CLINICAL SPECIALITY -II

MEDICAL SURGICAL NURSING

SUB SPECIALITY – NEPHRO-UROLOGY NURSING

Total: 1110 Hours Theory: 150 Hours Practical: 960 Hours

AIM:
 This course is designed to assist students in developing expertise and in depth understanding in the
field of Nephro and urological Nursing. I t will help students to develop advanced skills for nursing
intervention in various. nephro and urological conditions. It will enable the student to function as
nephro and urology nurse practitioner/specialist and provide quality care. It 'will further enable the
student to function as educator, manager, and researcher in the field of nephro and urology nursing.
OBJECTIVES:
At the end of the course the students are able to:
• Appreciate trends and issues related to nephro and urological nursing.
• Describe the epidemiology, etiology, pathophysiology and diagnostic assessment of nephro and
urological conditions.
• Perform physical, psychosocial & spiritual assessment.
• Assist in various diagnostic, therapeutic and surgical interventions.
• Provide comprehensive nursing care to patients with nephro and urological conditions.
• Describe the various drugs used in nephro and urological conditions and nurses responsibility.
• Demonstrate skill in handling various equipments & gadgets used for patients with nephro and
urological conditions.
• Appreciate team work & coordinate activities related to patient care.
• Practice infection control measures.
• Identify emergencies and complications & take appropriate measures.
• Assist patients and their family to cope with emotional distress, grief, anxiety and spiritual
needs.
• Discuss the legal and ethical issues in nephro and urological nursing.
• Identify the sources of stress and manage burnout syndrome among health care providers.
• Appreciate the role of alternative system of medicine in the care of patient.
• Incorporate evidence based nursing practice and identify the areas of research in the field of
nephro and urological nursing.
• Teach and supervise nurses and allied health workers.
• Design a layout of kidney transplant unit and dialysis unit.
• Develop standards of nephro-urological nursing practice.
CONTENTS:
Unit I -Introduction:
 Historical development: trends and issues in the field of nephro and urological nursing.
 Nephro and urological problems. Concepts, principles and nursing perspectives. Ethical and
legal issues. Evidence based nursing and its application in nephro and urological nursing (to be
incorporated in all the units.
Unit II -Epidemiology:
 Major health problems- urinary dysfunction, urinary tract infections, Glomuerular disorders,
obstructive disorders and other urinary disorders. Risk factors associated with nephro and
urological conditions- Hereditary, Psychosocial factors, smoking, alcoholism, dietary habits,
cultural and ethnic considerations. Health promotion, disease prevention, life style
modification and its implications to nursing.
 Alternate system of medicine/complementary therapies

Unit III -Review of anatomy and physiology of urinary system:

223
  Embryology. Structure and functions. Renal circulation. Physiology of urine formation. Fluid
and electrolyte balance. Acid base balance. Immunology specific to kidney.
Unit IV -Assessment of diagnostic measures:
 History taking. Physical assessment, psychosocial assessment. Common assessment
abnormalities-dysurea, frequency, enuresis, urgency, hesitancy, hematuria, pain, retention,
burning on urination, pneumaturia, incontinence, nocturia, polyurea, anuria, oliguria.
Diagnostic tests-urine studies, blood chemistry, radiological procedures -KUB, IVP,
nephrotomogram, retrograde pyelogram, renal arteriogram, renal ultrasound, CT scan, MRI,
cystogram, renal scan, biopsy, endoscopy-cystoscopy, urodynamics studies- cystometrogram,
urinary flow study, sphincter electromyography, voiding pressure flow study,
videourodynamics, Whitaker study. Interpretation of diagnostic measures.
 Nurse’s role in diagnostic tests.
Unit V -Renal immunopathy / Immunopathology:
 General Concept of immunopathology. Immune mechanism of glomerular vascular disease.
 Role of mediator systems in glomerular vascular disease.
Unit VI -Urological Disorders and Nursing Management:
 Etiology, clinical manifestations, diagnosis, prognosis, related pathophysiology, medical,
surgical and nursing management of: Urinary tract infections- pyelonephritis, lower urinary
tract infections, Disorders for ureters, bladder and urethra Urinary tract infections. Urinary
dysfunctions- urinary retention, urinary incontinence, urinary reflux, Bladder disorders-
neoplasms, calculi, neurogenic bladder, trauma, congenital abnormalities. Benign prostrate
hypertrophy (BPH.) Ureteral disorders: ureteritis, ureteral trauma, congenital: anomalies of
ureters. Urethral disorders- tumours, trauma, and congenital anomalies of ureters.
Unit VII -Glomueral disorders and nursing management:
 Etiology, c1inical manifestations, diagnosis, prognosis, related pathophysiology, medical,
surgical and nursing management of: Glomueralo-nephritis- chronic, acute nephrotic
syndrome. Acute Renal failure and chronic renal failure. Renal calculi. Renal tumours-benign
and malignant. Renal trauma. Renal abscess. Diabetic [Link] disorders. Renal
tuberculosis. Polycystic. Congenital disorders. Hereditary renal disorders.
Unit VIII -Management of Renal emergencies:
 Anuria. Acute Renal failure, Poisoning. Trauma, Haemturia. Urine retention. Acute graft
rejection.
 Nurse's role.
Unit IX -Drugs used in urinary disorders:
 Classification. Indications, contraindications, actions and effects, toxic effects. Role of nurse.
Unit X -Dialysis:
 Dialysis- Historical, types, Principles, goals. Hemodialysis- vascular access sites- temporary
and permanent. Peritoneal dialysis. Dialysis Procedures- steps, equipments, maintenance. Role
of nurse- pre dialysis, intra and post dialysis. Complications. Counseling and Patient
education, Records and reports.
Unit XI -Kidney transplantation:
 Nursing management of a patient with Kidney transplantation: Kidney transplantations- a
historical review. Immunology of graft rejections. The recipient of a renal transplant. Renal
preservations. Human -Leucocytic Antigen (HLA) typing matching and cross matching in
renal transplantation. Surgical techniques of renal transplantations. Chronic renal transplant
rejection. Complication after KTP: Vascular and lymphatic, Uroloical, cardiovascular, liver
and neurological, infectious complication. KTP in children and management of pediatric
patient with KTP. KTP in developing countries. Results of KTP. Work up of donor and
recipient for renal transplant. Psychological aspect of KTP and organ donations. Ethics in
transplants, Cadaveric transplantation.
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 Unit XII - Rehabilitation of patient with nephrological problems.
 Risk factors and prevention. Rehabilitation of patients on dialysis and after kidney transplant.
Rehabilitation of patients after urinary diversions. Family and patient teaching..
Unit XIII -Pediatric urinary disorders:
 Etiology, clinical manifestations, diagnosis, prognosis, related pathophysiology.
 Medical, surgical and nursing management of children with Renal Diseases -UTI, ureteral
reflux, glomerulc nephritis, nephrotic syndrome infantile nephrosis, cystic kidneys, familial
factors in renal diseases in childhood, Haemolytic uraemic syndrome. Benign recurrent
haemturia, nephropathy, wilms’ tumour.
Unit XIV -Critical care units – dialysis, KTP unit:
 Philosophy, aims and objectives. Policies, staffing pattern, design and physical plan of
Dialysis and KTP units. Team approach, functions. Psychosocial aspects in relation to staff
and clients of ICU, dialysis unit. In-service education. Ethical and legal issues.
Unit XV -Quality assurance in nephrological nursing practice:
 Role of advance practitioner in nephrological nursing. Professional practice standards. Quality
control in nephrological nursing and Nursing audit.

PRACTICAL:
 Procedures to be observed: CT scan, MRI, Radiographic studies, Urodynamics, Hemo
dialysis, Renal Surgeries.
 Procedures to be assisted: Blood transfusion, I.V. cannulation & therapy, Arterial
Catheterization, Insertion of central line / CVP line, Connecting lines for dialysis,
peritoneal dialysis, renal biopsy, Endoscopies- Bladder, urethra.
 Procedures to be Performed :Health assessment, Insertion of urethral and supra pubic
catheters, Urine analysis, Catheterization, Peritoneal dialysis, Bladder irrigation, Care of
ostomies, Care of urinary drainage, Bladder training, Care of vascular access, Setting up
dialysis machine and starting, monitoring & closing dialysis, Procedures for prevention
of infections: Hand washing, disinfection & sterilization surveillance, and fumigation
universal precaution, Collection of specimen. Administration of drugs: 1M, IV injection,
IV cannulation & fixation of infusion pump, calculation of dosages, blood
administration, monitoring fluid therapy, electrolyte imbalance. Nutritional need, diet
therapy, patient education and Counseling.

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 CLINICAL SPECIALITY- II
MEDICAL SURGICAL NURSING
SUB SPECIALITY-NEPHRO-UROLOGY NURSING
Unit
No.
Objectives Contents with distributed Hours
&
Hours
I At the end of unit students are Introduction:
(5 Hrs) able to:  Historical development: trends and issues in the field of nephro and urological
Knowledge: Understand the nursing.
concepts and principles of  Nephro and urological problems
nursing client with nephro-uro  Concepts, principles and nursing perspectives
conditions.  Ethical and legal issues. (2 hrs)
Skill: Practice principles of  Evidence based nursing and its application in nephro and urological nursing (to
nursing while caring for these be incorporated in all the units) (3 hrs)
clients.
Attitude: Provide evidence
based nursing care.
Unit I : Introduction
Course Outcome Program Outcome
Clinician/N Professional Communica Leader and Lifelong Critical Researcher
urse tor member of learner thinker
educator the health
care team and
system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Describe trends and issues in the 2 2 1 2 2 1 2
field of nephro and urological nursing.
CO-2: Explain the nephro and urological 2 2 2 2 2 2 3
problems.
CO-3: Explain concepts, principles and 2 2 2 2 2 2 3
nursing perspectives with nephro-uro
conditions.
CO-4: Understand ethical and legal issues. 2 2 2 2 2 2 2
CO-5: Apply evidence based nursing and its 2 2 2 2 2 2 3
application in nephro and urological
nursing.

II At the end of unit students are able to: Epidemiology:

(5 Hrs) Knowledge: Describe major nephro-uro  Major health problems- urinary dysfunction, urinary tract infections,
problems among populations. Glomuerular disorders, obstructive disorders and other urinary
Skill: Identify the risk factors contributing disorders.
to renal conditions.  Risk factors associated with nephro and urological conditions-
Attitude: Provide health education Hereditary, Psychosocial factors, smoking, alcoholism, dietary
related to lifestyle modification and habits, cultural and ethnic considerations.(3 hrs)
promotion of health to the clients&  Health promotion, disease prevention, life style modification and its
family. implications to nursing.
 (2 hrs)
Alternate system of medicine/complementary therapies
Unit II : Epidemiology
CourseOutcome Program Outcome
Clinician/ Professio Communi Leader Lifelong Critical Researcher

223
 Nurse nal cator and learner thinker
educator member
of the
health
care
team
and
system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Identify the prevelence and risk 2 2 1 2 2 1 2
factors of urinary dysfunction, urinary tract
infections, glomuerular disorders,
obstructive disorders and other urinary
disorders.

CO-2: Exlain the risk factors associated 2 2 2 2 2 2 3

with nephro and urological conditions like
hereditary, psychosocial factors, smoking,
alcoholism, dietary habits, cultural and
ethnic considerations
CO-3: Describe the health promotion, 2 2 2 2 2 2 3
disease prevention, life style modification
and its implications to nursing
CO-4: Discuss about alternate system of 2 2 2 2 2 2 2
medicine/complementary therapies

III At the end of unit students are Review of anatomy and physiology of urinary system:
(5 Hrs) able to:  Embryology (1 hrs)
Knowledge: Recall anatomy  Structure and functions
and physiology of urinary  Renal circulation
system.  Physiology of urine formation
Skill: Identify fluid &  Fluid and electrolyte balance
electrolyte balance needs &  Acid base balance (3 hrs)
provide care accordingly.
 Immunology specific to kidney (1 hrs)
Attitude: Appreciate
anatomical and/or
physiological deviations & its
effects on quality of life.
Unit III: Review of anatomy and physiology of urinary system
Course Outcome Program Outcome
Clinician/ Profession Communic Leader and Lifelong Critical thinker Researcher
Nurse al ator member of learner
educator the health
care team
and system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Describe about 2 2 2 2 2 2 1
embryology of urinary system.
CO-2: Explain the structure and 2 2 2 2 2 2 1
functions of organs of urinary
system: kidneys, ureters, urinary
bladder and urethra
CO-3: Identify the alternation of 2 2 2 2 2 2 1
disease related to kidneys,

224
ureters, urinary bladder and
urethra, and its application in
clinical practice.
CO-4: Descibe about fluid and 2 2 2 2 2 2 1
electrolyte balance, acid base
balance.
CO-5: Discuss the immunology 2 2 2 2 2 2 1
specific to kidney.

IV At the end of unit students are able to: Assessment of diagnostic measures:
(20 Knowledge: Explain the assessment of  History taking.
Hrs) clients with urinary conditions.  Physical assessment, psychological assessment
Skill: Prepare the clients for various  Common assessment abnormalities-dysurea, frequency, enuresis,
investigations. urgency, hesitancy, haemturia, pain, retention, burning on urination,
Collect specimen for different pneumaturia, incontinence, nocturia, polyurea, anuria, oliguria. (5 hrs)
investigations.  Diagnostic tests-urine studies, blood chemistry, radiological procedures
 Interpret the reports of diagnostic tests. -KUB, IVP, nephrotomogram, retrograde pylogram, renal arteriogram,
Assit &/or carry various daignositc Renal ultra sound, CT scan, MRI, cystogram, renal scan, biopsy,
procedures correctly. Attitude: provide endoscopy-cystoscopy, urodynamics studies- cystometrogram, urinary
adequate explanation and relieve flow study, sphincter electromyography, voiding pressure flow study,
anxiety of clients undergoing invasive videourodynamics, Whitaker study. (10 hrs)
diagnostic procedures.  Interpretation of diagnostic measures. (3 hrs)
 Nurse’s role in diagnostic tests.(2 hrs)
Unit IV: Assessment of diagnostic measures
Course Outcome Program Outcome
Clinician/ Professional Communica Leader Lifelong Critical thinker Researcher
Nurse tor and learner
educator member of
the health
care team
and
system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Explain and demostrate 3 3 3 3 3 3 2
the history taking
CO-2: Perform the physical 3 3 3 3 3 3 2
assessment, psychological
assessment
Common assessment
abnormalities
CO-3: Prepare the clients for 3 3 3 3 3 3 2
various diagnostic tests.
CO-4: Interprete the reports of 2 2 2 2 2 2 1
diagnostic measures.
CO-5: Perform the nurse’s role 3 3 3 3 3 3 1
in diagnostic tests.

V At the end of unit students are able to: Renal immunopathy/ Immunopathology:
(5 Hrs) Knowledge: Explain the immune  General Concept of immunopathology (1 hr)
mechanism of glomerular vascular  Immune mechanism of glomerular vascular disease
diseases.  Role of mediator systems in glomerular vascular disease. (4 hrs)
Skill: Identify the role of mediator

225
 systems in glomerular vascular diseases
and the symptomatology related to it.
Attitude: Educate the clients about
normal immune response and the
precautions in autoimmune diseases.
Unit V: Renal immunopathy/ Immunopathology
Course Outcome Program Outcome
Clinician/ Professi Communic Leader and Lifelong Critical thinker Researcher
Nurse onal ator member of learner
educator the health
care team
and system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Explain the immune 2 2 2 1 2 1 1
mechanism of glomerular
vascular diseases
CO-2: Identify the role of 2 2 2 2 2 2 1
mediator systems in
glomerular vascular diseases
and the symptomatology
related to it.
CO-3: Explain the clients 2 2 2 2 2 2 1
about normal immune
response and the precautions
in autoimmune diseases.

VI At the end of unit students are able to: Urological Disorders and Nursing Management:
(15 Knowledge: Describe different Etiology, clinical manifestations, diagnosis, prognosis, related
Hrs) disorders of ureters, bladder, and pathophysiology, medical, surgical and nursing management of:
urethra and their medical, surgical and  Urinary tract infections- pyelonephritis, lower urinary tract infections,
nursing management.  Disorders for ureters, bladder and urethra
Skill: Identify the clients with  Urinary tract infections-
disorders of ureters, bladder and  Urinary dysfunctions- urinary retention, urinary incontinence, urinary
urethra and render efficient care to reflux, (7 hrs)
them.  Bladder disorders- neoplasms, calculi, neurogenic bladder, trauma,
Attitude: Provide relevant health Congenital abnormalities
education related to diet, life style  Benign prostrate hypertrophy (BPH)
modifications and prevention of  Ureteral disorders: ureteritis, ureteral trauma, congenital: anomalies of
recurrence to the clients suffering from
ureters
urological disorders.
 Urethral disorders- tumours, trauma, (6 hrs)
 Congenital anomalies of ureters. (2 Hrs)
Unit VI: Urological Disorders and Nursing Management
Course Outcome Program Outcome
Clinician/Nu Professional Communica Leader Lifelong Critical thinker Researcher
rse educator tor and learner
member
of the
health
care team
and
system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Explain etiology, clinical 3 3 3 3 2 2 3
manifestations, diagnosis, and

226
prognosis, and related
pathophysiology, medical,
surgical and nursing
management of urological
disorders.
CO-2: Identify the clients 3 3 3 3 2 2 3
with disorders of ureters,
bladder and urethra and
render efficient care to them.
CO-3: Give relevant health 3 3 3 3 2 2 3
education related to diet, life
style modifications and
prevention of recurrence to
the clients suffering from
urological disorders.

VII At the end of unit students are able Glomerular disorders and nursing management
(25 to:  Etiology, c1inical manifestations, diagnosis, prognosis, related
Hrs) Knowledge: Understand and pathophysiology, medical, surgical and nursing management of
explain glomerular disorders & its  Glomerulo-nephritis- chronic, acute, nephritic syndrome (3 hrs)
medical, surgical & nursing  Acute Renal failure and chronic renal failure. (2 hrs)
management.  Renal calculi (3 hrs)
Skill: Identify the signs and  Renal tumors-benign and malignant. (2 hrs)
symptoms of different glomerular  Renal trauma. (1 hr)
disorders and render specific care to
 Renal abscess. (1 hr)
these clients.
 Diabetic nephropathy (2 hrs)
Attitude: Help client modify their
diet, life style, to prevent recurrence  Vascular disorders (3 hrs)
and promote renal health.  Renal tuberculosis (2 hrs)
 Polycystic (2 hrs)
 Congenital disorder’s (2 hrs)
 Hereditary renal disorders. (2 hrs)

Unit VII: Glomerular disorders and nursing management

Course Outcome Program Outcome
Clinician/Nur Professional Communic Leader Lifelong Critical Researcher
se educator ator and learner thinker
member
of the
health
care team
and
system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Explain etiology, 3 3 3 3 2 2 3
c1inical manifestations,
diagnosis, prognosis, related
pathophysiology, medical,
surgical and nursing
management of glomerular
disorders.
CO-2: Identify the signs and 3 3 3 3 2 2 3
symptoms of different
glomerular disorders and
render specific care to these

227
clients.
CO-3: Demonstrate and 3 3 3 3 2 2 3
prepare the client modify
their diet, life style, to
prevent recurrence and
promote renal health.

VIII At the end of unit students are able to:  Management of Renal emergencies:
(10 Knowledge: Discuss renal emergencies  Anuria (2 hrs)
Hrs) & its management.  Acute renal failure,
Skill: Recognize renal emergencies &  Poisoning (2 hrs)
provide competent care.  Trauma,
Attitude: Equip self with modern  Urine retention (2 hrs)
therapies used in the treatment of renal
 Acute graft rejection
emergencies.
 Hematuria (2 hrs)
 Nurse’s role. (2 hrs)

Unit VIII: Management of Renal emergencies

Course Outcome Program Outcome
Clinician/N Professional Communi Leader and Lifelong Critical thinker Researcher
urse cator member of learner
educator the health
care team
and system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Explain renal 2 2 2 2 2 3 1
emergencies & its
management.
CO-2: Recognize renal 2 2 2 2 2 3 1
emergencies & provide
competent care
CO-3: Prepare self with 2 2 2 2 2 3 1
modern therapies used in the
treatment of renal
emergencies.

IX At the end of unit students are able to: Drugs used in urinary disorders:
(10 Knowledge: Understand different groups of  Classification (3 hrs)
Hrs) drugs used in the urinary disorders.  Indications, contraindications, actions and effects, toxic effects
Skill: Interpret the effects of various drugs (5hrs)
administered.  Role of nurse. (2 hrs)
Attitude: Recognize record & report the
effects of drugs.
Unit IX: Drugs used in urinary disorders
Course Outcome Program Outcome
Clinician/Nurse Professio Commun Leader Lifelong Critical thinker Researcher
educator nal icator and learner
member
of the
health
care team
and
system

228
 PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Understand different 2 2 2 2 1 2 1
groups of drugs used in the
urinary disorders
CO-2: Interpret the effects of 2 2 2 2 1 2 1
various drugs.
CO-3: Recognize record & 2 2 2 2 1 2 1
report the effects of drugs.

X At the end of unit students are able to: Dialysis:

(10 Knowledge: Discuss dialysis, preparation  Dialysis- Historical, types, Principles, goals (2 hrs)
Hrs) & care of patients undergoing dialysis.  Hemodialysis- vascular access sites- temporary and permanent.
Skill: Identify the needs of the clients  Peritoneal dialysis.
treated with dialysis and render effective  Dialysis Procedures- steps, equipments, maintenance
pre, intra and post dialysis care & maintain  Role of nurse- pre dialysis, intra and post dialysis.
accurate adequate records of clients  Complications.
undergoing dialysis.
 Counseling.
Attitude: Provide necessary health
 Patient education.
education on life style modification & care
 Records and reports. (8 hrs)
of vascular access sites.

Unit X: Dialysis

Course Outcome Program Outcome

Clinician/Nur Professional Communica Leader and Lifelong Critical thinker Researcher

se educator tor member of learner
the health
care team and
system
PO1 PO2 PO3 PO4 PO5 PO6 PO7

CO-1: Explain dialysis in terms 3 3 3 2 2 2

of history, types, principles,
goals.
CO-2: Discuss dialysis, 3 2 2 2 2 2 3
preparation & care of
patients undergoing dialysis.
CO-3: Identify the needs of 3 2 2 2 2 2 3
the clients treated with
dialysis and render effective
pre, intra and post dialysis
care & maintain accurate
adequate records of clients
undergoing dialysis.
CO-4: Prepare necessary 3 2 2 2 2 2 3
health education on life style
modification & care of
vascular access sites.

229
 XI At the end of unit students are able to: Kidney transplantation
(10 Knowledge: Understand and explain the Nursing management of a patient with Kidney transplantation:
Hrs) procedure of kidney transplant and  Kidney transplantation a historical review
preparation for and post operative care of  Immunology of graft rejections
the clients with kidney transplant.  The recipient of a renal transplant (1 hr)
Skill: Identify the bio psychosocial needs  Renal preservations
of client undergoing kidney transplant.
 Human –Leucocytic Antigen (HLA) typing matching and cross
 Render competent care to the clients with
kidney transplant. matching in renal transplantation.
 Recognize early signs of transplant  Surgical techniques of renal transplantations.
rejection, report & intervene promptly.  Chronic renal transplant rejection.
Attitude: Educate the client, family  Complication after KTP: Vascular and lymphatic, Urological,
members with kidney transplant. cardiovascular, liver and neurological, infectious complication.
 KTP in children and management of pediatric patient with KTP.
 KTP in developing countries. (5 hrs)
 Results of KTP.
 Work up of donor and recipient for renal transplant.
 Psychological aspect of KTP and organ donations.(2 hrs)
 Ethics in transplants
 Cadaveric transplantation.(2 hrs)

Unit XI: Kidney transplantation

course outcome Program outcome

Clinician/N Professional Communicat Leader and Lifelong Critical thinker Researcher

urse or member of the learner
educator health care
team and
system
PO1 PO2 PO3 PO4 PO5 PO6 PO7

CO-1: Understand and 3 2 2 2 2 2 3

explain the procedure of
kidney transplant and
preparation for and post
operative care of the clients
with kidney transplant
CO-2: Identify the bio 2 2 2 2 2 2 2
psychosocial needs of client
undergoing kidney
transplant.
 CO-3: Formulate competent 3 2 2 2 2 3 2
care to the clients with
kidney transplant.

CO-4: Recognize early signs 3 3 2 2 2 3 3

of transplant rejection,
report & intervene promptly
CO-5: Prepare the client, 3 3 2 2 2 3 3
family members with kidney
transplant.

230
 XII At the end of unit students are able Rehabilitation:
(5 Hrs) to:  Rehabilitation of patient with nephrological problems. Risk factors and
Knowledge: Understand and explain prevention.(1 hr)
the need of rehabilitation.  Rehabilitation of patients on dialysis and after kidney transplant. (2 hrs)
Skill: Initiate& Participate in  Rehabilitation of patients after urinary diversions. (1 hr)
rehabilitation of client undergoing  Family and patient teaching.
dialysis & kidney transplant. (1 hr)
Attitude: Educate clients and their
families on care & modification in
lifestyle.
Unit XII: Rehabilitation
Program outcome
Clinician Profession Communicat Leader and Lifelong Critical thinker Researcher
/Nurse al or member of learner
educator the health
care team
and system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Understand and 3 2 2 2 2 2 3
explain the need of
rehabilitation.

CO-2: Demonstrate & 3 2 2 2 2 2 3

Participate in rehabilitation
of client undergoing dialysis
& kidney transplant.

CO-3: Explain clients and 3 2 2 2 2 2 3

their families on care &
modification in lifestyle.

XIII At the end of unit students are able to: Pediatric urinary disorders
(10 Knowledge: Describe the  Etiology, clinical manifestations, diagnosis, prognosis, related
Hrs) management modalities for the pathophysiology, medical , surgical and nursing management of children with
children with renal diseases. Renal Diseases -UTI, ureteral reflux, glomerulo nephritis, nephrotic syndrome
Skill: Identify renal diseases in infantile nephrosis, cystic kidneys,familial factors in renal diseases in
children and render effective care. childhood, Haemolytic uraemic syndrome. tumour
Prepare children for different
diagnostic & treatment procedures.
Attitude: Educate care giver about
lifestyle modification required by
children with renal disorders.
Unit XIII: Pediatric Urinary Disorders
Course Outcome Program Outcome
Clinician/ Professional Communi Leader and Lifelong Critical thinker Researcher
Nurse cator member of learner
educator the health
care team
and system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Describe the 3 2 2 2 2 2 3
management modalities for
the children with renal
diseases.

231
CO-2: Identify renal diseases 3 2 2 2 2 2 3
in children and render
effective care. Prepare
children for different
diagnostic & treatment
procedures.
CO-3: Demontrate care giver 3 2 2 2 2 2 3
about lifestyle modification
required by children with
renal disorders.

At the end of unit students are Critical care units – dialysis, KTP unit
able to:  Philosophy, aims and objectives. (1 hr)
Knowledge: Describe the  Policies Staffing pattern, design and physical plan of Dialysis and KTP units.
equipment and requirements
of the dialysis and KTP units. (1 hr)
 Team approach, functions
XIV Skill: Participate in  Psychosocial aspects in relation to staff and clients of ICU, dialysis unit. (1 hr)
establishing policies,
(5 Hrs) procedures in dialysis and
 In-service education. (1 hr)
KTP units.  Ethical and legal issues. (1 hr)
Attitude: Provide fruitful
suggestions for improvement
in the functioning and the
dialysis and KTP units.
Unit : Critical care units – dialysis, KTP unit
course outcome Program outcome
Clinician/N Professional Commun Leader Lifelong Critical thinker Researcher
urse icator and learner
educator member
of the
health
care team
and
system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Describe the 2 2 2 2 1 1 1
equipment and requirements
of the dialysis and KTP
units.
CO-2: Explain about 2 2 2 2 1 1 1
establishing policies,
procedures in dialysis and
KTP units.
CO-3: Select fruitful 3 2 2 2 2 2 1
suggestions for improvement
in the functioning and the
dialysis and KTP units.

At the end of unit students are able to:  Quality assurance in nephrological nursing practice. (1 hr)
Knowledge: Explain the quality assurance  Role of advance practitioner in nephrological nursing. (1hr)
XV
and role of advance nurse practitioner in  Professional practice standards. (1 hr)
(5 Hrs)
nephrological nursing.  Quality control in nephrological nursing.(1 hr)
Skill: Establish and practice professional  Nursing audit.(1 hr)
practice standards in nephrological
nursing.

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 Attitude: Perform nursing audit in
nephrology unit.
Unit XV: Quality assurance
course outcome Program outcome
Clinician/N Professional Communica Leader and Lifelong Critical Researcher
urse tor member of learner thinker
educator the health
care team
and system
PO1 PO2 PO3 PO4 PO5 PO6 PO7
CO-1: Explain the quality 2 3 2 2 2 2 1
assurance and role of
advance nurse practitioner in
nephrological nursing.

CO-2: Formulate and practice 3 3 2 2 2 2 1

professional practice
standards in nephrological
nursing.

CO-3: Elaborate nursing 3 3 2 2 2 2 1

audit in nephrology unit.

TEACHING STRATEGY:
Total Hours: 1110 Theory Hours: 150 Clinical Hours: 960

TEACHING METHOD:
 Lectures, Seminars, Case presentation & discussion, Clinical observation , SISA, IDCD and Syndicate
Journal Club
A.V. AIDS:
 OHP, LCD, Posters, Blackboard, Video Assisted Teaching / Learning ,

AREA ANDDISTRIBUTION OF CLINICAL HOURS:

Sr. No. Dept / Unit No. of weeks Total hours
1 Nephrology Ward 6 180
2 Pediatrics 2 60
3 Critical Care Unit 2 60
4 Urology Ward 6 180
5 Dialysis Unit 4 120
6 Kidney Transplantation Unit 2 60
7 URO OT 2 60
8 Emergency Wards 2 60
9 Uro Nephro OPDs 4 120
10 Diagnostic Labs 2 60
Total 32 weeks 960 hours

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ASSIGNMENTS:
Theory:
Sr. No. Assignment No./Quantity Marks per Assignment Total Marks
1 Seminar Four 1X50 200
Total Marks 200
Practical:
Sr. No. Assignment No./Quantity Marks per Assignment Total Marks
1 Teaching learning module preparation One 1X25 25
(Group work)
2 Case study One 1X25 25
3 Case Presentation One 1X50 50
4 Nursing Care Plans Two 1X25 50
5 Speciality Drugs Study (Minimum 20 One 1X50 50
drugs)
6 Speciality Procedure Evaluation Two 1X25 50
7 Clinical Performance Evaluation One 1X100 100
8 Specific Day celebrations (group work) One 1X25 25
Total Marks 375

RECOMMENDED BOOKS:
 Text Book of Medical Surgical Nursing – Brunner and Suddarth.
 Medical Surgical Nursing – Clinical Positive Out – Joyce and Black.
 Medical Surgical Assessment and Management of clinical problems – Lewis, Colliner.
 Medical Surgical Nursing an integrated approach – Write L. and Delmar.
 Pharmacology and Pharmacotherapeutics – Satoskat and Bhandarkar.
 Text book of medical surgical nursing, S.N. Chugh, Avichal Publishing Company.

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