Maharashtra University of Health Sciences, Nashik
Direction No. 8 of 1999
Subject : Examination leading to Degree of Bachelor of Sciences in Nursing (B.Sc.
Nursing 1st Year Examination to be held in summer 1999)
Whereas, the Hon. Governor of the Maharashtra promulgated Maharashtra Ordinance No.11 of 1998 to establish Maharashtra University of Health Sciences on 3rd June, 1998, which has been passed as Maharashtra University of Health Sciences Act, 1998 by the Maharashtra State Legislature, for the purposes of ensuring proper and systematic instruction, teaching, training and research in modern medicine and Indian Systems of Medicines, Pharmaceutical Sciences and paramedical courses in the State of Maharashtra and to have balanced growth in health Sciences so also an uniformity in various courses in Health Sciences in the State.
And whereas, it is a duty of the University to hold Examinations of the courses conducted by the University as provided under the sub Section (ii) of Section 5 of an Ordinance,
And whereas, the University has decided to conduct the First Year B.Sc.Nursing Examinations in first half of 1999.
And whereas, conduct of examinations is an subject matter of Ordinance as provided under sub Section (vi) of Section (50) of the Act.
And whereas, ordinance for conduct of an examination leading to the Degree of Bachelor of Science in Nursing (Fist Year B.Sc.Nursing Examination) is not in existence.
And whereas making of an ordinance is a time taking process.
Now, therefore, I, Dr.D.G. Dongaonkar, Vice-Chancellor of the University in exercise of the powers conferred upon me under sub section (8) of section 16 of the Act, issue following directions.
(1) These directions shall be called “Examinations leading to the Degree of Bachelor of Science in Nursing (First Year Examination) direction, 1998.
(2) These directions shall come into force with effect from the date of its issuance.
(3) There shall be following examinations leading to the Degree of Bachelor of Science in Nursing.
1. The First Year B.Sc. Nursing Examinations.
2. The Second Year B.Sc. Nursing Examinations.
3. The Third Year B.Sc. Nursing Examinations.
4. The Final Year B.Sc. Nursing Examinations.
(4) The Examination referred to in paragraph 3 shall be held once a year at such places and on such dates as may be appointed by Board of Examinations.
(5) Admission Criteria : An applicant for admission to the First Year B.Sc. Nursing Course shall :
i. Have attained or shall attain the age of 17 years on the day of admission to the college prescribed by Maharashtra University of Health Sciences, Nashik.
ii. Have passed 12th standard (10+2) / Higher Secondary School Certificate Examination of Maharashtra State Board or any other examination recognised as equivalent examinations by the University, consisting of Physics, Chemistry, Biology (Botany, Zoology) and English.
iii. Be physically and mentally fit for admission.
iv. Have obtained not less than 50% of the total marks at the qualifying examination in Physics, Chemistry, Biology and English taken together. However the applicant belonging to back ward classes must have secured not less than 40% at the qualifying examination in the said subjects taken together.
v. Have passed qualifying examinations at one and the same attempt i.e. an applicant who passes the examination in parts will not be held eligible.
vi. The each academic year should consist of 240 teaching / clinical days.
(6) Duration : The duration of the course shall be four years.
(7) Distribution of Hours : Minimum Total Working Teaching days - 240.
First year - 40 weeks
Working Hours / week - 36 hours
Teaching Hours available in 1st year - 1440 hours
(8) Vacation and Holidays : A minimum of Six to Eight weeks vacation shall be given each year.
Summer vacation - 30 days.
Mid term break - 14 days (preferred by during
Diwali and X’mas)
Preparatory Holidays - 10 days
Sick leave - 10 days
All public holidays as per Maharashtra State./ Maharashtra University of Health Sciences, Nashik
(9) Syllabus First Year B.Sc. Nursing
Sr. No. Subject Theory Practical Clinical Hours
1. Anatomy 80 20 --
2. Physiology 65 10 --
3. Bio-Chemistry 40 -- --
4. Foundations of Nursing 76 154 300
5. Normal nutrition and
Food Preparation 45 15 --
6. Introduction to community
Health including Family Welfare 75 -- 45
7. Psychology 75 15 --
8. English/Marathi/Hindi 75 -- --
Total 531 214 345
10. Examination Ordinance
(i) Student shall have minimum 75 % of attendance in theory and 90% in practicals to be eligible for appearing in the examination.
(ii) If candidate fails in internal assessment in any subject (Theory or Practical) will be not be eligible for appearing the University examination.
(iii) Student will not be permitted to keep term until he passes in all the subjects of the First Year B.Sc. Nursing Examination.( There will be no A.T.K.T.)
(iv) Student will not be permitted more than three attempts (actual examination) in sequence.
(vi) The internal assessment mark sent previously should be considered for supplimentory examination if student obtained passed mark.
If candidates fails in Theory or Practical at University examination. He/She has to appear both the examination at supplimentory examination
(vii) The maximum marks allotted to each subject per practical, clinical, oral and viva-
voce shall be indicated in appendix A as page No. 4.
(viii)The scope of Subjects of First Year shall be indicated in the Prospectus appended here as appendix ‘B‘ as page No.5.
(ix) Standard of passing the examination :-
(x) To pass the examination a candidate shall obtain 50% marks in each theory and Practical whereas in subsidiary subjects minimum pass marks shall be 50%.
(xi) 25% of marks for theory and 50% of marks for practical shall be reserved for class performance and evaluation of performance in guided clinical practice respectively.
(xii) The examination paper should allot 25% weightage to objective type questions and 75% to long answer type questions and short answers.
(xiii)Maximum number of students to be examined in the practical should not be more than 12 per day.
(xiv) Those of the successful candidates who pass the Examination at one and the same time and obtain: 50% or more marks shall be declared to have passed the Examination in SECOND CLASS.
- 60% or more marks shall be declared to have passed the Examination in FIRST CLASS.
- 70% or more marks shall be declared to have passed the examination in FIRST CLASS with DISTINCTION.
* A successful examinee passing an examination within the minimum prescribed period for the examination and obtaining not less than 75% of the total marks prescribed in a subject shall be declared to have passed the examination with distinction in that subject.
* An unsuccessful examinee, who fails in one of the main subjects or subsidiary subjects, shall appear in that subject only of that academic year of the said examination .
* Not withstanding anything to the contrary in this Direction, no student shall be admitted to the Examination under this Direction if he has already passed the same examination or an equivalent Examination of any other statutory University.
* Deficiency subject to a maximum 5 marks shall be condoned to enable an examinee to pass the Said examination. Such condonation shall be granted under one or more heads of passing.
(Explanation - Condonation of deficiency of marks shall not be granted of securing examption in the subject.)
(a) Examinees passing an examination with condonation of deficiency of marks shall not find a place in the merit list.
(b) Examinees passing an examination with condonation of deficiency of marks shall not be eligible for any University Scholarship , medals, prizes, and any other University awards pertaining to that examination.
(c) Statement of marks issued to candidates shall show condonation of deficiency of marks, if any , without mentioning the extent of condonation in terms of marks.
(d) Examinees successful at the First, Second and Third B.Sc. Nursing Examination shall be entitled to receive a signed certificate by the Controller of Examinations and statement of marks and those successful at Final B.Sc. Nursing Examination shall be awarded the B.Sc. Nursing Degree certificate duly signed by the Vice-Chancellor.
Date : Dr. D. G. Dongaonkar
Appendix - A
(SCHEME OF ANNUAL EXAMINATION)
Max. marks allotted
Min. marks required to pass in each sub head
Min. marks required to pass in each subject
Min.marks required for awarding distinction
Practical + Oral
Normal Nutrition & Food Preparation
Introduction to Community Health including Family Welfare
English / Marathi / Hindi
* College Subject
Note – This Scheme of Examination will be applicable to the students
appearing in May 2002 examination.
Appendix ‘ B’
SCHEME OF INTERNAL ASSESSMENT
Sr. Subjects Maximum Type of Maximum
No. marks for Assignment/ marks of
internal Tests assessment/
1. Anatomy and Physiology Periodical Test -1 25
including Biochemistry 25 Mid term Test -1 25
Examination -1 75
2. Foundations of Nursing 25 Periodical Test -1 25
(Theory) Project on Making
First Aid kit -1 25
Mid term Test -1 25
Examination -1 75
Foundations of Nursing Clinical evaluation 20
(Practical) Viva - Voce 10
History taking -2 10
Nursing care plan-2 10
3. Psychology 25 Periodical Test -1 25
Mid term Test - 1 25
Pre Final Examination– 1 75
4. Normal Nutrition and 25 Periodical Test - 1 25
Food Preparation Practical Test - 1 25
(Invalid cookery )
Pre Final Examination -1 75
5. Introduction to Periodical Test -1 25
Community Health Mid term Test -1 25
Including Family Report of Field Visit -1 25
Welfare 25 Pre Final Exam -1 75
6. English / Marathi / Hindi 50 Periodical Test -1
Mid term Test -1 25
NOTE:- An aggregate of year’s work is calculated for internal assessment and taken
out of 25.
Internal assessment should be sent to the University one month before the examination. In each subject, a candidate must obtain 50% in aggregate in both theory and practical.
The record of internal assessment must be maintained in accordance with the university specifications and surprise checks may be carried out by the university authorities in this regard.
Separate internal Assessment forms to be prepared. Clinical evaluation, procedure, case-studies, health talks, case presentation, family study, case plans.
ANATOMY AND PHYSIOLOGY INCLUDING
AIM :- This course gives the students a broad understanding of human anatomy, physiology and Biochemistry and to apply the knowledge of the same in clinical nursing practice.
OBJECTIVES:- The students understand
1. The general structure and functions of the body as a whole.
2. The general structure and functions of each system of the body.
3. The macroscopic and microscopic structure and functions of each organ of the body.
4. The normal biochemistry of human body and the changes occurring in illness and assist with simple biochemical tests, interpret the results and draw inference.
Theory - 80 Hrs Practicals - 20 Hrs
UNIT TOPIC THEORY
I Introduction 4
Definition and scope of anatomy, descriptive terms and
Tissues :- classification ,structure, properties and functions of
Membranes:- Orientation to the body as a whole, planes of the body or sections,
Various systems and their functions ,cavities of the body, their
Boundaries and contents.
Body fluids – intracellular fluids
II General Knowledge of microscopic anatomy 5
Skin and its appendages
Skeletal system :- classification of bones of the axial and appendicular
Skeleton, articular system
Muscles ,synovial sheaths and bursa
Blood - vascular system, lymphatic system
III Elementary Embryology including gametology and Fertilization 1
IV Histology – basic tissues of the body 2
Classification of simple stratified epithelium
V Regional Anatomy of Upper Limb 6
Skeleton of upper limb - scapula ,clavicle, radius,ulna,
Joints of upper limbs, their structure, mechanism and analysis of Movement
Demonstrations of movements in the vascular, and lymphatic anatomy
Pectoral region and axilla
Shoulder joints and girdle
Arm-elbow including joint, cubital fossa, forearm, Waist and hand
VI Regional Anatomy of lower limb 8
Skeleton of lower limb
Joints of lower limb, knee, ankle, hip joint
Fibula and Foot
Femoral vessels and nerves
Poplitial Fossa, Gluteal region
VII Regional Anatomy of the Back 3
Parts of the typical vertebrae and functions
Characters of special vertebrae of different regions of spine
Anatomy of the articulated spine development curves and movements,
Demonstration of movements of the spine in the living
VIII Regional Anatomy of Thorax 8
Osteology of thorax
Intercostal spaces, thoracic cage
Heart and pericardium
Heart and its chambers
Heart and blood vessels
Foetal circulation and changes after birth
IX Regional Anatomy of Abdomen, Pelvis and Perineum 14
Abdominal wall (anterior and posterior)
Liver and Pancreas
Female :- uterus, fallopian tubes,ovary,cervix,vagina,perineum
Male :- scrotum, prostrate ,external reproductive organs
Major blood vessels
Lymphatic drainage and channels
X Regional Anatomy of Head, Face and Neck 14
a) Skull at birth and post natal
b) Anatomy of scalp and muscles of facial expression
c) Anterio –median region of neck
d) Intra temporal and sub-mandibular region
e) Temporo – mandibular joints
f) Anatomy of thyroid ,parathyroid and salivary glands
g) Tongue , palate ,pharynx ,and larynx
h) Mechanism of mastication and deglutition
i) Muscles of respiration
j) Nasal cavity
l) Vascular and lymphatic anatomy
XI Regional Anatomy of Cranium and its Contents 8
a) Anatomy of cranial fossa
b) Cranial meninges, their spaces and venous sinuses, and emissary veins
c) Brain- cerebral hemispheres
d) Functional areas of cerebral cortex
e) Basal ganglia
f) Brain stem and cerebellum
g) White and Grey matter
h) Vascular anatomy, Circle of Willis
i) CSF formation , circulation
j) Cranial nerves and spinal cord
k) Anatomy of pituitary gland
XII Anatomy of the Orbit and its Contents 2
Anatomy of the extra occular muscles and movements of the eye bal1. Anatomy of the eye ball ,eyelids, and lacrymal apparatus
XIII Anatomy of the Auditory Apparatus 2
a) External ear, middle ear, internal ear
XIV Anatomy of the Autonomic Nervous System 3
b) Para - sympathetic system
1. MICROSCOPIC STRUCTURE
A. Epithelial Cells - Simple , Squamous , ciliated and stratified epithelial cells
B. Connective Tissue - Fibrous connective tissue, cartilage and bones
C. Muscles – Striated , non-striated and cardiac muscles
D. Nerve cells – Nerve cells and nerve fibres
2. STUDY OF SKELETON :- Examination of bones and different types of
3. MUSCULAR SYSTEM :- Muscle groups in the Cadaver
4. CIRCULATION :- Study of heart and blood vessels and lymphatic
5. RESPIRATORY SYSTEM :- Gross and microscopic study of respiratory
6. ALIMENTARY SYSTEM :- Study of organs of the alimentary system and
7. EXCRETORY SYSTEM :- Gross and microscopic structure of kidney,
urinary bladder, and Histology of skin
8. REPRODUCTIVE SYSTEM :- Gross structure and microscopic structure of
male and female reproductive system.
9. CENTRAL NERVOUS SYSTEM :- Gross structure of Brain and Spinal cord
and Spinal and Cranial nerves.
10. SPECIAL SENSES :- Gross structure of eye and ear.
1 . Chakraborthy .N , Chakraborthy. D , “ Fundamentals of Human Anatomy”, New Central Book Agency, Pvt Ltd , Calcutta.
2 . Chaurasia B. D , “ Human Anatomy “ , vol 1-5 CBS Publishers.
3. Jackson Sheils, “Anatomy and Physiology for Nurses “, Prism Books Pvt Ltd , Bangalore, 9 th Edition, 1994
4. April E. N., “ Anatomy pretest “ , International edition, New York, McGraw Hill, 6th edition, 1991
5. Anthony and Thibodcon, “ Anatomy and Physiology” , C. V . Mosby Co., London, 11 th edition, 1983.
6. Winwood R S, Smith G, “ Anatomy and Physiology for Nurses “, ELBS Publication, 6 th edition, 1985.
7. Tartora, J Gerard and Anagnostakos P Nicholas, “Principles of Anatomy and Physiology”, Harper and Row Publisher, New Delhi.
Theory - 65
Practicals - 10
UNIT TOPIC THEORY HRS
I INTRODUCTION 2
Introduction , Cell, Structure and Function
II BLOOD 8
Composition and functions of blood
Classification of blood cells:-
Formation ,functions and fate of RBC’s, WBC’s and platelets
Factors regulating erythropoesis, haemolysis
ABO and Rh grouping
Reticulo- endothelial system
III LYMPHATIC SYSTEM 3
Lymph nodes and lymph channels
Lymphatic glands, lymphatic tissues
Spleen and thymus gland
IV DIGESTIVE SYSTEM 8
Parts of the digestive system and its functions
Including liver , gall bladder and pancreas
Composition, mechanism of secretion and functions of
salivary, gastric, pancreatic, biliary and intestinal secretions
Mechanical movement of GIT
Process of digestion and absorption.
V SPECIAL SENSES 3
Sense of taste, taste buds, different tastes, nervous pathway of taste,
Olfactory sense, sense of touch
Physiology of vision , errors of refraction
Physiology of hearing
VI RESPIRATORY SYSTEM 6
Functions and parts of the respiratory system
Mechanism of respiration , regulation of respiration
(Nervous and chemical)
Cycle of respiration- respiratory volumes, vital capacity
VII EXCRETION AND TEMPERATURE REGULATION 6
Parts of the urinary system and functions
Physiology of urine formation,
Composition of urine, mechanism of micturation.
Renal functions tests
SKIN :- Functions of skin
VIII CIRCULATORY SYSTEM 9
Flow of blood through the heart , coronary circulation
Conduction system of the heart, ECG
Cardiac cycle, heart sounds ,heart rate and pulse
Factors affecting Blood pressure and its regulation
Arteries, veins and capillaries - Structure
Cell respiration and nutrition
IX ENDOCRINE SYSTEM 5
Endocrine glands- pituitary, thyroid , parathyroid, thymus
Adrenals, pancreas, gonads - their morphology, secretion
Regulation , distribution, function and important clinical Condition.
X REPRODUCTIVE SYSTEM 3
Functions of male and female reproductive system
Physiology of menstruation
XI NERVOUS SYSTEM 12
Parts of the central nervous system and its functions,
Brain - cerebrum, cerebellum, pons, medulla oblongata
CSF formation and circulation, EEG
Perepheral nervous system:- Cranial and spinal nerves
Functions of the autonomic nervous system.
Practicals – 10 Hrs
1. Bleeding time, clotting time
2. Haemoglobin estimation
3. WBC, RBC and differential counts
4. Blood groups
5. Making a smear , staining, identification of formed elements
6. Properties of cardiac muscles
7. Properties of skeletal muscles
8. Stethescope, study of heart sounds
10. Spinothalamic reflex control
1. Boris Sergeev, “Physiology in Health and Illness”, 7th edition, 1994.
2. Gibson John, “Modern anatomy and Physiology for Nurses”, Blackwell Scientific publication, 1975.
3. Jackson Sheils, “Anatomy and Physiology for Nurses “ , Prism Books Pvt Ltd , Bangalore, 9 th Edition, 1994.
April E. N., “ Anatomy pretest “ ,
International edition, New York, McGraw Hill,
6th edition, 1991.
5. Anthony and Thibodcon, “ Anatomy and Physiology” , C. V . Mosby Co., London, 11 th edition, 1983.
Winwood R S, Smith G, “ Anatomy and
Physiology for Nurses “, ELBS
Publication, 6 th edition, 1985.
THEORY – 40 Hrs
UNIT TOPIC THEORY
I . INTRODUCTION TO BIOCHEMISTRY 1
Importance of biochemistry for nurses
II CARBOHYDRATES 10
General nature, classification, monosaccharides , types
Chemical structure of glucose, fructose, galactose
Disaccharides, types and sources
Polysaccharides, types and sources
Chemical properties of carbohydrates (special emphasis on the Following topics)
Reducing property- Reducing and non reducing sugars
(Benedict’s test for glucose)
Oxidation (Glucose catabolism)
Fermentation( disturbances in gastro intestinal tract due to Excessive fermentation)
Carbohydrate metabolism:- glycogenesis, glyconeogenesis,
Glycogenolysis, glycolysis (end products under aerobic and Anerobic conditions).
Phosphorylation and electron transport chain, fate of
Pyruvic acid , citric acid ,kreb’s cycle
Regulation of blood glucose levels.
Metabolism of fructose.
III LIPIDS 5
General nature of lipids, classification, chemical reactions
Of lipids. Factors affecting absorption of lipids in the body,
Transport of lipids in blood (lipoproteins )
Storage of lipids, metabolism of lipids, role of liver and hormones
in lipid metabolism
Cholesterol:- sources, regulation, metabolism, phenomena of
IV PROTEINS 6
General nature of proteins, classification (on the basis of structure,
function , physio-chemical properties)
Structure – peptide and other linkages
Metabolism of proteins :- decarboxylation, transamination
Urea cycle and Nitrogen balance
Nucleic acids:- structure of nucleic acids , DNA and RNA
Biologically important nucleotides , catabolism of nucleic acids
Catabolism of purines.
V ENZYMES 4
Nature , classification and nomenclature of enzymes, theories
of enzyme action, factors affecting enzyme action
Co- enzymes and iso-enzymes
VI IRON METABOLISM 3
Nature of iron, absorption and transport of iron, storage and losses
Nature of haemoglobin, abnormal haemoglobin , breakdown of
Haemoglobin , jaundice.
VII FLUID AND ELECTROLYTE BALANCE 4
Fluid compartment in the body, components of intra cellular
And extra cellular fluid.
Role of electrolytes , maintenance of fluid and electrolyte balance
in the body. Serum electrolytes and its interpretation .
Fluid and electrolyte shifts:- oedema, dehydration, hypo and
Hypernatremia, hypo and hyperkalemia, hypochloremia
VIII ACID BASE BALANCE OF THE BODY 4
Importance of acid base balance in the body
Maintenance of the acid – base balance in the body , buffer systems
(carbonic acid bicarbonate , phosphate buffer system)
Haemoglobin , oxy – haemoglobin and protein buffer system
Role of lungs and kidneys in acid base balance
IX ORGAN FUNCTION TESTS 3
Liver, kidney, pancreas, and heart function tests
Common haematological tests, normal values, and their
Interpretation , chemical preservatives used in specimen
1. Eastham Duncan Robert , “ Biochemical values in clinical medicine”, 8th edition, John Cought and Sons Ltd, 1977.
2. Chandlish J K , “ Lecture notes on Biochemistry” , I st edition, Blackwell Scientific Publications, 1984.
3. Klein S Israel and Ordan James, “Human Biochemistry”, 5 th edition, Mosby Co., 1958.
4. Varley Harold , “ Practical Clinical Biochemistry”, 4th edition, CBS Publishers and Distributers, NewDelhi, 1988.
FOUNDATIONS OF NURSING INCLUDING ETHICS AND HISTORY OF NURSING
Total Hours - 230
Theory - 76
Demo - 154
AIM:- This course gives a fundamental knowledge and understanding of the basic principles of Nursing and helps in developing skills in recognizing and meeting the basic needs of human beings with application of scientific principles.
The students develop :-
1. Knowledge and skill to identify and meet the basic needs of patients using the nursing process.
2. Knowledge of scientific principles and ability to integrate them in rendering nursing care.
3. Skill in carrying out basic patient care.
4. Technical skills in taking care of various articles used in patient care.
5. Desirable attitude to nursing and patient care.
6. Ability to communicate effectively and to maintain good inter-personal relationship.
7. Desirable work and health habits and teach others healthy living.
8. Skill in applying principles of medical and surgical asepsis while performing basic nursing procedures.
9. Skill in applying principles of body mechanics.
10. Skill in use of comfort measures in providing care.
UNIT TOPIC HOURS
I INTRODUCTION 30
A) Historical Development in Nursing:
a) Nursing before the 19th century
b) Nursing during and after 19th century
B) NURSING : Concept – Past and present .
Definition of Nursing
Nursing as a profession –
Criteria of profession
Functions of a nurse
Qualities and personal skills required by a nurse
Concept of comprehensive nursing care
C) ADJUSTMENTS FOR NURSING STUDENTS :
College and hospital life
Various subjects in the curriculum
and their importance
Adjustments to nursing
D) NURSING IN INDIA TODAY :-
Origin and development important landmarks
Establishment and the impact of training
Nursing Registration Act
Diploma and Degree courses in Nursing
(basic, post basic, post
Auxiliary courses in Nursing.
E) NATIONAL AND INTER NATIONAL ORGANISATIONS
1. International council for nurses
2. Indian Nursing Council
3. State Nursing Council
4. Trained Nurses Association of India
5. Students Nurses Association
6. World Health organisation
II LEGAL AND ETHICAL ASPECTS OF NURSING 4
A) ETHICS, MORALS AND VALUES:-
ethical principles, Code of ethics by ICN
B) LEGAL ASPECTS:-
consumer rights, Patients Bill of Right
Legal implications in nursing , tort, Malpractice, Negligence.
III HEALTH AND HEALTH CARE FACILITIES 8
A) HEALTH:- Definition of health., Health illness spectrum
Levels of Health care
Modern concepts of Health care approach
Personal Health and Hygiene of the Nurses- importance and maintenance of Hand washing technique.
B) HEALTH CARE ACTIVITIES:-
Health care delivery system
Hospitals- Geographic location, types, functioins, departments.
C) HEALTH TEAM :-
Concepts and importance
Members of the health team and their roles
Inter personal Relationship with different members of the health team
IV PATIENTS ENVIRONMENT IN THE HOSPITAL THERAPEUTIC ENVIRONMENT 8
Physical and environmental factors and prevention of accidents
a) Temperature, light, noise, humidity, ventilation, and aesthetic factors
b) Maintenance and cleaning patients Unit
c) Control of pests, rodents, flies, bed bugs and other pests in the hospital premises .
d) Care of articles :- rubber, enamel, linen, mattress, glass, steel articles for patient care, sharp objects and disposable items.
1. Set up of patients unit
of glass, steel, sharp articles, rubber and enamel articles.
V FUNDAMENTAL NURSING SKILLS 35
Definition and importance of good communication
Components and process of communication
Types of communication(verbal,non verbal,writen,oral)
Lines of communication
Barriers of communication and methods to improve communication.
Communication in the wards:- Importance
of reporting and recording, principles, types of reports and records, Nurses
notes, basic skills in interviewing
B) BASIC CONCEPTS IN MEDICAL AND SURGICAL ASEPSIS.
Concepts, principles of sterility and cleanliness
Basic concepts of Hand washing
Handling Sterile articles.
Hand washing techniques, gowning, use of masks,
gloves, isolation Unit, Barrier Nursing.
Concepts and importance of assessment
Types of assessment
Subjective - History taking
Objective - Observation
Observations:- Concepts, importance, principles, factors affecting observation, use of different senses in observation,observation of the patient (general and specific), physical and psychological. DEMONSTRATIONS :- Head to foot observation
IDENTIFYING PATIENTS NEEDS
Identifying basic needs of patients
(Maslow’s hierarchy of needs),
Faye Abdella’s 21 Needs,
Virginia Henderson’s 14 needs
VI MEETING PATIENTS NEEDS 40
A) BODY MECHANICS :-
Principles and use of body mechanics
B) COMFORT, REST AND SLEEP :-
Importance of comfort, rest and sleep
Problems related to comfort rest and sleep
Bed making- principles and types - open, Closed, occupied-top to bottom, side to side
Operation bed, comfort devices,
Positions for comfort.
Bed Making : Simple Bed
Closed and Open Bed
Occupied bed - side to side and top to bottom
Operation bed , comfort devices,
Positions used for comforts -supine, recumbent position, Fowlers, Sims.
C) ACTIVITY AND EXERCISE
Importance of exercise
Problems related to lack of activity and exercise
Active and passive exercise
Moving patients in bed –bed to wheel chair and vice –versa
Bed to stretcher and vice-versa
Visit to physiotherapy department.
D) DIVERSIONAL THERAPY
Various methods of diversional therapy
E) SPIRITUAL NEEDS
Importance and recognition of spiritual needs
Nurses role in meeting the spiritual needs of patients
F) PERSONAL HYGIENE
Importance of personal hygiene
Care of mouth, skin, nails and hair
Bed sores and their prevention
Care of pressure areas sore and back care
Mouth wash (assisted, for a helpless patient
and for unconscious patient)
Sponge bath, nail cutting,hair wash in bed
and treatment of pediculosis
of diet in health and illness
Problems of nutrition due to illness,
Diets in illness
Other diets(liquid ,soft diet)
Policies and practices in relation to serving diet
Serving and feeding helpless patients
ARTIFICIAL METHODS OF FEEDING
Insertion of naso gastric tubes
Naso gastric feeding- different methods
Nurses responsibilities in caring for patients
naso gastric tube feeding.
Feeding a helpless patient
Insertion of Naso gastric tube,
Feeding by different methods.
VII VITAL SIGNS 6
BP, TPR, Normal values, variation
Measuring and recording vital signs
1. Measuring and recording TPR and BP
VIII PATIENTS ADMISSION TO THE HOSPITAL, TRANSFER AND DISCHARGE. 5
Understanding patient as a person
Psychological aspects of illness
patient’s reaction to admission
Principles and procedures in
transfer and discharge
Admission ,transfer and discharge of a patient
IX NURSING PROCESS 6
Steps of the nursing process
Nursing care plan.
X ASSISTING FOR PHYSICAL EXAMINATION AND SIMPLE TESTS 8
Types of physical examination
Methods of physical examination
Nurses responsibilities in -
Assisting for general physical
Assisting for rectal examination
up and assisting for general examination
Setting up and assisting for rectal examination
- Knee chest position.
B. COLLECTION OF SPECIMENS AND SIMPLE TESTS
Collection of specimens (urine, stool,
vomitus, sputum, stomach aspirations)
Observation of specimen
Despatch of specimens
Laboratory reports: Nurses responsibilities
Urine testing for specific gravity, reaction , albumin, glucose and ketone bodies.
Urine testing - Observation,
specific gravity, reaction
- Albumin (heat test and reagent strip)
- Glucose ( Benedicts test and reagent strip)
- Ketones ( reagent strips)
Collection of stool specimens.
XI MEETING ELIMINATION NEEDS 10
A. Factors affecting urinary and intestinal elimination
Nurses responsibilities in meeting the elimination needs in various stages of illness
Giving bed pan and removing bed pans
Cleaning patients after giving bedpans
Cleaning bedpans and urinals
Problems of elimination and nurse’s responsibilities in dealing with these problems
B. Suppositories and enemas
Classification and types(oil, purgative, astringent, anti-helminthic,
stimulant, nutrient, emolient ,sedative anaesthetic enema)
General principles of administration
Administration of suppositories
Administration of different types of enemas(simple, glycerine, retention, oil,
proctoclysis, use of flatus tube)
Bowel wash, colonic irrigation (tube method and funnel method)
Administration of suppositories
Administration of different types of enemas (simple, glycerine
and retention) Flatus tube, Bowel wash/ colonic irrigation
funnel,Y connection methods)
THERMO REGULATORY NEEDS 12
A. Pyrexia - Causes , course, stages and types
of fever, care of patients with pyrexia
Rigour - Causes, stages and care of the patient with rigour
Hypothermia- Causes and care of the patient with hypothermia
AND HOT APPLICATIONS
General principles, uses, effects, different types of applications
(cold compresses ice cap, ice collar, cold sponge)
Hot Application :-
different types of application ( hot water bags, simple and
medicated fomentations, stupes,
Cold compress, ice caps, ice collar, tepid sponging,
fomentation, stupes, poultices
XIII MEETING RESPIRATORY NEEDS 4
Problems related to maintaining
respiration in illness
Nurses responsibilities in maintaining normal respiration
Deep breathing exercises
Oxygen therapy: Different methods(catheter, prongs, masks)
Deep breathing exercise
of chest and back
Oxygen administration–different methods.
XIV DRUG ADMINISTRATION 20
A. Weight measurements, abbreviation
Calculation of dosage, dilution and preparation of solutions
Nature and sources of drugs
Routes of administration
Policies in relation to drug administration
Care of medicine cabinet, dangerous drugs.
B. Nurses Responsibilities in:-
Administration of drugs
Reports and records in relation to drug administration
Administration of drugs by different routes( oral, intradermal, Subcutaneous, intramuscular,)
Administration of oral medication, Intradermal subcutaneous and intramuscular injections.
XV DEATH AND DYING 4
of death and dying
Signs and symptoms of approaching death
Stages of emotional responses to Death in patients and their relatives(grieving)
Factors affecting reactions to death and dying.
Concepts of hospice care
Care of the dying patients and relatives
Ethical and legal aspects in relation to death and dying
(Medical –legal cases, euthanasia, DNR -
do not resuscitate)
Care of the dead body
Visit to mortuary.
Theory - 30 Hrs
AIM : This course gives an understanding of the principles and techniques of handling
emergencies in the community.
1. Understands the principles of emergency nursing
2. Applies the principles of emergency care
bandages and splints
4. Understands the role of the nurse in emergency care.
UNIT TOPIC THEORY
Concepts and importance of emergency
Principles of emergency nursing
Qualities of the emergency care personnel
Emergency care Kit
Purposes and principles
Types of bandaging- circular ,spiral,reverse spiral, figure
of eight, spica
Bandaging of different areas- eye,ear,jaw
Triangular bandage, its uses, slings-(Arm sling, elevation
sling,,cuff and collar)
Triangular bandage of the head
Binders- T Binder and many tail Binder
III TYPES OF EMERGENCIES
(Management in the following emergencies will be
limited to first aid only)
Wounds, types,principles of care and treatment
Haemorrhage ,types,signs and symptoms, treatment
Use of tourniquet and pressure points.
Causes recognition, principles of care and treatment
Causes, types, signs and symptoms, principles of care, treatment
and Management of fractures of different regions
Methods of transportation of the injured and sick
Transportation of patients with spine and lower limb fracture
Preparation and use of stretcher.
Causes ,recognition,principles of care and management
Causes, signs and symptoms and treatment
Artificial respiration(Shafers,Holger Nielsons and Sylvesters and
cardio pulmonary resuscitation)
Foreign body in the eye ,ear, nose and trachea
Hemlich’s procedure (abdominal trust) for removal of foreign body
in the trachea
Causes and management
Electric shock and its management
Heat stroke and its management
Causes and management
Types ,signs,and symptoms and treatment
Insect bites, animal bite and snake bite
DISASTER AND CALAMITIES
Types of disasters
Floods, earth quake house/building collapse, fire, bomb blast
Principles of organising, managing and assuming responsibilities in
meeting emergency care on mass basis
Utilization of community rosources
Known agencies and organisations : Red Cross, St. John’s Ambulance,
Fire brigades, home guards
V FIELD VISITS
Fire brigade centre
Home guards organisation
Barbara Kosler et al, “ Fundamentals
of Nursing concepts and procedure”, Addison Welsloy
publishing Co., 13 th edition.
2. Brown Ammy Francis, “ Medical Nursing”, W.B Saunders and Co., USA, 3RD EDITION.
Esther Mc Clain R N, “Scientific
Principle of Nursing”, current technical literature
publications, Bombay, 1st edition, 1969.
Potter and perry, “Fundamentals of
Nursing concepts-process and practice”, C.V Mosby
and Co., 3rd edition., London,1985.
Virginia Henderson et al, “Principles
and practice of Nursing”, Mc Milan Publishing Co.,
6th edition, London.
Sr Nancy ,” Principles and practices
of Nursing “, vol I, N>R Publishing Home,
Indore, 4th edition,1984.
7. Elbert et al, “Scientific principles in Nursing”, C V Mosby and Co., USA ,8th edition,1974.
8. Ann Marriner, “The Nursing Process- A
Scientific approach to Nursing care”, CV Mosby
and Co.,3rd edition, 1979.
Hoodmark Rohweden, “Scientific
Foundation of Nursing”, J B Lippincott Co.,
Philadelphia,3rd edition, 1975.
10. First Aid Manual, The authorized manual of St. John’s Ambulance, dorling Kindersly, London.
11. Norman G. Kirby and Sliphen J Mather, Bailliers hand book of First Aid, 7 th ediciton, All India Traveller Book Sellor, Delhi.
12. Lois Dakes, “Illustrations of Bandaging and First Aid”, E and S Livingstone Ltd, Teviot plane, 4th editon.
NUTRITION AND FOOD PREPARATION
Theory - 45Hrs
Demonstration - 15Hrs
AIM:- To enable the students to understand normal requirement of Nutrition in a normal. Individual and variations required during various physiological and pathological conditions, also to learn and understand various methods of Food preparation. Preservation, and maintenance of Food Hygiene.
OBJECTIVES:- At the end of the course the students will be able to:-
1. Define various terminologies used in Nutrition
2. Understand the different types of nutrients, their importance ,sources, functions, and problems due to deficiency.
3. Define balanced diet , plan the diet according to physiological needs .
4. Plan menu efficiently
5. Explain methods of effective cooking, and Food preservation.
6. Demonstrate preparation of therapeutic diets.
7. Apply the principles of food preparation in the practical field effectively.
UNIT TOPIC THEORY DEMO
I. ORIENTATION TO NUTRITION 10 -
Definition of terms- Nutrition, Dietetics, Nutrient, Calories, Menu,
Meal, Food Habits, Food Fads.
Food pattern and superstitions
Religious and cultural implications
Food in relation to health and illness, problems due to excessive
intake and deficiencies in general.
II. ELEMENTS OF NORMAL NUTRITION 15 -
Classification of nutrients
Definition, sources, classification ,daily requirements, function,
Digestion, absorption , problems due to excessive intake and
Deficiencies of the following:-
Methods of Food preparation, methods of effective cooking,
Effects of cooking on nutritive value of food
Food preservation and various methods,
III PLANNING FOR NUTRITIONAL NEEDS 15 -
Planning diet – adjustments to meet nutritional requirements in
Infancy , childhood, adoloscence, pregnancy and lactation
Factors influencing food selection , marketing and budgeting for
Various cultural and socio-economic groups
Principles of Therapeutic diets:-
Cardiac diet, diabetic diet,renal diet, high protein diet
Practical Demonstrations on:-
INVALID COOKERY 5 15
Fluid Diet : - Egg flip, soups, barley water, whey water,
Soft Diets :- custard, caramel custard, kanji, jelly
Semi solid diet :- khichadi, mashed potatoes, kheer .
1. Anderson, “ Nutrition in Nursing”, Lippincot Co., 1972.
2. Antia, E P, “Clinical Dietetics and Nutrition”, 2nd edition, Oxford University Press, New Delhi, 1995.
3. Corrine H Robinson, “Normal and therapeutic Nutrition”, 13th edition, Oxford and IBH Publications.
4. Sue Rodwell Williams, “Nutrition and Diet Therapy”, 3rd edition, C. V. Mosby and Co., 1977.
5. Patwardhan V. N., “Nutrition in India”, 2nd edition, 1961.
6. Hervietta Flick, “Introduction to Nutrition “, MaC Millon Publishing Co., 1970.
7. Lenna F Copper, “Nutrition in Heath and disease”, 12th edition, J B Lippincot Co.
8. JOSHI v d, “Hand Book of Nutrition and dietetics”, Vora Medical Publications.
9. Swaminathan M, “Hand Book of food and nutrition”, Bangalore printing and publishing Co., 1970.
INTRODUCTION TO COMMUNITY HEALTH
INCLUDING FAMILY WELFARE
Theory - 75 Hrs
Clinical - 45 Hrs
AIM:- Students gain a basic knowledge in Community Health and Community Health Nursing And are able to assess environment and maintain healthy environment in their Residence, hostel,hospital and college.
OBJECTIVES:- Student understands-
1. Evolution and concept of community health and community health nursing
2. The various factors influencing health in the community
3. The hazards,disease process and levels of prevention
4. The students develop insight into the
environment at health and apply the knowledge to maintain
and promote healthy environment.
5. Students understand the health team and their role in health and disease
6. Develop ability and skill to maintain and
promote individual health and environmental hygiene.
UNIT TOPIC THEORY HRS
UNIT. I INTRODUCTION TO COMMUNITY AND COMMUNITY 5
1. Historical evolution of health, community health and community health nursing
2. Concept of health ,wellness and illness
3. Determinants and factors influencing health
4. Philosophy,goals and objectives in community health and community health nursing
5. Primary health care and goals to be achieved
of health care
UNIT. II ROLE OF COMMUNITY NURSE IN MAINTAINING AND 30
A) PERSONAL AND FAMILY HEALTH
- Concept of individual & family health
- Role of the nurse in maintaining & promoting individual & family health
- Head to foot care
- Promoting healthy habits
- Menstrual hygiene
- Health check-up
B) MENTAL HEALTH
- Characteristics of a mentally healthy individual
- Mental health promotion in the individual, family & community
C) ENVIRONMENTAL HEALTH
- Ventilation and lighting
- Water sanitation
- Milk sanitation
- Food Sanitation
- Market Sanitation
- Insect, Rodent & Parasite Control
- Noise Control
- Disposal of refuge/Sewage
- Disposal of human excreta
- Disposal of the dead
- People’s participation in environment health activities
- Public Health Laws related to environment & health
UNIT III DISEASE PROCESS 10
- Interaction of agent, host & environment
- Levels of prevention
- Role of C. H. Nurse in Prevention of disease
- Levels of prevention
UNIT IV HEALTH TEAM & THEIR ROLE IN RURAL 7
AND URBAN HEALTH CARE
- Members of community health team and their role
- Importance of Interpersonnel Relationship & team co-ordination
UNIT V POPULATION EXPLOSION & FAMILY WELFARE PROGRAMME
- Concept of population & population explosion
- Problems of population explosion
- Philosophy, objectives and scope of family welfare
- Services of family welfare programmes
UNIT VI HEALTH EDUCATION 10
- Concept & principles
- Community education – Approaches & methods of community education
- Preparation & use of simple audio-visual aids
UNIT VII HUMAN SEXUALITY 3
- Understanding human sexuality
- Sexual Health
PRACTICALS: Visit to :-
1. Milk Dairy
2. Bakery & Butchery/Slaughter house
3. Vegetable Market
4. Water Purification Plant
5. Sewage Purification Plant
6. PHC & Subcentre
7. Urban Public Health Centre
1. “ Community HealthNursing – Concepts & Practice” Barbara Walton Sprodley, 2nd edition, 1985, Little Brown & Co.
2. “Communicable Diseases” Wilfied H Pauy, #rd edition 1979, Hodder & Stoughton.
3. “Handbook of Preventive & Social Medicine”, Dr.Vidya Ratan, 8th edition, 1988 Jaypee brothers Medical Publishers.
4. Kasthuri Sundar Rao, “Community Health Nursing”
5. J.E. Park, “Textbook of Preventive and Social Medicine”, Latest Edition.
Theory : 75 hrs Practicals: 15 hrs
The aim of the course is to help the student to understand herself the relation between body and mind and interpersonal behaviour and to enable them to apply the principles of psychology in the practice of nursing.
OBJECTIVES: The student –
1. Understands the importance of psychology in personal and professional life.
2. Knows the biological and psychological basis of human behaviour.
3. Understands cognitive and affective process
4. Develops an understanding of self and others.
5. Understands and is able to identify the psychological needs of patients while planning patient care.
UNIT TOPIC THEORY HRS
UNIT I I NTRODUCTION 5
- Meaning of Psychology
- Development of psychology
- Scope, branches of psychology
- Relationship with other subject
- Application of psychology in nursing practice
- Importance of psychology in interpersonal behaviour
- Significance of individual differences.
UNIT II BIOLOGICAL BASIS OF BEHAVIOUR 5
- Inheritance of behaviour
- Basic genetic mechanism
- Sensory processes – Normal & abnormal
- Attention and distraction
UNIT III COGNITION 23
- Meaning of Perception
- Perception of object, depth, distance and motion
- Normal and abnormal perception
- Meaning of intelligence
- Effect of heredity and environment in intellegence
- Measurement of intelligence tests
- Mental deficiencies
C) LEARNING & LANGUAGE FORMATION
- Definition of learning, theories of learning
- Factors influencing learning
- Learning process
- Habit formation
- Language comprehension, concept formation, listening skills, thinking, reasoning and problem solving.
- Meaning and nature of memory
- Factors influencing memory
- Amnesia, methods to improve memory
UNIT IV PERSONALITY 7
- Meaning of personality
- Theories of personality
- Adjustment and maladjustment
UNIT V MENTAL MECHANISMS AND MENTAL HEALTH 7
- Defence Mechanisms
- Frustrations and conflict
- Mental Hygiene
UNIT VI MOTIVATION 8
- Meaning and nature of motivation
- Biological and special motives
- Formation of self concept
- Self admiration, self-awareness
UNIT VII EMOTIONS 5
- Meaning of emotions
- Theories of emotions
- Development of emotions
- Emotions in sickness
- Handling emotions in self and other
UNIT VIII ATTITUDES 5
- Meaning of attitudes
- Role of attitude in health and sickness
UNIT IX DEVELOPMENT PSYCHOLOGY 10
- Infancy, childhood, adolescense, adulthood and old age
- Psychological needs of various age groups in health and sickness.
1. Identify sources of conflicts in classroom and hostel.
2. Identifying personality of patients.
3. Identifying emotions in patients.
4. Listing the psychological needs of patients:
5. Clinical reports on :-
a) Sensation, attention and Perception.
b) Emotions of patients
c) Patients’s intelligence and their coping skills
6. Self-awareness, self rating – workshop.
Note : The practicals will be integrated into foundations of nursing clinical experience.
Demonstrations of :- Intelligence Tests Personality Tests
1. Bhatia B. D, & Craig :- Elements of Psychology & Mental Hygiene.
2. Morgan C. T, & King :- Introduction to Psychology, VII the edition, Megrow bill international.
3. Robert C. Calfee : - Human Experimental Psychology.
4. Zeimbaedo Philip : Psychology & life, 10th edition.
5. Andrew Mc Ghee, “Psychology on applied to Nursing”, Livingstone Nursing texts, Churchill Livingstopne, 1973, 6th edition.
6. Philip E Vernon, “ The measurement of Abilities”, University of London Press Ltd., 1972.
7. Kuppuswamy and P. H. Prabhu, “ General Psychology” Asia Publishing Home, Bombay, New Delhi, 1975.
8. Madeleine. A. Leininger, “Wontemporary issues in mental health Nursing”, Little brown and company, Boston, 1st edition, 1973.
9. Donald Snygy, “Individual Behaviour, A new frame of Reference for psychology”, Harper and Brother publishers, 1st edition, 1982.
10. Phillip L Harriman, “Handbook of psychological terms”, Littlefield adam and co., 1st edition, 1969.
11. Dandekar, “Elements of Psychology”, Moghe Prakashan publishing, 7th edition, 1978.
ENGLISH / MARATHI / HINDI
Theory - 75 Hrs
AIM:- To help the students to improve proficiency in communication and Interactional
1. To enable the students to comprehend spoken and written English/Hindi/Marathi.
2 To help the students to focus on the issues in conversation and documentation in their day-to-day life
3. To equip the students with the knowledge of medical terminologies and the specialized Vocabulary of the various subjects in their course of study and communication in the urban and rural field.
4. To improve communication skill and establish good IPR.
5. To widen the students horizons through an exposure to imaginative literature.
UNIT TOPIC HOURS
I . ENGLISH / MARATHI / HINDI 30
Text Book prescribed for 12th Std.
Higher Secondary School Board
II. COMPREHENSION 25
ENGLISH / MARATHI / HINDI
Letter writing – Formal
Incidence / Anecdotal reports
III. GRAMMAR 20
ENGLISH / MARATHI / HINDI
Agreement of verb with subject
Passive and active structure
Direct and indirect narration
Use of verbs and adjectives
Phrases and idioms.
1. English / Hindi / Marathi Book prescribed by Higher Secondary School Board for
12th Std. (10+2)
2. M. L. Tikkoo, et al, “Intermediate Grammar usage and Composition”, Orient Longman Publication.
3 Sidhu, “An Intensive Course in English – A remedial Work book”, Orient Longman Publication.
4. R C Jain, “English Grammar and Composition”, Mac Milan Publication.
5. Marathi and Hindi, Grammer Books - By Tarkhedkar
CRITERIA FOR EVALUATION OF PROCEDURE
Clinical / Field Procedure Evaluation Check List
Name of the Institute :
Name of the Student :
Name of the Procedure :
Area of the clinical Experience :
Name of the Patient :
Age / Sex :
Regd. No. :
Supervised by :
(Total marks 50)
I. PLANNING & ORGANIZATION
(A) Self Preparation :
i) Does she check & confirm written orders ?
ii) Does she maintain cleanliness & neatness ?
iii) Does she maintain personal safety ?
(B) Tray Setup :
(i) Does she select the articles correctly ?
ii) Are the articles clean ?
iii) Are the equipments adequate ?
iv) Has she arranged the articles properly ?
(C) Environmental Setup :
i) Is the unit clean ?
ii) Is the unit well ventilated ?
iii) Has she arranged the unit properly ?
(D) Apporach to the Patient :
(a) Physical Preparation of the patient :
i) Has she given the correct position on the patient ?
ii) Has she maintained the safety of the patient ?
iii) Does she maintain the comfort of the patient ?
iv) Has she maintained the privacy of the patient ?
(b) Psychological preparation of the patient
i) Has she given clear initial explanation to the patient ?
ii) Does she maintain a relevent conversation
with the patient throughout the procedure ?
II. TECHNICAL SKILL DURING THE PROCEDURE
i) Does she handle the patient gently ?
ii) Does she observe the patient before the procedure ?
iii) Does she follow aseptic technique ?
iv) Does she take scientific precaution throughout the procedure ?
(B) Handling of the articles / Equipment ?
i) Does she place articles in the right place ?
ii) Does she use the articles correctly ?
iii) Does she use the the material economically ?
(C) Termination of the procedure & after care of the patient
i) Does she made the paitent comfortable ?
ii) Has she observed the result of the procedure ?
iii) Has she cleaned & dried the articles properly ?
iv) Has she disinfected / sterilized the articles before replacement ?
(D) Reporting & Recording
i) Does she report significant points ?
ii) Does she report accurately ?
i) Has she recorded precisely / neatly ?
ii) Has she recorded accurately ?
iii) Has she recorded promptly ?
III. APPLICATION OF KNOWLEDGE
i) Does she have knowledge of the procedure ?
ii) Does she know the purpose of procedure ?
iii) Does she know the various methods of the procedure ?
iv) Does she know the scientific principles applicable to the procedure ?
IV. STUDENTS ABILITIES
i) Has she maintained correct posture throughout
the procedure ?
ii) Does she know initiative ?
iii) Does she exhibit resourcefulness ?
iv) Is she dependable ?
v) Does she show positive response to the suggestions
& criticism ?
vi) Has she maintained right attitude towards the patient ?
vii) Does she know use of articles & adaptation of methods to the home situation ?
viii) Does she complete the procedure in time ?
ix) Does she take opportunity for incidental teaching ?
x) Does she implement principles of Health teaching ?
V. OVER ALL REMARKS OF THE TEACHER
VI. REMARKS FOR IMPROVEMENT
Signature of the student
(That she has seen the evaluation) Signature of the Teacher
N.B.1) The Checklist should be filled in by Teacher / Supervisor in the Ward / Dept. directly observing procedure when the student is performing without student’s knowledge.
2) Student should not be disturbed during the procedure unless she is doing something harmful to the patient.
3) Supervisor should put the check mark ( ) on every criteria mentioned on the form under YES or NO column.
4) Supervisor shold maintain minimum record of two procedure annually for every student.
5) Supervisor should give additional marks for over all impression.
Satisfactory - One mark
Good - Two marks
Very Good - Three marks
Excellent - Four marks
6) Other each point carries one mark.
Evaluation of Comprehensive Nursing Care
In the clinical area during B.Sc. Nursing Programme
Name of the Institution :
Student’s Name :
Ward / Depart :From _______________ to ______________________
Duration of Experience :
Understanding of patient
as a person
1. Report with a patient /
family / relatives
2. Has she collected all the
information regarding the
patient / family
B) Understanding patients
1. Knowledge about the
disease of the patient.
2.Knowledge about the
investigation done for the
3. Knowledge about the
treatment given to the
4. Knowledge about the
progress of the patient.
1. Correct observation of the
2. Assessment of the condition
of the patient.
3. Identification of the patient
4. Individualisation of planning
to meet specific health needs
5. Identification of priorities.
1.Enonomical & safe
adaptaptation to the situation
2.Implements the procedure
with skill / speed
about the procedure.
Recording & Reporting
1.Prompt precise & accurate
experience file upto date.
1.Incidental / Planned Teaching.
2.Uses visual aids appropriately.
1. Professional appearance
relationship, punctuality etc.)
2. Sincerity, Honesty & sense
Total Marks Grade :
Remarks of supervisor in terms of professional strengths & weaknesses
Evaluation discussed on
Sign of Student
(that she has seen the evaluation) Sign of Supervisor