Sainath School Of Nursing, GNM Syllabus

8/12/2019 Sainath School Of Nursing, GNM Syllabus

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SAINATH SCHOOL OF NURSING, KATNI

SYLLABUS AND REGULATIONS

DIPLOMA INGENERAL NURSING AND MIDWIFERY

INDIAN NURSING COUNCIL


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INDEX

CONTENTS

REGULATIONS

IntroductionPhilosophy

Aims

Objectives

Guidelines and Minimum Requirements

for Setting up of a School of ursing

Guidelines!eaching "acilitySchool Management committee#udgetPhysical "acilities$linical "acilities%ostel

Admission !erms and $onditions!raining Period and !ime &istribution'valuationInternship Period

CURRICULUM

Anatomy and physiology

Microbiology

Psychology

Sociology"undamentals ofursing "irst AidPersonal %ygiene

$ommunity %ealth ursing(

I 'nvironmental %ygiene

%ealth 'ducation and $ommunicationS)ills utrition'nglishMedical Surgical ursing * IMedical Surgical ursing * IIMental %ealth and Psychiatric

ursing $omputers in ursing

+


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Mid,ifery and Gynaecological ursing

Gynaecological ursing$ommunity %ealth ursing *IIPaediatric ursing

CURRICULUM FOR INTERNSHIP

'ducational Methods and Media for

!eaching in practice of ursing

Introduction to Research

Professional !rends and Adjustment

Administration and ,ard

Management %ealth 'conomics

-


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Introduction

.%ealth for All/ implies both a revolution and decentrali0ation1 demanding change

in the role of all health professionals at every level of the health care system2

!his concept has far reaching implications for ursing education and ursingpractice2 Increasingly1 the nursing profession is faced ,ith questions such as3

%o, can nursing services meet the health needs of the society mosteffectively45hat changes are needed in nursing education4%o, can the necessary changes be effected in the best possible manner4

!he revised syllabus has attempted to ans,er these questions1 as they impingeupon basic nursing education2 It has systematically revie,ed and revised thee6isting curriculum of General ursing and mid,ifery course of three yearsduration to a three and half years &iploma course2 Indian ursing council incollaboration and co(operation ,ith nursing e6perts form various institutions ofnursing in the country has been successful in revising the syllabus2 !he revisionhas ta)en into consideration sound education principles1 changing educationalneed of nursing profession and the current health needs of the society2

!he primary objective of preparing and publishing this revised syllabus for the

&iploma in General ursing and Mid,ifery is to improve nursing care component in

all )inds of patient care settings2 An attempt has been made by restructuring the

curriculum to ma)e the e6isting training programme relevant to the health needs of

the community and country at large2 !he revised syllabus is broad and fle6ible in

nature2 It has prescribed a learning environment ,hich ,ill enable the student to

learn complete1 comprehensive and continuous nursing care1 both in hospital and

community2 It also enables the student to develop varied s)ills of nursing2

!his syllabus should be considered as the minimum requirements2 %o,ever1 institutions may

reorgani0e the sequence of courses1 units or plans to suit their o,n situations ,ithout

compromising the minimum requirements laid do,n by the Indian nursing council2

!he council hopes that the revised syllabus ,ill provide necessary guidance in meeting

the changing needs of the students and the community for the ne6t fe, years2

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PHILOSOPHY

Modern ursing is a dynamic1 therapeutic and educative process in meeting

the health needs of the individuals1 the family and the community2 ursing is one of

the health professions ,hich functions in conjunction ,ith other health care agencies

in assisting individuals1 families and communities to achieve and maintain desirable

standards and maintain desirable standards of health2

Indian ursing $ouncil believes in the concept of health as laid do,n by

the ,orld health organi0ation 85%O9 i2e21 .%ealth is state of complete physical

mental and social ,ill being and not merely the absence of disease or infirmity/2

Since nurses provided and ,ill undoubtedly continue to provide a large part of

health care1 their training should equip them ,ith professional e6pertise to meet the

changing demands of society and their e6panding role therein2 !o achieve this1

emphasis must be laid to impart the )no,ledge and s)ills most relevant to the health

care needs of he community and the country as a ,hole2 !his must also be

accompanied by a corresponding change in professional attitudes2

!he international $ouncil of urses states that the unique function of the nurse is

to assist the individual1 sic) or ,ell1 in the performance of those activities contributing to

health or its recovery 8or to peaceful death9 that he ,ould perform un( aided if he had the

necessary strength ,ill or )no,ledge2 And to do this in such a ,ay as to help him gain

independence as rapidly as possible2 Indian ursing $ouncil recogni0ed that basic

nursing education is a formally recogni0ed programmed of study providing a broad and

sound foundation in the behavioral1 life and nursing sciences for the general practice of

nursing1 for a leadership role and for the post basic education in specialties for advanced

nursing practice2 !he council believes that this basic course in nursing should prepare

nurses for occupying first level positions in nursing should prepare nurses for occupying

first level positions in nursing in all )inds of health care settings2 !he council recogni0es

that nursing is a profession ,hich is influenced by advances in science and technology2

It believes that s)ills in all aspects of communication are also essential for learning and

for the practice of nursing2

!he council also recogni0es that the nature of nursing is such that a substantial

portion of learning of the students is acquired in the clinical fields8s9 of practice2 It furtherrecogni0es the interdependence of or nursing and allied professions and occupations in

promoting1 maintaining and restoring health and prevention of diseases2

!he council believes that it has a responsibility in helping the students to

develop pride in their profession besides )eeping them abreast ,ith current

)no,ledge and professional trends for a successful career a head2

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Aim

!he basic &iploma course in General ursing and Mid,ifery is geared to the

health needs of the individual1 family1 community and the country at large2

!he aims of the &iploma in General ursing and Mid,ifery programme are3

1. !o prepare nurses ,ith a sound educational programme in nursing to enable

them to function as efficient members of the health team1 beginning ,ith the

competencies for first level positions in all )inds of health care settings2

2. !o help nurses develop and ability to co(operate and co(ordinate ,ithmember of the health team in the prevention of disease1 promotion ofhealth and rehabilitation of the sic)2

3. !o help nurses in their personal and professional development1 so thatthey are able to ma)e ma6imum contribution to the society as usefuland productive individuals1 citi0ens as ,ell as efficient nurses2

4. !o serve as a base for further professional education andspeciali0ation in nursing25. !o prepare nurses to )eep pace ,ith latest professional and technological

developments and use these for providing nursing care services2

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OB!ECTI"ES

!he nurse on completion of this course ,ill be able to3

&emonstrate competency in providing health care to individual1 sic)

or ,ell1 using nursing process2

Assess the nursing need of clients from birth to death2 Plan and carry out appropriate action to meet nursing needs2 Provide effective nursing care for maintaining best possible

level of health in all aspects2 Promote self care in people under their care2 Apply problem solving techniques in nursing practice2 'valuate effectiveness of nursing care2

Apply )no,ledge from the humanities1 biological

and behavioral sciences in functioning as a nurse2

"unction effectively ,ith members of the health

team and community applyingthe )no,ledge of human relations and communication s)ills in her,or)2

Participate as member of the health team in

deliveryof curative preventive1

promotive and rehabilitative health careservices2

Mobili0ecommunity

resources

and

thei

r

involvement in ,or)ing ,ith the

communities2&emonstrate use of ethical values in theirpersonal

and professional life2&emonstrate interest in activities ofprofessional

organi0ations2

Recogni0e the need of continuing educationfor

professionaldevelopment2

&emonstrate basic s)ills in teaching patientsand

giving nursing care to

them2&emonstrate basic s)ills in administrationand

leadership ,hile ,or)ing ,ith


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other members of health team and community2

Assist in research activities2


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GUILDELINES AND MINIMUM RE#UIREMENTSFOR SETTING UP OF A SCHOOL OF NURSING

Guid$%in$

!he follo,ing are the minimum pre(requisites for recognition of a School of

using offering a &iploma in General ursing and Mid,ifery programme2

!he authority ,hich desires to open a School of ursing has to furnish the follo,ing

documentary proof to the Indian ursing $ouncil and comply ,ith the follo,ing3

1. An organi0ation 8Private1 !rust1 Mission1 =oluntary etc2 registeredunder society Act9 to open a School of ursing should obtain the noobjection certificate form the State government2

2. !he Indian ursing $ouncil on receipt of no objection certificate fromthe organi0ation ,ill underta)e first inspection to assess suitability tostart the programme2

3. On the assessment of I$1 if the institution is found suitable to start the

programme1 I$ shall ,rite to the state ursing $ouncil>#oard for inspection2

4. On receipt of the inspection report from the state nursing council>board1

I$ shall decide ,hether to give permission to admit the students or not2

5. !he Indian ursing $ouncil ,ill conduct inspection every year till the

first batch is passed out2

T$&c'in( )&cu%t*

!he principal should be the administrative head of the school2 %e>She should

hold qualification as laid do,n by I$2 the principal should be the controlling

authority for the budget of the school and also be the dra,ing and disbursing officer2

!he principal and vice(Principal should be ga0etted officers in Government Schools

and of equal status 8though non(ga0etted9 in non(government schools2

A. "or School of nursing ,ith ?:@ students 8i2e21 an annual inta)e of :@

students9 the follo,ing faculty is required3

!eaching "aculty o2RequiredPrincipal ?

=ice Principal ?

Senior !utor -


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!utor?+

Additional !utor for Interns ?

?37 ration is to be maintained for Senior !utor to !utor2

#2 "or school of ursing ,ith ;@ Students

8i2e21 an annual inta)e of +@ Students9

!eaching "aculty o2 RequiredPrincipal ?=ice Principal ?Senior !utor ?!utor :

Additional !utor for Interns ?

ote31. !eacher student ration should be ? 3?@2. School of ursing cannot start this course ,ith the annual inta)e less than +@ students2

3. One of the !utors should stay at the community health field by rotation24. !he salary structure of the teaching faculty in private Schools of ursing should not be

less than ,hat is admissible in the schools of nursing under State > $entral Government2

5. ursing service personnel should actively participate in Instruction1Supervision1 guidance and evaluation of student in the clinical and field >community practice areas2 !he teaching faculty of the School of nursing should

,or) in close coordination ,ith ursing service personnel26. !he teaching faculty of the school and the nursing service personnel should bedeputed to attend short term educational courses> ,or)shops> conferences etc2to update their )no,ledge2 'ach one of the teaching faculty must attend suchcourses at least once in t,o years27. It is mandatory for school authorities to treat teaching faculty of the school ofnursing on duty ,hen nominated> selected for the purpose of e6amination orinspection or inspection by the $ouncil 28. !he Senior !utor and !utors should spend at least four hours each day in theclinical teaching and 2 or supervision of care by the students29. I$ ,ill not permit more than ;@ students per batch2

Bualification of !eaching Staff?2 Principal 3 M2Sc ursing ,ith ; Cears of teaching e6perience or #2Sc ursing

8#asic9 > Post #asic ,ith of !eachinge6perience2

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+2

=ice *Principal 3 M2Sc ursing ,ith 7 Cears of teaching e6perience or #2S c

e6perience2ursing 8#asic9 > Post #asic ,ith ; Cears of teaching

-

2 Senior !utor

3 M2Sc ursing ,ith + Cears of teaching e6perience or #2Sc ,ith

7Cears of teachinge6perience2

72 !utor 3 M2Sc ursing or #2Sc ursing 8#asic > Post #asic9 or &iploma

in ursing 'ducation and Administration or its equivalent

,ith + years of professional e6perience after graduation2

E+t$rn&% L$ctur$r

#esides the regular teaching faculty in the school of nursing1 there should be provision

for e6ternal lecturers for teaching the students2 !hey should posses the desired

qualifications in the respective subjects ,hich are to be taught 2 Remuneration of these

'6ternal lecturers may comprise of nursing e6perts1 Medical "aculty and Scientists1

General 'ducationists including teaching e6perts in 'nglish 1 $omputer 'ducation 2

Physical e6amination >Coga1 psychologists1 sociologists1 %ospital &ieticians1 ursing

Service personnel li)e ursing Superintendent1 5ard In $harge or 5ard sister 1%ealth

'conomists> Statistician etc 2,or)ing in or outside the institution2

Additional staff for school of nursing

?2 Stenographer>personal assistant one

+2

Senior cler) cumcashier>accountant one

-2 Eunior cler) cum typist one72 Fibrarian one:2 Faboratory attendant one;2 $ho,)idar>,atchman t,osafai )armachari t,o??

Machine 8duplicate>ero69operator

one


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2

?@


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O!'3 provision should be made to have relieving staff in addition t,o

regular staff according to rules2

School management committee

"ollo,ing members should constitute the #oard of Management of the school2Principal chairperson=ice(Principal MemberSenior tutor member$hief ursing Officer> ursing Superintendent memberRepresentative of Medical Superintendent member

Bud($t

In the overall budget of the institution1 there should be provision for budget under

a separate head2 Principal of the school of ursing should be the dra,ing and

disbursing officer2

P'*ic&% )&ci%iti$

Bui%din(

!he school of ursing have a separate building2 If the school is situated in hospitalpremises1 the area mar)ed for the building of the school should be at a suitable distance

from hospital ,hich enables a calm environment ideally required for a school2 Minimum

land area recommended by I$ for a school of nursing is four acres of land o,ned and

possessed by the applicant to set up the proposed nursing school 2 "or a school ,ith an

annual admission capacity of +@ students 1 the constructed area of the school should be

7@@@ square feet 2"or every additional ?@ seats 1 an additional constructed area can be

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increased2 $onstructed area be increased in a phased manner bet,een first andsecond year2!he minimum physical facilities ,hich are required in the school are listed belo,3

1. $lassroom 3 !here should be at least four classrooms ,ith the capacity of

accommodating the number of students admitted in each class2 !he rooms

should be ,ell ventilated ,ith proper lighting system2 !here should be built in#lac)> Green> 5hite #oards2 Also there should be space to accommodate a

des)>dais2 A big table and a chair for the teacher and rac)s> cupboards for

)eeping teaching aids or any other equipment needed to conduct the classes

also should be there2 !here should be enough space for providing proper and

adequate seating facilities for the students in the class2

2. Faboratories 3 !here should be at least four laboratories as listed belo,3

a) ursing Practice Faboratory3 !here should be demonstration beds in

proportion to the number of students practising a nursing procedure at agiven point of time 8 the desired ratio being ?bed3; practicing students92

b) nursing procedures in a community set up2

c) utrition laboratory3 It should have facilities for imparting basic )no,ledge

about food and to practice the coo)ing for the healthy as ,ell as for the

sic)2 !he furnishing and equipments should include ,or) *tables1 ,ith

running ,ater supply1 cutlery1 trays1 plates1 dietetic scales1 coo)ing

utensils1 rac)s> shelves1 refrigerator1 pressure coo)er1 mi6ie and

cupboards for storage of food items 2 !he food items shall be purchased

for the conduct of practical classes as ,hen required2 Sets of croc)ery and

cutlery for preparation 1 serving and display of food also should be there2

) $omputer Faboratory3 It can be shared ,ith other departments 2

3. Auditorium 3 Auditorium should be spacious enough to accommodate at

least double the sanctioned > actual strength of students 1 so that it can be

utilised for hosting functions of the school1 educational conferences >

,or)shops1 e6aminations etc2 It should be ,ell ventilated and have proper

lighting system2 !here should be arrangements for the use of all )inds of

basic and advanced audio(visual aids 2

4. Multipurpose hall 3 It should have multipurpose hall1 if there is no

auditorium in the school2

5. Fibrary 3 !here should be a separate library in the school2 It should be easily

accessible to the teaching facility and the students2 It should have comfortable

?+


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seating arrangement for half of the total strength of the students and

teachers in the school2

!here should be separate but should have budget for the library2 !he library committee

should meet regularly for )eeping the library updated ,ith current boo)s1 journals and

other literature2 !he library should have proper lighting facilities and it should be ,ell

ventilated 2it should have a cabin for librarian ,ith intercom phone facility2

!here should be sufficient number of cupboards1 boo)shelves and rac)s ,ithglass doors for proper and safe storage of boo)s 1 maga0ines1 journals1ne,spapers and other literatures2 !here should be provision for catalogue *cabinets 1 boo)s display rac)s1 bulletin boards and stationery items li)e inde6cards1 borro,ers cards 1 labels and registers 2 $urrent boo)s 1 maga0ines1

journals1 ne,s paper and other literature should be available in the library2A minimum of :@@ nursing boo)s 8 all ne, edition 91 - )inds of nursing journals1 -)inds of maga0ines1 + )inds of ne,s papers and other )inds of current healthrelated literature should be available in the library26 2 office requiremen ts 3

a) PrincipalHs office 3 there should be a separate office for the principal ,ith

attached toilet and provision for visitorHs room 2 Independent telephone

facility is a must for the Principals office ,ith intercom facility connected

>lin)ed to the hospital and hostel2

b) Office for =ice( principal 3 !here should be a separate office of the =ice(

Principal ,ith attached toilet and provision for visitorHs room2 Independent

telephone facility is a must for =ice(PrincipalHs office ,ith intercom facility

connected>Fin)ed to the hospital and hostel2

c) Office for "aculty Members3 !here should be adequate number of officerooms in proportion to the number of teaching faculty2 One office room

should accommodate + teaching faculty2 Separate toilet facility should be

provided for the teaching faculty ,ith hand ,ashing facility2 !here should

be a separate toilet for male teachers2

) One separate office room for the office staff should be provided ,ith adequate

toilet facility2 !his office should be spacious enough to accommodate the

entire office staff ,ith separate cabin of each official2 'ach office room should

be adequately furnished ,ith items li)e tables1 chairs1 cupboards1 built(in

rac)s and shelves1 filing cabinets and boo) cases2 Also there should beprovision for type,riters1 computers and telephone2


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rac)s should be provided in all the common rooms2 !oilet and hand ,ashing

facilities should be made available in each room2

8. Record Room3 !here should be a separate record room ,ith steel rac)s1

built(in shelves and rac)s1 cupboards and filing cabinets for proper storage of

records and other important papers>documents belonging to the school2

9. Store Room3 A separate store room should be provided to accommodate

the equipments and other inventory articles ,hich are required in the

laboratories of the school2 !his room should have the facilities for proper and

safe storage of these articles and equipments li)e cupboards1 built(in(shelves1

rac)s1 cabinets etc2 !his room should be properly lighted and ,ell(ventilated2

1!. Room for Audio(=isual Aids3 !his room should be provided for the proper

and safe storage of all the Audio(=isual Aids2 !he school should possess all)ind of basic as ,ell as advanced training aids li)e chal) boards1 overhead

projectors1 slide and film( strip projector1 models specimen1 charts and

posters1 !2=2 =2$2 R1 Photostat machine1 tape recorder and computes2

11. Other "acilities3 Safe drin)ing ,ater and adequate sanitary>toilet facilitiesshould be available for both men and ,omen separately in the school2 !oiletfacility to the students should be in the ratio of ?3+: ,ith hand ,ashing facility2!here should be a separate toilet for men12. Garage3 Garage should accommodate a :@ seated vehicle13. "ire e6tinguisher3 Adequate provision for e6tinguishing fire should be

available as per the local bye la,s14. Play ground3 Playground should be spacious for outdoor sports li)e

volleyball1 football1 badminton and for athletics2

CLINICAL FACILITIES,HOSPITAL

1. !here must be a parent hospital for providing practical e6perience to the students

2. !he parent hospital should have a minimum of +:@ functional beds ,ith daily of not

less than


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patient department1 casualty department1 operating rooms1 centralsterile supply department and incinerator in the hospital-2 !he parent hospital should provide the clinical learning e6perience required forthe students in the areas of medical1 surgical1 pediatrics1 eye1 '!1 maternity1gynaenocology and orthopedic nursing2!here should be a variety of patients of age groups in all the clinical areas ,here

the students are posted for obtaining the request the learning e6perience2

AFFILIATION,

If all the required learning e6perience is not available in the parent hospital1 the students

should be sent to affiliated hospitals >agencies>institutions ,here it is available2

CRITERIA FOR AFFILIATION,

!he types of e6periences for ,hich a nursing school can affiliate are3

$ommunity health nursing

$ommunicable diseases

Mental health 8Psychiatric9 nursing

SpecialtiesH li)e cardiology1 neurology oncology1 nephrology etc2

!he physical facilities1 staffing and equipment of the affiliated hospitals shouldbe of the same standard as required in the parent hospitals2!he staff of the selected hospitals should be prepared to recogni0e student

status and their educational programme2

DISTRIBUTION OF BEDS,

At least one third of the total no of beds should be for medical patients and onethird for surgical patients2 !he number of beds for male patients should be less

than ?>;th

of the total number of beds2 Jie at least 7@ beds2 !here should beminimum of


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/ ursing ? "or :@@ beds As of principal of

superintendent8S9 and above school of nursing

0 &eputy ursing ? "or :@@ bedsAs of viceprincipal

superintendent8&

S9 and above

of school of

nursing

1 Assistant ursing + "or everyAs of viceprincipal

superintendent8AS9 additional :@

of school ofnursing

beds

NORMS RECOMMENDED BY EXPERTS COMMITTEE ON HEALTH

MANPOWER PRODUCTION AND MANAGEMENT 2RESOLUTION OF

FOURTH CONFERENCE OF CENTRAL COUNCIL OF HEALTH ANDFAMILY WELFARE3 ON NURSING3 .4456

CATEGORIES RE#UIREMENTS

?2ursing superintendent ?3+@@ beds

+2&eputy ursing superintendent ?3-@@ beds

-2&epartmental nursingsupervisors>sisters sisters 3+@@K-@ leave reserve

:

2 Staff nurse for ,ards?3-8or ?3D each shift9 K-@ leave

reserve

;2 "or OP&1#lood #an) 1(ray &iabetic ?3?@@ OP& patients8? bed 3: OP&

$linic $SR etc patients9K-@ leave reserve


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!uti)ic&tion

1. eeds may vary from one hospital to another1 depending upon its si0e

and service rendered more staff than anticipated ,ill be required

2. Special attention is needed for supervision of patient care in the

evening and night shifts

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-2 -@ leave reserve posts are mandatory

Ot'$r 7oint to 8$ conid$r$d

1. !he staff of the parent hospital should be strictly as per the criteria laid

by the I$ in terms of doctors1 nurses and paramedical staffs2

2. 5ards > areas> OP&Hs >O!> $linical departments etc1 must have

adequate coverage of staff in all the shifts to ensure that the studentsare only for attending the clinical e6periences in these areas and not

utili0ed for service purposes

3. $ontinuing >in(service education programme must be attended by all

the staff nurses to )eep themselves abreast ,ith latest technologies

and sophistication used in day to day patient care in these areas

Communit* H$&%t' Nurin( )i$%d 7r&ctic$ &r$&

!he students should be sent for community health nursing e6perience in urban as ,ell

as in rural field areas2 Institutes can be attached to primary health centers2 A ,ell setupfield teaching centre should be provided ,ith facilities for accommodation for at least ?@(

?: students and ? staff member at a time 2Peon1 coo) cho,)idhar should be available at

health centre2 'ach school of nursing should have its o,n transport facilities and it must

be under direct control of principal 2the security of staff and students should be ensured2

Hot$%

Adequate hostel> residential accommodation for students and staffs should be available

in addition to the above mentioned built up area of the nursing school respectively2

Hot$% )&ci%iti$

!he programme is residential there should be a separate hostel for male andfemale students2 It should have the follo,ing facilities

?2 Hot$% room3 It should be ideal for t,o students ,ith a minimum of

?:@ sq feet carpet area2 !he furniture provided should include a cot1 a

table1 a chair1 a boo) rac)1 a cupboard1 a cloth rac) for each student2

2. Toi%$t &nd 8&t'room3 !oilet and bathroom facilities should be provided oneach

floor of the student hostel2 One toilet and one bathroom for +(; students should be

provided2 Geysers in bathroom and ,ashbasins should also be provided

3. R$cr$&tion3 there should be facilities for indoor and outdoor

games 2thereshould be provisions for !=1 Radio and =$& player2

4. "iitor room3 !here should be a visitor room in the hostel ,ith

comfortableseating1 lighting and toilet facilities2

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9itc'$n &nd dinin( '&%%3 there should be a hygienic )itchen and dininghall toseat at(least @ of the total students strength at one time ,ithadequate tables 1 chairs1 ,ater coolers1 refrigerators and heating facilities 2%and ,ashing facilities must be provided

5. P&ntr*3 One pantry on each floor should be provided 2it should

have ,atercooler and heating arrangements2

6. W&'in( &nd ironin( room3 facility for ,ashing1 drying and ironing

clothesshould be provided in each floor2

7. Sic: room3 a sic) room should have a comfortable bed1 linen

furniture andattached toilet2 Minimum of : beds should be provided2

8. Room )or ni('t dut* nur$3 should be in a quiet area2

9. Gu$t room3 a guest room should be made available2

1!. W&rd$n room3 ,arden should be provided ,ith a separate

office roombesides her residential accommodation2

11. C&nt$$n3 there should be a provision for a canteen for thestudents theirstaffs and all the staff members212. Tr&n7ort3 school should have a separate transport facility under the control

of the principal2+: and :@ seated buses are preferable2

R$id$nti&% &ccommod&tion,

!he residential family accommodation for faculty should be provided

according to their marital status 2the telephone facility for the principal at

her residence must be provided2 Residential accommodation ,ith all

facilities is to be provided to the hostel ,arden2

Cr;c'$,

!here should be a crche in the school campus

St&)) )or t'$ 'ot$%,

1. 5arden 8female9 * -3 Bualification *#Sc %ome science or

diploma in house)eeping >catering2 Minimum - ,ardens must

be there in every hostel for morning1 evening and night shifts2 Ifnumber of students are more than ?:@ one more ,arden >asst

,arden > house)eeper for every additional :@ students2

2. $oo) * ? 3for every +@ students for each shift

3. Nitchen and dining room helper * ? 3 for every +@ students for

each shift

4. S,eeper(-

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Gardener (+

5. Security guard > cho,)idhar (-

Admiion T$rm &nd Condition

E%i(i8i%it* Crit$ri&

&uration of the course ( -2?>+ years including si6 months internship2

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Minimum Ma6imum age for admission ,ill be ?< and -: years respectively2

Minimum education3?@1 K+ class passed or its equivalent2 Any group aggregate of 7@ mar)s2

"urther : rela6ation is permitted to S$>S! students for GM Programme2

Admiion?2Si+t*6 tud$nt 7$r 8&tc' 7$r *$&r

Annual admission strength for each school should have prior sanction>permission

from the Indian ursing $ouncil on the basis of student patient ratio1 i2e2 ?3?@ and

other teaching learning facilities should be made available for effective learning2

Admiion tr$n(t' i &nction$d & 7$r t&8%$ (i@$n 8$%o=,

Num8$r o) &dmiion 7$r*$&r Ho7it&% 8$d tr$n(t'

+@ +:@-@ -@@7@ 7@@

:@ :@@

Tr&inin( P$riod &nd Tim$ Ditri8ution

Dur&tion o) t'$ Cour$

+@


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!he &iploma course in General ursing and Mid,ifery shall be of three years

and si6 months duration2

!here should be a preliminary period of ?+ ,ee)s2 &uring this time the student

,ill attend the ,ards for observation and supervised practice not e6ceeding ?;

hours per '6emption for AMs>F%=s> "emale %ealth 5or)ers

Si6 months e6emption in training shall be given during the third year 8inmid,ifery9 to those3

a. 5ho have undergone AM training of ? months or +years recogni0ed by I$2

b. F%=Hs ,ith +Q years of training recogni0ed by I$

!herefore duration of training shall be of - years

S*%%&8u, Same as prescribed for GM trainees in all three years and internship period2

Y$&rWi$ ditri8ution o) =$$:3 d&* &nd 'our o) t'$ cour$M&+imum 'our 7$r =$$: 7$r tud$nt '&%% 8$ 0> to 1? inc%udin(

c%& room intruction &nd c%inic&% )i$%d 7r&ctic$-

Ist Cear 7; 5ee)s?;:;hours

IInd Cear 7; 5ee)s?;:;hours

IIIrd Cear 7; 5ee)s?;:;hours

ote3 Out of :+ ,ee)s in one academic year1 total of ; ,ee)s are deducted2 7

,ee)s vacation1 one ,ee) preparatory leave and one ,ee) for e6aminations2

Sundays and ga0etted holidays are to be considered as holidays2

=acation and holiday

Annual =acation 3 -@ days

Sic) Feave 3?@ day perannum

Preparatory Feave 3

< days per

annum

Sic) leave cannot be accumulated from year to year

Cour$ o) Intruction &nd u7$r@i$d 7r&ctic$

FIRST YEAR


25/101

+?

S-No Su8B$ct T'$or$tic&% 'ourC Su7$r@i$d 7r&ctic$

I BIOLOGICAL SCIENCES ./?

I2 Anatomy and Physiology D@

II2 Microbiology -@

II BEHA"IOURAL SCIENCES >?

I2Psychology 7@

II2 Sociology +@

III FUNDAMENTALS OF NURSING /.5

I2 "undamentals of ursing ?


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++

II2 Pharmacology +@

+ MEDICAL SURGICAL NURSING II 2S7$ci&%ti$6 ?+@

I2 $ommunicable &iseases 7@

II2 Orthopaedic ursing +:

III2 'ar1 ose and !hroat +@

I=2 Oncology>S)in +@

=2 Ophthalmic ursing ?:

-MENTAL HEALTH AND PSYCHIATRIC

D?NURSING

$ommunity %ealth ursing

7 $omputer 'ducation 0?

TOTAL 0>?

THIRD YEAR

I Mid,ifery and Gynaecological ursing ?+@

+ $ommunity %ealth ursing (II ?@@

- Paediatric ursing


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= %ealth 'conomics +@

Tot&% .4?

E"ALUATION

+-


28/101

INTERNAL ASSESSMENT

1. !here shall be +: internal assessment for all the theory papers and :@

internal assessment for all the practicals2

2. A regular and periodic assessment for each subject and clinical > fielde6periences is to be carried out2

3. "or the purpose of internal assessment there shall be ,ritten test in each

subject ta)en by the respective teacher each month2

!he student shall be required to maintain the practical record boo)

and report of observation visits and diary for assessment by the teachers

concerned 1 various other techniques for assessment must be also used2

Mar)s shall be allotted for each of the follo,ing3

a) $ase study

b) $ase presentation

c) ursing care plan

) Maintenance of record boo)s 8procedure boo) and mid,ifery record boo)9

") &aily diary

#) Area ,ise clinical assessment is to be carried out 2minimum t,o

assessments are required in each clinical area2

4. regular record of theory and practical is to be maintained 2tas) oriented

assessment is to be underta)en2 assessment shall be maintained by

teacher for each student each month2 !his can be chec)ed by the council>

board principal shall sign all the records of e6amination of the students2

5. A candidate must secure :@ mar)s in internal assessment separately in

each theory and practical 2 to be successful a student must get :@ mar)s

in the internal as ,ell as council or board e6amination of each year2

6. "or each student ,ho appears for many supplementary e6amination her >his fresh internal assessment in the failed subject 8s9 practical 8s9 is to be

sent to the council > board2

7. State nursing council > board should prepare a model perform for

performance evaluation for each of the clinical area and circulate to all

schools of nursing for maintaining uniformity2

+7


29/101

'ach student is required to maintain the record of follo,ing assignment in

clinical areas in each year

FIRST YEAR

a9 ursing care plan ( 7 in medical >surgical ,ards2

b9 &aily diary

%ealth * tal) (? each in urban and rural

community

"amily study including field2

"amily care plan ( ? each in urban and

rural community

"ield

%ealth assessment of an individual ( ? each in urban and

rural community

"amily community profile field

SECOND YEARa9 Medical ,ard

ursing care plan ?

$ase study ?

$ase presentation ?

&rug study ?

b9 Surgical ,ard

ursing care plan +

$ase study ?

$ase presentation ?

+:


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&rug study ?c9 psychiatry ,ard

ursing care plan ?

$ase study ?

$ase presentation ?

&rug study ?

Process recording +

Mental status recording 7

THIRD YEARa9 Paediatric ,ard

ursing care plan +$ase study ?$ase presentation ?&rug study ?Observation report 8ne,born 9 +

b9

Maternity and gynaecology,ard

ursing care plan

+K?

$ase study

?K?

$ase presentation

?K?

&rug study

?K?

c9 &aily diaryurban and rural community

field

%ealth tal) + each

"amily health nursing care plan + each

Group project ? each

In addition to above 1 each student shall maintain a procedure boo) and

mid,ifery case boo) signed by concerned teacher > supervisor and principal


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,hich is to be presented to e6aminer each year2!he above assignments are to be evaluated by concerned teachers for the purpose of

internal assessment and shall be presented to the e6ternal e6aminer in a compiled

+;


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form and it should be duly signed by her and should be stamped as

cancelled after practical e6amination2

SCHEME OF EXAMINATION

A-EXAMINATION

FIRST YEARPa Subject !otal Internal

$ouncil>board &uration of

per mar)s

Assessment e6amination e6amination

8hrs9?2 #IO(S$I'$'

Anatomy and ?@@ +: #O

A &LRA!IO


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R FASS'SSM' R& O"

MAR !S 'AMIA!I

NS O 8%RS9? Medical ?@@ +:


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R MARN ASS'SSM' & O"S ! 'AMIA!IO

8%RS9? Mid,ifery ?@@ +:


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c) !he overall performance of the student and her >his conduct during

the entire academic year has been satisfactory2

) !he student has passed in the internal assessment in each subject

i2e21 both in the teaching and practical 8:9 by securing :@ mar)s

separate in each theory and practical 8s92

") !he record of practical e6perience is complete28the principal shall

send to the council > board the internal assessment for each subject1 i2

'2 #oth theory and practical 8s9 before the start of the e6amination

along ,ith the e6amination form9

#) AM >F%=> "%5 ,ho have been e6empted for si6 months during third year

,ill be eligible for third year e6amination after completion of si6 months

training

$2 Supplementary '6amination

!he council shall conduct supplementary e6amination ,ithin si6

months of the Annual e6amination3a) If a student fails in one theory paper > practical 2she>he may be allo,ed to

proceed to the ne6t year of study 2she >he ,ill sit for a supplementary

+D


36/101

e6amination held subsequently in the failed subject>practical 2if

she>he fails to clear supplementary e6amination she>he shall be

allo,ed to sit again along ,ith her ne6t year annual e6amination2

b) If a student fails in t,o or more papers or practical she>he ,ill

not be allo,ed to proceed to the ne6t year2 She>he shall sit for

supplementary e6amination in the failed subjects>practicals only

but shall be eligible for the ne6t yearHs e6amination after one

academic year from the date of passing the last e6amination

c) o candidate for category 8a9 shall be allo,ed to proceed to

third year8 higher class91 unless she> he has passed in the

subjects of the previous year 8 bac)log to the second year92

) If a student fails in one theory paper > practical e6amination of

the third year1 she he may be allo,ed to proceed for internship2

She > he ,ill sit for supplementary e6amination held

subsequently in the failed subject> practical2

") If a student fails in t,o or more papers > practicals she> he ,ill not be

allo,ed to proceed for internship2 She > he shall sit for supplementary

e6amination in the failed subjects> practicals only2 A student shall not be

allo,ed to proceed for internship till he> she clears third year

e6amination2 &2

grading of e6amination

'6amination shall be graded on aggregate mar)s of the entire three and a half

years of the training programme1 as

follo,s &istinction

"irst divisionSecond

division Pass

$. T'$or*$+&min&tion1. ursing teacher ,ith minimum of : years of teaching e6perience

8recent9 in a particular subject may be appointed as paper

setters and e6aminers for that particular subject only2

2. Buestion papers should have a combination of essay 1 short

ans,er and objective type question 8 situation based questions9

3.All units of a subject and sub subject should be given due ,eightage in accordance ,ith the instructional hours prescribed2

F. Pr&ctic&% $+&min&tion

1. practical e6amination is to be conducted in the respective clinical area 2

2. nursing teacher ,ith minimum of five years of teaching > clinical teaching

e6perience 8recent 9 in a particular subject > clinical area may

be appointed as practical e6aminer

-2not more than ?@ to ?: student are to be e6amined in a day

-@

@ and above


37/101

72 internal and e6ternal e6aminer shall jointly evaluate each

candidate for practical e6amination

INTERNSHIP PERIODGENERAL OB!ECTI"ES

Lpon completion of the internship period the period shall be able to 3

1. &emonstrate s)ills in the discharge of professional

responsibilities independently and effectively2

2. &emonstrate beginning s)ills in teaching patients > client in health can

setting and nursing student in clinical setting in an effective manner2

3. &emonstrate beginning s)ills in administration and management

of nursing units 1 health clinics and health centres

4.Assist > participate in research activities of the institution

>organi0ation in various health care settings2

5. Identify and participate the needs for continuing and in service

education in practice of nursing2

DETAILS OF INTERNSHIP PERIOD

!otal duration ( +; ,ee)s> ; months

-?


38/101

=acation( ?

,ee)

'6amination( ?

,ee)

"or the remaining +7 ,ee)s students ,ill be posted in different clinical

areas and also undergo formal class room instruction!otal ,or)ing hours of each day *

%ours per ,ee) ( 6 ; 7

!otal hours of internship period( 7 6 +7

??:+

!otal hours of theory instruction ( ?D@

!otal hours of clinical posting(??:+(?D@D;+

Student shall attend one hour class daily and < hours for clinical

e6perience or one day for theory and five days for clinical e6perience

shall be planned by institutes as per their suitability ,hich shall come to7@ hours per ,ee) clinical and hours for theory

BREA9 UP OF CLINICAL EXPERIENCE

?2Medical nursing( -,ee)s

+2 surgical nursing( -

,ee)s

-2paediatric nursing( -

,ee)s

72 psychiatric nursing( -

,ee)s

:2 community health nursing( 7,ee)s

;2 mid,ifery( 7

,ee)s


39/101

practice of

nursing and

research in

nursing

+2professional :@ :@ ?@@

trends and

-+

adjustments

1administration

and ,ardmanagementandhealtheconomics

!O!AF?@

@?@@

+@@

PRA$!I$AF '=AFLA!IO 3 S$%OOF ASS'SSM'!

MARNSMedical surgicalnursing +@

Paediatric nursing +@$ommunity healthy

nursing +@Mid,ifery +@

!O!AF ?@@Practical e6amination at the end of ; months is to be conducted by school at

its o,n level to assess clinical s)ills ,ard management and professional trends 2

Mar)s are to be submitted to the council for addition in the over all result 2

&iploma by the council>board ,ill be issued only after successful

completion of internship period


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ANATOMY AND PHYSIOLOGY

HOURS, 4?

COURSE DESCRIPTION,

!his course is designed to help the students gain )no,ledge of the

structure and the function of the human body and recognise any deviation

from the normal health in order to render effective nursing services

GENERAL OB!ECTI"ES

Lpon completion of the course 1 the students ,ill be able to 3

&escribe in general the structure and the function of human body

&escribe in detail the structure and function of different

organs and systems in the human body

Apply the anatomical and physiological principles in the practice of

nursing

COURSE CONTENT

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UNIT. Introduction to &n&tomic&% t$rm

UNITII Or(&ni&tion o) 8od* c$%% tiu$ -or(&n- *t$m

m$m8r&n$ &nd (%&nd

UNITIII S:$%$t&% *t$m

#ones 3types 2 structures 1functions

A6ial s)eleton

Appendicular s)eleton

Eoints 3classification1 structure and function

UNIT I" Mucu%&r *t$m

!ypes 1structure and functions

Position and action of chief muscles of body

UNIT" C&rdio@&cu%&r *t$m

#lood 3composition1 clotting and blood group 1 cross matching

2blood products and their use %eart3 position 1 structure 1 conduction system 1 function and

cardiac cycle 2

#lood vessels 3 structural differences and position of chief vessels

$irculation of blood 3 systemic 1 pulmonary and portal circulation

#lood pressure and pulse

Fymphatic system 3 lymph vessels 1 glands 1 ducts and lymph

circulation 1 lymph tissues in the body 1 spleen

UNIT"I R$7ir&tor* *t$m

Structure and functions of respiratory organs

Physiology of respiration $haracteristics of normal respiration and its deviations

UNIT"II Di($ti@$ *t$m

Structure and functions of organs of digestion and

accessory organs

Process of digestion and absorption 2

Metabolism 3meaning and metabolism of food constituents

UNIT"III E+cr$tor* *t$m

Structure and functions of organs of urinary system

Structure and functions of s)in

Regulation of body temperature

"luid and electrolyte balance

UNITIX N$r@ou *t$m

!ype1 structure and functions of neuron2

$entral nervous system3 structure and functions

Autonomic nervous system3 structure and functions2

UNITX Endocrin$ *t$m

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Structure and functions of pituitary 1 pancreas 1

thyroid1 parathyroid1 thymus and supra renal glands2

UNITXI S$n$ or(&n

Structure and functions of eye1 ear 1 nose and tongue2

Physiology of vision 1 hearing and equilibrium2

UNIT XII R$7roducti@$ *t$m

Structure and functions of reproductive and accessory organs 2

Process of reproduction1 menstrual cycle and menopause

Reproductive health

Structure and functions of male reproductive system2

ote3 5herever possible related clinical application should be included

in each unit 2

P*c'o%o(*

Hr- 1?Cour$ D$cri7tion

!his course is designed to help students understand the dynamics of

human behaviour and concept of mental health2 !his ,ill enable them to develop

positive attitude and good inter * personal relationships in the practice of nursing

in all health care settings2

G$n$r&% o8$cti@$

Lpon completion of this course the students ,ill be able to3

&escribe the concept of mental health and psychology2 '6plain the dynamics of human behavior personality and learning2 &iscuss the role of adjustment mechanisms and emotions in health and illness2

&emonstrate s)ills in the application of principle of psychology in nursing

practice in all )inds of health care settings2

Cour$ Cont$nt

-;


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UnitI Introduction

% &efinitions1 scope of psychology and its importance in nursing profession2

Unit II P*c'o%o(* o) Hum&n B$'&@iour

% &ynamics of behaviour1 motivation and behavioral process of adjustment1

adjustments and mal * adjustments unconscious behaviour2

% "rustration3 sources and nature of frustration1 measures to overcomefrustration2

% $onflicts3 types1 unconscious conflict1 resolution1 conflict and nursing2% Adjustment Mechanism3 meaning1 types and importance% 'motions 3 in health and disease1 emotional situations1 control of

emotions1 effect of emotional reactions on health2% Attitudes3 meaning1 development1 changes in attitude1 attitude and nursing2

% %abits3 formation1 types1 effective habit formation1 advantages anddisadvantage of habit formation2

UnitIII L$&rnin(

% ature of learning1 la,s and types of learning1 factors

promoting 'ffective learning1 memory and forgetfulness2% !hin)ing and type of thin)ing2% ature and type of thin)ing2% Problem solving and reasoning2

UnitI" O8$r@&tion

% Attention and perception1 factors affection attention

and Observation and errors in perception2

Unit" Int$%%i($nc$

% &efinition1 individual differences in intelligence2% Mental ability and nature of intelligence% Measurement of intelligence2% &evelopment of intelligent behaviour2

Unit"I P$ron&%it*

-


45/101

Meaning1 !ypes1 factors affecting development of personality% $haracteristics of various age group3 $hild1 adolescent1 adult and aged2

% 5ill and character2

Micro8io%o(*Hr-0?

Cour$ D$cri7tion

!his course is designed to help students gain )no,ledge and understanding of

the characteristics and activities of micro * organisms1 ho, they react underdifferent conditions and ho, they cause different disorders and diseases2

Nno,ledge of these principles ,ill enable students to understand and adopt

practices associated ,ith preventive and promotive health care2

G$n$r&% O8$cti@$

U7on com7%$tion o) t'i cour$3 t'$ tud$nt =i%% 8$ &8%$ to,

1. &escribe the classifications and characteristics of microorganism2

2. Fist the common disease producing micro(organisms and theircharacteristics2

3. '6plain the activities of micro(organism in relation to the

environment and the human body2

-


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Microscope3 Parts and uses2 %andling and care of microscopeInoculation of culture mediaStaining and e6amination of slidesPreparation and e6amination of smears2

Socio%o(*

Hr-/?Cour$ D$cri7tion

!his course is designed to help student gain an understanding of sociology in the

conte6t of its relevance to nursing practice2

G$n$r&% o8$cti@$

Lpon completion of this course1 the students ,ill be able to3

&escribe the concept of the family as a social unit and the status of theindividual in the family2

'6plain the dynamics of society and identify common social problems2 &emonstrate ability to understand the socio(cultural and economic

aspects of the community in the light of their effects on health and illness2 Ltilise the )no,ledge and understanding of sociology in nursing practice2

Cour$ Cont$nt

Unit I Introduction

7@


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$oncept scope nature and importance of sociology in

nursing2 !he socio(cultural and economic aspects of the

community and their effects in health and illness2

Unit II T'$ Indi@idu&%

% #rief revie, of human gro,th and development2% 'ffect of environment on childhood1 adolescence1 adulthood and old age2

% !he right and responsibilities of the individual in a democratic society2

Unit III T'$ F&mi%*

% "amily as a social institution and basic unit for health services2% #asic needs of family1 its structure and relationships2% "amily life education3 Pre(marriage1 marriage and parenthood2

Unit I" T'$ Soci$t*

% $oncept% Group3 !ypes1 Structure1 Inter(group relationship2 Group cycle1 group

behaviour and group morale2% Social changes1 social control1 social stratification2% Rural and urban society2% Social problems3 unmarried mothers1 do,ry system1 prostitution1 drug

addiction1 alcoholism1 delinquency1 handicapped1 child abuse1 ,omen abuse2

% Social agencies and remedial measures2

Unit " T'$ Communit*

% &efinition1 characteristics and culture2

Unit "I Econom*

% Resources of the country3 natural1occupational agricultural1 Industrial etc2

% Social Security% Population e6plosion 3 Its effect on economy and the need for

population control2% #udgeting for a family1 per capital income and its impact on health and

illness2

7?


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Fund&m$nt&% o) Nurin(

Hr-.1

Cour$ D$cri7tion

!his course is designed to help students develop an ability to meet the basic

health need of the patients ,ith regard to nursing care and develop s)ill in the

competencies required for rendering effective patient care2

G$n$r&% O8$cti@$

Lpon completion of this course1 the student ,ill be able to 3

&escribe the physical mental and social adjustment required of a sic)individual and his family2

$arry out basic nursing techniques and care ,ith the application of soundscientific principles2

'6plain the concept of comprehensive nursing care2 &evelop s)ills in assessment1 planning1 implementation and evaluation of

the nursing care rendered to the patients2 $ommunicate effectively and establish good interpersonal relationship

,ith the patients1 their relatives and other health team members2

7+


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&emonstrate s)ills in observation1 recording and reporting2 Recogni0e and utili0e opportunities for planning and implementing need based

health teaching programme8s9 for individuals1 groups1 families and communities2

Cour$ Cont$nt

UnitI Introduction to Nurin(

% ursing3 &efinition1 meaning1 ature1 Scope1 Principle sand history ofnursing2

% urse3 &efinition and meaning1 preparation of a nurse qualities(personal1 professional2

% 'thics in nursing1 Role and responsibilities of a nurse2% %ealth care agencies3 %ospital and $ommunity1 !ypes of %ospitals

and their functions2% %olistic approach to nursing2

% $omprehensive nursing care2

Unit II Nurin( c&r$ o) t'$ 7&ti$nt < C%i$nt

% Introduction to the sic) and ,ell2% &eterminants of health status2% Patient>$lient 3 As an individual1 member of the family1 society1 effects

of illness and hospitali0ation on patient and his family2% Admission of a patient 3 PatientHs unit1 set up and care admission

procedure1 reception of patient1 care of patientHs belongings2#ed and #ed Ma)ing

% Principle of bed(ma)ing1 factor to be consideredin selecting and ma)ing bed1 different types of beds

and their uses2

Maintenance of therapeutic environment

!emperature1 Fight1 noise and humidity2

Psycho Social 'nvironment

% Meaning and its importance1 aesthetic consideration in the environment1colour scheme beauty and flo,er arrangements2

ursing Process and ursing $are Plan

% Meaning importance and steps in

development2 Recording and Reporting

% Importance1 types and nurses responsibilities2

7-


51/101

&ischarging a patient

% Preparation of the patient physically and mentally1 discharge procedure1

hospital policies1 preparation of the patientHs relatives for discharge2

% "ollo, up and Rehabilitation revisit1 treatment compliance and referral1

Unit III B&ic Nurin( C&r$ &nd N$$d o) t'$ 7&ti$nt

%ygienic eeds and Physical needs

% Importance of maintaining good personal and environmental hygienein health and disease2

% urseHs role in maintaining good personal and environmental hygiene2% $are of S)in and Mucous Membrane2% #ed bath1 care of hair1 eyes1 nose1 ears1 teeth1 genitalia1 hands and

feet2 utritional needs2% Importance of diet in health and disease1 factors affecting the normal

nutrition in sic)ness1 nurseHs role in maintaining good nutrition1 feeding

helpless patients1 maintenance of inta)e and output record2

'limination needs

% Problem in sic)ness3 $onstipation and diarrhea1 retention andincontinence of urine2

% urseHs role in meeting elimination needs2

Safety needs

% 'nvironmental ha0ards1 role of nurses inprevention of health ha0ards2

% Interpersonal relationship1 cultural>spiritual>religious needs2

Activity and '6ercises

Importance of activity and e6ercise in health and

sic)ness1active and passive e6ercise2

Physical $omforts

% $omfort 3 meaning and its importance in health and disease1 factors

promoting and inhibiting physical comfort1 comfort devices and their

uses1 body mechanics1 positions2

Moving1 shifting and Fifting of patient

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52/101

% $are of pressure points1 bed sores3 causes1 signs1 symptoms1 preventionand nursing care% Shifting of patient from one side to another1 from bed to ,heel chair and

bed to stretcher2

Unit I" A$m$nt o) 7&ti$nt < C%i$nt

% Principles and importance of assessment1 methods of assessment 3

observation1 palpation1 auscultation1 percussion1 developing s)ill inobservation2

Physical Assessment

% %eight1 ,eight1 posture1

speech Physiological Assessment

% !emperature1 pulse1 respiration and blood pressure% $haracteristics of normal and abnormal 8!2P2R2 and #2P29 and factors

influencing the variations2% Lrine stool1 vomit1 sputum1 normal and abnormal behaviour and its deviation2

Unit " T'$r&7$utic Nurin( C&r$ &nd Proc$dur$ A$7i

% %and ,ashing1 hand scrubbing1 use of mas)1 go,n1 gloves% &isinfection techniques1 sterili0ation techniques2% Autoclaving1 boiling1 flaming1 ultra violet

rays2 $are and Sterili0ation of3% Finen1 bed1 mattress1 floor1 ,alls1 cupboard and other articles2% Rubber goods1 dressings1 instruments1 needles1 syringes enamel articles2

% #arrier ursing and isolation2

$are of Respiratory System

% Inhalation3 dry inhalation1 moist inhalation1 jug1elsonHs inhaler1 steam tent1 electric inhalers1 suction oro(nasal2

% $ollection of specimen of sputum for

e6amination2 $are of Gastro Intestinal !react

% Preparation and giving of enema 3 Retention enema1

evacuation enema1 suppository1 passing of flatus tube2

$are of Genito Lrinary System% Perineal care of terminally ill patient and patient ,ith urinary catheter2% $ollection of specimens of urine and stool for routine and cultural

e6amination2

$are of S)in and Mucous Membranes

7:


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Unit II Firt Aid in Em$r($nc* itu&tion

% "ire1 burns1 fractures1 accidents1 poisoning1 dro,ning1 haemorrhages1insect bites1 foreign bodies2

% !ransportation of the injured2% #andaging and splinting2

Unit III Communit* Em$r($nci$ &nd R$ourc$ Communit* Em$r($nci$

% "ire1 e6plosions1 floods1 earthqua)es1 famines2% Immediate and late role of nurses2% eed for rehabilitation2

$ommunity Resources

% Police Assistance2% =oluntary agencies 3 Focal1 ational and international agencies2% Ambulance services3 !heir functions in relation to emergencies2

P$ron&% H*(i$n$

Hr-/?

Cour$ D$cri7tion

!his course is designed to help students acquire the concept of health1 an understanding

of the principles of personal health and its relation to nursing in health and disease2

G$n$r&% O8$cti@$

Lpon completion of this course1 the students ,ill be able to3 '6plain the concept of health and hygiene2 'numerate the principles of personal health2 &emonstrate s)ills to apply these principles in effective nursing care of the

patients > clients as ,ell as in her o,n healthy living2

Cour$ Cont$nt

Unit I Introduction

$oncept of health and its relation to successful living2

Unit II M&int$n&nc$ o) H$&%t'

7


55/101

&eterminants of health1 building of good health habits1 immuni0ation1

correction of defects1 maintenance of health records2

Unit III P'*ic&% H$&%t'

$are of s)in1 hair1 teeth1 eyes1 ears1 hand and feet1 Rest and sleep1e6ercise1 activity1 recreation1 posture1 nutrition1 elimination1 menstrual hygiene2

Unit I" M$nt&% H$&%t'2

% $haracteristics of mentally healthy person21% Mental hygiene in intrauterine1 infancy1 childhood1 adolescence1

adulthood and old age2

Communit* H$&%t' Nurin( I

Hr-?

Cour$ D$cri7tion

!his course is designed to help students gain an understanding of the

concept of commu


56/101

COURSE CONTENT

Unit I Introduction to communit* H$&%t' &nd communit* '$&%t' Nurin(

%ealth and disease $ommunity1 community health1 community health nursing2 &imensions of health %ealth determinants Indicators of health levels of health care Primary health care3 'lements and principles urseHs role in primary health care2

%ealth for all by +@@@ A2& 'volution and development of community health nursing in India and its

present concept2 &ifferences bet,een institutional and community health nursing2 $ommunity health team functioning

Philosophy1 goals1 objectives and principles of community health nursingpractice2 Bualities and functions of a community health nurse2

UnitII communit* '$&%t' nurin( 7roc$

$oncepts and definition Importance of the community health nursing process Steps of the process3 $ommunity identification1 population composition1

health and allied resources1 community assessment1 planning and

conducting community health nursing care services2

Unit III H$&%t' A$m$nt

$haracteristics of healthy individual Identification of deviation from normal health2

Unit I" Princi7%$ o) E7id$mio%o(* &nd E7id$mio%o(ic&% m$t'od

&efinition and aims of epidemiology #asic tools of measurement in epidemiology Lses of epidemiology

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&isease $ycle Spectrum of disease2 Fevels of prevention of disease2 &isease transmission(direct and indirect Immunity

Immuring agents and immuni0ation schedule $ontrol of infectious diseases &isinfection

Unit F&mi%* H$&%t' Nurin( c&r$

$oncept1 goals1 objectives1 family as a unit of health family health care services2

"amily health and nursing care process( family health assessment1 familycare plan2

"amily health services( Material1 $hild care and family ,elfare services2 Roles and function of a community health nurse in family health services2

"amily health records2

Unit"I F&mi%* '$&%t' c&r$ $ttin(

%ome visiting Purposes Principles Planning and evaluation #ag technique $linic Purposes

!ypes of clinics and their functions Setting up of various clinics "unctions of %ealth personnel in these clinics

Unit "II R$)$rr&% *t$mUnit "III R$cord &nd R$7ort

!ypes of records Lses of records 'ssential requirements of records2 $umulative records

&esign of cards> Records

UnitIX Minor Ai%m$nt

$lassification 'arly detection and management Standing instructions>orders

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En@ironm$nt&% H*(i$n$%rs3+@

Cour$ D$cri7tion

!his course is designed to help students acquire the concept of health1 understanding of

the principles of environmental health and its relation to nursing in health and disease2

G$n$r&% O8$cti@$

Lpon completion of this course1 the students ,ill be to3 &escribe the concept of environmental health &escribe the principles of environmental health &emonstrate s)ills to apply these principles in the pursing care of the

patients>clients as ,ell as in their o,n healthy living2 &escribe the environmental health ha0ards and health problems of the

country and services available to meet these2

Cour$ Cont$ntUnit I Introduction

$omponents of environment Importance of environmental health2

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UnitII En@ironm$nt&% )&ctor contri8utin( to '$&%t' =&t$r

Safe and ,holesome ,ater Lses of 5ater

,ater pollution ,ater borne diseases2

5ater

purification Air

Air pollution

Prevention and control of air pollution

5aste

Refuse

'6creta

Se,age

%ealth ha0ards of these ,astes

$ollection removal and disposal of these ,astes

%ousing Site

#asic amenities

!ypes and standard of ventilation

Requirements of good lighting2

atural and artificial lighting2

oise Source of noise

$ommunity noise levels

'ffects of noise

oise control

Arthropods of Public %ealth Importance Mosquitoes1 housefly1 sandfly1 human louse1 ratfleas etc2

Rodents2

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$ontrol measures for these arthropods2

Unit III Communit* or(&ni&tion to 7romot$ En@ironm$nt&% H$&%t'

Fevels and types of agencies3 ational1 state1 local1 Government1 =oluntary

and Social agencies

HEALTH EDUCATON AND COMMUNICATION S9ILLSHr- /?

Cour$ D$cri7tion

!his course is designed to help students acquire the concept of health education

and understanding of the principles underlying health education in order to

develop an ability to communicate effectively ,ith the patients1 community1

health team members and others2

G$n$r&% O8$cti@$

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Lpon completion of this course1 the students ,ill be able to3 &escribe the concept of health education1 communication s)ills1

audio(visual education agencies2

Identify and utili0e opportunities for health education planned and incidental2

$ommunicate effectively ,ith others2

Cour$ Cont$ntUnit I Introduction

$oncept1 definition1 aims and objectives of health education2

Process of change>modification of health behaviour2

Opportunities of health education in hospital and community2

Scope of health education

Fevels and approaches of health education2

Principles of health education2

urseHs role as health educator2

Unit II Communic&tion :i%%

&efinition of communication

Purposes of communication

Process of communication

#arriers of communication and establishment of successful communication2

!ypes of communication2

Importance and art of observing and listening in communication2

Unit III M$t'od &nd M$di& o) H$&%t' Educ&tion

Methods of health education

!ypes of media 8A2=2Aids92

Advantages and limitations of each2 Preparation and uses of simple aids

Unit H$&%t' Educ&tion A($nci$

ational

State

&istrict

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Focal

NUTRITION

Hr-0?

Cour$ d$cri7tion

!his course is designed to help students understand that nutrition is an

integral component of health since nutrition play a vital role in the gro,th1

development and maintenance of the body2

G$n$r&% o8$cti@$

Lpon completion of this course1 the students ,ill be able to3 &escribe the principles of nutrition and dietetics and its relationship to the

human body in health and disease2

&escribe the common foods in health and disease2

Apply )no,ledge in the promotion of health and in the care of sic)2

&emonstrate s)ills in selection1 preparation and preservation of foods2

Cour$ cont$ntUnit I Introduction

$hanging concepts( food habits and customs2

Relationship of nutrition to health2

Unit II C%&i)ic&tion o) )ood

A. $lassification by origin

"ood of animal origin

"ood of vegetable origin

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ENGLISHHRS-0?

Cour$ D$cri7tion

!his course is designed to help students develop an ability to comprehend

spo)en and ,ritten 'nglish1 so as to communicate effectively in this language2

G$n$r&% O8$cti@$

Lpon completion of this course1 the students ,ill be able to3 Read and ,rite correct 'nglish2

$ommunicate effectively in 'nglish language2

&emonstrate s)ill in ,riting and spea)ing in 'nglish language2

Cour$ cont$ntUnit I Gr&mm&r

!he sentence

&ifferent parts of speech in brief2

Unit II Com7oition

Analysis1 transformation and synthesis of sentences

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$orrect usage of sentences2

Reading comprehension( '6ercise of prescribed short ans,ers2

Unit III Written composition

Paragraph ,riting

Story ,riting

$omprehension

Precise ,riting

'ssay ,riting

Unit IV Vocabulary

$onversation

Spea)ing s)ills2

Medical Surgical Nursing Hrs.14

!ourse "escription

!his course ,ill help students understand the concept of disease and disease

process2 Students ,ill be able to gain )no,ledge and develop understanding of

various medical1 surgical disorders and diseases2 !hey ,ill be able to give

comprehensive nursing care to patients ,ith these diseases2

#eneral ob$ecti%es

Lpon completion of this course1 the students ,ill able to 3

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Describe the causes, symptoms, treatment and prevention of medical surgical diseases.

Demonstrate skills in carrying out nursing technique and procedures with theapplication of scientific principles.

Discuss nursing process and provide nursing care to patients withmedical surgical/ diseases.

!ourse contentUnit Introduction

& Brief history of evolution of modern medicine and surgery and theories ofillness and its causation.

& Illness as human experience.& ursing process and nursing care plan.

Unit Nursing &ssessment& !ealth "ssessment& #hysical examination& $eneral clinical investigation

Unit 'at(o '(ysiological Mec(anism o) "isease& Inflammation.& %tress adaptation.& Defence against in&ury.& utritional consideration.

Unit V &ltered Immune *espnse& 'eview of normal immunity,( 'eview )nit *+ of microbiology& "ltered immune response, hypersensitivity and allergy.& ursing management of immuno therapy.& "uto immune disease.& $raft verses host disease.

Unit V !linical '(armacology& -erminology& Drugs and laws.& Basic clinical pharmacology.& %ource of drugs, action, side effects, doses of drugs.& Different pharmacological preparations.& "dministration of medicine to patient.& ursing implications of administration of drugs.


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Unit V Nurse+s role in Management o) ,luids- lectrolyte and &cid /ased/alance

& 5ater content of body2& %omeostasis& Revie, mechanism of controlling fluid and electrolyte movement2

& Revie, regulation of fluid and electrolyte2& "luid and electrolyte imbalance and their therapeutic management2

Unit V Management o) patients in pain

& $oncept& Assessment& !ypes1 location& ursing management& Analgesic drugs& !herapeutic approaches to pain2

Unit V 0peration (eater ec(ni2ue '(ysical n%ironment

& Operation theatre 3 cleaning of rooms1 tables1 trolleys1 lightsand other equipments2

& Pre( operative holding areas2!heatre !echnique

& Scrubbing( hand ,ashing& Go,ning& Gloving& Positioning of patient for various surgical

procedures2 Preparation of !heatre equipment Supplies& $leaning& Pac)ing

& Sterili0ation& eedles1 Sutures( types and their uses2& Role of nurses in care of patient in the theatre2

Unit 3 Management o) patient undergoing surgery

& Assessment of pre( operative patient 3 physical1 psychosocial andphysiological aspects2

& ursing management of pre( operative patient2Intra operative Management

& Surgical team& urseHs functions in operation theatre2& Anesthesia3 classification1 anesthetic agents and role of a nurse in

anesthesia2 Post( operative management * Immediate and Routine& !ransferring patient from operation theatre2

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#atient in recovery room.& 'ecovery from anesthesia.& #ost operative nursing management.& "dministration of post operative orders.& #ost0 operative complications1 observation, prevention and management.

Unit 3 Nursing management o) patient it( impaired respiratory )unction and

gaseous e5c(ange& "ssessment of respiratory functions.& 2anagement of patient with impaired respiratory functions.& 'espiratory intensive care.& 2anagement of patients with disorders of upper respiratory tract.& 2anagement of patients with disorders of the chest and lower respiratory tract.

Unit 3 Nursing Management o) 'atients it( "igesti%e and #astro6Intestinal"isorders

& "ssessment of $astro0intestinal disorders.& 2anagement of upper gastro0intestinal disorders.& $astro0Intestinal intubations and special utritional 2anagement.& 2anagement of patient with lower gastro0intestinal disorders

Unit 3 Nursing Management o) 'atients it( Metabolic andndocrine "isorders

& "ssessment of hepatic and biliary function& 2anagement in hepatic and biliary disorders& "ssessment of endocrinal function& 2anagement of endocrinal disorders.

)nit 3 4*** ursing 2anagement of patients with renal and urinary disorders& "ssessment of renal and urinary functions& 2anagement of patients with urinary and renal disorders.& 'enal failure and dialysis& 'enal transplant.

)nit 3 4*+ ursing 2anagement of patient with eurological disorders& "ssessment of neurological function& 2anagement of patient with neurological dysfunction& 2anagement of patient with neurological disorders.

)nit 3 4+ ursing 2anagement of patients with disorders of connective tissue collagendisorders.

& "ssessment& 2anagement of patient with disorders of connective tissue and collagen

)nit 3 4+* ursing 2anagement of the 5lderly

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"ssessment of elderly& "geing process& !elping in promoting wellness and self care& !ealth problems in elderly

)nit 3 4+** 5mergency 2anagement

& 2edical surgical emergencies.

& urses role in emergency conditions.

MEDICAL SURGICAL NURSING /HRS-./?

COURSE OUTLINE

-his course will help students understand the concept diseases and diseaseprocess. %tudents will be able to gain knowledge and develop understanding of variousmedical surgical speciality disorders and diseases. -hey will be able to givecomprehensive nursing care to patients with these disease.

$55'"8 9B:5;-I+5%

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Lpon completion of this course1 the students ,ill be able to

& &escribe the causes1 symptoms1signs1treatment and prevention ofdiseases classified under medical surgical specialities2

& &emonstrate s)ill in carrying out nursing techniques andprocedures ,ith the application of scientific principles2

& Prepare nursing care plan using nursing process and provide careto patients ,ith these diseases2

Cour$ cont$ntUnit . onco%o(* nurin(

ursing management of patients ,ith abnormal cell gro,th2 Problems and management2 $lassification of cancer2 &etection1prevention2 !reatment modalities2

ursing management of patients receving3

$hemotherapy Radiation Fate effect of chemotherapy and radiation nursing management of patients undergoing radical surgery bone marro, transplant and its management nursing management of terminally ill patients rehabilitation of cancer patients

Unit/ Nurin( M&n&($m$nt o) 7&ti$nt =it' di$&$ o) m&%$ ($nitorurin&r* tr&ct-

Assessment of genito(urinary function2 &isorders of male genito(urinary tract and its management2

Unit0 Nurin( m&n&($m$nt o) 7&ti$nt =it' diord$r o) 8r$&t-

Assessment2 &isorders of breast and breast cancer2 Management of patients undergoing surgery for cancer breast2

Unit 1 Nurin( m&n&($m$nt o) 7&ti$nt =it' di$&$ &nddiord$r o) int$(um$nt&r* *t$m-

Assessment of s)in and its functions2 Inflammatory and non inflammatory disorders and its management2 Infestations1 infectious and non infectious diseases and their management2

S)in cancer Special dermatological therapy2 #urn and its management2

Unit 5 Nurin( m&n&($m$nt o) 7&ti$nt =it' o7t'&%&mic diord$r &nd di$&$

Assessment of function of eyes2 &iseases and disorders of eyes and its management2 Revie, national programmes on blindness and trachoma2

%ospital cornea retrieval3

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Grief counselling 1 eye collection in hospitals% Motivations for eye donation2% Obtaining consent for eye donation2% !ransplantation of human organs bill and eye collection2% 'ye ban)ing in India2

Unit > Nurin( m&n&($m$nt o) 7&ti$nt =it' diord$r &nd di$&$ o)$&r3 no$3 &nd t'ro&t- Assessment of the functions of ear1 nose1 and throat2 &isorders and diseases of the ear1 nose1 and throat2 Management of disorders and diseases of ear1 nose1 and throat2

Unit Nurin( m&n&($m$nt o) 7&ti$nt =it' c&rdio @&cu%&r3circu%&tor* &nd '&$moto%o(ic&% diord$r-

Assessment of cardio vascular functions2 Management of patients ,ith cardio vascular diseases2 Management of patients in I2$2L and $2$2L2 Assessment and management of circulatory 1 haematological

disorders and problems of peripheral ciculation2 Phlebotomy procedure in blood donars2 Sample and request for blood transfusion2 Safety chec)s and records for blood transfusion2 Adverse transfusion reaction and their management2 #lood ban) functioning * hospital transfusion committee2 #lood donar care 1 post donation management1 counseling of blood donors2

Inventory of necessary requirement for the transfusion2

Unit Nurin( m&n&($m$nt o) 7&ti$nt =it' communic&8%$ di$&$

Assessment

Revie, of infection1 ho, it spreads and its control2 Preparation1 care and administration of antisera and vaccines2 Isolation( revie, of epidemiology and control measures2 Management of various infectious diseases2

&iseases caused by3=irus * Measles1 chic)en po61 influen0a1 small po61 mumps1 encephalitis1infective hepatitis1 poliomyelitis1 rabies1 AI&S2#acteria * &iptheria1 ,hooping cough1 tetanus1 typhoid1 dysentery1 gastro(entritis1 cholera1 meningococcal meningitis1 tuberculosis2Toonosis * Nala(a0ar1 plague1 relapsing fever2

Mosquito * malaria1 filarial1 yello, fever1 dengue fever2

Unit 4 Nurin( M&n&($m$nt o) 7&ti$nt =it' $+u&%%* tr&nmitt$d di$&$

Assessment

Se6 health and hygiene2

Gonorrhoea1 syphilis1 Granuloma venerium12 $hancroid1 Granuloma

inguinale and AI&S2

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Unit .? Nurin( M&n&($m$nt o) 7&ti$nt =it' Mucu%o:$%$t&%Diord$r &nd di$&$-

Assessment of musculo(s)eletal functions2

&isorders and diseases of bone1 muscles1 cartilage1 ligaments

and their management2

Rehabilitation1 physiotherapy and occupational therapy2

Unit .. Em$r($nc* &nd di&t$r Nurin(-

atural calamities2

Manmade disaster2

$ommunity resource available to meet such calamities2

urseHs role in disaster management2

MENTAL HEALTH AND PSYCHIATRIC NURSINGHr-?

Cour$ D$cri7tion

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!his course is designed to help students develop the concept of mental healthand mental illness1 its causes1 symptoms1 prevention1 treatment modalities andnursing management of mentally ill2G$n$r&% O8$cti@$

Lpon completion of this course1 the students ,ill be able to3

&escribe the concept of mental health and mental illness and theemerging trends in psychiatric nursing2

'6plain the causes and factors of mental illness1 its prevention and control2

Identity the symptoms and dynamics of abnormal human behaviour in

comparison ,ith normal human behaviour2

&emonstrate a desirable attitude and s)ills in rendering comprehensive

nursing care to the mentally ill2

Cour$ cont$ntUnit I Introduction

Meaning of mental health and mental illness2

&efinition of terms used in psychiatry2

Revie, of mental mechanisms 8ego mechanisms92

Revie, of personality and types of personality2

Unit II Hitor* o) P*c'i&tr*

$ontributors to psychiatry2

%istory of psychiatric nursing2

!rends in psychiatric nursing2

Unit III M$nt&% H$&%t' A$m$nt

Psychiatric history ta)ing

Intervie, technique and mental status e6amination2

Unit I" Communit* M$nt&% H$&%t'

$oncept1 importance and scope2

Attitude and misconception to,ards mentally ill2

Prevention of mental illness 8preventive psychiatry9 during

childhood1 adolescence1 adulthood and old age2

$ommunity mental health services2

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&efinition of psychosocial therapies2

!ypes of therapies3 individual and group therapy1 behaviour therapy1

occupational therapy2

Role of nurse in these therapies2

Somatic therapy %istory1 technique of electro(convulsion therapy 8'$!91

indications1 contraindications2

Role of nurses before1 during and after electroconvulsive therapy2

Unit "III For$nic P*c'i&tr* < L$(&% A7$ct-

Fegal responsibilities in care of mentally sic) patients

Procedure for admission and discharge from mental hospital1 leave of absence2

Indian Funatic Act ?D?+

Mental %ealth Act ?D home delivery2% Immunisation2% Minor disorders of pregnancy and its management2

Unit " Nurin( M&n&($m$nt o) =om$n in L&8our

% &efinition1 stage and duration2% $auses of onset of labour2

% !rue and false labour2

A2 "irst Stage of Fabour

% Signs of onset of labour2% Physiological changes in first stage of labour2% Management * preparation of labour room2% Preparation of ,omen in labour 3 Physical and psychological2% 'quipments for normal delivery2

% $are3 physical1 psychological1 monitoring of maternal andfoetal condi

Documents

Sainath School Of Nursing, GNM Syllabus