SECOND YEAR
B.Sc. NURSING
Course of
Study II Year B. Sc. & Nursing
|
|
Subject |
Theory |
Practicals |
Clinical |
Total Ms |
|
1.
|
Microbiology |
60 |
05 |
- |
6 5 |
|
2. |
Medical – Surgical Nursing – I a) Medicine & Medical NSG b) Surgery & Surgical Nursing |
270 150 120 |
60 45 15 |
800 - - |
1130 - - |
|
3. |
Sociology |
60 |
- |
- |
60 |
|
4. |
English |
50 |
- |
- |
50 |
|
|
Total |
440 |
65 |
800 |
1305 |
SCHEME OF
EXAMINATION
SECOND YEAR B.Sc. NURSING
|
S.
N |
SUBJECT |
SUBHEAD |
MAXIMUM
MARK ALLOTTED |
MINIMUM MARKS REQUIRED TO
PASS IN EACH SUBHEAD |
MINIMUM
MARKS REQUIRED TO PASS IN EACH SUBJECT(%) |
MINIMUM
MARKS REQUIRED TO AWARD DISTINCTION |
|
1 |
MICROBIO-LOGY |
THEORY
WRITTEN INTERNAL
ASSESSMENT |
75 25 |
38 12 |
50 |
75 |
|
2 |
MEDICAL
SURGICAL NURSING |
THEORY WRITTEN INTERNAL
ASSESMENT |
75 25 |
38 12 |
50 |
75 |
|
3 |
MEDICAL
SURGICAL NSG PRACTICAL II |
PRA
+ ORAL CLINICAL INTERNAL
ASSESSMENT |
50 50 |
25 25 |
50 |
75 |
|
4 |
SOCIOLOGY |
THEORY
WRITTEN INTERNAL
ASSESSMENT |
75 25 |
38 12 |
50 |
75 |
|
5 |
*ENGLISH |
THEORY WRITTEN INTERNAL
ASSESSMENT |
- 50 |
- 25 |
25 |
38 |
* Internal College Examination
Note – This Scheme of Examination will be applicable
to the students appearing in
May 2002 examination.
SCHEME OF INTERNAL ASSESSMENT
|
Sr. No. |
SUBJECTS |
MAXIMUM MARKS FOR INTERNAL ASSESSMENT |
TYPE OF ASSIGNMENT/TESTS |
MAXIMUM MARKS OF ASSESSMENT/ TESTS |
|
1 |
MICROBIOLOGY |
25 |
PERIODICAL
TEST MID
TERM TEST PRE
FINAL- EXAMINATION WRITTEN
ASSIGNMENT ON STERLIZATION & DISINFECTION |
25 25 75 25 |
|
2 |
MEDICAL SURGICAL NURSING-I (THEORY) MEDICAL SURGICAL NURSING (PRACTICAL – II) |
25 |
PERIODICAL
TEST MIDTERM
TEST PRE
FINAL EXAMINATION SEMINAR PROJECT WORK ON VARIOUS THERAPEUTIC DIET CLINICAL
EVALUATION VIVA
–VOCE AGGREGATE
OF CLINICAL ASSIGNMENT |
25 25 75 25 25 25 25 25 |
|
3 |
SOCIOLOGY |
25 |
PERIODICAL
TESTS MIDITERM
TEST PRE
FINAL EXAMINATION ASSIGNMENT
OF ROLE OF NURSE IN COMMON SOCIAL PROBLEMS |
25 25 75 25 |
|
4. |
ENGLISH |
25 |
|
50 |
Note :- An aggregate of year’s work is calculated for internal assessment and taken out of 25
SUBJECT
:-MICROBIOLOGY
PLACEMENT: -II YEAR BSC NSG
TOTAL THEORY HOURS: 60 Hrs.
AIMS:
At the end of
the course the students will be able to understand and apply the principles of microbiology in
the medical surgical procedures
carried out in the field.
OBJECTIVES:
At the end of the course students are able to :
Ø Appreciate the concept and
scope of microbiology in nursing
Ø
Describe the nature, type and morphological
structure of micro organisms.
Ø
Discuss the methods of controlling and destroying microbes.
Ø Describe transmission of
pathogenic organisms and its control.
Ø Analyse body's reaction to
infection in relation to immune system.
Ø Apply the principles of microbiology in pathological investigations.
Ø Apply universal safety
precautions.
Ø Explain the principles of hospital infection.
UNIT
I. INTRODUCTION (4
Hrs)
1.History of microbiology
2. Branches of microbiology
3. Importance of microbiology to nurses
UNIT
II. MICROORGANISMS (5
Hrs)
Classification of microorganisms.
Ø Morphology
Ø Classification
Ø Characteristics of Bacteria
Ø Factors affecting the growth
of bacteria
Ø
Study of bacteria- staining and culture media
UNIT III.
MICRO ORGANISMS IN THE HUMAN BODY (10 Hrs)
Ø
Portals of entry and
exit
Ø
Sources of infection
& methods of transmission of microorganism s
Ø
Koch's Postulates
Ø
Types of host parasite
relationship (Incl. normal flora)
Ø
Reaction of the body to
infections.
Ø
Normal immune mechanisms
and immunity
Ø
Hypersensitive
reactions.
UNIT
IV. CONTROL OF MICROORGANISMS (12Hrs)
Ø Definitions of terms in regard to control
Ø Control/destruction of micro organisms
Ø Different method
: Mechanical methods, physical and chemical methods including pasteurisation,
fumigation and incineration.
Ø Various methods of sterilisation
Ø Common disinfectants and antiseptics
Ø Control of microorganism s in the body.
Ø Anti microbial agents and drug resistance.
Ø Antibiotic sensitivity test.
Ø Control of microorganisms in hospital
Ø Cross infection (Nosocomial infection)
Ø Sources & prevention
Ø Medical and surgical asepsis
Ø Modern strategies infection control committee
and the nurse.
UNIT
V. STUDY OF PATHOGENIC MICRO ORGANISMS (24 Hrs)
Ø
Patho genicity of
microorganisms
Ø
Study of pathogenic
bacteria: (includes morphology" diseases, causes, transmission and
control) .
Ø
Gram positive cocci - Staphylococci
Streptococci
pneumococci
Ø Gram negative cocci Meningococci
Gonococcus
Gram positive bacilli Clostridium Welchi
Clostridium tetani
Clostridium botulinm
Coryne bacterium Diphtheria
Gram
negative bacilli Salmonella
group
Shigella group
Escherichia coli
Haemophilus influenzae
Bordetella pertuses
Psuedomonas
Yersinia pestis
Acid Fast
bacilli Microbacterium
tuberculosis
Mycobacterium leprae
Spirilla Vibrio
cholerae
Spirochetes Treponema
a pallidium
Leptospira
VIRUS
H.I.V.
Hepatitis A,B,C, D &E
Common cold, small pox, chicken pox, mumps, rabies, rubella, yellow fever
, poliomyelitis, encephalitis, dengue,
trachoma.
PROTOZOA Entamoeba histolytica, Giardia lambia plasmodium, vivax
falciparium, Leishmania nematodes ,cystodes, treptodes.
RICKETSSIA &
FUNGI Candida albicans, scrub typhus and other
fungal infections.
PRACTICALS: (5
Hrs)
1.
Use of microscope for visualizing microbes & parasites
2.
Taking swabs, smears, cultures, Gram staining.
3.
Visit to hospital CSSD ,
4.
Visit to hospital microbiology ,
serology & virology centre.
ASSIGNMENT: Written assignment on Disinfection and
sterilization
BIBLIOGRAPHY:
1. Ananthanarayan R, etal, ‘Text
book of Microbiology’, 2nd
edition
Orient
Longman, 1981.
2.
Blackwell C. Caroline ‘Principles of infection and immunity in patient care’,
Edenburg Churchill Livingston, 1981.
3.
Hug L. L.Muffet, ‘clinical microbiology’, 2nd edition: J. B.
Lippincott Co., 1981.
3.
Loyd Roberts and et al, ‘Medical microbiology’, 1st edition:
Boston Little Co., 1989.
COURSE OUTLINE
SUBJECT
:- MEDICAL SURGICAL NSG
PLACEMENT
:- II YEAR B.Sc. NURSING
TOTAL
THEORY HOURS :- 270
TOTAL
PRACTICAL HOURS :-800
AIM:
This course aims at providing
a basic understanding of common medical and surgical conditions and management.
OBJECTIVES: The
student will be able to:-
I. Describe the etiology,
symtomatology, pathophysiology, investigations management complications and
prognosis of common medical surgical disease conditions.
2. Develop skill in assisting
various diagnostic and therapeutic procedures.
3. Apply the concepts of
comprehensive care in the management of patients with medical surgical
conditions using the Nursing. process approach.
4.
Apply the principles of pharmacotherapy & therapeutic diet in the
management of medical surgical diseases.
PART A
MEDICINE AND MEDICAL NSG (150hrs)
UNIT I.
INTRODUCTION TO MEDICAL NSG 6 Hrs
Ø History of medicine
Ø School of medicine and indigenous system of
medicine
Ø Concepts of disease process, classification
and causes of disease diagnosis and general principles of treatment.
Ø Concept of problem solving process,
definition of terms and application. Review of immunological response to
diseases
UNIT II. (
5 Hrs)
Ø Preventive promotive rehabilitative aspects
of care
Ø Acutely ill patient & chronically ill
patient
Ø Management of patient in pain
Ø Special aspects of care in geriatrics
UNIT III. Gastro intestinal disorders and its management (20
Hrs)
Ø Mouth -
dental caries, periodental diseases, oral infection, alveolar abscess.
-
Dental and Maxillary surgery
-
Pre and post operative care of a patients undergoing dental surgery
Oesophagitis,
gastritis
Peptic
ulcer
Amoebiasis,
amoebic and bacillary dysentry
Ulcerative
colitis
Mal
absorption syndrome
Abdominal
tuberculosis
Intestinal
parasites, liver flukes, echinococeal cyst
Food
allergy and poisoning
Ø
liver and associated structures
Hepatitis
Hepatic
encephalopathy
Cirrhosis
of liver
Pancreatitis
Cholecystitis
Peptic ulcer, ulcerative
colitis, viral hepatitis and hepatic coma, cirrhosis of liver.
Diarrhoea and dysentry.
Malabsorption
syndrome.
*
Demonstration: (10
Hrs)
Abdominal
paracentesis
Liver
biopsy
Liver
function tests
Gastric
lavage and gastric analysis
Colonic irrigation
Endoscopy,
sigmoidoscopy , colonoscopy
Plain
X ray abdomen, barium meal,
barium enema
USG
UNIT IV. Respiratory disorders
and its management (10
Hrs)
Ø Bronchitis
Ø Bronchial asthma
Ø Pneumonia
Ø Diseases of the pleura
Ø COPD and pulmonary oedema
Ø Pulmonary tuberculosis
Ø Respiratory failure
Ø ARDS,
Ø Diet in Tuberculosis
*
Demonstration: (3
Hrs)
Pulmonary function test
Postural
drainage
Thoracocenthesis
and water seal drainage
Bronchoscopy
and bronchography
UNIT V. Cardiovascular
disorders and its management (20
Hrs)
Ø Myocardial infarction
Ø Cardiac arrthythmias
Ø Congestive Cardiac Failure
Ø Rheumatic fever
Ø Rheumatic heart disease
Ø Congenital Heart disease
Ø Pericardial diseases
Diet in CCF, Myocardial infarction
Erythrocytes Haemopoietic
system
Anaemias
Diet in Anaemia
Polycythaemia
Leukocytes Leukaemias
Others
Thrombocytopenia
Haemophilia
Ø Hodgkin's Lymphoma
Ø Myeloma
Ø Artherosclerosis
Ø Hypertension
Ø Diet in artherosclerosis & hypertension
TAO/Buergers Disease
Demonstration: (6
Hrs)
Parenteral
therapy -Infusions and transfusions
Blood
investigations- Collection of specimens
Venesection
Bone
marrow aspiration
Angiography
ECG
UNIT VI .Diseases of nervous system and its management (12
Hrs)
Ø Inflammatory- Tubercular meningitis
Ø Viral Encephalitis
Ø Vascular -cerebro vascular accident
Ø
Other condition -Gullian
Barre Syndrome, Myasthenia gravis
Ø
Parkinsons disease,
epilepsy, multiple sclerosis
Ø
unconscious patients
Ø
patients with sensory
motor disturbances
Ø
patients with mental and
emotional disturbances
Ø
patients with
incontinence
* Demonstration:
(5
Hrs)
Neurological
examination
Lumbar puncture,
cisternal puncture
Myelography, CT
scan , MRI, EEG
(10 Hrs)
Ø
Pituitary -Common
disorders of pituitary gland
Ø
Thyroid -Common
disorders of thyroid gland- hyper and hypo thyroidism myxoedema
Ø
Pancreas - Diabetes
mellitus
Diabetes
insipidus
Ø
Adrenals -Common
disorders of adrenal glands
Pheochromocytoma,
Cushing syndrome
Ø
Malnutrition, obesity
Ø
Diet in - Diabetes
mellitus, malnutrition
UNIT VIII .Musculo skeletal disorders and its
management (4 Hrs)
Ø
Arthritis -Rheumatoid
arthritis, Osteoarthritis
Ø
Gout
Ø
Collagen disorders
UNIT IX. Genitourinary disorders and its
management ( 7
Hrs)
Ø
Fluid and electrolyte
balance
Ø
Pyelitis, cystitis Acute
glomerular nephritis
Ø
Nephrotic syndrome
Ø
Renal failure acute and
chronic
Ø
End stage renal failure
Ø
Diet in renal
conditions
* Demonstration: (8
Hrs)
Catheterization
Bladder irrigation and tidal
drainage
Renal function tests
Renal biopsy
IVU, IVP and cystoscopy
Peritoneal and haemodialysis
UNIT X. Communicable diseases and its management
Ø Malaria
Ø Filariasis
Ø Diphtheria
Ø Leprosy
Ø Chicken pox
Ø Poliomyelitis
Ø Plague
Ø Worm infestations
Ø Rabies
Ø Mumps
Ø Whooping cough
* Demonstration: (2
Hrs)
Isolation
unit
UNIT XI. Pharmacology. (12
Hrs)
Introduction
Ø Terminology, sources of drugs
Ø Factors affecting dosage
Ø
Legislation
relating to drugs and narcotics
Drugs acting on CVS
Ø Anticoagulants, vasopressors, vasodialators
Ø Respiratory stimulants and depressants
Ø Bronchodialators and antitussive.
Ø Adrenergic & adrenergic blocking drugs
Ø Cholinergics & cholinergic blocking drugs
Ø Ganglion stimulating & blocking drugs
Ø Skeletal muscle relaxants, CNS stimulants
Ø Sedative hypnotics, anticonvulsants, opioids,
Ø Diuretics, urinary antiseptics
Drugs acting on G I system
Ø Appetiser
Ø Antacids
Ø Antiemetics and antidiarrhoeal and antiameobic
Ø Drugs used in endocrine disorders
Ø Corticosteroids
Ø Antibiotics
Ø Histamine, antihistamine
PART- B
SURGICAL
NSG (120 Hrs)
UNIT I. Introduction
to surgical nursing (3
Hrs)
Ø Historical brief review of
surgery and anaesthesia.
Ø General pre and
post-operative care
UNIT II Basic
concepts in surgical Nsg. (8
Hrs)
problems related to:-
Ø Inflammation and process of
repair
Ø
Wound -process of healing
Ø Haemorrhage and homeostasis
Ø Shock
Ø Abscess, septicaemia and gas
gangrene
UNIT III . Surgical
conditions of G I tract and
its management (20
hrs)
Mouth
Ø Carcinoma cheek
Ø Hemi-mandibulectomy
Oesophagus
Ø Achalasia cardia
Ø Hiatus hernia
Ø Oesophageal stricture
Ø
Pyloric stenosis
Ø
Peptic ulcer
Small and large intestines
Ø Hernias
Ø Appendicitis
Ø Acute Abdomen
Ø
Peritonitis, Intestinal obstruction
Anus and rectum
Ø Anal fissure, anal fistula
Ø
Haemorrhoids
Ø Rectal prolapse
Ø Carcinoma rectum
Ø Colostomy care and
rehabilitation
* Demonstration: (3
Hrs)
Gastrostomy & jejunostomy feeding
Colostomy care.
UNIT
IV. Surgical conditions of
Liver, Gall bladder and pancreas and its management (10 Hrs)
Ø Hydatid cyst
Ø Liver abscess
Ø Cholelithiasis and
cholecystitis
Ø Obstructive jaundice
Ø Portal hypertension
Ø Pancreatitis, pseudo
pancreatic cyst
UNIT V. Surgical conditions of respiratory and its management (4 Hrs)
Chest injuries, Haemothorax
Fall Chest
* Demonstration:- (2
Hrs)
Tracheostomy care
UNIT VI. Surgical conditions of Genito-urinary and its
management ,-, (6 Hrs)
Renal calculi
Hydronephrosis,
Traumatic
conditions of urinary system
BPH and other
common diseases of male genital system
Ca Bladder
Renal transplants
UNIT VII. Orthopaedic conditions and its management (14
Hrs)
Ø Introduction to orthopaedic
condition
Ø Sprain and dislocation
Ø Fracture and deformities of
bones
Ø Osteomyelitis
Ø Arthritis
Ø Traction, orthotics
Ø Bone tumour
Ø Amputation
Ø
Hemiarthroplasty and total hip replacement
Ø Pre and post operative management in
orthopaedic surgeries
Ø Occupational
therapy and rehabilitation of orthopaedic patients
*Demonstration: (3hrs)
Skin and sponge
traction
skeletal
traction
Application
of POP
UNIT VIII. Neuro surgical conditions and its management (10
Hrs)
Head injuries
Intracranial
space occupying lesions
Spinal cord
injuries and lesions
Ø Management and
rehabilitation of paraplegic & quadriplegic patients
Ø Pre and post operative
management in neurosurgical conditions
* Demonstration:
Bladder training (2
Hrs)
UNIT IX. Surgical conditions of endocrine system and its management
(6 Hrs)
Surgical conditions of :-
Ø Thyroid- Hyperthyroidism
Ø Pre and post operative management
Ø Parathyroid
Ø Adrenal glands
UNIT
X. Anaesthesia (10
Hrs)
Ø Introduction to anaesthesia
Ø Types and stages of
anaesthesia
Ø Modes of anaesthesia
Ø Anaesthetic drugs-: Muscle
relaxants intravenous anaesthetic agents
Ø Pre anaesthetic assessment
Ø Ventilatory care
Ø
CPR and management of emergencies
UNIT
XII. OT Techniques (1Hrs)
Ø Organization and physical lay out
of OT
Ø Circulating nurse- scrub
nurse
Ø Role and functions of nurse in OT
Ø Preoperative care
Ø Peri operative care
Ø Intra operative care
Ø Immediate post operative
observation and care in OT
Ø Instruments,
sutures, needles, used in general surgery
Ø Sterilization and methods used
in OT
Ø Trolley setting in OT
Ø
Assisting in minor and
major surgeries
Ø
Emergencies in OT and
management
Ø
Operation theatre
hazards
* Demonstration: (5
Hrs)
Surgical
asepsis
Carbolisation
& Fumigation
Major
dressing & removal of sutures and clips
Preparation of
patient for surgery.
Positions used in
various operations
PRACTICAL
:
Students will be placed in the
following wards in rotation.
Medical wards (Male and Female) 250 Hrs
Surgical wards (Male and Female) 200 Hrs
Orthopaedic ward 50
Hrs
Operation Theatre 150
Hrs
Intensive care unit 150
Hrs
Clinical assignments
Case presentation -1 (Medical ward / Surgical ward )
Procedure dem onstration -1 "
Observation study -2 ( Medical & Surgical ward)
Nsg care plan -2 (Medical &
Surgical ward) Report on OT Experience -1
Drug manual
-1 ( At the end of Medical Surgical clinical rotation )
Visits:-
1. CSSD
2. Clinical laboratory
3. Radiology department
4. Blood bank
5. Renal transplant unit
6. Waste disposal unit
7. Hospital kitchen
BIBLIOGRAPHY:
1. Bruno peulenic, Patrick Maxial ‘Medical surgical
Nsg- Pathophysiological concept’ J.B .Linnincott Co. Philadelnhia.
2. Kozier Barbara, Fundamentals of
Nsg. Addision wasleye Publication.
3. Sorensen and Luckmann, ‘Basic
Nsg, A Psycho-physiological approach’,
John Wright
publishing Co.
4. Perry,
Ann G. and Patricia A. Potter, ‘Clinical Nsg. Skills and techniques’, The
C. V. Mosby Co., St Louis, 2nd edition, 1990.
5. Mary Powell, Orthopaedic Nsg.
7th edition, ELBS, 1976.
6.
Sathoskar R. S. pharmacology and pharmacotherapeutics. 13th edition. Bombay
popular Prakashan, Bombay.
7. Brooks Ahirly, Fundamentals of
operative room Nsg., 2nd edition.
8.
Shackeltion, Alberta, Dent et al. Practical nurse nutrition education ,
4th edition, W. B Saunders Co., Philadelphia.
COURSE
OUTLINE
SUBJECT: SOCIOLOGY
PLACEMENT: II YEAR B.Sc
NSG
TOTAL THEORY HOURS: 60 hrs
AIMS :
The students will be able to apply
principles of sociology in caring for the clients in the hospital and
community. It provides basic
understanding of the dynamics of societal network and its influence on the
individual and society.
OBJECTIVES: -The students will be able to:-
UNIT I: INTRODUCTION (3
Hrs)
Ø Definition and scope of
sociology
Ø Relationship of anthropology
and sociology and its significance
UNIT II : INDIVIDUAL AND SOCIETY (7 Hrs)
Ø Society- concepts,
structure, components and dynamics
Ø Culture- nature, cultural
past, diversity and uniformity of culture
Ø Role and status of
individual in the society ( prestige, esteem, rank power, positions and
achievements)
UNIT III : SOCIAL
ORGANIZATION (15
Hrs)
Social groups
and institutions- concepts, importance and types
Family -
characteristics, types, changes in the family advantages and disadvantages
Community
UNIT IV PROCESS OF SOCIAL INTERACTION (5 Hrs)
Competition
Conflict- war
Co-operation, accommodation and
assimilation
UNIT V. NATURE AND PROCESS OF SOCIAL CHANGE (15
Hrs)
Ø
Concepts of social & cultural changes ,
Factors influencing -biological, technological, cultural and social
Ø Cultural lag
Ø Status of women -impact of social changes
in women in general and nurses in particular
Ø Role in family and society
Ø Education and employment
problems related to women
Ø Women empowerment, policies
related to women
UNIT VI .SOCIAL
ISSUES, PROBLEMS & CRIMES (15
Hrs)
Ø
Nature of social
problems
Ø
Factors causing social
problems and crimes
Ø
Social issues –
illiteracy, poverty, overpopulation, urbanization Migration, housing, slums,
child labour, tribal population, minority groups, influence of technologies and
media.
Ø
Social problems –
Prostitution, delinquency, alcholism, drug addiction, gambling and child abuse
Ø
Social crimes – Rape,
homicide, suicide.
Ø
Problems of youth old
age and handicap
ASSIGNMENT:
1. Role of nurse in common Social
problems
VISITS:
Old Age Home, Nari Niketan
1. Sachdeva Y.V., An
introduction to sociology, kithab
mahal : Allahabad.
COURSE OUTLINE
SUBJECT :ENGLISH
PLACEMENT: II YEAR BSC.
NURSING
TOTAL THEORY HOURS OFFERED :50 Hrs
AIM :
This course is offered in IInd year so as to improve the vocabulary and communication skills in
all students and develop a good working
relationship while providing nursing care to patients.
UNIT I. INTRODUCTION TO PROS (30
Hrs)
Ø Woes of third class
passengers
Ø In the Punjab
Ø Albert Schweitzer
Ø Job Hunting
Ø The first Atom Bomb
Ø A Lay Man
Looks at Science
Ø India Again
Ø Benaras
Ø Principles of good Writing
Ø Eliza Do little
Ø Animals in Prison
Ø Vanishing Animals
Ø Shooting and Elephant
Ø Kunwar Singh
Ø The life of MaParker
UNIT
II. GRAM MAR AND COMPOSITION (20 Hrs)
Ø Reported Speech
Ø Transformation
Ø Tenses
Ø Punctuation
Ø Phrases and Idioms
Ø Essay
Ø Precise writing
BIBLIOGRAPHY:
-------------------------------- end ----------------------------------