geriatric considerations Follow-up and home care and rehabilitation	Lecture cum discussion Case discussion Case presentation Clinical practice	Essay Short answer Assessment of patient management problems
III	8 (T)	Describe the etiology, psychopathology, clinical manifestations, diagnostic criteria and management of childhood and adolescent disorders including mental deficiency	Nursing Management of Behavioural & Emotional Disorders occurring during Childhood and Adolescence (Intellectual disability, autism, attention deficit, hyperactive disorder, eating disorders, learning disorder) Prevalence and incidence Classifications Etiology, psychodynamics, Characteristics, diagnostic criteria/formulations Nursing Assessment: History, Physical, mental status examination and IQ assessment Treatment modalities and nursing management of childhood disorders including intellectual disability Follow-up and home care and rehabilitation	Lecture cum discussion Case discussion Case presentation Clinical practice	Essay Short answer Assessment of patient management problems
IV	5 (T)	Describe the etiology, psychopathology, clinical manifestations, diagnostic criteria and management of organic brain disorders.	Nursing Management of Organic Brain Disorders (Delirium, Dementia, amnestic disorders) Prevalence and incidence Classification Etiology, psychopathology, clinical features, diagnosis and Differential diagnosis Nursing Assessment: History, Physical, mental and neurological assessment Treatment modalities and nursing management of organic brain disorders Follow-up and home care and rehabilitation	Lecture cum discussion Case discussion Case presentation Clinical practice	Essay Short answer Assessment of patient management problems
V	6 (T)	Identify psychiatric emergencies and carry out crisis intervention	Psychiatric Emergencies and Crisis Intervention Types of psychiatric emergencies (attempted suicide, violence/ aggression, stupor, delirium tremens and other psychiatric emergencies) and their managements Maladaptive behaviour of individual and groups, stress, crisis and disaster(s) Types of crisis Crisis intervention: Principles, Techniques and Process - Stress reduction interventions as per stress adaptation model - Coping enhancement - Techniques of counseling	Lecture cum discussion Case discussion Case presentation Clinical practice	Short answer Objective type
VI	4 (T)	Explain legal aspects applied in mental health settings and role of the nurse	Legal Issues in Mental Health Nursing Overview of Indian Lunacy Act and The Mental Health Act 1987 (Protection of Children from Sexual Offence) POSCO Act Mental Health Care Act (MHCA) 2017 Rights of mentally ill clients Forensic psychiatry and nursing Acts related to narcotic and psychotropic substances and illegal drug trafficking Admission and discharge procedures as per MHCA 2017 Role and responsibilities of nurses in implementing MHCA 2017	Lecture cum discussion Case discussion	Short answer Objective type
VIII	5 (T)	Describe the model of preventive psychiatry Describe Community Mental health services and role of the nurse	Community Mental Health Nursing Development of Community Mental Health Services: National mental health policy viz. National Health Policy National Mental Health Program Institutionalization versus Deinstitutionalization Model of Preventive psychiatry Mental Health Services available at the primary, secondary, tertiary levels including rehabilitation and nurses' responsibilities Mental Health Agencies: Government and voluntary, National and International Mental health nursing issues for special populations: Children, Adolescence, Women Elderly, Victims of violence and abuse, Handicapped, HIV/AIDS etc.	Lecture cum discussion Clinical/ field practice Field visits to mental health service agencies	Short answer Objective type Assessment of the field visit reports

Clinical Practicum - 2 Credits (80 hours)

Clinical Practicum for Mental Health Nursing - I & II are given under Mental Health Nursing - I Clinical Practicum

Nursing Management And Leadership

Placement: VI Semester

Theory: 3 Credits (60 hours) includes Lab/Skill Lab hours also

Practicum: Clinical: 1 Credits (80 hours)

Description: This course is designed to enable students to acquire knowledge and competencies in areas of administration, and management of nursing services and education. Further prepares the students to develop leadership competencies and perform their role as effective leaders in an organization.

Competencies: On completion of the course, the students will be able to

1. Analyze the health care trends influencing development of nursing services and education in India.

2. Describe the principles, functions and process of management applied to nursing.

3. Develop basic understanding and beginning competencies in planning and organizing nursing services in a hospital.

4. Apply the concept of human resource management and identify the job description for all categories of nursing personnel including in service education.

5. Discuss the principles and methods of staffing and scheduling in an individual hospital/nursing unit.

6. Develop skill in management of materials and supplies including inventory control.

7. Develop team working and inter professional collaboration competencies.

8. Identify effective leadership styles and develop leadership competencies.

9. Utilize the knowledge of principles and line of control and participate in quality management and evaluation activities.

10. Utilize the knowledge related to financial planning in nursing services and education during budgetary process.

11. Apply the knowledge of nursing informatics in maintenance of records and reports relevant to patient information, nursing care and progress.

12. Demonstrate understanding of the INC guidelines for establishment and accreditation of educational institutions in terms of faculty norms, physical infrastructure and clinical facilities.

13. Demonstrate beginning competencies in planning, organizing and staffing at college including implementation and evaluation of curriculum.

14. Identify the legal issues and laws relevant to nursing practice and education.

15 Apply the knowledge and utilize the various opportunities for professional advancement.

Course Outline

T - Theory

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
I	1 (T)	Explore the health care, development of nursing services and education in India and trends	Health Care and Development of Nursing Services in India Current health care delivery system of India - review Planning and development of nursing services and education at global and national scenario Recent trends and issues of nursing service and management	Lecture cum discussion Directed reading and written assignment	Short answer Assessment of assignment
II	2 (T)	Explain the principles and functions of management applied to nursing Describe the introductory concepts of management as a process	Management Basics Applied to Nursing Definitions, concepts and theories of management Importance, features and levels of management Management and administration Functions of management Principles of management Role of a nurse as a manager Introduction to Management Process Planning Organizing Staffing Directing/Leading Controlling	Lecture and discussion	MCQ Short answer
			Management Of Nursing Services
III	4 (T)	Describe the essential elements of planningDiscuss the concepts of organizing including hospital organization	Planning Nursing Services Vision, Mission, philosophy, objectives Nursing service policies, procedures and manuals Functional and operational planning Strategic planning Program planning - Gantt chart & milestone chart Budgeting - concepts, principles, types, Budget proposal, cost benefit analysis Planning hospital and patient care unit (Ward) Planning for emergency and disaster	Lecture and Discussion Visit to specific hospital/ patient care units Demonstration of disaster drill in the respective setting	Formulate Mission & Vision Statement for the nursing department/unit Assessment of problemsolving exercises Visit Report
IV	4 (T)		Organizing Organizing as a process - assignment, delegation and coordination Hospital - types, functions & organization Organizational development Organizational structure Organizational charts Organizational effectiveness Hospital administration, Control & line of authority Hospital statistics including hospital utilization indices Nursing care delivery systems and trends Role of nurse in maintenance of effective organizational climate	Lecture cum discussion Comparison of organizational structure of various organizations Nursing care delivery systems - assignment Preparation of Organizational chart of hospital/ Nursing services	Short answer Assessment of assignment
V	6 (T)	Identify the significance of human resource management (HRM) and material management and discuss its elements Explain the procedural steps of material management Develop managerial skill in inventory control and actively participate in procurement process	Staffing (Human resource management) Definition, objectives, components and functions Staffing & Scheduling Staffing - Philosophy, staffing activities Recruiting, selecting, deployment Training, development, credentialing, retaining, promoting, transfer, terminating, superannuation Staffing units - Projecting staffing requirements/calculation of requirements of staff resources Nurse patient ratio, Nurse Population ratio as per SIU norms/IPH Norms, and Patient classification system Categories of nursing personnel including job description of all levels Assignment and nursing care responsibilities Turnover and absenteeism Staff welfare Discipline and grievances In-Service Education Nature and scope of in-service education program Principles of adult learning - review Planning and organizing in-service educational program Methods, techniques and evaluation Preparation of report Material Resource Management Procurement, purchasing process, inventory control & role of nurse Auditing and maintenance in hospital and patient care unit	Lecture and discussion Role play Games self-assessment, case discussion and practice session Calculation of staffing requirements for a specified ward Visit to inventory store of the institution	Formulate Job description at different levels of care & compare with existing system Preparation of duty roster Preparation of MMF/records Preparation of log book & condemnation documents Visit Report
VI	5 (T)	Describe the important methods of supervision and guidance	Directing and Leading Definition, principles, elements of directing Supervision and guidance Participatory management Inter-professional collaboration Management by objectives Team management Assignments, rotations Maintenance of discipline Leadership in management	Lecture and discussion Demonstration of record & report maintenance in specific wards/ departments	Assignment on Reports & Records maintained in nursing department/ Preparation of protocols and manuals
VII	4 (T)	Discuss the significance and changing trends of nursing leadership Analyze the different leadership styles and develop leadership competencies	Leadership Definition, concepts, and theories Leadership principles and competencies Leadership styles: Situational leadership, Transformational leadership Methods of leadership development Mentorship/preceptorship in nursing Delegation, power & politics, empowerment, mentoring and coaching Decision making and problem solving Conflict management and negotiation Implementing planned change	Lecture cum discussion Self-assessment Report on types of leadership adopted at different levels of health care in the given setting Problem solving/ Conflict management exercise Observation of managerial roles at different levels (middle level mangers-ward incharge, ANS)	Short answer Essay Assessment of exercise/report
VIII	4 (T)	Explain the process of controlling and its activities	Controlling Implementing standards, policies, procedures, protocols and practices Nursing performance audit, patient satisfaction Nursing rounds, Documentation - records and reports Total quality management - Quality assurance, Quality and safety Performance appraisal Program evaluation review technique (PERT) Bench marking, Activity plan (Gantt chart) Critical path analysis	Lecture cum discussion Preparation of policies/protocols for nursing units/department	Assessment of prepared protocols
IX	4 (T)	Explain the concepts of organizational behavior and group dynamics	Organizational Behavior and Human Relations Concepts and theories of organizational behavior Group dynamics Review - Interpersonal relationship Human relations Public relations in the context of nursing Relations with professional associations and employee unions Collective bargaining Review - Motivation and morale building Communication in the workplace - assertive communication Committees - importance in the organization, functioning	Lecture and discussion Role play/ exercise - Group dynamics & human relations	Short answer OSCE
X	2 (T)	Describe the financial management related to nursing services	Financial Management Definition, objectives, elements, functions, principles & scope of financial management Financial planning (budgeting for nursing department) Proposal, projecting requirement for staff, equipment and supplies for - Hospital & patient care units & emergency and disaster units Budget and Budgetary process Financial audit	Lecture cum discussion Budget proposal review Preparation of budget proposal for a specific department	Short answer Essay Assessment of assignment
XI	1 (T)	Review the concepts, principles and methods and use of nursing informatics	Nursing Informatics/ Information Management - Review Patient records Nursing records Use of computers in hospital, college and community Telemedicine & Tele nursing Electronic Medical Records (EMR), EHR	Review Practice session Visit to departments	Short answer
XII	1 (T)	Review personal management in terms of management of emotions, stress and resilience	Personal Management - Review Emotional intelligence Resilience building Stress and time management - destressing Career planning	Review Discussion
			Management Of Nursing Educational Institutions
XIII	4 (T)	Describe the process of establishing educational institutions and its accreditation guidelines	Establishment of Nursing Educational Institutions Indian Nursing Council norms and guidelines - Faculty norms, physical facilities, clinical facilities, curriculum implementation, and evaluation/examination guidelines Coordination with regulatory bodies - INC and State Nursing Council Accreditation - Inspections Affiliation with university/State council/board of examinations	Lecture and discussion Visit to one of the regulatory bodies	Visit report
XIV	4 (T)	Explain the planning and organizing functions of a nursing college	Planning and Organizing Philosophy, objectives and mission of the college Organization structure of school/college Review - Curriculum planning Planning teaching and learning experiences, clinical facilities - master plan, time table and clinical rotation Budget planning - faculty, staff, equipment & supplies, AV aids, Lab equipment, library books, journals, computers and maintenance Infrastructure facilities - college, classrooms, hostel, library, labs,computer lab, transport facilities Records & reports for students, staff, faculty and administrative Committees and functioning Clinical experiences	Directed reading – INC Curriculum Preparation of organizational structure of the college Written assignment - writing philosophy of a teaching department Preparation of master plan, time table and clinical rotation	Short answer Essay Assessment of assignment
XV	4 (T)	Develop understanding of staffing the college and selecting the students	Staffing and Student Selection Faculty/staff selection, recruitment and placement, job description Performance appraisal Faculty development Faculty/staff welfare Student recruitment, admission, clinical placement	Guided reading on faculty norms Faculty welfare activities report Writing job description of tutors	Short answer Activity report Assessment of job description
XVI	4 (T)	Analyze the leadership and management activities in an educational organization	Directing and Controlling Review - Curriculum implementation and evaluation Leadership and motivation, supervision - review Guidance and counseling Quality management - educational audit Program evaluation, evaluation of performance Maintaining discipline Institutional records and reports - administrative, faculty, staff and students	Review principles of evaluation Assignment - Identify disciplinary problems among students Writing student record	Short answer Assessment of assignment and record
XVII	4 (T)	Identify various legal issues and laws relevant to nursing practice	Professional Considerations Review - Legal and Ethical Issues Nursing as a profession - Characteristics of a professional nurse Nursing practice - philosophy, aim and objectives Regulatory bodies - INC and SNC constitution and functions Review - Professional ethics Code of ethics and professional conduct - INC & ICN Practice standards for nursing - INC International Council for Nurses (ICN) Legal aspects in nursing: Consumer protection act, patient rights Legal terms related to practice, legal system - types of law, tort law & liabilities Laws related to nursing practice - negligence, malpractice, breach, penalties Invasion of privacy, defamation of character Nursing regulatory mechanisms - registration, licensure, renewal, accreditation, nurse practice act, regulation for nurse practitioner/specialist nursing practice
XVIII	2 (T)	Explain various opportunities for professional advancement	Professional Advancement Continuing Nursing Education Career opportunities Membership with professional organizations - national and international Participation in research activities Publications - journals, newspaper	Prepare journal list available in India Write an article - research/clinical	Assessment of assignments Note:

Note: Less than 1 credit lab hours are not specified

Clinical Practicum

Clinical: 2 Credits (80 hours) 2 weeks × 40 hours per week = 80 hours

Practice Competencies:

Hospital

1. Prepare organizational chart of hospital/Nursing services/nursing department

2. Calculate staffing requirements for a particular nursing unit/ward

3. Formulate Job description at different levels of care

4. Prepare duty roster for staff/students at different levels

5. Participate in procuring/purchase of equipment & supplies

6. Prepare log book/MMF for specific equipment/materials

7. Maintain and store inventory and keep daily records

8. Prepare and maintain various records & reports of the settings - incident reports/adverse reports/audit reports

9. Prepare and implement protocols & manuals

10. Participate in supervision, evaluation and conducting in service education for the staff

College & Hostel

1. Prepare organizational chart of college

2. Formulate job description for tutors

3. Prepare Master plan, time table and clinical rotation

4. Prepare student anecdotes

5. Participate in planning, conducting and evaluation of clinical teaching

6. Participate in evaluation of students' clinical experience

7. Participate in planning and conducting practical examination OSCE - end of posting

Clinical Posting: Management experience in hospital & college.

Midwifery/obstetrics And Gynecology (Obg) Nursing - I including SBA module

Placement: VI Semester

Theory: 3 Credits (60 hours)

Practicum: Skill Lab: 1 Credit (40 hours); Clinical: 3 Credits (240 hours)

Description: This course is designed for students to develop knowledge and competencies on the concepts and principles of midwifery. It helps them to acquire knowledge and skills in rendering respectful maternity care to woman during antenatal, intranatal and postnatal periods in hospitals and community settings. It further helps to develop skills in managing normal neonates and participate in family welfare programs.

COMPETENCIES: On completion of the program, the students will be able to

1. Demonstrate professional accountability for the delivery of nursing care as per INC standards/ICM competencies that are consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles in midwifery practice.

2. Communicate effectively with individuals, families and professional colleagues fostering mutual respect and shared decision making to enhance health outcomes.

3. Recognize the trends and issues in midwifery and obstetrical nursing.

4. Review and describe the anatomy and physiology of human reproductive system and conception.

5. Describe and apply physiology in the management of normal pregnancy, birth and puerperium.

6. Demonstrate competency in providing respectful and evidence based maternity care for women during the antenatal, intranatal and postnatal period.

7. Uphold the fundamental human rights of individuals when providing midwifery care.

8. Promote physiologic labour and birth, and conduct normal childbirth.

9. Provide evidence based essential newborn care.

10. Apply nursing process approach in caring for women and their families.

11. Describe the methods of contraception and role of nurse/midwife in family welfare services.

12. Recognize the importance of and actively participate in family welfare programs.

13. Provide youth friendly health services and care for women affected by gender based violence.

Course Outline

T - Theory, SL/L - Skill Lab/Lab, C - Clinical

Unit	Time (Hrs)	Learning Outcomes	Content	Teaching/Learning Activities	Assessment Methods
1	18 (T)	Explain the history and current scenario of midwifery in India Review vital healthindicators Describe the various national health programs related to RMNCH+A Identify the trends and issues in midwifery Discuss the legal and ethical issues relevant to midwifery practice	Introduction to midwifery History of midwifery in India Current scenario: Trends of maternity care in India Midwifery in India - Transformative education for relationship based and transformative midwifery practice in India Vital health indicators - Maternal mortality ratio, Infant Mortality Rate, Neonatal Mortality Rate, perinatal mortality rate, fertility rates Maternal death audit National health programs related to RMNCH+A (Reproductive Maternal Newborn and Child Health + Adolescent Health) Current trends in midwifery and OBG nursing: Respectful maternity and newborn care (RMNC) Midwifery-led care units (MLCU) Women centered care, physiologic birthing and demedicalization of birth Birthing centers, water birth, lotus birth Essential competencies for midwifery practice (ICM) Universal rights of child-bearing women Sexual and reproductive health and rights Women's expectations & choices about care Legal provisions in midwifery practice in India: INC/MOH&FW regulations ICM code of ethics Ethical issues in maternal and neonatal care Adoption laws, MTP act, Pre- Natal Diagnostic Test (PNDT) Act, Surrogate mothers Roles and responsibilities of a midwife/Nurse practitioner midwife in different settings (hospital/ community) Scope of practice for midwives	Discussion Demonstration Role play Directed reading and assignment: ICM competencies Scenario based learning	Short answer Objective type Essay Quiz
II	6 (T) 3 (L)	Review the anatomy and physiology of human reproductive system	Anatomy and physiology of human reproductive system and conception (Maternal, Fetal & Newborn physiology) Review: Female organs of reproduction Female pelvis - bones, joints, ligaments, planes, diameters, landmarks, inclination, pelvic variations Foetal skull - bones, sutures, fontanelles, diameters, moulding Fetopelvic relationship Physiology of menstrual cycle, menstrual hygiene Fertilization, conception and implantation Embryological development Placental development and function, placental barrier Fetal growth and development Fetal circulation & nutrition	Lecture Discussion Self-directed learning Models Videos & films	Quiz Short answer Essay
III	12 (T) 10 (L) 40 (C)	Provide preconception care to eligible couples Describe the physiology, assessment and management of normal pregnancy Demonstrate knowledge, attitude and skills of midwifery practice throughout 1st, 2nd and 3^rd trimesters	Assessment and management of normal pregnancy (ante-natal): Pre-pregnancy Care Review of sexual development (Self Learning) Socio-cultural aspects of human sexuality (Self Learning) Preconception care Pre-conception counseling (including awareness regarding normal birth) Genetic counseling (Self Learning) Planned parenthood Pregnancy assessment and antenatal care (I, II & III Trimesters) Normal pregnancy Physiological changes during pregnancy Assess and confirm pregnancy:Diagnosis of pregnancy - Signs, differential diagnosis and confirmatory tests Review of maternal nutrition & malnutrition Building partnership with women following RMC protocol Fathers' engagement in maternity care Ante-natal care: 1st Trimesters Antenatal assessment: History taking, physical examination, breast examination, laboratory investigation Identification and management of minor discomforts of pregnancy Antenatal care : as per GoI guidelines Antenatal counseling (lifestyle changes, nutrition, shared decision making, risky behavior, sexual life during pregnancy, immunization etc.) Danger signs during pregnancy Respectful care and compassionate communication Recording and reporting: as per the GoI guidelines Role of Doula/ASHAs II Trimester Antenatal assessment: abdominal palpation, fetal assessment, auscultate fetal heart rate - Doppler and pinnard's stethoscope Assessment of fetal well-being: DFMC, biophysical profile, Non stress test, cardio-tocography, USG, Vibro acoustic stimulation, biochemical tests. Antenatal care Women centered care Respectful care and compassionate communication Health education on IFA, calcium and vitamin D supplementation, glucose tolerance test, etc. Education and management of physiological changes and discomforts of 2nd trimester Rh negative and prophylactic anti D Referral and collaboration, empowerment Ongoing risk assessment Maternal Mental Health III Trimester Antenatal assessment: abdominal palpation, fetal assessment, auscultate fetal heart rate - Doppler and pinnard's stethoscope Education and management of physiological changes and discomforts of 3rd trimester Third trimester tests and screening Fetal engagement in late pregnancy Childbirth preparation classes Birth preparedness and complication readiness including micro birth planning Danger signs of pregnancy - recognition of ruptured membranes Education on alternative birthing positions - women's preferred choices, birth companion Ongoing risk assessment Cultural needs Women centered care Respectful and compassionate communication Health education on exclusive breastfeeding Role of Doula/ASHA's	Lecture Discussion Demonstration Self-Learning Health talk Role play Counseling session Case discussion/ presentation Simulation Supervised clinical practice Refer SBA module & Safe motherhood booklet Lab tests - performance and interpretation Demonstration Roleplay Demonstration of antenatal assessment Scenario based learning Lecture Simulation Role play Refer GoI Guidelines Health talk Counseling session Demonstration of birthing positions Workshop on alternative birthing positions	Short answer Objective type Assessment of skills with check list Case study evaluation OSCE
IV	12 (T) 12 (L) 80 (C)	Apply the physiology of labour in promoting normal childbirth Describe the management and care during labour Discuss how to maintain a safe environment for labour Work effectively for pain management during labour Discuss how the midwife provides care and support for the women during birth to enhance physiological birthing and promote normal birth Assess and provide care of the newborn immediately following birth Discuss the impact of labour and birth as a transitional event in the woman's life Ensure initiation of breast feeding and adequate latching	Physiology, management and care during labour Normal labour and birth Onset of birth/labour Per vaginal examination (if necessary) Stages of labour Organization of labour room - Triage, preparation for birth Positive birth environment Respectful care and communication Drugs used in labour as per GoI guidelines Fist Stage Physiology of normal labour Monitoring progress of labour using Partograph/labour care guide Assessing and monitoring fetal well being Evidence based care during 1st stage of labour Pain management in labour (nonpharmacological)