Maharashtra University of Health Sciences, Nashik

 

Direction No. 5 of 1999

 

Subject     :    Examination leading to the Post Certificate Bachelor of Science in Nursing  Examination to be held in first half of 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 P.C.B.Sc.Nursing Examinations in first half of 1999-2000 and Second Year P.C.B.Sc. Nursing Examination in first half of 2000.

 

        And whereas, conduct of examinations is a 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 P. C. Bachelor of Science in Nursing (First Year P.C.B.Sc.) 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 P. C. 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 P. C. B.Sc. Nursing.

        1.     The First Year P.C.B.Sc. Nursing Examinations.

 

        2.     The Second Year P.C.B.Sc. Nursing Examinations.

 

(4)   The Examinations referred to in paragraph 3 shall be held twice a year at such places and on such dates as may be appointed by Board of Examinations.

(5)   An applicant for admission to examination shall fulfill criteria as prescribed by Govt. of Maharashtra from time to time as in Appendix - A appended herewith GR of admission.

 

(6)   Duration of Course : Two academic years.

 

(7)   The course contents of the P.C. B.Sc. Nursing shall be as per appendix B appended herewith.

 

(8)   The detail course content for each subject shall be as per appendix C appended herewith.

 

(9)   The scheme of examination shall be as per Appendix D appended herewith.

 

(10) College Examinaiton : Appendix D i, ii, iii, F

 

(11) Criteria for eligibility of Univeristy examination F,

 

(12)      Criteria for internal assessment Appendix F, i

 

(13) Vacation : Total Eight weeks in a year which includes Two weeks Diwali Vacation, Two weeks Christmas Vacation and Four weeks summer vacation as prescribed by Maharashtra University of Health Sciences,Nashik from time to time .

        Students will be given all public holidays declared by the State Government of Maharashtra/Maharshtra University of Health Sciences, Nashik

 

 

Appendix ‘B’

Courses of Study First Year P.C.B.Sc. Nursing

 

Sr. No.        Subject                                       Theory          Practical         Total Hours

 

   1.             Comprehensive Nursing                  60                100                   160

   2.             Medical Surgical Nursing                 100              260                   360

   3.             Maternal Nursing                            60                200                   260

   4.             Child Health Nursing                       60                240                   300

   5.             Microbiology                                  60                30                     90

   6.             Sociology                                        60                --                      60

   7.             Psychology                                     40                10                     50

 

                   Total                                               425              840                   1280

 

Note : Bio-Physics, Bio-chemistry, Nutrition and Dietetics will be in application form to above subjects.

 

 

Courses of Study Second Year P.C.B.Sc. Nursing

 

Sr. No.       Subject                                                   Theory        Practical         Total

                                                                                                                                            Hours

1.       Community Health Nursing                               100                240               340

2.       Psychiatric & Mental Health Nsg.                     60                  200               260

3.       Introduction to Nursing Education                     60                    75               135

4.       Introduction to Nursing service

           Administration                                                  60                  180               240

5.       Introduction to Nursing Research

           and Statistics                                                    45                  120               165

6.       Library Sciences                                               45                    --                  45

7.       Computer Training                                            15                  15                  30

 

           Total                                                                385                830               1215

 

Note : Anatomy, Physiology, Pharmacology, Pathology, Bio-Physics, Bio-Chemistry, Nutrition and Dietetics will be in application form to above subjects.

 

Appendix ‘D’ I

Scheme of Examination

 

Sr. No.        Subject                           Duration        Internal      External     Total Marks

                                                                                  Assessment  Marks

 

Theory Paper

  1.       Comprehensive Nursing            3  Hrs.             25             75              100

  2.       Medical Surgical Nursing           3       ''             25             75              100

  3.       Maternal  Nursing                     3       ''             25             75              100

  4.       Child Health Nursing                 3       ''             25             75              100

  5.       Microbiology                            3       ''             25             75              100

  6.       Psychology                               3       ''             25             75              100

* 7.      Sociology (college exam.)          3       ''             25             75              100

 

Practicals

1    Medical Surgical Nursing                  --                  25             75              100

2.   Maternal Nursing                              --                  25             75              100

3.   Child Health Nursing                         --                  25             75              100

 

 

Second Year P.C.B.Sc. Nursing

 

 

   Sr. No.    Subject                                    Duration      Internal            External    Total  Marks

1.   Community Health Nursing                           3              25              75               100

2.   Psychiatric & Mental Health Nursing            3              25              75               100

3.   Nursing Education                                        3              25              75               100

4.   Nursing service Administration                     3              25              75               100

*5. Nursing Research and Statistics                    2              50               --                 50

*6. Library Sciences                                          2              50               --                 50

*7. Computer Training                                       2              50               --                 50

 

 

Practicals

1.   Community Health Nursing                           -              25              75               100

2.   Psychiatric & Mental Health Nursing            -              25              75               100

*3. Introduction to Nursing Research &             -              50                 -                 50

      Project 

 


Appendix ‘D’ II

First Year P.C.B.Sc. Nursing

Scheme of Examination for First Year P.C.B.Sc. Nursing

 

Sr. No.

Subject

Subheads

Maximum

Marks

allotted

Minimum Marks required to pass in each sub head

Minimum marks required to pass in each subject

Minimum marks required for awarding distinction

1.

Comprehensive Nursing

i) Theory (Written)

75

38

50

75

ii) Internal Assessment

25

12

2.

Medical Surgical Nursing

i) Theory (Written)

75

38

100

150

ii) Practical + Oral

75

38

iii) Internal Assessment

Theory

+

Practical

 

25

 

25

24

3.

Maternal Nursing

i) Theory (Written)

75

38

100

150

ii) Practical + Oral

75

38

iii) Internal Assessment

Theory

+

Practical

 

25

 

25

24

4.

Child Health Nursing

i) Theory (Written)

75

38

100

 

150

ii) Practical + Oral

75

12

iii) Internal Assessment

Theory

+

Practical

25

 

25

24

5.

Microbiology

i) Theory (Written)

75

38

50

75

ii) Internal Assessment

25

12

6.

Psychology

i) Theory (Written)

75

38

50

75

ii) Internal Assessment

25

12

7.

Soicology

i) Theory Internal (Written)

50

25

25

38

 

 

Note – This Scheme of Examination will be applicable to the students appearing in May 2002 examination.

 

 

Appendix ‘F’

College Examinations

First Year                                                                                                                                        

Sociology

 

Second Year

1.     Nursing Research + Statistics

2.     Library Sciences

3.     Computer Training

4.     Research Project - Practical + Viva

 

Note : The individual university and its Board of Studies has the previlege of changing the sequence of subject or making addition and deletion of any course of study provided that the subject matter or content is covered at some phase of the programme.

 

        The Scheme of Examination and distribution of marks shall be fixed by the Board of Studies keeping in mind the academic load of each subject, minimum requirements prescribed by Indian Nursing Council.

 

Criteria for Internal Assessment F, i

 

Appendix F : For internal assessment separate evaluation forms are enclosed for First

        year and Second year separately.

 

-      Periodical short test objective types of questions have to be asked.

-      For average of internal assessment marks, performance in terminal and preliminary exams and periodical short test should be calculated.

-      The candidate should secure 50% marks in internal assessment in theory and practical.

-      There should be a gap of three weeks before the completion of preliminary exam and commencement of first professional University examination.

-      Internal assessment marks to be sent to University is shown in enclosed evaluation form in theory and practicals one month before University examination.

-      Internal assessment marks are calculated for ranking system.

-      In each subject candidate must obtain minimum of 50% of passing separately in theory and practicals. Those 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 in first class, 75% and above in first class with distinction. A candidate 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.

-      The record of internal assessment marks must be properly maintained.

-      There may be surprise inspection of internal assessment record by an authorised officer of the University.

-      There will be no A.T. K. T.

-      There should be three attempts for appearing for examinations (Actual examination in sequence).

-      Students should be made aware of internal assessment marks.

-      25 % of objective type of questions out of total marks should be administered separately at University examination.

-      There should be 25% for theory and practical separately. 50% term exam, 50% periodical exam.

-      Board will specify methods of test.

-      Printed format of case study, Seminars, care plans, family study and internal assessment form to be supplied by the University.

 

Criteria for Eligibility for University Examination

 

-      Attendance : 75% in lectures and 80% in non-lecture teaching programme.

-      Practicals : There should be one internal and one external examiner.

-      There should provision for re-totaling of marks within two months.

 

Staffing Pattern for College

for 50 to 100 Students

Administrative Staff

(1)   Principal            -      1

(2)   Vice-Principal   -      1

 

        Department                             Professor          Associated           Lecturer        Asst. Lecturer

                                                                               Prof./Reader                              (Proportion 1:10)

                                                                                                                                Demonstrator (1:10)

1.     Community Health

        Nursing                                   1                      1                          1                   5

2.     OBS & GYN Nursing             1                      1                          1                   3

3.     Paediatric Nursing &

        Child Health                            1                      1                          1                   3

4.     Psychiatric Nursing                  1                      1                          1                   2

5.     Medical-Surgical Nursing

        including Fundamentals            2                      3                          4                   3

 

1.     All nursing teachers must possess a basic University or equivalent qualification as laid down in the schedules of the Indian Council Act, 1947. They shall be registered under the State Nursing Registration Act.

 

2.     Nursing lecturer in nursing college except demonstrator/assistant lecturers must prossess the requisite recognised post graduate qualification in nursing subjects.

 

3.     Holders of equivalent post graduate qualification which may be approved by the INC from time to time, may be considered have the requisite recognised post graduate qualification in the subject concerned.

 

4.     All teachers of nursing other than principal and vice-principal should spend at least 4 hours in the clinical area for clinical teaching and / or supervision of care every day.

Other Staff

 

        (To be reviewed  and revised and rationalised keeping in mind the mechanisation and contract service)

 

Ministerial

(a)    Administrative Officer              1

(b)    Personnel Assistant                  1

(c)    Office superintendent               1

(d)    PA to Principal                        1

(e)    Stenographers to professor      2

(f)     Accountant / Cashier               1

 
Upper Divisional Clerk

(a)    For Establishment                    1

(b)    For Admission                         1

(c)   For University examination    1

 
Lower Divisional Clerk

(a)    For records                             1

(b)    Despatch work                        1

(c)    Maintenance of stores              1

(d)    Typist                                      2

(e)    Peon for Principal                    1

        Cyclostyling                             1

        Daftary                                    1

        Staff                                        1

(f)     Classroom attendants               2

(g)    Sweepers                                3

(h)    Lab attendents for

        fundamentals of nursing

        Nutrition, Micro-biology &

        Bio-chemistry                          3

(i)     Watchman and chowkidars      4

(j)     Lab Technicians                       2

(k)    A. V. Gestetner/Technician      1

(l)     Driver for each vehicle             1

Other Staff

 

(a)    Librarian                                  2

(b)    Library Attendents                   3

 
Hostel

 

(a)    Wardens                                 2

(b)    House Keepers                       2

(c)    Cooks, Bearers, Sweepers

        according to ratio as given

        in other University

        Student hostel                          2

(d)    Ayas                                       4

(e)    Watchman/chowkidars            Depends on structural facilities

(f)     Gardeners & Dhobi (desirable)                        ---------"---------

 
Community Health Staff

 

(a)    Chowkidar cum Mali               Depends on structural facilities

(b)    Cook                                                              ---------"---------

(c)    Aya                                                                 ---------"---------

(d)   Sweepers                                                         ---------"---------

 

Date :                                                               Dr. D. G. Dongaonkar 

                                                                                        Vice-Chancellor

 

Prospectus of

First Year P.C. B.Sc. Nursing

Appearing in First half of 1999

 

[ 1998 ]

 

Appendix 'C'

 

Comprehensive Nursing

 

First Year                                                                                            Theory - 60 Hours

Practicals - 100 hours

 

Course Description

 

        This course will help students to develop understanding of the philosophy, objective and responsibilities of Nursing as a profession. The purpose of the course is to orient one to the current concepts involved in the practice of Nursing developments in the Nursing profession.

 

Objectives

 

1.     Identify professional aspects of Nursing.

2.     Explain Theories of Nursing.

3.     Identify ethical aspect of Nursing profession.

4.     Utilise steps of nursing process.

5.     Identify the role of nurse in various levels of health services.

6.     Appreciate the significance of quality assurance in Nursing.

7.     Explain current trends in health and Nursing.

 

Course Contents

 

UNIT - I

        Development of Nursing as a profession and its philosophy. Objectives and responsibilities of a graduate nurse. Trends influencing nursing practice, expanded role of the nurse. Development of nursing education in India and trends in Nursing education - professional organisations, ten years planning.

 

UNIT - II

        Ethical and legal issues in Nursing practice, trends in planning Nursing practice, expanded role, concept of health and illness, effects on the person, stress and adaptation.

        Health care concept and Nursing care concept, developmental concept, need, roles and problems of the developmental stages of individual - Newborn, infant, toddlers, preadolescent, adolescent, adulthood, middle age, old age.

 

UNIT - III

        Theory of Nursing practice - Metaparadigm of Nursing - characterised by for central concept, i.e. Nurse, person (Client / patient) health and environment.

        Five theories Virginia Hendersons Theory, Imogene King's General system framework, Dorothy Orem's self care framework, Martha Rogers Science of Unitary human beings/Newmans/theory.

 

UNIT - IV

        Nursing process Assessment : Tools for Assessment, Methods, Recording, Planning, Techniques for planning care, types of care plans. Implementation : Different approaches to care, organisation and implementation of care, recording. Evaluation : Tools for evaluation, process of evaluation.

 

UNIT - V

        Quality assurance : Nursing standards, Nursing Audit, total quality management. Standing orders.

 

UNIT - VI

        Epidemiology

        Definition - concepts, Aims, objectives, methods, principles,

-       Epidemiology - Theories and models.

-       Application of Epidemiology, principles and concepts in community Health.

 

UNIT - VII

        Primary health care concept, community oriented Nursing, holistic Nursing, primary Nursing concept. Family oriented Nursing concept. Problem oriented Nursing concept, progressive patient care concept.

 

UNIT - VIII

        Health Education : Aims concepts and scope of health education. National plan for health education, communication techniques, methods and media for health education programme, planning for health education and role of nurse.

        Practicals - At least 2 health talks by each student.

 

REFERENCES :-

 

1)  Tapers Dictionary (annexure pages)

2)  Samson & Luckmann, Basic Nursing, A Psycho-Physiological Approach

3)  Potter - Fundamentals of Nursing

 

 

Medical Surgical Nursing

Theory - 100 hrs

Placement - First year                                                                            Practical - 260 hrs

 

Course Description

        The purpose of this course is to widen the students knowledge and develop proficiency in caring for patients with medical surgical problems. This course includes review of relevant anatomy and physiology, pathophysiology in medical surgical disorders and the Nursing management of these conditions.

 

Objectives

(1)    Explain relevant anatomy and physiology of various systems of the body.

(2)    Explain pathophysiology and biochemistry, biophysics in various disorders, in applied form.

(3)    Explain the actions,  side effects and Nursing implications in administering drugs in various disorders.

(4)    Discuss the various advancement in diagnosis, treatment and care of patients with medical surgical conditions.

(5)    Develop skill in giving comprehensive Nursing care to patients following the steps of Nursing process.

(6)    Assist the patient and his family in identifying and meeting their own health needs.

(7)    Assist for different diagnostic procedures and operations related to medical surgical conditions.

(8)    Appreciate the role of the nurse in the medical surgical health team in the hospital and in the community. (referral follow-up camps)

(9)    Appreciate her role in physiotherapy, occupational therapy and rehabilitation.

 

Course Contents

 

UNIT - I

        Introduction to medical surgical Nursing -

-       Review of concepts of comprehensive Nursing care in medical surgical conditions.

-       Nurse, patient and his family.

-       Functions of nurse in OPD, ward and special departments.

 

UNIT - II

        Nursing management of patients with specific problems -

        - Fluid and electrolyte imbalance

        - Fever

        - Shock

        - Unconsciousness

        - Pain

        - Acute illness

        - Chronic illness

        - Terminal illness

        - Age related illness

        - Pre and post operative care.

 

UNIT - III

        Nursing management of patient with neurological & neuro surgical conditions.

        Review of Anatomy and Physiology of the Nervous System.

        - Pathophysiology, diagnostic procedures and management of Cerebrovascular accidents,

Cranial, spinal and peripeheral neuropathies.

        Headaches and intractable pain,

        Epilepsy, infections and inflamatory diseases and trauma of Nervous system.

        Recent advances in diagnostic and treatment modalities

        Drugs used in these disorders.

        Incontinence of urine / feaces

       

UNIT - IV

        Nursing management of patients with cardiovascular problems.

        Review of Anatomy & Physiology of Cardio vascular system.

        Pathophysiology, diagnostic procedures.

        management of ischacmic heart diseases, Myocardial

        infarction, cardiac arrhythmias, congestive heart failure. Rheumatic and other Valvular heart diseases.

        Endocarditis, cardiomypathies, congenital heart diseases.

        Hypertension, Heart Block, cardiac emergencies - Cardiac arrest, acute pulmanary oedema, cardiac tamponade, cardiogenic shock, Anemia and periphero vascular disorders, recent advancement in cardiology.

 

UNIT - V

        Nursing management of patients with respiratory problems.

        - Review of Anatomy and Physiology of Respiratory system.

        - Pathophysiology, diagnostic procedures and management of upper respiratory tract infections

        Dyspnoea and cough.

        Bronchitis

        Asthama

        Emphysema

        Bronchiectasis

        Pneumonia

        Pulmonary Tuberculosis

        Lung abscess

        pleural effusion

        Tumours and cysts

        Chest injuries

        Respiratory arrest and insufficiency

        Pulmonary embolism

        COPD

        Drugs used in the management of these patients.

        Special respiratory therapies

       

UNIT - VI

        Nursing management of patients with renal problems.

        -Review of anatomy and physiology of the urinary system.

        - Pathophysiology, diagnostic procedures and management of :-

        - Nephritis

        - Renal culculus

        - Acute renal failure; Chronic renal failure.

        - End stage of renal diseases

        - Special procedures and renal transplant

        - Drugs used in management of these patients

 

UNIT - VII

Nursing management of patients with problems of the Digestive system.

-       Review of anatomy and physiology of gastrointestinal systems & Accessary organs, Pathophysiology, diagnostic procedure and management of :-G.I.Bleeding

-       Peptic ulcer

-       Infections

-       Acute abdomen

-       Colitis, Gastric ulcer, duodenal ulcer

-       Cholecystitis

-       Hepatitis, Hepatic coma and cirrhosis of liver

-       Portal Hypertention.

-       Pancreatitis.

-       Tumours

-       Drugs used in the management of these patients

 

UNIT - VIII

        Nursing management of patient with endocrine problems.

-       Review of Anatomy and Physiology of endocrine system.

-       Pathophysiology, diagnostic procedures & Management of :-

-       Thyroid disorders

-       Diabetes mellitus

-       Diabetic insipidus

-       Adrenal tumours

-       Pituatory disorders

-       Drugs used in the Management of patients with endocrine problems

 

UNIT - IX

        Nursing management of patients with musculo skeletal problems :-

-       Review of Anatomy and Physiology

-       Pathophysiology, diagnostic procedures & management of :-

-       Arthritis, osteomylitis, bursitis,

-       Fractures, dislocation and trauma

-       Prolopsed disc

-       Osteomalacia and Osteoporosis

-       Tumours

-       Amputation

-       Drugs used in the management of there patients.

-       Prosthesis and Rehabilitation

 

UNIT - X

-       Nursing management of patients with disorders of female reproductive system

-       Review of Anatomy & Physiology of reproductive system

-       Disorders of menstruation

-       Infections of the genital tract

-       Benign and malignant tumors of the Genital tract

-       R. V. F., V. V. F.,

-       Climatic changes and associated problems

 

UNIT - XI

        Nursing management of patient with oncological disorders.

-      Types of neoplasms and related pathophysiology

-       Diagnostic procedures

-       Modalities of treatment and nurses role

-       Special therapies, chemotherapy and Radiotherapy

-       Preventive measures and other therapies

 

UNIT - XII

        Nursing management of patients with burns

        Nursing management of patients with reconstructive surgeries

 

UNIT - XIII

        Nursing management of patients with immonological disorders including HIV/AIDS

 

UNIT - XIV

        Nursing management of patients with skin - diseases.

        Review of Anatomy & Physiology of skin.

        Principles in treatment of skin diseases

        Acne vulgaris

        Eczema

        Parasitic infection

        Pamphigus

        Papillo - squamous disorder - psoriasis

        Leprosy

        S.T.D.

        S.L.E.

        Vitiligo

        Nurses role in prevention of skin diseases

        A.I.D.S.

 

UNIT - XV

        Nursing management of patients with eye problems.

        Review of Anatomy and physiology

        Examination of Eye Pathophysiotherapy, diagnostic procedures and management of :-

-       Diseases of conjunctiva, cornea, sclera

-       Diseases of the retina.

-       Glucoma.

-       Eye injuries.

-       Disorders of vision.

-       Cataract, causes, pre and post operative management

-       Retinal detachment.

-       Blindness, causes & prevention

-       Strabismus.

-       Common drugs used in Eye treatment

 

UNIT - XVI

        Nursing management of patients with E.N.T. problems.

        Review of Anatomy and Physiology of the ear

        Disorder of external ear and their management

        a. impacted cerumen

b. Foreign bodies

        c. Neoplasms

        d. Congenital deformities

        e. Diseases of the middle ear, mastoid and management

        Acute otitis media

        Chronic suppurative otitis media

        Acute and chronic mastoiditis and pre and post operative management

        otosclerosis

        Disorder of the inner Ear

        Dizziness and vertigo

        Hearing inpairment

        DISEASES OF NOSE

        Review of Anatomy and physiology of nose

        Common disorder of the nose and their management

        Epistaxis

        Deviated Nasal septum

        Acute and chronic Rhinitis

        Acute and chronic sinusitis

        Nasal polyps and growths

        DISEASES OF THROAT

        Review of anatomy and physiology of throat

        Common condition and their management

        Adenoids

        Naso-pharyngeal growths, benign and malignant

        Tonsillitis, Acute and chronic

        Peritonsillar abscess and retro - pharyngeal abcess

        Laryngitis, larayngeal oedema and growth

        Tracheostomy indications pre and post operative management.

 

UNIT - XVII

        Nursing in emergencies -

        - Cardiac emergency

        - Respiratory emergency

        - Trauma

        - Poisoning

        - Crisis management

        - Adrenal crisis

        - Thyroid crisis

        - Hypertensive crisis

        - Disaster management.

 

Practicum

According to the required learning experiences, students will be rotated in the

selected areas like cardio Thorasic, Neurology, neuro-surgery, Nephrology,

Urology, Orthopaedics, Gynaecological, Oncology, Burns and reconstructive,

surgical units. Through out their placement in Clinical areas, the students will be

given patients assignment. They will Practice, Patient centred comprehensive

Nursing. Each student is required to give planned health teachings, conduct

Clinical teaching, case presentation  drug study.

 

References

 

1) Shaffers                    -           Medical Surgical Nursing.

2) Walson's                  -           Medical Surgical Nursing & Related Physiology

3) Lippincott                 -           Manual of Nursing Practice.

4) Long & Phipps         -           Medical Surgical Nursing

5) Luckman & Sorenson   -      Medical Surgical Nursing

6) Luckman & Black    -           Medical Surgical Nursing

7)  Brunner                   -           Medical Surgical Nursing

8)  Tor Tora                 -            Principles of Anatomy & Physiology

 

 

Maternal Nursing

Theory  - 60 hrs.

Placement - First Year                                                                         Practical - 200 hrs.

 

Course Description

 

        This course is designed to widen the student's knowledge of obstetrics during pregnancy, labour and Puerperium. It also helps to acquire knowledge and develop skill in rendering optimum Nursing care to a child bearing mother in a hospital or community and help in the management of common gynaecological problems.

 

Objectives

 

        At the end of the course, the student will;

(1)    Describe the physiology of pregnancy, labour and Puerperium and manage normal conditions.

(2)    Explain the physiology of lactation and manage post - partum period.

(3)    Be skilled in  providing pre and post operative Nursing care in obstetric conditions.

(4)    Identify and manage high risk pregnancy, labour and post natal mother.

(5)    Teach, guide, supervise the Basic Nursing students and help in continuing education.

(6)    Implement family welfare programme.

 

Course Contents

 

UNIT - I

-       Introduction and Historical review.

-       Planned parenthood.

-       Maternal morbidity and mortality rates.

-       Legislations related to maternal benefits, MTP act, Family Welfare Programme.

-       Safe motherhood.

-       Reproductive child health.

 

UNIT - II

-       Review of anatomy and physiology of female reproductive system.

-       Review of physiology and management of pregnancy labour and puerperium.

 

UNIT - III

-       Management of newborn baby and high risk approach to a new born baby.

 

UNIT - IV

-       Management of minor ailments associated with pregnancy.

-       Management of major ailments associated with pregnancy.

-       High risk approach during pregnancy, labour and puerperium.

-       Diseases associated with pregnancy and its management.

-       Pregnant women with HIV and AIDS.

-       Abnormal labour (malposition and malpresentation)

-       Complications and management during labour.

-       Management in post-natal period.

-       Complications and management in PNC period.

-       Breast feeding.

 

UNIT - V

-         Drugs used in pregnancy, during labour and post partum period.

 

UNIT - VI

-       National family welfare programme and role of nurse.

-       National programme for welfare of women.

-       Infertility and its management.

-       Problem associated with pregnancy, labour and post - partum period (e.g. unwanted pregnancy, unwed mothers)

 

 

practical

 

        The students will be rotated in the following areas.

-       ANC CLINIC

-       MCH CLINIC

-       ANC  WARD

-       LABOUR ROOM

-       POST NATAL WARD

-       O.T.

-       M. T. P. ROOM

-       NURSERY

 

-       Write two case studies and two care plans by each candidate.

-       Give atleast two health talks to mothers.

-       Follow nursing process in providing nursing care to 3 to 6 patients.

-       Practice of following nursing procedures :

        - ANC, PNC, Examination.

        - PV examination

        - Normal delivery

        - Stitching of episiotomy.

        (For male candidate if he has not done midwifery in GNM programme, minimum conduction of ten deliveries)

-       Motivation for family for adopting planned parenthood and family planning methods.

-       Assist in various diagnostic and therapeutic procedures including IUD insertion and removal.

-       Practice above knowledge in community health clinical experience.

 

VISIT

-       Welfare management for women and write observation report

REFERENCES

 

1)  Benet - Myles Textbook for Midwives

2)  Dawn - /textbook of Obstetrics

 

CHILD HEALTH NURSING

Theory - 60 hrs.

Placement - First year                                                                          Practical - 240 hrs.

 

 

Course description

 

        This course is aimed at developing and understanding of the modern approach to child care, the common health problems of children and to be able to meet the needs of neonates and children in health and sickness.

 

OBJECTIVES

 

        At the end of the course, the student will :

(1)    Explain the modern concept of child care and the principles of child health nursing.

(2)    Describe the normal growth and development of children at different ages.

(3)    Manage sick as well as healthy neonates and children.

(4)    Identify various aspects of preventive paediatric Nursing and apply them in providing nursing care to children in hospital and community.

 

 

course contents

 

unit - i

-       Introduction.

-       Modern concept of child care.

-       Internationally accepted rights of the child.

-       National policy and legislation in relation to child health and welfare.

-       National programmes related to child health and welfare.

-       Changing trends in hospital care, preventive, promotive and curative aspects of child health.

-       Child morbidity and child mortality rates.

-       Differences between adult and child.

-       Hospital environment for a sick child.

-       Role of paediatric nurse in caring for a hospital fed child.

-       Principles of pre and post operative care of infants and children.

-       Paediatric nursing procedures.

 

UNIT - II

-       The healthy child.

-       Growth and development from birth to adolesence.

-       Meeting the needs of normal children through the stages of development and parental guidance.

-       Nutritional needs of children and feeding of infants and children - breast feeding, supplementary and artificial feeding and weaning.

-       Accidents - principle causes and prevention.

-       Value of play and selection of play material.

-       Preventive immunization.

 

UNIT - III

-       High risk approach.

-       Nursing care of a neonate.

-       Nursing care of a normal newborn.

-       Neonatal resuscitation.

-       Nursing management of common neonatal disorders.

-       Gastrointestinal infestations.

-       Cardiovascular problems - congenital defects and rheumatic fever.

-       Respiratory Problems

-       Genitourinary disorders - Nephrotic Syndrome, wilm's tumor, infection and congenital disorders.

-       Neurological infection and disorders - convulsion, epilepsy meningitis hydrocephallus spine bifida.

-       Endocrine disorders - Juvenile Diabetes Mellitus.

-       Hematological disorders - Anaemia, thalassemia, ITP. Leukemia, hemophilia.

-       Orthopedic disorders - club feet, hip dislocation and fracture.

-       Disorders of skin, eye and ears.

-       Common communicable diseases in children, their identification, nursing management in hospital and at home and prevention.

-       Paediatric emergencies - poisoning, foreign bodies, hemorrhage, burns and drowning.

 

UNIT - IV

-       Management of behaviour disorders in children.

-       Management of handicapped children.

-       Mentally handicapped.

-       Socially handicapped.

 

PRACTICUM

        The student will :

-       Be posted in pediatric medical and surgical ward, OPD in hospital and health centre and neonatal unit.

-       Visit a centre for handicapped children and child welfare centre and write observation report.

-       Write an observation study of normal children at various age groups in home/Nursery school/Creche.

-       Follow nursing process in providing care to 3-6 children.

-       Write at least two nursing care studies and do a presentation.

-       Give two planned health teachings, one in hospital and one in OPD / health centre.

-       Practice the following nursing procedure.

        - Taking pediatric history.

        - Physical assessment of children.

        - Baby bath.

        - Feeding.

 

REFERENCES

        1) Nelson  -  Textbook of Paediatrics

        2) Marlows - Textbook of Paediatrics

3) Achar S.T. - Textbook of Paediatrics in tropical conuntries.

Microbiology

Theory - 60 hrs.

Placement - First Year                                                                            Practical - 30 hrs.

 

 

Course Description

 

        This course reorients the student to the fundamentals of microbiology and its various sub-divisions. It provides opportunities to gain skill in handling and use of microscope for identifying the various micro-organisms. It also provide opportunities to safe handling of materials containing harmful bacteria and methods of destroying micro-organisms.

 

OBJECTIVES

 

(1)    Identify common disease producing micro-organisms.

(2)    Explain the basic principles of microbiology and their significance in health and disease.

(3)    Demonstrate skill in handling specimens.

(4)    Explain various methods of disinfections and sterilization.

(5)    Identify the role of the nurse in hospital and infection control system.

 

course content

 

unit - i

Structure and classification of microbes.

Morphlogical types.

Size and form of bacteria.

Motility.

Classification of Micro-organism.

 

Lab Practical

Use and care of microscope

Common examination : smear, blood, yeast, moulds.

 

unit - ii

Identification of micro-organisms

Discussion of laboratory methods

Diagnosis of bacterial diseases.

 

Lab Practical

Staining technique - gram staining, acid fast staining, hanging drop preparation.

 

unit - iii

Growth and nutrition of microbes

Temperature

Moisture

Blood

 

Lab Practical

Preparation of media and culture technique

collection, handling and transportation of various specimen.

unit - iv

Destruction of micro-organisms

Sterilization and disinfection.

Chemotherapy and antibiotics

Effects of heat and cold.

Hosp. infection control procedure and role of nurse

 

Lab and Ward Practical

Sterilisation methods - physical, chemical and mechanical.

 

unit - v

Disease producing micro-organisms

Gram positive bacilli

Tuberculosis and Leprosy

Anaerobes

Cocci

Spirochaete

Ricketasiae

 

Lab Practical

        Identification and study of the following bacteria - strepto-cocci, pneumococci, and staphylococci, coryne-bacteria, spirochetes and gonococci, enteric bacteria and uninary organisms, posting in infection control dept.

 

unit - vi

Pathogenic fungi

Dermatophytes

Systemic mycotic infection

Laboratory diagnosis of mycotic infection

 

unit - vii

Immunity

Immunity and hypersensitivity - skin test

Antigen and antibody reaction

Immunisation in disease

 

Lab and OPD Practical

Demonstration of serological methods

 

unit - viii

Parasites and vectors

Characteristics and classifications of parasites

Protozoal infection including amoebiasis

Helmintheiasis infection.

Diagnosis of parasitic infection

Vectors and disease transmitted by them

 

Lab practical

Identification of parasites and Vectors

 

 

UNIT - IX

Viruses

Classification and general character of viruses

Diseases caused by viruses in man and animal and their control

 

unit - x

Micro-organism

Food poisoning, food born infections

 

practicum

        Each student will practice in the laboratory twice a week for 2 hours a day. They will practice as indicated in each unit of the course outline. While giving nursing care in the ward they will practice collection and processing of specimens, prevention and control of hospital infections, sterilisation, immunisation, chemotherapy and maintenance of personal and environmental hygiene. Observation visit to incinerator, posting in C.S.S.D. and infection control dept.

 

references

 

1.     Introduction of medical microbiology by R. Ananthanarayan.

2.     The Short Text Book of Medical Microbiology by Satish Gupta (Jaypee Brothers Medical Publishers G.16 EMCA House 23/23B, Ansare Road, P.B. 7193, Daryaganj, New Delhi)

3.     Microbiology with application to nursing by Catherine Jones Witton (Mc Graw - Hill Series in Nursing Mc Graw - Hill Book Compay, Inc. New York, Toronto, London)

4.     Medical Parasitology by N. C. Dey and T. K. dey. (Allied Agency, 36, Dr Sundari Mohan Avenue, Calcutta - 14)

5.     Human Parasitic Disease by K. D. Chatterjee.

 

 

sociology

Theory - 60 hrs.

Placement - First Year                                                                            Practical - 30 hrs.

 

 

Course DEscription

 

        This course is to reorient student to sociology related to community and social institution in India and its relationship with health, illness and nursing.

 

Objectives

 

1.     Describe sociological concepts that are applicable to nursing.

2.     Determine role of sociology in nursing as related to social institution in India.

3.     Develop positive attitudes towards individual, family and community

 

course contents

 

unit - i

-       Importance of study of sociology in nursing relationship of anthropology, sociology etc.

 

unit - ii

-       Individual and the society.

-       Socialization

-       Interdependence of individual and society.

-       Personal disorganisation.

 

unit - iii

-       Culture

-       Nature of culture

-       Evolution of culture

-       Diversity and uniformity of culture

 

unit - iv

-       Social organisation

-       Social groups, crowds and public groups, nations, race. Social institutions : The family marriage, education, religion, arts, economic organization, political organisation. The community : Ecology, characteristics of the village.

-       Characteristics of the town and city, social satisfaction : Class and caste.

 

unit - v

-       Social process

-       Process of social interaction : competition, conflict-war, cooperation, accommodation and assimilation.

 

unit - vi

-       Social change

-       Nature and process of social change : Factors influencing cultural change. Cultural lag.

unit - vii

      -     Social problems

-         Social disorganisation, control and planning, poverty, population, housing, illiteracy, food supplies, growth of urbanisation, prostitution, minority groups, right of women and children, child labour, child abuse, delinquency and crime, substance abuse.

 

Note : Field visits such as orphanage, Nari Niketans, Jail, Reform School, old Age Home etc. Suggested a project work intergrated with community health posting.

 

references

 

1.     Human Society by Kingsley Davis, Surgeet Publications.

2.     Social Problems and Society Disorganisation in India by C. B. Mamoria.

 

Psychology

Theory - 40 hrs.

Placement - First Year                                                                            Practical - 10 hrs.

 

 

Course Description

 

        This course is designed to reorient and widen the student's knowledge of fundamentals of psychology. The student is offered an opportunity to apply the theoritical principles in the abnormal setting and there by understand the psychodynamics of patient behaviour. This course would also help the student to develop  an insight into her own behaviour.

 

objectives

 

1.     Apply psychological principles while performing nursing duties.

2.     Distinguish the psychological processes during health and sickness.

3.     Analyse her own behaviour patterns.

4.     Tabulate the psychological needs of the patients for planning nursing care.

5.     Participate in psychometric assessment of the client.

 

course contents

 

unit - i

Introduction : Definition of psychology, scope and methods of psychology.

Relationship with other subjects.

 

unit - ii

        Sensation, attention and preception : Definition, sensory processes. Normal and abnormal attention and distraction. Contributory factors. Characteristics of perception. Perception : normal and abnormal.

 

unit - iii

Motivation : Definition and nature of motivation.

Biological and social motives.

Frustration and conflicts

Self - actualisation.

 

unit - iv

Emotion - Definition of emotions

Expression and perception

Emotions in sickness.

 

unit - v

Personality - Definition, constituents of personality, personality disorders and nursing.

 

unit - vi

Psychological aspects of nursing.

Behaviour in sickness.

Psychological needs of (a) Child (b) Adult (c) Aged (d) Attendants (e) Chronically ill inividuals.

unit - vii

Individual differences - Significance of individual difference, Heridity and environment.

Role of individual differences both in health and sickness.

Implications of individual differences in nursing.

 

unit - viii

Intelligence and abilities -

Definition, intelligence and abilities  during sickness.

Measurement of intelligence and abilities.

 

Unit - ix

Learning - Definition, Conditions of learning, laws of learning, learning during health

and sickness.

 

unit - x

Memory and forgetting - Definition and nature of memory, memory during health and

sickness, Forgetting during health and sickness

 

unit - xi

Attitudes - Definition, development and modification.

Role of attitudes in health and sickness.

 

practicum

(a)    Simple experiments on (1) preception (2) measuring thresholds (3) Reaction time.

(b)    Administration of psychological tests.

(e)    Observation and recording data  (1) field observation (2) interview (3) Care study (4) Self rating.

 

REFERENCES

 

1)  Bhatia & Cracg   -       Elements of Psychology & Mehta/Hygiene

2)  Andres Mc. Ghee -     Psychology applied to Nrusing

3)  Kupuswamy & Prabhu -  General Psychology

Robert C. Culfee - Human experimental psychology.

 

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