Indian Nursing Council (Revised Regulations and Curriculum for B.Sc. (Nursing) Program) Regulations, 2020

Indian Nursing Council (Revised Regulations and Curriculum for B.Sc. (Nursing) Program) Regulations, 2020[1]

[5th July, 2021]

In exercise of the powers conferred by sub-section (1) of Section 16 of the Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations namely:—

Regulation – 1. Short Title and Commencement.

(i)           These Regulations may be called The Indian Nursing Council (Revised Regulations and Curriculum for B.Sc. (Nursing) Program) Regulations, 2020.

(ii)         These Regulations shall come into force on the date of notification of the same in the official Gazette of India.

Regulation – 2. Definitions.

In these Regulations, unless the context otherwise requires,

(i)           ‘the Act’ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time;

(ii)         ‘the Council’ means the Indian Nursing Council constituted under the Act of 1947;

(iii)       ‘SNRC’ means the State Nurses and Midwives Registration Council by whichever name constituted and called by the respective State Governments;

(iv)       ‘B.Sc. (Nursing)’ means the four year B.Sc. (Nursing) Degree qualification in Nursing recognized by the Council under Section 10 of the Act and included in Part-II of the Schedule to the Act;

(v)        ‘Authority’ means a University or Body created by an Act for awarding the B.Sc. (Nursing) qualification recognized by the Council and included in Part-II of the Schedule to the Act;

(vi)       ‘School of Nursing’ means a recognized training institution for the purpose of teaching of the GNM course;

(vii)     ‘College’ means a recognized training institution for the purpose of training and teaching of the B.Sc. (Nursing) course;

(viii)   ‘CNE’ means Continuing Nursing Education to be compulsorily undergone by the RN&RM/RANM/RLHV for renewal of registration after every 5 (five) years.

(I)     INTRODUCTION OF THE PROGRAM

The B.Sc. nursing degree program is a four-year fulltime program comprising eight semesters, which prepares B.Sc. nursing graduates qualified to practice nursing and midwifery in a variety of settings in either public/government or private healthcare settings. It adopts credit system and semester system as per the Authority guidelines with minor modifications suitable to professional education in a hybrid form. The program encompasses foundational, core and elective courses. The choice-based system is applicable to electives only and is offered in the form of modules. Modular learning is also integrated in the foundational as well as core courses that is mandatory.

The program prepares nurses and midwives for generalist nursing including midwifery practice. Knowledge acquisition related to wellness, health promotion, illness, disease management and care of the dying is core to nursing practice. Mastery of competencies is the main focus. Students are provided with opportunities to learn a whole range of skills in addition to acquiring knowledge related to nursing practice (nursing and midwifery). This is achieved through learning in skill lab/simulated lab and clinical environment. Simulation will be integrated throughout the curriculum wherever feasible to enable them to develop competencies before entry into real field of practice.

The revised curriculum embraces competency-based and outcome-based approach throughout the program integrating mastery learning and self-directed learning. Transformational and relationship based educational approaches are emphasized. Through the educational process the students assimilate and synthesize knowledge, cultivate critical thinking skills and develop care strategies. Competencies that reflect practice standards of the Council address the areas of cultural diversity, communication technology, teamwork and collaboration, safety, quality, therapeutic interventions and evidence-based practice. They are prepared to provide safe and competent care to patients across life span and influence patient outcomes.

(II)   PHILOSOPHY

The Council believes that:

Health and wellness are two fundamental concepts that are integrated throughout the program. Health is a state of well-being that encompasses physical, psychological, social, economic and spiritual dimensions. Wellness is the individual's perception of wellness and is influenced by the presence of disease and individual's ability to adapt. Health is a right of all people. Individuals have a right to be active participants in achieving health as they perceive it. Society consists of dynamic and interactive systems involving individuals, families, groups and communities. Cultural diversity, race, caste, creed, socio economic levels, religion, lifestyles, changes in environment and political factors influence it. Nurses and midwives recognize and respect human differences and diversity of population within society and provide ethical care with respect and dignity and protect their rights.

Nursing as a profession and a discipline utilizes knowledge derived from arts, sciences (physical, biological and behavioral), humanities and human experience. Nursing science incorporates clinical competence, critical thinking, communication, teaching learning, professionalism, and caring and cultural competency. Nurses collaborate with other health disciplines to solve individual and community health problems. Nursing facilitates evidence-based practice, compassionate caring among its practitioners in response to emerging issues in healthcare and new discoveries and technologies in profession. Nursing practice requires personal commitment to professional development and life-long learning.

Scope of nursing and midwifery practice encompasses provision of promotive, preventive, curative and rehabilitative aspects of care to people across the life span in a wide variety of healthcare settings. Nursing practice is based on acquisition of knowledge, understanding, attitude, competencies and skills through the Council's curricular and practice standards. The competencies in which the students are trained will guide them in performing their scope of practice. Nursing offers qualified nurses and midwives a wealth of opportunities in the field of practice, education, management and research in India and overseas.

The undergraduate nursing program is broad based education within an academic curricular framework specifically directed to the development of critical thinking skills, competencies appropriate to human and professional values. Blended learning approach comprising of experiential learning, reflective learning, scenario based learning and simulated learning is also inbuilt. The teaching learning process encourages mastery learning, modular, self-directed and self-accountable in choice making in terms of elective courses. The program prepares its graduates to become exemplary citizens by adhering to code of ethics and professional conduct at all times in fulfilling personal, social and professional obligations so as to respond to national aspirations. Health and community orientation are provided with special emphasis on national health problems, national health programs and national health policy directives to achieve universal health care for all citizens of India. The main roles of graduates would be provider of care with beginning proficiency in delivering safe care, coordinator/manager of care by being active participant of inter-professional team and member of a profession demonstrating self-responsibility and accountability for practice as well as to support the profession.

The faculty has the responsibility to be role models and create learning environment that facilitates cultivation of critical thinking, curiosity, creativity and inquiry driven self-directed learning and attitude of life-long learning in students. Learners and educators interact in a process whereby students gain competencies required to function within their scope of practice.

(III)    AIMS & OBJECTIVES

AIMS

The aims of the undergraduate program are to

(1)     Produce knowledgeable competent nurses and midwives with clear critical thinking skills who are caring, motivated, assertive and well-disciplined responding to the changing needs of profession, healthcare delivery system and society.

(2)     Prepare them to assume responsibilities as professional, competent nurses and midwives in providing promotive, preventive, curative and rehabilitative healthcare services in any healthcare setting.

(3)     Prepare nurses and midwives who can make independent decisions in nursing situations within the scope of practice, protect the rights of individuals and groups and conduct research in the areas of nursing practice and apply evidence-based practice.

(4)     Prepare them to assume role of practitioner, teacher, supervisor and manager in all healthcare settings.

OBJECTIVES

On completion of the B.Sc. Nursing program, the B.Sc. nursing graduates will be able to

(1)     Utilize critical thinking to synthesize knowledge derived from physical, biological, behavioural sciences, and humanities, in the practice of professional nursing and midwifery.

(2)     Practice professional nursing and midwifery competently and safely in diverse settings, utilizing caring, critical thinking and therapeutic nursing interventions with individuals, families, populations and communities at any developmental stage and with varied lived health experiences.

(3)     Provide promotive, preventive and restorative health services in line with national health policies and programs.

(4)     Integrate professional caring into practice decisions that encompass values, ethical, and moral and legal aspects of nursing.

(5)     Respect the dignity, worth, and uniqueness of self and others.

(6)     Apply concepts of leadership, autonomy and management to the practice of nursing and midwifery to enhance quality and safety in health care.

(7)     Utilize the latest knowledge and skills related to information and technology to enhance patient outcomes.

(8)     Communicate effectively with patients, peers, and all health care providers.

(9)     Utilize the requisite knowledge, skills and technologies to practice independently and collaboratively with all health professionals applying the principles of safety and quality improvement.

(10)   Integrate research findings and nursing theory in decision making in evidence-based practice.

(11)   Accept responsibility and accountability for the effectiveness of one's own nursing and midwifery practice and professional growth as a learner, clinician and leader.

(12)   Participate in the advancement of the profession to improve health care for the betterment of the global society.

(IV)  CORE COMPETENCIES FOR NURSING AND MIDWIFERY PRACTICE BY B.Sc. GRADUATE

{Is adapted from NLN Model and Massachusetts: Nurse of the Future-Core Competencies (2016) as shown in figure 1}

The B.Sc. Graduate nurse will be able to:

(1)    Patient centered care: Provide holistic care recognizing individual patient's preferences, values and needs, that is compassionate, coordinated, age and culturally appropriate safe and effective care.

(2)    Professionalism: Demonstrate accountability for the delivery of standard-based nursing care as per the Council standards that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles.

(3)    Teaching & Leadership: Influence the behavior of individuals and groups within their environment and facilitate establishment of shared goals through teaching and leadership

(4)    System-based practice: Demonstrate awareness and responsiveness to the context of healthcare system and ability to manage resources essential to provide optimal quality of care.

(5)    Health informatics and Technology: Use technology and synthesize information and collaborate to make critical decisions that optimize patient outcomes.

(6)    Communication: Interact effectively with patients, families and colleagues fostering mutual respect and shared decision making to enhance patient satisfaction and health outcomes.

(7)    Teamwork and Collaboration: Function effectively within nursing and interdisciplinary teams, fostering open communication, mutual respect, shared decision making, team learning and development.

(8)    Safety: Minimize risk of harm to patients and providers through both system effectiveness and individual performance.

(9)    Quality improvement: Use data to monitor the outcomes of care processes and utilize improvement methods to design and test changes to continuously improve the quality and safety of healthcare system.

(10) Evidence based practice: Identify, evaluate and use the best current evidence coupled with clinical expertise and consideration of patient's preferences, experience and values to make practical decisions.

CORE COMPETENCIES REQUIRED FOR PROFESSIONAL NURSING AND MIDWIFERY PRACTICE IN ALL PRACTICE SETTINGS

Figure 1. Core competencies for nursing and midwifery practice by B.Sc. Nursing Graduate {Adapted from NLN Model and Massachusetts: Nurse of the Future-Core Competencies (2016)}

(V)    GUIDELINES REGARDING MINIMUM PRE-REQUISITES FOR GRANTING SUITABILITY FOR B.Sc. (NURSING) COLLEGE OF NURSING

(1)    The following Organizations/Establishments are eligible to establish/open a B.Sc. (Nursing) College of Nursing:

(a)      Central Government/State Government/Local Body;

(b)      Registered Private or Public Trust;

(c)      Organizations Registered under Societies Registration Act including Missionary Organizations;

(d)      Companies incorporated under Section 8 of Company's Act.

(2)    The eligible Organizations/Establishments should have their own 100 bedded Parent Hospital.

Provided that in respect of Tribal and Hilly Area the requirement of own Parent Hospital is exempted.

(a)      Tribal Area-Scheduled notified area [Areas as the President of India may by order declare to be Scheduled Areas];

(b)      Hilly Area-UTs of Jammu & Kashmir and Ladakh, North Eastern States, Himachal Pradesh and Uttarakhand.

(3)    The eligible Organizations/Establishments should obtain Essentiality Certificate/No Objection Certificate from the concerned State Government where the B.Sc. (Nursing) College of Nursing is sought to be established. The particulars of the name of the College/Nursing Institution along with the name of the Trust/Society/Company [as mentioned in Trust Deed or Memorandum of Association] as also full address shall be mentioned in No Objection Certificate/Essentiality Certificate.

(4)    After receipt of the Essentiality Certificate/No objection Certificate, the eligible institution shall get recognition from the concerned SNRC for the B.Sc. (Nursing) program for the particular academic year, which is a mandatory requirement.

(5)    The Council shall after receipt of the above documents/proposal by online, would then conduct Statutory Inspection of the recognized training nursing institution under Section 13 of the Act in order to assess the suitability with regard to availability of Teaching faculty, Clinical and Infrastructural facilities in conformity with Regulations framed under the provisions of the Act.

*Provided that training institutions shall apply for statutory inspection, under Section 13 of the Act, to the Council within 6 months from obtaining recognition from the SNRC.

(1)    Parent Hospital (Unitary/Single Hospital).—College of Nursing should have 100 bedded parent/own hospital which is compulsory requirement.

Parent Hospital for a nursing institution having the same Trust/Society/Company which has established the nursing institution and has also established the hospital.

OR

For a nursing institution (managed by Trust/Society/Company under Section 8), a ‘Parent Hospital’ would be a hospital either owned and controlled by the Trust/Society/Company or managed and controlled by a trustee/member/director of the Trust/Society/Company. In case the owner of the hospital is a trustee/member/director of the Trust/Society/Company, then the hospital would continue to function as a ‘Parent Hospital’ till the life of the nursing institution.

The Undertaking would also be to the effect that the trustee/member/director of the Trust/Society/Company would not allow the hospital to be treated ‘Parent/Affiliated Hospital’ to any other nursing institution and will be for minimum 30 years [i.e., signed by all trustees/members/directors of Trust/Society/Company] to the Undertaking to be submitted from the trustee/member/director of the Trust/Society/Company.

The beds of Parent Hospital shall be in one Unitary Hospital i.e. in same building/same campus. Further, the Parent Hospital shall be in the same State i.e. where the institution is located.

(a)      It is to be noted that once a particular hospital is shown as “Parent Hospital” and permission given to the nursing institution to conduct nursing courses, then, the permission/suitability granted would last as long as the said hospital is attached as a “Parent Hospital”.

(b)      In case the trustee/member/director of the Trust/Society/Company withdraws the Undertaking given, in that case even the permission/suitability letter issued would be deemed to have lapsed/stand withdrawn with immediate effect.

(2)    Change of Trust/Society

• The Trust/Society cannot be purchased as per Indian Trust Act, but there can be change of trustees/members. It is therefore the purchase of institution or change of membership will not be considered for continuation of the program. The institution which is purchased/taken over will be considered as closed. And a fresh Govt. Order shall be required mentioning the Trust/Society name along with programs.

• The change of membership in Society/change of trustees in the Trust to be submitted immediately after incorporating through Registrar Cooperative Societies/Indian Trust Act.

• As per law Trust/Society can open number of institutions, but it will be considered as one institution under the ambit of one Trust/Society. It is therefore, a Trust/Society can open only one nursing institution in one city/town.

• If already an institution is existing in that city or town with an abbreviated name (e.g RK College of Nursing) then another institution with expanded name (Rama Krishna College of Nursing) will not be allowed).

• No two Institutions will have same name in same city/town.

(3)    Change of Address.—SNRC shall issue a certificate, certifying the fact that the nursing institution is being shifted to the new building/premises at the address indicated. The certificate issued should indicate clearly complete address. The certificate issued should indicate clearly the total covered area of the nursing institution, owner of the nursing institution, and detailed physical facilities like laboratories, classrooms etc. along with area specification, provision of adequate washroom facilities, lighting, ventilation etc. of the new building.

(4)    Change of Location (District/Town/City/Village) shall be considered under new proposal, i.e. fresh Essentiality Certificate from the State Government and recognition from the SNRC is mandatory.

(5)    Strict Compliance of the Syllabus prescribed by the Council.—No Institutions/SNRC/University will modify the syllabi prescribed by the Council for a course/program. However they can add units/subjects if need be.

(6)    Close/Re-start of the Nursing Programs.—If Institutions have not admitted the students for 2 consecutive years, it shall be considered as closed. Institute may apply for suitability to the Council under Section 13 & 14 of the Act through online within 5 years of the closure. While conducting the inspection they will not be covered under the new guidelines with regard to Parent Hospital. However, the above relaxation will be applicable only for five years. In case the proposal is submitted after 5 years from the year of closure, it has to submit a fresh proposal with due Essentiality Certificate from the State Government and recognition from the SNRC. In such cases the new guidelines with regards to parent hospital and calendar of events shall be applicable.

(7)    Change of Name of the Institution.—If the Trust/Society/Company proposes to change the name of the institute, a valid reason has to be submitted. If SNRC/University have accepted the change of name of institute it may be accepted by the Council provided the Trust/Society/Company is same and does not come under para no. 2 above.

(8)    Re-Inspection.—Re-inspection application shall be considered only two times. If the institution is found deficient even after that, then the institution shall have to submit a proposal for Suitability under Section 13 & 14 of the Act online within 5 years. However in case the proposal is submitted after 5 years it has to submit a fresh proposal with due Essentiality Certificate from the State Government and recognition from the SNRC.

(9)    Number of Sanctioned Seats

• Maximum of 100 seats will be sanctioned for the B.Sc. (Nursing) program for which institute must have parent Medical College or parent hospital having 300 beds or above subject to teaching and physical facilities available for B.Sc. (Nursing) program.

• Maximum of 60 seats will be sanctioned for the institution with parent hospital having less than 300 beds on the basis of teaching and physical facilities for B.Sc. (Nursing) program.

(10) Enhancement of Seats.—Inspection for Enhancement of seats under Section 13 of the Act shall be conducted only once in an academic year i.e., only one application/proposal shall be accepted, in one academic year. Further, SNRC approval is mandatory for enhancement of seats.

(11) Bond System.—Taking service bonds from students and forcefully retaining their Original Certificates is viewed as an Unethical Practice by the Council. If any such practice comes to the notice of the Council, appropriate action under Section 14 of the Act will be taken against the erring institution.

MINIMUM REQUIREMENTS OF PHYSICAL FACILITIES

Regulations pertaining to Building and Laboratories

(i)       School and College of nursing can share laboratories, if they are in same campus under same name and under same Trust/Society/Company, that is the institution is one but offering different nursing programs. However they should have equipments and articles proportionate to the strength of admission. The classrooms should be available as per the requirement stipulated by the Council for each program.

(ii)      Further, two same programs by the same institute/Trust/Society/Company is not allowed in the same campus.

(iii)     The nursing institution can have all the nursing programs in the same building but with requisite program wise infrastructure. However, laboratories can be shared.

(iv)    If the Trust/Society/Company has some other educational programs, the nursing program shall be in separate block/floor with prescribed sq.ft. area.

(v)      Nursing program may be in hospital premises with a condition that it shall be in separate block/floor with prescribed sq.ft. area.

(vi)    Long lease by the Government will be considered. However, rented building shall not be considered as their own building.

(vii)   It is mandatory that institution shall have its own building within two years of its establishment.

(viii)  Own Building/Lease/Rented Building:

(a)      If one of the trustee/member/director of the Trust/Society/Company desires to lease the building owned by him for nursing program, it should be for a period of 30 years. It should also be ensured that lease deed that is entered into between the Trust/Society/Company and the trustee/member/director, owning the building, should contain a clause that the lease deed cannot be terminated for a period of 30 years.

Further, it is clarified that, for a Nursing Institution (Managed by a Trust/Society/Company), own building would be a building either owned and controlled by the Trust/Society/Company or owned and controlled by a trustee/member/director of the Trust/Society/Company. That is, if the owner of the building is a trustee/member/director of the Trust/Society/Company and she/he leases the building to the Trust/Society/Company for 30 years, it will be considered as own building of the nursing institution.

(b)      A duly registered gift deed of the building in favor of the Trust/Society/Company should be construed to be “own building”.

Further it is clarified that if the lease of the building is between any government authority and the Trust/Society/Company/nursing institution and the lease is for 30 years or more, it will also be considered as own building.

Any deed of the building which is not as per either clause (a) or (b) above shall be considered as “Rented Building” only.

(c)      In cases of irrevocable power of attorney, documents of the building should be duly registered as per law.

(d)      Penalty for not having own building: Institutions which do not have their own building within two years of establishment has to pay the penalty for not having the own building. The penalty fees is Rs. 1 Lakh for B.Sc. (Nursing) Program for 6 consecutive years. Even after 6 years if the institution does not have own building then action shall be taken under Section 14 of the Act. However, a lease of 30 years is permissible with the trustee/member/director of the Trust/Society/Company.

(A)    TEACHING BLOCK

The College of Nursing should be within 30 km distance from its parent hospital having space for expansion in an institutional area. For a college with an annual admission capacity of 60 students, the constructed area of the college should be 23200 square feet.

The details of the constructed area are given below for admission capacity of 60 students.

*Note: 1:5 computer student ratio as per student intake.

Note:

(i)           Nursing educational institution should be in institutional area only and not in residential area.

(ii)         If the institute has non-nursing program in the same building, nursing program should have separate teaching block.

(iii)       Shift-wise management with other educational institutions will not be accepted.

(iv)       Separate teaching block shall be available if it is in hospital premises.

(v)        Proportionately the size of the built-up area will increase/decrease according to the number of seats approved.

(vi)       The distance between two nursing colleges shall be more than 10 kilometres.

(1)    Class Rooms.—There should be at least four classrooms with the capacity of accommodating the number of students admitted each year. The rooms should be well ventilated with proper lighting. The seating arrangements for students should provide adequate space and comfortable desk/chairs with tables. There should be built-in transparent/green/black boards and provision for projection facilities. Also, there should be a desk/dais/big table and a chair for teacher and racks/cupboards for storing teaching aids or other equipment needed for the conduct of class.

(2)    Laboratories.—As listed above. One large skill lab/simulation lab can be constructed consisting of the labs specified with a total of 5500 sq.ft. size or can have five separate labs in the college.

(a)      Nursing Foundation including Adult Health Nursing & Advanced Nursing Lab: The lab should have adequate demonstration beds with dummies/mannequins/simulators in proportion to the number of students practicing a nursing skill at a given point of time. (Desired ratio being 1 bed: 6 practicing students)

It should be fully equipped with built-in-cupboards and racks, wash-basins with running water supply, electric fitting, adequate furniture like table, chairs, stools, patient lockers footsteps etc. Sufficient necessary inventory articles should be there i.e. at least 10-12 sets of all items needed for the practice of nursing procedure by the students. The laboratory equipment and articles mentioned in the ‘Laboratory Equipment and Articles’ published by the Council should be available.

There should be simulators used to teach, practice & learn advance skills e.g., administration of tube feeding, tracheostomy, gastrostomy, I/V injection, BLS, newborn resuscitation model, etc. The laboratory should have computers, internet connection, monitors and ventilator models/manikins/simulators for use in Critical Care Units.

(b)      Community Health Nursing Practice Laboratory & Nutrition Laboratory: It should have all required articles needed for practicing nursing procedures in a community set-up. The laboratory should give appearance of that of a rural setting, with community maps, records put on display & cupboards. The laboratory equipment and articles mentioned in the “Laboratory Equipment and Articles” published by the Council should be available.

The Nutrition Laboratory should have facilities for imparting basic knowledge of various methods of cooking for the healthy as well as for the sick. The furnishing and equipment should include worktables, cooking cutlery, trays, and plates, dietetic scales, cooking utensils, microwave, racks/shelves, refrigerator, pressure cookers, mixie and cupboards for storage of food items. The food items shall be purchased for the conduct of practical classes as and when required. Sets of crockery and cutlery for preparation, napkins for serving and display of food also should be there. The laboratory equipment and articles mentioned in the “Laboratory Equipment and Articles” published by the Council should be available.

(c)      Obstetrics and Gynaecology Laboratory: The laboratory should have equipment and articles as mentioned in “Laboratory Equipment and Articles” published by the Council.

(d)      Paediatrics Nursing Laboratory: The laboratory should have equipment and articles as mentioned in “Laboratory Equipment and Articles” published by the Council.

(e)      Pre-Clinical Sciences Laboratory: It is the laboratory of Biochemistry, Anatomy, and Microbiology. The laboratory equipment and articles mentioned in the “Laboratory Equipment & Articles” published by the Council should be available.

(f)       Computer Laboratory: It shall have minimum computers in the ratio of 1: 5 (computer: students) i.e., 12 computers for 60 students' intake. The laboratory equipment and articles mentioned in the “Laboratory Equipment and Articles” published by the Council should be available.

(3)    Multipurpose Hall.—The College of Nursing should have a multipurpose hall, which can be utilized for hosting functions of the college, educational conferences/workshops, Continuing Nursing Education (CNEs), examinations etc. It should have proper stage with green room facilities. It should be well-ventilated and should have proper lighting facilities. Arrangements should be there in place for the use of all kinds of basic and advanced audio-visual aids.

(4)    Library.—There should be a separate library for the College of Nursing. It should be easily accessible to the teaching faculty and the students, during college hours and extended hours also.

It should have comfortable seating arrangements for half of the total strength of the students and teachers in the college.

There should be separate budget for the library. The library committee should meet regularly for keeping the library updated with current books, journals and other literature. Internet facility should be provided in the library.

The library should have proper lighting facilities and it should be well-ventilated. It should have a cabin for librarian with intercom phone facility.

There should be sufficient number of cupboards, bookshelves and racks with glass doors for proper and safe storage of books, magazines, journals, newspapers and other literature. There should be provision for catalogue cabinets, racks for student's bags etc., book display racks, bulletin boards and stationery items like index cards, borrower's cards, labels and registers. Current books, magazines, journals, newspapers and other literature should be available in the library.

A minimum of 500 of different subject titled nursing books (all new editions), in the multiple of editions, 3 kinds of nursing journals, 3 kinds of magazines, 2 kinds of newspapers and other kinds of current health related literature should be available in the library.

There should be a separate record room with steel racks, built-in shelves and racks, cupboards and filing cabinets for proper storage of records and other important papers/documents belonging to the college.

(5)    Audio-Visual Aids Room & Store Room.—This room should be provided for the proper and safe storage of all the Audio-Visual Aids. The college should possess all kind of basic as well as advanced training aids like chalk boards, overhead projectors, slide and film-strip projector, models specimen, charts and posters, T.V. & V.C.R., Photostat machine, tape recorder and computers, LCD, laptop.

It should be provided to accommodate the equipment and other inventory articles which are required in the laboratories of the college. This room should have the facilities for proper and safe storage of these articles and equipment like cupboards, built-in-shelves, racks, cabinets, furniture items like tables and chairs. This room should be properly lighted and well-ventilated.

(6)    Other Facilities.—Safe drinking water and adequate sanitary/toilet facilities should be available for both men and women separately in the college. Toilet facility to the students should be there along with hand washing facility.

(7)    Garage.—Garage should accommodate a 50 seater vehicle.

(8)    Fire Extinguisher.—Adequate provision for extinguishing fire should be available as per the local bye-laws.

(9)    Playground.—Playground should be spacious for outdoor sports like volleyball, football, badminton and for athletics.

(B)    HOSTEL BLOCK

Adequate hostel/residential accommodation for students and staff should be available in addition to the mentioned built-up area of the Nursing College respectively.

Hostel Block (60 Students)

Grand Total of Constructed Area

{Note: Minimum provision of hostel accommodation for 30% of the total student's intake is compulsory for the institution and accordingly the staff for hostel shall be provided as prescribed in the syllabi.}

Hostel Facilities.—There should be a separate hostel for the male and female students. It should have the following facilities:

(1)    Pantry.—One pantry on each floor should be provided. It should have water cooler and heating arrangements.

(2)    Washing & Ironing Space.—Facility for drying and ironing clothes should be provided on each floor.

(3)    Warden's Room.—Warden should be provided with a separate office room besides her residential accommodation. Intercom facility with College & hospital shall be provided.

(4)    Telephone.—Telephone facility accessible to students in emergency situation shall be made available.

(5)    Canteen.—There should be provision for a canteen for the students, their guests, and all other staff members.

(6)    Transport.—College should have separate transport facility under the control of the Principal. 25 and 50 seater bus is preferable and number of vehicles shall be as per strength of the students.

Staff for the Hostel

(1)     Warden (Female)-3: Qualification: B.Sc. Home Science or Diploma in Housekeeping/Catering. Minimum three wardens must be there in every hostel for morning, evening and night shifts. If number of students are more than 150, one more Warden/Assistant Warden for every additional 50 students.

(2)     Cook-1: For every 20 students for each shift.

(3)     Kitchen & Dining Room helper-1: For every 20 students for each shift.

(4)     Sweeper-3

(5)     Gardener-2

(6)     Security Guard/Chowkidar-3

CLINICAL FACILITIES for 60 students

(1)     Parent hospital.—College of Nursing should have a 100 bedded Parent/Own Hospital.

(2)     Additional Affiliation of Hospital.—In addition to Parent Hospital of 100 beds, institution shall take affiliation of the hospital, if all the required learning experience are not available in the parent hospital. As 100 beds is not sufficient to offer clinical experience/specialities to students as laid down in the B.Sc. (Nursing) syllabus. The students should be sent to affiliated hospital/agencies/institutions where it is available.

(a)     Criteria for Affiliation.—The types of experience for which a nursing college can affiliate are:

• Community Health Nursing

• Mental Health (Psychiatric) Nursing

• Specialty like Cardiology, Neurology, Oncology Nephrology, Orthopaedics, communicable/infectious disease etc.

• Obstetrics, Gynaecology, Paediatrics etc.

(b)    The size of the Hospital for Affiliation

• Should not be less than 50 beds apart from having own hospital

• Bed occupancy of the hospital should be minimum 75%

(3)     Clinical requirements for Nursing program are as given below:

(4)     Additional/Other Specialties/Facilities for clinical experience required are as follows:

• Community Health Nursing-own/affiliated rural and urban community health centre

• Major OT

• Minor OT

• Dental, Otorhinolaryngology, Ophthalmology

• Burns and Plastic

• Neonatology care unit

• Communicable disease/Respiratory medicine/TB & chest diseases

• Dermatology

• Cardiology

• Oncology/Neurology/Neuro-surgery

• Nephrology

• ICU/ICCU

• Geriatric Medicine

• Any other specialty as per syllabus requirements

Note:

(i)           Educational visits will also be conducted as per the B.Sc. (Nursing) syllabus (for example: Milk Treatment plant, Water and Sewage plant, Rehabilitation Centres, Orphanage, Geriatric Care, Home for Destitute, Professional Organisation etc.).

(ii)         The Nursing Staffing norms in the Parent and Affiliated Hospital should be as per the Staff Inspection Unit (SIU) norms.

(iii)       The Parent/affiliated Hospital should give student status to the candidates of the nursing program.

(iv)       Maximum Distance between affiliated hospitals & institutions should not be more than 30 kms.

(v)        For Hilly & Tribal the maximum distance can be 50 kms.

(vi)       1:3 student patient ratio to be maintained.

(vii)     Distribution of Beds: At least one third of the total number of beds should be for medical patients and one third for surgical patients. The number of beds for male patients should not be less than 1/6th of the total number of beds i.e. at least 40 beds. There should be minimum of 100 deliveries per month. Provision should be made for clinics in health and family welfare and for preventive medicine.

(5)     Community Health Nursing Field Practice Area.—The students should be sent for community health nursing experience in urban as well as rural field area. The institution can be attached to primary health centre. A well set up field teaching centre should be provided with facilities for accommodation of at least 10-15 students and one staff member at a time. Peon, cook and chowkidar should be available at health centre. Each College of Nursing should have its own transport facility and it must be under the control of the principal. The security of staff and students should be ensured.

ANTI-RAGGING

Anti-ragging guidelines as per gazette notification shall be followed.

BUDGET

In the overall budget of the institution, there should be provision for college budget under a separate head. Principal of the College of Nursing should be the drawing and disbursing authority.

TEACHING FACULTY

The principal should be the administrative head of the College. He/She should hold qualifications as laid down by the Council. The principal should be the controlling authority for the budget of the College and also be the drawing and disbursing officer. The Principal and Vice-Principal should be gazetted officers in Government Colleges and of equal status (though non-Gazetted) in non-government Colleges.

(A)    Qualifications & Experience of Teachers of College of Nursing

(B)    College of Nursing which has a parent hospital shall adopt the integration of service and education model recommended by the Council placed at www.indiannursingcouncil.org

(C)    Departments

Number of Nursing departments = 6 (Six)

(i)           Nursing Foundation

(ii)         Adult Health Nursing

(iii)       Community Health Nursing

(iv)       Midwifery/Obstetrics & Gynaecology Nursing

(v)        Child Health Nursing

(vi)       Mental Health Nursing

Note: Professor shall be head of the department.

(For example for 40 students intake minimum number of teachers required is 16 including Principal, i.e., 1-Principal, 1-Vice Principal, 1-Professor, 2-Associate Professor, 3-Assistant Professor, and 8 tutors)

To start the program, minimum 3 M.Sc. (Nursing) shall be appointed.

(D)    Teachers for non-nursing courses (Part-time/external faculty**)

**The above teachers should have postgraduate qualification with teaching experience in respective discipline.

Note:

(i)           1:10 teacher student ratio.

(ii)         All teachers including Principal & Vice Principal shall take classes, perform clinical teaching and supervision and other academic activities. Every faculty including Principal shall spend at least four hours each day.

(iii)       One of the tutors need to stay at the community health field by rotation.

(iv)       The salary of the teaching faculty in private Colleges of Nursing should not be less than what is admissible in the Colleges of Nursing under State/Central government or as per the UGC scales.

(v)        Nursing service personnel should actively participate in instruction, supervision, guidance and evaluation of students in the clinical/community practice areas. The teaching faculty of the College of Nursing should work in close coordination with the nursing service personnel.

(vi)       The teaching faculty of the College and nursing service personnel should be deputed to attend short term educational courses/workshops/conferences etc. to update their knowledge, skills and attitude.

(vii)     It is mandatory for College authorities to treat teaching faculty of College of Nursing on duty with respect and dignity, when nominated/selected for the purpose of examination or inspection by the Council.

(viii)   50% of non-nursing courses/subjects should be taught by the nursing faculty. However, it will be supplemented by external faculty who are doctors or faculty in other disciplines having Post Graduate qualification in their requisite course. Nursing faculty who teach these courses shall be examiners for the taught course/s.

(E)    Additional Staff for College of Nursing

Note: Provision should be made to have leave reserve staff in addition to the regular staff according to rules.

(F)     College Management Committee.—Following members should constitute the Board of Management of the College:

ADMISSION TERMS AND CONDITIONS

(1)     The minimum age for admission shall be 17 years on 31st December of the year in which admission is sought. The maximum age limit for admission shall be 35 years.

(2)     Minimum Educational Qualification

(a)      Candidate with Science who have passed the qualifying 12th Standard examination (10+2) and must have obtained a minimum of 45% marks in Physics, Chemistry and Biology taken together and passed in English individually.

(b)      Candidates are also eligible from State Open School recognized by State Government and National Institute of Open School (NIOS) recognized by Central Government having Science subjects and English only.

(c)      English is a compulsory subject in 10+2 for being eligible for admission to B.Sc. (Nursing).

(3)     Colour blind candidates are eligible provided that colour corrective contact lens and spectacles are worn by such candidates.

(4)     Candidate shall be medically fit.

(5)     Married candidates are also eligible for admission.

(6)     Students shall be admitted once in a year.

(7)     Selection of candidates should be based on the merit of the entrance examination. Entrance test** shall comprise of:

Minimum qualifying marks for entrance test shall be 50% marks.

**Entrance test shall be conducted by University/State Government.

(8)     Reservation Policy

• Reservation of seats in for admission in Nursing Colleges for SC/ST/OBC/EWSs/PH.—Admission under the reserved quota shall be subject to reservation policy and eligibility criteria for SC/ST/OBC/EWSs prescribed by the Central Govt./State Govt./Union Territory as applicable to the College concerned.

In respect of candidates belonging to SC/ST/OBC the marks obtained in 3 core subjects shall be 40% instead of 45% for General category candidates.

• Reservation for disability

5% Disability reservation to be considered for disabled candidates with a disability of loco-motor to the tune of 40% to 50% of the lower extremity and other eligibility criteria with regard to qualification will be same as prescribed for General category candidates. The upper age limit shall be relaxed by 5 years for disabled candidates.

Note: A committee to be formed consisting of medical officer authorized by medical board of State government and a nursing expert in the panel which may decide whether the candidates have the disability of loco-motor to the tune of 40% to 50%.

Note:

(i)           Reservations shall be applicable within the sanctioned number of the seats.

(ii)         The start of the semester shall be 1st August every year.

(iii)       No admission after the cut-off date i. e. 30th September will be undertaken. Further Hall Tickets/Admit Card shall not be issued to the candidates who are admitted after 30th September.

(iv)       The responsibility of obtaining and verifying the requisite documents for admission lies with the Institution and University.

(9)     Foreign Nationals:.—The entry qualification equivalency i.e., 12th standard will be obtained by Association of Indian Universities, New Delhi. Institution, SNRC and University will be responsible to ensure that the qualification and eligibility will be equivalent to what has been prescribed by the Council.

(10)   Admission/Selection Committee.—This committee should comprise of:

• Principal (Chairperson)

• Vice-Principal

• Professor

• Chief Nursing Officer or Nursing Superintendent

(11)   Admission Strength.—Maximum intake of students shall be sixty if the institution has a 100 bedded unitary parent hospital and 61-100 if the institution has 300 or more bedded unitary parent hospital.

(12)   Health Services.—There should be provisions for the following health services for the students.

• An annual medical examination.

• Vaccination against Tetanus, Hepatitis B or any other communicable disease as considered necessary.

• Free medical care during illness.

• A complete health record should be kept in respect of each individual student. The criteria for continuing the training of a student with long term chronic illness, will be decided by the individual College.

(13)   Records.—Following are the minimum records which needs to be/should be maintained in the College:

(a)      For Students

(i)           Admission record

(ii)         Health record

(iii)       Class attendance record

(iv)       Clinical and Field Experience record

(v)        Internal assessment record for both theory and practical

(vi)       Mark Lists (University Results)

(vii)     Record of extracurricular activities of student (both in the College as well as outside)

(viii)   Leave record

(ix)       Practical record books-Procedure Book and Midwifery Record Book to be maintained as prescribed by the Council.

(b)      For each academic year, for each class/batch

(i)           Course contents record (for each course/subjects)

(ii)         The record of the academic performance

(iii)       Rotation plans for each academic year

(iv)       Record of committee meetings

(v)        Record of the stock of the College

(vi)       Affiliation record

(vii)     Grant-in-aid record (if the College is receiving grant-in-aid from any source like State Govt. etc.)

(viii)   Cumulative record.

(c)      Record of educational activities organized for teaching faculty (CNEs) and student, both in the College as well as outside.

(d)      Annual reports (Record) of the achievement of the College prepared annually.

(e)      College of Nursing should possess detailed and up-to-date record of each activity carried out in the College.

(14)   Transcript.—All institutions to issue the transcript upon completion of the program and to submit only one single copy of transcript per batch to respective SNRC.

(VI)  CURRICULUM

Curricular Framework

The B.Sc. Nursing program is a four-year program comprising of eight semesters that is credit and semester based. It is choice based only for elective courses. Competency based curriculum is the main approach that is based on ten core competencies. The courses are categorized into foundational courses, core courses and elective courses. The curricular framework shown in Figure 2 depicts the entire course of curriculum, which is further outlined in the program structure.

Figure 2. Curricular Framework

(1)     PROGRAM STRUCTURE

Note: No institute/University will modify the curriculum. However they can add units/subject in the syllabus as deemed necessary.

#Modules both mandatory and elective shall be certified by the institution/external agency.

MANDATORY MODULES

The prepared modules/modules outlined by the Council such as Health Assessment & Fundamentals of Prescribing and available modules as National Guidelines (First Aid-NDMA, IMNCI, ENBC, FBNBC), Palliative Care, Safe Delivery App and SBA module will be provided in separate learning resource package.

For BCLS, PLS-Standard national/international modules can be used.

ELECTIVE MODULES

Number of electives to be completed: 3 (Every module = 1 credit = 20 hours)

III & IV Semesters: To complete any one elective by end of 4th semester across 1st to 4th semesters

• Human values

• Diabetes care

• Soft skills

V & VI Semesters: To complete any one of the following before end of 6th semester

• CBT

• Personality development

• Addiction psychiatry

• Adolescent health

• Sports health

• Accreditation and practice standards

• Developmental psychology

• Menopausal health

• Health Economics

VII & VIII Semesters: To complete any one of the following before end of 8th semester

• Scientific writing skills

• Lactation management

• Sexuality & Health

• Stress management

• Job readiness and employability in health care setting

(2)     CURRICULUM IMPLEMENTATION: OVERALL PLAN

Duration of the program: 8 semesters

1-7 Semesters

One Semester Plan for the first 7 Semesters.—Total Weeks per Semester: 26 weeks per semester

Number of Weeks per Semester for instruction: 20 weeks (40 hours per week × 20 weeks = 800 hours)

Number of Working Days: Minimum of 100 working days (5 days per week × 20 weeks)

Vacation, Holidays, Examination and Preparatory Holidays: 6 weeks

Vacation: 3 weeks

Holidays: 1 week

Examination and Preparatory Holidays: 2 weeks

8th Semester.—One semester: 22 weeks

Vacation: 1 week

Holidays: 1 week

Examination and Preparatory Holidays: 2 weeks

(3)     COURSES OF INSTRUCTION WITH CREDIT STRUCTURE

(1)     credit theory-1 hour per week per semester

(2)     credit practical/lab/skill lab/simulation lab-2 hours per week per semester

(3)     credit clinical-4 hours per week per semester

(4)     credit elective course-1 hour per week per semester

Total Semesters = 8

(Seven semesters: One semester = 20 weeks × 40 hours per week = 800 hours)

(Eighth semester-Internship: One semester = 22 weeks × 48 hours per week = 1056 hours)

Total number of course credits including internship and electives-156 (141+12+3)

Distribution of credits and hours by courses, internship and electives

Distribution of credits, hours and percentage for theory and practicum (Skill Lab & Clinical) across eight semesters

Practicum (7 semesters) excluding internship.—Lab/skill lab/simulation lab-600 (17%)

Clinical-2880 (83%)

Total-3480

Lab/skill lab/simulation lab = 17% of the total practicum planned

Note: Besides the stipulated lab and clinical hours, a maximum of 13% (400-450 hours) from the clinical hours can be used in simulation lab/skill lab for skill lab/simulation learning and not to exceed 30% of total hours.

(4)     SCHEME OF EXAMINATION

The distribution of marks in internal assessment, End Semester College Exam, and End Semester University Exam for each course is shown below.

I SEMESTER

*Will be added to the internal marks of Nursing Foundations II Theory and Practical respectively in the next semester (Total weightage remains the same)

Example:

Nursing Foundations Theory: Nursing Foundations I Theory Internal marks in 1st semester will be added to Nursing Foundations II Theory Internal in the 2nd semester and average of the two semesters will be taken.

II SEMESTER

III SEMESTER

*Will be added to the internal marks of Pharmacology II and Pathology II & Genetics in the next semester (Total weightage remains the same).

IV SEMESTER

V SEMESTER

*Will be added to the internal marks of Child Health Nursing II and Mental Health Nursing II in both theory and practical respectively in the next semester (Total weightage remains same).

VI SEMESTER

*Will be added to Internal marks of Midwifery II theory and practical respectively in the next semester (Total weightage remains the same)

VII SEMESTER

VIII SEMESTER

(5)     EXAMINATION REGULATIONS

Note:

(1)     Applied Anatomy and Applied Physiology: Question paper will consist of Section-A Applied Anatomy of 37 marks and Section-B Applied Physiology of 38 marks.

(2)     Applied Sociology and Applied Psychology: Question paper will consist of Section-A Applied Sociology of 37 marks and Section-B Applied Psychology of 38 marks.

(3)     Applied Microbiology and Infection Control including Safety: Question paper will consist of Section-A Applied Microbiology of 37 marks and Section-B Infection Control including Safety of 38 marks.

(4)     Applied Nutrition and Dietetics and Applied Biochemistry: Question paper will consist of Section-A Applied Nutrition and Dietetics of 50 marks and Section-B Biochemistry of 25 marks.

(5)     Pharmacology, Genetics and Pathology: Question paper will consist of Section-A of Pharmacology with 38 marks, Section-B of Pathology with 25 marks and Genetics with 12 marks.

(6)     Nursing Research and Statistics: Nursing Research should be of 55 marks and Statistics of 20 marks.

(7)     A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory and practical in each course/subject for appearing for examination.

(8)     A candidate must have 100% attendance in each of the practical areas before award of degree.

(9)     Following exams shall be conducted as College exam and minimum pass is 50% (C Grade) and to be sent to the University for inclusion in the marks sheet and shall be considered for calculating aggregate.

(i)           Communicative English

(ii)         Health/Nursing Informatics and Technology

(iii)       Professionalism, Professional Values and Ethics including Bioethics

(iv)       Introduction to Forensic Nursing & Indian Laws

(10)   Minimum pass marks shall be 40% (P grade/4 point) for English only and elective modules.

(11)   Minimum pass marks shall be 50% in each of the Theory and practical papers separately except in English.

(12)   The student has to pass in all mandatory modules placed within courses and the pass mark for each module is 50% (C Grade). The allotted percentage of marks will be included in the internal assessment of College/University Examination (Refer Appendix 2).

(13)   A candidate has to pass in theory and practical exam separately in each of the paper.

(14)   If a candidate fails in either theory or practical, he/she has to re-appear for both the papers (Theory and Practical).

(15)   If the student has failed in only one subject and has passed in all the other subjects of a particular semester and Grace marks of up to 5 marks to theory marks can be added for one course/subject only, provided that by such an addition the student passes the semester examination.

(16)   The candidate shall appear for exams in each semester:

(i)           The candidate shall have cleared all the previous examinations before appearing for fifth semester examination.

However, the candidates shall be permitted to attend the consecutive semesters.

(ii)         The candidate shall have cleared all the previous examinations before appearing for seventh semester examination. However, the candidates shall be permitted to attend the consecutive semesters.

(iii)       The candidate shall have cleared all the previous examination before appearing for final year examination.

(iv)       The maximum period to complete the course successfully should not exceed 8 years.

(17)   The candidate has to pass separately in internal and external examination (shall be reflected in the marks sheet). No institution shall submit average internal marks of the students not more than 75% (i.e. if 40 students are admitted in a course the average score of the 40 students shall not exceed 75% of total internal marks).

(18)   At least 50% of the Non-nursing subjects like Applied Anatomy & Physiology, Applied Biochemistry, Applied Psychology & Sociology, Applied Microbiology, Pharmacology, Genetics, Nutrition & Dietetics, Communicative English and Health/Nursing Informatics & Technology should be taught by the Nursing teachers. Teachers who are involved in teaching non-nursing subjects can be the examiners for the program.

(19)   Maximum number of candidates for practical examination should not exceed 20 per day. Particular year and of same institution batch shall be examined by the same set of examiners.

(20)   All practical examinations must be held in the respective clinical areas.

(21)   One internal and one external examiner should jointly conduct practical examination for each student.

(22)   An examiner for theory and practical/OSCE examination should be an Assistant Professor or above in a College of Nursing with M.Sc. (Nursing) in concerned subject and minimum 3 years of teaching experience. To be an examiner for Nursing Foundations course, the faculty having M.Sc. (Nursing) with any specialty shall be considered.

(VII)   ASSESSMENT GUIDELINES

(1)     Grading of Performance.—Based on the performance, each student shall be awarded a final grade at the end of the semester for each course. Absolute grading is used by converting the marks to grade, based on predetermined class intervals.

UGC 10 point grading system is used with pass grade modified.

For Nursing Courses and all other courses-Pass is at C Grade (5 grade point) 50% and above

For English and electives-Pass is at P Grade (4 grade point) 40% and above

Computation of Semester Grade Point Average (SGPA) and Cumulative Grade Point Average (CGPA).—SPGA is the weighted average of the grade points obtained in all courses by the student during the semester (All courses excluding English and electives)

Ex. SGPA Computation

Computation of CGPA.—CGPA is calculated with SGPA of all semesters to two decimal points and is indicated in final grade in mark card/transcript showing grades of all 8 semesters and their courses/subjects.

CGPA reflects the failed status in case of fail till the course/s are passed.

Transcript Format.—Based on the above recommendation on letter grades, grade points, SPGA and CGPA, the transcript shall be issued for each semester with a consolidated transcript indicating the performance in all semesters.

Declaration of Pass.—First Class with Distinction-CGPA of 7.5 and above

First Class-CGPA of 6.00-7.49

Second Class-CGPA of 5.00-5.99

(2)     Internal Assessment and Guidelines.—The marks distribution of internal assessment is shown in Appendix 1 and the specific guidelines in Appendix 2.

(3)     University Theory and Practical Examination Pattern.—The theory question paper pattern and practical exam pattern are shown in Appendix 3.

SYLLABUS

COMMUNICATIVE ENGLISH

PLACEMENT: I SEMESTER

THEORY: 2 Credits (40 hours)

DESCRIPTION: The course is designed to enable students to enhance their ability to speak and write the language (and use English) required for effective communication in their professional work. Students will practice their skills in verbal and written English during clinical and classroom experience.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Identify the significance of Communicative English for healthcare professionals.

(2)     Apply the concepts and principles of English Language use in professional development such as pronunciation, vocabulary, grammar, paraphrasing, voice modulation, Spelling, pause and silence.

(3)     Demonstrate attentive listening in different hypothetical situations.

(4)     Converse effectively, appropriately and timely within the given context and the individual or team they are communicating with either face to face or by other means.

(5)     Read, interpret and comprehend content in text, flow sheet, framework, figures, tables, reports, anecdotes etc.

(6)     Analyse the situation and apply critical thinking strategies.

(7)     Enhance expressions through writing skills.

(8)     Apply LSRW (Listening, Speaking, Reading and Writing) Skill in combination to learn, teach, educate and share information, ideas and results.

COURSE OUTLINE

T-Theory

APPLIED ANATOMY

PLACEMENT: I SEMESTER

THEORY: 3 Credits (60 hours)

DESCRIPTION: The course is designed to assists student to recall and further acquire the knowledge of the normal structure of human body, identify alteration in anatomical structure with emphasis on clinical application to practice nursing.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Describe anatomical terms.

(2)     Explain the general and microscopic structure of each system of the body.

(3)     Identify relative positions of the major body organs as well as their general anatomic locations.

(4)     Explore the effect of alterations in structure.

(5)     Apply knowledge of anatomic structures to analyze clinical situations and therapeutic applications.

COURSE OUTLINE

T-Theory

Note: Few lab hours can be planned for visits, observation and handling (less than 1 credit lab hours are not specified separately)

APPLIED PHYSIOLOGY

PLACEMENT: I SEMESTER

THEORY: 3 Credits (60 hours)

DESCRIPTION: The course is designed to assists student to acquire comprehensive knowledge of the normal functions of the organ systems of the human body to facilitate understanding of physiological basis of health, identify alteration in functions and provide the student with the necessary physiological knowledge to practice nursing.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Develop understanding of the normal functioning of various organ systems of the body.

(2)     Identify the relative contribution of each organ system towards maintenance of homeostasis.

(3)     Describe the effect of alterations in functions.

(4)     Apply knowledge of physiological basis to analyze clinical situations and therapeutic applications.

COURSE

OUTLINE T-Theory

Note: Few lab hours can be planned for visits, observation and handling

(less than 1 credit lab hours are not specified separately)

APPLIED SOCIOLOGY

PLACEMENT: I SEMESTER

THEORY: 3 Credits (60 hours)

DESCRIPTION: This course is designed to enable the students to develop understanding about basic concepts of sociology and its application in personal and community life, health, illness and nursing.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Identify the scope and significance of sociology in nursing.

(2)     Apply the knowledge of social structure and different culture in a society in identifying social needs of sick clients.

(3)     Identify the impact of culture on health and illness.

(4)     Develop understanding about types of family, marriage and its legislation.

(5)     Identify different types of caste, class, social change and its influence on health and health practices.

(6)     Develop understanding about social organization and disorganization and social problems in India.

(7)     Integrate the knowledge of clinical sociology and its uses in crisis intervention.

COURSE OUTLINE

T — Theory

APPLIED PSYCHOLOGY

PLACEMENT: I SEMESTER

THEORY: 3 Credits (60 Hours)

DESCRIPTION: This course is designed to enable the students to develop understanding about basic concepts of psychology and its application in personal and community life, health, illness and nursing. It further provides students opportunity to recognize the significance and application of soft skills and self-empowerment in the practice of nursing.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Identify the importance of psychology in individual and professional life.

(2)     Develop understanding of the biological and psychological basis of human behaviour.

(3)     Identify the role of nurse in promoting mental health and dealing with altered personality.

(4)     Perform the role of nurses applicable to the psychology of different age groups.

(5)     Identify the cognitive and affective needs of clients.

(6)     Integrate the principles of motivation and emotion in performing the role of nurse in caring for emotionally sick client.

(7)     Demonstrate basic understanding of psychological assessment and nurse's role.

(8)     Apply the knowledge of soft skills in workplace and society.

(9)     Apply the knowledge of self-empowerment in workplace, society and personal life.

COURSE

OUTLINE T-Theory

NURSING FOUNDATION-I (including First Aid module)

PLACEMENT: I SEMESTER

THEORY: 6 Credits (120 hours)

PRACTICUM: Skill Lab: 2 Credits (80 hours) and Clinical: 2 Credits (160 hours)

DESCRIPTION: This course is designed to help novice nursing students develop knowledge and competencies required to provide evidence-based, comprehensive basic nursing care for adult patients, using nursing process approach.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Develop understanding about the concept of health, illness and scope of nursing within health care services.

(2)     Apply values, code of ethics and professional conduct in professional life.

(3)     Apply the principles and methods of effective communication in establishing communication links with patients, families and other health team members.

(4)     Develop skill in recording and reporting.

(5)     Demonstrate competency in monitoring and documenting vital signs.

(6)     Describe the fundamental principles and techniques of infection control and biomedical waste management.

(7)     Identify and meet the comfort needs of the patients.

(8)     Perform admission, transfer, and discharge of a patient under supervision applying the knowledge.

(9)     Demonstrate understanding and application of knowledge in caring for patients with restricted mobility.

(10)   Perform first aid measures during emergencies.

(11)   Identify the educational needs of patients and demonstrate basic skills of patient education.

*Mandatory Module used in Teaching/Learning:.—First Aid: 40 Hours (including Basic CPR)

COURSE OUTLINE

T-Theory, SL-Skill Lab

 

 

*Mandatory module

CLINICAL PRACTICUM

Clinical Practicum: 2 Credits (160 hours), 10 weeks × 16 hours per week

PRACTICE COMPETENCIES: On completion of the clinical practicum, the students will be able to

(1)     Maintain effective human relations (projecting professional image)

(2)     Communicate effectively with patient, families and team members

(3)     Demonstrate skills in techniques of recording and reporting

(4)     Demonstrate skill in monitoring vital signs

(5)     Care for patients with altered vital signs

(6)     Demonstrate skill in implementing standard precautions and use of PPE

(7)     Demonstrate skill in meeting the comfort needs of the patients

(8)     Provide safe and clean environment

(9)     Demonstrate skill in admission, transfer, and discharge of a patient

(10)   Demonstrate skill in caring for patients with restricted mobility

(11)   Plan and provide appropriate health teaching following the principles

(12)   Acquire skills in assessing and performing First Aid during emergencies.

SKILL LAB

Use of Mannequins and Simulators

CLINICAL POSTINGS-General Medical/Surgical Wards

10 weeks × 16 hours/week = 160 Hours

APPLIED BIOCHEMISTRY

PLACEMENT: II SEMESTER

 

THEORY: 2 credits (40 hours) (includes lab hours also)

DESCRIPTION: The course is designed to assist the students to acquire knowledge of the normal biochemical composition and functioning of human body, its alterations in disease conditions and to apply this knowledge in the practice of nursing.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Describe the metabolism of carbohydrates and its alterations.

(2)     Explain the metabolism of lipids and its alterations.

(3)     Explain the metabolism of proteins and amino acids and its alterations.

(4)     Explain clinical enzymology in various disease conditions.

(5)     Explain acid base balance, imbalance and its clinical significance.

(6)     Describe the metabolism of hemoglobin and its clinical significance.

(7)     Explain different function tests and interpret the findings.

(8)     Illustrate the immunochemistry.

COURSE OUTLINE

T-Theory

Note: Few lab hours can be planned for observation and visits (Less than 1 credit, lab hours are not specified separately).

APPLIED NUTRITION AND DIETETICS

PLACEMENT: II SEMESTER

THEORY: 3 credits (60 hours)

Theory: 45 hours

Lab: 15 hours

DESCRIPTION: The course is designed to assist the students to acquire basic knowledge and understanding of the principles of Nutrition and Dietetics and apply this knowledge in the practice of Nursing.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Identify the importance of nutrition in health and wellness.

(2)     Apply nutrient and dietary modifications in caring patients.

(3)     Explain the principles and practices of Nutrition and Dietetics.

(4)     Identify nutritional needs of different age groups and plan a balanced diet for them.

(5)     Identify the dietary principles for different diseases.

(6)     Plan therapeutic diet for patients suffering from various disease conditions.

(7)     Prepare meals using different methods and cookery rules.

COURSE OUTLINE

T-Theory

Food born diseases and food poisoning are dealt in Community Health Nursing I.

NURSING FOUNDATION-II (including Health Assessment Module)

PLACEMENT: II SEMESTER

THEORY: 6 Credits (120 hours)

PRACTICUM: Skill Lab: 3 Credits (120 hours), Clinical: 4 Credits (320 hours)

DESCRIPTION: This course is designed to help novice nursing students develop knowledge and competencies required to provide evidence-based, comprehensive basic nursing care for adult patients, using nursing process approach.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Develop understanding about fundamentals of health assessment and perform health assessment in supervised clinical settings

(2)     Demonstrate fundamental skills of assessment, planning, implementation and evaluation of nursing care using Nursing process approach in supervised clinical settings

(3)     Assess the Nutritional needs of patients and provide relevant care under supervision

(4)     Identify and meet the hygienic needs of patients

(5)     Identify and meet the elimination needs of patient

(6)     Interpret findings of specimen testing applying the knowledge of normal values

(7)     Promote oxygenation based on identified oxygenation needs of patients under supervision

(8)     Review the concept of fluid, electrolyte balance integrating the knowledge of applied physiology

(9)     Apply the knowledge of the principles, routes, effects of administration of medications in administering medication

(10)   Calculate conversions of drugs and dosages within and between systems of measurements

(11)   Demonstrate knowledge and understanding in caring for patients with altered functioning of sense organs and unconsciousness

(12)   Explain loss, death and grief

(13)   Describe sexual development and sexuality

(14)   Identify stressors and stress adaptation modes

(15)   Integrate the knowledge of culture and cultural differences in meeting the spiritual needs

(16)   Explain the introductory concepts relevant to models of health and illness in patient care

*Mandatory Module used in Teaching/Learning:.—Health Assessment Module: 40 hours

COURSE OUTLINE

T-Theory, SL-Skill Lab

CLINICAL PRACTICUM.—Clinical: 4 Credits (320 hours)

PRACT|ICE COMPETENCIES: On completion of the course, the student will be able to

(1)     Perform health assessment of each body system

(2)     Develop skills in assessment, planning, implementation and evaluation of nursing care using Nursing process approach

(3)     Identify and meet the Nutritional needs of patients

(4)     Implement basic nursing techniques in meeting hygienic needs of patients

(5)     Plan and Implement care to meet the elimination needs of patient

(6)     Develop skills in instructing and collecting samples for investigation.

(7)     Perform simple lab tests and analyze & interpret common diagnostic values

(8)     Identify patients with impaired oxygenation and demonstrate skill in caring for patients with impaired oxygenation

(9)     Identify and demonstrate skill in caring for patients with fluid, electrolyte and acid-base imbalances

(10)   Assess, plan, implement & evaluate the basic care needs of patients with altered functioning of sense organs and unconsciousness

(11)   Care for terminally ill and dying patients

SKILL LAB

Use of Mannequins and Simulators

CLINICAL POSTINGS-General Medical/Surgical Wards

(16 weeks × 20 hours per week = 320 hours)

HEALTH/NURSING INFORMATICS AND TECHNOLOGY

PLACEMENT: II SEMESTER

THEORY: 2 Credits (40 hours)

PRACTICAL/LAB: 1 Credit (40 hours)

DESCRIPTION: This course is designed to equip novice nursing students with knowledge and skills necessary to deliver efficient informatics-led health care services.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Develop a basic understanding of computer application in patient care and nursing practice.

(2)     Apply the knowledge of computer and information technology in patient care and nursing education, practice, administration and research.

(3)     Describe the principles of health informatics and its use in developing efficient healthcare.

(4)     Demonstrate the use of information system in healthcare for patient care and utilization of nursing data.

(5)     Demonstrate the knowledge of using Electronic Health Records (EHR) system in clinical practice.

(6)     Apply the knowledge of interoperability standards in clinical setting.

(7)     Apply the knowledge of information and communication technology in public health promotion.

(8)     Utilize the functionalities of Nursing Information System (NIS) system in nursing.

(9)     Demonstrate the skills of using data in management of health care.

(10)   Apply the knowledge of the principles of digital ethical and legal issues in clinical practice.

(11)   Utilize evidence-based practices in informatics and technology for providing quality patient care.

(12)   Update and utilize evidence-based practices in nursing education, administration, and practice.

COURSE OUTLINE

T-Theory, P/L-Lab

SKILLS

• Utilize computer in improving various aspects of nursing practice.

• Use technology in patient care and professional advancement.

• Use data in professional development and efficient patient care.

• Use information system in providing quality patient care.

• Use the information system to extract nursing data.

• Develop skill in conducting literature review.

APPLIED MICROBIOLOGY AND INFECTION CONTROL INCLUDING SAFETY

PLACEMENT: III SEMESTER

THEORY: 2 Credits (40 hours)

PRACTICAL: 1 Credit (40 hours) (Lab/Experiential Learning-L/E)

SECTION A: APPLIED MICROBIOLOGY

THEORY: 20 hours

PRACTICAL: 20 hours (Lab/Experiential Learning-L/E)

DESCRIPTION: This course is designed to enable students to acquire understanding of fundamentals of Microbiology, compare and contrast different microbes and comprehend the means of transmission and control of spread by various microorganisms. It also provides opportunities for practicing infection control measures in hospital and community settings.

COMPETENCIES: On completion of the course, the students will be able to:

(1)     Identify the ubiquity and diversity of microorganisms in the human body and the environment.

(2)     Classify and explain the morphology and growth of microbes.

(3)     Identify various types of microorganisms.

(4)     Explore mechanisms by which microorganisms cause disease.

(5)     Develop understanding of how the human immune system counteracts infection by specific and non-specific mechanisms.

(6)     Apply the principles of preparation and use of vaccines in immunization.

(7)     Identify the contribution of the microbiologist and the microbiology laboratory to the diagnosis of infection.

COURSE OUTLINE

T-Theory, L/E-Lab/Experiential Learning

SECTION B: INFECTION CONTROL & SAFETY

THEORY: 20 hours

PRACTICAL/LAB: 20 hours (Lab/Experiential Learning-L/E)

DESCRIPTION: This course is designed to help students to acquire knowledge and develop competencies required for fundamental patient safety and infection control in delivering patient care. It also focuses on identifying patient safety indicators, preventing and managing hospital acquired infections, and in following universal precautions.

COMPETENCIES: The students will be able to:

(1)     Develop knowledge and understanding of Hospital acquired Infections (HAI) and effective practices for prevention.

(2)     Integrate the knowledge of isolation (Barrier and reverse barrier) techniques in implementing various precautions.

(3)     Demonstrate and practice steps in Hand washing and appropriate use of different types of PPE.

(4)     Illustrate various disinfection and sterilization methods and techniques.

(5)     Demonstrate knowledge and skill in specimen collection, handling and transport to optimize the diagnosis for treatment.

(6)     Incorporate the principles and guidelines of Bio Medical waste management.

(7)     Apply the principles of Antibiotic stewardship in performing the nurses' role.

(8)     Identify patient safety indicators and perform the role of nurse in the patient safety audit process.

(9)     Apply the knowledge of International Patient Safety Goals (IPSG) in the patient care settings.

(10)   Identify employee safety indicators and risk of occupational hazards.

(11)   Develop understanding of the various safety protocols and adhere to those protocols.

COURSE OUTLINE

T-Theory, L/E-Lab/Experiential Learning

*Experiential Learning:.—Experiential learning is the process by which knowledge is created through the process of experience in the clinical field. Knowledge results from the combination of grasping transforming experience. (Kolb, 1984). The experiential learning cycle begins with an experience that the student has had, followed by an opportunity to reflect on that experience. Then students may conceptualize and draw conclusions about what they experienced and observed, leading to future actions in which the students experiment with different behaviors. This begins the new cycle as the students have new experiences based on their experimentation. These steps may occur in nearly and order as the learning progresses. As the need of the learner, the concrete components and conceptual components can be in different order as they may require a variety of cognitive and affective behaviors.

PHARMACOLOGY-I

PLACEMENT: III SEMESTER

THEORY: 1 Credit (20 hours)

DESCRIPTION: This course is designed to enable students to acquire understanding of Pharmacodynamics, Pharmacokinetics, principles of therapeutics and nursing implications.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Describe pharmacodynamics and pharmacokinetics.

(2)     Review the principles of drug calculation and administration.

(3)     Explain the commonly used antiseptics and disinfectants.

(4)     Describe the pharmacology of drugs acting on the GI system.

(5)     Describe the pharmacology of drugs acting on the respiratory system.

(6)     Describe drugs used in the treatment of cardiovascular and blood disorders.

(7)     Explain the drugs used in the treatment of endocrine system disorders.

(8)     Describe the drugs acting on skin and drugs used to treat communicable diseases.

COURSE OUTLINE

T-Theory

PATHOLOGY-I

PLACEMENT: III SEMESTER

THEORY: 1 Credit (20 hours) (includes lab hours also)

DESCRIPTION: This course is designed to enable students to acquire knowledge of pathology of various disease conditions, understanding of genetics, its role in causation and management of defects and diseases and to apply this knowledge in practice of nursing.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Apply the knowledge of pathology in understanding the deviations from normal to abnormal pathology.

(2)     Rationalize the various laboratory investigations in diagnosing pathological disorders.

(3)     Demonstrate the understanding of the methods of collection of blood, body cavity fluids, urine and feces for various tests.

(4)     Apply the knowledge of genetics in understanding the various pathological disorders.

(5)     Appreciate the various manifestations in patients with diagnosed genetic abnormalities.

(6)     Rationalize the specific diagnostic tests in the detection of genetic abnormalities.

(7)     Demonstrate the understanding of various services related to genetics.

COURSE OUTLINE

T-Theory

ADULT HEALTH NURSING-I WITH INTEGRATED PATHOPHYSIOLOGY (including BCLS module)

PLACEMENT: III SEMESTER

THEORY: 7 Credits (140 hours)

PRACTICUM: Lab/Skill Lab (SL)-1 Credit (40 hours) Clinical-6 Credits (480 hours)

DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy, Physiology, Biochemistry and Behavioral sciences in caring for adult patients with Medical/Surgical disorders using nursing process approach and critical thinking. It also intends to develop competencies required for assessment, diagnosis, treatment, nursing management, and supportive/palliative care to patients with various Medical Surgical disorders.

COMPETENCIES: On completion of Medical Surgical Nursing I course, students will be able to

(1)     Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and complications of common medical and surgical disorders.

(2)     Perform complete health assessment to establish a data base for providing quality patient care and integrate the knowledge of anatomy, physiology and diagnostic tests in the process of data collection.

(3)     Identify nursing diagnoses, list them according to priority and formulate nursing care plan.

(4)     Perform nursing procedures skillfully and apply scientific principles while giving comprehensive nursing care to patients.

(5)     Integrate knowledge of pathology, nutrition and pharmacology in caring for patients experiencing various medical and surgical disorders.

(6)     Identify common diagnostic measures related to the health problems with emphasis on nursing assessment and responsibilities.

(7)     Demonstrate skill in assisting/performing diagnostic and therapeutic procedures.

(8)     Demonstrate competencies/skills to patients undergoing treatment for medical surgical disorders.

(9)     Identify the drugs used in treating patients with medical surgical conditions.

(10)   Plan and give relevant individual and group education on significant medical surgical topics.

(11)   Maintain safe environment for patients and the health care personnel in the hospital.

(12)   Integrate evidence-based information while giving nursing care to patients.

CLINICAL PRACTICUM

CLINICAL PRACTICUM: 6 Credits (480 hours)-18 weeks × 27 hours

PRACTICE COMPETENCIES: On completion of the clinical practicum, the students will be able to apply nursing process and critical thinking in delivering holistic nursing care including rehabilitation to the adult patients undergoing surgery, with shock and fluid and electrolyte imbalance and with selected medical & surgical conditions i.e., Gastrointestinal, Respiratory, Endocrine, Orthopedic, Dermatology and Cardiovascular disorders.

The students will be competent to:

(1)     Utilize the nursing process in providing care to the sick adults in the hospital:

(a)      Perform complete health assessment to establish a data base for providing quality patient care.

(b)      Integrate the knowledge of diagnostic tests in the process of data collection.

(c)      Identify nursing diagnoses and list them according to priority.

(d)      Formulate nursing care plan, using problem solving approach.

(e)      Apply scientific principles while giving nursing care to patients.

(f)       Perform nursing procedures skillfully on patients.

(g)      Establish/develop interpersonal relationship with patients and family members.

(h)     Evaluate the expected outcomes and modify the plan according to the patient needs.

(2)     Provide comfort and safety to adult patients in the hospital.

(3)     Maintain safe environment for patients during hospitalization.

(4)     Explain nursing actions appropriately to the patients and family members.

(5)     Ensure patient safety while providing nursing procedures.

(6)     Assess the educational needs of the patient and their family related to medical and surgical disorders and provide appropriate health education to patients.

(7)     Provide pre, intra and post-operative care to patients undergoing surgery.

(8)     Integrate knowledge of pathology, nutrition and pharmacology for patients experiencing various medical and surgical disorders.

(9)     Integrate evidence-based information while giving nursing care to patients.

(10)   Demonstrate the awareness of legal and ethical issues in nursing practice.

(I)     NURSING MANAGEMENT OF PATIENTS WITH MEDICAL CONDITIONS

(A)    Skill Lab

Use of manikins and simulators

• Intravenous therapy

• Oxygen through mask

• Oxygen through nasal prongs

• Venturi mask

• Nebulization

• Chest physiotherapy

(B)    Clinical Postings

(II)   NURSING MANAGEMENT OF PATIENTS WITH SURGICAL CONDITIONS

(A)    Skill Lab

Use of manikins and simulators

• Nasogastric aspiration

• Surgical dressing

• Suture removal

• Colostomy care/ileostomy care

• Enteral feeding

(B)    Clinical Postings

(III)    NURSING MANAGEMENT OF PATIENTS WITH CARDIAC CONDITIONS

(A)    Skill Lab

Use of manikins and simulators

• Cardiovascular assessment

• Interpreting ECG

• BLS/BCLS

• CPR

• ABG analysis

• Taking blood sample

• Arterial blood gas analysis-interpretation

(B)    Clinical Postings

(IV)  NURSING MANAGEMENT OF PATIENTS WITH DISORDERS OF INTEGUMENTARY SYSTEM

(A)    Skill Lab.—Use of manikins and simulators

Application of topical medication

(B)    Clinical Postings

(V)    NURSING MANAGEMENT OF PATIENTS WITH COMMUNICABLE DISEASES

(A)    Skill Lab

• Barrier Nursing

• Reverse Barrier Nursing

• Standard precautions

(B)    Clinical Postings

(VI)  NURSING MANAGEMENT OF PATIENTS WITH MUSCULOSKELETAL PROBLEMS

(A)    Skill Lab

Use of manikins and simulators

• Range of motion exercises

• Muscle strengthening exercises

• Crutch walking

(B)    Clinical Postings

(VII)   NURSING MANAGEMENT OF PATIENTS IN THE OPERATING ROOMS

(A)    Skill Lab

Use of manikins and simulators

• Scrubbing, gowning and gloving

• Orient to instruments for common surgeries

• Orient to suture materials

• Positioning

(B)    Clinical Postings

PHARMACOLOGY-II

including Fundamentals of Prescribing Module

PLACEMENT: IV SEMESTER

THEORY: 3 Credits (60 hours)

DESCRIPTION: This course is designed to enable students to acquire understanding of Pharmacodynamics, Pharmacokinetics, principles of therapeutics & nursing implications. Further it develops understanding of fundamental principles of prescribing in students.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Explain the drugs used in the treatment of ear, nose, throat and eye disorders.

(2)     Explain the drugs used in the treatment of urinary system disorders.

(3)     Describe the drugs used in the treatment of nervous system disorders.

(4)     Explain the drugs used for hormonal replacement and for the pregnant women during antenatal, intra natal and postnatal period.

(5)     Explain the drugs used to treat emergency conditions and immune disorders.

(6)     Discuss the role and responsibilities of nurses towards safe administration of drugs used to treat disorders of various systems with basic understanding of pharmacology.

(7)     Demonstrate understanding about the drugs used in alternative system of medicine.

(8)     Demonstrate understanding about the fundamental principles of prescribing.

COURSE OUTLINE

T-Theory

PATHOLOGY-II AND GENETICS

PLACEMENT: IV SEMESTER

THEORY: 1 Credit (20 hours) (Includes lab hours also)

DESCRIPTION: This course is designed to enable students to acquire knowledge of pathology of various disease conditions, understanding of genetics, its role in causation and management of defects and diseases and to apply this knowledge in practice of nursing.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Apply the knowledge of pathology in understanding the deviations from normal to abnormal pathology

(2)     Rationalize the various laboratory investigations in diagnosing pathological disorders

(3)     Demonstrate the understanding of the methods of collection of blood, body cavity fluids, urine and feces for various tests

(4)     Apply the knowledge of genetics in understanding the various pathological disorders

(5)     Appreciate the various manifestations in patients with diagnosed genetic abnormalities

(6)     Rationalize the specific diagnostic tests in the detection of genetic abnormalities.

(7)     Demonstrate the understanding of various services related to genetics.

COURSE OUTLINE

T-Theory

GENETICS

COURSE OUTLINE

T-Theory

ADULT HEALTH NURSING-II WITH INTEGRATED PATHOPHYSIOLOGY including Geriatric Nursing AND PALLIATIVE CARE MODULE

PLACEMENT: IV SEMESTER

THEORY: 7 Credits (140 hours)

PRACTICUM: Lab/Skill Lab (SL): 1 Credit (40 hours) Clinical: 6 Credits (480 hours)

DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy, Physiology, Biochemistry and Behavioral sciences in caring for adult patients with Medical/Surgical disorders using nursing process approach. It also intends to develop competencies required for assessment, diagnosis, treatment, nursing management, and supportive/palliative and rehabilitative care to adult patients with various Medical Surgical disorders.

COMPETENCIES: On completion of the course the students will apply nursing process and critical thinking in delivering holistic nursing care with selected Medical and Surgical conditions.

At the completion of Adult Health Nursing II course, students will

(1)     Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and complications of selected common medical and surgical disorders.

(2)     Perform complete health assessment to establish a data base for providing quality patient care and integrate the knowledge of diagnostic tests in the process of data collection.

(3)     Identify diagnoses, list them according to priority and formulate nursing care plan.

(4)     Perform nursing procedures skillfully and apply scientific principles while giving comprehensive nursing care to patients.

(5)     Integrate knowledge of anatomy, physiology, pathology, nutrition and pharmacology in caring for patients experiencing various medical and surgical disorders.

(6)     Identify common diagnostic measures related to the health problems with emphasis on nursing assessment and responsibilities.

(7)     Demonstrate skill in assisting/performing diagnostic and therapeutic procedures.

(8)     Demonstrate competencies/skills to patients undergoing treatment for medical surgical disorders.

(9)     Identify the drugs used in treating patients with selected medical surgical conditions.

(10)   Plan and provide relevant individual and group education on significant medical surgical topics.

(11)   Maintain safe environment for patients and the health care personnel in the hospital.

COURSE OUTLINE

T-Theory, L/SL-Lab/Skill Lab

CLINICAL PRACTICUM

CLINICAL PRACTICUM: 6 Credits (480 Hours)-20 weeks × 24 hours

PRACTICE COMPETENCIES: On completion of the clinical practicum, the students will develop proficiency in applying nursing process and critical thinking in rendering holistic nursing care including rehabilitation to the adult/geriatric patients admitted in Critical Care Units, undergoing cosmetic and reconstructive surgery and with selected medical & surgical disorders of ear, nose, throat, eye, Genitourinary, reproductive, immunologic, nervous systems and in emergency/disaster conditions.

The students will be competent to

(1)     Utilize the nursing process in providing care to the sick adults in the hospital

(a)      Perform complete health assessment to establish a data base for providing quality patient care.

(b)      Integrate the knowledge of diagnostic tests in patient assignment.

(c)      Identify nursing diagnoses and list them according to priority.

(d)      Formulate nursing care plan, using problem solving approach.

(e)      Apply scientific principles while giving nursing care to patients.

(f)       Develop skill in performing nursing procedures applying scientific principle.

(g)      Establish/develop interpersonal relationship with patients and family members.

(h)     Evaluate the expected outcomes and modify the plan according to the patient needs.

(2)     Provide comfort and safety to adult patients in the hospital.

(3)     Maintain safe environment for patients during hospitalization.

(4)     Explain nursing actions appropriately to the patients and family members.

(5)     Ensure patient safety while providing nursing procedures.

(6)     Assess the educational needs of the patient and their family related to medical and surgical disorders and provide appropriate health education to patients.

(7)     Provide pre, intra and post-operative care to patients undergoing surgery.

(8)     Integrate knowledge of pathology, nutrition and pharmacology for patients experiencing selected medical and surgical disorders.

(9)     Integrate evidence-based information while giving nursing care to patients.

(10)   Demonstrate the awareness of legal and ethical issues in nursing practice.

(I)     Nursing Management of Patients with ENT Disorders

(A)    Skill Lab

Use of manikins and simulators

• Tracheostomy care

• Instilling Ear and Nasal medications

• Bandage application

(B)    Clinical Postings

(II)   Nursing Management of Patients with Eye Conditions

(A)    Skill Lab

Use of manikins and simulators

• Instilling Eye medications

• Eye irrigation

• Eye bandage

(B)    Clinical Postings

(III)    Nursing Management of Patients with Kidney and Urinary System Disorders

(A)    Skill Lab

Use of manikins and simulators

• Assessment: kidney & urinary system

• Preparation: dialysis

• Catheterization and care

(B)    Clinical Postings

(IV)  Nursing Management of Patients with Burns and Reconstructive Surgery

(A)    Skill Lab

Use of manikins and simulators

• Assessment of burns wound

• Wound dressing

(B)    Clinical Postings

(V)    Nursing Management of Patients with neurological disorders

(A)    Skill Lab

Use of manikins and simulators

• Range of motion exercises

• Muscle strengthening exercises

• Crutch walking

(B)    Clinical Postings

(VI)  Nursing Management of Patients with Immunological Disorders

(A)    Skill Lab

• Barrier Nursing

• Reverse Barrier Nursing

(B)    Clinical Postings

(VII)   Nursing Management of Patients with disorders of Oncological conditions

(A)    Skill Lab

Use of manikins and simulators

• Application of topical medication

• Administration of chemotherapy

(B)    Clinical Postings

(VIII) Nursing Management of Patients in emergency conditions

(A)    Skill Lab

Use of manikins and simulators

• Assessment: primary and secondary survey

• Trauma care: bandaging, wound care, splinting, positions

(B)    Clinical Postings

(IX)  Nursing Management of geriatric patients

(A)    Skill Lab

Use of manikins and simulators

• Use of assistive safety devices

(B)    Clinical Postings

(X)    Nursing Management of Patients in critical care units

(A)    Skill Lab

Use of manikins and simulators

• Assessment critically ill

• ET tube set up-suction

• TT suction

• Ventilator set up

• Chest drainage

• Bag mask ventilation

• Central & Peripheral line

• Pacemaker

(B)    Clinical Postings

PROFESSIONALISM, PROFESSIONAL VALUES & ETHICS INCLUDING BIOETHICS

PLACEMENT: IV SEMESTER

THEORY: 1 Credit (20 hours)

DESCRIPTION: This course is designed to help students to develop an understanding of professionalism and demonstrate professional behavior in their workplace with ethics and professional values. Further the students will be able to identify ethical issues in nursing practice and participate effectively in ethical decision making along with health team members.

COMPETENCIES: On completion of this course, the students will be able to

(1)     Describe profession and professionalism.

(2)     Identify the challenges of professionalism.

(3)     Maintain respectful communication and relationship with other health team members, patients and society.

(4)     Demonstrate professional conduct.

(5)     Describe various regulatory bodies and professional organizations related to nursing.

(6)     Discuss the importance of professional values in patient care.

(7)     Explain the professional values and demonstrate appropriate professional values in nursing practice.

(8)     Demonstrate and reflect on the role and responsibilities in providing compassionate care in the healthcare setting.

(9)     Demonstrate respect, human dignity and privacy and confidentiality to self, patients and their caregivers and other health team members.

(10)   Advocate for patients' wellbeing, professional growth and advancing the profession.

(11)   Identify ethical and bioethical concerns, issues and dilemmas in nursing and healthcare.

(12)   Apply knowledge of ethics and bioethics in ethical decision making along with health team members.

(13)   Protect and respect patient’s rights.

COURSE OUTLINE

T-Theory

CHILD HEALTH NURSING-I

PLACEMENT: V SEMESTER

THEORY: 3 Credits (60 hours)

PRACTICUM: Lab/Skill Lab: 1 Credit (40 hours) Clinical: 2 Credits (160 hours)

DESCRIPTION: This course is designed for developing an understanding of the modern approach to child-care, identification, prevention and nursing management of common health problems of neonates and children.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Develop understanding of the history and modern concepts of child health and child-care.

(2)     Explore the national child welfare services, national programs and legislation in the light of National Health Policy 2017.

(3)     Describe the role of preventive pediatrics and perform preventive measures towards accidents.

(4)     Participate in national immunization programs/Universal Immunization Program (UIP).

(5)     Identify the developmental needs of children and provide parental guidance.

(6)     Describe the principles of child health nursing and perform child health nursing procedures.

(7)     Demonstrate competencies in newborn assessment, planning and implementation of care to normal and high-risk newborn including neonatal resuscitation.

(8)     Apply the principles and strategies of Integrated management of neonatal and childhood illness (IMNCI).

(9)     Apply the knowledge of pathophysiology and provide nursing care to children with respiratory system disorders.

(10)   Identify and meet childhood emergencies and perform child CPR.

COURSE OUTLINE

T-Theory, L/SL-Lab/Skill Lab

CHILD HEALTH NURSING-I & II CLINICAL (3 Credits-240 hours)

PLACEMENT: V & VI SEMESTER

PRACTICUM: Skill Lab: 1 Credit (40 hours)

Clinical: V SEMESTER-2 Credits (160 hours)

VI SEMESTER-1 Credit (80 hours)

PRACTICE COMPETENCIES: On completion of the course, the students will be able to

(1)     Perform assessment of children: health, developmental & anthropometric.

(2)     Provide nursing care to children with various medical disorders.

(3)     Provide pre & postoperative care to children with common pediatric surgical conditions/malformation.

(4)     Perform immunization as per NIS.

(5)     Provide nursing care to critically ill children.

(6)     Give health education/nutritional education to parents.

(7)     Counsel parents according to identified counseling needs.

Skill Lab

Use of Manikins and Simulators

PLS, CPAP, Endotracheal Suction

Pediatric Nursing Procedures:

• Administration of medication-Oral, IM & IV

• Oxygen administration

• Application of restraints

• Specimen collection

• Urinary catheterization and drainage

• Ostomy care

• Feeding-NG, gastrostomy, Jejunostomy

• Wound dressing

• Suture removal

CLINICAL POSTINGS

8 weeks × 30 hours per week (5 weeks + 3 weeks)

MENTAL HEALTH NURSING-I

PLACEMENT: V SEMESTER

THEORY: 3 Credits (60 hours)

PRACTICUM: Clinical: 1 Credit (80 hours)

DESCRIPTION: This course is designed to develop basic understanding of the principles and standards of mental health nursing and skill in application of nursing process in assessment and care of patients with mental health disorders.

COMPETENCIES: On completion of the course, the students will be competent to

(1)     Trace the historical development of mental health nursing and discuss its scope.

(2)     Identify the classification of the mental disorders.

(3)     Develop basic understanding of the principles and concepts of mental health nursing.

(4)     Apply the Indian Nursing Council practice standards for psychiatric mental health nursing in supervised clinical settings.

(5)     Conduct mental health assessment.

(6)     Identify and maintain therapeutic communication and nurse patient relationship.

(7)     Demonstrate knowledge of the various treatment modalities and therapies used in mental disorders.

(8)     Apply nursing process in delivering care to patients with mental disorders.

(9)     Provide nursing care to patients with schizophrenia and other psychotic disorders based on assessment findings and treatment/therapies used.

(10)   Provide nursing care to patients with mood disorders based on assessment findings and treatment/therapies used.

(11)   Provide nursing care to patients with neurotic disorders based on assessment findings and treatment/therapies used.

COURSE OUTLINE

T-Theory

CLINICAL PRACTICUM

MENTAL HEALTH NURSING-I & II

PLACEMENT: SEMESTER V & VI

MENTAL HEALTH NURSING-I - 1 Credit (80 hours)

MENTAL HEALTH NURSING-II - 2 Credits (160 hours)

PRACTICE COMPETENCIES: On completion of the course, the students will be able to:

(1)     Assess patients with mental health problems/disorders

(2)     Observe and assist in various treatment modalities or therapies

(3)     Counsel and educate patients and families

(4)     Perform individual and group psychoeducation

(5)     Provide nursing care to patients with mental health problems/disorders

(6)     Motivate patients in the community for early treatment and follow up

(7)     Observe the assessment and care of patients with substance abuse disorders in deaddiction centre.

CLINICAL POSTINGS

(8 weeks × 30 hours per week = 240 hours)

COMMUNITY HEALTH NURSING-I

including Environmental Science & Epidemiology

PLACEMENT: V SEMESTER

THEORY: 5 Credits (100 hours) includes Lab hours also

PRACTICUM: Clinical: 2 Credits (160 hours)

DESCRIPTION: This course is designed to help students develop broad perspectives of health, its determinants, about community health nursing and understanding about the health care delivery services, health care policies and regulations in India. It helps the students to develop knowledge and understanding of environmental science. It further helps them to apply the principles and concepts of BCC and health education for health promotion and maintenance of health within the community in wellness and illness continuum. It helps students to practice Community Health Nursing for the individuals, family and groups at rural, urban and tribal settings by applying principles of community health nursing and epidemiological approach. It also helps the students to develop knowledge and competencies required to screen, assess, diagnose, manage and refer clients appropriately in various health care settings. It prepares the students to provide primary healthcare to clients of all ages in the community, DH, PHC, CHC, SC/HWC and develop beginning skills in participating in all the National Health Programs.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Explore the evolution of public health in India and community health nursing

(2)     Explain the concepts and determinants of health

(3)     Identify the levels of prevention and health problems of India

(4)     Develop basic understanding about the health care planning and the present health care delivery system in India at various levels

(5)     Locate the significance of primary health care and comprehensive primary health care as part of current health care delivery system focus

(6)     Discuss health care policies and regulations in India

(7)     Demonstrate understanding about an overview of environmental science, environmental health and sanitation

(8)     Demonstrate skill in nutritional assessment for different age groups in the community and provide appropriate nutritional counseling

(9)     Provide health education to individuals and families applying the principles and techniques of behavior change appropriate to community settings

(10)   Describe community health nursing approaches and concepts

(11)   Describe the role and responsibilities of community health nursing personnel

(12)   Utilize the knowledge and skills in providing comprehensive primary health care across the life span at various settings

(13)   Make effective home visits applying principles and methods used for home visiting

(14)   Use epidemiological approach in community diagnosis

(15)   Utilize the knowledge of epidemiology, epidemiological approaches in caring for people with communicable and non-communicable diseases

(16)   Investigate an epidemic of communicable diseases

(17)   Assess, diagnose, manage and refer clients for various communicable and non-communicable diseases appropriately at the primary health care level

(18)   Identify and perform the roles and responsibilities of nurses in implementing various national health programs in the community for the prevention, control and management of communicable and non-communicable diseases particularly in screening, identification, primary management and referral to a health facility/First Referral Unit (FRU)

COURSE OUTLINE

T-Theory

Note: Lab hours less than 1 Credit is not specified separately.

CLINICAL PRACTICUM

CLINICAL: 2 Credits (160 hours)

CLINICAL POSTINGS: (4 weeks × 40 hours per week)

EDUCATIONAL TECHNOLOGY/NURSING EDUCATION

PLACEMENT: V SEMESTER

THEORY: 2 Credits (40 hours)

PRACTICUM: Lab/Practical: 1 Credit (40 hours)

DESCRIPTION: This course is designed to help the students to develop knowledge, attitude and beginning competencies essential for applying basic principles of teaching and learning among individuals and groups both in educational and clinical settings. It also introduces basics of curriculum planning and organization. It further enables students to participate actively in team and collaborative learning.

COMPETENCIES: On completion of the course, the students will be competent to

(1)     Develop basic understanding of theoretical foundations and principles of teaching and learning

(2)     Identify the latest approaches to education and learning

(3)     Initiate self-assessment to identify one's own learning styles

(4)     Demonstrate understanding of various teaching styles that can be used, based on the learners' readiness and generational needs

(5)     Develop understanding of basics of curriculum planning, and organizing

(6)     Analyze and use different teaching methods effectively that are relevant to student population and settings

(7)     Make appropriate decisions in selection of teaching learning activities integrating basic principles

(8)     Utilize active learning strategies that enhance critical thinking, team learning and collaboration

(9)     Engage in team learning and collaboration through inter professional education

(10)   Integrate the principles of teaching and learning in selection and use of educational media/technology

(11)   Apply the principles of assessment in selection and use of assessment and evaluation strategies

(12)   Construct simple assessment tools/tests integrating cognitive, psychomotor and affective domains of learning that can measure knowledge and competence of students

(13)   Develop basic understanding of student guidance through mentoring and academic advising

(14)   Identify difficult situations, crisis and disciplinary/grievance issues experienced by students and provide appropriate counseling

(15)   Engage in ethical practice in educational as well as clinical settings based on values, principles and ethical standards

(16)   Develop basic understanding of evidence-based teaching practices

COURSE OUTLINE

T-Theory, P-Practical (Laboratory)

 

 

INTRODUCTION TO FORENSIC NURSING AND INDIAN LAWS

PLACEMENT: V SEMESTER

THEORY: 1 Credit (20 hours)

DESCRIPTION: This course is designed to help students to know the importance of forensic science in total patient care and to recognize forensic nursing as a specialty discipline in professional nursing practice.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Identify forensic nursing as an emerging specialty in healthcare and nursing practice

(2)     Explore the history and scope of forensic nursing practice

(3)     Identify forensic team, role and responsibilities of forensic nurse in total care of victim of violence and in preservation of evidence

(4)     Develop basic understanding of the Indian judicial system and legal procedures

COURSE OUTLINE

T-Theory

CHILD HEALTH NURSING-II

PLACEMENT: VI SEMESTER

THEORY: 2 Credits (40 hours)

PRACTICUM: Clinical: 1 Credit (80 hours)

DESCRIPTION: This course is designed for developing an understanding of the modern approach to child-care, identification, prevention and nursing management of common health problems of neonates and children.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Apply the knowledge of pathophysiology and provide nursing care to children with Cardiovascular, GI, genitourinary, nervous system disorders, orthopedic disorders, eye, ear and skin disorders and communicable diseases

(2)     Provide care to children with common behavioural, social and psychiatric problems

(3)     Manage challenged children

(4)     Identify the social and welfare services for challenged children

COURSE OUTLINE

T-Theory

CHILD HEALTH NURSING-II-CLINICAL PRACTICUM (1 Credit-80 hours)

Given under Child Health Nursing-I as I & II

MENTAL HEALTH NURSING-II

PLACEMENT: VI SEMESTER

THEORY: 1 Credit (40 Hours)

PRACTICUM: Clinical: 2 Credits (160 Hours)

DESCRIPTION: This course is designed to provide the students with basic understanding and skills essential to meet psychiatric emergencies and perform the role of community mental health nurse.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Apply nursing process in providing care to patients with substance use disorders, and personality and sexual disorders.

(2)     Apply nursing process in providing care to patients with behavioural and emotional disorders occurring during childhood and adolescence.

(3)     Apply nursing process in providing care to patients with organic brain disorders.

(4)     Identify and respond to psychiatric emergencies.

(5)     Carry out crisis interventions during emergencies under supervision.

(6)     Perform admission and discharge procedures as per MHCA 2017.

(7)     Explore the roles and responsibilities of community mental health nurse in delivering community mental health services.

COURSE OUTLINE

T-Theory

CLINICAL PRACTICUM-2 Credits (80 hours)

Clinical Practicum for Mental Health Nursing-I & II are given under Mental Health Nursing-I Clinical Practicum

NURSING MANAGEMENT AND LEADERSHIP

PLACEMENT: VI Semester

THEORY: 3 Credits (60 hours) includes Lab/Skill Lab hours also

PRACTICUM: Clinical: 1 Credits (80 hours)

DESCRIPTION: This course is designed to enable students to acquire knowledge and competencies in areas of administration, and management of nursing services and education. Further prepares the students to develop leadership competencies and perform their role as effective leaders in an organization.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Analyze the health care trends influencing development of nursing services and education in India.

(2)     Describe the principles, functions and process of management applied to nursing.

(3)     Develop basic understanding and beginning competencies in planning and organizing nursing services in a hospital.

(4)     Apply the concept of human resource management and identify the job description for all categories of nursing personnel including in service education.

(5)     Discuss the principles and methods of staffing and scheduling in an individual hospital/nursing unit.

(6)     Develop skill in management of materials and supplies including inventory control.

(7)     Develop team working and inter professional collaboration competencies.

(8)     Identify effective leadership styles and develop leadership competencies.

(9)     Utilize the knowledge of principles and line of control and participate in quality management and evaluation activities.

(10)   Utilize the knowledge related to financial planning in nursing services and education during budgetary process.

(11)   Apply the knowledge of nursing informatics in maintenance of records and reports relevant to patient information, nursing care and progress.

(12)   Demonstrate understanding of the INC guidelines for establishment and accreditation of educational institutions in terms of faculty norms, physical infrastructure and clinical facilities.

(13)   Demonstrate beginning competencies in planning, organizing and staffing at college including implementation and evaluation of curriculum.

(14)   Identify the legal issues and laws relevant to nursing practice and education.

(15)   Apply the knowledge and utilize the various opportunities for professional advancement.

COURSE OUTLINE

T-Theory

Note: Less than 1 credit lab hours are not specified

CLINICAL PRACTICUM

Clinical: 2 Credits (80 hours) 2 weeks × 40 hours per week = 80 hours

Practice Competencies:

Hospital

(1)     Prepare organizational chart of hospital/Nursing services/nursing department

(2)     Calculate staffing requirements for a particular nursing unit/ward

(3)     Formulate Job description at different levels of care

(4)     Prepare duty roster for staff/students at different levels

(5)     Participate in procuring/purchase of equipment & supplies

(6)     Prepare log book/MMF for specific equipment/materials

(7)     Maintain and store inventory and keep daily records

(8)     Prepare and maintain various records & reports of the settings-incident reports/adverse reports/audit reports

(9)     Prepare and implement protocols & manuals

(10)   Participate in supervision, evaluation and conducting in service education for the staff

College & Hostel

(1)     Prepare organizational chart of college

(2)     Formulate job description for tutors

(3)     Prepare Master plan, time table and clinical rotation

(4)     Prepare student anecdotes

(5)     Participate in planning, conducting and evaluation of clinical teaching

(6)     Participate in evaluation of students' clinical experience

(7)     Participate in planning and conducting practical examination OSCE-end of posting

CLINICAL POSTING: Management experience in hospital & college.

MIDWIFERY/OBSTETRICS AND GYNECOLOGY (OBG) NURSING-I including SBA module

PLACEMENT: VI SEMESTER

THEORY: 3 Credits (60 hours)

PRACTICUM: Skill Lab: 1 Credit (40 hours); Clinical: 3 Credits (240 hours)

DESCRIPTION: This course is designed for students to develop knowledge and competencies on the concepts and principles of midwifery. It helps them to acquire knowledge and skills in rendering respectful maternity care to woman during antenatal, intranatal and postnatal periods in hospitals and community settings. It further helps to develop skills in managing normal neonates and participate in family welfare programs.

COMPETENCIES: On completion of the program, the students will be able to

(1)     Demonstrate professional accountability for the delivery of nursing care as per INC standards/ICM competencies that are consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles in midwifery practice.

(2)     Communicate effectively with individuals, families and professional colleagues fostering mutual respect and shared decision making to enhance health outcomes.

(3)     Recognize the trends and issues in midwifery and obstetrical nursing.

(4)     Review and describe the anatomy and physiology of human reproductive system and conception.

(5)     Describe and apply physiology in the management of normal pregnancy, birth and puerperium.

(6)     Demonstrate competency in providing respectful and evidence based maternity care for women during the antenatal, intranatal and postnatal period.

(7)     Uphold the fundamental human rights of individuals when providing midwifery care.

(8)     Promote physiologic labour and birth, and conduct normal childbirth.

(9)     Provide evidence based essential newborn care.

(10)   Apply nursing process approach in caring for women and their families.

(11)   Describe the methods of contraception and role of nurse/midwife in family welfare services.

(12)   Recognize the importance of and actively participate in family welfare programs.

(13)   Provide youth friendly health services and care for women affected by gender based violence.

COURSE OUTLINE

T-Theory, SL/L-Skill Lab/Lab, C-Clinical

PRACTICUM

PLACEMENT: VI & VII SEMESTER

VI SEMESTER: MIDWIFERY/OBSTETRICS AND GYNECOLOGY (OBG) NURSING-I

SKILL LAB & CLINICAL: Skill Lab-1 Credit (40 hours); Clinical-3 Credits (240 hours)

PRACTICE COMPETENCIES: On completion of the course, the students will be able to:

(1)     Counsel women and their families on pre-conception care

(2)     Demonstrate lab tests ex. urine pregnancy test

(3)     Perform antenatal assessment of pregnant women

(4)     Assess and care for normal antenatal mothers

(5)     Assist and perform specific investigations for antenatal mothers

(6)     Counsel mothers and their families on antenatal care and preparation for parenthood

(7)     Conduct childbirth education classes

(8)     Organize labour room

(9)     Prepare and provide respectful maternity care for mothers in labour

(10)   Perform per-vaginal examination for a woman in labour if indicated

(11)   Conduct normal childbirth with essential newborn care

(12)   Demonstrate skills in resuscitating the newborn

(13)   Assist women in the transition to motherhood

(14)   Perform postnatal and newborn assessment

(15)   Provide care for postnatal mothers and their newborn

(16)   Counsel mothers on postnatal and newborn care

(17)   Perform PPIUCD insertion and removal

(18)   Counsel women on family planning and participate in family welfare services

(19)   Provide youth friendly health services

(20)   Identify, assess, care and refer women affected with gender based violence

SKILL LAB: Procedures/Skills for demonstration and return demonstration:

(1)     Urine pregnancy test

(2)     Calculation of EDD, Obstetrical score, gestational weeks

(3)     Antenatal assessment

(4)     Counseling antenatal mothers

(5)     Micro birth planning

(6)     PV examination

(7)     Monitoring during first stage of labour-Plotting and interpretation of partograph

(8)     Preparation for delivery-setting up labour room, articles, equipment

(9)     Mechanism of labour-normal

(10)   Conduction of normal childbirth with essential newborn care

(11)   Active management of third stage of labour

(12)   Placental examination

(13)   Newborn resuscitation

(14)   Monitoring during fourth stage of labour

(15)   Postnatal assessment

(16)   Newborn assessment

(17)   Kangaroo mother care

(18)   Family planning counseling

(19)   PPIUCD insertion and removal

CLINICAL POSTINGS (6 weeks × 40 hours per week = 240 hours)

Note: Partial Completion of SBA module during VI semester

VII SEMESTER

MIDWIFERY/OBSTETRICS AND GYNECOLOGY (OBG) NURSING-II

PRACTICUM

SKILL LAB & CLINICAL: Skill Lab-1 Credit (40 hours); Clinical-4 Credits (320 hours)

PRACTICE COMPETENCIES: On completion of the course, the students will be able to:

(1)     Identify, stabilize and refer antenatal women with complications

(2)     Provide care to antenatal women with complications

(3)     Provide post abortion care& counselling

(4)     Assist in the conduction of abnormal vaginal deliveries and caesarean section.

(5)     Demonstrate skills in resuscitating the newborn

(6)     Assist and manage complications during labour

(7)     Identify postnatal and neonatal complications, stabilize and refer them

(8)     Provide care for high risk antenatal, intranatal and postnatal women and their families using nursing process approach

(9)     Provide care for high risk newborn

(10)   Assist in advanced clinical procedures in midwifery and obstetric nursing

(11)   Provide care for women during their non childbearing period.

(12)   Assess and care for women with gynecological disorders

(13)   Demonstrate skills in performing and assisting in specific gynecological procedures

(14)   Counsel and care for couples with infertility

SKILL LAB: Procedures/Skills for demonstration and return demonstration:

(1)     Antenatal assessment and identification of complications

(2)     Post abortion care & counseling

(3)     Counseling antenatal women for complication readiness

(4)     Mechanism of labour-abnormal

(5)     Assisting in the conduction of abnormal vaginal deliveries and caesarean section.

(6)     Management of complications during pregnancy/labour/post partum (case studies/simulated scenarios)

(7)     Administration of Inj. Magnesium sulphate

(8)     Starting and maintaining an oxytocin drip for PPH

(9)     Management of PPH-Bimanual compression of uterus

(10)   Management of PPH-Balloon tamponade

(11)   Instruments used in obstetrics and gynecology

(12)   Visual inspection of cervix with acetic acid

(13)   Cervical biopsy

(14)   Breast examination

(15)   Counseling of infertile couples

CLINICAL POSTINGS (8 weeks × 40 hours per week = 320 hours)

Note: Completion of safe delivery App module during VII Semester

COMMUNITY HEALTH NURSING-II

PLACEMENT: VII SEMESTER

THEORY: 5 Credits (100 hours)-includes lab hours also

PRACTICUM: Clinical: 2 Credit (160 hours)

DESCRIPTION: This course is designed to help students gain broad perspective of specialized roles and responsibilities of community health nurses and to practice in various specialized health care settings. It helps students to develop knowledge and competencies required for assessment, diagnosis, treatment, and nursing management of individuals and families within the community in wellness and illness continuum.

COMPETENCIES: On completion of the course, the students will be able to

(1)     Demonstrate beginning practice competencies/skills relevant to provide comprehensive primary health care/community-based care to clients with common diseases and disorders including emergency and first aid care at home/clinics/centres as per predetermined protocols/drug standing orders approved by MOH&FW

(2)     Provide maternal, newborn and child care, and reproductive health including adolescent care in the urban and rural health care settings

(3)     Describe the methods of collection and interpretation of demographic data

(4)     Explain population control and its impact on the society and describe the approaches towards limiting family size

(5)     Describe occupational health hazards, occupational diseases and the role of nurses in occupational health programs

(6)     Identify health problems of older adults and provide primary care, counseling and supportive health services

(7)     Participate in screening for mental health problems in the community and providing appropriate referral services

(8)     Discuss the methods of data collection for HMIS, analysis and interpretation of data

(9)     Discuss about effective management of health information in community diagnosis and intervention

(10)   Describe the management system of delivery of community health services in rural and urban areas

(11)   Describe the leadership role in guiding, supervising, and monitoring the health services and the personnel at the PHCs, SCs and community level including financial management and maintenance of records & reports

(12)   Describe the roles and responsibilities of Mid-Level Health Care Providers (MHCPs) in Health Wellness Centers (HWCs

(13)   Identify the roles and responsibilities of health team members and explain their job description

(14)   Demonstrate initiative in preparing themselves and the community for disaster preparedness and management

(15)   Demonstrate skills in proper bio-medical waste management as per protocols

(16)   Explain the roles and functions of various national and international health agencies

COURSE OUTLINE

T-Theory

COMMUNITY HEALTH NURSING II

Clinical practicum-2 credits (160 hours)

CLINICAL POSTINGS (4 weeks × 40 hours per week)

NURSING RESEARCH AND STATISTICS

PLACEMENT: VII SEMESTER

THEORY: 2 Credits (40 hours)

PRACTICUM: Lab/Skill Lab: 1 Credit (40 hours) Clinical Project: 40 hours

DESCRIPTION: The Course is designed to enable students to develop an understanding of basic concepts of research, research process and statistics. It is further, structured to conduct/participate in need-based research studies in various settings and utilize the research findings to provide quality nursing care. The hours for practical will be utilized for conducting individual/group research project.

COMPETENCIES: On completion of the course, students will be competent to

(1)     Identify research priority areas

(2)     Formulate research questions/problem statement/hypotheses

(3)     Review related literature on selected research problem and prepare annotated bibliography

(4)     Prepare sample data collection tool

(5)     Analyze and interpret the given data

(6)     Practice computing, descriptive statistics and correlation

(7)     Draw figures and types of graphs on given select data

(8)     Develop a research proposal

(9)     Plan and conduct a group/individual research project

COURSE OUTLINE

T-Theory, P-Practicum

MIDWIFERY/OBSTETRIC AND GYNECOLOGY NURSING-II including Safe Delivery App Module

PLACEMENT: VII SEMESTER

THEORY: 3 Credits (60 hours)

PRACTICUM: Skill Lab: 1 Credit (40 Hours) Clinical: 4 Credits (320 Hours)

DESCRIPTION: This course is designed for students to develop knowledge and competencies on the concepts and principles of obstetric and gynecology nursing. It helps them to acquire knowledge and skills in rendering respectful maternity care to high risk woman during antenatal, natal and postnatal periods in hospitals and community settings and help to develop skills in initial management and referral of high risk neonates. It would also help students to gain knowledge, attitude and skills in caring for women with gynecological disorders.

COMPETENCIES: On completion of the course, the students will be able to:

(1)     Describe the assessment, initial management, referral and respectful maternity care of women with high risk pregnancy.

(2)     Demonstrate competency in identifying deviation from normal pregnancy.

(3)     Describe the assessment, initial management, referral and nursing care of women with high risk labour.

(4)     Assist in the conduction of abnormal vaginal deliveries and caesarean section.

(5)     Describe the assessment, initial management, referral and nursing care of women with abnormal postnatal conditions.

(6)     Demonstrate competency in the initial management of complications during the postnatal period.

(7)     Demonstrate competency in providing care for high risk newborn.

(8)     Apply nursing process in caring for high risk women and their families.

(9)     Describe the assessment and management of women with gynecological disorders.

(10)   Demonstrate skills in performing and assisting in specific gynecological procedures.

(11)   Describe the drugs used in obstetrics and gynecology.

(12)   Counsel and care for couples with infertility.

(13)   Describe artificial reproductive technology.

COURSE OUTLINE

T-Theory, SL/L-Skill Lab, C-Clinical

Note: Complete safe delivery app during VII Semester.

PRACTICUM

SKILL LAB & CLINICAL ARE GIVEN UNDER OBG NURSING-I

LIST OF APPENDICES

(1)     Internal Assessment: Distribution of marks

(2)     Internal Assessment guidelines

(3)     University Theory paper Question pattern and Practical examination

APPENDIX 1

INTERNAL ASSESSMENT: Distribution of marks

I SEMESTER

II SEMESTER

III SEMESTER

IV SEMESTER

V SEMESTER

VI SEMESTER

VII SEMESTER

VIII SEMESTER (Internship)

APPENDIX 2

INTERNAL ASSESSMENT GUIDELINES

THEORY

(I)     CONTINUOUS ASSESSMENT: 10 marks

(1)     Attendance-2 marks (95-100%: 2 marks, 90-94: 1.5 marks, 85-89: 1 mark, 80-84: 0.5 mark, <80: 0)

(2)     Written assignments (Two)-10 marks

(3)     Seminar/microteaching/individual presentation (Two)-12 marks

(4)     Group project/work/report-6 marks

Total = 30/3 = 10

If there is mandatory module in that semester, marks obtained by student out of 10 can be added to 30 totaling 40 marks

Total = 40/4 = 10 marks

(II)   SESSIONAL EXAMINATIONS: 15 marks.—Two sessional exams per course

Exam pattern:.—MCQ-4×1 = 4

Essay-1×10 = 10

Short-2×5 = 10

Very Short-3×2 = 6

30. marks × 2 = 60/4 = 15

PRACTICAL

(I)     CONTINUOUS ASSESSMENT: 10 marks

(1)     Attendance-2 marks (95-100%: 2 marks, 90-94: 1.5 marks, 85-89: 1 mark, 80-84: 0.5 mark, <80: 0)

(2)     Clinical assignments-10 marks

(Clinical presentation-3, drug presentation & report-2, case study report-5)

(3)     Continuous evaluation of clinical performance-10 marks

(4)     End of posting OSCE-5 marks

(5)     Completion of procedures and clinical requirements-3 marks

Total = 30/3 = 10

(II)   SESSIONAL EXAMINATIONS: 15 marks

Exam pattern:.—OSCE-10 marks (2-3 hours)

DOP-20 marks (4-5 hours)

{DOP-Directly observed practical in the clinical setting}

Total = 30/2 = 15

Note: For Adult Health Nursing I, Adult Health Nursing II, Community Health Nursing I & Community Health Nursing II, the marks can be calculated as per weightage. Double the weightage as 20 marks for continuous assessment and 30 for sessional exams.

COMPETENCY ASSESSMENT: (VIII SEMESTER)

Internal assessment.—Clinical performance evaluation-10 × 5 specialty = 50 marks

OSCE = 10 × 5 specialty = 50 marks

Total = 5 specialty × 20 marks = 100

APPENDIX 3

(I)     UNIVERSITY THEORY QUESTION PAPER PATTERN (For 75 marks)

(1)    Section A-37 marks and Section B-38 marks

(a)      Applied Anatomy & Applied Physiology: Applied Anatomy-Section A and Applied Physiology-Section B,

(b)      Applied Sociology & Applied Psychology: Applied Sociology-Section A and Applied Psychology-Section B

(c)      Applied Microbiology & Infection Control including Safety: Applied Microbiology-Section A and Infection Control including Safety-Section B

Section A (37 marks).—MCQ-6 × 1 = 6

Essay-1 × 10 = 10

Short-3 × 5 = 15

Very Short-3 × 2 = 6

Section B (38 marks).—MCQ-7 × 1 = 7

Essay-1 × 10 = 10

Short-3 × 5 = 15

Very Short-3 × 2 = 6

(2)    Section A-25 marks and Section B-50 marks

Applied Biochemistry & Nutrition & Dietetics: Applied Biochemistry-Section A and Applied Nutrition & Dietetics-Section B

Section A (25 marks).—MCQ-4 × 1 = 4

Short-3 × 5 = 15

Very Short-3 × 2 = 6

Section B (50 marks).—MCQ-8 × 1 = 8

Essay/situation type-1 × 10 = 10

Short-4 × 5 = 20

Very Short-6 × 2 = 12

(3)    Section A-38 marks, Section B-25 marks and Section C-12 marks

Pharmacology, Pathology and Genetics: Pharmacology-Section A, Pathology-Section B and Genetics-Section C

Section A (38 marks).—MCQ-7 × 1 = 7

Essay-1 × 10 = 10

Short-3 × 5 = 15

Very Short-3 × 2 = 6

Section B (25 marks).—MCQ-4 × 1 = 4

Short-3 × 5 = 15

Very Short-3 × 2 = 6

Section C (12 marks).—MCQ-3 × 1 = 3

Short-1 × 5 = 5

Very Short-2 × 2 = 4

(4)    Section A-55 marks and Section B-20 marks

Research and Statistics: Research-Section A and Statistics-Section B

Section A (55 marks).—MCQ-9 × 1 = 9

Essay/situation type-2 × 15 = 30

Short-2 × 5 = 10

Very Short-3 × 2 = 6

Section B (20 marks).—MCQ-4 × 1 = 4

Short-2 × 5 = 10

Very Short-3 × 2 = 6

(5)    Marks 75 (For all other university exams with 75 marks).—MCQ-12 × 1 = 12

Essay/situation type-2 × 15 = 30

Short-5 × 5 = 25

Very Short-4 × 2 = 8

(6)    College Exam (End of Semester)-50 marks (50/2 = 25 marks).—MCQ-8 × 1 = 8

Essay/situation type-1 × 10 = 10

Short-4 × 5 = 20

Very Short-6 × 2 = 12

(II)   UNIVERSITY PRACTICAL EXAMINATION-50 marks OSCE-15 marks

DOP-35 marks

(III)    COMPETENCY ASSESSMENT-University Exam (VIII SEMESTER).—Integrated OSCE including all 5 specialties (Stations based on every specialty) = 5 specialty 5 × 20 = 100 marks

Total of 5 Examiners: external-2 and internal-3 (One from each specialty)

Internal examiners may be chosen from college faculty with required qualification or from hospital with required qualification.

Clinical Logbook for B.Sc. Nursing Program (Procedural Competencies/Skills)

I & II SEMESTER

III & IV SEMESTER

 

 

Note: Maximum of 30% of all skills/procedures can be performed by students in skill lab/simulation lab for all clinical nursing Courses except Community Health Nursing and Mental Health Nursing in which the percentage allowed is only 10%

•-When the student is found competent to perform the skill, it will be signed by the faculty/tutor.

Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the preceptor signs against each competency.

Preceptors/faculty: Must ensure that the signature is given for each competency only after they reach level 3.

• Level 3 competency denotes that the NP student is able to perform that competency without supervision

• Level 2 Competency denotes that the student is able to perform each competency with supervision

• Level 1 competency denotes that the student is not able to perform that competency/skill even with supervision

Signature of the Faculty Coordinator Signature of the HOD/Principal

CLINICAL REQUIREMENTS

 

CLINICAL EXPERIENCE DETAILS