CHAROTAR UNIVERSITY OF SCIENCE & TECHNOLOGY (CHARUSAT)

Transcription

1 CHAROTAR UNIVERSITY OF SCIENCE & TECHNOLOGY (CHARUSAT) CHAROTAR INSTITUTE OF NURSING (CIN) B.Sc. in Nursing Programme Course Structure and Curriculum 1

2 Duration: Course duration = 7 semester (4 years) Weeks available per semester = 26 weeks (26x 2 =52 weeks) Semester -1 Duration = 26weeks (6 month) Vacation = 2 weeks (Diwali) Gazette holidays = 1 weeks Examination (Including preparatory leave) = 2weeks Available weeks = 21weeks Hours per weeks = 39 hours Practical hours per weeks = 30 hors per week Internship practical = 48 hours per week Hours available per academic semester = 819 hours (21weeks x 39hours) Semester -2 Duration = 26weeks (6 month) Vacation = 6 weeks (summer) Gazette holidays = 1 weeks Examination (Including preparatory leave) = 2weeks Available weeks = 17weeks Hours per weeks = 39 hours Practical hours per weeks = 30 hors per week Internship practical = 48 hours per week Hours available per academic semester = 663hours (17weeksx 39hours) 2

3 Course Instruction First Year Semester -I Sr. No. Subject Theory (in hrs) (class & lab) Practical (in hrs) (clinical) 1 Anatomy 60 2 Physiology 60 3 Nutrition 60 4 Biochemistry 30 5 *English 60 6 Nursing Foundation In hrs 7 ** Hindi/Regional language 30 8 Library work/ self study 25 9 Co-curricular activities 29 Total Hours Total Hours = 819 hrs ** Optional Semester -II Sr. No. Subject Theory (in hrs) (class & lab) Practical (in hrs) (clinical) In hrs 1 Microbiology 60 2 Psychology 60 3 Nursing Foundation - 1I Introduction to computer 45 5 Library work/ self study 27 6 Co-curricular activities 21 Total Hours Total Hours = 663hrs 3

4 Second Year Sr. No. Subject Semester -I Theory (in hrs) (class & lab) Practical (in hrs) (clinical) In hrs 1 Community Health Nursing - I 2 Pharmacology 45 3 Pathology & Genetics 45 4 Medical Surgical Nursing-I Co-curricular activities 14 6 Library work/ self study 25 Total Hours Total Hours = 819hrs Semester -II Sr. No. Subject Theory (in hrs) (class & lab) 60+30=90 Practical (in hrs) (clinical) In hrs 1 Communication &Education technology 2 Sociology 60 3 Medical Surgical Nursing - II 4 Library work/ self study 25 5 Co-curricular activities 23 Total Hours Total Hours = 663hrs 4

5 Sr. No. Subject Third Year Semester -I Theory (in hrs) (class & lab) Practical (in hrs) (clinical) In hrs 1 Medical Surgical Nursing - III 2 Mental Health Nursing Co-curricular activities 34 4 Library work/ self study 35 Total Hours Total Hours = 819hrs Semester -II Sr. No. Subject Theory (in hrs) (class & lab) Practical (in hrs) (clinical) In hrs 1 Child Health nursing Midwifery and obstetrical nursing Library work/ self study 18 4 Co-curricular activities 15 Total Hours Total Hours = 663hrs 5

6 Fourth Year Semester I Sr. No. Subject Theory (in hrs) (class & lab) Practical (in hrs) (clinical) Midwifery and Obstetrical nursing 2 community health Nursing-II 3 Nursing research & 45 Statistics 4 Management of Nursing services and education Total Hours Total Hours = 540hrs Project work to be carried out during internship In hrs Intern-ship (Integrated Practice) Sr. Subject no. Semester -II Theory (in hrs) (class & lab) Practical (in hrs) (clinical) In weeks 1 Midwifery and Obstetrical nursing 2 Community health Nursing-II 4 Medical Surgical Nursing(Adult and geriatric) 5 child health Mental health Research project Total Hours Total Hours = 1690hrs Note: Internship means 8 hours of integrated clinical duties in which 2 weeks of evening and night shift duties are included. 6

7 Internship should be carried out as 8 hours per day@ 48hours per week Students during internship will be supervised by nursing teachers. Fourth year final examination to be held only after completion of internship. Scheme of Examination: Ist semester of year in February & IInd semester of year in August Course code Course title Semester-I Examination scheme Theory Practical Total Internal External Internal External NR101 Anatomy NR102 Physiology NR103 Nutrition NR104 Biochemistry NR105 English NR106 Nursing Foundation NR107 Nursing Foundation 1, Practical Course code Course title Semester-II Examination scheme Theory Practical Tota l Internal External Internal External NR108 Microbiology NR109 Psychology NR110 Nursing Foundation - II NR111 Nursing Foundation II, Practical NR112 Introduction to computer Course code Course title Semester-III Examination scheme Theory Practical Total Internal External Internal External NR201 Community Health Nursing - I Community Health Nursing I, practical NR202 Pharmacology NR203 Pathology & Genetics NR204 Medical Surgical Nursing-I NR205 Medical Surgical Nursing-I,

8 practical Semester-IV Course Course title Examination scheme code Theory Practical Total Internal External Internal External NR206 Communication &Education technology NR207 Sociology NR208 Medical Surgical Nursing - II NR209 Medical Surgical Nursing II, practical Semester-V Course Course title Examination scheme code Theory Practical Total Internal External Internal External NR301 Medical Surgical Nursing - III NR302 Medical Surgical Nursing III, practical NR303 Mental Health Nursing NR304 Mental Health Nursing-practical Course code Course title Semester- VI Examination scheme Theory Practical Total Internal External Internal External NR305 Child Health nursing NR306 Child Health nursing, practical NR307 Midwifery and obstetrical nursing Midwifery and obstetrical nursing, Practical Course code Course title Semester-VII Examination scheme Theory Practical Total Internal External Internal External NR307 Midwifery and obstetrical nursing NR401 Midwifery and obstetrical nursing, Practical NR402 Community health Nursing-II NR403 Community health Nursing-II,

9 practical NR404 Nursing research & Statistics NR405 Management of Nursing services and education

10 Sr. No. Subject Unit Test- 1 A [Out of 40] Unit Test- 2 B [Out of 40] Internal Assessment First Year Semester I From Year Model test Assignment Total C [Out of 70] D [out of 50] Marks Obtained from A+B+C+D (200) Marks calculated out of 30 Total Marks submitted to University Internal Assessment Theory. Minimum Marks for Passing 1 Anatomy & Physiology Nutrition & Biochemistry English Nursing Foundation-I Sr. No. Subject Internal Assessment First Year Semester I From Year Practical Internal Assessment Total Model test Clinical Marks Calculated to Evaluation & be send to university Assignment out of Practical I.A. A B A+B 1 Nursing Foundation-I Minimum Marks for Passing

11 Sr. No. Subject Unit Test- 1 A [Out of 40] Unit Test- 2 B [Out of 40] Internal Assessment First Year Semester II From Year Preliminary exam C [Out of 70] Assignment D [out of 50] Total Marks Obtained from A+B+C+D (200) Marks calculated out of 30 Total Marks submitted to University Internal Assessment Theory. Minimum Marks for Passing 1 Microbiology Psychology Computer Nursing Foundation-II Internal Assessment First Year Semester II From Year Sr. No. Subject Preliminary Examination A Practical Internal Assessment Total Clinical Evaluation & Assignment B A+B Marks Calculated to be send to university out of Practical I.A. Minimum Marks for Passing 11

12 1 Nursing Foundation-II

13 Note: Anatomy and Physiology Question paper will consist of Section A Anatomy of 35 marks and B Physiology should be of 35 marks. 2. Nutrition and Biochemistry and Question paper will consist of section A Nutrition of 40 marks and section B of Biochemistry of 30 marks. 3. Pharmacology, genetics, pathology: Section A of Pharmacology with 35 marks, section B of Pathology of 25 and genetics with 10 marks. 4. Nursing Research & statistics Nursing research should be of 50 marks and Statistics of 20 marks. 5. Minimum pass marks shall be 40% for English only. 6. Theory and practical exams for Introduction to computer to be conducted as College exam & marks to be sent to the University for inclusion in the marks sheet. 7. Minimum pass marks shall be 50% in each of the Theory and Practical papers separately. 8. A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory and practical in each subject for appearing for examination. 9. A candidate must have 100% attendance in each of the practical areas before award of degree. 10. A candidate has to pass in theory and practical exam separately in each of the paper. 11. If a candidate fails in either theory or practical paper he/she has to re-appear for both the paper (Theory & practical). 12. Maximum number of attempts permitted for each paper in 3 including first attempt. 13. A candidate failing in more then one subjects will not be promoted to the next semester. 14. If candidate fails in internal assessment in any subject (Theory or Practical) will be not be eligible for appearing the University examination. 15. All practical examination must be held in the respective clinical areas. 16. One internal and one external examiner should jointly conduct practical examination for each student. 17. If candidate fails in internal assessment or university examination in any subject (Theory or Practical) will be allow to give supplement university examination after 3-4 month. 18. The Internal assessment mark sent previously should be considered for supplementary examination if student obtained passed mark. 19. If candidate fails in University examination. He/She has to appear in the examination at supplementary examination in the subject fail.

14 20. The examination paper should allot 30% weightage to objective type questions, short answers and 70% to long questions, short notes. 21. Maximum number of students to be examined in the practical should not be more than 20 per day. 22. Maximum 7 marks gracing will be given in only one subject [if candidate fully passed in other subjects] [ depends on CHARUSET] 23. Those of the successful candidates who pass the Examination at one and the same time and obtain. Division of Class: - 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. 14

15 CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR101 Anatomy Semester-I Credit Hours: Objective of the course: After completion of these course students will be able to acquire knowledge of the normal structure of various human body systems and understand the alteration in anatomical structures in disease and practice of nursing. Outline of the course: Sr.no Title of the unit Minimum number of the hours 1 Introduction to anatomical terms organization of the human 5 Body. 2 The skeletal system 6 3 The Muscular System 7 4 The Nervous System 6 5 The Sensory Organs 6 6 Circulatory and Lymphatic System 7 7 The respiratory System 5 8 The Digestive system 6 9 The excretory system (Urinary) 4 10 The Endocrine System 4 11 The Reproductive System 4 Total hours (Theory): 60hrs Total : 60hrs Detailed syllabus: Unit 1: Introduction to anatomical terms organization of the human Body. 5hrs (9%) Human Cell structure Tissues-Definition, Types, characteristics, classification, location, functions and formation Membranes and glands-classification and Structure Alterations in disease Applications and implications in nursing Unit -2: The skeletal system 6hrs (10%) Bones-types, structure, Axial & Appendicular skeleton, Bone formation and growth Description of bones Joints-classification and structure Alterations in disease Applications and implications in nursing Unit 3: The Muscular System 7 hrs (12%) Types and structure of muscles Muscle groups Alterations in disease Applications and implications in nursing 15

16 Unit 4: The Nervous System 6 hrs (10%) Structure of neurologia & neurons Somatic Nervous system Structure of brain, spinal cord, cranial nerves, spinal nerves, peripheral nerves Autonomic nervous system-sympathetic, parasympathetic Structure, location Alteration in disease Applications and implications in nursing. Unit -5: The Sensory Organs 6 hrs (10%) Structure of skin, eye, ear, nose, tongue (auditory and olfactory apparatus) Alterations in disease Applications and implications in nursing Unit 6: Circulatory and Lymphatic System 7 hrs (10%) The Circulatory System Blood-Microscopic structure Structure of Heart Structure of blood vessels-arterial and Venous System, Circulation: systemic, pulmonary, coronary Lymphatic System Lymphatic tissues Lymphatic vessels and lymph -Thymus gland -Lymph nodes Spleen -Lymphatic nodules Alterations in disease Applications and implications in nursing Unit 7: The respiratory System 5 hrs (9%) Structure of the organs of respiration Muscles of respiration: Intercostals and Diaphragm Alterations in disease Applications and implications in nursing Unit 8: The Digestive system 6 hrs (10%) Structure of Alimentary tract and accessory organs of digestion Alterations in disease Applications and implications in nursing Unit 9: The excretory system (Urinary) 4hrs (6%) Structure of organs of urinary System: Kidney, ureters, urinary bladder, urethra, structure of skin Alterations in diseases Applications and implications in nursing Unit 10: The Endocrine System 4 hrs (6%) Structure of Pituitary, Pancreas, Thyroid, Parathyroid, Thymus and Adrenal gland Alterations in disease Applications and implications in nursing Unit 11: The Reproductive System 4 hrs (6%) Structure of female reproductive organs Structure of breast Structure of male reproductive organs Structure of breast Alterations in disease Applications and implications in nursing 16

17 CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR102 Physiology Semester-I Credit Hours: Objective: After completion of these course students will be able to acquire knowledge of the normal physiology of various human body system and understand the alterations in physiology in disease and practice of nursing Outline of the course: Sr.no Title of the unit Minimum number of the hours 1 Cell physiology 4 2 Skeletal system 4 3 Muscular system 4 4 Nervous system: 7 5 Circulatory System 8 6 The Respiratory System 6 7 The Digestive System 6 8 The Excretory system 5 9 The sensory Organs 4 10 The Endocrine system 5 11 The reproductive System 5 12 Lymphatic and Immunological System 2 Detailed syllabus: Total hours (Theory): 60hrs Total : 60hrs Unit 1: Cell physiology 4 hrs ( 6 %) Tissue- formation, repair -Membranes & glands functions alterations in disease Applications and implications in nursing Unit-2: Skeletal system 4 hrs ( 6 %) Bone formation & growth Bones functions and movements of bones of axial and appendicular skeleton, bone healing Joints and joint movement Alterations in disease Applications and implications in nursing Unit 3: Muscular system 4 hrs ( 6 %) Muscle movements, muscle tone physiology of muscle contraction, levels and maintenance of posture Alteration in disease Applications and implications in nursing Unit 4: Nervous system: 7 hrs (12 %) Functions of neuralgia &neurons Stimulus &nerve-impulse definitions and 17

18 mechanism Function of brain, spinal cord, cranial and spinal nerves Cerebrospinal fluid-composition, circulation and function Reflex arc, reflex action and reflexes Autonomic functions: Pain: somatic, visceral, and referred Autonomic learning and biofeedback Alterations in disease Applications and implications in nursing Unit- 5: Circulatory System 8 hrs (13 %) Blood formation, composition, blood groups, blood coagulation Hemoglobin: Structure, Synthesis and breakdown, Variation of molecules, estimation. Functions of Heart, Conduction, Cardiac cycle, circulation -Principles, Control, factors influencing BP and pulse Alteration in disease Applications and implications in nursing. Unit- 6: The Respiratory System 6 hrs ( 10 %) Functions of respiratory organs Physiology of respiration pulmonary ventilation, Volume Mechanics of respiration Gaseous exchange in lungs Carriage of oxygen & carbon-dioxide Exchange of gases in tissues Regulation of respiration. Alteration in disease Application and implications in nursing Unit 7: The Digestive System 6 hrs (10 %) Functions of organs of digestive tract. Movements of alimentary tract, Digestion in mouth, stomach, small intestines, Large intestines, Absorption of food. Functions of liver, gall bladder and pancreas. Metabolism of carbohydrates, protein and fat. Unit 8: The Excretory system 5 hrs ( 9%) Functions of kidneys, ureters, urinary bladder & urethra Compositions of urine Mechanism of urine formation Functions of skin Regulation of body temperature Fluid & electrolyte balance. Alterations in disease Applications & implications in nursing. Unit 9: The sensory Organs 4hrs (6 %) Functions of skin, eye, ear, nose, tongue, Alterations in disease Applications & implications in nursing Unit 10: The Endocrine system 5 hrs ( 9 %) Functions of Pituitary, pineal body, thymus, Thyroid, parathyroid, pancreas, suprarenal, placenta and ovaries & testes. Alterations in disease Applications and implications in nursing. Unit 11: The reproductive System 5 hrs ( 9 %) Reproduction of cells DNA, Mitosis, Meosis, Spermatogenesis, oogenesis. Functions of female reproductive organs; Functions of breast, Female sexual cycle. Introduction to embryology Functions of male reproductive organs, Male function in reproduction, Male fertility system, Alterations in disease Applications and implications in nursing. Unit 12: Lymphatic and Immunological System 2 hrs ( 4%) Circulation of lymph Immunity, Formation of T cells & B cells, Types of immune response, Antigens, Cytokines, Antibodies 18

19 Credit Hours: Course description: 60 hrs. CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR103 Nutrition Semester-I Objective: After completion of these course students will be able to acquired knowledge of nutrition for maintenance of optimum health at different stage of life and its application for practice of nursing. Outline of the course: Sr. no Title of the unit Minimum number of the hours 1 Introduction 4 2 Carbohydrate 2 3 Fats 2 4 Proteins 2 5 Energy 3 6 Vitamins 4 7 Minerals 4 8 Water & electrolytes 3 9 Cookery rules and preservation of nutrients Balanced diet Role of nurse in nutritional programme 4 Detailed syllabus: Total hours (Theory) : 40hrs Total Hours (Practical) : 20hrs Total : 60hrs Unit 1: Introduction 4 hrs ( 6%) Nutrition: history, concepts, role of nutrition in maintaining health, nutritional problems in India, national nutritional policy, factors affecting food and nutrition: socio-economic, cultural, tradition, production, system of distribution, life style and food habits etc, role of food and its medicinal value, classification of foods, food standards, elements of nutrition :macro and micro, calories, BMR Unit 2: Carbohydrate: 2hrs ( 4%) Classification, caloric value, recommended daily allowances, dietary sources, 19

20 functions, digestion, absorption and storage, metabolism of carbohydrates, malnutrition: deficiencies and over consumption Unit 3: Fats: 2hrs (4 %) Classification, calories value, recommended daily allowances, dietary sources, functions, digestion, absorption and storage, metabolism, malnutrition: deficiencies and over consumption. Unit 4: Proteins 2hrs( 4 %) Classification, calories value, recommended daily allowances, dietary sources, functions, digestion, absorption, metabolism and storage, malnutrition: deficiencies and over consumption Unit 5: Energy 3hrs( 5%) Unit of energy- Kcl, energy requirement of different categories of people, measurements of energy, Body mass Index(BMI) and basic metabolism Basal Metabolic rate (BMR) - determination and factors affecting. Unit-6: Vitamins 4hrs( 6%) Classification, recommended daily allowances, dietary sources, functions, absorption, synthesis, metabolism storage and excretion, deficiencies, hyper- vitaminosis Unit-7: Minerals 4hrs( 6%) Classification, recommended daily allowances, dietary sources, functions, absorption, synthesis, metabolism storage and excretion, deficiencies, over consumption and toxicity Unit-8: Water & electrolytes 3hrs( 5 %) Water: daily requirement, regulation of water metabolism, distribution of body water, electrolytes: types, sources, composition of body fluids, maintenance of fluid and electrolyte balance, over hydration, dehydration and water intoxication, electrolyte imbalance. Unit-9: Cookery rules and preservation of nutrients- Theory-5hrs,(34 %) Lab-15 Hrs Principals, methods of cooking and serving, preservation of nutrients, safe food handling toxicity, storage of food, food preservation of food adulteration act(pfa), food standards, preparation of simple beverage and different types of food Unit-10: Balanced diet Theory-7hrs, ( 20%) Lab- 5 hrs Elements, food groups, recommended daily, allowance, nutritive value of foods calculation of balanced diet for different categories of people, planning menu, budgeting of food, introduction of therapeutic diets: Naturopathy- Diet Unit-11: Role of nurse in nutritional programme 4hrs( 6%) National programme related to nutrition, vitamin-a deficiency programme, national iodine (IDD) programme, mid-day meal programme, midday meal programme, integrated child development scheme(icds), 20

21 national and international agencies working towards food/nutrition, NIPCCD, CARE,FAO,NIN,CFTRI (central food technology and research institute) etc, assessment of nutritional status, nutritional education and role of nurse CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR104 Bio-Chemistry Semester-I Credit Hours: Objective: After completion of these course students will be able to acquired knowledge of the normal biochemical composition and functioning of human body and understand the alteration in biochemistry in diseases for practice of nursing. Outline of the course: Sr.no Title of the unit Minimum number of the hours 1 Introduction 3 2 Structure and functions of cell membrane 6 3 Composition and metabolism of Carbohydrates 6 4 Composition and metabolism of lipids 4 5 Composition and metabolism of Amino acids and Proteins 6 6 Composition of Vitamins and minerals 2 7 Immunochemistry 3 Total hours (Theory) Total : 30hrs : 30hrs Detailed syllabus: Unit 1: Introduction (10%) Definition and significance in nursing. Review of structure, Composition and functions of cell. Prokaryote and Eukaryote cell organization.. Microscopy Unit 2: Structure and functions of cell membrane (20%) Fluid mosaic model tight junction, Cytoskeleton. Transport mechanism; diffusion, osmosis, filtration, active channel, sodium pump. Acid base balance- maintenance & diagnostic tests. PH buffers. Unit 3: Composition and metabolism of Carbohydrates 20%) 21 3hrs 6hrs 6hrs(

22 Types, structure, composition and uses Monosaccharide. Polysaccharides, Oligosaccharides Disaccharides. Metabolism - Pathways of glucose: - Glycolysis, Gluconeogenesis: Cori's cycle, Tricarboxylic acid ( TCA ) cycle Glycogenolysis - Pentose Phosphate pathways ( Hexose mono phosphate ) Regulation of blood glucose level Investigation and their interpretations Unit 4: Composition and metabolism of lipids 4hrs ( 13%) Types, structure, composition and uses of fatty acids Nomenclature, Roles and prostaglandins, Metabolism of fatty acid breakdown synthesis, Metabolism of triacylglycerols,. cholesterol metabolism -Biosynthesis and its Regulation- Bile salts and bilirubin -Vitamin D-Steroid hormones. Lipoproteins and their function : VLDLs- IDLs, LDLs, and HDLs -Transport of lipids- Atherosclerosis investigations and their interpretation Unit 5: Composition and metabolism of Amino acids and Proteins. 6hrs( 20%) Types, structure, composition and uses of Amino acids and Proteins, Metabolism of Amino acids and proteins, Protein synthesis, targeting and glycosylation-chromatography-electrophoresis-sequencing Metabolism of nitrogen -Fixation and Assimilation -Urea Cycle Hemes and chlorophylls. Enzymes and co- enzymes- Classification Properties-Kinetics and inhibition Control Investigations and their interpretations Unit 6: Composition of Vitamins and minerals 2hrs( 7%) Vitamins and minerals: - Structure - Classification - Properties Absorption - Storage and transportation - Normal concentration Investigations and their interpretations Unit 7: Immunochemistry 3hrs( 10%) Immune response. Structure and classification of immunoglobins Mechanism of antibody production. Antigens : HLA typing Free radical and antioxidant. Specialized protein : Collagen, Elastin, Keratin, Myosin, Lens, Protein Electrophoretic and Quantitative determination of immunoglobins- ELISA etc. Investigations and their interpretations 22

23 CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR106 Nursing Foundation -I Semester-I Credit Hours: Objective: After completion of these course students will be able to develop an understanding of the philosophy, objectives, theories and process of nursing in various Supervised Clinical setting. It is aimed at helping the student to acquire knowledge, understanding and skills in techniques of nursing and practice them in Supervised Clinical setting. Outline of the Course: Sr.no Title of the unit Minimum number of the hours 1 Introduction 10 2 Nursing as a profession 16 3 Hospital admission and discharge 4 4 Nursing Process 15 5 Documentation and Reporting 4 6 Vital signs 15 7 Health Assessment 30 8 Machinery, equipment and linen 5 9 Meeting needs of patient 36 Detailed syllabus: Total hours (Theory) : 135 hrs Total Hours (Practical) : 100hrs Total : 235 hrs Unit 1: Introduction 7%) Concept of health: Health illness continuum. Factors influencing health. Causes and risk factors for developing illness. Body defenses: immunity and immunization. Illness and illness Behavior:. Impact of illness on patient and family. Health Care Services: Health promotion and prevention, primary Care, Diagnosis, Treatment, Rehabilitation and Continuing Care. Health care teams. Types of health care agencies: Hospital: Types, Organization and Functions 23 10hrs(

24 Health promotion and Level Unit-2: Nursing as a profession - 16hrs( 12%) Definition and characteristics of a profession, Nursing: -Definition, Concepts philosophy, objectives- Characteristics, nature and scope of nursing practice - Function of nurse, Qualities of a nurse, Categories of nursing personnel, Nursing as a profession, History of Nursing in India, Values: Definition, Types, values Clarification and values in professional Nursing,Caring and Advocacy. Ethics: Definition and Ethical Principles, Code of ethics and professional conduct for Unit-3: Hospital admission and discharge - 4hrs ( 3%) Admission to the Hospital, Unit and its preparation admission bed,- Admission procedure, Special considerations, Medico-legal issues, Role & responsibilities of the Nurse, Discharge from the hospital, Types: Planned discharge, LAMA and abscond referrals and transfers, Discharge planning, Discharge Procedures, Special considerations, Medico-legal issues, Role & responsibilities of nurse, Unit-4: Nursing Process- 15 hrs ( 11%) Critical Thinking And Nursing Judgment, Critical Thinking: Thinking and Learning, Competencies, Attitudes for critical thinking, levels of critical thinking in nursing, Nursing Process Overview: Application in Practice, Nursing process format INC, current format, Assessment, Collection of Data: Types, Sources, Methods, Formulating Nursing judgment: Data interpretation, Nursing diagnosis, Identification of client problem, Nursing diagnosis statement, Difference between medical and nursing diagnosis, Planning, Establishing Priorities, Establishing Goals and Expected Outcomes, Selection of interventions: Protocol and standing orders, writing the nursing care plan, Implementation, implementation the plan of care, Evaluation Outcome of care, review and Modify, Documentation and reportingunit-5: Documentation and Reporting 4 hrs( 3%) Documentation: Purposes of Recording and reporting, Communication within the Health care team, Types of records: Ward records, medical /nursing records, Common record - keeping forms. Computerized documentation, Guideline for reporting :Factual basis, accuracy, completeness, currentness, organization, confidentiality, Method of recording, Reporting : Change of shift reports: Transfer reports, Incident reports, Minimizing legal Liability through 24

25 effective record keeping Unit-6: Vital signs 15hrs ( 11%) Guidelines for taking vital signs. Body temperature: Physiology Regulation, factors affecting body temperature, Assessment of body temperature sites, equipments and technique, special considerations, Temperature alterations: Hyperthermia, Heatstroke, Hypothermia, Hot and cold applications,. Pulse :Physiology and regulation, Characteristics of the pulse, Factors affecting pulse, Assessment of pulse sites, location, equipments and technique, special considerations, Alteration in pulse Respiration, Physiology and regulation, mechanics of breathing, characteristics of the respiration, factors affecting respiration, Assessment of respiration: technique, special consideration, Alteration in respiration, Blood Pressure: Physiology and Regulation, Characteristics of the blood pressure, factors affecting blood pressure, Assessment of blood pressure: sites, equipments and technique, special considerations, alterations in blood pressure,recording of vital signs Unit-7: Health Assessment - 30hrs ( 22%) Purpose, process of health assessment, Health history Physical examination: methods- Inspection, palpation, percussion, Auscultation, Olfaction, preparation for examination; patient and Unit-8: Machinery, unit general equipment assessment, and assessment linen 5hrs( 4%) Type; Disposable and reusable - linen, rubber goods, glass ware metal, plastics, furniture, machinery,introduction: indent maintenance, Inventory Unit-9: Meeting needs of patient 36hrs( 27%) Basic needs (activities of daily living), Providing safe and clean environment:- Physical environment: Temperature, Humidity, noise, ventilation, light odor Pests control, Reduction of physical hazards: Fire, Restraints, side rails, airways, trapez etc. Role of nursing providing safe and clean environment, hygiene: Factors Influencing Hygienic practice hygienic care: care of the skin- Bath and pressure points, feet and nail, oral cavity, Hair care, Eyes, Ears and Nose, Assessment, Principles, Types, Equipments, Procedure, Special Considerations, patient environment: Room equipments and linen, making patient beds. Types of beds and bed making, Comforts: Factors Influencing comfort, Comfort devices, Physiological needs Sleep and Rest:, Physiology of sleep, Factors affecting sleep, Promoting rest and sleep, Sleep disorders, Nutrition: Importance, Factors affecting nutritional needs, Assessment of nutritional needs: Variables, Meeting nutritional needs: Principles, equipment, procedure and special consideration. Oral, Enteral: Naso/ Orogastric, Gastrostomy Parenteral: Urinary elimination: Review of physiology of urine elimination, Composition and characteristics of urine, Factors influencing urination, Alteration in urinary elimination, Types and collection of urine specimen: Observation, urine testing, Facilitating urine elimination: assessment, types, equipments, procedures and special considerations, Providing urinal / bedpan,condom drainage, Perineal care, Catheterization, 25

26 Care of urinary drainage, Care of urinary diversions Bladder irrigation Bowel Elimination Review of Physiology of bowel elimination, Composition and characteristics of feces. Factors affecting Bowel elimination Alteration in Bowel elimination -Types and collection of specimen of feces: Observation Facilitating bowel elimination : assessment, equipments, procedures and special considerations Passing of flatus tube Enemas Suppository Sitz Bath Bowel wash Care of Ostomies Credit Hours: CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR107 Nursing Foundations -I Practical Semester-I Objective: After completion of these course students will be able to develop an understanding of the philosophy, objectives, theories and process of nursing in various clinical settings. It is aimed helping the students to acquire knowledge, understanding and skill in techniques of nursing and practice them in clinical settings. Detailed syllabus: Total Hours (Clinical): Total 230hrs : 230 hrs Demonstration Lab, General medical and surgery ward: Hospital admission and discharge (III) : Admission, Prepare unit for new patient, Prepare admission bed, Performs admission procedure, New patient, Transfer in prepare patient records, Discharge/transfer out:, Gives discharge counseling, Perform discharge procedure(planning discharge, LAMA and abscond, referrals and transfers), Prepare records of discharge/transfer, Dismantle, and disinfect unit and equipment after discharge/transfer Perform assessment: History taking, nursing diagnosis, problem list, prioritization, goals and expected outcomes, selection of interventions, Write nursing care plan, Gives care as per the plan. Prepare a plan for patient teaching session. Write patient report: Change of shift reports, transfer reports, incident reports etc. Presents patient report. Vital signs: Measure, records and interpret alterations in body temperature, pulse respiration and blood pressure. Health assessment: Health history taking, Perform assessment, General Body systems, Use various methods of physical examination, Inspection, palpation, percussion, auscultation, olfaction, Identification of system wise deviations. Prepare patient s unit: Prepare beds: Open bed, Close bed, Occupied bed, Operation bed, Divided bed, Amputation bed, Cardiac bed, Fracture bed, Burn bed, Fowler s bed, Pain assessment and provision for comfort, Use comfort devices. 26

27 Hygienic care: Oral hygiene, Baths and care of pressure points, Hair wash, pediculosis treatment. Feeding: Oral, enteral, Naso/ Orogastric, Gastrostomy and parental feeding, Naso gastric insertion, suction and irrigation. Assisting patient in urinary elimination: Providing urinal/bed pan, Condom drainage, and perineal care, Catheterization, Care of urinary drainage. Bladder irrigation : Assisting bowel Elimination; Insertion of Flatus tube Enemas Insertion of Suppository Bowel wash. Credit Hours: CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR105 English Semester-I Objective: After completion of these course students will be able to enhance ability to comprehend spoken and written English (and use English) required for effective communication in their professional work. Students will practice their skill in verbal and written English during clinical and classroom experience. Outline of the Course: Sr.no Title of the unit Minimum number of the hours 1 Review of Grammar 10 2 Read and comprehend prescribed course books 30 3 Various forms of composition 10 4 Spoken English 6 5 Listening Comprehension 4 Total hours (Theory) Total hours : 60 hrs : 60 hrs Detailed syllabus: Unit:1- Review of Grammar 10hrs(17 %) Remedial study of Grammar. Building Vocabulary. Phonetics. Public Speaking Unit:2- Read and comprehend prescribed course books 30hrs( 50 %) 27

28 Unit :3 - Various forms of composition 10hrs( 17 %) Letter writing Note taking, précis writing, Nurses notes, Anecdotal records, Diary writing, Reports on health problems etc. Resume / CV Unit: 4- Spoken English 6hrs(10 %) Oral report,discussion, Debate, Telephonic conversation Unit: 5- Listening Comprehension 4hrs( 6 %) Media, audio, video, speeches etc. Credit Hours: CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR108 Microbiology Semester-II Objective: After completion of these course students will be able to acquired understanding of fundamentals of microbiology and identification of various micro-organisms. It also provides opportunities for practicing infection control measures in hospital and community settings. Outline of the Course: Sr.no Title of the unit Minimum number of the hours 1 Introduction 5 2 General characteristics of microbes 15 3 Infection control 12 4 :Pathogenic organisms 16 5 Immunity 12 Total hours (Theory) : 45 hrs Total hours(practical) : 15 hrs Total hours : 60 hrs Detailed syllabus: Unit 1: Introduction: 5 hrs( 9 %) Importance and relevance to nursing, Historical perspective Concepts and terminology, Principles of microbiology. Unit 2: General characteristics of microbes theory-10 hrs, Lab- 5 hrs, ( 25 %) Structure and classification of microbes, Morphological types, Size and form of bacteria, Motility, Colonization, Growth and nutrition of microbes: temperature, moisture, blood 28

29 and body fluids, Laboratory methods of identification of microorganisms, Staining techniques, gram staining, acid fast staining, hanging drop preparation, Culture; various medias. Unit 3: Infection control theory 10 hrs, Lab- 2 hrs(20 %) Infection: sources, portals of entry and exit, Transmission, asepsis, Disinfection: types and methods, Sterilization: types and methods Chemotherapy and antibiotics, Standard safety measures, Biomedical waste management, Role of nurse. Hospital acquired infection, Hospital infection control programme, Protocols, collection of samples, preparation of report and status of rate of infection in the unit/hospital, nurse s accountability, continuing education etc. Unit 4: Pathogenic organisms theory -12 hrs, Lab-4hrs, ( 26 %) Micro-organisms = Cocci gram positive and gram negative, = Bacilli gram positive and gram negative = Spirochete = Mycoplasma= Rickettsiae = Chlamydiae Viruses Fungi superficial and deep mycoses, Parasites, Rodents & vectors, Characteristics, source, portal of entry, transmission of infection. Identification of disease producing micro-organisms collection, handling and transportation of various specimens. Unit 5: Immunity theory- 8 hrs, Lab- 4 hrs( 20 %) Immunity-types, classification, Antigen and antibody reaction, Hypersensitivity skin test, Serological tests, Immunoprophylaxis, Vaccination & sera types & classification, storage and handling, cold chain, Immunization for various diseases Immunization schedule. 29

30 Credit Hours: CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR109 Psychology Semester-II Objective: This course is designed to assist the students to acquire of fundaments of psychology and develop an insight into behavior of self and others. Further it is aimed at helping them to practice the principles of mental hygiene for promoting mental health in nursing practice. Outline of the Course: Sr. no Title of the unit Minimum number of the hours 1 Introduction 2 2 Biology of behavior 4 3 Cognitive processes 20 4 Motivation and emotional processes 8 5 Personality 7 6 Developmental psychology 7 7 Mental hygiene and mental health 8 8 Psychological assessment and tests 4 Total hours (Theory) : 60 hrs Total hours : 60 hrs Detailed syllabus: Unit 1: Introduction 4 %) History and origin of science of psychology, Definition and scope of psychology, Relevance to nursing, Methods of psychology 2hrs(

31 Unit 2: Biology of behavior 4 hrs( 6 %) Body mind relationship modulation process in health and illness Genetics and behavior: heredity and environment, Brain and behavior: Nervous system, neurons and synapse, Association cortex, right and left hemispheres, Psychology of sensation Muscular and glandular controls of behavior Nature of behavior of an organism/integrated responses Unit 3: Cognitive processes 20 hrs ( 34 %) Attention: types, determinants, duration and degree, alterations, Perception: meaning, principles, factors affecting, errors, Learning: nature, types, l earner and learning, factors influencing, laws and theories,process, transfer, study habits, Memory: meaning, types, nature factors influencing, development theories and methods of memorizing and forgetting,thinking: types and levels, stages of development, relationship with language and communication Intelligence: meaning, classification, uses, theories, Aptitude: concept, types, individual differences and variability, psychometric assessment of cognitive processes. alteration cognitive processes Applications. Unit 4: Motivation and emotional processes 8 hrs (13 %) Motivation: meaning, concepts, types, theories,motives & behaviors, conflicts and frustration, conflict resolution, Emotions and stress, emotions definition Components Stages in emotions, theories, emotional adjustments, emotions in health and illness, Stress: stressors, cycle, effect, adaptation and coping, Attitude Meaning nature development, Factors affecting Behavior and attitudes, Attitudinal change Psychometric assessment of emotions And attitudes, Alterations in emotion, Applications Unit 5: Personality 7 hrs ( 12 %) Definitions, topography, types, theories, Psychometric assessments of personality, Alterations in personality, Applications Unit 6: Developmental psychology 7 hrs(12 %) Psychology of people at different ages from infancy to old age, Psychology of vulnerable individuals -challenged, women sick etc. Psychology of groups Unit 7: Mental hygiene and mental health 8 hrs(13 %) Concepts of mental hygiene and mental health Characteristics of mentally healthy person Warning signs of poor mental health Promotive and preventive mental health-strategies and services 31

32 Ego defense mechanisms and implications Personal and social adjustments Guidance and counseling Role of nurse. Unit 8: Psychological assessment and tests 4 hrs (6 %) Types development characteristics principles, uses,interpretations and role of nurse in psychological assessment. Credit Hours: CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY Charotar Institute of Nursing NR110 Nursing Foundation -II Semester-II Objective: After completion of these course students will be able to develop an understanding of the philosophy, objectives, theories and process of nursing in various supervised clinical settings. It is aimed at helping the students to acquire knowledge, understanding and skills in techniques of nursing and practice them in supervised clinical settings. Outline of the Course: Sr. no Title of the unit Minimum number of the hours 1 Meeting needs of the patient 24 2 Infection control in clinical settings 20 3 Administration of medications 40 4 Meeting needs of perioperative patients 10 5 Meeting special needs of the patient 15 6 Care of terminally ill patient 5 7 Professional nursing concepts and practices 6 Detailed syllabus; Total hours (Theory) : 130 hrs Total hours (practical) : 100 hrs Total hours : 230 hrs

33 Unit 1: Meeting needs of the patient 24 hrs( 18 %) Mobility and immobility -Principles of body Mechanics -Maintenance of normal Body Alignment and Mobility -Factors affecting body alignment and mobility -Hazards associated with immobility Alteration in body -Alignment and mobility -Nursing intervention for impaired Body Alignment and mobility: assessment, types, devices used, method and special considerations, rehabilitation aspects Range of motion exercises Maintaining body alignment: positions Moving Lifting Transferring Walking Restraints Oxygenation -Review of Cardiovascular and respiratory Physiology Factors affecting Oxygenation -Alterations in oxygenation nursing interventions in oxygenation: assessment, types, equipment used, procedure and special considerations Maintenance of patent airway Oxygen administration Suction Inhalations: dry and moist Chest physiotherapy and postural drainage Care of Chest drainage Pulse oximetry CPR-Basic life support Fluid, Electrolyte, and Acid-Base Balances Review of physiological regulation of Fluid and Electrolyte, Acid-Base Balances Factors affecting Fluid, Electrolyte and Acid-Base Balances -Nursing interventions in Fluid, Electrolyte and Acid-Base Imbalances Assessment, types, equipment, procedures And special considerations Measuring fluid intake and output Correcting fluid, electrolyte imbalance: Replacement of fluid: Oral and Parenteral Venipuncture, regulating IV flow rates, changing IV solutions and Tubing, changing IV dressing Administering blood transfusion Restriction of fluids Psychosocial needs Concepts of cultural diversity, stress and adaptation, self concept, sexuality, spiritual health, coping with loss, death and grieving Assessment of psychosocial needs Nursing intervention for psychosocial needs -assist with coping and adaptation creating therapeutic environment Recreational and diversional therapies Unit-2: Infection control in clinical settings 20hrs(15 %) Infection control Nature of Infection Chain of infection transmission Defenses against infection: natural and acquired Hospital acquired infection (nosocomial infection) Concept of asepsis: medical asepsis, Surgical asepsis Isolation precautions(barrier nursing): Hand washing :simple, hand antisepsis and surgical antisepsis(scrub) Isolation: source and protective Personal protecting equipments: types, uses and technique of wearing and removing Decontamination of equipment and unit Transportation of infected patients Standard safety precautions(universal precaution) Transmission based precautions Biomedical waste management: Importance Types of hospital waste Hazards associated with hospital waste Decontamination of hospital waste Segregation and transportation and disposal Unit: 3- Administration of medications 40hrs(31 %) General, Principles/considerations: Purposes of medication Principles:5 rights, special considerations, prescriptions, safety in administering medications and medication errors Drug forms Routes of administration Storage and maintenance of drugs and Nurses Responsibility Broad classification of drug Therapeutic effect, side effects, toxic effects, idiosyncratic reactions, allergic reactions, drug tolerance, drug interactions 33

34 Factors influencing drug actions, Systems of drug Measurement: metric system, apothecary system, household measurements, solutions. Converting measurements Units: conversion within one system, conversion between systems, dosage calculation Terminologies and abbreviations used in prescription of medications Oral drugs administration: oral, sublingual and buccal: equipment, procedure Parenteral General principles: Decontamination and disposal of syringes and needles Types of parenteral therapies Types of syringes, needles, cannula and infusion sets Protection from needle stick injuries: giving medication with a safety syringes Routes of parenteral therapies -Intradermal: purpose, site, equipment, Procedure, special consideration -subcutaneous: purpose, site equipment, Procedure, special consideration -intramuscular: purpose, site, equipment, Procedure, special consideration -intravenous: purpose, site, equipment, Procedure, special consideration -advanced techniques: epidural, intrathecal, intraosseo- inratraperitoneal, intraplural, intraarterial, -Role of nurse Topical administration: purpose, site, equipment, Procedure, special consideration for Application to skin Application to mucus membrane -direct application of liquids gargle and swabbing the throat -insertion of drug into body cavity: suppository/medicated packing in rectum/vaginal -instillation: ear, eye, nasal, bladder and rectal -irrigations: eye, ear, bladder, vaginal and rectal spraying: nose and throat Inhalation: nasal, oral, endotracheal/ tracheal (steam, oxygen and medications) purposes, site, equipment, Procedure, special considerations Recording and reporting of medications administered Unit: 4 Meeting needs of perioperative patients 10hrs(8 %) Definition and concept of perioperative nursing Pre operative phase Preparation of patient for surgery Intra operative Operation theatre set up and environment Role of nurse Post operative phase Recovery unit Post operative unit Post operative care, Wounds: types, classification, wound healing process, factors affecting wound, complication of wound healing Surgical asepsis Care of the wound: types, equipments, procedure and special considerations Dressing, suture care, Care of drainage Application of bandages, binders, splints and slings Heat and cold therapy Unit: 5 Meeting special needs of the patient 15hrs( 12 %) Care of patients having alteration in Temperature(hyper and hypothermia) types, Assessment, Management Sensorium (unconsciousness); Assessment, Management Urinary Elimination (retention and incontinence) Assessment, Management Functioning of sensory organs (visual and hearing impairment) Assessment of self care ability Communication methods and special considerations Mobility(physically challenged, cast),assessment of self care ability: communication methods and special considerations Mental state(mentally challenged),assessment of self care ability: Communication methods and special considerations Respiration (distress):types, assessment Management; Comfort-(pain)-Nature, types, factors influencing pain, Coping, Assessment, Management; Treatments related to gastrointestinal system: nasogastric suction, gastric irrigation, gastric analysis Unit: 6- Care of terminally ill patient 5hrs(4 %) 34