Syllabus Basic B.Sc Nursing

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COLLEGE OF NURSING SANGLI Syllabus Basic B.Sc Nursing 2

BHARATI VIDYAPEETH UNIVERSITY INTRODUCTION Bharati Vidyapeeth, which is the parent body of Bharati Vidyapeeth University, was established on 10th May 1964 by Dr Patangrao Kadam with the wider objective of contributing to intellectual awaking and social cultural transformation through dynamic education. Under the imaginative dynamic and socially committed leadership of the founder Dr Patangrao Kadam, Bharati Vidyapeeth has made astonishing strides in the field of education. The Vidyapeeth has so far established 156 educational institutions imparting education to the student’s right from pre primary stage to post graduate stage and Ph.D.The Ministry of Human Resources Development (Department of Education, Government of India) on the recommendations of the University Grants Commission New Delhi through their notification No F.9 – 15/95 U.3 dated 26th April 1996 has declared institution of Bharati Vidyapeeth at Pune as University. 1. The Medical College 2. The Dental college and hospital 3. The College of Ayurved Pune 4. The Homeopathic Medical college 5. The College of Nursing Pune 6. Yashwantrao Mohite College of Arts, Commerce and Science. 7. The New College Pune 8. Social Science center (M.S.W) Pune. 9. Yashwantrao Mohite Institute of Social Science and Research, Pune. 10. The Research and Development Centre in applied chemistry (POLYMER), Pune. 11. The College of Physical education Pune and 12. The Institute of Environment Education and Research, Pune. The association of the Indian Universities has accepted this university as its member. This is probably the first and only university having under its umbrella with diversified disciplines of professional and non professional categories such as Medicine, Dentistry, Nursing, Ayurved, Homeopathic Medicines Physical Education Natural and Physical Science Social Science Commerce Law and Humanities. The Degrees and diplomas awarded by this university have the same status and recognition as those awarded by any Indian University recognized by the University Grants Commission, New Delhi. The University operates its educational programmes in accordance with the rules regulations and guidelines of various statutory Central Government bodies Medical Council of India, Dental Council of India, Bar council of India, Indian Nursing council, Central Council of Indian Medicine etc . 3

College of Nursing, Pune. Bharati Vidyapeeth College of Nursing was established in the year 1992 with prior permission of the University of Pune to which it was having affiliation. It is now the constituent unit of this university. This is the first college of Nursing in the Non Government Sector in Pune. Adequate facilities for clinical studies have been provided and the college is attached to the hospital of Bharati Vidyapeeth Medical Foundation. Dhanakwadi Pune. The College has the approval of the government of India, UGC and Maharashtra Nursing Council. The College has a separate hostel facilities for boys and girls. The curriculum and the syllabus is made and updated as per the present needs in the Maharashtra Nursing Council and the needs of the society. College of Nursing, Wanlesswadi, Sangli Bharati Vidyapeeth University, college of nursing, started in 2007 at Bharati Vidyapeeth University campus, Sangli. It is one of the constituent units of the Bharati Vidyapeeth University. This college started with the objectives of training the students to become competent nurses for first level positions in nursing, to provide quality care in hospitals and to community and thereby contributing to health care of our nation. The college has the permission from Maharashtra Nursing and Indian Nursing council. The college is equipped with nursing arts, community health & nutrition laboratories, teaching aids & a departmental library Since we have our own Medical college in the same campus, our students get exposure to the teaching of faculty members having expertise in Anatomy , physiology, biochemistry, pathology & microbiology & other subjects. Similarly, our students also have access to the library of our Medical College, which has a very vast collection of reference books. Our college also subscribes to journals and makes audio- video material & equipment available to the students. Hostel facilities with modern amenities are available to our student on the campus. The atmosphere in the college is very congenial for professional growth. 4

PHILOSOPHY OF BHARATI VIDYAPEETH Bharati Vidyapeeth was established in May 1964 with the philosophy of contributing to the intellectual awakening and social transformation in different spheres including educational economic social and cultural fields in India and more particularly in Maharashtra. Its activities are been geared to bring about all sided progress and welfare of different sections in population including women tribal and rural people. Bharati Vidyapeeth’s Nursing College also functions within the framework of Bharati Vidyapeeth’s philosophy. AIMS:To prepare first level of nurse manager who can take the responsibility in hospitals, community and educational Institutions and give primary, secondary and tertiary care. OBJECTIVES:After completion of 4 year B.Sc Nursing Course 1) The students will be able to develop skills in providing quality care by using nursing process in different clinical settings. 2) Students will be able to render comprehensive care to family and community by using nursing process. 3) Student will be able to take leadership role at first level management in nursing service and education. 4) Student will be able to participate in promotive, preventive and restorative health care delivery system. 5) Students will practice ethical values in nursing profession 6) Students will aware of research methodoly and will be capable of assisting in research projects. ADMISSION REQUIRMENTS: 1. The minimum age for admission shall be 17 years on or before 31st Dec of the year of admission. 2. The minimum educational requirements shall be passing of Higher Secondary School certificate Examination (12 years course). Or Senior School certificate examination (10 2), pre-degree examination (10 2) OR An equivalent with 12 years schooling from a recognized board or university with Science (physics Chemistry, biology) and English with minimum of 45 % aggregate marks (PCB) 3. Candidates shall be medically fit. 5

ENTRANCE / SELECTION TEST Selection of candidate should be based on the merit of entrance examination held by University or competent authority. DURATION Duration of course will be for four years excluding internship and one year bond is compulsory in Bharati Vidyapeeth. VACATION Eight weeks vacation shall be given each year. ATKT Any candidate failing in more than two subjects will not be promoted to next year. (ATKT will be allowed only for two subjects) AWARD OF CLASS. FIRST CLASS WITH DISTINCTION AGGREGATE 70% AND ABOVE FIRST CLASS AGGREGATE 60% AND ABOVE LESS THAN 70% HIGHER SECOND CLASS AGGREGATE 55% AND ABOVE LESS THAN 60% SECOND CLASS AGGREGATE 50% AND ABOVE LESS THAN 55% FAIL LESS THAN 50% DURATION COURSE DURATION FOUR YEARS Weeks per year Vacation Gazetted holidays Examinations including preparatory Available weeks Hours per week Practical Theory Internship and practical Hours available per academic year 52 weeks 8 weeks 3 weeks 4 weeks 37 40 hrs 30 hrs per week 10 hrs per week 48 hrs per week 1480 (37 weeks x 40 hrs) 6

COURSE OF INSTRUCTION FIRST YEAR SUBJECT 1.English* 2.Anatomy 3.Physiology 4.Nutrition 5. Biochemistry 6. Nursing Foundation 7.Psychology 8.Introduction to computers 9. **Marathi / Regional Language ( optional) 10. Library work / Self study Total hours Total hours 1420 Theory (in hrs) (Class & lab) 60 60 60 60 30 265 200 60 45 Practical in Hrs Clinical In Hrs 450 920 450 50 50 SECOND YEAR Subject 1.Sociology 2.Pharmacology 3.Pathology 4.Genetics 5.Medical Surgical Nursing (adults including Geriatrics-I) 6.Community Health nursing I 7.Microbiology 8.Environment Science 9.Library work self study 10.Co curricular activities TOTAL HOURS GRAND TOTAL HOURS 1450 Theory in hrs (class and Lab) 60 45 30 15 210 90 60 50 Practical in hrs (clinical) In hrs 720 135 510 855 7 50 35 85

THIRD YEAR Sr.No Subject 1 1.Medical Surgical Nursing (including Geriatrics) 2.Child Health nursing 3.Mental Health nursing 4.Communication and Educational Technology 5.Library work & self study 6.Co-curricular activities Total hours Grand total hours 2 3 4 5. 6 Theory in hrs (class and Lab) 120 Practical in hrs (clinical) 90 90 270 270 In hrs 270 60 30 50 50 390 1300 810 100 In hrs FOURTH YEAR Sr.No Subject Theory in hrs (class and Lab) Practical in hrs (clinical) 1 Midwifery & Obstetrical Nursing Community Health Nursing 11 90 360 90 135 Nursing Research Management of Nursing service & Education Total hours Grand total 810 45 60 30 * 315 495 2 3 4 Project work to be carried out during internship 8

INTERNSHIP (Integrated practice) Sr.No Subject 1 2 3 4 5 6 48 hours per week. Theory in hrs (class and Lab) Practical in hrs (clinical) In weeks Midwifery & Obstetrical Nursing Community Health Nursing 11 240 5 195 4 Medical Surgical Nursing including Geriatrics Child Health nursing Mental Health Nursing Research project Total hours Grand total 1150 hours 430 9 145 95 45 1150 3 2 1 24 Note:1. Internship means 8 hours of integrated clinical duties in which two weeks of evening and night shift duties are included. 2. Internship should be carried out as 8 hours per week. 3. Students during internship will be governed by nursing teachers. 4. Fourth year final examination to be held only after completion of internship. SCHEME OF EXAMINATION FIRST YEAR SUBJECT THEORY 1.Anatomy & Physiology 2.Nutrition & Biochemistry 3.Nursing Foundation 4.Psychology 5.English 6.Introduction to computers 7.Marathi Practical & Viva 1.Nursing Foundations ASSESSMENT Marks Hours Internal External 3 25 75 3 25 75 3 25 75 3 25 75 25 75 25 75 2 50 100 100 9 Total 100 100 100 100 100 100 50 200

SECOND YEAR SUBJECT Theory 1.Sociology 2. Medical Surgical Nursing I 3. Pharmacology, Pathology & Genetics 4.Community Health nursing I 5.Microbiology 6.Environmental Science Practical & Viva 1.Medical Surgical Nursing I ASSESSMENT MARKS Hours Internal External 3 25 75 3 25 75 3 25 75 3 25 75 3 25 75 2 50 100 100 Total 100 100 100 100 100 50 200 THIRD YEAR Subject Theory 1.Medical Surgical Nursing II 2. Child Health nursing 3. Mental Health nursing 4.Communication & Educational Technology Practical & Viva 1.Medical Surgical Nursing II 2. Child Health nursing 3. Mental Health nursing ASSESSMENT Hours Internal External 3 25 75 3 25 75 3 25 75 3 25 75 50 50 50 50 50 50 Total 100 100 100 100 100 100 100 FOURTH YEAR Subject Theory 1.Midwifery & Obstetrical Nursing 2. Community Health nursing II 3. Nursing Research & Statistics 4.Management of Nursing Service & Education Practical & Viva 1.Midwifery & Obstetrical Nursing 2. Community Health nursing II 10 Hours 3 3 3 3 ASSESSMENT Internal External 25 75 25 75 25 75 25 75 Total 100 100 100 100 3 3 50 50 100 100 50 50

Note: 1. Anatomy Physiology- Question paper will consist of section A, Anatomy of 37 marks and section B Physiology should be of 38 marks. 2. Nutrition and Biochemistry- question paper will consist of section A, Nutrition of 45 marks and section B Biochemistry should be of 30 marks. 3. Pharmacology, Pathology and Genetics – Section A Pharmacology with 38 marks, section B Pathology of 25 marks and Genetics with 12 marks. 4. Nursing research and Statistics – Nursing Research should be 50 marks and statistics of 25 marks. 5. Minimum pass marks should be 40% for English only. 6. Theory and Practical Exams for introduction to computers to be conducted at college exams Marks to be sent to University for inclusion in Mark list. 7. Minimum pass marks shall be 50% in each of Theory practical paper separately. 8. The candidate must have minimum of 80% attendance (Irrespective of the kind of absence). In theory and practical in each subject appearing of examination. 9. A candidate must have 100% in each of the Practical areas before award of the degree 10. A candidate has to pass in theory and practical exam in each of the paper. 11. If the candidate fails in either theory or practical exam he/she has to reappear for both the papers (theory and practical). 12. Maximum no of the attempts permitted for each paper is 3 including 1st attempt. 13. Candidate shall not be permitted to the subsequent higher examination unless the candidate had passed the previous exam. 14. The maximum period to complete the course successfully should not exceed eight years. 15. Maximum no of the candidates’ practical examination should not exceed 20 per day. 16. All the practical examinations must be held in respective clinical areas. 17. One internal and one external examiner should be jointly conduct practical exam for each student. 18. An examiner should be a lecturer or above in a college of Nursing with M.Sc Nursing in concerned subject and minimum of 3 years teaching experience to be an examiner for nursing foundation course faculty having M.Sc nursing with any specialty shall be considered. 11

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ANATOMY Placement: First Year Time- Theory -60 hours. Course Description: The course is designed to enable students to achieve knowledge of normal structures of various systems of human bodies and understand the alteration in critical structures in diseases and practice of nursing. UNIT CONTENT HOURS UNIT- I Introduction to anatomical terms, organization of the human body. Human cell structure - Tissues- Definition, Types, Characteristics, classification, location, function & formation. - Membranes and glands classification and structures. - Alteration in disease. - Application and implication in nursing. 05 hrs UNIT- 2 The Skeletal System. 06 hrs Bones- Types, structure, axial & appendicular skeleton. - Bone Formation & Growth - Description of bones. - Joints classification and structure - Alteration in disease. - Application and implication in nursing. UNIT -3 UNIT- 4 UNIT- 5 The Muscular system - Types and structure of muscles. - Muscle group - Alteration in disease - Application and implication in nursing. The Nervous System - Structure of neurologia & neurons. - Somatic Nervous system - Structure of brain, spinal chord, cranial nerves, - peripheral nerves - Autonomic Nervous system- (Sympathetic, parasympathetic) - Structure & location. - Alteration in disease - Application and implication in nursing. The Sensory Organs. - structure of skin, eye, ear, nose, tongue ( Auditory and olfactory apparatus) - Alteration in disease - Application and implication in nursing. 13 07 hrs 06 hrs 06 hrs

UNIT -6 Circulatory and Lymphatic system - The circulatory system -Blood – Microscopic structure -Structure of Heart -Arterial and venous system -Circulation systemic, pulmonary, coronary. - Lymphatic system - Lymphatic vessels and lymph - Lymphatic tissues - Thymus glands - Lymph nodes - Lymphatic nodules - Alteration in diseases - Application and implication in nursing. 07 hrs UNIT-7 The Respiratory System 05 hours UNIT- 8 Structure of organs of respiration Muscles of respiration Intercostals and diaphragm Alteration in disease Application and implication in nursing. The Digestive system 06 hours - Structure of alimentary tract and accessory organs of digestion UNIT – 9 Alteration in diseases Application and implication in nursing. The Excretory System (Urinary) - Structure of organs of urinary - System: Kidneys, ureters, urinary bladder, urethra, structure of skin. 04 hrs -Application and implication in nursing. UNIT- 10 The Endocrine System -Structure of pituitary, pancreas, thyroid, -Parathyroid, thymus and adrenal glands. 04 hrs -Alteration in diseases -Application and implication in nursing. UNIT- 11 The Reproductive System including Breast. - Structure of female reproductive organs. - Structure of male reproductive organs. - Structure of breast. 14 04 hrs

PHYSIOLOGY Placement – First Year Time: Theory 60 hrs. Course Description: The course is designed to assist the students to acquire knowledge of the normal physiology of various human body systems and understand the alteration in physiology disease and practice of nursing. UNIT UNIT- 1 CONTENT Cell physiology HOURS 04 hrs -Tissue –formation, repair - Membranes & glands- functions - Alteration in disease - Application and implication in Nursing UNIT – 2 Skeleton system - UNIT – 3 Bone formation and growth. Bones- functions and movements of bones of axial & appendicular skeleton, bone healing Joints and joint movements. Alteration in disease Application and implication in Nursing Muscular System - UNIT- 4 04 hrs. 04 hrs. Muscle movements, muscle tone, physiology of muscle contraction, levels and maintenance of posture. Alteration in disease Application and implication in Nursing Nervous System - 07 hrs Function of neuralgia & neurons. Stimulus & nerve – impulse definition and mechanism. Functions of brain, spinal cord, cranial & spinal nerves. Cerebra spinal fluid – composition, circulation and function. Reflex arc reflex action and reflexes. Autonomic functionPain – somatic, visceraland referred. Autonomic learning and biofeedback. Alteration in disease Application and implication in Nursing 15

UNIT- 5 Circulatory System -Blood formation, composition, blood groups, blood coagulation, - Hemoglobin: structure, synthesis and breakdown. Variation of molecules, estimation. - Functions of heart, conduction, cardiac cycle, circulation08 hrs principles, control, factors influencing BP & pulse. - Alteration in disease -Application and implication in Nursing UNIT-6 06 hrs The Respiratory System -Functions of respiratory system - 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 implication in Nursing UNIT-7 The Digestive system -Functions of organ of digestive tract. Movements of alimentary tract, digestion in mouth, stomach, small intestine, large intestine, absorption of food, function of liver, gall bladder and pancreas. -Metabolism of carbohydrates, proteins, and fat. -Alteration in disease -Application and implication in Nursing 06 hrs UNIT-8 The Excretory system 05 hrs UNIT -9 - Functions of Kidneys, ureters, urinary bladder, & urethra. - Composition of urine - Mechanism of urine formation. - Functions of skin - Regulation of body temperature. - Fluid & Electrolyte balance. - Alteration in disease - Application and implication in Nursing The Sensory Organs 04 hrs - Functions of skin, eye, ear, nose, tongue. - Alteration in disease - Application and implication in Nursing 16

05 hrs UNIT-10 The Endocrine System - UNIT-11 05 hrs The Reproductive System - UNIT-12 Functions of pituitary, pineal body, thymus, thyroid, parathyroid, pancreas, suprarenal, placenta, ovaries & testis. Alteration in disease Application and implication in Nursing Reproduction of cells- DNA mitosis, meiosis, spermatogenesis, oogenesis. Functions of the female reproductive organs, functions of breast, female sexual cycle. Introduction of embryology Functions of male reproductive organs, male functions in reproduction, male fertility system. Alteration in disease Application and implication in Nursing Lymphatic and immunological system - Circulation of lymph Immunity Formation of T- cells & B- cells Types of immune response Antigen Cytokines Antibodies 17 02 hrs

NUTRITION Placement- First Year Time: Theory 60hrs. Course Description: The course is designed to assist the students to acquire knowledge of nutrition for maintenance of optimal health at different stages of life and its application for practice of nursing. UNIT UNIT-1 CONTENT HOURS 4 hrs Introduction -Nutrition - Concepts. - Role of nutrition in maintaining health. - Nutritional problems in India. - Factors affecting food & nutrition: socioeconomic, cultural, tradition, production system of distribution, lifestyle and food habits etc . - Role of foods & its medicinal values - Classification of foods - Foods standard - Elements of nutrition: macro and micro - Calorie, BMR UNIT-2 Carbohydrates - Classification. - Caloric Value - Recommended daily allowances. - Dietary sources - Functions -Digestion, absorption and storage, metabolism of carbohydrates. -Malnutrition Deficiencies and over consumption 2 hrs UNIT-3 Fats - 2 hrs Classification Caloric value, Recommended daily allowances Dietary sources. Functions Digestion absorption and storage, metabolism of fats Malnutrition Deficiencies and over consumption 18

UNIT-4 Proteins - Classification - Caloric value - Recommended daily allowance - Dietary sources - Functions - Digestion absorption and storage, metabolism of proteins - Malnutrition Deficiencies and over consumption 2 hrs UNIT 5 Energy - Unit of energy- kcal - Energy requirements of different categories of people - Measurements of energy - Body Mass Index (BMI) Basic metabolism - Basal metabolic rate (BMR) - determine the factors affecting. 3 hrs UNIT-6 Vitamins - Classification - Recommended daily allowance - Dietary sources - Functions - Absorption, synthesis, metabolism, storage and excretion - Deficiencies - Hypervitaminosis - 4 hrs UNIT-7 Minerals - Classification - Recommended daily allowance - Dietary sources - Functions - Absorption, synthesis, metabolism, storage and excretion - Deficiencies - Over consumption and toxicity 4 hrs UNIT-8 Water and Electrolyte balance 3 hrs - Water – Daily requirements, regulation of water, metabolism, distribution of body water. Electrolytes: Types, sources, composition of body fluids Maintenance of fluid & electrolyte Over hydration, dehydration and water intoxication Electrolyte imbalances. 19

UNIT-9 Cookery rules and preservation of Nutrients 5 hrs - Principles, methods of cooking and serving - Preservations of nutrients. - safe food handling.- toxicity - Storage of food. -Food preservation, food additives and its principles - Preservation of food adulteration act ( PFA) - Food standards -Preparation of simple beverages of different types of food. UNIT-10 Balanced diet - Elements - Food groups - Recommended daily allowance - Nutritive value of food - Calculation of balanced diet for different categories of people. - Planning menu - Budgeting of food - Introduction to therapeutic diets, naturopathy – diet- 5 hrs UNIT-11 Role of nurse in nutritional programme 10 hrs - National programme related to nutrition Vitamin A deficiency programme National Iodine deficiency disorders. (IDD) programme. Mid –day meal programme Integrated child development scheme National & International agencies working towards food / nutrition. NIPCCD,CARE,FAO, NIN, CFTRI ( Central food technology and research institute) etc Assessment of nutritional status. Nutrition education and role of nurse. 20

BIOCHEMISTRY Placement- First Year Time: Theory 30 hrs Course Description: The course is designed to assist the students to acquire knowledge of the normal biochemical composition and functioning of human body and understand the alteration in biochemistry in disease for practice of nursing. UNIT CONTENT HOURS UNIT-1 Introduction - Definition and significance in nursing - Review of structure, composition and function of cell. - Prokaryote and Eukaryote: Cell organization - Microscopy 3 hrs UNIT-2 Structure and functions of cell membrane - Fluid mosaic model tight junction, cytoskeleton - Transport mechanism: diffusion, osmosis, filtration, active channel, sodium pump - Acid base balance-maintenance and diagnostic tests - PH buffers 6 hrs UNIT-3 Composition and Metabolism of Carbohydrates - Types, structure, composition and uses. - Monosaccharides,Diasaccharides,Polysaccharides, Ligosaccharides. - Metabolism - Pathways of glucose: - Glycolysis - Glucogenesis: Cori’s cycle, Tricarbocyclic acid cycle TCA - Glycogenolysis - Pentose phosphate - Pathways( Hexose mono phosphate) - Regulation of blood glucose level. - Investigation & their interpretation. 6 hrs UNIT-4 Composition and Metabolism of lipids - Types, structure, composition and uses of fatty acids. - Nomenclature, Roles and prostaglandins. - Metabolism of fatty acids - Breakdown - Synthesis - Metabolism of triglycerols. - Cholesterol metabolism - Biosynthesis and its regulation 6 hrs 21

* Bile salts and bilurubin * Vitamin D * Steroid hormones - Lipoproteins and their functions * VLDLs- IDLs and HDLs * Transport of lipids * Arteriosclerosis * Investigations and their interpretation UNIT-5 Composition and Metabolism of Amino acids and proteins. - Types, structures, composition and uses of amino acids and proteins. - Metabolism of Amino acids and proteins. - Protein synthesis, targeting and glycosylation - Chemotherapy - Electrophoresis - Sequencing * Metabolism of nitrogen - Fixation & assimilation - Urea cycle - Hemes and chlorophyll * Enzymes and co- enzymes - Classification - Properties - Kinetics & inhibition - Control * Investigations and their interpretation 6 hrs UNIT-6 Composition and Vitamins and Minerals - Vitamins and Minerals -Structure - Classification - Properties - Absorption - Storage and transportation - Normal concentration investigations and their interpretation. 2 hrs 22

NURSING FOUNDATION Placement First year Theory- 265 hrs Practical -650 hrs (200 labs and 450 clinics) Course Description: This course is designed to help the students to develop in 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. UNIT CONTENT HOURS UNIT-1 Rajesh Introduction - Concept of health : Health- Illness continuum - Factors influencing health - Causes and risk factors for developing illness - Body defenses: Immunity and immunization - Illness & 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 Team - Types of health care agencies - Hospitals : Types, organization and functions - Health promotion and level of disease prevention. - Primary health care and its delivery : Role of nurse 10 hrs UNIT- 2 Rajesh Nursing as a profession 16 hrs Definitions and characteristics of a profession. Nursing Definition, concepts, philosophy, objectives. Characteristics, nature, and scope of nursing practice. Functions of Nurse Qualities of nurse. Categories of nursing personnel Nursing as a profession. History of nursing in India. Values: Definition, types, values clarification and values professional nursing caring and advocacy. Ethics: Definition and ethical principles Code of ethics and professional conduct for nurse. 23

UNIT-3 Hospital admission and discharge - Admission to the hospital Unit and its preparation admission bed - Admission procedure - Special considerations - Medico legal issues. - Roles and responsibilities of nurse. Discharge from the hospital - Types Planned discharge, LAMMA and abscond , - Referrals and transfer. - Discharge planning - Discharge procedure - Special considerations - Medico legal issues - Roles and responsibilities of the nurse. - Care of the unit after discharge. 4 hrs UNIT-4 Communication and the nurse patient relationship - Communication : Levels, elements, types, modes, process, - factors influencing communication - Methods of effective communication # attending skills # Rapport building skills # Empathy skills -Barriers to effective communication - helping relationship (NPR) Dimensions of helping relationships, phases of a helping relationship. Communicating effectively with patient, families and team members and maintain effective human relation with special reference to communicating with vulnerable group( children, women, physically and mentally challenged and elderly) - Patient teaching Importance purpose, process, role of nurse and integrating teaching in nursing process. 10 hrs. UNIT- 5 The Nursing Process - Critical thinking and nursing adjustment. - Critical thinking, thinking and learning - Competencies, attitude 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. - Nursing Diagnosis - Identification of client problems - Nursing Diagnosis statement - Difference between medical & nursing diagnosis - Planning - Establishing priorities - Establishing goals and expected outcomes - Selection of intervention: Protocols and standing orders. 15 hrs Rajesh 24

UNIT-6 UNIT-7 Rajesh UNIT-8 - Writing nursing care plan Implementation. Implementing plan of care Evaluation Outcome of care Review and modify - Documentation and reporting Documentation and reporting - Documentation: purpose of recording and reporting - Communication within the health care team. - Types of record: ward record, medical/ nursing records - Common record- keeping forms, computerized documentation - Guidelines for reporting, factual basis, accuracy, completeness, currentness,organization, confidentiality - Methods of recording - Reporting: change of shift reports: transfer reports, incident reports Minimizing legal liability through effective record keeping. Vital signs 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, hypothe

3. Mental Health nursing 3 25 75 100 4.Communication & Educational Technology 3 25 75 100 Practical & Viva 1.Medical Surgical Nursing II 50 50 100 2. Child Health nursing 50 50 100 3. Mental Health nursing 50 50 100 ASSESSMENT Theory Hours Internal External Total 1.Midwifery & Obstetrical Nursing 3 25 75 100 2. Community Health nursing II 3 25 .

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