[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 214

INDIANNURSINGCOUNCIL NOTIFICATION
NewDelhi,the5thJuly, 2021
[INDIANNURSINGCOUNCIL{REVISEDREGULATIONSANDCURRICULUMFORB.SC.(NURSING) PROGRAM),
REGULATIONS, 2020]
F.No.11-1/2019-INC.—Inexerciseofthepowersconferredby sub-section(1)ofSection16oftheIndianNursing
CouncilAct,1947(XLVIIIof1947), asamendedfromtimetotime,theIndianNursingCouncilhereby makesthefollowing
regulations namely:—
SHORTTITLEANDCOMMENCEMENT
i. TheseRegulationsmaybecalledTheIndianNursingCouncil(RevisedRegulationsandCurriculumforB.Sc. (Nursing)
Program) Regulations, 2020.
ii. TheseRegulationsshallcomeintoforceonthedateofnotificationofthesameintheofficialGazetteofIndia.

DEFINITIONS
IntheseRegulations,unlessthecontextotherwiserequires,
i. ‗theAct‘meanstheIndianNursingCouncilAct,1947(XLVIIIof1947)asamendedfromtimetotime;
ii. ‗theCouncil‘meanstheIndianNursingCouncilconstitutedundertheActof1947;
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)‘meansthefouryearB.Sc.(Nursing)DegreequalificationinNursingrecognizedbytheCouncil 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. ‗SchoolofNursing‘meansarecognizedtraininginstitutionforthepurposeofteachingoftheGNMcourse;
vii. ‗College‘meansarecognizedtraininginstitutionforthepurposeoftrainingandteachingoftheB.Sc.(Nursing) course;
viii. ‗CNE‘meansContinuingNursingEducationtobecompulsorilyundergonebytheRN&RM/RANM/RLHVfor renewal of
registration after every 5 (five) years.

I. INTRODUCTIONOFTHEPROGRAM
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-basedsystemisapplicabletoelectivesonlyandisofferedintheformofmodules.Modularlearningisalsointegrated in the
foundational as well as core courses that is mandatory.
The programprepares 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 areemphasized.
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.
215 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

II. PHILOSOPHY
TheCouncilbelievesthat:
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 andrespecthuman differencesanddiversity ofpopulationwithin society andprovideethical care withrespectand
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 otherhealth
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
aspectsofcaretopeopleacross thelifespanin awidevariety ofhealthcare settings.Nursingpracticeisbased onacquisition 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 offersqualified
nurses and midwives a wealth of opportunities in the field of practice, education, management and research inIndia 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 intermsofelectivecourses.Theprogrampreparesitsgraduatesto become exemplary citizensby adheringto
codeofethicsandprofessionalconductatalltimesinfulfilling personal,socialandprofessionalobligations soastorespond 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
mainrolesofgraduateswouldbeproviderofcarewithbeginningproficiencyindeliveringsafecare,coordinator/managerof 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 ofcritical
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
Theaimsoftheundergraduateprogramare 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. Preparethemtoassumeroleofpractitioner,teacher,supervisorandmanagerinallhealthcaresettings.

OBJECTIVES
OncompletionoftheB.Sc.Nursingprogram,theB.Sc.nursinggraduateswillbeable to
1. Utilize critical thinking to synthesize knowledge derived from physical, biological, behavioural sciences, and
humanities, in the practice of professional nursing and midwifery.
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 216
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2. Practiceprofessionalnursingandmidwiferycompetentlyandsafelyindiversesettings,utilizingcaring,criticalthinking and
therapeutic nursing interventions with individuals, families, populations and communities at any developmental stage
and with varied lived health experiences.
3. Providepromotive,preventiveandrestorativehealthservicesinlinewithnationalhealthpoliciesandprograms.
4. Integrate professional caring into practice decisions that encompass values, ethical, and moral and legal aspects of
nursing.
5. Respectthedignity,worth,anduniquenessofselfandothers.
6. Apply concepts of leadership, autonomy and management to the practice of nursing and midwifery to enhance quality
and safety in health care.
7. Utilizethelatestknowledgeandskillsrelatedtoinformationandtechnologytoenhancepatientoutcomes.
8. Communicateeffectivelywithpatients,peers,andallhealthcareproviders.
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. Integrateresearchfindingsandnursingtheoryindecisionmakinginevidence-basedpractice.
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. Participateintheadvancementoftheprofessiontoimprovehealthcareforthebettermentoftheglobalsociety.

IV. CORECOMPETENCIESFORNURSINGANDMIDWIFERYPRACTICEBYB.Sc.GRADUATE
{Is adaptedfromNLNModelandMassachusetts: NurseoftheFuture–CoreCompetencies(2016)asshowninfigure
1}
TheB.Sc.Graduatenursewillbeableto:
1. Patientcenteredcare:Provideholisticcarerecognizingindividualpatient‘spreferences,valuesandneeds,thatis
compassionate, coordinated, age and culturally appropriate safe and effective care.
2. Professionalism:Demonstrateaccountabilityforthedeliveryofstandard-basednursingcareaspertheCouncil standards that
is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles.
3. Teaching&Leadership:Influencethebehaviorofindividualsandgroupswithintheirenvironmentandfacilitate 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. HealthinformaticsandTechnology:Usetechnologyandsynthesizeinformationandcollaboratetomakecritical decisions
that optimize patient outcomes.
6. Communication:Interacteffectivelywithpatients,familiesandcolleaguesfosteringmutualrespectandshared decision
making to enhance patient satisfaction and health outcomes.
7. TeamworkandCollaboration:Functioneffectivelywithinnursingandinterdisciplinaryteams,fosteringopen
communication, mutual respect, shared decision making, team learning and development.
8. Safety:Minimizeriskofharmtopatientsandprovidersthroughbothsystemeffectivenessandindividualperformance.
9. Quality improvement: Use datato monitor the outcomesof care processes and utilizeimprovement methods to design
and test changes to continuously improve the quality and safety of healthcare system.
10. Evidencebasedpractice:Identify,evaluateandusethebestcurrentevidencecoupledwithclinicalexpertiseand consideration
of patient‘s preferences, experience and values to make practical decisions.
 217 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

CORECOMPETENCIESREQUIREDFORPROFESSIONALNURSINGAND
MIDWIFERY PRACTICE IN ALL PRACTICE SETTINGS

Figure1.Corecompetenciesfor nursingand midwifery practiceby B.Sc.NursingGraduate {AdaptedfromNLNModeland

Massachusetts: Nurse of the Future – Core Competencies (2016)}

V. GUIDELINESREGARDINGMINIMUMPRE-REQUISITESFORGRANTINGSUITABILITYFORB.Sc.
(NURSING) COLLEGE OF NURSING
1. ThefollowingOrganizations/Establishmentsareeligibletoestablish/openaB.Sc.(Nursing)CollegeofNursing:
a) CentralGovernment/StateGovernment/LocalBody;
b) RegisteredPrivateorPublicTrust;
c) OrganizationsRegisteredunderSocietiesRegistrationActincludingMissionaryOrganizations;
d) CompaniesincorporatedunderSection8ofCompany‘sAct.
2. The eligible Organizations/Establishments should have their own 100 bedded Parent Hospital.
ProvidedthatinrespectofTribalandHillyAreatherequirementofownParentHospitalisexempted.
a) TribalArea–Schedulednotifiedarea[AreasasthePresidentofIndiamaybyorderdeclaretobeScheduled Areas];
b) HillyArea–UTsofJammu&KashmirandLadakh,NorthEasternStates,HimachalPradeshandUttarakhand.
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.
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4. After receipt of the Essentiality Certificate/No objection Certificate, the eligible institution shall getrecognition 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, Clinicaland Infrastructuralfacilities in conformity withRegulations framed under the
provisions of the Act.
*Providedthattraininginstitutionsshallapplyforstatutoryinspection,underSection13oftheAct,tothe Council within
6 months from obtaining recognition from the SNRC.

1. ParentHospital(Unitary/SingleHospital)
CollegeofNursingshouldhave100beddedparent/ownhospitalwhichiscompulsoryrequirement.
ParentHospitalforanursinginstitutionhavingthesameTrust/Society/Companywhichhasestablishedthenursing 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 ahospital
either owned and controlled by the Trust/Society/Company or managed and controlled by
atrustee/member/directoroftheTrust/Society/Company.Incasetheownerofthehospitalisatrustee/member/director
oftheTrust/Society/Company,thenthehospitalwouldcontinuetofunctionasa‗ParentHospital‘tillthelifeofthe nursing institution.
TheUndertakingwouldalsobetotheeffectthatthetrustee/member/directoroftheTrust/Society/Companywould
notallowthehospitaltobetreated‗Parent/AffiliatedHospital‘toanyothernursinginstitutionandwillbeforminimum
30years[i.e.,signedbyalltrustees/members/directorsofTrust/Society/Company]totheUndertakingtobesubmitted 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
institutiontoconductnursingcourses,then,thepermission/suitabilitygrantedwouldlastaslongasthesaid hospital is attached
as a ―Parent Hospital‖.
b) Incasethetrustee/member/directoroftheTrust/Society/CompanywithdrawstheUndertakinggiven,inthatcase
eventhepermission/suitabilityletterissuedwouldbedeemedtohavelapsed/standwithdrawnwithimmediate effect.

2. ChangeofTrust/Society
 TheTrust/SocietycannotbepurchasedasperIndianTrustAct,buttherecanbechangeoftrustees/members.
Itisthereforethepurchaseofinstitutionorchangeofmembershipwillnotbeconsideredforcontinuationof
theprogram.Theinstitutionwhichispurchased/takenoverwillbeconsideredasclosed.AndafreshGovt. 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
ambitofoneTrust/Society.Itistherefore,aTrust/Societycanopenonlyonenursinginstitutioninone city/town.
 Ifalreadyan institution is existing in that city ortown with an abbreviated name (e.g R K College ofNursing)
thenanotherinstitutionwithexpandedname(RamaKrishnaCollegeofNursing)willnotbeallowed).
 NotwoInstitutionswillhavesamenameinsamecity/town.

3. ChangeofAddress
SNRC shall issue a certificate, certifying the fact that the nursing institution is being shifted to the new
building/premisesattheaddressindicated.Thecertificateissuedshouldindicateclearlycompleteaddress.The
certificateissuedshouldindicateclearlythetotalcoveredareaofthenursinginstitution,ownerofthenursing 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.
219 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

4. ChangeofLocation(District/Town/City/Village)shallbeconsideredundernewproposal,i.e.freshEssentiality Certificate
from theStateGovernmentand recognitionfrom theSNRC is mandatory.
5. StrictComplianceoftheSyllabusprescribedbytheCouncil
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-startoftheNursingPrograms
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
conductingtheinspectiontheywillnotbecoveredunderthenewguidelineswithregardtoParentHospital.However,
theaboverelaxationwillbeapplicableonlyforfiveyears.Incasetheproposalissubmittedafter5yearsfromtheyear of closure, it has
to submit a fresh proposal with due Essentiality Certificate from the State Government and
recognitionfromtheSNRC.Insuchcasesthenewguidelineswithregardstoparenthospitalandcalendarofeventsshallbe applicable.

7. ChangeofNameoftheInstitution
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-inspectionapplicationshallbeconsideredonlytwotimes.Iftheinstitutionisfounddeficientevenafterthat,
thentheinstitutionshallhavetosubmitaproposalforSuitabilityunderSection13&14oftheActonlinewithin5 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. NumberofSanctionedSeats
 Maximum of 100 seats will be sanctioned for the B.Sc. (Nursing) program for which institute must have parent
MedicalCollegeorparenthospitalhaving300bedsorabovesubjecttoteachingandphysicalfacilities available for B.Sc.
(Nursing) program.
 Maximumof60seatswillbesanctionedfortheinstitutionwithparenthospitalhavinglessthan300bedson the basis of
teaching and physical facilities for B.Sc. (Nursing) program.

10. EnhancementofSeats
InspectionforEnhancementofseatsunderSection13oftheActshallbeconductedonlyonceinanacademicyear i.e., only one
application/proposal shall be accepted, in one academic year. Further, SNRC approval is mandatory for enhancement of
seats.

11. BondSystem
Taking service bonds from students and forcefully retaining their Original Certificates is viewed as an Unethical
PracticebytheCouncil.IfanysuchpracticecomestothenoticeoftheCouncil,appropriateactionunderSection14of the Act will be
taken against the erring institution.
MINIMUMREQUIREMENTSOFPHYSICALFACILITIES
RegulationspertainingtoBuildingandLaboratories
(i) SchoolandCollegeofnursingcansharelaboratories,iftheyareinsamecampusundersamenameandunder same
Trust/Society/Company, that is the institution is one but offering different nursing programs. However they
shouldhaveequipmentsandarticlesproportionatetothestrengthofadmission.Theclassroomsshouldbe available as per the
requirement stipulated by the Council for each program.
(ii) Further,twosameprogramsbythesameinstitute/Trust/Society/Companyisnotallowedinthesamecampus.
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(iii) Thenursinginstitutioncanhaveallthenursingprogramsinthesamebuildingbutwithrequisiteprogramwise infrastructure.
However, laboratories can be shared.
(iv) IftheTrust/Society/Companyhassomeothereducationalprograms,thenursingprogramshallbeinseparate block/floor with
prescribed sq.ft. area.
(v) Nursingprogrammaybeinhospitalpremiseswithaconditionthatitshallbeinseparateblock/floorwithprescribed sq.ft. area.
(vi) LongleasebytheGovernmentwillbeconsidered.However,rentedbuildingshallnotbeconsideredastheirown building.
(vii) Itismandatorythatinstitutionshallhaveitsownbuildingwithintwoyearsofitsestablishment.
(viii) OwnBuilding/Lease/RentedBuilding:
a) Ifoneofthetrustee/member/directoroftheTrust/Society/Companydesirestoleasethe buildingownedbyhim fornursing
program,it should be fora period of30 years. It should also be ensured that lease deed that is
enteredintobetweentheTrust/Society/Companyandthetrustee/member/director,owningthebuilding,
shouldcontainaclausethattheleasedeedcannotbeterminatedforaperiodof30years.
Further, it is clarified that, for a Nursing Institution (Managed by a Trust/Society/Company), own
buildingwouldbeabuildingeitherownedandcontrolledbytheTrust/Society/Companyorownedandcontrolledby 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/Companyfor30years,itwillbeconsideredasownbuildingofthenursinginstitution.
b) AdulyregisteredgiftdeedofthebuildinginfavoroftheTrust/Society/Companyshouldbeconstruedtobe
―ownbuilding‖.
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 asown
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) Incasesofirrevocablepowerofattorney,documentsofthebuildingshouldbedulyregisteredasperlaw.
d) Penalty for not having own building: Institutions which do not have their own building within two years of
establishmenthastopaythepenaltyfornothavingtheownbuilding.ThepenaltyfeesisRs.1Lakhfor B.Sc.
(Nursing)Program for6consecutiveyears.Evenafter6yearsiftheinstitutiondoesnothaveown
buildingthenactionshallbetakenunderSection14oftheAct.However,aleaseof30yearsispermissible with the
trustee/member/director of the Trust/Society/ Company.

A. TEACHINGBLOCK
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.
Thedetailsoftheconstructedareaaregivenbelowforadmissioncapacityof60students.

S.No. TeachingBlock Area(insq.ft.)

4@900=
1 LectureHall
3600
2 SkillLab/SimulationLaboratory
i.NursingFoundationincludingAdultHealthNursing&AdvancedNursingLab 1600
ii.CommunityHealthNursing&NutritionLab 1200
iii.ObstetricsandGynaecologyNursingLab 900
iv.ChildHealthNursingLab 900
v.Pre-ClinicalScienceLab 900
3 ComputerLab* 1500
4 A.V.AidsRoom 600
221 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

5 MultipurposeHall 3000
6 CommonRoom(MaleandFemale) 1000
7 StaffRoom 800
8 PrincipalRoom 300
9 VicePrincipal Room 200
10 Library 2300
5@200=
11 OneRoomforeachHeadofDepartments
1000
12 FacultyRoom 2400
13 ProvisionsforToilets 1000
TotalConstructedArea 23200sq.ft.
*Note:1:5computerstudentratioasperstudentintake.
Note:
i. Nursingeducationalinstitutionshouldbeininstitutionalareaonlyandnotinresidentialarea.
ii. If the institute has non-nursing program in the same building, nursing program should have separate teaching
block.
iii. Shift-wisemanagementwithothereducationalinstitutionswillnotbeaccepted.
iv. Separateteachingblockshallbeavailableifitisinhospitalpremises.
v. Proportionatelythesizeofthebuilt-upareawillincrease/decreaseaccordingtothenumberofseatsapproved.
vi. Thedistancebetweentwonursingcollegesshallbemorethan10kilometres.

1. ClassRooms
There should be at least four classrooms with the capacity of accommodating the number of students admitted eachyear.
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 white/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 of5500
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) CommunityHealthNursingPracticeLaboratory &NutritionLaboratory: It shouldhaveallrequiredarticles neededfor
practicing nursing procedures in a community set-up. The laboratory should give appearance of that of a rural setting,
withcommunitymaps,recordsputondisplay&cupboards.Thelaboratoryequipmentandarticlesmentionedinthe
―Laboratory EquipmentandArticles‖ publishedbythe Councilshould be available.
The Nutrition Laboratory should have facilities for imparting basic knowledge of various methods of cooking for the
healthyaswellasforthesick.Thefurnishingandequipmentshouldincludeworktables,cookingcutlery,trays,and
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 222
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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. Thelaboratory
equipment and articles mentioned in the ―Laboratory Equipment and Articles‖ published by the Council should be
available.
c) ObstetricsandGynaecologyLaboratory:Thelaboratoryshouldhaveequipmentandarticlesasmentionedin
―LaboratoryEquipmentandArticles‖publishedbytheCouncil.
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) ComputerLaboratory:It shallhaveminimumcomputersin theratioof1:5(computer:students)i.e.,12computersfor 60
students‘ intake. The laboratory equipment and articles mentioned in the ―Laboratory Equipment and Articles‖
published by the Council should be available.
3. MultipurposeHall
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.
Itshouldhavecomfortableseatingarrangementsforhalfofthetotalstrengthofthestudentsandteachersinthecollege.
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-VisualAidsRoom&StoreRoom
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. OtherFacilities
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
Garageshouldaccommodatea50seatervehicle.
223 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

8. FireExtinguisher
Adequateprovisionforextinguishingfireshouldbeavailableasperthelocalbye-laws.

9. Playground
Playgroundshouldbespaciousforoutdoorsportslikevolleyball,football,badmintonandforathletics.

B. HOSTELBLOCK
Adequatehostel/residentialaccommodationforstudentsandstaffshouldbeavailableinadditiontothementionedbuilt- up area of
the Nursing College respectively.
HostelBlock(60Students)
S.No. HostelBlock Area(insq,ft.)
1. SingleRoom 12000(50sq.ft.foreachstudent)
DoubleRoom
2. Sanitary OneLatrine&OneBathRoom(for5students)–600×4= 2400
3. VisitorRoom 500
4. ReadingRoom 250
5. Store 500
6. RecreationRoom 500
7. DiningHall 3000
8. Kitchen&Store 1500
9. Warden‘sroom 450
Total 21100sq.ft.

GrandTotalofConstructedArea
TeachingBlock 23200sq.ft.
HostelBlock 21100sq.ft.
GrandTotal 44300sq.ft.
{Note:Minimumprovisionofhostelaccommodationfor30%ofthetotalstudent'sintakeiscompulsoryforthe institution and
accordingly the staff for hostel shall be provided as prescribed in the syllabi.}

HostelFacilities
Thereshouldbeaseparatehostelforthemaleandfemalestudents.Itshouldhavethefollowingfacilities:

1. Pantry
Onepantryoneachfloorshouldbeprovided.Itshouldhavewatercoolerandheatingarrangements.

2. Washing&IroningSpace
Facilityfordryingandironingclothesshouldbeprovidedoneachfloor.

3. Warden’sRoom
Warden should be provided with a separate office room besides her residential accommodation. Intercom facility with
College & hospital shall be provided.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 224
ण
4. Telephone
Telephonefacilityaccessibletostudentsinemergencysituationshallbemadeavailable.

5. Canteen
Thereshouldbeprovisionforacanteenforthestudents,theirguests,andallotherstaff 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.

StafffortheHostel
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:Forevery20studentsforeachshift.
3. Kitchen&DiningRoomhelper–1:Forevery20studentsforeachshift.
4. Sweeper–3
5. Gardener–2
6. SecurityGuard/Chowkidar–3

CLINICALFACILITIESfor60students
1. Parenthospital
CollegeofNursingshouldhavea100beddedParent/OwnHospital.
2. AdditionalAffiliationofHospital
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. CriteriaforAffiliation
Thetypesofexperienceforwhichanursingcollegecanaffiliateare:
 CommunityHealthNursing
 MentalHealth(Psychiatric)Nursing
 SpecialtylikeCardiology,Neurology,OncologyNephrology,Orthopaedics,communicable/infectiousdiseaseetc.
 Obstetrics,Gynaecology,Paediatricsetc.

b. ThesizeoftheHospitalforAffiliation
 Shouldnotbelessthan50bedsapartfromhavingownhospital
 Bedoccupancyofthehospitalshouldbeminimum75%
3. ClinicalrequirementsforNursingprogramareasgivenbelow:
S.No. AreasofClinicalExperience NumberofBeds
1 Medicine 50
2 SurgeryincludingOT 50
3 Obstetrics&Gynaecology 50
225 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

4 Paediatrics 30
5 Orthopaedics 15
6 Emergencymedicine 10
7 Psychiatry 20
4. Additional/OtherSpecialties/Facilitiesforclinicalexperiencerequiredareasfollows:
 CommunityHealthNursing–own/affiliatedruralandurbancommunityhealthcentre
 Major OT
 Minor OT
 Dental,Otorhinolaryngology,Ophthalmology
 BurnsandPlastic
 Neonatologycareunit
 Communicabledisease/Respiratorymedicine/TB&chestdiseases
 Dermatology
 Cardiology
 Oncology/Neurology/Neuro-surgery
 Nephrology
 ICU/ICCU
 GeriatricMedicine
 Anyotherspecialtyaspersyllabusrequirements

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. TheParent/affiliatedHospitalshouldgivestudentstatustothecandidatesofthenursingprogram.
iv. MaximumDistancebetweenaffiliatedhospitals&institutionsshouldnotbemorethan30kms.
v. ForHilly&Tribalthemaximumdistancecanbe50 kms.
vi. 1:3studentpatientratiotobemaintained.
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 1/6 th 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. CommunityHealthNursingFieldPracticeArea
Thestudents shouldbe sentfor community healthnursing experienceinurban aswellasrural fieldarea.Theinstitution 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 theprincipal. The security
of staff and students should be ensured.

ANTI-RAGGING
Anti-raggingguidelinesaspergazettenotificationshallbefollowed.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 226
ण
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.

TEACHINGFACULTY
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&ExperienceofTeachersofCollegeofNursing
S.No. Post,Qualification&Experience

1 PrincipalcumProfessor-EssentialQualification:M.Sc.(Nursing)
Experience: M.Sc. (Nursing) having total 15 years‘ experience with M.Sc. (Nursing) out of which 10
years after M.Sc. (Nursing) in collegiate program.
Ph.D.(Nursing)isdesirable

2 Vice-PrincipalcumProfessor-EssentialQualification:M.Sc.(Nursing)
Experience: M.Sc. (Nursing) Total 12 years‘ experience with M.Sc. (Nursing) out of which 10 years
teaching experience after M.Sc. (Nursing)
Ph.D.(Nursing)isdesirable

3 Professor-EssentialQualification:M.Sc.(Nursing)
Experience: M.Sc. (Nursing) Total 12 years‘ experience with M.Sc. (Nursing) out of which 10 years
teaching experience after M.Sc. (Nursing).
Ph.D.(Nursing)isdesirable

4 AssociateProfessor-EssentialQualification:M.Sc.(Nursing)
Experience:Total8years‘experiencewithM.Sc.(Nursing)including5yearsteachingexperience Ph.D.
(Nursing) desirable

5 Assistant Professor - Essential Qualification: M.Sc. (Nursing)

Experience:M.Sc.(Nursing)withtotal3yearsteachingexperience Ph.D.
(Nursing) desirable

6 Tutor-M.Sc.(Nursing)preferable
Experience:B.Sc.(Nursing)/P.B.B.Sc.(Nursing)with1yearexperience.

B. CollegeofNursingwhichhasaparenthospitalshalladopttheintegrationofserviceandeducationmodel recommended
by the Council placed at www.indiannursingcouncil.org

C. Departments
NumberofNursingdepartments=6(Six)
i. NursingFoundation
ii. AdultHealthNursing
iii. CommunityHealthNursing
iv. Midwifery/Obstetrics&GynaecologyNursing
v. ChildHealthNursing
vi. MentalHealthNursing
Note:Professorshallbeheadofthedepartment.
227 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. Designation B.Sc.(Nursing)40-60 B.Sc.(Nursing)61-100

1 Principal 1 1

2 Vice-Principal 1 1

3 Professor 1 1-2

4 AssociateProfessor 2 2-4

5 AssistantProfessor 3 3-8

6 Tutor 8-16 16-24

Total 16-24 24-40

(Forexamplefor40studentsintakeminimumnumberofteachersrequiredis16includingPrincipal, i.e., 1 – Principal, 1 – Vice
Principal, 1 – Professor, 2 – Associate Professor, 3 – Assistant Professor, and 8 tutors)
Tostarttheprogram,minimum3M.Sc.(Nursing)shallbeappointed.

Istyear IInd Year IIIrdyear IVthyear

40 Students 3M.Sc.(Nursing) 5M.Sc.(Nursing) 7M.Sc.(Nursing) 8M.Sc.(Nursing)
(2-MedSurg., (2–MedSurg., (2-Med Surg., (2-Med Surg.,
1-Pediatrics)
1-Pediatrics, 1-Pediatrics, 1-Pediatrics,
+2 Tutors
1- 1- 1-
CommunityHea CommunityHea CommunityHeal
lthNursing, lthNursing, thNursing,
1-Psychiatric) 1-Psychiatric, 1-Psychiatric,
+3 Tutors 2-OBG) 3-OBG)
+5 Tutors +8 Tutors
60 Students 3M.Sc.(Nursing) 5M.Sc.(Nursing) 7M.Sc.(Nursing) 8M.Sc.(Nursing)
(2-MedSurg., (2-Med Surg., (2-Med Surg., (2-Med Surg.,
1-Pediatrics)
1-Pediatrics, 1-Pediatrics, 1-Pediatrics,
+3 Tutors
1- 1- 1-
CommunityHea CommunityHea CommunityHeal
lthNursing, lthNursing, thNursing,
1-Psychiatric) 1-Psychiatric, 1-Psychiatric,
+7 Tutors 2-OBG) 3-OBG)
+11Tutors +16Tutors
100Students 5M.Sc.(Nursing) 8M.Sc.(Nursing) 12M.Sc.(Nursing) 16M.Sc.(Nursing)
(3-MedSurg., 2 (4-Med Surg., (4-Med Surg., (4-Med Surg.,
- Pediatrics)
+5 Tutors 2-Pediatrics, 2-Pediatrics, 2-Pediatrics,
1- 2- 2-
CommunityHea CommunityHea CommunityHeal
lthNursing, lthNursing, thNursing,
1-Psychiatric) 2-Psychiatric, 2-Psychiatric,
+12Tutors 2-OBG) 6-OBG)
+18Tutors +24Tutors
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 228
ण
D. Teachersfornon-nursingcourses(Part-time/externalfaculty**)
Sl.No. Courses/Subjects

1 English

2 Anatomy

3 Physiology

4 Sociology

5 Psychology

6 Biochemistry

7 Nutrition&Dietetics

8 HealthNursingInformaticsandTechnology

9 Microbiology

10 Pharmacology

11 Pathology&Genetics

12 ForensicNursing

13 AnyotherClinicalDiscipline

14 PhysicalEducation

15 ElectiveCourses
**Theaboveteachersshouldhavepostgraduatequalificationwithteachingexperienceinrespectivediscipline. Note:
i. 1:10teacherstudentratio.
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. Oneofthetutorsneedtostayatthecommunityhealthfieldbyrotation.
iv. ThesalaryoftheteachingfacultyinprivateCollegesofNursingshouldnotbe lessthanwhatisadmissibleinthe 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. AdditionalStaffforCollegeofNursing
 Ministerial
a) AdministrativeOfficer 1
b) OfficeSuperintendent 1
c) PAto Principal 1
d) Accountant/Cashier 1
 229 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

 UpperDivisionClerk 2
 LowerDivisionClerk 2
 StoreKeeper 1
 ClassroomAttendants 2
 SanitaryStaff-Asperthephysicalspace
 SecurityStaff-Aspertherequirement
 Peons/OfficeAttendants 4
 Library
a) Librarian 2
b) LibraryAttendants-Aspertherequirement
 Hostel
a) Wardens 3
o Cooks,Bearers-Aspertherequirement
o GardenersandDhobi(Desirable)
Note:Provisionshouldbemadetohaveleavereservestaffinadditiontotheregularstaffaccordingtorules.

F. CollegeManagementCommittee
FollowingmembersshouldconstitutetheBoardofManagementoftheCollege:
Principal Chairperson
Vice-Principal Member
Professor/Associate Professor/Assistant Professor Member
ChiefNursingOfficer/NursingSuperintendent Member
RepresentativeofMedicalSuperintendent Member

ADMISSIONTERMSANDCONDITIONS
1. Theminimumageforadmissionshallbe17yearson31stDecemberoftheyearinwhichadmissionissought.The maximum age
limit for admission shall be 35 years.
2. MinimumEducationalQualification
a) Candidate with Science who have passed the qualifying 12 th 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) Englishisacompulsorysubjectin10+2forbeingeligibleforadmissiontoB.Sc.(Nursing).
3. Colourblindcandidatesareeligibleprovidedthatcolourcorrectivecontactlensandspectaclesarewornbysuch candidates.
4. Candidateshallbemedicallyfit.
5. Marriedcandidatesarealsoeligibleforadmission.
6. Studentsshallbeadmittedonceinayear.
7. Selectionofcandidatesshouldbebasedonthemeritoftheentranceexamination.Entrancetest**shallcompriseof:
a) AptitudeforNursing 20marks
b) Physics 20marks
c) Chemistry 20marks
d) Biology 20marks
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 230
ण
e) English 20marks
Minimumqualifyingmarksforentrancetestshallbe50%marks.
**EntrancetestshallbeconductedbyUniversity/StateGovernment.
8. ReservationPolicy
 ReservationofseatsinforadmissioninNursingCollegesforSC/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.

 Reservationfordisability
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 prescribedfor
Generalcategory candidates.Theupperagelimitshallberelaxedby 5yearsfordisabledcandidates.

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. Reservationsshallbeapplicablewithinthesanctionednumberoftheseats.
ii. Thestartofthesemestershallbe1stAugusteveryyear.
iii. Noadmission afterthecut-off datei.e.30thSeptember willbe undertaken.FurtherHallTickets/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. ForeignNationals:
The entry qualification equivalency i.e., 12 th standard will be obtained by Association of Indian Universities, NewDelhi.
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/SelectionCommittee
Thiscommitteeshouldcompriseof:
 Principal(Chairperson)
 Vice-Principal
 Professor
 ChiefNursingOfficerorNursingSuperintendent

11. AdmissionStrength
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. HealthServices
Thereshouldbeprovisionsforthefollowinghealthservicesforthestudents.
231 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

 Anannualmedicalexamination.
 VaccinationagainstTetanus,HepatitisBoranyothercommunicablediseaseasconsiderednecessary.
 Freemedicalcareduringillness.
 Acompletehealthrecordshouldbekeptinrespectofeachindividualstudent.Thecriteriaforcontinuingthe training of a
student with long term chronic illness, will be decided by the individual College.

13. Records
Followingaretheminimumrecordswhichneedstobe/shouldbemaintainedintheCollege:
a) ForStudents
i. Admissionrecord
ii. Healthrecord
iii. Classattendancerecord
iv. ClinicalandFieldExperiencerecord
v. Internalassessmentrecordforboththeoryandpractical
vi. MarkLists(UniversityResults)
vii. Recordofextracurricularactivitiesofstudent(bothintheCollegeaswellasoutside)
viii. Leaverecord
ix. Practicalrecordbooks –ProcedureBookandMidwiferyRecordBooktobe maintainedasprescribedbythe Council.
b) Foreachacademicyear,foreachclass/batch
i. Coursecontentsrecord(foreachcourse/subjects)
ii. Therecordoftheacademicperformance
iii. Rotationplansforeachacademicyear
iv. Recordofcommitteemeetings
v. RecordofthestockoftheCollege
vi. Affiliationrecord
vii. Grant-in-aidrecord(iftheCollegeisreceivinggrant-in-aidfromanysourcelikeStateGovt.etc.)
viii. Cumulativerecord.
c) Record of educational activities organized for teaching faculty (CNEs) and student, both in the College as well as
outside.
d) Annualreports(Record)oftheachievementoftheCollegepreparedannually.
e) CollegeofNursingshouldpossessdetailedandup-to-daterecordofeachactivitycarriedoutintheCollege.
14. Transcript
Allinstitutionstoissuethetranscriptuponcompletionoftheprogramandtosubmitonlyonesinglecopyof transcript per batch
to respective SNRC.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 232
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VI. CURRICULUM
CurricularFramework
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.

B.Sc.NURSINGPROGRAM–Fouryears(8semesters)
CREDIT SYSTEM & SEMESTER SYSTEM
COMPETENCYBASEDCURRICULUM

TENCORECOMPETENCIES(Figure1)

Figure2.CurricularFramework
233 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

1. PROGRAMSTRUCTURE

B.Sc.NursingProgramStructure

I Semester IIISemester VSemester VIISemester

1. CommunicativeEnglish 1. AppliedMicrobiology 1. *ChildHealth 1. CommunityHealth
and Infection Control Nursing I Nursing II
2. AppliedAnatomy
including Safety
2.Mental Health 2. NursingResearch&
3.AppliedPhysiology NursingI
2. PharmacologyI Statistics
4. AppliedSociology
3. PathologyI 3. Community Health 3. Midwifery/Obstetrics
5. AppliedPsychology Nursing I (including andGynecology(OBG)
4. *Adult Health (Medical EnvironmentalScience Nursing II
6. *Nursing Surgical)NursingIwith & Epidemiology)
FoundationsI integrated
pathophysiology 4. Educational
Technology/Nursing
Education
5.IntroductiontoForensic
Nursing and Indian
Laws

MandatoryModules
MandatoryModule
*Essential Newborn Care
MandatoryModule *BCLSaspartofAdult Health (ENBC), Facility Based
MandatoryModules
Nursing I Newborn Care (FBNBC),
*First Aid as part of IMNCIandPLSaspartof *Safedeliveryappunder
NursingFoundationI Course Child Health Nursing OBG Nursing I/II
(VI/VII Semester)

IISemester IVSemester VISemester VIIISemester

1. AppliedBiochemistry 1. *PharmacologyII 1. ChildHealth Internship(Intensive
Nursing II Practicum/Residency
2. AppliedNutritionand 2. PathologyII&Genetics
Posting)
Dietetics 2. MentalHealth
3. AdultHealthNursingII
Nursing II
3. *Nursing with integrated
FoundationsII pathophysiology 3. NursingManagement&
including Geriatric Leadership
4. Health/Nursing
Nursing
Informatics 4. *Midwifery/Obstetrics
&Technology 4. Professionalism, andGynecology(OBG)
ProfessionalValues& Nursing I
Ethics including
Bioethics

MandatoryModule
*Fundamentalsof
Prescribingunder MandatoryModule
MandatoryModule Pharmacology II
*HealthAssessmentaspart of *Palliative care module *SBAModuleunderOBG
Nursing Foundation II Nursing I/II
underAdultHealthNursing II (VI/VIISemester)
Course

Note:Noinstitute/Universitywillmodifythecurriculum.Howevertheycanaddunits/subjectinthesyllabusasdeemed necessary.

#Modulesbothmandatoryandelectiveshallbecertifiedbytheinstitution/externalagency.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 234
ण
MANDATORYMODULES
The prepared modules/modules outlined by the Council such as Health Assessment & Fundamentals of Prescribing and
availablemodulesasNationalGuidelines(FirstAid –NDMA,IMNCI,ENBC,FBNBC),PalliativeCare,SafeDeliveryApp and
SBA module will be provided in separate learning resource package.
ForBCLS,PLS–Standardnational/internationalmodulescanbeused.

ELECTIVEMODULES
Numberofelectivestobecompleted:3(Everymodule=1credit=20hours)
III&IVSemesters:Tocompleteanyoneelectivebyendof4thsemesteracross1stto4thsemesters
 Humanvalues
 Diabetescare
 Softskills
V&VISemesters:Tocompleteanyoneofthefollowingbeforeendof6thsemester
 CBT
 Personalitydevelopment
 Addictionpsychiatry
 Adolescenthealth
 Sportshealth
 Accreditationandpracticestandards
 Developmentalpsychology
 Menopausalhealth
 HealthEconomics
VII&VIIISemesters:Tocompleteanyoneofthefollowingbeforeendof8thsemester
 Scientificwritingskills
 Lactationmanagement
 Sexuality&Health
 Stressmanagement
 Jobreadinessandemployabilityinhealthcaresetting
2. CURRICULUMIMPLEMENTATION:OVERALLPLAN
Durationoftheprogram:8semesters 1-
7 Semesters
OneSemesterPlanforthefirst7Semesters
TotalWeeksperSemester:26weekspersemester
NumberofWeeksperSemesterforinstruction:20weeks(40hoursperweek×20weeks= 800hours) Number of
Working Days: Minimum of 100 working days (5 days per week × 20 weeks)
Vacation,Holidays,ExaminationandPreparatoryHolidays:6weeks Vacation: 3
weeks
Holidays:1 week
ExaminationandPreparatoryHolidays:2weeks
8th Semester
Onesemester:22weeks
Vacation: 1 week
Holidays:1 week
ExaminationandPreparatoryHolidays:2weeks
 235 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

3. COURSESOFINSTRUCTIONWITHCREDITSTRUCTURE
S.No Semester CourseCode Course/SubjectTitle Theor Theor Lab/ Lab/ Clinical Clinic Total Total
. y y Skill Skill al (hours)
credits credits
Lab Lab
credits Conta Conta
credits
ct Conta ct
hours ct hours
hours
1 First ENGL 101 CommunicativeEnglish 2 40 40
ANAT105 AppliedAnatomy 3 60 60
PHYS110 AppliedPhysiology 3 60 60
SOCI 115 AppliedSociology 3 60 60
PSYC120 AppliedPsychology 3 60 60
N-NF(I)125 Nursing Foundation I 6 120 2 80 2 160 10 360
includingFirstAidmodule
SSCC(I)130 Self-study/Co-curricular 40+40
TOTAL 20 400 2 80 2 160 20+2+ 640+80
2=24 =720
2 Second BIOC135 AppliedBiochemistry 2 40 40
NUTR140 AppliedNutritionand 3 60 60
Dietetics
N-NF(II)125 Nursing Foundation II 6 120 3 120 4 320 560
includingHealthAssessment
module
HNIT 145 Health/NursingInformatics 2 40 1 40 80
& Technology
SSCC(II)130 Self-study/Co-curricular 40+20
TOTAL 13 260 4 160 4 320 13+4+ 740+60
4=21 =800
3 Third MICR201 Applied Microbiology and 2 40 1 40 80
InfectionControlincluding
Safety
PHAR(I)205 PharmacologyI 1 20 20
PATH(I)210 PathologyI 1 20 20
N- AdultHealthNursingIwith 7 140 1 40 6 480 660
AHN(I integrated pathophysiology
)215 including BCLS module
SSCC(I)220 Self-study/Co-curricular 20
TOTAL 11 220 2 80 6 480 11+2+ 780+20
6=19 =800
4 Fourth PHAR(II)205 Pharmacology II including 3 60 60
Fundamentalsofprescribing
module
PATH(II)210 PathologyIIandGenetics 1 20 20
N- Adult Health Nursing II with 7 140 1 40 6 480 660
AHN(II integrated pathophysiology
)225 includingGeriatricNursing+
Palliative care module
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 236
ण
S.No Semester CourseCode Course/SubjectTitle Theor Theor Lab/ Lab/ Clinical Clinic Total Total
. y y Skill Skill al (hours)
credits credits
Lab Lab
credits Conta Conta
credits
ct Conta ct
hours ct hours
hours
PROF230 Professionalism,Professional 1 20 20
Values and Ethics including
bioethics
SSCC(II)220 Self-study/Co-curricular 40
TOTAL 12 240 1 40 6 480 12+1+ 760+40
6=19 =800
5 Fifth N-CHN(I)301 Child Health Nursing I 3 60 1 40 2 160 260
includingEssentialNewborn
Care (ENBC), FBNC,
IMNCIandPLS,modules
N-MHN(I)305 MentalHealthNursingI 3 60 1 80 140
N-COMH(I) CommunityHealthNursingI 5 100 2 160 260
310 including Environmental
Science & Epidemiology
EDUC315 Educational 2 40 1 40 80
Technology/Nursing
Education
N-FORN320 IntroductiontoForensic 1 20 20
NursingandIndianlaws
SSCC(I)325 Self-study/Co-curricular 20+20
TOTAL 14 280 2 80 5 400 14+2+ 760+40
5=21 =800
6 Sixth N-CHN(II) ChildHealthNursingII 2 40 1 80 120
301
N-MHN(II) MentalHealthNursingII 2 40 2 160 200
305
NMLE330 NursingManagement&Leader 3 60 1 80 140
ship
N-MIDW(I)/ Midwifery/Obstetrics and 3 60 1 40 3 240 340
OBGN 335 Gynaecology(OBG)Nursing
I including SBA module
SSCC(II)325 Self-study/Co-curricular -
TOTAL 10 200 1 40 7 560 10+1+ 800
7=18

7 Seventh N-COMH(II) CommunityHealthNursing 5 100 2 160 260

401 II
NRST 405 NursingResearch&Statistic 2 40 2 80 120
s
(Projec
t- 40)
N- Midwifery/Obstetrics and 3 60 1 40 4 320 420
MIDW(II)/ Gynaecology(OBG)Nursing
OBGN 410 II including Safe deliveryapp
module
 237 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No Semester CourseCode Course/SubjectTitle Theor TheorLab/ y Lab/Clinical ClinicTotal Total

. y Skill Skill credits al (hours)
Conta Lab Lab credits
credits Conta
credits Conta ct
ct
hours ct hours
hours
Self-study/Co-curricular -
TOTAL 10 200 3 120 6 480 10+3+ 800
6=19
8 Eight INTE 415 CommunityHealthNursing
(Internshi –4weeks
p)
INTE 420 AdultHealthNursing–6
weeks
INTE 425 ChildHealthNursing–4
weeks
INTE 430 MentalHealthNursing–4
weeks
INTE 435 Midwifery–4weeks
TOTAL=22 weeks 12 1056
(1 credit {4
=4 hours ×
hours 22
per weeks=
week 88
per hours ×
semester 12
) credits
=
1056
hours}
(48
hours
per
week
×22
weeks)
1credittheory–1hourperweekpersemester
1creditpractical/lab/skilllab/simulationlab–2hoursperweekpersemester 1
credit clinical – 4 hours per week per semester
1creditelectivecourse–1hourperweekpersemester
TotalSemesters=8
(Sevensemesters:Onesemester=20weeks×40hoursperweek=800hours)
(Eighthsemester–Internship:Onesemester=22weeks×48hoursperweek=1056hours)
Totalnumberofcoursecreditsincludinginternshipandelectives–156(141+12+3)
Distribution of credits and hours by courses, internship and electives
S.No. Credits Theory(Cr/Hrs) Lab Clinical Total Hours
(Cr/Hrs) credits
(Cr/Hrs)
1 Coursecredits 90creditper1800hours 15/600 36/2880 141 5280
2 Internship 12 1056
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 238
ण
3 Electives 3 60
TOTAL 156 6396
4 Self-studyand Saturdays(onesemester=5hoursperweek× 20 12 240
Co-curricular weeks × 7 semesters = 700 hours)
35 700
47 940
Distributionofcredits,hoursandpercentagefortheoryandpracticum(SkillLab&Clinical)acrosseightsemesters
S.No. Theory&Practicum(SkillLab&Clinical) Credits Hours Percentage
1 Theory 90 1800 28
2 Lab/SkillLab 15 600 10
3 Clinical 36 3936 62
Total 141 6336hours 100

Practicum(7semesters)excludinginternship
Lab/skilllab/simulationlab–600(17%)
Clinical–2880 (83%)
Total–3480
Lab/skilllab/simulationlab=17%ofthetotalpracticumplanned
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. SCHEMEOFEXAMINATION
The distribution of marks in internal assessment, End Semester College Exam, and End Semester University Exam for each
course is shown below.
I SEMESTER
S.No. Course Assessment(Marks)
Internal EndSemester EndSemester Hours Total
CollegeExam Marks
UniversityExam
Theory
1 CommunicativeEnglish 25 25 2 50
2 AppliedAnatomy&AppliedPhysiology 25 75 3 100
3 AppliedSociology&Applied Psychology 25 75 3 100

4 NursingFoundationsI *25
Practical
5 NursingFoundationsI *25
*WillbeaddedtotheinternalmarksofNursingFoundationsIITheoryandPracticalrespectivelyinthenext semester (Total
weightage remains the same)

Example:
NursingFoundationsTheory:NursingFoundationsITheoryInternalmarksin1stsemesterwillbeaddedtoNursing Foundations II
Theory Internal in the 2nd semester and average of the two semesters will be taken.
239 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

II SEMESTER
S.No. Course Assessment(Marks)
Internal EndSemester End Semester Hours Total
CollegeExam UniversityExam Marks
Theory
1 AppliedBiochemistryandApplied 25 75 3 100
Nutrition & Dietetics
2 NursingFoundations(I&II) 25 75 3 100
ISem-25
&
IISem-25
(with
averageof
both)
3 Health/NursingInformatics&Technology 25 25 2 50

Practical
4 NursingFoundations(I&II) 50 50 100
ISem-25
&
IISem-25

III SEMESTER
S.No. Course Assessment(Marks)
Internal EndSemester End Semester Hours Total
Collegeexam UniversityExam marks
Theory
1 AppliedMicrobiologyandInfection 25 75 3 100
Control including Safety
2 PharmacologyIandPathologyI *25
3 AdultHealthNursingI 25 75 3 100
Practical
4 AdultHealthNursingI 50 50 100
*Willbeaddedtotheinternalmarks of PharmacologyII andPathologyII &Genetics inthenextsemester(Total weightage
remains the same).

IV SEMESTER
S.No. Course Assessment(Marks)
Internal EndSemester End Semester Hours Total
Collegeexam UniversityExam marks
Theory
1 Pharmacology&Pathology(I&II)and 25 75 3 100
Genetics
III Sem-25
&
IV Sem-25
(with
averageof
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 240
ण
both)
2 AdultHealthNursing II 25 75 3 100
3 Professionalism,EthicsandProfessional 25 25 2 50
Values
Practical
4 AdultHealthNursing II 50 50 100
V SEMESTER
S.No. Course Assessment(Marks)
Internal EndSemester End Semester Hours Total
Collegeexam UniversityExam marks
Theory
1 ChildHealthNursingI *25
2 MentalHealthNursingI *25
3 Community Health Nursing I including 25 75 3 100
EnvironmentalScience&Epidemiology
4 EducationalTechnology/Nursing 25 75 3 100
Education
5 IntroductiontoForensicNursingand Indian 25 25 2 50
Laws
Practical
6 ChildHealthNursingI *25
7 MentalHealthNursingI *25
8 CommunityHealthNursingI 50 50 100
*Will be added to the internal marks of Child Health Nursing II and Mental Health Nursing II in both theory
andpractical respectively in the next semester (Total weightage remains same).

VI SEMESTER
S.No. Course Assessment(Marks)
Internal EndSemester EndSemester Hours Total
Collegeexam marks
UniversityExam
Theory
1 ChildHealthNursing(I&II) 25 75 3 100
SemV-25
&Sem
VI-25
(with
averageof
both)
2 MentalHealthNursing(I&II) 25 75 3 100
SemV-25
&Sem
VI-25
(with
averageof
both)
241 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

3 NursingManagement&Leadership 25 75 3 100
4 Midwifery/Obstetrics&Gynecology I *25
Practical
5 ChildHealthNursing(I&II) 50 50 100
(SemV-25
&Sem
VI-25)
6 MentalHealthNursing(I&II) 50 50 100
(SemV-25
&Sem
VI-25)
7 Midwifery/Obstetrics&Gynecology I *25
*WillbeaddedtoInternalmarksofMidwiferyIItheoryandpracticalrespectivelyinthenextsemester(Total weightage
remains the same)

VII SEMESTER
S.No. Course Assessment(Marks)
Internal EndSemester End Semester Hours Total
CollegeExam UniversityExam marks
Theory
1 CommunityHealthNursingII 25 75 3 100
2 NursingResearch&Statistics 25 75 3 100
2 Midwifery/ObstetricsandGynecology 25 75 3 100
(OBG) Nursing (I & II)
SemVI-25
&
SemVII-25
(with
averageof
both)
Practical
3 CommunityHealthNursingII 50 50 100

4 Midwifery/ObstetricsandGynecology 50 50 100
(OBG) Nursing (I & II)
(SemVI-25
&
SemVII-25)

VIII SEMESTER
S.No. Course Assessment(Marks)
Internal EndSemester End Semester Hours Total
CollegeExam UniversityExam marks
Practical
1 CompetencyAssessment 100 100 200
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 242
ण
5. EXAMINATIONREGULATIONS
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 NutritionandDieteticsandAppliedBiochemistry:Questionpaper willconsistofSection-AAppliedNutrition 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. NursingResearchandStatistics:NursingResearchshouldbeof55marksandStatisticsof20marks.
7. A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory and practical ineach
course/subject for appearing for examination.
8. Acandidatemusthave100%attendanceineachofthepracticalareasbeforeawardofdegree.
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. CommunicativeEnglish
ii. Health/NursingInformaticsandTechnology
iii. Professionalism,ProfessionalValuesandEthicsincludingBioethics
iv. IntroductiontoForensicNursing&IndianLaws
10. Minimumpassmarksshallbe40%(Pgrade/4point)forEnglishonlyandelectivemodules.
11. Minimumpassmarksshallbe50%ineachoftheTheoryandpracticalpapersseparatelyexceptinEnglish.
12. The student has to pass in all mandatory modules placed within courses and the pass mark for each module is 50%(C
Grade).Theallotted percentageofmarkswillbeincluded intheinternalassessment ofCollege/University Examination (Refer
Appendix 2).
13. Acandidatehastopassintheoryandpracticalexamseparatelyineachofthepaper.
14. Ifacandidatefailsineithertheoryorpractical,he/shehastore-appearforboththepapers(TheoryandPractical).
15. If the studenthas failed inonly one subject and has passed in all the othersubjects of a particular semester andGrace
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. Thecandidateshallappearforexamsineachsemester:
i. The candidateshallhaveclearedallthepreviousexaminationsbeforeappearingfor fifthsemester examination.
However, the candidates shall be permitted to attend the consecutive semesters.
ii. Thecandidateshallhaveclearedallthepreviousexaminationsbeforeappearingforseventhsemesterexamination.
However, the candidates shall be permitted to attend the consecutive semesters.
iii. Thecandidateshallhaveclearedallthepreviousexaminationbeforeappearingforfinalyearexamination.
iv. Themaximumperiodtocompletethecoursesuccessfullyshouldnotexceed8years.
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. Allpracticalexaminationsmustbeheldintherespectiveclinicalareas.
 243 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

21. Oneinternalandoneexternalexaminershouldjointlyconductpracticalexaminationforeachstudent.
22. An examiner for theory and practical/OSCE examination should be an Assistant Professor or above in a College of
NursingwithM.Sc.(Nursing)inconcernedsubjectandminimum3yearsofteachingexperience.Tobeanexaminerfor Nursing
Foundations course, the faculty having M.Sc. (Nursing) with any specialty shall be considered.

VII.ASSESSMENTGUIDELINES
1. GradingofPerformance
Basedontheperformance,eachstudentshallbeawardedafinalgradeattheendofthesemesterforeachcourse.
Absolutegradingisusedbyconvertingthemarkstograde,basedonpredeterminedclassintervals. UGC 10 point
grading system is used with pass grade modified.
Lettergrade Gradepoint Percentageofmarks

(Outstanding) 10 100%

A+(Excellent) 9 90-99.99%

A(Very Good) 8 80-89.99%

B+(Good) 7 70-79.99%

B(AboveAverage) 6 60-69.99%

(Average) 5 50-59.99%

(Pass) 4 40-49.99%

(Fail) 0

ForNursingCoursesandallothercourses –PassisatCGrade(5gradepoint)50%andabove For English and

electives – Pass is at P Grade (4 grade point) 40% and above

ComputationofSemesterGradePointAverage(SGPA)andCumulativeGradePointAverage(CGPA)
SPGAistheweightedaverageofthegradepointsobtainedinallcoursesbythestudentduringthesemester(All courses excluding
English and electives)

Ex.SGPAComputation
CourseNumber Credit/s Lettergrade Gradepoint Creditpoint(Credit×grade)

1 3(C1) A 8(G1) 3×8=24

2 4(C2) B+ 7(G2) 4×7=28

3 3(C3) B 6(G3) 3×6=18

[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 244
ण
ComputationofCGPA
CGPAiscalculatedwithSGPAofallsemesterstotwodecimalpointsandisindicatedinfinalgradeinmark card/transcript
showing grades of all 8 semesters and their courses/subjects.
CGPAreflectsthefailedstatusincaseoffailtillthecourse/sarepassed.

SemesterI Semester2 Semester3 Semester4

Credit–Cr Cr:
20 Cr:22 Cr:25 Cr:26

SGPA:6.5 SGPA:7.0 SGPA:5.5 SGPA:6.0

Cr×SGPA=20×6.5

TranscriptFormat
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.

DeclarationofPass
FirstClasswithDistinction–CGPAof7.5andabove First
Class – CGPA of 6.00-7.49
SecondClass–CGPAof5.00-5.99

2. InternalAssessmentandGuidelines
ThemarksdistributionofinternalassessmentisshowninAppendix1andthespecificguidelinesinAppendix2.

3. UniversityTheoryandPracticalExaminationPattern
ThetheoryquestionpaperpatternandpracticalexampatternareshowninAppendix3.

SYLLABUS
COMMUNICATIVEENGLISH

PLACEMENT:ISEMESTER
THEORY:2Credits(40hours)
DESCRIPTION:Thecourseisdesignedtoenablestudentstoenhancetheirabilitytospeakandwritethelanguage(anduse 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:Oncompletionofthecourse,thestudentswillbeableto
1. IdentifythesignificanceofCommunicativeEnglishforhealthcareprofessionals.
 245 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

2. ApplytheconceptsandprinciplesofEnglishLanguageuseinprofessionaldevelopmentsuchaspronunciation, vocabulary,
grammar, paraphrasing, voice modulation, Spelling, pause and silence.
3. Demonstrateattentivelisteningindifferenthypotheticalsituations.
4. Converseeffectively,appropriatelyandtimelywithinthegivencontextandtheindividualorteamtheyare communicating with
either face to face or by other means.
5. Read,interpretandcomprehendcontentintext,flowsheet,framework,figures,tables,reports,anecdotesetc.
6. Analysethesituationandapplycriticalthinkingstrategies.
7. Enhanceexpressionsthroughwritingskills.
8. ApplyLSRW(Listening,Speaking,ReadingandWriting)Skillincombinationtolearn,teach,educateandshare information,
ideas and results.
COURSEOUTLINE
T–Theory
Unit Time Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
(Hrs)

I 3(T)Identify the Communication  Definitionswith  Checking for

significance of examples, understanding
 Whatiscommunication?
communicative illustrationsand through tasks
English  Whatarecommunicationrolesoflisteners, explanations
speakers, readersandwriters as healthcare
 Identifying
professionals?
competencies/
communicative
strategiesinLSRW
 Readingexcerpts
ontheaboveand
interpretingthem
through tasks

II 5(T)Describeconcepts andIntroductiontoLSRGW  Exercises on  Through‗check

principles of listeningtonews, your
 L–Listening:Differenttypesoflistening
Language announcements, understanding‘
(English) use in  S–Speaking:UnderstandingConsonants, telephone exercises
professional Vowels, Word and Sentence Stress, conversationsand
developmentsuch Intonation instructions from
as pronunciation, others
vocabulary,  R–Reading:Medicalvocabulary,
 Information on
grammar,  Gr–Grammar:Understandingtenses, fundamentals of
paraphrasing, linkers Speech –
voicemodulation,
 W – Writing simple sentences and short Consonant,Vowel,
spelling, pause
paragraphs–emphasisoncorrectgrammar Stress and
and silence
Intonation with
tasks based on
these through
audio/video and
texts
 Reading a medical
dictionary/glossary
of medical terms
with matching
exercises
 Information on
tenses and basic
conceptsofcorrect
grammar through
fill in the blanks,
true/falsequestions
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 246
ण
Unit Time Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
(Hrs)

III 5(T) Demonstrate AttentiveListening  Listening to  Checking

attentivelistening announcements, individually
 Focusingonlisteningindifferentsituations –
in different news, againstcorrect
announcements, descriptions, narratives,
hypothetical documentarieswith answers
instructions, discussions, demonstrations
situations tasks based on
 Listeningfor
 ReproducingVerbatim listening
specific
 Listeningtoacademictalks/lectures  With multiple information
choice,Yes/Noand
 Listeningtopresentation  Listening for
fill in the blank
overallmeaning
activities
andinstructions
 Listening to
attitudesand
opinions
 Listening to
audio,videoand
identify key
points

IV 9(T) Converse Speaking–EffectiveConversation  Different types of  Individualand

effectively, speakingactivities group/peer
 Conversationsituations–informal,formal
appropriately and related to the assessment
and neutral
timely within the content through live
givencontextand  Factors influencing way of speaking – speaking tests
 Guided with
the individual or setting,topic,socialrelationship,attitude
promptsandfree  Presentationof
team they are and language
discussions situation in
communicating
 Greetings,introductions,requesting,asking emergencyand
witheitherfaceto  Presentation
for and giving permission, speaking routine
face or other techniques
means personally and casual conversations
 Handoff
 Talkingtopeers
 Askingforinformation,givinginstructions
andotheradults.  Reporting in
and directions
doctors/nurses‘
 Talkingtopatients
 Agreeinganddisagreeing,givingopinions rounds
and Patient
 Describingpeople,places,eventsandthings, attenders  Casepresentation
narrating, reporting & reaching conclusions
 Talkingtoother  Facetofaceoral
 Evaluatingandcomparing healthcare communication
professionals
 Complaintsandsuggestions  Speaking
 Classroom individually
 Telephoneconversations conversation (Nurse to
 Deliveringpresentations nurse/patient/
 Scenariobased
doctor)andto
learning tasks
others in the
group
 Telephonic
talking

V 5(T) Read, interpret  Reading  Detailedtasksand  Reading/

and comprehend exercises on summarizing/
 Readingstrategies,readingnotesand
content in text, reading for justifyinganswers
messages
flow sheet, information, orally
framework,  Readingrelevantarticlesandnewsitems inference and
 Patientdocument
figures, tables, evaluation
reports,anecdotes  Vocabulary for everyday activities,
 Doctor‘s
abbreviationsandmedicalvocabulary  Vocabularygames
prescriptionof
and puzzles for
 Understandingvisuals,graphs,figuresand care
medical lexis
notes on instructions
 Journal/news
247 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

Outcomes Activities Methods
(Hrs)

 Readingreportsandinterpretingthem  Grammaractivities reading and

interpretation
 Usingidiomsandphrases,spottingerrors,
vocabulary for presentations  Notes/Reports
 RemedialGrammar

VI 5(T) Enhance WritingSkills  Writingtaskswith  Paper based

expressions focus on task assessmentbythe
 Writingpatienthistory
throughwriting fulfilment, teacher/ trainer
skills  Notetaking coherence and against set band
cohesion, descriptors
 Summarising appropriate
 Presentationof
 Anecdotalrecords vocabulary and
situation
correct grammar
 Letterwriting  Documentation
 Guidedandfree
 Diary/Journalwriting tasks  Reportwriting
 Reportwriting  Different kinds of  Paperwriting
 Paperwritingskills letterwritingtasks skills
 Abstractwriting  Verbatim
reproducing
 Letterwriting
 Resume/CV

VII 8(T) Apply LSRW LSRWSkills  Valuatingdifferent  Consolidated

Skill in options/multiple assessmentorally
 Criticalthinkingstrategiesforlisteningand
combination to answers and and through
reading
learn, teach, interpreting written
educateandshare  Oralreports,presentations decisions through tasks/exercises
information,ideas situationalactivities
and results  Writinginstructions,lettersandreports
 Demonstration –
 ErroranalysisregardingLSRW individuallyandin
groups
 GroupDiscussion
 Presentation
 RolePlay
 Writingreports

APPLIEDANATOMY
PLACEMENT:ISEMESTER
THEORY:3Credits(60hours)
DESCRIPTION:Thecourseisdesignedtoassistsstudenttorecallandfurtheracquiretheknowledgeofthenormal
structureofhumanbody,identifyalterationinanatomicalstructurewithemphasisonclinicalapplicationtopracticenursing.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
1. Describeanatomicalterms.
2. Explainthegeneralandmicroscopicstructureofeachsystemofthebody.
3. Identifyrelativepositionsofthemajorbodyorgansaswellastheirgeneralanatomiclocations.
4. Exploretheeffectofalterationsinstructure.
5. Applyknowledgeofanatomicstructurestoanalyzeclinicalsituationsandtherapeuticapplications.
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 248
ण
COURSEOUTLINE
T–Theory
Teaching/
Time Learning Assessment
Unit Content Learning
(Hrs) Outcomes Methods
Activities

I 8(T) Introductiontoanatomicaltermsand organization  Lecturecum  Quiz

of the human body Discussion
 MCQ
 Introduction to anatomical terms relative to
Define the terms  Shortanswer
position–anterior,ventral,posteriordorsal,
relative to the  Useofmodels
superior,inferior,median,lateral,proximal,
anatomicalposition
distal, superficial, deep, prone, supine,
palmar and plantar
 Video
demonstration
 Anatomicalplanes(axial/transverse/
horizontal,sagittal/verticalplaneand
Describe the coronal/frontal/oblique plane)  Use of
anatomicalplanes microscopic
slides
 Movements(flexion,extension,abduction,
adduction,medialrotation,lateralrotation,
inversion, eversion, supination, pronation,  Lecturecum
Defineanddescribe the
plantar flexion, dorsal flexion and Discussion
terms used to
describemovements circumduction

 Video/Slides
 Cellstructure,Celldivision
 Tissue–definition,types,characteristics,  Anatomical
classification, location Torso
Organization of human
body and structure  Membrane,glands–classificationand
of cell, structure
tissuesmembranes
and glands  Identifymajorsurfaceandbonylandmarksin
each body region, Organization of human
body

 Hyaline,fibrocartilage,elasticcartilage

Describethetypesof  Featuresofskeletal,smoothandcardiac
cartilage muscle
 Applicationandimplicationinnursing
Compareandcontrast the
features of skeletal,
smooth and cardiac
muscle

II 6(T)Describethestructure of TheRespiratorysystem  Lecturecum  Shortanswer

respiratory system Discussion
 Structureoftheorgansofrespiration  Objectivetype
 Models
Identifythemuscles of  Video/Slides
respiration and
examine their  Musclesofrespiration
contribution to the
mechanism of
breathing  Applicationandimplicationinnursing
249 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Teaching/
Time Learning Assessment
Unit Content Learning
(Hrs) Outcomes Methods
Activities

III 6(T) Describethestructure TheDigestivesystem  Lecturecum  Shortanswer

of digestive system Discussion
 Structureofalimentarycanalandaccessory  Objectivetype
organs of digestion  Video/Slides
 Applicationandimplicationsinnursing  Anatomical
Torso

IV 6(T) Describethestructure TheCirculatoryandLymphaticsystem  Lecture  Shortanswer

of circulatory and
 Structureofbloodcomponents,bloodvessels –  Models  MCQ
lymphatic system.
Arterial and Venous system
 Video/Slides
 Positionofheartrelativetotheassociated
structures
 Chambersofheart,layersofheart
 Heartvalves,coronaryarteries
 Nerveandbloodsupplytoheart
 Lymphatictissue
 VeinsusedforIVinjections
 Applicationandimplicationinnursing

V 4(T) Identify the major TheEndocrinesystem  Lecture  Shortanswer

endocrineglandsand
 StructureofHypothalamus,PinealGland,  Models/charts  Objectivetype
describethestructure
Pituitary gland, Thyroid, Parathyroid,
of endocrine Glands
Thymus, Pancreas and Adrenal glands

VI 4(T) Describethestructure TheSensoryorgans  Lecture  Shortanswer

of various sensory
 Structureofskin,eye,ear,noseandtongue  Explain with  MCQ
organs
Video/
 Applicationandimplicationsinnursing
models/charts

VII 10(T) Describe anatomical TheMusculoskeletalsystem:  Review –  Shortanswer

positionandstructure discussion
 Objectivetype
of bones and joints
 Lecture
TheSkeletalsystem
 Discussions
 Anatomicalpositions
Identify major bones
 Explain using
thatmakeuptheaxial
charts,skeleton
and appendicular
 Bones–types,structure,growthand andloosebones
skeleton
ossification and torso
 Identifying
Classifythejoints muscles
 Axialandappendicularskeleton involved in
nursing
Identify the proceduresin
applicationand lab
implicationsin  Joints–classification,majorjointsand
nursing structure

Describethestructure  Applicationandimplicationsinnursing
of muscle
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 250
ण
Teaching/
Time Learning Assessment
Unit Content Learning
(Hrs) Outcomes Methods
Activities

Applytheknowledge TheMuscularsystem
inperformingnursing
 Typesandstructureofmuscles
procedures/skills
 Musclegroups–musclesofthehead,neck,
thorax, abdomen, pelvis, upper limb and
lower limbs
 Principalmuscles–deltoid,biceps,triceps,
respiratory,abdominal,pelvicfloor, pelvic
floor muscles, gluteal muscles and vastus
lateralis
 Majormusclesinvolvedinnursing
procedures

VIII 5(T) Describethestructure TheRenalsystem  Lecture  MCQ

of renal system
 Structureofkidney,ureters,bladder,urethra  Models/charts  Shortanswer
 Applicationandimplicationinnursing

IX 5(T) Describethestructure TheReproductivesystem  Lecture  MCQ

of reproductive
 Structureofmalereproductiveorgans  Models/charts  Shortanswer
system
 Structureoffemalereproductiveorgans
 Structureofbreast

X 6(T) Describe the structure TheNervoussystem  Lecture  MCQ

of nervous system
 ReviewStructureofneurons  Explainwith  Shortanswer
including the
models
distribution of the  CNS,ANSandPNS(Central,autonomicand
nerves,nerveplexuses peripheral)  Videoslides
 Structureofbrain,spinalcord,cranialnerves,
spinal nerves, peripheral nerves, functional
Describe the
areas of cerebral cortex
ventricularsystem
 Ventricularsystem–formation,circulation,
and drainage
 Applicationandimplicationinnursing

Note:Fewlabhourscanbeplannedforvisits,observationandhandling (less than

1 credit lab hours are not specified separately)

APPLIEDPHYSIOLOGY
PLACEMENT:ISEMESTER
THEORY:3Credits(60hours)
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:Oncompletionofthecourse,thestudentswillbeableto
1. Developunderstandingofthenormalfunctioningofvariousorgansystemsofthebody.
2. Identifytherelativecontributionofeachorgansystemtowardsmaintenanceofhomeostasis.
3. Describetheeffectofalterationsinfunctions.
4. Applyknowledgeofphysiologicalbasistoanalyzeclinicalsituationsandtherapeuticapplications.
251 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

COURSEOUTLINE
T–Theory
Time Learning Teaching/Learning Assessment
Content
(Hrs) Outcomes Activities Methods

I 4(T)Describe the GeneralPhysiology–Basicconcepts  Review –  Quiz

physiologyofcell, discussion
 Cellphysiologyincludingtransportation  MCQ
tissues,membranes
across cell membrane  Lecturecum
and glands  Shortanswer
Discussion
 Body fluid compartments, Distribution of
totalbodyfluid,intracellularandextracellular  Video
compartments, major electrolytes and demonstrations
maintenance of homeostasis
 Cellcycle
 Tissue–formation,repair
 Membranesandglands–functions
 Applicationandimplicationinnursing

6(T)Describe the Respiratorysystem  Lecture  Essay

physiologyand
 Functionsofrespiratoryorgans  Videoslides  Shortanswer
mechanism of
respiration  Physiologyofrespiration  MCQ
 Pulmonarycirculation–functionalfeatures
Identify the muscles of  Pulmonaryventilation,exchangeofgases
respiration and
examine their  Carriageofoxygenandcarbon-dioxide,
contributiontothe Exchange of gases in tissue
mechanism of  Regulationofrespiration
breathing
 Hypoxia,cyanosis,dyspnea,periodic
breathing
 Respiratorychangesduringexercise
 Applicationandimplicationinnursing

8(T)Describe the Digestivesystem  Lecturecum  Essay

functions of Discussion
 Functionsoftheorgansofdigestivetract  Shortanswer
digestivesystem
 Videoslides
 Saliva–composition,regulationofsecretion  MCQ
and functions of saliva
 Composition and function of gastric juice,
mechanismandregulationofgastricsecretion
 Compositionofpancreaticjuice,function,
regulation of pancreatic secretion
 Functionsofliver,gallbladderandpancreas
 Compositionofbileandfunction
 Secretionandfunctionofsmallandlarge
intestine
 Movementsofalimentarytract
 Digestioninmouth,stomach,smallintestine,
large intestine, absorption of food
 Applicationandimplicationsinnursing

6(T)Explain the CirculatoryandLymphaticsystem  Lecture  Shortanswer

functionsofthe
 Functionsofheart,conductionsystem,
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 252
ण
Time Learning Teaching/Learning Assessment
Unit Content
(Hrs) Outcomes Activities Methods

heart, and cardiaccycle,Strokevolumeandcardiac output  Discussion  MCQ

physiologyof
 BloodpressureandPulse  Video/Slides
circulation
 Circulation–principles,factorsinfluencing
blood pressure, pulse
 Coronarycirculation,Pulmonaryand
systemic circulation
 Heartrate–regulationofheart rate
 Normalvalueandvariations
 Cardiovascularhomeostasisinexerciseand
posture
 Applicationandimplicationinnursing

V 5(T) Describe the Blood  Lecture  Essay

composition and
 Blood–Functions,Physicalcharacteristics  Discussion  Shortanswer
functionsofblood
 Formationofbloodcells  Videos  MCQ
 Erythropoiesis–FunctionsofRBC,RBClife
cycle
 WBC–types,functions
 Platelets–Functionandproductionof
platelets
 Clottingmechanismofblood,clottingtime,
bleeding time, PTT
 Hemostasis–roleofvasoconstriction,platelet
plug formation in hemostasis, coagulation
factors, intrinsic and extrinsic pathways of
coagulation
 Bloodgroupsand types
 Functionsofreticuloendothelialsystem,
immunity
 Applicationinnursing

VI 5(T) Identifythemajor TheEndocrinesystem  Lecture  Shortanswer

endocrine glands
 FunctionsandhormonesofPinealGland,  Explainusing  MCQ
anddescribetheir
Pituitary gland, Thyroid, Parathyroid, charts
functions
Thymus, Pancreas and Adrenal glands.
 Otherhormones
 Alterationsindisease
 Applicationandimplicationinnursing

VII 4(T) Describe the TheSensoryOrgans  Lecture  Shortanswer

structure of
 Functionsofskin  Video  MCQ
varioussensory
organs  Vision,hearing,tasteandsmell
 Errorsofrefraction,agingchanges
 Applicationandimplicationsinnursing

VIII 6(T) Describethe Musculoskeletalsystem  Lecture  Structuredessay

functionsof
253 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Time Learning Teaching/Learning Assessment

Unit Content
(Hrs) Outcomes Activities Methods

bones, joints,  Bones – Functions, movements of bones of  Discussion  Shortanswer

various types of axialandappendicularskeleton,Bonehealing
 Videopresentation  MCQ
muscles, its
 Jointsandjointmovements
specialproperties
and nerves  Alterationofjointdisease
supplying them
 PropertiesandFunctionsofskeletalmuscles–
mechanism of muscle contraction
 Structureandpropertiesofcardiacmuscles
and smooth muscles
 Applicationandimplicationinnursing

IX 4(T) Describe the Renalsystem  Lecture  Shortanswer

physiologyof
 Functionsofkidneyinmaintaining  Chartsandmodels  MCQ
renal system
homeostasis
 GFR
 Functionsofureters,bladderandurethra
 Micturition
 Regulationofrenalfunction
 Applicationandimplicationinnursing

X 4(T) Describethe TheReproductivesystem  Lecture  Shortanswer

structure of
 Femalereproductivesystem–Menstrual  Explain using  MCQ
reproductive
cycle, function and hormones of ovary, charts,models,
system
oogenesis, fertilization, implantation, specimens
Functions of breast
 Malereproductivesystem–Spermatogenesis,
hormones and its functions, semen
 Applicationandimplicationinproviding
nursing care

XI 8(T) Describe the  Nervoussystem  Lecturecum  Briefstructured

functions Discussion essays
 Overviewofnervoussystem
ofbrain,physiolog
 Videoslides  Shortanswer
y  Reviewoftypes,structureandfunctionsof
ofnervestimulus, neurons  MCQ
reflexes, cranial
and spinal nerves  Nerveimpulse  Critical
reflection
 ReviewfunctionsofBrain-Medulla,Pons,
Cerebrum, Cerebellum
 SensoryandMotorNervoussystem
 PeripheralNervoussystem
 AutonomicNervoussystem
 LimbicsystemandhighermentalFunctions-
Hippocampus, Thalamus, Hypothalamus
 Vestibularapparatus
 Functionsofcranialnerves
 Autonomicfunctions
 PhysiologyofPain-somatic,visceraland
referred
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 254
ण
Time Learning Teaching/Learning Assessment
Unit Content
(Hrs) Outcomes Activities Methods

 Reflexes
 CSFformation,composition,circulationof
CSF, blood brain barrier and blood CSF
barrier
 Applicationandimplicationinnursing

Note:Fewlabhourscanbeplannedforvisits,observationandhandling (less than

1 credit lab hours are not specified separately)

APPLIEDSOCIOLOGY
PLACEMENT:ISEMESTER
THEORY:3Credits(60hours)
DESCRIPTION:Thiscourseisdesignedtoenablethestudentstodevelopunderstandingaboutbasicconceptsofsociology and its
application in personal and community life, health, illness and nursing.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
1. Identifythescopeandsignificanceofsociologyinnursing.
2. Applytheknowledgeofsocialstructureanddifferentcultureinasocietyinidentifyingsocialneedsofsickclients.
3. Identifytheimpactofcultureonhealthandillness.
4. Developunderstandingabouttypesoffamily,marriageanditslegislation.
5. Identifydifferenttypesofcaste,class,socialchangeanditsinfluenceonhealthandhealthpractices.
6. DevelopunderstandingaboutsocialorganizationanddisorganizationandsocialproblemsinIndia.
7. Integratetheknowledgeofclinicalsociologyanditsusesincrisisintervention.
COURSEOUTLINE
T–Theory

Unit Time Teaching/

Assessment
LearningOutcomes Content Learning
(Hrs) Methods
Activities

I 1(T) Describe the scope Introduction  Lecture  Essay

and significance of
 Definition,natureandscopeofsociology  Discussion  Shortanswer
sociologyinnursing
 Significanceofsociologyinnursing

II 15(T) Describe the Socialstructure  Lecturecum  Essay

individualization, Discussion
 Basicconceptofsociety,community,  Shortanswer
Groups,processesof association and institution
 Objectivetype
Socialization,social  Individualandsociety
change and its
 Personaldisorganization
importance
 Socialgroup–meaning,characteristics,and
classification.
 Socialprocesses–definitionandforms,Co-
operation, competition, conflict,
accommodation, assimilation, isolation
 Socialization–characteristics,process,
agencies of socialization
 Socialchange–nature,process,androleof
nurse
255 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Teaching/

Assessment
LearningOutcomes Content Learning
(Hrs) Methods
Activities

 Structureandcharacteristicsofurban,ruraland
tribal community.
 Majorhealthproblemsinurban,ruralandtribal
communities
 Importanceofsocialstructureinnursing
profession

III 8(T) Describecultureand Culture  Lecture  Essay

its impact on health
 Nature,characteristicandevolutionofculture  Panel  Shortanswer
and disease
discussion
 Diversityanduniformityofculture
 Differencebetweencultureandcivilization
 Cultureandsocialization
 Transculturalsociety
 Culture,Modernizationanditsimpactonhealth
and disease

IV 8(T) Explain family, FamilyandMarriage  Lecture  Essay

marriage and
 Family–characteristics,basicneed,typesand  Shortanswer
legislationrelatedto
functions of family
marriage  Casestudy
 Marriage – forms of marriage, social custom report
relatingtomarriageandimportanceofmarriage
 LegislationonIndianmarriageandfamily.
 Influenceofmarriageandfamilyonhealthand
health practices

V 8(T) Explain different Socialstratification  Lecture  Essay

types of caste and
 Introduction–Characteristics&formsof  Panel  Shortanswer
classes in society
stratification discussion
anditsinfluenceon  Objectivetype
health  Functionofstratification
 Indiancastesystem–originandcharacteristics
 Positiveandnegativeimpactofcasteinsociety.
 Classsystemandstatus
 Socialmobility-meaningandtypes
 Race–concept,criteriaofracialclassification
 Influenceofclass,casteandracesystemon
health.

VI 15(T) Explain social Socialorganizationanddisorganization  Lecture  Essay

organization,
 Socialorganization–meaning,elementsand  Group  Shortanswer
disorganization,
types discussion
socialproblemsand  Objectivetype
role of nurse in  Voluntaryassociations  Observational
reducing social  Visitreport
visit
problems  Social system – definition, types, role and
statusasstructuralelementofsocialsystem.
 Interrelationshipofinstitutions
 Socialcontrol–meaning,aimsandprocessof
social control
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 256
ण
Unit Time Teaching/
Assessment
LearningOutcomes Content Learning
(Hrs) Methods
Activities

 Socialnorms,moralandvalues
 Socialdisorganization–definition,causes,
Control and planning
 Majorsocialproblems–poverty,housing,food
supplies, illiteracy, prostitution, dowry, Child
labour, child abuse, delinquency, crime,
substance abuse, HIV/AIDS, COVID-19
 Vulnerablegroup–elderly,handicapped,
minority and other marginal group.
 Fundamentalrightsofindividual,womenand
children
 Roleofnurseinreducingsocialproblemand
enhance coping
 SocialwelfareprogramsinIndia

VII 5(T) Explain clinical Clinicalsociology  Lecture,  Essay

sociologyandits
 Introductiontoclinicalsociology  Group  Shortanswer
applicationinthe
discussion
hospital and  Sociologicalstrategiesfordevelopingservices
community for the abused  Roleplay
 Useofclinicalsociologyincrisisintervention

APPLIEDPSYCHOLOGY

PLACEMENT:ISEMESTER
THEORY:3Credits(60Hours)
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:Oncompletionofthecourse,thestudentswillbeableto
1. Identifytheimportanceofpsychologyinindividualandprofessionallife.
2. Developunderstandingofthebiologicalandpsychologicalbasisofhumanbehaviour.
3. Identifytheroleofnurseinpromotingmentalhealthanddealingwithalteredpersonality.
4. Performtheroleofnursesapplicabletothepsychologyofdifferentagegroups.
5. Identifythecognitiveandaffectiveneedsofclients.
6. Integratetheprinciplesofmotivationandemotioninperformingtheroleofnurseincaringforemotionallysickclient.
7. Demonstratebasicunderstandingofpsychologicalassessmentandnurse‘srole.
8. Applytheknowledgeofsoftskillsinworkplaceandsociety.
9. Applytheknowledgeofself-empowermentinworkplace,societyandpersonallife.
257 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

COURSEOUTLINE
T–Theory
Time Learning Teaching/Learning Assessment
Content
(Hrs) Outcomes Activities Methods

I 2(T)Describescope, Introduction  Lecturecum  Essay

branches and Discussion
 MeaningofPsychology  Shortanswer
significance of
psychology in  Developmentofpsychology–Scope,
nursing branchesandmethodsofpsychology
 Relationshipwithothersubjects
 Significanceofpsychologyinnursing
 Appliedpsychologytosolveeveryday
issues

4(T)Describebiologyof Biologicalbasisofbehavior–Introduction  Lecture  Essay

human behaviour
 Bodymindrelationship  Discussion  Shortanswer
 Geneticsandbehaviour
 Inheritanceofbehaviour
 Brainandbehaviour.
 Psychologyandsensation–sensoryprocess –
normal and abnormal

5(T)Describe mentally Mentalhealthandmentalhygiene  Lecture  Essay

healthypersonand
 Conceptofmentalhealthandmental  Casediscussion  Shortanswer
defense
hygiene
mechanisms  Roleplay  Objectivetype
 Characteristicofmentallyhealthyperson
 Warningsignsofpoormentalhealth
 Promotiveandpreventivementalhealth
strategies and services
 Defensemechanismanditsimplication
 Frustrationandconflict–typesofconflicts
and measurements to overcome
 Roleofnurseinreducingfrustrationand
conflict and enhancing coping
 Dealingwithego

7(T)Describe psychology Developmentalpsychology

of  Lecture  Essay
people in different
 Physical, psychosocial and cognitive  Group  Shortanswer
agegroupsandrole
development across life span – Prenatal
of nurse  discussion
through early childhood, middle to late
childhoodthroughadolescence,earlyand
mid-adulthood,lateadulthood, deathand
dying
 Roleofnurseinsupportingnormalgrowth
and development across the life span
 Psychologicalneedsofvariousgroupsin
healthandsickness–Infancy,childhood,
adolescence, adulthood and older adult
 Introductiontochildpsychologyandroleof
nurseinmeetingthepsychologicalneedsof
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 258
ण
Unit Time Learning Teaching/Learning Assessment
Content
(Hrs) Outcomes Activities Methods

children
 Psychologyofvulnerableindividuals–
challenged, women, sick etc.
 Roleofnursewithvulnerablegroups

V 4(T) Explainpersonality Personality  Lecture  Essayandshort

androleofnursein answer
 Meaning,definitionofpersonality  Discussion
identification and
 Objectivetype
improvement in  Classificationofpersonality  Demonstration
altered personality
 Measurementandevaluationofpersonality –
Introduction
 Alterationinpersonality
 Roleofnurseinidentificationofindividual
personality and improvement in altered
personality

VI 16(T) Explaincognitive Cognitiveprocess  Lecture  Essayandshort

process and their answer
 Attention–definition,types,determinants,  Discussion
applications
duration, degree and alteration in attention  Objectivetype
 Perception – Meaning of Perception,
principles,factoraffectingperception,
 Intelligence – Meaning of intelligence –
Effect of heredity and environment in
intelligence, classification, Introduction to
measurementofintelligencetests–Mental
deficiencies
 Learning–Definitionoflearning,typesof
learning, Factors influencing learning –
Learning process, Habit formation
 Memory-meaningandnatureofmemory,
factors influencing memory, methods to
improve memory,
forgetting
 Thinking–types,level,reasoningand
problem solving.
 Aptitude–concept,types,individual
differences and variability
 Psychometricassessmentofcognitive
processes – Introduction
 Alterationincognitiveprocesses

VII 6(T) Describe Motivationandemotionalprocesses  Lecture  Essayandshort

motivation, answer
 Motivation – meaning, concept, types,  Groupdiscussion
emotion, attitude
theoriesofmotivation,motivationcycle,  Objectivetype
androleofnursein
biological and special motives
emotionally sick
client  Emotions – Meaning of emotions,
development of emotions, alteration of
emotion,emotionsinsickness–handling
emotions in self and other
 Stressandadaptation–stress,stressor,
cycle, effect, adaptation and coping
259 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Teaching/Learning Assessment

Content
(Hrs) Outcomes Activities Methods

 Attitudes – Meaning of attitudes, nature,

factoraffectingattitude,attitudinalchange,
Role of attitude in health and sickness
 Psychometricassessmentofemotionsand
attitude – Introduction
 Roleofnurseincaringforemotionallysick
client

VIII 4(T) Explain Psychologicalassessmentandtests–  Lecture  Shortanswer

psychological introduction
 Discussion  Assessmentof
assessmentandtests
 Types,development,characteristics, practice
and role of nurse  Demonstration
principles, uses, interpretation
 Roleofnurseinpsychologicalassessment

IX 10(T) Explain concept of Applicationofsoftskill  Lecture  Essayandshort

soft skill and its answer
 Conceptofsoftskill  Groupdiscussion
applicationinwork
place and society  Typesofsoftskill–visual,auraland  Roleplay
communication skill
 Refer/Complete
 Thewayof communication Softskillsmodule
 Buildingrelationshipwithclientand
society
 Interpersonal Relationships (IPR):
Definition, Types, and Purposes,
Interpersonalskills,Barriers,Strategiesto
overcome barriers
 Survivalstrategies–managingtime,coping
stress, resilience, work – life balance
 Applyingsoftskilltoworkplaceandsociety –
Presentation skills, social etiquette,
telephone etiquette, motivational skills,
teamwork etc.
 Useofsoftskillinnursing

X 2(T) Explain self- Self-empowerment  Lecture  Shortanswer

empowerment
 Dimensionsofself-empowerment  Discussion  Objectivetype
 Self-empowermentdevelopment
 Importanceofwomen‘sempowermentin
society
 Professionaletiquetteandpersonal
grooming
 Roleofnurseinempoweringothers

NURSINGFOUNDATION-I(includingFirstAidmodule) PLACEMENT: I
SEMESTER
THEORY:6Credits(120hours)
PRACTICUM:SkillLab:2Credits(80hours)andClinical:2Credits(160hours)
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 260
ण
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:Oncompletionofthecourse,thestudentswillbeableto
1. Developunderstandingabouttheconceptofhealth,illnessandscopeofnursingwithinhealthcareservices.
2. Applyvalues,codeofethicsandprofessionalconductinprofessionallife.
3. Applytheprinciplesandmethodsofeffectivecommunicationinestablishingcommunicationlinkswithpatients, families and
other health team members.
4. Developskillinrecordingandreporting.
5. Demonstratecompetencyinmonitoringanddocumentingvitalsigns.
6. Describethefundamentalprinciplesandtechniquesofinfectioncontrolandbiomedicalwastemanagement.
7. Identifyandmeetthecomfortneedsofthepatients.
8. Performadmission,transfer,anddischargeofapatientundersupervisionapplyingtheknowledge.
9. Demonstrateunderstandingandapplicationofknowledgeincaringforpatientswithrestrictedmobility.
10. Performfirstaidmeasuresduringemergencies.
11. Identifytheeducationalneedsofpatientsanddemonstratebasicskillsofpatienteducation.

*MandatoryModuleusedinTeaching/Learning:
FirstAid:40Hours(includingBasicCPR)

COURSEOUTLINE
T–Theory,SL–SkillLab
Time Teaching/Learning Assessment
Unit LearningOutcomes Content
(Hrs) Activities Methods

I 5(T) Describe the Introductiontohealthandillness  Lecture  Essay

conceptofhealth
 ConceptofHealth–Definitions(WHO),  Discussion  Shortanswer
and illness
Dimensions
 Objective
 Maslow‘shierarchyofneeds type
 Health–Illnesscontinuum
 Factorsinfluencinghealth
 Causesandriskfactorsfordeveloping
illnesses
 Illness–Types,illnessbehavior
 Impactofillnessonpatientandfamily

II 5(T) Describe the levels HealthCareDeliverySystems–  Lecture  Essay

of
IntroductionofBasicConcepts&Meanings  Discussion  Shortanswer
illnesspreventionan
dcare, health care  LevelsofIllnessPrevention–Primary  Objective
services (Health Promotion), Secondary and type
Tertiary
 LevelsofCare–Primary,Secondaryand
Tertiary
 Typesofhealthcareagencies/services–
Hospitals,clinics,Hospice,rehabilitation
centres, extended care facilities
 Hospitals–Types,Organizationand
261 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Time Teaching/Learning Assessment

Unit LearningOutcomes Content
(Hrs) Activities Methods

Functions
 Healthcareteamsinhospitals–members
and their role

III 12(T) Tracethehistoryof HistoryofNursingandNursingasa  Lecture  Essay

Nursing profession
 Discussion  Shortanswers
 HistoryofNursing,HistoryofNursingin
 Casediscussion  Objective
India
Explain the type
 Roleplays
concept,natureand  ContributionsofFlorenceNightingale
scope of nursing
 Nursing – Definition – Nurse, Nursing,
Concepts, philosophy, objectives,
Characteristics, nature and Scope of
Describe values,
Nursing/ Nursing practice, Functions of
code ofethics and nurse,Qualitiesofanurse,Categoriesof
professional
nursing personnel
conductfornurses
in India  Nursingasaprofession–definitionand
characteristics/criteria of profession
 Values–Introduction–meaningand
importance
 Codeofethicsandprofessionalconduct
for nurses – Introduction

IV 8(T) Describetheprocess, CommunicationandNursePatient  Lecture  Essay

principles, and types Relationship
3(SL)  Discussion  Shortanswer
of communication
 Communication–Levels,Elementsand
 Roleplayandvideo  Objective
Process, Types, Modes, Factors
filmonTherapeutic type
influencing communication
Explaintherapeutic, Communication
non-therapeuticand  Methods of effective
professional communication/therapeutic
communication communicationtechniques
 Barrierstoeffectivecommunication/non-
therapeutic communication techniques
Communicate
effectively with  Professionalcommunication
patients, their
 HelpingRelationships(NursePatient
familiesandteam
Relationship) – Purposes and Phases
members
 Communicating effectively withpatient,
families and team members
 Maintainingeffectivehumanrelationsand
communication with vulnerable groups
(children,women,physicallyandmentally
challenged and elderly)

V 4(T) Describe the DocumentationandReporting  Lecture  Essay

purposes,typesand
2(SL)  Documentation–PurposesofReportsand  Discussion  Shortanswer
techniques of
Records
recording and  Demonstration  Objective
reporting  Confidentiality type
 TypesofClientrecords/CommonRecord-
keeping forms
Maintainrecords
and reports  Methods/Systems of
accurately documentation/Recording
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 262
ण
Time Teaching/Learning Assessment
Unit LearningOutcomes Content
(Hrs) Activities Methods

 Guidelinesfordocumentation
 Do‘sandDon‘tsofdocumentation/Legal
guidelinesforDocumentation/Recording
 Reporting–Changeofshiftreports,
Transfer reports, Incident reports

VI 15(T) Describeprinciples Vitalsigns  Lecture  Essay

and techniques of
20  Guidelinesfortakingvitalsigns  Discussion  Shortanswer
monitoring and
(SL)
maintaining vital  Bodytemperature–  Demonstration&  Objective
signs Re-demonstration type
o Definition,Physiology,Regulation,
Factorsaffectingbodytemperature  Documentthe
given values
o Assessmentofbodytemperature–sites, of
equipment and technique
temperature,
o Temperature alterations – pulse, and
Hyperthermia, Heat Cramps, Heat respiration in
Exhaustion,Heatstroke,Hypothermia the graphic
sheet
o Fever/Pyrexia–Definition,Causes,
Stages, Types  OSCE
 NursingManagement
o HotandColdapplications
 Pulse:
o Definition,PhysiologyandRegulation,
Characteristics,Factorsaffectingpulse
o Assessmentofpulse–sites,equipment
and technique
Assess and record
vitalsignsaccurately o Alterationsinpulse
 Respiration:
o Definition, Physiology and Regulation,
Mechanicsofbreathing,Characteristics,
Factorsaffectingrespiration
o Assessmentofrespirations–technique
o ArterialOxygensaturation
o Alterationsinrespiration
 Bloodpressure:
o Definition,PhysiologyandRegulation,
Characteristics,FactorsaffectingBP
o Assessment of BP – sites, equipment
andtechnique,CommonErrorsinBP
Assessment
o AlterationsinBloodPressure
 DocumentingVitalSigns

VII 3(T) Maintainequipment EquipmentandLinen

and linen
 Types–Disposablesandreusable
o Linen,rubbergoods,glassware,metal,
plastics, furniture
 Introduction–Indent,maintenance,
Inventory
263 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Time Teaching/Learning Assessment

Unit LearningOutcomes Content
(Hrs) Activities Methods

VIII 10(T) Describe the basic IntroductiontoInfectionControlin  Lecture  Essay

principles and Clinical setting Infection
3(SL)  Discussion  Shortanswer
techniques of
 Natureofinfection
infection control  Demonstration  Objective
and biomedical  Chainofinfection type
wastemanagement  Observation of
 Typesofinfection autoclaving and
othersterilization
 Stagesofinfection techniques
 Factorsincreasingsusceptibilityto  Videopresentation
infection on medical &
 Body defenses against infection – surgical asepsis
Inflammatoryresponse&Immune
response
 Healthcareassociatedinfection
(Nosocomial infection)
IntroductoryconceptofAsepsis–
Medical&Surgicalasepsis
Precautions
 HandHygiene
 (HandwashinganduseofhandRub)
 UseofPersonal ProtectiveEquipment
(PPE)
 Standard precautions
BiomedicalWastemanagement
 Typesofhospitalwaste,wastesegregation
and hazards – Introduction

IX 15(T) Identifyandmeet Comfort,Rest&SleepandPain  Lecture  Essay

thecomfortneeds
15  Comfort  Discussion  Shortanswer
of the patients
(SL)
o FactorsInfluencingComfort  Demonstration&  Objective
Re-demonstration type
o Typesofbedsincludinglatestbeds,
purposes & bed making  OSCE
o Therapeuticpositions
o Comfortdevices
 SleepandRest
o Physiologyofsleep
o Factorsaffectingsleep
o PromotingRestandsleep
o SleepDisorders
 Pain(Discomfort)
o Physiology
o Commoncauseof pain
o Types
o Assessment–painscalesandnarcotic
scales
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 264
ण
Time Teaching/Learning Assessment
Unit LearningOutcomes Content
(Hrs) Activities Methods

o Pharmacological and Non-

pharmacological pain relieving
measures–Useofnarcotics,TENS
devices, PCA
o Invasivetechniquesofpain
management
o Anyothernewermeasures
o CAM(Complementary&Alternative
healing Modalities)

X 5(T) Describe the PromotingSafetyinHealthCare  Lecture  Essay

conceptofpatient Environment
3(SL)  Discussion  Shortanswer
environment
 Physical environment – Temperature,
Humidity,Noise,Ventilation,Light,Odor,
 Demonstration  Objective
Pest control type

 ReductionofPhysicalhazards–fire,
accidents
 FallRiskAssessment
 Roleofnurseinprovidingsafeandclean
environment
 Safetydevices–
o Restraints – Types, Purposes,
Indications,LegalImplicationsand
Consent,ApplicationofRestraints-
SkillandPracticeguidelines
o OtherSafetyDevices–Siderails,Grab
bars, Ambu alarms, non-skid slippers
etc.

XI 6(T) Explainandperform HospitalAdmissionanddischarge  Lecture  Essay

admission, transfer,
2(SL)  AdmissiontothehospitalUnitand  Discussion  Shortanswer
and discharge of a
preparation of unit
patient  Demonstration  Objective
o Admissionbed type
o Admissionprocedure
o Medico-legalissues
o RolesandResponsibilitiesofthenurse
 Dischargefromthehospital
o Types–Planneddischarge,LAMAand
Abscond, Referrals and transfers
o DischargePlanning
o Dischargeprocedure
o Medico-legalissues
o RolesandResponsibilitiesofthenurse
o Careoftheunitafterdischarge

XII 8(T) Demonstrateskillin MobilityandImmobility  Lecture  Essay

caring for patients
10  Elements of Normal Movement,  Discussion  Shortanswer
with restricted
(SL) Alignment&Posture,JointMobility,
mobility  Demonstration&  Objective
Balance, Coordinated Movement
265 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Time Teaching/Learning Assessment

Unit LearningOutcomes Content
(Hrs) Activities Methods

 Principlesofbodymechanics Re-demonstration type

 FactorsaffectingBodyAlignmentand  OSCE
activity
 Exercise–Typesandbenefits
 EffectsofImmobility
 MaintenanceofnormalBodyAlignment
and Activity
 AlterationinBodyAlignmentand
mobility
 NursinginterventionsforimpairedBody
Alignment and Mobility – assessment,
types, devices used, method
o Rangeofmotionexercises
o Musclestrengtheningexercises
o Maintainingbodyalignment–positions
o Moving
o Lifting
o Transferring
o Walking
 Assistingclientswithambulation
 CareofpatientswithImmobilityusing
Nursing process approach
 Careofpatientswithcastsandsplints

XIII 4(T) Describe the Patienteducation  Discussion  Essay

principles and
2(SL)  PatientTeaching–Importance,Purposes,  Roleplays  Shortanswer
practiceofpatient
Process
education  Objective
 Integratingnursingprocessinpatient type
teaching

XIV 20(T) Explainandapply FirstAid*  Lecture  Essay

principlesofFirst
20  Definition,BasicPrinciples,Scope&R  Discussion  Shortanswer
Aid during
(SL) ules
emergencies  Demonstration&  Objective
 FirstAidManagement Re-demonstration type
o Wounds,Hemorrhage&Shock  Modulecompletion  OSCE
o MusculoskeletalInjuries–Fractures,  National Disaster
Dislocation,Muscleinjuries Management
o TransportationofInjuredpersons Authority(NDMA)
/IndianRedCross
o RespiratoryEmergencies&Basic CPR
Society (IRCS)
o Unconsciousness First Aid module
o ForeignBodies–Skin,Eye,Ear,Nose,
Throat&Stomach
o Burns&Scalds
o Poisoning,Bites&Stings
o Frostbite&EffectsofHeat
o CommunityEmergencies

*Mandatorymodule
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 266
ण
CLINICALPRACTICUM
ClinicalPracticum:2Credits(160hours),10weeks×16hoursper week
PRACTICECOMPETENCIES:Oncompletionoftheclinicalpracticum,thestudentswillbeableto
1. Maintaineffectivehumanrelations(projectingprofessionalimage)
2. Communicateeffectivelywithpatient,familiesandteammembers
3. Demonstrateskillsintechniquesofrecordingandreporting
4. Demonstrateskillinmonitoringvitalsigns
5. Careforpatientswithalteredvitalsigns
6. DemonstrateskillinimplementingstandardprecautionsanduseofPPE
7. Demonstrateskillinmeetingthecomfortneedsofthepatients
8. Providesafeandcleanenvironment
9. Demonstrateskillinadmission,transfer,anddischargeofapatient
10. Demonstrateskillincaringforpatientswithrestrictedmobility
11. Planandprovideappropriatehealthteachingfollowingtheprinciples
12. AcquireskillsinassessingandperformingFirstAidduringemergencies.

SKILLLAB
UseofMannequinsandSimulators
S.No. Competencies Modeof Teaching

1. TherapeuticCommunicationandDocumentation RolePlay

2. Vitalsigns Simulator/Standardizedpatient

3. MedicalandSurgicalAsepsis Videos/Mannequin

4. PainAssessment Standardizedpatient

5. ComfortDevices Mannequin

6. TherapeuticPositions Mannequin

7. PhysicalRestraintsandSiderails Mannequin

8. ROMExercises Standardizedpatient

9. Ambulation Standardizedpatient

10. MovingandTurningpatientsinbed Mannequin

11. Changingpositionofhelplesspatients Mannequin/Standardizedpatient

12. Transferringpatientsbedtostretcher/wheelchair Mannequin/Standardizedpatient

13. Admission,Transfer,Discharge&HealthTeaching RolePlay

267 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

CLINICALPOSTINGS–GeneralMedical/SurgicalWards 10
weeks × 16 hours/week = 160 Hours
Clinical Duration LearningOutcomes ProceduralCompetencies/Clinical Clinical Assessment
Unit (inWeeks) Skills Requirements Methods
(SupervisedClinicalPractice)
General 2 Maintain effective CommunicationandNurse  OSCE
Medical/ human relations patient relationship
Surgical (projecting
 MaintainingCommunicationwith
wards professionalimage)
patient and family and
interpersonal relationship
Communicate  DocumentationandReporting
effectively with
o Documentingpatientcareand
patient,familiesand
procedures
team members
o Verbalreport
o Writtenreport
Demonstrateskillsin
techniques of
recording and
reporting
2 Demonstrateskillin Vitalsigns  Careofpatients  Assessmentof
monitoring vital withalterations clinical skills
 Monitor/measureanddocument invitalsigns-1
signs usingchecklist
vital signs in a graphic sheet
 OSCE
o Temperature(oral,tympanic,
Careforpatientswith axillary)
altered vital signs
o Pulse(Apicalandperipheral
pulses)
Demonstrateskillin o Respiration
implementing
o Bloodpressure
standardprecautions
and use of PPE o Pulseoximetry
 Interpretandreportalteration
 ColdApplications–Cold
Compress,Icecap,Tepid
Sponging
 Careofequipment–thermometer,
BP apparatus, Stethoscope, Pulse
oximeter
InfectioncontrolinClinical settings
 Handhygiene
 UseofPPE

3 Demonstrateskillin Comfort,Rest&Sleep,Painand  Assessmentof

meetingthecomfort PromotingSafetyinHealthCare clinical skills
needsofthepatients Environment usingchecklist
Comfort,Rest&Sleep  OSCE
 Bedmaking-
o Open
o Closed
o Occupied
o Post-operative
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 268
ण
Clinical Duration LearningOutcomes ProceduralCompetencies/Clinical Clinical Assessment
Unit (inWeeks) Skills Requirements Methods
(SupervisedClinicalPractice)
o Cardiacbed
o Fracturebed
 Comfortdevices
o Pillows
o Overbedtable/cardiactable
o Backrest
o BedCradle
 TherapeuticPositions
o Supine
o Fowlers(low,semi,high)
o Lateral
o Prone
o Sim‘s
o Trendelenburg
o Dorsalrecumbent
o Lithotomy
o Kneechest
Pain
 Painassessmentandprovisionfor
comfort
PromotingSafetyinHealthCare
Environment
Providesafeandclean  CareofPatient‘sUnit
environment
 UseofSafetydevices:  Fall risk
assessment-1
o SideRails
 Restraints(Physical)
 FallriskassessmentandPostFall
Assessment

Demonstrateskillin Hospital Admission and  Assessmentof

admission, transfer, discharge, Mobility and clinical skills
and discharge of a ImmobilityandPatienteducation usingchecklist
patient
HospitalAdmissionanddischarge  OSCE
Perform&Document:
 Admission
 Transfer
2
 PlannedDischarge

Demonstrateskillin MobilityandImmobility  Individual  Assessmentof

caring for patients teaching-1 clinical skills
 RangeofMotionExercises
with restricted usingchecklist
mobility  Assistpatientin:  OSCE
o Moving
269 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Clinical Duration LearningOutcomes ProceduralCompetencies/Clinical Clinical Assessment

Unit (inWeeks) Skills Requirements Methods
(SupervisedClinicalPractice)
Plan and provide o Turning
appropriate health
o Logrolling
teachingfollowing
the principles  Changingpositionofhelpless
patient
 Transferring(Bedtoandfrom
chair/wheelchair/ stretcher)
Patienteducation

1 Demonstrateskillsin FirstaidandEmergencies  Module  Assessmentof

assessing and completion clinical skills
 BandagingTechniques
performingFirstAid National usingchecklist
during emergencies o BasicBandages: Disaster
 OSCE(firstaid
Management
 Circular competencies)
Authority
 Spiral (NDMA) First
Aid module
 Reverse-Spiral (Tocompleteit
 Recurrent in clinicals if
not completed
 Figureof Eight during lab)
o SpecialBandages:
 Caplin
 Eye/EarBandage
 JawBandage
 ShoulderSpica
 Thumbspica
 TriangularBandage/Sling
(Head & limbs)
 Binders

APPLIEDBIOCHEMISTRY

PLACEMENT:IISEMESTER
THEORY:2credits(40hours)(includeslabhoursalso)
DESCRIPTION: Thecourseisdesignedtoassistthestudentstoacquireknowledgeofthenormalbiochemicalcomposition and
functioning of human body, its alterations in disease conditions and to apply this knowledge in the practice of nursing.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
1. Describethemetabolismofcarbohydratesanditsalterations.
2. Explainthemetabolismoflipidsanditsalterations.
3. Explainthemetabolismofproteinsandaminoacidsanditsalterations.
4. Explainclinicalenzymologyinvariousdiseaseconditions.
5. Explainacidbasebalance,imbalanceanditsclinicalsignificance.
6. Describethemetabolismofhemoglobinanditsclinicalsignificance.
7. Explaindifferentfunctiontestsandinterpretthefindings.
8. Illustratetheimmunochemistry.
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 270
ण
COURSEOUTLINE
T–Theory
Unit Time Learning Content Teaching/Learning Assessment
(Hrs) Outcomes Activities Methods

I 8(T) Describe the Carbohydrates  Lecturecum  Essay

metabolism of Discussion
 Digestion,absorptionandmetabolismof  Shortanswer
carbohydratesand
carbohydrates and related disorders  Explain using
its alterations  Veryshort
chartsandslides
 Regulationofbloodglucose answer
 Demonstrationof
 Diabetes Mellitus – type 1 and type 2,
laboratory tests
symptoms,complications&management
in brief
 InvestigationsofDiabetesMellitus
o OGTT–Indications,Procedure,
InterpretationandtypesofGTTcurve
o MiniGTT,extendedGTT,GCT,IV
GTT
o HbA1c(Onlydefinition)
 Hypoglycemia–Definition&causes

II 8(T) Explain the Lipids  Lecturecum  Essay

metabolismof Discussion
 Fattyacids–Definition,classification  Shortanswer
lipids and its
 Explain using
alterations  Definition & Clinical significance of  Veryshort
chartsandslides
MUFA&PUFA,Essentialfattyacids, answer
Trans fatty acids  Demonstrationof
laboratory tests
 Digestion,absorption&metabolismof
lipids & related disorders
 Compoundsformedfromcholesterol
 Ketonebodies(name,types&
significance only)
 Lipoproteins–types&functions
(metabolism not required)
 Lipidprofile
 Atherosclerosis(inbrief)

III 9(T)Explain the metabolism

Proteins  Lecturecum  Essay
of aminoacidsand Discussion
 Classification of amino acids based on  Shortanswer
proteins
nutrition,metabolicratewithexamples  Explain using
 Veryshort
charts,modelsand
 Digestion,absorption&metabolismof answer
slides
protein & related disorders
Identifyalterations in
disease conditions  Biologically important compounds
synthesizedfromvariousaminoacids
(only names)
 Inbornerrorsofaminoacidmetabolism –
only aromatic amino acids (in brief)
 Plasmaprotein–types,function&
normal values
 Causesofproteinuria,hypoproteinemia,
hyper-gamma globinemia
 Principleofelectrophoresis,normal&
abnormal electrophoretic patterns (in
271 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

(Hrs) Outcomes Activities Methods

brief)

IV 4(T) Explainclinical ClinicalEnzymology  Lecturecum  Essay

enzymology in Discussion
 Isoenzymes–Definition&properties  Shortanswer
various disease
 Explain using
conditions  Enzymesofdiagnosticimportancein  Veryshort
chartsandslides
answer
o LiverDiseases–ALT,AST,ALP,
GGT
o Myocardialinfarction–CK,cardiac
troponins, AST, LDH
o Musclediseases–CK,Aldolase
o Bonediseases– ALP
o Prostatecancer–PSA,ACP

V 3(T) Explain acid base Acidbasemaintenance  Lecturecum  Shortanswer

balance,imbalance Discussion
 pH–definition,normalvalue  Veryshort
and its clinical
 Explain using answer
significance  RegulationofbloodpH–bloodbuffer,
chartsandslides
respiratory & renal
 ABG–normalvalues
 Acidbasedisorders–
types,definition&causes

VI 2(T) Describe the Hemecatabolism  Lecturecum  Shortanswer

metabolism of Discussion
 Hemedegradationpathway  Veryshort
hemoglobin and its
 Explain using answer
clinicalsignificance  Jaundice–type,causes,urine&blood
chartsandslides
investigations (van den berg test)

VII 3(T) Explain different Organ function tests (biochemical  Lecturecum  Shortanswer
functiontestsand parameters&normalvaluesonly) Discussion
 Veryshort
interpret the
 Renal  VisittoLab answer
findings
 Liver  Explain using
chartsandslides
 Thyroid

VIII 3(T) Illustrate the Immunochemistry  Lecturecum  Shortanswer

immunochemistry Discussion
 Structure&functionsofimmunoglobulin  Veryshort
 Explain using answer
 Investigations&interpretation–ELISA
chartsandslides
 Demonstrationof
laboratory tests

Note:Fewlabhourscanbeplannedforobservationandvisits(Lessthan1credit,labhoursarenotspecifiedseparately).

APPLIEDNUTRITIONANDDIETETICS
PLACEMENT:IISEMESTER
THEORY:3credits(60hours) Theory:
45 hours
Lab :15hours
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 272
ण
DESCRIPTION:Thecourseisdesignedtoassistthestudentstoacquirebasicknowledgeandunderstandingofthe principles of
Nutrition and Dietetics and apply this knowledge in the practice of Nursing.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
1. Identifytheimportanceofnutritioninhealthandwellness.
2. Applynutrientanddietarymodificationsincaringpatients.
3. ExplaintheprinciplesandpracticesofNutritionandDietetics.
4. Identifynutritionalneedsofdifferentagegroupsandplanabalanceddietforthem.
5. Identifythedietaryprinciplesfordifferentdiseases.
6. Plantherapeuticdietforpatientssufferingfromvariousdiseaseconditions.
7. Preparemealsusingdifferentmethodsandcookeryrules.

COURSEOUTLINE
T–Theory
Unit Time Learning Content Teaching/Learning Assessment
(Hrs) Outcomes Activities Methods
I 2(T) Definenutritionand IntroductiontoNutrition  Lecturecum  Essay
its relationship to Discussion
Concepts  Shortanswer
Health
 Charts/Slides
 DefinitionofNutrition&Health  Veryshort
answer
 Malnutrition–UnderNutrition&Over
Nutrition
 RoleofNutritioninmaintaininghealth
 Factorsaffectingfoodandnutrition
Nutrients
 Classification
 Macro&Micronutrients
 Organic&Inorganic
 EnergyYielding&Non-EnergyYielding
Food
 Classification–Foodgroups
 Origin

II 3(T) Describe the Carbohydrates  Lecturecum  Essay

classification, Discussion
 Composition–Starches,sugarand  Shortanswer
functions,sources
cellulose  Charts/Slides
andrecommended  Veryshort
daily allowances  RecommendedDailyAllowance(RDA)  Models answer
(RDA) of
carbohydrates  Dietarysources  Displayoffood
items
 Functions

ExplainBMRand Energy
factors affecting  Unitofenergy–Kcal
BMR
 BasalMetabolicRate(BMR)
 FactorsaffectingBMR

III 3(T) Describe the Proteins  Lecturecum  Essay

classification, Discussion
 Composition  Shortanswer
Functions,sources  Charts/Slides
 Veryshort
273 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

(Hrs) Outcomes Activities Methods
andRDAof  Eightessentialaminoacids  Models answer
proteins.
 Functions  Displayoffood
items
 Dietarysources
 Proteinrequirements–RDA

IV 2(T) Describe the Fats  Lecturecum  Essay

classification, Discussion
 Classification–Saturated&unsaturated  Shortanswer
Functions,sources  Charts/Slides
 Calorievalue  Veryshort
and RDA of fats
 Models answer
 Functions
 Displayoffood
 Dietarysourcesoffatsandfattyacids
items
 Fatrequirements– RDA

V 3(T) Describe the Vitamins  Lecturecum  Essay

classification, Discussion
 Classification–fatsoluble&water  Shortanswer
functions,sources
soluble  Charts/Slides
and RDA of  Veryshort
vitamins  Fatsoluble–VitaminsA,D,E,  Models answer
and K
 Displayoffood
 Water soluble – Thiamine items
(vitamin B1), Riboflavin (vitamin B2),
Nicotinic acid, Pyridoxine (vitamin B6),
Pantothenicacid,Folicacid,VitaminB12,
Ascorbic acid (vitamin C)
 Functions, Dietary Sources &
Requirements–RDAofeveryvitamin

VI 3(T) Describe the Minerals  Lecturecum  Shortanswer

classification, Discussion
 Classification – Majorminerals  Veryshort
functions,sources
(Calcium, phosphorus, sodium,  Charts/Slides answer
and RDA of
potassium andmagnesium) and Trace
minerals  Models
elements
 Displayoffood
 Functions
items
 DietarySources
 Requirements–RDA

VII 7(T) Describe and plan Balanceddiet  Lecturecum  Shortanswer

balanced diet for Discussion
8(L)  Definition,principles,steps  Veryshort
different age
 Mealplanning answer
groups,pregnancy,  Foodguides–BasicFourFoodGroups
and lactation  Labsessionon
 RDA–Definition,limitations,uses
o Preparation of
 FoodExchangeSystem
balanceddietfor
 Calculationofnutritivevalueoffoods different
categories
 Dietaryfibre
o Low cost
Nutritionacrosslifecycle nutritiousdishes
 Mealplanning/Menuplanning–
Definition, principles, steps
 InfantandYoungChildFeeding(IYCF)
guidelines–breastfeeding,infantfoods
 Dietplanfordifferentagegroups–
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 274
ण
Unit Time Learning Content Teaching/Learning Assessment
(Hrs) Outcomes Activities Methods
Children,adolescentsandelderly
 Diet in pregnancy – nutritional
requirementsandbalanceddietplan
 Anemiainpregnancy–diagnosis,dietfor
anemic pregnant women, iron & folicacid
supplementation and counseling
 Nutrition in lactation – nutritional
requirements,dietforlactatingmothers,
complementary feeding/ weaning

VIII 6(T) Classify and Nutritionaldeficiencydisorders  Lecturecum  Essay

describe the Discussion
 Proteinenergymalnutrition–magnitude  Shortanswer
commonnutritional
of the problem, causes, classification,  Charts/Slides
deficiencydisorders  Veryshort
signs & symptoms, Severe acute
andidentifynurses‘  Models answer
malnutrition (SAM), management &
role in assessment,
prevention and nurses‘ role
management and
prevention  Childhoodobesity–signs&symptoms,
assessment, management & prevention
and nurses‘ role
 Vitamindeficiencydisorders–vitaminA, B,
C & D deficiency disorders –causes,
signs & symptoms, management &
prevention and nurses‘ role
 Mineraldeficiencydiseases–iron,iodine
andcalciumdeficiencies–causes,signs&
symptoms, management & preventionand
nurses‘ role

IX 4(T) Principles of diets Therapeuticdiets  Lecturecum  Essay

invariousdiseases Discussion
7(L)  Definition,Objectives,Principles  Shortanswer
 Mealplanning
 Modifications–Consistency,Nutrients,  Veryshort
 Lab session on answer
 Feedingtechniques.
preparation of
 Diet in Diseases – Obesity, Diabetes therapeuticdiets
Mellitus, CVD, Underweight, Renal
diseases,HepaticdisordersConstipation,
Diarrhea, Pre and Post-operative period

X 3(T) Describe the rules Cookeryrulesandpreservationof  Lecturecum  Essay

andpreservationof nutrients Discussion
 Shortanswer
nutrients
 Cooking–Methods,Advantagesand  Charts/Slides
 Veryshort
Disadvantages
answer
 Preservationofnutrients
 Measurestopreventlossofnutrients
during preparation
 SafefoodhandlingandStorageoffoods
 Foodpreservation
 Foodadditivesandfoodadulteration
 PreventionofFoodAdulterationAct
(PFA)
 Foodstandards
275 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

(Hrs) Outcomes Activities Methods
XI 4(T) Explain the Nutritionassessmentandnutrition  Lecturecum  Essay
methods of education Discussion
 Shortanswer
nutritional
 Objectivesofnutritionalassessment  Demonstration
assessment and  Evaluationof
nutritioneducation  Methods of assessment – clinical  Writingnutritional Nutritional
examination, anthropometry, laboratory assessment report assessment
&biochemicalassessment,assessmentof report
dietary intake including Food frequency
questionnaire (FFQ) method
 Nutritioneducation–purposes,principles
and methods

XII 3(T) Describenutritional NationalNutritionalProgramsandrole of  Lecturecum  Essay

problems in India nurse Discussion
 Shortanswer
and nutritional
 NutritionalproblemsinIndia
programs  Veryshort
 Nationalnutritionalpolicy answer
 National nutritional programs – Vitamin
ASupplementation,AnemiaMuktBharat
Program, Integrated Child Development
Services (ICDS), Mid-day Meal Scheme
(MDMS), National Iodine Deficiency
Disorders Control Program (NIDDCP),
Weekly Iron FolicAcidSupplementation
(WIFS) and others as introduced
 Roleofnurseinevery program

XIII 2(T) Discuss the Foodsafety  Guidedreadingon  Quiz

importanceoffood related acts
 Definition,Foodsafetyconsiderations&m  Shortanswer
hygiene and food
easures
safety
 FoodsafetyregulatorymeasuresinIndia –
Relevant Acts
ExplaintheActs
 Fivekeystosafer food
related to food
safety  Foodstorage,foodhandlingandcooking
 Generalprinciplesoffoodstorageoffood
items (ex. milk, meat)
 Roleoffoodhandlersinfoodborne
diseases
 Essentialstepsinsafecookingpractices

FoodborndiseasesandfoodpoisoningaredealtinCommunityHealthNursingI.

NURSINGFOUNDATION-II(includingHealthAssessmentModule)
PLACEMENT: II SEMESTER
THEORY:6Credits(120hours)
PRACTICUM:SkillLab:3Credits(120hours),Clinical:4Credits(320hours)
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:Oncompletionofthecourse,thestudentswillbeableto
1. Develop understanding about fundamentals of health assessment and perform health assessment in supervised
clinicalsettings
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 276
ण
2. Demonstrate fundamental skills of assessment, planning, implementation and evaluation of nursing care using Nursing
process approach in supervised clinical settings
3. AssesstheNutritionalneedsofpatientsandproviderelevantcareundersupervision
4. Identifyandmeetthehygienicneedsofpatients
5. Identifyandmeettheeliminationneedsofpatient
6. Interpretfindingsofspecimentestingapplyingtheknowledgeofnormalvalues
7. Promoteoxygenationbasedonidentifiedoxygenationneedsofpatientsundersupervision
8. Reviewtheconceptoffluid,electrolytebalanceintegratingtheknowledgeofappliedphysiology
9. Applytheknowledgeoftheprinciples,routes,effectsofadministrationofmedicationsinadministeringmedication
10. Calculateconversionsofdrugsanddosageswithinandbetweensystemsofmeasurements
11. Demonstrateknowledgeandunderstandingincaringforpatientswithalteredfunctioningofsenseorgansandunconsciousness
12. Explainloss,deathandgrief
13. Describesexualdevelopmentandsexuality
14. Identifystressorsandstressadaptationmodes
15. Integratetheknowledgeofcultureandculturaldifferencesinmeetingthespiritualneeds
16. Explaintheintroductoryconceptsrelevanttomodelsofhealthandillnessinpatientcare
*MandatoryModuleusedinTeaching/Learning:
HealthAssessmentModule:40hours

COURSEOUTLINE
T–Theory,SL–SkillLab
Time
LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
I 20(T) Describe the HealthAssessment  ModularLearning  Essay
purposeandprocess
20 (SL)  Interviewtechniques *HealthAssessment  Shortanswer
of healthassessment
Module
and  Observationtechniques  Objective
performassessment  Lecturecum type
under supervised  Purposesofhealthassessment
Discussion
clinical practice  OSCE
 ProcessofHealthassessment
 Demonstration
oHealthhistory
o Physicalexamination:
 Methods: Inspection, Palpation,
Percussion,Auscultation,Olfaction
 Preparationforexamination:
patient and unit
 Generalassessment
 Assessmentofeachbodysystem
 Documentinghealthassessment
findings

13(T) Describe assessment, TheNursingProcess  Lecture  Essay

planning,
8(SL)  Critical Thinking Competencies,  Discussion  Shortanswer
implementationand
AttitudesforCriticalThinking,Levelsof
evaluation of  Demonstration  Objectivetype
critical thinking in Nursing
nursing care using
Nursing process  Supervised  Evaluationof
 NursingProcessOverview
ClinicalPractice care plan
277 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

(Hrs) Activities Methods
approach oAssessment
 CollectionofData:Types,
Sources, Methods
 OrganizingData
 ValidatingData
 DocumentingData
o NursingDiagnosis
 Identificationofclientproblems,
risks and strengths
 Nursing diagnosis statement –
parts, Types, Formulating,
GuidelinesforformulatingNursing
Diagnosis
 NANDAapproveddiagnoses
 Differencebetweenmedicaland
nursing diagnosis
o Planning
 Typesofplanning
 EstablishingPriorities
 EstablishingGoalsandExpected
Outcomes – Purposes, types,
guidelines, Components of goals
and outcome statements
 TypesofNursingInterventions,
Selectinginterventions:Protocols
and Standing Orders
 Introduction to Nursing
Intervention Classification and
NursingOutcomeClassification
 Guidelinesforwritingcareplan
o Implementation
 ProcessofImplementingtheplan
of care
 Typesofcare–Directand
Indirect
o Evaluation
 Evaluation Process,
DocumentationandReporting
III 5(T) Identifyandmeet Nutritionalneeds  Lecture  Essay
the Nutritional
5(SL)  Importance  Discussion  Shortanswer
needs of patients
 Factorsaffectingnutritionalneeds  Demonstration  Objectivetype
 Assessmentofnutritionalstatus  Exercise  Evaluationof
nutritional
 Review:specialdiets–Solid,Liquid,  Supervised
assessment &
Soft Clinicalpractice
diet planning
 Reviewontherapeuticdiets
 CareofpatientwithDysphagia,
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 278
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
Anorexia,Nausea,Vomiting
 MeetingNutritionalneeds:Principles,
equipment, procedure, indications
o Oral
o Enteral:Nasogastric/
Orogastric
o Introductiontootherenteral
feeds – types, indications,
Gastrostomy,Jejunostomy
o Parenteral–TPN(Total
Parenteral Nutrition)

IV 5(T) Identify and meet Hygiene  Lecture  Essay

thehygienicneeds
15  FactorsInfluencingHygienicPractice  Discussion  Shortanswer
of patients
(SL)
 Hygienic care: Indications and  Demonstration  Objectivetype
purposes,effectsofneglectedcare
 OSCE
o CareoftheSkin–(Bath,feetandnail,
Hair Care)
o Careofpressurepoints
o AssessmentofPressureUlcersusing
Braden Scale and Norton Scale
o Pressureulcers–causes,stagesand
manifestations,careandprevention
o Perinealcare/Meatalcare
o Oral care, Care of Eyes, Ears andNose
including assistive devices (eye
glasses,contactlens,dentures,hearing
aid)

V 10(T) Identifyandmeet Eliminationneeds  Lecture  Essay

the elimination
10  UrinaryElimination  Discussion  Shortanswer
needs of patient
(SL)
o ReviewofPhysiologyofUrine  Demonstration  Objectivetype
Elimination, Composition and
characteristics of urine  OSCE

o FactorsInfluencingUrination
o AlterationinUrinaryElimination
o Facilitatingurineelimination:
assessment,types,equipment,
procedures and special
considerations
o Providingurinal/bedpan
o Careofpatientswith
 Condomdrainage
 IntermittentCatheterization
 IndwellingUrinarycatheterand
urinarydrainage
 Urinarydiversions
 Bladderirrigation
279 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

(Hrs) Activities Methods
 BowelElimination
o ReviewofPhysiologyofBowel
Elimination, Composition and
characteristics of feces
o FactorsaffectingBowelelimination
o AlterationinBowelElimination
o Facilitatingbowel elimination:
Assessment,equipment,procedures
 Enemas
 Suppository
 Bowelwash
 DigitalEvacuationofimpacted
feces
 Care of patients with Ostomies
(BowelDiversionProcedures)

VI 3(T) Explain various Diagnostictesting  Lecture  Essay

types of specimens
4(SL)  Phasesofdiagnostictesting(pre-test,  Discussion  Shortanswer
andidentifynormal
intra-test & post-test) in Common
values of tests  Demonstration  Objectivetype
investigationsandclinicalimplications
o CompleteBloodCount
Develop skill in
specimencollection, o SerumElectrolytes
handling and o LFT
transport
o Lipid/Lipoproteinprofile
o SerumGlucose–AC,PC,
HbA1c
o Monitoring Capillary Blood
Glucose(GlucometerRandom
Blood Sugar – GRBS)
o StoolRoutineExamination
o UrineTesting– Albumin,
Acetone,pH,SpecificGravity
o UrineCulture,Routine,Timed
Urine Specimen
o Sputumculture
o OverviewofRadiologic&
Endoscopic Procedures

VII 11(T) Assess patients for Oxygenationneeds  Lecture  Essay

oxygenationneeds,
10  ReviewofCardiovascularand  Discussion  Shortanswer
promote
(SL) Respiratory Physiology
oxygenation and   Objectivetype
providecareduring  Factorsaffectingrespiratory Demonstration&R
oxygen therapy functioning e-demonstration
 AlterationsinRespiratoryFunctioning
 Conditionsaffecting
o Airway
o Movementofair
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 280
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
o Diffusion
o Oxygentransport
 Alterationsinoxygenation
 Nursinginterventionstopromote
oxygenation: assessment, types,
equipment used & procedure
o Maintenanceofpatentairway
o Oxygenadministration
o Suctioning–oral,tracheal
o Chest physiotherapy –
Percussion,Vibration&Postural
drainage
o CareofChestdrainage–
principles & purposes
o PulseOximetry–Factors
affectingmeasurementofoxygen
saturation using pulse oximeter,
Interpretation
 Restorative&continuingcare
o Hydration
o Humidification
o Coughingtechniques
o Breathingexercises
o Incentivespirometry

VIII 5(T) Describe the Fluid,Electrolyte,andAcid–Base  Lecture  Essay

concept of fluid, Balances
10  Discussion  Shortanswer
electrolytebalance
(SL)  ReviewofPhysiologicalRegulationof
 Demonstration  Objectivetype
Fluid, Electrolyte and Acid-Base
Balances  Problem
solving –
 FactorsAffectingFluid,Electrolyte
calculations
and Acid-Base Balances
 Disturbancesinfluidvolume:
o Deficit
 Hypovolemia
 Dehydration
o Excess
 Fluidoverload
 Edema
 Electrolyteimbalances(hypoand
hyper)
o Acid-baseimbalances
 Metabolic–acidosis&alkalosis
 Respiratory–acidosis&alkalosis
o Intravenoustherapy
281 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

(Hrs) Activities Methods
 Peripheralvenipuncturesites
 TypesofIVfluids
 CalculationformakingIVfluid
plan
 ComplicationsofIVfluidtherapy
 Measuringfluidintakeandoutput
 AdministeringBloodandBlood
components
 Restrictingfluidintake
 EnhancingFluidintake
IX 20(T) Explain the AdministrationofMedications  Lecture  Essay
principles,routes,
22  Introduction – Definition of  Discussion  Shortanswer
effects of
(SL) Medication, Administration of
administration of   Objectivetype
Medication,DrugNomenclature,Effects
medications Demonstration&R
of Drugs, Forms of Medications,  OSCE
e-demonstration
Purposes, Pharmacodynamics and
Pharmacokinetics
Calculate
conversions of  FactorsinfluencingMedicationAction
drugs and dosages
 MedicationordersandPrescriptions
withinandbetween
systems of  Systemsofmeasurement
measurements
 Medicationdosecalculation
 Principles,10rightsofMedication
Administeroraland Administration
topical medication
and document  ErrorsinMedicationadministration
accurately under  Routesofadministration
supervision
 Storageandmaintenanceofdrugsand
Nurses responsibility
 Terminologiesandabbreviationsused
inprescriptionsandmedicationsorders
 Developmentalconsiderations
 Oral,SublingualandBuccalroutes:
Equipment, procedure
 Introduction to Parenteral
Administration of Drugs –
Intramuscular, Intravenous,
Subcutaneous, Intradermal: Location of
site, Advantages and disadvantages of
the specific sites, Indication and
contraindicationsforthedifferentroutes
and sites.
 Equipment – Syringes & needles,
cannulas,Infusionsets–parts,types,
sizes
 Types of vials and ampoules,
PreparingInjectablemedicinesfrom
vials and ampoules
o Careofequipment:decontamination
and disposal of syringes, needles,
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 282
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
infusionsets
o PreventionofNeedle-StickInjuries
 Topical Administration: Types,
purposes,site,equipment,procedure
o Application toskin&mucous
membrane
o Directapplicationofliquids,Gargle
and swabbing the throat
o Insertion ofDrugintobodycavity:
Suppository/medicatedpackingin
rectum/vagina
o Instillations:Ear,Eye,Nasal,Bladder,
and Rectal
o Irrigations: Eye,Ear,Bladder,Vaginal
andRectal
o Spraying:Noseandthroat
 Inhalation: Nasal, oral,
endotracheal/tracheal (steam, oxygen
and medications) – purposes, types,
equipment, procedure, recording and
reportingofmedicationsadministered
 OtherParenteralRoutes:Meaningof
epidural, intrathecal, intraosseous,
intraperitoneal, intra-pleural, intra-
arterial

X 5(T) Provide care to Sensoryneeds  Lecture  Essay

patientswithaltered
6(SL)  Introduction  Discussion  Shortanswer
functioningofsense
organs and  Componentsofsensoryexperience–  Demonstration  Objectivetype
unconsciousness in Reception, Perception & Reaction
supervised clinical
practice  ArousalMechanism
 Factorsaffectingsensoryfunction
 Assessment of Sensory alterations –
sensorydeficit,deprivation,overload&
sensory poverty
 Management
o Promotingmeaningfulcommunication
(patients with Aphasia, artificial
airway & Visual and Hearing
impairment)
CareofUnconsciousPatients
 Unconsciousness:Definition,causes&
risk factors, pathophysiology, stages of
Unconsciousness, Clinical
Manifestations
 Assessmentandnursingmanagement
of patient with unconsciousness,
complications
283 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

(Hrs) Activities Methods
XI 4(T) Explainloss,death CareofTerminallyill,deathanddying  Lecture  Essay
and grief
6(SL)  Loss–Types  Discussion  Shortanswer
 Grief,Bereavement&Mourning  Casediscussions  Objectivetype
 TypesofGriefresponses  Deathcare/last
office
 ManifestationsofGrief
 FactorsinfluencingLoss&Grief
Responses
 TheoriesofGrief&Loss–Kubler
Ross
 5StagesofDying
 TheRProcessmodel(Rando‘s)
 Death–Definition,Meaning,Types
(Brain & Circulatory Deaths)
 SignsofImpendingDeath
 Dyingpatient‘sBillofRights
 CareofDyingPatient
 Physiologicalchangesoccurringafter
Death
 DeathDeclaration,Certification
 Autopsy
 Embalming
 Lastoffice/DeathCare
 Counseling&supportinggrieving
relatives
 PlacingbodyintheMortuary
 ReleasingbodyfromMortuary
 Overview – Medico-legal Cases,
Advancedirectives,DNI/DNR,Organ
Donation, Euthanasia

PSYCHOSOCIALNEEDS(A-D)
XII 3(T) Develop basic A.Self-concept  Lecture  Essay
understandingof
 Introduction  Discussion  Shortanswer
self-concept
 Components(PersonalIdentity,Body  Demonstration  Objectivetype
Image,RolePerformance,SelfEsteem)
 CaseDiscussion/
 FactorsaffectingSelfConcept Role play
 NursingManagement

XIII 2(T) Describe sexual B. Sexuality  Lecture  Essay

developmentand
 Sexualdevelopmentthroughoutlife  Discussion  Shortanswer
sexuality
 Sexualhealth  Objective
type
 Sexualorientation
 Factorsaffectingsexuality
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 284
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
 Prevention of STIs, unwanted
pregnancy,avoidingsexualharassment
and abuse
 Dealingwithinappropriatesexual
behavior

XIV 2(T) Describestressand C.StressandAdaptation– Introductory  Lecture  Essay

adaptation concepts
4(SL)  Discussion  Shortanswer
 Introduction
 Objective
 Sources,Effects,Indicators&Typesof type
Stress
 Typesofstressors
 Stress Adaptation – General
AdaptationSyndrome(GAS),Local
Adaptation Syndrome (LAS)
 Manifestationofstress–
Physical&psychological
 Copingstrategies/Mechanisms
 StressManagement
o Assistwithcopingandadaptation
o Creatingtherapeuticenvironment
 Recreationalanddiversiontherapies

XV 6(T) Explaincultureand D.ConceptsofCulturalDiversityand  Lecture  Essay

cultural norms Spirituality
 Discussion  Shortanswer
 Culturaldiversity
 Objective
Integratecultural o Cultural Concepts – Culture, type
differences and Subculture,Multicultural,Diversity,
spiritualneedsin Race,Acculturation,Assimilation
providingcareto
o TransculturalNursing
patients under
supervision o CulturalCompetence
o ProvidingCulturallyResponsiveCare
 Spirituality
o Concepts–Faith,Hope,Religion,
Spirituality,SpiritualWellbeing
o FactorsaffectingSpirituality
o SpiritualProblemsinAcute,Chronic,
Terminal illnesses & Near-Death
Experience
o DealingwithSpiritual
Distress/Problems

XVI 6(T) Explain the NursingTheories:Introduction  Lecture  Essay

significance of
 Meaning&Definition,Purposes,Types  Discussion  Shortanswer
nursingtheories
of theories with examples, Overview of
 Objective
selected nursing theories – Nightingale,
type
Orem, Roy
 Useoftheoriesinnursingpractice
285 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

CLINICALPRACTICUM

Clinical:4Credits(320hours)

PRACT|ICECOMPETENCIES:Oncompletionofthecourse,thestudentwillbeableto
1. Performhealthassessmentofeachbodysystem
2. Developskillsinassessment,planning,implementationandevaluationofnursingcareusingNursingprocessapproach
3. IdentifyandmeettheNutritionalneedsofpatients
4. Implementbasicnursingtechniquesinmeetinghygienicneedsofpatients
5. PlanandImplementcaretomeettheeliminationneedsofpatient
6. Developskillsininstructingandcollectingsamplesforinvestigation.
7. Performsimplelabtestsandanalyze&interpretcommondiagnosticvalues
8. Identifypatientswithimpairedoxygenationanddemonstrateskillincaringforpatientswithimpairedoxygenation
9. Identifyanddemonstrateskillincaringforpatientswithfluid,electrolyteandacid –baseimbalances
10. Assess,plan,implement&evaluatethebasiccareneedsofpatientswithalteredfunctioningofsenseorgansand unconsciousness
11. Careforterminallyillanddyingpatients
SKILLLAB
UseofMannequinsandSimulators
S.No. Competencies Modeof Teaching
1. HealthAssessment StandardizedPatient
2. NutritionalAssessment StandardizedPatient
3. Spongebath,oralhygiene,perinealcare Mannequin
4. Nasogastrictubefeeding Trainer/Simulator
5. Providingbedpan&urinal Mannequin
6. Cathetercare CatheterizationTrainer
7. Bowelwash,enema,insertionofsuppository Simulator/Mannequin
8. Oxygenadministration–facemask,venture Mannequin
mask, nasal prongs
9. Administrationofmedicationthrough IMinjectiontrainer,IDinjectiontrainer,IVarm(Trainer)
Parenteral route – IM, SC, ID, IV
10. LastOffice Mannequin

CLINICALPOSTINGS–GeneralMedical/SurgicalWards (16
weeks × 20 hours per week = 320 hours)
Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment
Unit (Weeks) ClinicalSkills(Supervised Requirements Methods
Clinical Practice)
General 3 Perform health HealthAssessment  History  Assessmentof
Medical/ assessmentofeach Taking–2 clinical skills
 Nursing/Healthhistorytaking using checklist
Surgical body system
 Physical
wards  Performphysicalexamination:
examination–2  OSCE
oGeneral
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 286
ण
Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment
Unit (Weeks) ClinicalSkills(Supervised Requirements Methods
Clinical Practice)
oBodysystems
 Usevariousmethodsof
physical examination –
Inspection, Palpation,
Percussion,Auscultation,
Olfaction
 Identificationofsystemwise
deviations
 Documentationoffindings

1 Develop skills in TheNursingProcess  Nursing  Evaluation of

assessment,planning, process–1 Nursingprocess
 PrepareNursingcareplanfor
implementation and with criteria
the patient based on the given
evaluationofnursing
case scenario
care using Nursing
process approach

2 Identifyandmeetthe Nutritionalneeds,Elimination  Nutritional  Assessmentof

Nutritional needs of needs& Diagnostic testing Assessmentand clinical skills
patients Clinical using checklist
Nutritionalneeds
Presentation–1
 OSCE
 NutritionalAssessment
 PreparationofNasogastrictube
feed
 Nasogastrictubefeeding
Hygiene
 Pressure sore
Implement basic  CareofSkin&Hair:
assessment–1
nursingtechniquesin
– SpongeBath/Bedbath
meeting hygienic
needs of patients – Careofpressurepoints&back
massage
 Pressuresoreriskassessment
using Braden/Norton scale
– Hair wash
– Pediculosistreatment
 OralHygiene
 PerinealHygiene
 Cathetercare

2 PlanandImplement Eliminationneeds  Clinical  Assessmentof

care to meet the Presentation on clinical skills
 Providing
eliminationneedsof Care of patient using checklist
patient – Urinal with
 OSCE
Constipation–1
– Bedpan
 InsertionofSuppository
 Enema
 Labvalues–
 UrinaryCathetercare inter-pretation
Develop skills in  Careofurinarydrainage
instructing and
collectingsamplesfor Diagnostictesting
investigation.
287 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment

Unit (Weeks) ClinicalSkills(Supervised Requirements Methods
Clinical Practice)

Performsimplelab SpecimenCollectionoUrin
testsandanalyze& eroutineandculture oStool
interpret common
diagnostic values routine
oSputumCulture
 PerformsimpleLabTests
using reagent strips
oUrine – Glucose, Albumin,
Acetone,pH,Specificgravity
 Blood–GRBSMonitoring
3 Identifypatientswith Oxygenation needs, Fluid,  Assessmentof
impairedoxygenation Electrolyte,andAcid–Base clinical skills
anddemonstrateskill Balances using checklist
in caring for patients
Oxygenationneeds  OSCE
with impaired
oxygenation  Oxygenadministration
methods
o NasalProngs
o FaceMask/VenturiMask
 Steaminhalation
 ChestPhysiotherapy
 DeepBreathing&Coughing
Exercises
 OralSuctioning
Identify and  Assessmentof
Fluid,Electrolyte,andAcid– Base
demonstrate skill in clinical skills
Balances
caringforpatientswith using checklist
fluid, electrolyte and  Maintainingintakeoutputchart
acid–baseimbalances  OSCE
 Identify&reportcomplications
of IV therapy
 ObserveBlood&Blood
Component therapy
 Identify & Report
ComplicationsofBlood&Blood
Component therapy

3 Explaintheprinciples, AdministrationofMedications  Assessmentof

routes, effects of clinical skills
 CalculateDrugDosages
administration of using checklist
medications   OSCE
Preparationoflotions&sol
utions
Calculateconversions
 AdministerMedications
of drugs and dosages
within and between oOraloTopi
systems of
Measurements caloInhalati
ons
oParenteral
Administerdrugsby
thefollowingroutes-  Intradermal
Oral, Intradermal,
 Subcutaneous
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 288
ण
Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment
Unit (Weeks) ClinicalSkills(Supervised Requirements Methods
Clinical Practice)
Subcutaneous,  -Intramuscular
Intramuscular,Intra
 Instillations
Venous Topical,
inhalation oEye,Ear,Nose–instillationof
medicateddrops,nasalsprays,
irrigations
2 Assess, plan, Sensory Needs and Care of  Nursing  Assessmentof
implement&evaluate Unconscious patients, Care of roundsoncare clinical skills
thebasiccareneedsof Terminallyill,deathanddying ofpatientwith using checklist
patients with altered altered
SensoryNeedsandCareof  OSCE
functioning of sense sensorium
Unconscious patients
organs and
unconsciousness  Assessment of Level of
ConsciousnessusingGlasgow
Coma Scale
Terminallyill,deathanddying
Careforterminallyill
and dying patients
 DeathCare  Assessmentof
clinical skills
using checklist

HEALTH/NURSINGINFORMATICSANDTECHNOLOGY

PLACEMENT:IISEMESTER
THEORY:2Credits(40hours)
PRACTICAL/LAB:1Credit(40hours)

DESCRIPTION: This course is designed to equip novice nursing students with knowledge and skills necessary to deliver
efficient informatics-led health care services.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
1. Developabasicunderstandingofcomputerapplicationinpatientcareandnursingpractice.
2. Applytheknowledgeofcomputerandinformationtechnologyinpatientcareandnursingeducation,practice,administration and
research.
3. Describetheprinciplesofhealthinformaticsanditsuseindevelopingefficienthealthcare.
4. Demonstratetheuseofinformationsysteminhealthcareforpatientcareandutilizationofnursingdata.
5. DemonstratetheknowledgeofusingElectronicHealthRecords(EHR)systeminclinicalpractice.
6. Applytheknowledgeofinteroperabilitystandardsinclinicalsetting.
7. Applytheknowledgeofinformationandcommunicationtechnologyinpublichealthpromotion.
8. UtilizethefunctionalitiesofNursingInformationSystem(NIS)systeminnursing.
9. Demonstratetheskillsofusingdatainmanagementofhealthcare.
10. Applytheknowledgeoftheprinciplesofdigitalethicalandlegalissuesinclinicalpractice.
11. Utilizeevidence-basedpracticesininformaticsandtechnologyforprovidingqualitypatientcare.
12. Updateandutilizeevidence-basedpracticesinnursingeducation,administration,andpractice.
 289 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

COURSEOUTLINE
T–Theory,P/L–Lab
Unit TimeLearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
T P/L
I 10 15Describe the importance
Introduction to computer  Lecture (T)
of computer and applicationsforpatientcare
 Discussion  Shortanswer
technologyinpatient deliverysystemandnursing
care and nursing practice  Practicesession  Objectivetype
practice
 Useofcomputersinteaching,  Supervised clinical  Visitreports
learning,researchandnursing practiceonEHRuse
practice  Assessmentof
 Participate in data assignments
analysisusingstatistical
packagewithstatistician

Demonstrate the use of  Windows,MSoffice:Word,  Visittohospitalswith (P)

computer and Excel, Power Point different hospital
 Assessmentof
technologyinpatient management systems
 Internet skills using
care, nursing
checklist
education, practice,  Literaturesearch
administration and
research.  Statisticalpackages
 Hospitalmanagement
information system

II 4 5 Describe the PrinciplesofHealthInformatics  Lecture (T)

principlesofhealth
 Healthinformatics–needs,  Discussion  Essay
informatics
objectives and limitations
 Practicalsession  Shortanswer
 Use of data, information and
 Work in groups with  Objectivetype
Explain the ways knowledgeformoreeffective
health informatics team questions
data,knowledgeand healthcare and better health
in a hospital to extract
information can be  Assessmentof
nursingdataandprepare a
used for effective report
report
healthcare

III 3 5 Describe the concepts InformationSystemsinHealthcare  Lecture (T)

of
 Introduction to the role and  Discussion  Essay
informationsystem
architecture of information
in health  Demonstration  Shortanswer
systemsinmodernhealthcare
environments  Practicalsession  Objectivetype
Demonstrate the use  ClinicalInformationSystem  Work in groups with
ofhealthinformation (CIS)/Hospital information nurse leaders to
system in hospital System (HIS) understandthehospital
setting information system

IV 4 4 Explaintheuseof SharedCare&ElectronicHealth  Lecture (T)

electronic health Records
 Discussion  Essay
recordsinnursing
 Challenges of capturing rich
practice  PracticeonSimulated  Shortanswer
patienthistoriesinacomputable
EHR system
form  Objectivetype
 Practicalsession
Describethelatest  Latestglobaldevelopmentsand (P)
trendinelectronic standards to enable lifelong  Visit to health
health records electronic health records to be  Assessmentof
informatics department
standards and integrated from disparate skills using
of a hospital to
interoperability systems. checklist
understand the use of
EHRinnursingpractice
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 290
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
T P/L
 Prepare a report on
currentEHRstandards
in Indian setting

V 3 Describe the PatientSafety&Clinical Risk  Lecture (T)

advantages and
 Relationshipbetweenpatient  Discussion  Essay
limitationsofhealth
safety and informatics
informatics in  Shortanswer
maintaining patient  Functionandapplicationofthe
safety and risk  Objectivetype
risk management process
management
VI 3 6 Explain the ClinicalKnowledge&DecisionMa  Lecture (T)
importanceof king
 Discussion  Essay
knowledge
 Roleofknowledgemanagement
management  Demonstration  Shortanswer
in improving decision-makingin
both the clinical and policy  Practicalsession  Objectivetype
contexts
Describe the  Work in groups to
standardized  SystematizedNomenclatureof prepare a report on
languagesusedin Medicine, Clinical Terms, standardizedlanguages
healthinformatics SNOMED CT to ICD-10-CM used in health
Map, standardized nursing informatics.
terminologies(NANDA,NOC),
Omaha system.  Visithealthinformatics
department to
understand the
standardizedlanguages
usedinhospitalsetting

VII 3 Explain the use of eHealth:PatientsandtheInternet  Lecture  Essay

information and
 Use of information and  Discussion  Shortanswer
communication
communication technology to
technologyinpatient  Demonstration  Objectivetype
improveorenablepersonaland
care
public healthcare  Practicalexam
 Introduction to public health
Explain the informaticsandroleofnurses
applicationofpublic
health informatics
VIII 3 5 Describe the UsingInformationinHealthcare  Lecture (T)
functionsofnursing Management
 Discussion  Essay
information system
 Components of Nursing
 Demonstration on  Shortanswer
Informationsystem(NIS)
simulatedNISsoftware
 Objectivetype
Explaintheuseof  Evaluation, analysis and
 Visit to health
healthcaredatain presentationofhealthcaredata
informaticsdepartment
management of to inform decisions in the
of the hospital to
health care management of health-care
understand use of
organization organizations
healthcare data in
decision making

IX 4 Describetheethical InformationLaw&Governancein  Lecture (T)

and legal issues in Clinical Practice
 Discussion  Essay
healthcare
 Ethical-legalissuespertainingto
informatics  Casediscussion  Shortanswer
healthcare information in
contemporary clinical practice  Roleplay  Objectivetype
Explainstheethical  Ethical-legalissuesrelatedto
and legal issues
291 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

(Hrs) Activities Methods
T P/L
relatedtonursing digitalhealthappliedtonursing
informatics
X 3 Explain the HealthcareQuality&EvidenceBa  Lecture (T)
relevance of sed Practice
 Discussion  Essay
evidence-based
 Useofscientificevidencein
practices in  Casestudy  Shortanswer
improving the quality of
providingquality
healthcareandtechnicaland  Objectivetype
healthcare
professional informatics
standards

SKILLS
 Utilizecomputerinimprovingvariousaspectsofnursingpractice.
 Usetechnologyinpatientcareandprofessionaladvancement.
 Usedatainprofessionaldevelopmentandefficientpatientcare.
 Useinformationsysteminprovidingqualitypatientcare.
 Usetheinformationsystemtoextractnursingdata.
 Developskillinconductingliteraturereview.
APPLIEDMICROBIOLOGYANDINFECTIONCONTROLINCLUDINGSAFETY

PLACEMENT:IIISEMESTER
THEORY:2Credits(40hours)
PRACTICAL:1Credit(40hours)(Lab/ExperientialLearning–L/E)

SECTIONA:APPLIEDMICROBIOLOGY

THEORY:20hours
PRACTICAL:20hours(Lab/ExperientialLearning–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:Oncompletionofthecourse,thestudentswillbeableto:
1. Identifytheubiquityanddiversityofmicroorganismsinthehumanbodyandtheenvironment.
2. Classifyandexplainthemorphologyandgrowthofmicrobes.
3. Identifyvarioustypesofmicroorganisms.
4. Exploremechanismsbywhichmicroorganismscausedisease.
5. Developunderstandingofhowthehumanimmunesystemcounteractsinfectionbyspecificandnon-specific mechanisms.
6. Applytheprinciplesofpreparationanduseofvaccinesinimmunization.
7. Identifythecontributionofthemicrobiologistandthemicrobiologylaboratorytothediagnosisofinfection.
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 292
ण
COURSEOUTLINE
T–Theory,L/E–Lab/ExperientialLearning
Unit Time(Hrs) Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
T P
I 3 Explain concepts and
Introduction:  Lecturecum  Shortanswer
principles of Discussion
 Importanceandrelevancetonursing  Objective
microbiologyand
type
its importance in  Historicalperspective
nursing
 Conceptsandterminology
 Principlesofmicrobiology

II 10 10 (L/E)Describestructure, GeneralcharacteristicsofMicrobes:  Lecturecum  Shortanswer

classification Discussion
 Structureandclassificationof  Objective
morphology and
Microbes  Demonstration type
growthofbacteria
 Morphologicaltypes  Experiential
Learningthrough
 Sizeandformofbacteria
Identify visual
Microorganisms  Motility
 Colonization
 Growthandnutritionofmicrobes
 Temperature
 Moisture
 Bloodandbody fluids
 Laboratory methods for
IdentificationofMicroorganisms
 Types of Staining – simple,
differential(Gram‘s,AFB),special–
capsular staining (negative), spore,
LPCB, KOH mount.
 Culture and media preparation –solid
and liquid. Types of media – semi
synthetic, synthetic, enriched,
enrichment,selectiveanddifferential
media.Pureculturetechniques–tube
dilution, pour, spread, streak plate.
Anaerobic cultivation of bacteria

III 4 6(L/E) Describe the Pathogenicorganisms  Lecturecum  Shortanswer

differentdisease Discussion
 Micro-organisms: Cocci – gram  Objective
producing
positiveandgramnegative;Bacilli–  Demonstration type
organisms
gram positive and gram negative
 Experiential
 Viruses learningthrough
visual
 Fungi:SuperficialandDeepmycoses
 Parasites
 Rodents&Vectors
o Characteristics, Source, portal of
entry, transmission of infection,
Identificationofdiseaseproducing
micro-organisms

IV 3 4(L/E) Explainthe Immunity  Lecture  Shortanswer

conceptsof
 Objective
293 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time(Hrs) Learning Content Teaching/Learning Assessment

Outcomes Activities Methods
T P
immunity,hyper  Immunity:Types,classification  Discussion type
sensitivity and
 Antigenandantibodyreaction  Demonstration  Visitreport
immunization
 Hypersensitivityreactions  Visittoobserve
vaccinestorage
 Serologicaltests
 Clinicalpractice
 Immunoglobulins:Structure,types&p
roperties
 Vaccines: Types & classification,
storage and handling, cold chain,
Immunizationforvariousdiseases
 ImmunizationSchedule

SECTIONB:INFECTIONCONTROL&SAFETY
THEORY:20hours
PRACTICAL/LAB:20hours(Lab/ExperientialLearning–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:Thestudentswillbeableto:
1. DevelopknowledgeandunderstandingofHospitalacquiredInfections(HAI)andeffectivepracticesforprevention.
2. Integratetheknowledgeofisolation(Barrierandreversebarrier)techniquesinimplementingvariousprecautions.
3. DemonstrateandpracticestepsinHandwashingandappropriateuseofdifferenttypesof PPE.
4. Illustratevariousdisinfectionandsterilizationmethodsandtechniques.
5. Demonstrateknowledgeandskillinspecimencollection,handlingandtransporttooptimizethediagnosisfortreatment.
6. IncorporatetheprinciplesandguidelinesofBioMedicalwastemanagement.
7. ApplytheprinciplesofAntibioticstewardshipinperformingthenurses‘role.
8. Identifypatientsafetyindicatorsandperformtheroleofnurseinthepatientsafetyauditprocess.
9. ApplytheknowledgeofInternationalPatientSafetyGoals(IPSG)inthepatientcaresettings.
10. Identifyemployeesafetyindicatorsandriskofoccupationalhazards.
11. Developunderstandingofthevarioussafetyprotocolsandadheretothoseprotocols.

COURSEOUTLINE
T–Theory,L/E–Lab/ExperientialLearning
Unit Time(Hrs) Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
T P
I 2 2(E) Summarize the HAI(HospitalacquiredInfection)  Lecture  Knowledge
evidence based &Discussi assessment
 Hospitalacquiredinfection
and effective on
 MCQ
patient care  Bundleapproach
 Experiential
practicesforthe  Shortanswer
- PreventionofUrinaryTract learning
prevention of
common Infection (UTI)
healthcare - PreventionofSurgicalSite
associated Infection (SSI)
infectionsinthe
healthcare - PreventionofVentilator
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 294
ण
Unit Time(Hrs) Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
T P
setting Associatedevents(VAE)
-PreventionofCentralLine
Associated Blood Stream
Infection (CLABSI)
 Surveillance of HAI – Infection
controlteam&Infectioncontrol
committee

II 3 4(L) Demonstrate IsolationPrecautionsanduseof  Lecture  Performance

appropriateuse Personal Protective Equipment assessment
 Demonstration&
of different (PPE)
Re-demonstration  OSCE
types of PPEs
 Typesofisolationsystem,standard
andthecritical
precaution and transmission-based
use of risk
precautions (Direct Contact,
assessment
Droplet, Indirect)
 Epidemiology & Infection
prevention–CDCguidelines
 EffectiveuseofPPE

III 1 2(L) Demonstratethe HandHygiene  Lecture  Performance

hand hygiene assessment
 TypesofHandhygiene.  Demonstration&
practice and its
Re-demonstration
effectivenesson  Handwashinganduseofalcohol
infectioncontrol hand rub
 MomentsofHandHygiene
 WHOhandhygienepromotion

IV 1 2(E) Illustrates Disinfectionandsterilization  Lecture  Shortanswer

disinfectionand
 Definitions  Discussion  Objectivetype
sterilization in
the healthcare  Typesofdisinfectionand  Experiential
setting sterilization learningthrough
visit
 Environmentcleaning
 EquipmentCleaning
 Guidesonuseofdisinfectants
 Spaulding‘sprinciple

V 1 Illustrate on SpecimenCollection(Review)  Discussion  Knowledge

what, when, evaluation
 Principleofspecimencollection
how, why
 Quiz
specimensare  Typesofspecimens
collected to  Performance
optimize the  Collectiontechniquesandspecial
assessment
diagnosis for considerations
treatmentand  Checklist
 Appropriatecontainers
management.
 Transportationofthesample
 Staffprecautionsinhandling
specimens

VI 2 2(E) ExplainonBio BMW(BioMedicalWaste  Discussion  Knowledge

Medical waste Management) assessmentby
 Demonstration
management&l shortanswers,
Laundrymanagementprocessand
aundry  Experiential objectivetype
infection control and prevention
management learningthrough  Performance
295 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time(Hrs) Learning Content Teaching/Learning Assessment

Outcomes Activities Methods
T P
 Wastemanagementprocessand visit assessment
infection prevention
 Staffprecautions
 Laundrymanagement
 Country ordinance and BMW
National guidelines 2017:
Segregation of wastes, Colour
coded waste containers, waste
collection&storage,Packaging&
labeling, Transportation

VII 2 Explainindetail Antibioticstewardship  Lecture  Shortanswer

aboutAntibiotic
 ImportanceofAntibiotic  Discussion  Objectivetype
stewardship,
Stewardship
AMR  Writtenassignment  Assessmentof
 Anti-MicrobialResistance –Recent AMR assignment
 PreventionofMRSA,MDROin (Antimicrobial
Describe resistance)
healthcare setting
MRSA/MDRO guidelines
and its
prevention
VIII 3 5(L/E) Enlistthepatient PatientSafetyIndicators  Lecture  Knowledge
safetyindicators assessment
 CareofVulnerablepatients  Demonstration
followed in a
 Performance
health care  PreventionofIatrogenicinjury  Experiential
assessment
organizationand learning
the role of nurse  Careoflines,drainsandtubing‘s
 Checklist/OSCE
in the patient  Restrainpolicyandcare–Physical
safety audit and Chemical
process
 Blood&bloodtransfusionpolicy
 PreventionofIVComplication
 Preventionof Fall
 PreventionofDVT
 Shiftingandtransportingofpatients
 Surgicalsafety
 Carecoordinationeventrelatedto
medication reconciliation and
administration
 Preventionofcommunicationerrors
 PreventionofHAI
 Documentation

IncidentsandadverseEvents
 Capturingofincidents

Capturesand  RCA(RootCauseAnalysis)
analyzes  CAPA(CorrectiveandPreventive
incidentsand Action)
events for  Knowledge
quality  Reportwriting
assessment
improvement  Lecture
 Shortanswer
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 296
ण
Unit Time(Hrs) Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
T P
 Roleplay  Objectivetype
 InquiryBased
Learning

IX 1 EnumerateIPSG IPSG(InternationalPatientsafety  Lecture  Objectivetype

and application Goals)
 Roleplay
of the goals in
 Identifypatientcorrectly
the patient care
settings.  Improveeffectivecommunication
 ImprovesafetyofHighAlert
medication
 Ensuresafesurgery
 Reducetheriskofhealthcare
associated infection
 Reducetheriskofpatientharm
resulting from falls
 Reducetheharmassociatedwith
clinical alarm system

X 2 3(L/E) Enumerate the Safetyprotocol  Lecture  Mockdrills

various safety
 5S(Sort,Setinorder,Shine,  Demonstration/  Posttests
protocolsandits
Standardize, Sustain) Experiential
applications  Checklist
learning
 Radiationsafety
 Lasersafety
 Firesafety
- Typesandclassificationof fire
- Firealarms
- Firefightingequipment
 HAZMAT(HazardousMaterials)
safety
- Typesofspill
- Spillagemanagement
- MSDS(MaterialSafetyData
Sheets)
 Environmentalsafety
- Riskassessment
- Aspectimpactanalysis
- Maintenance of Temp and
Humidity(Departmentwise)
- Audits
 EmergencyCodes
 RoleofNurseintimesofdisaster

XI 2 Explain EmployeeSafetyIndicators  Lecture  Knowledge

importance of assessmentby
 Vaccination  Discussion
employeesafety shortanswers,
 Needlestickinjuries(NSI)
297 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time(Hrs) Learning Content Teaching/Learning Assessment

Outcomes Activities Methods
T P
indicators prevention  Lecturemethod objectivetype
 Fallprevention  Journalreview  Shortanswer
 Radiationsafety
 Annualhealthcheck
Identifyriskof
occupational
HealthcareWorkerImmunization
hazards,
Program and management of
preventionand
occupational exposure
post exposure
prophylaxis.  Occupationalhealthordinance
 Vaccinationprogramforhealthcare
staff
 Needlestickinjuriesandprevention
and post exposure prophylaxis

*ExperientialLearning:
Experiential learning is the process by which knowledge is
createdthroughtheprocessofexperienceintheclinical
field.Knowledgeresultsfromthecombinationofgrasping and
transformingexperience.(Kolb,1984).Theexperiential
learning cycle begins with an experience that the student has
had,followedbyanopportunitytoreflectonthatexperience.
Then students may conceptualize and draw conclusionsabout
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
newexperiencesbasedontheirexperimentation.Thesesteps
may occur in nearly and order as the learning progresses. As per
theneedofthelearner,theconcretecomponentsand
conceptualcomponentscanbe indifferentorderasthey may
require a variety of cognitive and affective behaviors.

PHARMACOLOGY-I
PLACEMENT:IIISEMESTER
THEORY:1Credit(20hours)
DESCRIPTION:ThiscourseisdesignedtoenablestudentstoacquireunderstandingofPharmacodynamics, Pharmacokinetics,
principles of therapeutics and nursing implications.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
1. Describepharmacodynamicsandpharmacokinetics.
2. Reviewtheprinciplesofdrugcalculationandadministration.
3. Explainthecommonlyusedantisepticsanddisinfectants.
4. DescribethepharmacologyofdrugsactingontheGIsystem.
5. Describethepharmacologyofdrugsactingontherespiratorysystem.
6. Describedrugsusedinthetreatmentofcardiovascularandblooddisorders.
7. Explainthedrugsusedinthetreatmentofendocrinesystemdisorders.
8. Describethedrugsactingonskinanddrugsusedtotreatcommunicablediseases.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 298
ण
COURSEOUTLINE
T–Theory
Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
I 3(T)Describe IntroductiontoPharmacology  Lecturecum  Shortanswer
Pharmacodynamics, Discussion
 Definitions&Branches  Objectivetype
Pharmacokinetics,
 Guided reading and
Classification,  Nature&Sourcesofdrugs  Assessmentof
written assignment
principles of assignments
onscheduleKdrugs
administrationofdrugs  DosageFormsandRoutesofdrug
administration
 Terminologyused
 Classification, Abbreviations,
Prescription,DrugCalculation,Weights
and Measures
 Pharmacodynamics: Actions, Drug
Antagonism, Synergism, Tolerance,
Receptors,Therapeutic,adverse,toxic
effects, pharmacovigilance
 Pharmacokinetics: Absorption,
Bioavailability, Distribution,
Metabolism,Interaction,Excretion
 Review: Principles of drug
administrationandtreatment
individualization
o Factorsaffectingdose,routeetc.
 IndianPharmacopoeia:LegalIssues,
Drug Laws, Schedule Drugs
 RationalUseofDrugs
 PrinciplesofTherapeutics

1(T)Describe antiseptics, and Pharmacologyofcommonlyused antiseptics  Lecturecum  Shortanswer

disinfectant & and disinfectants Discussion
 Objectivetype
nurse‘sresponsibilities
 AntisepticsandDisinfectants  Drugstudy/
presentation
 Composition,action,dosage,route,
indications, contraindications,
Druginteractions,sideeffects,adverse effects,
toxicity and role of nurse

2(T)Describedrugsacting on DrugsactingonG.I.system  Lecturecum  Shortanswer

gastro-intestinal Discussion
 Pharmacologyofcommonlyuseddrugs  Objectivetype
system & nurse‘s
 Drugstudy/
responsibilities o EmeticsandAntiemetics
presentation
o LaxativesandPurgatives
o Antacidsandantipepticulcerdrugs
o Anti-diarrhoeals – Fluid and
electrolytetherapy,Furazolidone,
dicyclomine
 Composition,action,dosage,route,
indications,contraindications,drug
interactions, side effects, adverse
effects, toxicity and role of nurse
299 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
IV 2(T) Describe drugs acting Drugsactingonrespiratorysystem  Lecturecum  Shortanswer
onrespiratorysystem& Discussion
nurse‘s responsibilities
 Pharmacologyofcommonlyused  Objectivetype
 Drugstudy/
o Antiasthmatics–Bronchodilators presentation
(Salbutamol inhalers)
o Decongestants
o Expectorants,Antitussivesand
Mucolytics
o Broncho-constrictorsand
Antihistamines
 Composition,action,dosage,route,
indications,contraindications,drug
interactions, side effects, adverse
effects toxicity and role of nurse

V 4(T) Describedrugsusedon Drugs used in treatment of  Lecturecum  Shortanswer

cardio-vascularsystem Cardiovascularsystemandblood Discussion
 Objectivetype
& nurse‘s disorders
 Drugstudy/
responsibilities
 Haematinics,&treatmentofanemia presentation
and antiadrenergics
 Cholinergicandanticholinergic
 AdrenergicDrugsforCHF&va
sodilators
 Antianginals
 Antiarrhythmics
 Antihypertensives
 Coagulants&Anticoagulants
 Antiplatelets&thrombolytics
 Hypolipidemics
 Plasmaexpanders&treatmentofshock
 Drugsusedtotreatblooddisorders
 Composition,action,dosage,route,
indications,contraindications,drug
interactions, side effects, adverse
effects, toxicity and role of nurse

VI 2(T) Describethedrugsused Drugsusedintreatmentofendocrine  Lecturecum  Shortanswer

in treatment of system disorders Discussion
 Objectivetype
endocrine system
disorders
 Insulin&oralhypoglycemics  Drugstudy/
presentation
 Thyroidandanti-thyroiddrugs
 SteroidsoCorticost
eroidsoAnabolicst
eroids
 Calcitonin,parathormone,vitaminD3,
calcium metabolism
o Calciumsalts
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 300
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
VII 1(T) Describe drugs used in Drugsusedintreatmentof integumentary  Lecturecum  Shortanswer
skindiseases&nurse‘s system Discussion
 Objectivetype
responsibilities
 Antihistaminicsandantipruritics  Drugstudy/
presentation
 Topical applications for skin-
Benzylbenzoate, Gamma BHC,
Clotrimazole,Miconazole,Silver
Sulphadiazine (burns)
 Composition,action,dosage,route,
indications,contraindications,drug
interactions, side effects, adverse
effects toxicity and role of nurse

VIII 5(T) Explaindrugtherapy/ Drugs used in treatment of  Lecturecum  Shortanswer

chemotherapy of communicablediseases(common Discussion
 Objectivetype
specific infections & infections, infestations)
 Drugstudy/
infestations&nurse‘s
 GeneralPrinciplesforuseof presentation
responsibilities
Antimicrobials
 Pharmacologyofcommonlyused
drugs:
o Penicillin, Cephalosporin‘s,
Aminoglycosides,Macrolide&broad
spectrum antibiotics, Sulfonamides,
quinolones, Misc. antimicrobials
 Anaerobicinfections
 Antituberculardrugs,
 Antileprosydrugs
 Antimalarials
 Antiretroviraldrugs
 Antiviralagents
 Antihelminthics,Antiscabiesagents
 Antifungalagents
 Composition,action,dosage,route,
indications,contraindications,Drug
interactions, side effects, adverse
effects, toxicity and role of nurse

PATHOLOGY-I

PLACEMENT:IIISEMESTER
THEORY:1Credit(20hours)(includeslabhoursalso)
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:Oncompletionofthecourse,thestudentswillbeableto
1. Applytheknowledgeofpathologyinunderstandingthedeviationsfromnormaltoabnormalpathology.
2. Rationalizethevariouslaboratoryinvestigationsindiagnosingpathologicaldisorders.
3. Demonstrate the understandingof themethods of collectionof blood, bodycavityfluids, urine and feces for various tests.
 301 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

4. Applytheknowledgeofgeneticsinunderstandingthevariouspathologicaldisorders.
5. Appreciatethevariousmanifestationsinpatientswithdiagnosedgeneticabnormalities.
6. Rationalizethespecificdiagnostictestsinthedetectionofgeneticabnormalities.
7. Demonstratetheunderstandingofvariousservicesrelatedtogenetics.

COURSEOUTLINE
T–Theory
UnitTime Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
(Hrs)
I 8(T)Define the Introduction  Lecture  Shortanswer
commonterms
 Importanceofthestudyofpathology  Discussion  Objectivetype
used in
pathology  Definitionoftermsinpathology  Explainusingslides
 Cellinjury:Etiology,pathogenesisofreversible  Explain with
and irreversible cell injury, Necrosis, Gangrene clinicalscenarios
Identify the
deviationsfrom  Cellular adaptations: Atrophy, Hypertrophy,
normal to Hyperplasia,Metaplasia,Dysplasia,Apoptosis
abnormal
structure and  Inflammation:
functions of o Acuteinflammation(VascularandCellular
body system events, systemic effects of acute
inflammation)
o Chronic inflammation (Granulomatous
inflammation,systemiceffectsofchronic
inflammation)
 Woundhealing
 Neoplasia:Nomenclature,NormalandCancer
cell,Benignandmalignanttumors,Carcinoma
insitu,Tumormetastasis:generalmechanism,
routes of spread and examples of each route
 Circulatorydisturbances:Thrombosis,
embolism, shock
 Disturbanceofbodyfluidsandelectrolytes:
Edema, Transudates and Exudates

II 5(T)Explain SpecialPathology  Lecture  Shortanswer

pathological
Pathologicalchangesindiseaseconditionsof selected  Discussion  Objectivetype
changes in
systems:
disease  Explain using
conditionsof slides,X-raysand
various scans
1. Respiratorysystem
systems
 Pulmonaryinfections:Pneumonia,Lung  Visit to pathology
abscess, pulmonary tuberculosis lab,endoscopyunit
and OT
 Chronic Obstructive Pulmonary Disease:
Chronicbronchitis,Emphysema,Bronchial
Asthma, Bronchiectasis
 TumorsofLungs
2. Cardio-vascularsystem
 Atherosclerosis
 IschemiaandInfarction.
 RheumaticHeartDisease
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 302
ण
Unit Time Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
(Hrs)
 Infectiveendocarditis
3. Gastrointestinaltract
 Pepticulcerdisease(GastricandDuodenal
ulcer)
 Gastritis-HPyloriinfection
 Oralmucosa:OralLeukoplakia,Squamous
cell carcinoma
 Esophagealcancer
 Gastriccancer
 Intestinal:Typhoidulcer,Inflammatory
Bowel Disease (Crohn‘s disease and
Ulcerative colitis), Colorectal cancer
4. Liver,GallBladderandPancreas
 Liver:Hepatitis,AmoebicLiverabscess,
Cirrhosis of Liver
 Gallbladder:Cholecystitis.
 Pancreas:Pancreatitis
 Tumorsofliver,GallbladderandPancreas
5. Skeletalsystem
 Bone:Bonehealing,Osteoporosis,
Osteomyelitis, Tumors
 Joints:Arthritis-Rheumatoidarthritisand
Osteoarthritis
6. Endocrinesystem
 DiabetesMellitus
 Goitre
 Carcinomathyroid

III 7(T) Describe Hematologicaltestsforthediagnosisofblood  Lecture  Shortanswer

various disorders
 Discussion  Objectivetype
laboratorytests
 Bloodtests:Hemoglobin,Whitecellandplatelet
in assessment  Visittoclinicallab,
counts, PCV, ESR
andmonitoring biochemistry lab
of disease  Coagulation tests: Bleeding time (BT), and blood bank
conditions Prothrombintime(PT),ActivatedPartial
Prothrombin Time (APTT)
 Bloodchemistry
 Bloodbank:
o Bloodgroupingandcrossmatching
o Bloodcomponents
o Plasmapheresis
o Transfusionreactions
Note:Fewlabhourscanbeplannedfor observation
and visits
(Lessthan1credit,labhoursarenotspecified
separately)
303 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

ADULTHEALTHNURSING-IWITHINTEGRATEDPATHOPHYSIOLOGY(includingBCLSmodule)
PLACEMENT: III SEMESTER
THEORY:7Credits(140hours)
PRACTICUM:Lab/SkillLab(SL)–1Credit(40hours)Clinical–6Credits(480hours)
DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy,
Physiology, Biochemistry and Behavioral sciencesincaring for adultpatientswithMedical/Surgicaldisordersusingnursing
processapproachandcriticalthinking.Italsointendstodevelopcompetenciesrequiredforassessment,diagnosis,treatment, nursing
management, and supportive/palliative care to patients with various Medical Surgical disorders.
COMPETENCIES:OncompletionofMedicalSurgicalNursingIcourse,studentswillbeableto
1. Explaintheetiology,pathophysiology,manifestations,diagnosticstudies,treatmentsandcomplicationsofcommon
medical and surgical disorders.
2. Performcompletehealthassessmenttoestablishadatabaseforprovidingqualitypatientcareandintegratethe knowledge of
anatomy, physiology and diagnostic tests in the process of data collection.
3. Identifynursingdiagnoses,listthemaccordingtopriorityandformulatenursingcareplan.
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. Identifycommondiagnosticmeasuresrelatedtothehealthproblemswithemphasisonnursingassessmentand
responsibilities.
7. Demonstrateskillinassisting/performingdiagnosticandtherapeuticprocedures.
8. Demonstratecompetencies/skillstopatientsundergoingtreatmentformedicalsurgicaldisorders.
9. Identify thedrugs usedintreating patients withmedical surgicalconditions.
10. Planandgiverelevantindividualandgroupeducationonsignificantmedicalsurgicaltopics.
11. Maintainsafeenvironmentforpatientsandthehealthcarepersonnelinthehospital.
12. Integrateevidence-basedinformationwhilegivingnursingcaretopatients.

COURSECONTENT
T–Theory,L/SL–Lab/SkillLab
Unit Time LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
I 6(T) Narratetheevolutionof Introduction  Lecturecum  ShortAnswer
medical surgicalnursing discussion
4(L/SL)  Evolutionandtrendsofmedicaland  OSCE
surgical nursing  Demonstration&
Practice session
 Internationalclassificationof
Applynursingprocess diseases  Roleplay
in caring for patients
with medical surgical  Rolesandresponsibilityofanurse in  Visit to outpatient
problems medical and surgical settings department, in
patientandintensive
o Outpatientdepartment
care unit
Execute the role of a o In-patientunit
nurse in various o Intensivecareunit
medicalsurgicalsetting
 Introductiontomedicalandsurgical
asepsis
Develop skills in o Inflammation,infection
assessmentandcareof
wound o Woundhealing–stages,
influencing factors
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 304
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
o Woundcareanddressing
technique
Developcompetencyin
providing pre and  Careofsurgicalpatient
postoperative care
opre-operative
opost-operative
 Alternativetherapiesusedincaring
for patients with Medical Surgical
Disorders

II 15(T) Explainorganizational IntraoperativeCare  Lecturecum  Caring for

setupoftheoperating Discussion patientintra
4(L/SL)  Organizationandphysicalsetupof
theatre operatively
the operation theatre  Demonstration,
Differentiatetheroleof Practicesession,and  Submitalistof
o Classification
scrub nurse and Case Discussion disinfectants
circulating nurse o O.TDesign used for
 Visittoreceiving
instruments
Describe the different o Staffing bay
withtheaction
positioningforvarious
o MembersoftheOTteam andprecaution
surgeries
Apply principles of o Dutiesandresponsibilitiesofthe
asepsisinhandlingthe nurse in OT
sterile equipment  Positionanddrapingforcommon
Demonstrate skill in surgical procedures
scrubbingprocedures  Instruments, sutures and suture
Demonstrate skill in materials,equipmentforcommon
assessing the patient surgical procedures
and document  Disinfectionandsterilizationof
accuratelythesurgical equipment
safety checklist
 Preparationofsetsforcommon
Develop skill in surgical procedures
assistingwithselected
surgeries  Scrubbingprocedures–Gowning,
masking and gloving
Explain the types,
functions,andnursing  Monitoringthepatientduringthe
considerations for procedures
different types of  Maintenanceofthetherapeutic
anaesthesia environment in OT
 Assistinginmajorandminor
operation,handlingspecimen
 Preventionofaccidentsandhazards
in OT
 Anaesthesia – types, methods of
administration,effectsandstages,
equipment & drugs
 Legalaspects

III 6(T) Identify the signs and Nursing care of patients with  Lecture,discussion,  Shortanswer
symptomsofshockand commonsignsandsymptomsand demonstration
4(L/SL)  MCQ
electrolyte imbalances management
 Casediscussion
 Casereport
 Fluidandelectrolyteimbalance
Develop skills in  Shock
managing fluid and
 Pain
electrolyteimbalances
305 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

(Hrs) Activities Methods

Perform pain
assessmentandplans
for the nursing
management
IV 18(T) Demonstrate skill in NursingManagementofpatients with  Lecture,discussion,  Essay
respiratoryassessment respiratory problems
4(L)  Demonstration  Shortanswer
 Review of anatomy and
 Practicesession  OSCE
physiologyofrespiratorysystem
Differentiatesdifferent
 Casepresentation
breathsoundsandlists  Nursing Assessment – history
the indications taking,physicalassessmentand  VisittoPFTLab
diagnostic tests
 Commonrespiratoryproblems:
Explain the etiology,
pathophysiology, o Upperrespiratorytractinfections
clinicalmanifestations,
o Chronicobstructivepulmonary
diagnostic tests, and
diseases
medical, surgical,
nutritional,andnursing o Pleuraleffusion,Empyema
management of
common respiratory o Bronchiectasis
problems o Pneumonia
o Lungabscess
Describe the health o Cystandtumors
behaviourtobeadopted
in preventing o ChestInjuries
respiratory illnesses o Acuterespiratorydistress
syndrome
o Pulmonaryembolism
 Healthbehaviourstoprevent
respiratory illness

V 16(T) Explain the etiology, Nursing Management of patients  Lecture,Discussion  Shortanswer

pathophysiology, withdisordersofdigestivesystem
5(L)  Demonstration,  Quiz
clinicalmanifestations,
 Reviewofanatomyandphysiology
diagnostic tests, and  Roleplay  OSCE
of GI system
medical, surgical,
nutritional,andnursing  ProblemBased
 Nursingassessment–Historyand
management of Learning
physical assessment
gastrointestinal  Visittostomaclinic
disorders  GIinvestigations
 CommonGIdisorders:

Demonstrateskillin o Oralcavity:lips,gumsandteeth
gastrointestinal o GI: Bleeding, Infections,
assessment Inflammation, tumors,
Obstruction,Perforation&
Peritonitis
Preparepatientfor
upper and lower o Peptic&duodenalulcer,
gastrointestinal o Mal-absorption,Appendicitis,
investigations Hernias
o Hemorrhoids,fissures,Fistulas
Demonstrate skill in o Pancreas:inflammation,cysts,
gastricdecompression, and tumors
gavage,andstomacare
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 306
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
o Liver: inflammation, cysts,
abscess, cirrhosis, portal
Demonstrateskillin
hypertension,hepaticfailure,
different feeding
tumors
techniques
o Gallbladder:inflammation,
Cholelithiasis, tumors
 Gastricdecompression,gavageand
stoma care, different feeding
techniques
 Alternativetherapies,drugsusedin
treatment of disorders of digestive
system

VI 20(T) Explain the etiology, NursingManagementofpatients with  Lecture,discussion  Careplan

pathophysiology,clinical cardiovascular problems
5(L)  Demonstration  Drugrecord
manifestations,
 Review of anatomy and
diagnostic tests, and  Practicesession
physiologyofcardio-vascular
medical, surgical,
system  CaseDiscussion
nutritional, and nursing
management of  NursingAssessment:Historyand  Healtheducation
cardiovasculardisorders Physical assessment
 DrugBook/
 Invasive&non-invasivecardiac presentation
procedures
Demonstrateskillin
cardiovascular  Disorders of vascular system-
assessment Hypertension, arteriosclerosis,  Completionof
Raynaud‘sdisease,aneurysmand BCLSModule
peripheral vascular disorders  BLS/BCLS
Preparepatientfor evaluation
 Coronary artery diseases:
invasive and non-
coronaryatherosclerosis,Angina
invasive cardiac
pectoris, myocardial infarction
procedures
 Valvulardisorders:congenital
and acquired
Demonstrate skill in
 Rheumatic heart disease:
monitoring and
pericarditis, myocarditis,
interpreting clinical
endocarditis,cardiomyopathies
signsrelatedtocardiac
disorders  Cardiacdysrhythmias,heart
block
 Congestive heart failure,
CompleteBLS/BCLS
corpulmonale,pulmonaryedema,
module
cardiogenic shock, cardiac
tamponade
 Cardiopulmonaryarrest

VII 7(T) Explain the etiology, NursingManagementofpatients with  Fieldvisittoblood  Interpretationof

pathophysiology, disorders of blood bank blood reports
3(L)
clinical manifestations,
 ReviewofAnatomyand  Counseling  Visitreport
diagnostic tests, and
Physiology of blood
medical, surgical,
nutritional, and nursing  Nursing assessment: history,
management of physicalassessment&Diagnostic
hematologicaldisorders tests
 Anemia,Polycythemia
Interpretbloodreports  BleedingDisorders:clottingfactor
defects and platelets defects,
thalassemia,leukemia,leukopenia,
307 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

(Hrs) Activities Methods
Prepareandprovides agranulocytosis
health education on
 Lymphomas,myelomas
blood donation
VIII 8(T) Explain the etiology, Nursing management of patients  Lecture,discussion,  Preparehealth
pathophysiology, withdisordersofendocrinesystem demonstration education on
2(L)
clinicalmanifestations, self-
 Reviewofanatomyandphysiology  Practicesession
diagnostic tests, and administration
of endocrine system
medical, surgical,  CaseDiscussion of insulin
nutritional,andnursing  NursingAssessment–Historyand
 Healtheducation  Submits a
management of Physical assessment
diabeticdiet
endocrine disorders
 Disorders of thyroid and plan
Parathyroid,AdrenalandPituitary
(Hyper, Hypo, tumors)
Demonstrate skill in
assessmentofendocrine  Diabetesmellitus
organ dysfunction

Prepareandprovides
health education on
diabetic diet

Demonstrate skill in
insulinadministration
IX 8(T) Explain the etiology, Nursingmanagementofpatients  Lecture,discussion  Drugreport
pathophysiology, withdisordersofIntegumentary
2(L)  Demonstration  Preparation of
clinicalmanifestations, system
Homecareplan
diagnostic tests, and  Practicesession
 Reviewofanatomyandphysiology
medical, surgical,
of skin  CaseDiscussion
nutritional,andnursing
management of  NursingAssessment:Historyand
disorders of Physical assessment
integumentary system
 Infectionandinfestations;
Dermatitis
Demonstrateskillin  Dermatoses;infectiousandNon
integumentary infectious
assessment
 Acne,Allergies,Eczema&P
emphigus
Demonstrateskillin  Psoriasis,Malignantmelanoma,
medicated bath Alopecia
Prepare and provide  Specialtherapies,alternative
healtheducationonskin therapies
care
 Drugs used in treatment of
disordersofintegumentarysystem

X 16(T) Explain the etiology, Nursingmanagementofpatients with  Lecture/  Nursingcare

pathophysiology, musculoskeletal problems plan
4(L)  Discussion
clinicalmanifestations,
 ReviewofAnatomyandphysiology  Prepare health
diagnostic tests, and  Demonstration
of the musculoskeletal system teachingoncare
medical, surgical,
 CaseDiscussion of patient with
nutritional,andnursing  NursingAssessment:Historyand
cast
management of physical assessment, diagnostic  Healtheducation
musculoskeletal tests
disorders
 Musculoskeletal trauma:
Dislocation,fracture,sprain,strain,
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 308
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
(Hrs) Activities Methods
Demonstrateskillin contusion,amputation
musculoskeletal
 Musculoskeletal infections and
assessment
tumors:Osteomyelitis,benignand
malignant tumour
Prepare patient for  Orthopedicmodalities:Cast,splint,
radiological and non- traction, crutch walking
radiological
 Musculoskeletalinflammation:
investigations of
Bursitis, synovitis, arthritis
musculoskeletalsystem
 Specialtherapies,alternative
therapies
Demonstrateskillin
 Metabolic bone disorder:
crutch walking and
Osteoporosis,osteomalaciaand
splinting
Paget‘s disease
 Spinal column defects and
Demonstrate skill in deformities–tumor,prolapsed
care of patient with intervertebraldisc,Pott‘sspine
replacementsurgeries
 Rehabilitation,prosthesis
 Replacementsurgeries
Prepareandprovide
health education on
bone healing
XI 20(T) Explain the etiology, Nursingmanagementofpatients with  Lecture,discussion,  Prepares and
pathophysiology, Communicable diseases demonstration submitsprotocol
3(L)
clinical manifestations, on
 Overviewofinfectiousdiseases,  Practicesession
diagnostic tests, and variousisolation
the infectious process
medical, surgical,  CaseDiscussion/ techniques
nutritional,andnursing  NursingAssessment:Historyand seminar
managementofpatients Physical assessment, Diagnostic
with communicable  Healtheducation
tests
diseases  DrugBook/
 Tuberculosis
presentation
 Diarrhoealdiseases,hepatitisA-
Demonstrateskillin  ReferTBControl
E, Typhoid
barrier and reverse & Management
barrier techniques  Herpes,chickenpox,Smallpox, module
Measles, Mumps, Influenza
 Meningitis
Demonstrate skill in
executionofdifferent  Gasgangrene
isolation protocols  Leprosy
 Dengue, Plague, Malaria,
Chikungunya,swineflu,Filariasis
 Diphtheria,Pertussis,Tetanus,
Poliomyelitis
 COVID-19
 Special infection control
measures:Notification,Isolation,
Quarantine, Immunization
309 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

CLINICALPRACTICUM
CLINICALPRACTICUM:6Credits(480hours)-18weeks×27hours
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.
Thestudentswillbecompetentto:
1. Utilizethenursingprocessinprovidingcaretothesickadultsinthehospital:
a. Performcompletehealthassessmenttoestablishadatabaseforprovidingqualitypatientcare.
b. Integratetheknowledgeofdiagnostictestsintheprocessofdatacollection.
c. Identifynursingdiagnosesandlistthemaccordingtopriority.
d. Formulatenursingcareplan,usingproblemsolvingapproach.
e. Applyscientificprincipleswhilegivingnursingcaretopatients.
f. Performnursingproceduresskillfullyonpatients.
g. Establish/developinterpersonalrelationshipwithpatientsandfamilymembers.
h. Evaluatetheexpectedoutcomesandmodifytheplanaccordingtothepatientneeds.
2. Providecomfortandsafetytoadultpatientsinthehospital.
3. Maintainsafeenvironmentforpatientsduringhospitalization.
4. Explainnursingactionsappropriatelytothepatientsandfamilymembers.
5. Ensurepatientsafetywhileprovidingnursingprocedures.
6. Assesstheeducationalneedsofthepatientandtheirfamilyrelatedtomedicalandsurgicaldisordersandprovide appropriate
health education to patients.
7. Providepre,intraandpost-operativecaretopatientsundergoingsurgery.
8. Integrate knowledge of pathology, nutrition and pharmacology for patients experiencing various medical and surgical
disorders.
9. Integrateevidence-basedinformationwhilegivingnursingcaretopatients.
10. Demonstratetheawarenessoflegalandethicalissuesinnursingpractice.

I. NURSINGMANAGEMENTOFPATIENTSWITHMEDICALCONDITIONS
A. SkillLab
Useofmanikinsandsimulators
 Intravenoustherapy
 Oxygenthroughmask
 Oxygenthroughnasalprongs
 Venturimask
 Nebulization
 Chestphysiotherapy
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/Clinical Clinical Assessment
area/unit (weeks) Outcomes Skills Requirements Methods
General 4 Develop skill in  Intravenoustherapy  CareStudy–1  Clinical
medical intravenous evaluation
o IVcannulation  Healtheducation
injection
 OSCE
administrationand o IVmaintenanceandmonitoring  Clinical
IV therapy presentation/Care  CareStudy
o AdministrationofIVmedication
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 310
ण
 CareofpatientwithCentral line note)–1 evaluation
Assistwith  Preparation and assisting and  Care Note/
diagnostic monitoring of patients undergoing Clinical
procedures diagnostic procedures such as presentation
thoracentesis,Abdominalparacentesis
Managementpatientswithrespiratory
Develop skill
problems
inthemanagemento
f patients with  Administrationofoxygenthrough
Respiratory mask, nasal prongs, venturi mask
problems
 Pulseoximetry
 Nebulization
Develop skill in
 Chestphysiotherapy
managingpatients
with metabolic  Posturaldrainage
abnormality
 Oropharyngealsuctioning
 Careofpatientwithchestdrainage
 DietPlanning
o HighProteindiet
o Diabeticdiet
 Insulinadministration
 MonitoringGRBS

II. NURSINGMANAGEMENTOFPATIENTSWITHSURGICALCONDITIONS
A. SkillLab
Useofmanikinsandsimulators
 Nasogastricaspiration
 Surgicaldressing
 Sutureremoval
 Colostomycare/ileostomycare
 Enteralfeeding
B. ClinicalPostings

Clinical Duration Learning ProceduralCompetencies/Clinical Clinical Assessment

area/unit (Weeks) Outcomes Skills Requirements Methods
General 4 Develop skill in  Pre-Operativecare  Carestudy–1  Clinical
surgical caringforpatients evaluation,
 ImmediatePost-operativecare  Healthteaching
wards during pre- and OSCE
post- operative  Post-operativeexercise
 Carestudy
period
 Painassessment
 Care note/
 PainManagement Clinical
Assistwith presentation
diagnostic  Assistingdiagnosticprocedureand
procedures after care of patients undergoing
o Colonoscopy

Develop skill in o ERCP

managing patient o Endoscopy
with Gastro-
intestinalProblems o LiverBiopsy
311 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

 Nasogastricaspiration
Developskillin  Gastrostomy/Jejunostomyfeeds
wound
management  Ileostomy/Colostomycare
 Surgicaldressing
 Sutureremoval
 Surgicalsoak
 Sitzbath
 Careofdrain

III. NURSINGMANAGEMENTOFPATIENTSWITHCARDIACCONDITIONS
A. Skill Lab
Useofmanikinsandsimulators
 Cardiovascularassessment
 InterpretingECG
 BLS/BCLS
 CPR
 ABGanalysis
 Takingbloodsample
 Arterialbloodgasanalysis–interpretation
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/Clinical Clinical Assessment
area/unit (Weeks) Outcomes Skills Requirements Methods
Cardiology 2 Develop skill in  Cardiacmonitoring  Cardiac  Clinical
wards management of assessment–1 evaluation
 RecordingandinterpretingECG
patients with
 Drugpresentation  Drug
cardiacproblems  Arterialbloodgasanalysis–
–1 presentation
interpretation
 Administercardiacdrugs
Develop skill in
management of  Preparationandaftercareofpatients
patients with for cardiac catheterization
disordersofBlood
 CPR
 Collectionofbloodsamplefor:
o Bloodgrouping/crossmatching
o Bloodsugar
o Serumelectrolytes
 Assistingwithbloodtransfusion
 Assistingforbonemarrowaspiration
 Applicationofanti-embolism
stockings (TED hose)
 Application/maintenance of
sequentialCompressiondevice
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 312
ण
IV. NURSINGMANAGEMENTOFPATIENTSWITHDISORDERSOFINTEGUMENTARYSYSTEM
A. SkillLab
Use of manikins and simulators
Applicationoftopicalmedication
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/ Clinical Assessment
area/unit (Weeks) Outcomes Clinical Skills Requirements Methods
Dermatology 1 Developskillin  Intradermalinjection-Skinallergy  Clinical
wards managementof testing evaluation
patients with
 Applicationoftopicalmedication
disorders of
integumentary  Medicatedbath
system

V. NURSINGMANAGEMENTOFPATIENTSWITHCOMMUNICABLEDISEASES
A. SkillLab
 BarrierNursing
 ReverseBarrierNursing
 Standardprecautions
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/Clinical Clinical Assessment
area/unit (Weeks) Outcomes Skills Requirements Methods
Isolation 1 Developskillin  BarrierNursing  CareNote–1  Clinical
ward themanagement evaluation
 Reversebarriernursing
of patients
 Carenote
requiring  Standard precautions (Universal
isolation precaution), use of PPE, needle
stickandsharpinjuryprevention,
Cleaning and disinfection,
Respiratory hygiene, waste
disposal and safe injection
practices)

VI. NURSINGMANAGEMENTOFPATIENTSWITHMUSCULOSKELETALPROBLEMS
A. SkillLab
Useofmanikinsandsimulators
 Rangeofmotionexercises
 Musclestrengtheningexercises
 Crutchwalking
B. ClinicalPostings
Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment
area/unit (Weeks) Clinical Skills Requirements Methods
Orthopedic 2 Developskillin  Preparationofpatientwith  CareNote–1  Clinical
wards management of Myelogram/CT/MRI evaluation,
patients with
 Assistingwithapplication&  Carenote
musculoskeletal
removal of POP/Cast
problems
 Preparation,assistingandafter
care of patient with Skin
313 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

traction/skeletaltraction
 Careoforthotics
 Musclestrengtheningexercises
 Crutchwalking
 Rehabilitation

VII. NURSINGMANAGEMENTOFPATIENTSINTHEOPERATINGROOMS
A. SkillLab
Useofmanikinsandsimulators
 Scrubbing,gowningandgloving
 Orienttoinstrumentsforcommonsurgeries
 Orienttosuturematerials
 Positioning
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/Clinical Clinical Assessment
area/unit (Weeks) Outcomes Skills Requirements Methods
Operation 4 Developskillin  Positionanddraping  Assist as  Clinical
theatre caring for circulatorynurse– evaluation
 Preparationofoperationtable
intraoperative 4
 OSCE
patients  Setupoftrolleywithinstrument
 Positioning&
 Assistinginmajorandminor draping – 5
operation
 Assistasscrub
 Disinfectionandsterilizationof nurseinmajor
equipment surgeries – 4
 Scrubbingprocedures–Gowning,  Assistasscrub
masking and gloving nurseinminor
surgeries – 4
 Intraoperativemonitoring

PHARMACOLOGY-II
includingFundamentalsofPrescribingModule
PLACEMENT:IVSEMESTER
THEORY:3Credits(60hours)
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:Oncompletionofthecourse,thestudentswillbeableto
1. Explainthedrugsusedinthetreatmentofear,nose,throatandeyedisorders.
2. Explainthedrugsusedinthetreatmentofurinarysystemdisorders.
3. Describethedrugsusedinthetreatmentofnervoussystemdisorders.
4. Explainthedrugsusedforhormonalreplacementandforthepregnantwomenduringantenatal,intranatalandpostnatal period.
5. Explainthedrugsusedtotreatemergencyconditionsandimmunedisorders.
6. Discuss the role and responsibilities of nurses towards safe administration of drugs used to treat disorders of
varioussystems with basic understanding of pharmacology.
7. Demonstrateunderstandingaboutthedrugsusedinalternativesystemofmedicine.
8. Demonstrateunderstandingaboutthefundamentalprinciplesofprescribing.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 314
ण
COURSEOUTLINE
T–Theory
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
I 4(T)Describedrugsusedin Drugsusedindisordersofear,nose, throat &  Lecturecum  Shortanswer
disorders of ear, nose, Eye Discussion
 Objectivetype
throat and eye and
nurses‘responsibilities  Antihistamines
 Drugstudy/
presentation
 Topical applications for eye
(Chloramphenicol, Gentamycin eye
drops),ear(Sodaglycerin,boricspirit
ear drops), nose and buccal cavity-
chlorhexidine mouthwash
 Composition,action,dosage,route,
indications, contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse

II 4(T)Describedrugsacting onDrugsusedonurinarysystem  Lecturecum  Shortanswer

urinary system Discussion
&nurse‘s  Pharmacologyofcommonlyused  Objectivetype
drugs  Drugstudy/
responsibilities
presentation
o Reninangiotensinsystem
o Diureticsandantidiuretics
o Drugstoxictokidney
o Urinaryantiseptics
o TreatmentofUTI–acidifiersand
alkalinizers
 Composition,action,dosage,route,
indications,contraindications,Drug
interactions, side effects, adverse
effects toxicity and role of nurse

III 10(T)Describe drugs used Drugsactingonnervoussystem  Lecturecum  Shortanswer

onnervoussystem&n Discussion
urse‘s responsibilities  Basis&appliedpharmacologyof
 Objectivetype
commonly used drugs  Drugstudy/
presentation
 Analgesicsandanaesthetics
o Analgesics:Non-steroidalanti-
inflammatory (NSAID) drugs
o Antipyretics
o Opioids&othercentralanalgesics
 General(techniquesofGA,pre
anesthetic medication) & local
anesthetics
 Gases:oxygen,nitrous,oxide,
carbon-dioxide & others
 Hypnoticsandsedatives
 Skeletalmusclerelaxants
 Antipsychotics
o Moodstabilizers
315 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)

 Antidepressants
 AntianxietyDrugs
 Anticonvulsants
 Drugs for neurodegenerative
disorders&miscellaneousdrugs
 Stimulants, ethyl alcohol and
treatmentofmethylalcoholpoisoning
 Composition,action,dosage,route,
indications, contraindications, drug
interactions, side effects, adverse
effects toxicity and role of nurse

IV 5(T) Describe drugs used Drugs used for hormonal, disorders  Lecturecum  Shortanswer
for hormonal disorder and supplementation, contraception Discussion
 Objectivetype
& supplementation, andmedicalterminationofpregnancy
 Drugstudy/
contraception &
medicalterminationof
 Estrogensandprogesterones presentation
pregnancy & nurse‘s o Oralcontraceptivesandhormone
responsibilities replacement therapy
 Vaginalcontraceptives
 Drugsforinfertilityandmedical
termination of pregnancy
o Uterinestimulantsandrelaxants
 Composition, actions dosage route
indicationscontraindications,drugs
interactions, side effects, adverse
effects, toxicity and role of nurse

V 3(T) Develop Drugsusedforpregnantwomenduring  Lecturecum  Shortanswer

understanding about antenatal, labour and postnatal period Discussion
 Objectivetype
importantdrugsused
 Tetanusprophylaxis  Drugstudy/
for women before,
presentation
during and after  IronandVitK1supplementation
labour
 Oxytocin,Misoprostol
 Ergometrine
 MethylprostaglandinF2-alpha
 Magnesiumsulphate
 Calciumgluconate

VI 10(T) Describedrugsusedin Miscellaneous  Lecturecum  Shortanswer

deaddiction, Discussion
 Drugsusedfordeaddiction  Objectivetype
emergency,poisoning,
 Drugstudy/
vitamins & minerals  DrugsusedinCPRandemergency-
presentation
supplementation,drugs adrenaline, Chlorpheniramine,
used for immunization hydrocortisone, Dexamethasone
&immune-
suppression& nurse‘s  IVfluids&electrolytesreplacement
responsibilities  Commonpoisons,drugsusedfor
treatment of poisoning
o Activatedcharcoal
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 316
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
o Ipecac
o Antidotes,
o Anti-snakevenom(ASV)
 Vitaminsandminerals
supplementation
 Vaccines & sera (Universal
immunizationprogramschedules)
 Anticancerdrugs:Chemotherapeutic
drugs commonly used
 Immuno-suppressantsand
Immunostimulants

VII 4(T) Demonstrate Introduction to drugs used in  Lecturecum  Shortanswer

awarenessofcommon alternativesystemsofmedicine Discussion
 Objectivetype
drugs used in
 Ayurveda,Homeopathy,Unaniand  Observationalvisit
alternative system of
Siddha etc.
medicine
 Drugsusedforcommonailments

VIII 20(T) Demonstrate Fundamentalprinciplesofprescribing  Completionof  Shortanswer

understandingabout module on
 Prescriptiveroleofnursepractitioners:  Assignments
fundamental Fundamental
Introduction evaluation
principles of principles of
prescribing  Legalandethicalissuesrelatedto prescribing
prescribing
 Principlesofprescribing
 Stepsofprescribing
 Prescribingcompetencies

PATHOLOGY-IIANDGENETICS

PLACEMENT:IVSEMESTER
THEORY:1Credit(20hours)(Includeslabhoursalso)
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:Oncompletionofthecourse,thestudentswillbeableto
1. Applytheknowledgeofpathologyinunderstandingthedeviationsfromnormaltoabnormalpathology
2. Rationalizethevariouslaboratoryinvestigationsindiagnosingpathologicaldisorders
3. Demonstrate the understandingof themethods of collectionof blood, bodycavityfluids, urine and feces for various tests
4. Applytheknowledgeofgeneticsinunderstandingthevariouspathologicaldisorders
5. Appreciatethevariousmanifestationsinpatientswithdiagnosedgeneticabnormalities
6. Rationalizethespecificdiagnostictestsinthedetectionofgeneticabnormalities.
7. Demonstratetheunderstandingofvariousservicesrelatedtogenetics.
317 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

COURSEOUTLINE
T–Theory
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
I 5(T)Explainpathological SpecialPathology:  Lecture  Shortanswer
changes in disease
Pathologicalchangesindisease conditions of  Discussion  Objectivetype
conditionsofvarious
selected systems
systems  Explain using
1. KidneysandUrinarytract slides,X-raysand
scans
 Glomerulonephritis
 Visit to pathology
 Pyelonephritis
lab,endoscopyunit
 Renalcalculi and OT
 Cystitis
 RenalCellCarcinoma
 RenalFailure(AcuteandChronic)
2. Malegenitalsystems
 Cryptorchidism
 Testicularatrophy
 Prostatichyperplasia
 CarcinomapenisandProstate.
3. Femalegenitalsystem
 Carcinomacervix
 Carcinomaofendometrium
 Uterinefibroids
 Vesicularmoleand
Choriocarcinoma
 Ovariancystandtumors
4. Breast
 Fibrocysticchanges
 Fibroadenoma
 CarcinomaoftheBreast
5. Centralnervoussystem
 Meningitis.
 Encephalitis
 Stroke
 TumorsofCNS

II 5(T)Describe the laboratory ClinicalPathology  Lecture  Shortanswer

tests for
 Examinationofbodycavityfluids:  Discussion  Objectivetype
examinationofbody
cavity fluids, urine o Methods of collection and  Visittoclinicallab
and faeces examination of CSF and other body and biochemistry
cavity fluids (sputum, wound lab
discharge) specimen for various
clinicalpathology,biochemistryand
microbiology tests
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 318
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
 Analysisofsemen:
o Sperm count, motility and
morphologyandtheirimportancein
infertility
 Urine:
o Physicalcharacteristics,Analysis,
Culture and Sensitivity
 Faeces:
o Characteristics
o Stoolexamination:Occultblood,
Ova,ParasiteandCyst,Reducing
substance etc.
o Methodsandcollectionofurineand
faeces for various tests

GENETICS
COURSEOUTLINE
T–Theory

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
I 2(T) Explainnature, Introduction:  Lecture  Shortanswer
principles and
 Practicalapplicationofgeneticsin  Discussion  Objectivetype
perspectivesof
nursing
heredity  Explainusingslides
 Impactofgeneticconditiononfamilies
 Reviewofcellulardivision:mitosisand
meiosis
 Characteristicsandstructureofgenes
 Chromosomes:sexdetermination
 Chromosomalaberrations
 Patternsofinheritance
 Mendeliantheoryofinheritance
 Multipleallotsandbloodgroups
 Sexlinkedinheritance
 Mechanismofinheritance
 Errorsintransmission(mutation)

II 2(T) Explain maternal, Maternal, prenatal and genetic  Lecture  Shortanswer

prenatalandgenetic influencesondevelopmentofdefects and
 Discussion  Objectivetype
influences on diseases
development of  Explainusingslides
 Conditionsaffectingthemother:
defectsanddiseases
genetic and infections
 Consanguinityatopy
 Prenatalnutritionandfoodallergies
 Maternalage
319 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
 Maternaldrugtherapy
 Prenataltestinganddiagnosis
 EffectofRadiation,drugsand
chemicals
 Infertility
 Spontaneousabortion
 NeuralTubeDefectsandtheroleof
folic acid in lowering the risks
 Downsyndrome(Trisomy21)

III 2(T) Explain the screening Genetictestingintheneonatesand  Lecture  Shortanswer

methods for genetic children
 Discussion  Objectivetype
defectsanddiseasesin
 Screeningfor
neonates and children  Explainusingslides
o Congenitalabnormalities
o Developmentaldelay
o Dysmorphism

IV 2(T) Identify genetic Geneticconditionsofadolescentsand  Lecture  Shortanswer

disorders in adults
 Discussion  Objectivetype
adolescentsandadults
 Cancergenetics:Familialcancer
 Explainusingslides
 Inbornerrorsofmetabolism
 Bloodgroupallelesandhematological
disorder
 Genetichaemochromatosis
 Huntington‘sdisease
 Mentalillness

V 2(T) Describetheroleof Servicesrelatedtogenetics  Lecture  Shortanswer

nurse in genetic
 Genetictesting  Discussion  Objectivetype
services and
counselling  Genetherapy
 Geneticcounseling
 LegalandEthicalissues
 Roleofnurse

ADULTHEALTHNURSING-IIWITHINTEGRATEDPATHOPHYSIOLOGYincludingGeriatricNursing AND
PALLIATIVE CARE MODULE

PLACEMENT:IVSEMESTER
THEORY:7Credits(140hours)
PRACTICUM:Lab/SkillLab(SL):1Credit(40hours)Clinical:6Credits(480hours)
DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy,
Physiology, Biochemistry and Behavioral sciencesincaring for adultpatientswithMedical/Surgicaldisordersusingnursing
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.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 320
ण
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 AdultHealth Nursing II course,students will
1. Explaintheetiology,pathophysiology,manifestations,diagnosticstudies,treatmentsandcomplicationsofselected common
medical and surgical disorders.
2. Performcompletehealthassessmenttoestablishadatabaseforprovidingqualitypatientcareandintegratethe knowledge of
diagnostic tests in the process of data collection.
3. Identifydiagnoses,listthemaccordingtopriorityandformulatenursingcareplan.
4. Performnursingproceduresskillfullyandapplyscientificprincipleswhilegivingcomprehensivenursingcareto patients.
5. Integrateknowledgeofanatomy,physiology,pathology,nutritionandpharmacologyincaring forpatientsexperiencing
various medical and surgical disorders.
6. Identifycommondiagnosticmeasuresrelatedtothehealthproblemswithemphasisonnursingassessmentand responsibilities.
7. Demonstrateskillinassisting/performingdiagnosticandtherapeuticprocedures.
8. Demonstratecompetencies/skillstopatientsundergoingtreatmentformedicalsurgicaldisorders.
9. Identify the drugsused in treatingpatientswith selectedmedicalsurgicalconditions.
10. Planandproviderelevantindividualandgroupeducationonsignificantmedicalsurgicaltopics.
11. Maintainsafeenvironmentforpatientsandthehealthcarepersonnelinthehospital.

COURSEOUTLINE
T–Theory,L/SL–Lab/SkillLab
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
I 12(T) Explain the etiology, Nursingmanagementofpatientwith  Lectureand  MCQ
pathophysiology, disorders of Ear, Nose and Throat discussion
4(SL)  Shortanswer
clinicalmanifestations, (Includes etiology, pathophysiology,
 Demonstration of
diagnostic measures clinical manifestations, diagnostic  Essay
hearing aids, nasal
and medical, surgical, measures and medical, surgical,
packing,medication  OSCE
nutritionalandnursing nutritional and nursing management)
administration
management of  Assessmentof
 Reviewofanatomyandphysiologyof
patients with ENT  Visittoaudiology skill (using
the ear, nose and throat
disorders and speech clinic checklist)
 History,physicalassessment,and
diagnostic tests  Quiz

 Ear  Drug book

o Externalear:deformitiesotalgia,
foreign bodies and tumors
o Middle ear: impacted wax,
tympanic,membraneperforation,
otitis media, and tumors
o Inner ear: Meniere‘s disease,
labyrinthitis,ototoxicitytumors
 Upper respiratory airway infections:
Rhinitis,sinusitis,tonsillitis,laryngitis
 Epistaxis,Nasalobstruction,laryngeal
obstruction
 Deafnessanditsmanagement
321 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
II 12(T) Explain the etiology, Nursingmanagementofpatientwith  Lectureand  MCQ
pathophysiology, disorder of eye discussion
4(SL)  ShortEssay
clinicalmanifestations,
 Reviewofanatomyandphysiologyof  Demonstrationof
diagnostic measures  OSCE
the eye visual aids, lens,
and management of
medication  Drug book
patients with disorders  History,physicalassessment,
administration
of eye diagnostic assessment
 Visittoeyebank
EyeDisorders
Describeeyedonation,  Refractiveerrors
banking and
transplantation  Eyelids:infection,deformities
 Conjunctiva:inflammationand
infection bleeding
 Cornea:inflammationandinfection
 Lens:cataract
 Glaucoma
 Retinaldetachment
 Blindness
 Eyedonation,bankingand
transplantation

III 15(T) Explain the etiology, Nursingmanagementofpatientwith  Lecturecum  MCQ

pathophysiology, Kidney and Urinary problems Discussion
4(L/SL)  ShortNote
clinicalmanifestations,
 ReviewofAnatomyandphysiologyof  Demonstration
diagnostic tests, and  Longessay
the genitourinary system
medical, surgical,  CaseDiscussion
nutritional,andnursing  Casereport
 History,physicalassessment,
managementofKidney  Healtheducation
diagnostic tests  Submitshealth
and urinary system  Drug book teaching on
disorders  Urinarytractinfections:acute,
prevention of
chronic, lower, upper  Fieldvisit–Visits
urinarycalculi
hemodialysis unit
 Nephritis,nephroticsyndrome
Demonstrateskillin
genitourinary  Renalcalculi
assessment  Acuteandchronicrenalfailure
 Disordersofureter,urinarybladder
Preparepatientfor and Urethra
genitourinary  Disordersofprostate:inflammation,
investigations infection, stricture, obstruction, and
Benign Prostate Hypertrophy

Prepareandprovide
health education on
prevention of renal
calculi
IV 6(T) Explain the etiology, Nursingmanagementofdisordersof  Lecture,Discussion  Shortessay
pathophysiology, male reproductive system
 CaseDiscussion
clinicalmanifestations,
 ReviewofAnatomyandphysiologyof
diagnostic tests, and  Healtheducation
the male reproductive system
medical, surgical,
nutritional,andnursing  History,PhysicalAssessment,
management of male Diagnostic tests
reproductive disorders
 Infections of testis, penis and adjacent
structures:Phimosis,Epididymitis,and
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 322
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
Orchitis
 Sexualdysfunction,infertility,
contraception
 MaleBreastDisorders:gynecomastia,
tumor, climacteric changes

V 10(T) Explain the etiology, Nursingmanagementofpatientwith  Lectureand  OSCE

pathophysiology, burns, reconstructive and cosmetic discussion
4(SL)  Shortnotes
clinicalmanifestations, surgery
 Demonstration of
types, diagnostic
 Reviewofanatomyandphysiologyof burn wound
measures and
the skin and connective tissues assessment,vacuum
management of
dressing and fluid
patients with disorders  History, physical assessment,
calculations
of burns/cosmetic assessmentofburnsandfluid&
surgeries and its electrolyte loss  Visit to burn
significance rehabilitationcenters
 Burns
 Reconstructive and cosmetic surgery
for burns, congenital deformities,
injuriesandcosmeticpurposes,gender
reassignment
 Legalandethicalaspects
 Specialtherapies:LAD,vacuumed
dressing. Laser, liposuction, skin
health rejuvenation, use of derma
filters

VI 16(T) Explain the etiology, Nursingmanagementofpatientwith  Lectureand  OSCE

pathophysiology, neurological disorders discussion
4(L/SL)  Shortnotes
clinicalmanifestations,
 Reviewofanatomyandphysiologyof  Demonstration of
diagnostic measures  Essay
the neurological system physiotherapy,neuro
and management of
assessment,  Drug book
patients with  History,physicalandneurological
tracheostomy care
neurological disorders assessment, diagnostic tests
 Visit to
 Headache,Headinjuries
rehabilitationcenter,
 Spinalinjuries:Paraplegia, long term care
Hemiplegia, Quadriplegia clinics, EEG, NCV
study unit,
 Spinalcordcompression:herniationof
in vertebral disc
 Intracranialandcerebralaneurysms
 Meningitis,encephalitis,brain,
abscess, neuro-cysticercosis
 Movementdisorders:Chorea,Seizures
& Epilepsies
 Cerebrovasculardisorders:CVA
 Cranial,spinalneuropathies:Bell‘s
palsy, trigeminal neuralgia
 PeripheralNeuropathies
 Degenerativediseases:Alzheimer‘s
disease, Parkinson‘s disease
 Guillain-Barrésyndrome,Myasthenia
gravis & Multiple sclerosis
323 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
 Rehabilitationofpatientwith
neurological deficit

VII 12(T) Explain the etiology, Nursingmanagementofpatientswith  Lecture,discussion

pathophysiology, Immunological problems
4(L/SL)  CaseDiscussion/
clinicalmanifestations,
 ReviewofImmunesystem seminar
diagnostic tests, and
medical, surgical,  NursingAssessment:Historyand  ReferModuleon
nutritional,andnursing Physical assessment HIV/AIDS
management of
immunological  HIV & AIDS: Epidemiology,
disorders Transmission, Prevention of
Transmissionandmanagementof
HIV/AIDS
Prepareandprovides  Role of Nurse; Counseling, Health
health education on educationandhomecareconsideration
prevention of HIV and rehabilitation
infection and
rehabilitation  NationalAIDS ControlProgram–
NACO, various national and
internationalagenciesforinfection
control
Describethenational
infection control
programs
VIII 12(T) Explain the etiology, Nursingmanagementofpatientwith  Lectureand  OSCE
pathophysiology, Oncological conditions discussion
4(L/SL)  Essay
types, clinical
 Structureandcharacteristicsofnormal  Demonstrationof
manifestations,  Quiz
and cancer cells chemotherapy
staging, diagnostic
preparation and  Drug book
measures and  History,physicallyassessment,
administration
management of diagnostic tests  Counseling,
patientswithdifferent  Visit to BMT, health
cancer, treatment  Preventionscreeningearlydetections
radiotherapy units teaching
modalities including warning sign of cancer
(linear accelerator,
newer treatments  Epidemiology,etiologyclassification, brachytherapy,etc.),
Pathophysiology, staging clinical nuclear medicine
manifestations, diagnosis, treatment unit
modalities and medical and surgical
nursing management of Oncological
condition
 Common malignancies of various
body system eye, ear, nose, larynx,
breast,cervix,ovary,uterus,sarcoma,
renal,bladder,kidney,prostateBrain,
Spinal cord.
 Oncologicalemergencies
 Modalities of treatment:
Chemotherapy, Radiotherapy:
Radiationsafety,AERBregulations,
Surgical intervention, Stem cell and
bone marrow transplant,
Immunotherapy, Gene therapy
 Psychological aspects of cancer:
anxiety,depression,insomnia,anger
 Supportivecare
 Hospicecare
 Completionof
palliativecare
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 324
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
moduleduring
clinical hours
(20 hours)
IX 15(T) Explain the types, Nursingmanagementofpatientin  Lectureand  OSCE
policies, guidelines, EmergencyandDisastersituations discussion
4(L/SL)  Case
prevention and
DisasterNursing  Demonstration of presentations
management of
disaster andcasestudy
disaster and the  Conceptandprinciplesofdisaster
preparedness(Mock
etiology, nursing, Related Policies
drill) and triaging
pathophysiology,
clinicalmanifestations,  Typesofdisaster:Naturaland
 Filed visit to local
diagnostic measures manmade
disastermanagement
and management of  Disaster preparedness: Team, centers or demo by
patients with acute guidelines,protocols,equipment, fire extinguishers
emergencies resources
 Group presentation
 Etiology, classification, (role play, skit,
Pathophysiology, staging, clinical conceptmapping)on
manifestation, diagnosis, treatment different emergency
modalitiesandmedicalandsurgical care
nursingmanagementofpatientwith
 ReferTraumacare
medicalandsurgicalemergencies–
management/
Poly trauma, Bites, Poisoning and
ATCN module
Thermal emergencies
 Guided reading on
 Principlesofemergencymanagement
National Disaster
 Medicolegalaspects Management
Authority(NDMA)
guidelines

X 10(T) Explain the Concept, Nursingcareoftheelderly  Lectureand  OSCE

physiologicalchanges, discussion
 Historyandphysicalassessment  Case
and psychosocial
 Demonstration of presentations
problems of ageing  Agingprocessandage-relatedbody
communicationwith
changes and psychosocial aspects  Assignmenton
visual and hearing
family
 Stressandcopinginelderpatient impaired
Describethenursing systems of
management of the  Psychosocialandsexualabuseof  Fieldvisittooldage Indiafocusing
elderly elderly homes on geriatric
population
 Roleoffamilyandformalandnon-
formal caregivers
 Useofaidsandprosthesis(hearing
aids, dentures)
 Legalandethicalissues
 National programs for elderly,
privileges,communityprogramsand
health services
 Homeandinstitutionalcare

XI 15(T) Explain the etiology, Nursingmanagementofpatientsin  Lectureand  Objectivetype

pathophysiology, critical Care units discussion
8(L/SL)  Shortnotes
clinicalmanifestations,
 Principlesofcriticalcarenursing  Demonstration on
diagnostic measures  Case
the use of
and management of presentations
 Organization:physicalset-up,policies, mechanical
patientsin criticalcare staffing norms ventilators,cardiac  Assessmentof
units
monitors etc. skill on
 Protocols,equipmentandsupplies
 Clinicalpracticein monitoring of
325 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
 Useandapplicationofcriticalcare differentICUs patientsin
biomedicalequipment:ventilators, ICU.
cardiac monitors, defibrillators,
 Written
infusion pump, Resuscitation
assignmenton
equipment and any other
ethical and
 AdvancedCardiacLifesupport legalissuesin
critical care
 Nursingmanagementofcriticallyill
patient
 Transitionalcare
 EthicalandLegalAspects
 BreakingBadNewstoPatientsand/or
their families: Communication with
patient and family
 Endoflife care

XII 5(T) Describe the etiology, Nursing management of patients  Lectureand  Assignmenton
pathophysiology, occupationalandindustrialdisorders discussion industrial
clinicalmanifestations, healthhazards
 History,physicalexamination,  Industrialvisit
diagnostic measures
Diagnostic tests
and management of
patients with  Occupationaldiseasesand
occupational/industrial management
health disorders

CLINICALPRACTICUM
CLINICALPRACTICUM:6Credits(480Hours)–20weeks×24hours
PRACTICE COMPETENCIES: On completion of the clinical practicum, the students will develop proficiency inapplying
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.
Thestudentswillbecompetentto
1. Utilizethenursingprocessinprovidingcaretothesickadultsinthehospital
a. Performcompletehealthassessmenttoestablishadatabaseforprovidingqualitypatientcare.
b. Integratetheknowledgeofdiagnostictestsinpatientassignment.
c. Identifynursingdiagnosesandlistthemaccordingtopriority.
d. Formulatenursingcareplan,usingproblemsolvingapproach.
e. Applyscientificprincipleswhilegivingnursingcaretopatients.
f. Developskillinperformingnursingproceduresapplyingscientificprinciple.
g. Establish/developinterpersonalrelationshipwithpatientsandfamilymembers.
h. Evaluatetheexpectedoutcomesandmodifytheplanaccordingtothepatientneeds.
2. Providecomfortandsafetytoadultpatientsinthehospital.
3. Maintainsafeenvironmentforpatientsduringhospitalization.
4. Explainnursingactionsappropriatelytothepatientsandfamilymembers.
5. Ensurepatientsafetywhileprovidingnursingprocedures.
6. Assesstheeducationalneedsofthepatientandtheirfamilyrelatedtomedicalandsurgicaldisordersandprovide appropriate
health education to patients.
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 326
ण
7. Providepre,intraandpost-operativecaretopatientsundergoingsurgery.
8. Integrate knowledge of pathology, nutrition and pharmacology for patients experiencing selected medical and surgical
disorders.
9. Integrateevidence-basedinformationwhilegivingnursingcaretopatients.
10. Demonstratetheawarenessoflegalandethicalissuesinnursingpractice.
I. NursingManagementofPatientswithENTDisorders
A. SkillLab
Useofmanikinsandsimulators
 Tracheostomycare
 InstillingEarandNasalmedications
 Bandageapplication
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/ Clinical Assessment
area/unit (weeks) Outcomes Clinical Skills Requirements Methods
ENTWard and 2 Providecare to  Examinationofear,nose,throatand  ENTassessment  Clinical
OPD patients History taking –1 evaluation
with ENT
 ApplyingbandagestoEar,Nose  Case study/  OSCE
disorders
Clinical
 Tracheostomycare  Case report
presentation–1
study/
 Preparationofpatient,assistingand
Educate the Clinical
monitoring of patients undergoing
patients and presentation
diagnostic procedures
theirfamilies
o Auditoryscreeningtests
o Audiometrictests
 Preparing the patient and assisting in
specialprocedureslikeAnterior/posterior
nasalpacking,EarPackingandSyringing
 Preparationandaftercareofpatients
undergoingENTsurgicalprocedures
 Instillationofdrops/medication

II. NursingManagementofPatientswithEyeConditions
A. SkillLab
Useofmanikinsandsimulators
 InstillingEyemedications
 Eyeirrigation
 Eyebandage
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/ Clinical Assessment
area/unit (weeks) Outcomes Clinical Skills Requirements Methods
Ophthalmology unit 2 Developskill in  Historytaking,Examinationofeyes  Eyeassessment–  Clinical
providing and interpretation 1 evaluation
care to
 Assistingprocedures  Healthteaching  OSCE
patients with
Eyedisorders o Visualacuity  Case study/  Clinical
Clinical presentation
o Fundoscopy, retinoscopy, Presentation–1
ophthalmoscopy,tonometry,
Educatethe
patientsand o Refractiontests
327 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

theirfamilies  Preandpost-operativecare
 Instillationofdrops/medication
 Eyeirrigation
 Applicationofeyebandage
 Assistingwithforeignbodyremoval

III. NursingManagementofPatientswithKidneyandUrinarySystemDisorders
A. SkillLab
Useofmanikinsandsimulators
 Assessment:kidney&urinarysystem
 Preparation:dialysis
 Catheterizationandcare
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/ Clinical Assessment
area/unit (weeks) Outcomes Clinical Skills Requirements Methods
Renal ward/ 2 Developskill  Assessmentofkidney  Assessment–1  Clinical
nephrology in and urinary system evaluation
 Drugpresentation
ward Management
o Historytaking –1  Careplan
including of patients
Dialysisunit withurinary, o Physicalexamination  Care study/  OSCE
male Clinical
reproductive o Testicularself-examination  Quiz
presentation–1
problems odigitalrectal exam  Drug
 Preparingand
assisting in presentation
 Preparationandassistingwithdiagnostic
and therapeutic procedures hemodialysis
o Cystoscopy,Cystometrogram,
o Contraststudies:IVPetc.
o Peritonealdialysis
o Hemodialysis,
o Lithotripsy
o Specific tests: Semen analysis,
gonorreoeatest,Renal/ProstateBiopsy
etc.
 Catheterization:care
 Bladderirrigation
 I/Orecordingandmonitoring
 Ambulationandexercise

IV. NursingManagementofPatientswithBurnsandReconstructiveSurgery
A. SkillLab
Useofmanikinsandsimulators
 Assessmentofburnswound
 Wounddressing
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 328
ण
B. ClinicalPostings

Clinical DurationLearningOutcomes ProceduralCompetencies/ Clinical Assessment

area/unit (weeks) Clinical Skills Requirements Methods
Burns unit/ 2 Developskillinburns  Assessmentofburns  burn wound  Clinical
reconstructive assessment and assessment–1 evaluation,
 Firstaidofburns
surgical unit providing care to
 care study/case  Care
patientswithdifferent  Fluid & electrolyte
presentation–1 study/case report
types of burns replacementtherapy
 Skin care
Develop skill in providing  CareofBurnwounds
care to patients with
different types of  Bathing
cosmetic and  Dressing
reconstructivesurgeries
 Pre-operative and post-
operativecareofpatients
 Caringofskingraftandpost
cosmetic surgery
 Rehabilitation

V. NursingManagementofPatientswithneurologicaldisorders
A. Skill Lab
Useofmanikinsandsimulators
 Rangeofmotionexercises
 Musclestrengtheningexercises
 Crutchwalking

B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/Clinical Clinical Assessment
area/unit (weeks) Outcomes Skills Requirements Methods
Neurology- 3 Developskill in  Historytaking;Neurological   Clinical
medical/ Management Examination euro-assessment –1 evaluation
of patients
Surgery  Patientmonitoring  Casestudy/case  Neuro
with
wards presentation – 1 assessment
Neurological  Prepareandassistforvariousinvasive
problems and non-invasive diagnostic  Drug  OSCE
procedures presentation–1  Case report/
 Rangeofmotionexercises,muscle presentations
strengthening
 Careofmedical,surgicaland
rehabilitative patients

VI. NursingManagementofPatientswithImmunologicalDisorders
A. SkillLab
 BarrierNursing
 ReverseBarrierNursing
 329 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/Clinical Clinical Assessment
area/unit (weeks) Outcomes Skills Requirements Methods
Isolation 1 Developskillin the  Historytaking  Assessmentof  Carenote
ward/ Managementof immunestatus
 Immunologicalstatusassessment(e.g.  Quiz
Medical patients with
HIV) and Interpretation of specific  Teaching of
ward immunological  Health
tests isolationtopatient
disorders Teaching
and family care
 Caringofpatientswithlowimmunity
givers
 Practicingofstandardsafetymeasures,
 Nutritional
precautions/barrier nursing/reverse
management
barrier/isolation skills
 CareNote–1

VII. NursingManagementofPatientswithdisordersofOncologicalconditions
A. SkillLab
Useofmanikinsandsimulators
 Applicationoftopicalmedication
 Administrationofchemotherapy
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/Clinical Clinical Assessment
area/unit (weeks) Outcomes Skills Requirements Methods
Oncology 3 Developskill in  Historytaking&physicalexamination  Assessment–1  Clinical
wards providing of cancer patients evaluation
 Care study/
(including care to
 Screeningforcommoncancers:TNM clinical  Carestudy
day care patients with
classification presentation–1
radiotherapy oncological  Quiz
unit) disorders  Preparation,assistingandaftercare  Pre and post-
 Drug book
patients undergoing diagnostic operativecareof
procedures patient with
various modesof
 Biopsies/FNAC
cancer treatment
 Papsmear
 Teaching on
 Bone-marrowaspiration BSEtofamily
members
 Variousmodalitiesoftreatment
 Visit to
 Chemotherapy palliativecare
 Radiotherapy unit
 Painmanagement
 Stomatherapy
 Hormonaltherapy
 Immunotherapy
 Genetherapy
 Alternativetherapy
 Stomacareandfeeding
 Caringofpatientstreatedwithnuclear
medicine
 Rehabilitation
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 330
ण
VIII. NursingManagementofPatientsinemergencyconditions
A. SkillLab
Useofmanikinsandsimulators
 Assessment:primaryandsecondarysurvey
 Traumacare:bandaging,woundcare,splinting,positions
B. ClinicalPostings
Clinical Duration Learning ProceduralCompetencies/ClinicalSkills Clinical Assessment
area/unit (weeks) Outcomes Requirements Methods
Emergency 2 Developskill  Practicing‗triage‘  Triage  Clinical
room/ in providing evaluation
 Primaryandsecondarysurveyin  Immediatecare
Emergency care to
emergency  Quiz
unit patients with  Use of
emergency  Examination, investigations & their emergency
health interpretations,inemergency&disaster trolley
problems situations
 Emergencycareofmedicalandtraumatic
injury patients
 Documentations,assistinginlegal
procedures in emergency unit
 Managingcrowd
 Counseling the patient and family in
dealingwithgrieving&bereavement

IX. NursingManagementofgeriatricpatients
A. SkillLab
Useofmanikinsandsimulators
 Useofassistivesafetydevices
B. ClinicalPostings
Clinical Duration LearningOutcomes Procedural ClinicalRequirements Assessment
area/unit (weeks) Competencies/ Methods
Clinical Skills
Geriatric 1 Develops skill in  History taking  Geriatricassessment–1  Clinical
ward geriatric assessment andassessment evaluation
 Careofnormalandgeriatricpatient
andprovidingcareto of Geriatric
with illness  Careplan
patients withgeriatric patient
illness  Fallriskassessment–1
 Functionalstatusassessment–1

X. NursingManagementofPatientsincriticalcareunits
A. SkillLab
Useofmanikinsandsimulators
 Assessmentcriticallyill
 ETtubesetup–suction
 TT suction
 Ventilatorsetup
 Chestdrainage
 Bagmaskventilation
 331 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

 Central&Peripheralline
 Pacemaker
B. ClinicalPostings
Clinical Duration LearningProceduralCompetencies/ClinicalSkills Clinical Assessment
area/unit (weeks) Outcomes Requirements Methods
Critical 2 Develop skill in  Assessmentofcriticallyillpatients  Hemodynamic  Clinical
CareUnit assessment  Assistinginarterialpuncture,ETtube monitoring evaluation
ofcriticallyill intubation & extubation  Differentscales  OSCE
andproviding
 ABG analysis & interpretation - used in ICU
care to  RASSscale
patients with respiratoryacidosis,respiratoryalkalosis,  Communicating assessment
critical health metabolic acidosis, metabolic alkalosis withcriticallyill
conditions  Use of VAE
 Setting up of Ventilator modes and patients
bundleVAP,
settingsandcareofpatientonaventilator CAUTI,BSI
 Setupoftrolleywithinstruments
 Case
 MonitoringandmaintenanceofChest Presentation
drainage system
 Bagandmaskventilation
 AssistingandmaintenanceofCentraland
peripheral lines invasive
 Settingupofinfusionpump,defibrillator,
 Drugadministration-infusion,intracardic,
intrathecal, epidural,
 Monitoringpacemaker
 ICUcarebundle
 Managementofthedyingpatientinthe
ICU

PROFESSIONALISM,PROFESSIONALVALUES&ETHICSINCLUDINGBIOETHICS
PLACEMENT: IV SEMESTER
THEORY:1Credit(20hours)
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:Oncompletionofthiscourse,thestudentswillbeable to
1. Describeprofessionandprofessionalism.
2. Identifythechallengesofprofessionalism.
3. Maintainrespectfulcommunicationandrelationshipwithotherhealthteammembers,patientsandsociety.
4. Demonstrateprofessionalconduct.
5. Describevariousregulatorybodiesandprofessionalorganizationsrelatedtonursing.
6. Discusstheimportanceofprofessionalvaluesinpatientcare.
7. Explaintheprofessionalvaluesanddemonstrateappropriateprofessionalvaluesinnursingpractice.
8. Demonstrateandreflectontheroleandresponsibilitiesinprovidingcompassionatecareinthehealthcaresetting.
9. Demonstraterespect,humandignityandprivacyandconfidentialitytoself,patientsandtheircaregiversandother health team
members.
10. Advocateforpatients‘wellbeing,professionalgrowthandadvancingtheprofession.
11. Identifyethicalandbioethicalconcerns,issuesanddilemmasinnursingandhealthcare.
12. Applyknowledgeofethicsandbioethicsinethicaldecisionmakingalongwithhealthteammembers.
13. Protectandrespectpatient‘srights.
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 332
ण
COURSEOUTLINE
T–Theory
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
I (T) Discussnursingasa PROFESSIONALISM  Lecturecum  Shortanswer
profession Discussion
Profession  Essay
 Definitionofprofession  Objectivetype
 Criteriaofaprofession
 Nursingasaprofession
Describetheconcepts and
Professionalism
attributes of
professionalism  Definitionandcharacteristicsof
professionalism
 Concepts,attributesandindicatorsof
professionalism
 Challengesofprofessionalism
o Personalidentityvsprofessional
Identifythechallenges of identity
professionalism
o Preservationofself-integrity:threat
to integrity, Deceiving patient:  Debate
withholding information and
Maintain respectful falsifying records
communication and
relationshipwithother o Communication&Relationshipwith
health team members, team members: Respectful and open
patients and society communication and relationship
pertaining to relevant interests for  Roleplay
ethical decision making
o Relationshipwithpatientsandsociety
Demonstrate ProfessionalConduct
professionalconduct
 Followingethicalprinciples
 Adheringtopolicies,rulesand
Respectandmaintain regulation of the institutions
professional  Casebased
boundaries between  Professionaletiquettesandbehaviours discussion
patients, colleagues
 Professionalgrooming:Uniform,Dress
and society
code
 Professionalboundaries:Professional
relationship with the patients,
caregivers and team members
Describetherolesand
responsibilities of Regulatory Bodies & Professional
regulatory bodies and Organizations:Roles&Responsibilities
professional  Lecturecum
 Regulatorybodies:IndianNursing
organizations Discussion
Council, State Nursing Council
 ProfessionalOrganizations:Trained
NursesAssociationofIndia(TNAI),
Student Nurses Association (SNA),
Nurses League of Christian Medical
Association of India, International  VisittoINC,SNC,  Visitreports
Council of Nurses (ICN) and TNAI
International Confederation of
Midwives
333 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
II 5(T) Discuss the PROFESSIONALVALUES  Lecturecum  Shortanswer
importance of Discussion
 Values:Definitionandcharacteristics  Essay
professionalvalues
of values  Valueclarification
 Assessmentof
exercise
 Valueclarification student‘s
Distinguishbetween  Interactivelearning behavior with
 Personalandprofessionalvalues
personal values and patients and
 Storytelling
professional values  Professionalsocialization:Integration families
of professional values with personal  Sharingexperiences
values
 Scenariobased
Demonstrate
Professionalvaluesinnursing discussion
appropriate
professionalvaluesin  Importanceofprofessionalvaluesin
nursing practice nursing and health care
 Caring:definition,andprocess
 Compassion:SympathyVsempathy,
Altruism
 Conscientiousness
 Dedication/devotiontowork
 Respectfortheperson-Humandignity
 Privacyandconfidentiality:Incidental
disclosure
 Honestyandintegrity:Truthtelling
 Trustandcredibility:Fidelity,Loyalty
 Advocacy:Advocacyforpatients,work
environment, nursing education and
practice, and for advancing the
profession

III 10(T) Defineethics&bioethic ETHICS&BIOETHICS  Lecturecum  Shortanswer

s discussion
Definitions:Ethics,Bioethicsand  Essay
Ethical Principles  Groupdiscussion
 Quiz
with examples
Explainethical  Beneficence
 Reflectivediary
principles  Flipping/ self-
 Non-maleficence: Patient safety,
directedlearning  Casereport
protectingpatientfromharm,Reporting
errors  Roleplay  Attitudetest
Identifyethical
concerns  Justice:Treatingeachpersonasequal  Storytelling  Assessmentof
assignment
 Carewithoutdiscrimination,equitable  Sharingexperiences
access to care and safety of the public
 CasebasedClinical
 Autonomy: Respects patients‘ discussion
autonomy,Self-determination,Freedom
 Rolemodeling
of choice
 Groupexerciseon
Ethicalissuesandethicaldilemma:
ethical decision-
Common ethical problems makingfollowing
steps on a given
 Conflictofinterest scenario
Ethical issues and  Paternalism  Assignment
dilemmasinhealth
 Deception
care
 Privacyandconfidentiality
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 334
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
 Validconsentandrefusal
 Allocationofscarcenursingresources
 Conflictsconcerningnewtechnologies
 Whistle-blowing
 Beginningoflifeissues
o Abortion
o Substanceabuse
o Fetaltherapy
o Selectivededuction
o Intrauterinetreatmentoffetal
conditions
o Mandatedcontraception
o Fetalinjury
o Infertilitytreatment
 Endoflife issues
o Endoflife
o Euthanasia
o DoNotResuscitate(DNR)
 Issuesrelatedtopsychiatriccare
o Noncompliance
o Restrainandseclusion
o Refusetotakefood

Explain process of
ethical decision
making and apply
knowledgeofethics
and bioethics in
making ethical
decisions

Explaincodeofethics
stipulatedbyICNand
INC
335 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
Discuss the rights of Processofethicaldecisionmaking
the patients and  Assessthesituation(collect
families to make information)
decisionsabouthealth
care  Identifytheethicalproblem
 Identifythealternativedecisions
 Choosethesolutiontotheethical
Protectandrespect decision
patients‘ rights
 Implementthedecision
 Evaluatethedecision
Ethicscommittee:Rolesand
responsibilities
 Clinicaldecisionmaking
 Research
Codeof Ethics
 InternationalCouncilofNurses(ICN)
 IndianNursingCouncil
Patients’BillofRights-17patients’ rights
(MoH&FW, GoI)
1. Righttoemergencymedicalcare
2. Righttosafetyandqualitycare
according to standards
3. Righttopreservedignity
4. Righttonondiscrimination
5. Righttoprivacyandconfidentiality
6. Righttoinformation
7. Righttorecordsandreports
8. Righttoinformedconsent
9. Righttosecondopinion
10. Righttopatient education
11. Righttochoosealternativetreatment
options if available
12. Righttochoosesourceforobtaining
medicines or tests
13. Righttoproperreferralandtransfer,
which is free from perverse
commercial influences
14. Righttotakedischargeofpatientor
receive body of deceased from
hospital
15. Right to information on the rates to
be charged by the hospital for each
typeofserviceprovidedandfacilities
available on a prominent display
board and a brochure
16. Right to protection for patients
involvedinclinicaltrials,biomedical
and health research
17. Righttobeheardandseekredressal
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 336
ण
CHILDHEALTHNURSING-I

PLACEMENT:VSEMESTER
THEORY:3Credits(60hours)
PRACTICUM:Lab/SkillLab:1Credit(40hours) Clinical:2Credits(160hours)
DESCRIPTION:Thiscourseisdesignedfordevelopinganunderstandingofthemodernapproachtochild-care, identification,
prevention and nursing management of common health problems of neonates and children.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
1. Developunderstandingofthehistoryandmodernconceptsofchildhealthandchild-care.
2. Explorethenationalchildwelfareservices,nationalprogramsandlegislationinthelightofNationalHealthPolicy 2017.
3. Describetheroleofpreventivepediatricsandperformpreventivemeasurestowardsaccidents.
4. Participateinnationalimmunizationprograms/UniversalImmunizationProgram(UIP).
5. Identifythedevelopmentalneedsofchildrenandprovideparentalguidance.
6. Describetheprinciplesofchildhealthnursingandperformchildhealthnursingprocedures.
7. Demonstratecompetenciesinnewbornassessment,planningandimplementationofcaretonormalandhigh-risk newborn
including neonatal resuscitation.
8. ApplytheprinciplesandstrategiesofIntegratedmanagementofneonatalandchildhoodillness(IMNCI).
9. Applytheknowledgeofpathophysiologyandprovidenursingcaretochildrenwithrespiratorysystemdisorders.
10. IdentifyandmeetchildhoodemergenciesandperformchildCPR.

COURSEOUTLINE
T–Theory,L/SL–Lab/SkillLab
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
I 10(T) Explain the modern Introduction:Modernconceptsofchild-  LectureDiscussion  Shortanswer
conceptofchild-care care
10(L)  Demonstrationof  Objectivetype
 Historicaldevelopmentofchild common pediatric
 Assessmentof
health procedures
skills with
 Philosophyandmodernconceptof checklist
child-care
 Culturalandreligiousconsiderations
in child-care
Describe National  Nationalpolicyandlegislationsin
policy,programsand relation to child health and welfare
legislationinrelation
 Nationalprogramsandagencies
to child health
related to welfare services to the
&welfare
children
 Internationallyacceptedrightsofthe
child
 Changingtrendsinhospitalcare,
preventive, promotiveand curative
aspect of child health
 Preventivepediatrics:
o Concept
Describe role of
o Immunization
preventivepediatrics
o Immunizationprogramsandcold
337 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
chain.
o Careofunder-fiveandUnder-five
Clinics/Well-baby clinics
o Preventivemeasurestowards
accidents
 Childmorbidityandmortalityrates
List major causes of  Difference between an adult and
death during infancy, childwhichaffectresponsetoillness
early&latechildhood
o Physiological
o Psychological
Differentiatebetween
an adult and child in o Social
terms of illness and
o Immunological
response
 Hospitalenvironmentforsickchild

Describe the major  Impactofhospitalizationonthechild

functions&roleofthe and family
pediatric nurse in  Communicationtechniquesfor
caring for a children
hospitalized child.
 Griefandbereavement
 Theroleofachildhealthnursein
Describetheprinciples caring for a hospitalized child
ofchildhealthnursing
and perform child  Principlesofpreandpostoperative
health nursing care of infants and children.
procedures ChildHealthNursingprocedures:
 Administrationofmedication:oral,
I/M, & I/V
 Calculationoffluidrequirement
 Applicationofrestraints
 Assessmentofpaininchildren.
o FACESpainratingscale
o FLACCscale
o Numericalscale

II 12(T) Describethenormal TheHealthyChild  LectureDiscussion  Shortanswer

growth and
 Definitionandprinciplesofgrowth  Demonstration  Objectivetype
development of
and development
childrenatdifferent  Developmental  Assessmentof
ages  Factorsaffectinggrowthand studyofinfantand field visits and
development children developmental
study reports
Identifytheneedsof  Growthanddevelopmentfrombirth  Observationstudy
children at different to adolescence of normal & sick
ages & provide child
 Growthanddevelopmentaltheories
parental guidance (Freud, Erickson, Jean Piaget,  Field visit to
Kohlberg) Anganwadi,child
guidance clinic
Identifythenutritional  Theneedsofnormalchildrenthrough
needs of children at the stages of developmental andparental  Videosonbreast
different ages & ways guidance feeding
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 338
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
ofmeetingneeds  Nutritionalneedsofchildrenand  Clinical
infants practice/field
- breastfeeding
Identifytheroleofplay
for normal & sick - exclusivebreastfeeding
children
- Supplementary/artificial
feeding and weaning
 Babyfriendlyhospitalconcept
 Typesandvalueofplayandselectionof
play material

III 15(T) Providecaretonormal Nursingcareofneonate:  Modular based  OSCE

andhigh-riskneonates teaching: ENBC
20(L)  AppraisalofNewborn  Shortanswer
andFBNCmodule
 Nursingcareofanormal (oraldrills,videos,  Objectivetype
Performneonatal newborn/essentialnewborncare self-evaluation
resuscitation exercises)
 Neonatalresuscitation
 Workshop on
 Nursingmanagementoflow neonatal
Recognizeandmanage birth weight baby resuscitation:NRP
common neonatal
 Kangaroomothercare module
problems
 Nursingmanagementof  Demonstration
common neonatal disorder  PracticeSession
- Hyperbilirubinemia  Clinicalpractice
- Hypothermia
- Hyperthermia  LectureDiscussion
- Metabolicdisorder
- Neonatalinfections
- Neonatalseizures
- Respiratorydistress
syndrome
- RetinopathyofPrematurity
 Organizationofneonatalcareunit
 Neonatalequipment

IV 10(T) Applyprinciplesand Integratedmanagementofneonataland Modularbased  OSCE

strategies of IMNCI childhood Illnesses teaching:
5(L)
IMNCImodule
 Clinical
practice/field

V 8(T) Describe the etiology, Nursingmanagementincommon  LectureDiscussion  Shortanswer

pathophysiology, childhood diseases
 Demonstration  Objectivetype
clinical manifestation
Respiratorysystem:
and nursing  Practicesession  Assessmentof
management of  IdentificationandNursing skills with
childrenwithdisorders  Clinicalpractice
management of congenital checklist
of respiratory, and malformations
endocrine system
 Congenitaldisorders:
Tracheoesophageal fistula,
Diaphragmatic hernia
339 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
 Others:Acutenaso-pharyngitis,
Tonsillitis, Croup, Bronchitis,
Bronchiolitis, Pneumonia, Asthma
Endocrinesystem:
 JuvenileDiabetesmellitus,
Hypo-thyroidism

VI 5(T) Developabilitytomeet Childhoodemergencies  Lecture  OSCE

child- hood
5(L)  Accidents – causes and prevention,  Discussion
emergencies and
Poisoning,Foreignbodies,Hemorrhage,
perform child CPR  Demonstration
Burns and Drowning
 PLSModule/
 PLS(AHAGuidelines)
Workshop

CHILDHEALTHNURSING-I&IICLINICAL(3Credits–240hours)
PLACEMENT: V & VI SEMESTER
PRACTICUM:SkillLab:1Credit(40hours)
Clinical:VSEMESTER–2Credits(160hours) VI
SEMESTER – 1 Credit (80 hours)
PRACTICECOMPETENCIES:Oncompletionofthecourse,thestudentswillbeable to
1. Performassessmentofchildren:health,developmental&anthropometric.
2. Providenursingcaretochildrenwithvariousmedicaldisorders.
3. Providepre&postoperativecaretochildrenwithcommonpediatricsurgicalconditions/malformation.
4. PerformimmunizationasperNIS.
5. Providenursingcaretocriticallyillchildren.
6. Givehealtheducation/nutritionaleducationtoparents.
7. Counselparentsaccordingtoidentifiedcounselingneeds.

SkillLab
Use of Manikins and Simulators
PLS,CPAP,EndotrachealSuction
Pediatric Nursing Procedures:
 Administrationofmedication–Oral,IM& IV
 Oxygenadministration
 Applicationofrestraints
 Specimencollection
 Urinarycatheterizationanddrainage
 Ostomycare
 Feeding–NG,gastrostomy,Jejunostomy
 Wounddressing
 Sutureremoval
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 340
ण
CLINICALPOSTINGS
8weeks×30hoursperweek(5weeks+3weeks)
Clinical Duration Learning ProceduralCompetencies/ Clinical Assessment
area/unit Outcomes Clinical Skills Requirements Methods
(Weeks)
Pediatric V Sem–  Providenursing  Takingpediatrichistory  Nursingcareplan  Assess
MedicalWard care to children –1 performance
2weeks  Physicalexamination&
with various with rating
medicaldisorders
assessment of children  Case study scale
 Administrationoforal,I/M,& presentation–1
VI Sem–
I/V medicine/fluids  Assesseach
 Healthtalk–1 skill with
1 week
 Calculationoffluid checklist
replacement OSCE/OSPE
 Preparationofdifferent  Evaluationof
strengths of I/V fluids case study/
presentation
 Applicationofrestraints
&health
 Administration of O2 education
inhalationbydifferentmethods session
 Babybath/spongebath  Completion
of activity
 FeedingchildrenbyKatori record
spoon, Paladai cup
 Collectionofspecimensfor
common investigations
 Assistingwithcommon
diagnostic procedures
 Teachingmothers/parents
o Malnutrition
o Oralrehydrationtherapy
o Feeding&Weaning
o Immunizationschedule
 Playtherapy

Pediatric V Sem–  Recognize  Calculation,preparation&  Nursingcare  Assess

SurgicalWard differentpediatric administration of I/V fluids plan – 1 performance
2weeks
surgical with rating
conditions/
 Bowelwash,insertionof  Case study/ scale
suppositories presentation–1
malformations
VI Sem–
 Carefor ostomies:  Assesseach
1 week
 skill with
Providepre&po o ColostomyIrrigation checklist
st-operative OSCE/OSPE
o Ureterostomy
care to children
with common o Gastrostomy  Evaluationof
paediatric case study/
surgical o Enterostomy presentation
conditions/ 
malformation
 Completion
Urinarycatheterization&dr of activity
ainage record
 Counsel &
educateparents  Feeding
o Naso-gastric
o Gastrostomy
341 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Clinical Duration Learning ProceduralCompetencies/ Clinical Assessment

area/unit Outcomes Clinical Skills Requirements Methods
(Weeks)
o Jejunostomy
 Careofsurgicalwounds
o Dressing
o Sutureremoval

PediatricOPD/ VSem– 1  Perform  Assessmentofchildren  Growth and  Assess

assessment of developmental performance
Immunization week o Healthassessment
children: health, study: with rating
room
developmental& o Developmentalassessment scale
Infant–1
anthropometric
o Anthropometricassessment Toddler–1  Completion
 Perform
o Nutritionalassessment of activity
immunization Preschooler–1 record.
 Immunization
 Givehealth Schooler–1
education/  Health/Nutritionaleducation Adolescent–1
nutritional
education

NICU&PICU VISem–  Providenursing  Careofababyin  Newborn  Assess

1 week care to critically incubator/warmer assessment–1 performance
ill children with rating
 Careofachildonventilator,  NursingCare scale
CPAP Plan – 1
 Evaluationof
 EndotrachealSuction observation
 ChestPhysiotherapy report

 Administrationoffluidswith  Completion
infusion pumps of activity
record
 TotalParenteralNutrition
 Phototherapy
 Monitoringofbabies
 Recording&reporting
 Cardiopulmonary
Resuscitation(PLS)

MENTALHEALTHNURSING-I
PLACEMENT:VSEMESTER
THEORY:3Credits(60hours)
PRACTICUM:Clinical:1Credit(80hours)
DESCRIPTION: This course is designed to develop basic understanding of the principles and standards of mental
healthnursing and skill in application of nursing process in assessment and care of patients with mental health disorders.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbecompetentto
1. Tracethehistoricaldevelopmentofmentalhealthnursinganddiscussitsscope.
2. Identifytheclassificationofthementaldisorders.
3. Developbasicunderstandingoftheprinciplesandconceptsofmentalhealthnursing.
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 342
ण
4. ApplytheIndianNursingCouncilpracticestandardsforpsychiatricmentalhealthnursinginsupervisedclinical settings.
5. Conductmentalhealthassessment.
6. Identifyandmaintaintherapeuticcommunicationandnursepatientrelationship.
7. Demonstrateknowledgeofthevarioustreatmentmodalitiesandtherapiesusedinmentaldisorders.
8. Applynursingprocessindeliveringcaretopatientswithmentaldisorders.
9. Providenursingcaretopatientswithschizophreniaandotherpsychoticdisordersbasedonassessmentfindingsand
treatment/therapies used.
10. Providenursingcaretopatientswithmooddisordersbasedonassessmentfindingsandtreatment/therapiesused.
11. Providenursingcaretopatientswithneuroticdisordersbasedonassessmentfindingsandtreatment/therapiesused.

COURSEOUTLINE
T–Theory
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
I 6(T)Describe the historical Introduction  Lecturecum  Essay
development & Discussion
 PerspectivesofMentalHealthandMental  Shortanswer
current trends in
Health Nursing, evolution of mental
mentalhealthnursing
health services, treatments and nursing
Discuss the scope of practices
mentalhealthnursing
 Mentalhealthteam
Describetheconcept of
 Nature&scopeofmentalhealthnursing
normal & abnormal
behaviour  Role&functionsofmentalhealthnurse in
various settings and factors affecting
the level of nursing practice
 Conceptsofnormalandabnormal
behaviour

II 10(T)Define the various PrinciplesandConceptsofMentalHealth  Lecturecum  Essay

termsusedinmental Nursing Discussion
 Shortanswer
health Nursing
 Definition:mentalhealthnursingand  Explainusing
Explain the terminology used Charts
classification of
 Classificationofmentaldisorders:ICD11,  Review of
mentaldisorders
DSM5, Geropsychiatry manual personality
Explain the classification development
psychodynamicsof
 Reviewofpersonalitydevelopment,
maladaptive
defense mechanisms
behaviour
 Etiologybio-psycho-socialfactors
Discuss the
etiologicalfactors&  Psychopathology of mental disorders:
psychopathology of reviewofstructureandfunctionofbrain,
mental disorders limbic system and abnormal
neurotransmission
Explaintheprinciples and
standards of Mental  PrinciplesofMentalhealthNursing
healthNursing
 Ethicsandresponsibilities
Describe the
conceptualmodelsof  PracticeStandardsforPsychiatricMental
mentalhealthnursing Health Nursing (INC practice standards)
 Conceptualmodelsandtheroleofnurse:
o Existentialmodel
343 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Methods
(Hrs) Activities
o Psychoanalyticalmodels
o Behaviouralmodel
o Interpersonalmodel
 Preventivepsychiatryandrehabilitation

III 6(T) Describe nature, MentalHealthAssessment  Lecturecum  Essay

purposeandprocess Discussion
 Historytaking  Shortanswer
of assessment of
 Demonstration
mentalhealthstatus  Mentalstatusexamination  Assessmentof
 Practicesession mental health
 Minimentalstatusexamination
status
 Clinicalpractice
 Neurologicalexamination
 Investigations:RelatedBloodchemistry,
EEG, CT & MRI
 Psychologicaltests

IV 6(T) Identifytherapeutic TherapeuticCommunicationandNurse-  Lecturecum  Essay

communication Patient Relationship Discussion
 Shortanswer
&techniques
 Therapeutic communication: Types,  Demonstration
 OSCE
techniques,characteristicsandbarriers
 RolePlay
Describetherapeutic  Therapeuticnurse-patientrelationship
 Processrecording
relationship
 Interpersonalrelationship-
 Simulation(video)
 Elementsofnursepatientcontract,
 ReviewoftechniqueofIPR-Johari
Describetherapeutic window
impasses and its
 Therapeuticimpasseanditsmanagement
interventions
V 10(T) Explain treatment Treatmentmodalitiesandtherapiesused in  Lecturecum  Essay
modalities and mental disorders Discussion
 Shortanswer
therapies used in
 Physical therapies:  Demonstration
mentaldisordersand  Objectivetype
Psychopharmacology,
role of the nurse  Groupwork
 ElectroConvulsivetherapy
 Practicesession
 PsychologicalTherapies:Psychotherapy,
 Clinicalpractice
Behaviour therapy, CBT
 Psychosocial: Group therapy, Family
therapy, Therapeutic Community,
Recreationaltherapy,Arttherapy(Dance,
Music etc), Occupational therapy
 Alternative&Complementary:Yoga,
Meditation, Relaxation
 Considerationforspecialpopulations

VI 8(T) Describetheetiology, Nursingmanagementofpatientwith  Lectureand  Essay

psycho-dynamics/ Schizophrenia, and other psychotic Discussion
 Shortanswer
pathology, clinical disorders
 Casediscussion
manifestations,  Assessmentof
 Prevalenceandincidence
diagnostic criteriaand  Casepresentation patient
management of  Classification management
patients with  Clinicalpractice
problems
Schizophrenia, and  Etiology,psychodynamics,clinical
other psychotic manifestation, diagnostic
disorders criteria/formulations
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 344
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
Nursingprocess
 NursingAssessment:History,Physical
and mental assessment
 Treatment modalities and nursing
management of patients with
Schizophreniaandotherpsychotic
disorders
 Geriatric considerations and
considerationsforspecialpopulations
 Followupandhomecareand
rehabilitation

VII 6(T) Describetheetiology, Nursingmanagementofpatientwith mood  Lectureand  Essay

psycho-dynamics, disorders Discussion
 Shortanswer
clinical
 Prevalenceandincidence  Casediscussion
manifestations,  Assessmentof
diagnostic criteriaand  Mood disorders: Bipolar affective  Casepresentation patient
management of disorder,maniadepressionanddysthymia management
patients with mood  Clinicalpractice
etc. problems
disorders
 Etiology,psychodynamics,clinical
manifestation, diagnosis
 NursingAssessmentHistory,Physicaland
mental assessment
 Treatment modalities and nursing
managementofpatientswithmood
disorders
 Geriatricconsiderations/considerations
for special populations
 Follow-upandhomecareand
rehabilitation

VIII 8(T) Describetheetiology, Nursing management of patient with  Lectureand  Essay

psycho-dynamics, neurotic,stressrelatedandsomatisation Discussion
 Shortanswer
clinical disorders
 Casediscussion
manifestations,  Assessmentof
 Prevalenceandincidence
diagnostic criteriaand  Casepresentation patient
management of  classifications management
patients withneurotic,  Clinicalpractice
problems
stressrelated and  Anxiety disorders – OCD, PTSD,
somatizationdisorders Somatoform disorders, Phobias,
DisassociativeandConversiondisorders
 Etiology,psychodynamics,clinical
manifestation, diagnostic criteria/
formulations
 NursingAssessment:History,Physical
and mental assessment
 Treatment modalities and nursing
managementofpatientswithneuroticand
stress related disorders
 Geriatricconsiderations/considerations
for special populations
 Follow-upandhomecareand
rehabilitation
345 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

CLINICAL PRACTICUM
MENTALHEALTHNURSING-I&II

PLACEMENT:SEMESTERV&VI
MENTALHEALTHNURSING-I–1Credit(80hours)
MENTALHEALTHNURSING-II–2Credits(160hours)
PRACTICECOMPETENCIES:Oncompletionofthecourse,thestudentswillbeable to:
1. Assesspatientswithmentalhealthproblems/disorders
2. Observeandassistinvarioustreatmentmodalitiesortherapies
3. Counselandeducatepatientsandfamilies
4. Performindividualandgrouppsychoeducation
5. Providenursingcaretopatientswithmentalhealthproblems/disorders
6. Motivatepatientsinthecommunityforearlytreatmentandfollowup
7. Observetheassessmentandcareofpatientswithsubstanceabusedisordersindeaddictioncentre.

CLINICALPOSTINGS
(8weeks×30hoursperweek=240hours)
Clinical Duration Learning Skills/Procedural Clinical Assessments
Area/Unit (Weeks) Outcomes Competencies Requirements Methods
Psychiatric 2  Assess patients  Historytaking  History taking  Assess
OPD with mental andMentalstatus performancewith
 Performmentalstatus
healthproblems examination – 2 rating scale
examination (MSE)
 Observe and  Healtheducation  Assesseachskill
 Observe/practice
assistintherapies –1 with checklist
Psychometricassessment
 Counsel and  Observation  Evaluation of
 PerformNeurological
educatepatients, reportofOPD healtheducation
examination
and families
 Assessmentof
 Observingandassistingin
observation
therapies
report
 Individualandgrouppsycho-
 Completionof
education
activityrecord
 Mentalhygienepractice
education
 Familypsycho-education

Child 1  Assesschildren  History&mentalstatus  Casework–1  Assess

Guidance with various examination performancewith
 Observation
clinic mental health rating scale
 Observe/practice reportofdifferent
problems
psychometricassessment therapies – 1  Assesseachskill
 Counsel and with checklist
 Observeandassistinvarious
educatechildren,
therapies  Evaluationofthe
families and
observation
significantothers  Parentalteachingforchild
report
with mental deficiency

Inpatientward 4  Assess patients  Historytaking  Givecareto2-3  Assess

with mental patients with performancewith
 Mentalstatusexamination
healthproblems various mental rating scale
(MSE)
disorders
 Providenursing  Assesseachskill
 Neurologicalexamination
careforpatients  Casestudy–1 with checklist
with various  Assistinginpsychometric
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 346
ण
Clinical Duration Learning Skills/Procedural Clinical Assessments
Area/Unit (Weeks) Outcomes Competencies Requirements Methods
mentalhealth assessment  Careplan  Evaluationofthe
problems case study, care
 Recordingtherapeutic  Clinical
plan, clinical
 Assistinvarious communication presentation–1
presentation,
therapies
 Administrationofmedications  Processrecording processrecording
 Counsel and –2
 AssistElectro-Convulsive  Completionof
educate patients,
Therapy (ECT)  Maintaindrug activityrecord
families and
book
significantothers  Participatinginalltherapies
 Preparing patients for
ActivitiesofDailyLiving
(ADL)
 Conductingadmissionand
discharge counselling
 Counselingandteaching
patientsand families

Community 1  Identifypatients  Conducthomevisitandcase  Casework–1  Assess

psychiatry withvarious work performancewith
 Observation
mentaldisorders rating scale
&Deaddiction  Identifyingindividualswith reportonfield
centre  Motivatepatients mental health problems visits  Evaluation of
for early caseworkand
 Assistinginorganizationsof  Visit to
treatment and observation
Mental Health camp deaddiction
follow up report
centre
 Conducting awareness
 Assistinfollow  Completionof
meetingsformentalhealth&
up clinic activityrecord
mental illness
 Counsel and
 Counseling and Teaching
educatepatient,
familymembers,patientsand
family and
community
community
 Observingdeaddictioncare
 Observe the
assessment and
careofpatientsat
deaddictioncentre

COMMUNITYHEALTHNURSING- I
includingEnvironmentalScience&Epidemiology
PLACEMENT:VSEMESTER
THEORY:5Credits(100hours)includesLabhoursalso
PRACTICUM:Clinical:2Credits(160hours)
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 themto 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 andgroupsatrural,urbanandtribalsettingsby applyingprinciplesofcommunity healthnursingand epidemiological
approach. It also helps the students to develop knowledge and competencies required to screen, assess, diagnose,
manageandreferclientsappropriately invarioushealth caresettings.It preparesthe studentstoprovideprimary healthcaretoclients
of all ages in the community, DH, PHC, CHC, SC/HWC and develop beginning skills in participating in all the National
Health Programs.
347 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
1. ExploretheevolutionofpublichealthinIndiaandcommunityhealthnursing
2. Explaintheconceptsanddeterminantsofhealth
3. IdentifythelevelsofpreventionandhealthproblemsofIndia
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. DiscusshealthcarepoliciesandregulationsinIndia
7. Demonstrateunderstandingaboutanoverviewofenvironmentalscience,environmentalhealthandsanitation
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. Describecommunityhealthnursingapproachesandconcepts
11. Describetheroleandresponsibilitiesofcommunityhealthnursingpersonnel
12. Utilizetheknowledgeandskillsinprovidingcomprehensiveprimaryhealthcareacrossthelifespanatvarioussettings
13. Makeeffectivehomevisitsapplyingprinciplesandmethodsusedforhomevisiting
14. Useepidemiologicalapproachincommunitydiagnosis
15. Utilize the knowledge of epidemiology, epidemiological approaches in caring for people with communicable and non-
communicable diseases
16. Investigateanepidemicofcommunicablediseases
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)

COURSEOUTLINE
T–Theory
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
I 4(T) Define public health, ConceptsofCommunity  Lecture  Shortanswer
communityhealthand Health and Community
 Discussion  Essay
community health Health Nursing
nursing  Explainusingchart,graphs  Objectivetype
 Definitionofpublichealth,
Explaintheevolution community health and  Communityneedsassessment(Field  Surveyreport
of public health in community health nursing survey on identification of
India and scope of demographic characteristics, health
 Public health in India and
community health determinants and resources of arural
itsevolutionandScopeof
nursing and an urban community)
communityhealthnursing
Explain various  Explainusingexamples
 Review: Concepts of
conceptsofhealthand
Health & Illness/ disease:
disease, dimensions
Definition,dimensionsand
and determinants of
determinants of health and
health
disease
Explain the natural
 Naturalhistoryofdisease
historyofdiseaseand
levels of prevention  Levels of prevention:
Discussthehealth Primary,Secondary&
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 348
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
problemsofIndia tertiaryprevention–
Review


II 8(T) Describe health HealthCarePlanningand  Lecture  Shortanswer

planninganditssteps, Organization of Health
 Discussion  Essay
and various health Care at various levels
plans,andcommittees  Field visits to CHC, PHC, SC/  Evaluationof
 Healthplanningsteps
HealthWellnessCenters(HWC) Field visit
 Health planning in India: reports
various committees and &presentatio
commissionsonhealthand n
family welfare and Five
Year plans
 Participation of
community and
Discuss health care stakeholdersinhealth
delivery system in planning
Indiaatvariouslevels
 Health care delivery
system in India:
Infrastructure and Health
sectors,Deliveryofhealth
services at sub-centre
(SC),PHC,CHC,District
level, state level and
national level
 Directedreading
Describe SDGs,  Sustainabledevelopment
primaryhealthcare goals (SDGs), Primary
andcomprehensive Health Care and
primaryhealthcare Comprehensive Primary
(CPHC) Health Care (CPHC):
elements, principles
 CPHCthroughSC/Health
Wellness Center (HWC)
 RoleofMLHP/CHP
 National Health Care
Explainhealthcare PoliciesandRegulations
policies and
regulationsinIndia o NationalHealthPolicy
(1983, 2002, 2017)
o NationalHealthMission
(NHM): National Rural
Health Mission
(NRHM), National
Urban Health Mission
(NUHM), NHM
o National Health
ProtectionMission
(NHPM)
o AyushmanBharat
o UniversalHealth
Coverage

III 15(T) Identifytheroleofan Environmental Science,  Lecture  Shortanswer

individual in the EnvironmentalHealth,and
349 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Methods
(Hrs) Activities
conservationofnatural Sanitation  Discussion  Essay
resources
 Natural resources:  Debates on environmental  Fieldvisit
Renewable and non- protectionandpreservation reports
renewable resources,
 ExplainusingCharts,graphs,
natural resources and
Models, films, slides
associated problems:
Forest resources, water
resources, mineral
resources,foodresources,
energyresourcesandland
resources
 Role of individuals in
conservation of natural
resources,andequitable
use of resources for
sustainable lifestyles
 Ecosystem: Concept,
structure and functions of
ecosystems, Types &
Characteristics – Forest
Describe ecosystem,
ecosystem, Grassland
itsstructure,typesand
ecosystem, Desert
functions
ecosystem, Aquatic
ecosystem,Energyflowin
ecosystem
 Biodiversity:
Classification, value of
bio-diversity, threats to
biodiversity,conservation
Explain the of biodiversity
classification,value
and threats to  Environmental pollution:  Directedreading
biodiversity Introduction, causes,
effects and control  Visitstowatersupply&
measuresofAirpollution, purification sites
Enumeratethecauses, Water pollution, Soil
effects and control pollution, Marine
measures of pollution,Noisepollution,
environmental Thermalpollution,nuclear
pollution hazards & their impact on
health
 Climate change, global
warming:ex.heatwave,
acid rain, ozone layer
depletion, waste land
reclamation&itsimpact
on health
Discussaboutclimate
change, global  Social issues and
warming, acid rain, environment:sustainable
and ozone layer development, urban
depletion problems related to
energy, water and
environmental ethics
Enumerate the role of
 Acts related to
an individual in
environmentalprotection
creating awareness
and preservation
aboutthesocialissues
relatedtoenvironment EnvironmentalHealth&
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 350
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
Sanitation
ListtheActsrelatedto  Conceptofenvironment
environmental health and sanitation
protection and
 Concept of safe water,
preservation
sources of water,
waterbornediseases,water  Observerainwaterharvesting
purification processes, plants
Describetheconcept
household purification of
of environmental
water
healthandsanitation
 Physical and chemical
standards of drinking
waterqualityandtestsfor
assessing bacteriological
quality of water
 Concepts of water  Visit to sewage disposal and
conservation: rain water treatmentsites,andwastedisposal
harvestingandwatershed sites
Describe water management
conservation, rain
waterharvestingand  ConceptofPollution
water shed prevention
management  Air&noisepollution
 Role of nurse in
preventionofpollution
 Solidwastemanagement,
humanexcretadisposal&
Explainwaste management and sewage
management disposalandmanagement
 Commonly used
insecticidesandpesticides

IV 7(T) Describethevarious Sanitation  Lecture  Performance

nutritionassessment assessment of
 Natural resources:  Discussion
methods at the nutrition
Renewable and non-
community level  Demonstration assessmentfor
renewable resources,
different age
natural resources and  Roleplay groups
associated problems:
Forest resources, water  Marketvisit  Evaluationon
resources, mineral  Nutritionalassessmentfordifferent nutritional
resources,foodresources, age groups assessment
energyresourcesandland reports
resources
 Role of individuals in
conservation of natural
resources,andequitable
Planandprovidediet use of resources for
plans for all age sustainable lifestyles
groups including  Ecosystem: Concept,
therapeutic diet structure and functions of
ecosystems, Types &
Characteristics – Forest
ecosystem, Grassland  Shortanswer
Provide nutrition ecosystem, Desert  Lecture
ecosystem, Aquatic  Essay
counseling and
educationtoall age ecosystem,Energyflowin  Discussion
groupsanddescribe ecosystem
 Biodiversity:
Classification, value of
bio-diversity, threats to
biodiversity,conservation
351 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

of biodiversity
 Environmental pollution:
Introduction, causes,
effects and control
measuresofAirpollution,
Water pollution, Soil
pollution, Marine
pollution,Noisepollution,
Thermalpollution,nuclear
hazards & their impact on
health
 Climate change, global
warming:ex.heatwave,
acid rain, ozone layer
depletion, waste land
reclamation&itsimpact
on health
 Social issues and
environment:sustainable
development, urban
problems related to
energy, water and
environmental ethics
 Acts related to
environmentalprotection
and preservation
 EnvironmentalHeal
th
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 352
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
thenationalnutrition  Review: Nutritional
programs and deficiencydisorders
 Nationalnutritionalpolicy
& programs in India
Identifyearlythefood
borne diseases, and FoodBorneDiseasesand
perform initial Food Safety
management and
Foodbornediseases
referral appropriately
 Definition, & burden,
Causesandclassification
 Signs&Symptoms
 Transmission of food
bornepathogens&toxins
 Earlyidentification,initial
management and referral
Foodpoisoning&food
intoxication
 Epidemiological
features/clinical  Fieldvisit
characteristics,Typesof reports
 Fieldvisitstomilkpurification
food poisoning plants, slaughterhouse
 Foodintoxication-features,  ReferNutritionmodule-BPCCHN
preventive & control Block 2-unit I & UNIT 5
measures
 Publichealthresponseto
food borne diseases

V 6(T) Describe behaviour Communication  Lecture  Shortanswer

change managementandHealth
 Discussion  Essay
communicationskills Education
 Roleplay
 Behaviour change
communicationskills  Demonstration:BCCskills
ocommunication  Supervisedfieldpractice
o Humanbehaviour  Refer:BCC/SBCCmodule
(MoHFW & USAID)
o Health belief model:
concepts&definition,
ways to influence
behaviour
o Stepsofbehaviour
change
o Techniquesofbehaviour
change: Guiding
principles in planning
BCC activity
o Stepsof BCC
o Social and Behaviour
Counselandprovide ChangeCommunication
health education to strategies (SBCC):
individuals, families techniques to collect
and community for social history from  Performance
promotionofhealthy clients evaluationof
life style practices o Barrierstoeffective health
353 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Methods
(Hrs) Activities
using appropriate communication, and education
methodsandmedia methodstoovercome sessions to
them individuals
andfamilies
 Health promotion and
Health education:
methods/techniques,and
audio-visual aids

VI 7(T) Describecommunity Community health  Lecture  Shortanswer

health nursing nursingapproaches,
 Discussion  Essays
approaches and concepts, roles and
concepts responsibilities of  Demonstration
community health
nursing personnel  Roleplays

 Approaches:
o Nursingprocess
o Epidemiological
approach
o Problemsolving
approach
o Evidencebased
approach
o Empoweringpeopleto
care for themselves
 Review: Primary health
careandComprehensive
Describeandidentify Primary Health Care  Supervisedfieldpractice  Assessmentof
the activities of (CPHC) supervised
community health field practice
nursetopromoteand HomeVisits:
maintain family  Concept, Principles,
health through home Process,&Techniques:
visits Bag technique
 QualitiesofCommunity
HealthNurse
 Rolesandresponsibilities
of community health
nursing personnel in
family health services
 Review: Principles &
techniquesofcounseling

VII 10(T) Explainthespecific Assistingindividualsand  Lecture  Shortanswer

activities of families to promote and
 Discussion  Essay
community health maintain their health
nurse in assisting  Demonstration  Assessment of
A.Assessmentofindividuals
individuals and clinical
and families (Review  Roleplays
groups to promote performancein
from Child health
and maintain their the field
nursing,Medicalsurgical
health practice area
nursing and OBG
Nursing)
 Assessmentofchildren,
women, adolescents,
elderly etc.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 354
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
 Children: Monitoring
growthanddevelopment,
milestones
 Anthropometric
measurements,BMI
 Socialdevelopment  Assessmentof
procedural
 TemperatureandBlood
skills in lab
pressure monitoring
procedures
 Menstrualcycle
 Breastself-examination
(BSE)andtesticlesself-
examination (TSE)
 WarningSignsofvarious
diseases
 Tests:Urineforsugarand
albumin, blood sugar,
Hemoglobin
B. Provision of health
services/primaryhealth
care:
 Routine check-up,
Immunization,counseling,
and diagnosis
 Managementofcommon
diseases at home and
health centre level
o Care based on standing
orders/protocols
approvedbyMoH&FW
Provide primary o Drugsdispensingand
careathome/healthcent injections at health
ers centre
(HWC)usingstanding C. Continue medical care
orders/ protocols asper and follow up in
public health communityforvarious
standards/approved by diseases/disabilities
MoH&FW and INC
regulation D. Carry out therapeutic
procedures as
prescribed/requiredfor
client and family
E.Maintenanceofhealth
records and reports
 Maintenanceofclient
records
 Maintenance of health
recordsatthefacilitylevel

Develop skill in  Report writing and  Evaluationof

maintenance of documentationofactivities records and
recordsandreports carried out during home reports
visits,intheclinics/centers  Documentandmaintain:
and field visits
 Individualrecords
355 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Methods
(Hrs) Activities
F. Sensitize and handle  Familyrecords
social issues affecting
 Healthcenterrecords
healthanddevelopment of
the family
 Womenempowerment
 Womenandchildabuse
Develop beginning  Abuseofelders
skills in handling
 Femalefoeticide
socialissuesaffecting
the health and  Commercialsexworkers
development of the
 Substanceabuse
family
G. Utilize community
resourcesforclientandfam
ily
 Traumaservices
 Oldagehomes
Identifyandassistthe  Orphanages
families to utilize the  Evaluationof
 Homes for physically
communityresources field visit
challengedindividuals  Fieldvisits
appropriately reports
 Homesfordestitute
 Palliativecarecentres
 Hospicecarecentres
 Assistedlivingfacility

VIII 10(T) Describetheconcepts, Introduction to  Lecture  Shortanswer

approaches and Epidemiology –
 Discussion  Essay
methods of Epidemiological
epidemiology ApproachesandProcesses  Demonstration  Reportonvisit
to
 Epidemiology:Concept  Roleplay
communicable
and Definition
 Fieldvisits:communicabledisease diseasehospital
 Distributionandfrequency hospital & Entomology office
 Reportonvisit
of disease
toentomology
 Aims&usesof office
epidemiology
 Epidemiologicalmodelsof
causation of disease
 Conceptsofdisease
transmission
 Modes of transmission:
Direct,Indirectandchain
of infection
 Timetrendsorfluctuations
in disease occurrence
 Epidemiological
approaches:Descriptive,
analytical and
experimental
 Principlesofcontrol
measures/levels of  Investigationofanepidemicof
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 356
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
preventionofdisease communicabledisease
 Investigation of an  Report and
epidemicofcommunicable presentationon
disease investigating
Investigate an anepidemicof
 Use of basic
epidemic of communicable
epidemiological tools to
communicabledisease disease
make community
diagnosis for effective
planningandintervention

IX 15(T) Explain the CommunicableDiseases  Lecture  Fieldvisit

epidemiology of and National Health reports
 Discussion,
specificcommunicable Programs
 Assessmentof
diseases  Demonstration
1. CommunicableDiseases– family case
Vectorbornediseases(Every  Roleplay study
disease will be dealt under
the following headlines)  Suggestedfieldvisits  OSCE
assessment
Describe the various  Fieldpractice
 Epidemiology of the
methodsofprevention,  Shortanswer
followingvectorborn  Assessmentofclientswith
control and
diseases communicable diseases  Essay
management of
communicablediseases  Prevention&control
and the roleof nurses measures
in screening,
 Screening,anddiagnosing
diagnosing, primary
the following conditions,
management and
primary management,
referral to a health
referral and follow up
facility
o Malaria
o Filaria
o Kala-azar
o Japaneseencephalitis
o Dengue
o Chickungunya
2. Communicablediseases:
Infectious diseases (Every
disease will be dealt under
the following headlines)
 Epidemiologyofthe
followinginfectious
diseases
 Prevention&Control
measures
 Screening,diagnosingthe
following conditions,
primary management,
referral and follow up
o Leprosy
o Tuberculosis
o Vaccine preventable
diseases–Diphtheria,
whooping cough,
tetanus,poliomyelitis
357 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Methods
(Hrs) Activities
and measles
o Entericfever
o Viralhepatitis
o HIV/AIDS/RTI
infections
o HIV/AIDS, and
Sexually Transmitted
Diseases/Reproductive
tract infections
(STIs/RTIs)
o Diarrhoea
o Respiratorytract
infections
o COVID-19
o Helminthic – soil &
food transmitted and
parasitic infections –
Scabiesandpediculosis
3. Communicablediseases:
Zoonotic diseases
 EpidemiologyofZoonotic
diseases
 Prevention&control
measures
 Screeninganddiagnosing
the following conditions,
primary management,
referral and follow up
o Rabies: Identify,suspect,
primary
managementandreferral
to a health facility
 Roleofanursesincontrol
ofcommunicablediseases
Identifythenational NationalHealthPrograms
health programs
relevant to 1. UIP: Universal
communicable ImmunizationProgram
diseasesandexplain (Diphtheria,Whooping
the role of nurses in cough, Tetanus,
implementation of Poliomyelitis, Measles
these programs and Hepatitis B)
2. National Leprosy
EradicationProgram
(NLEP)
3. Revised National
TuberculosisControl
Program (RNTCP)
4. Integrated Disease
SurveillanceProgram
(IDSP):Entericfever,
Diarrhea,Respiratory
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 358
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
infectionsandScabies
5. NationalAidsControl
Organization(NACO)
6. National Vector Borne
DiseaseControlProgram
7. NationalAirQuality
MonitoringProgram
8. Anyothernewlyadded
program
X 15(T) Describe the national Non-Communicable  Lecture  Fieldvisit
healthprogramforthe Diseases and National reports
 Discussion
control of non- HealthProgram(NCD)
 Assessmentof
communicable  Demonstration
 National response to family case
diseases and the role
NCDs(Everydiseasewill  Roleplay study
ofnursesinscreening,
be dealt under the
identification,primary  Suggestedfieldvisits  OSCE
following headlines
management and assessment
referral to a health  Epidemiologyofspecific  Fieldpractice
facility diseases  Shortanswer
 Assessmentofclientswithnon-
 Preventionandcontrol communicable diseases  Essay
measures
 Screening, diagnosing/
identificationandprimary
management,referraland
follow up care
NCD-1
o DiabetesMellitus
o Hypertension
o Cardiovasculardiseases
o Stroke&Obesity
o Blindness:Categoriesof
visual impairment and
national program for
control of blindness
o Deafness: national
programforprevention
andcontrolofdeafness
o Thyroiddiseases
o Injury and accidents:
Risk factors for Road
traffic injuries and
operationalguidelinesfor
trauma care facility on
highways
NCD-2Cancers
o CervicalCancer
o BreastCancer
o Oralcancer
o Epidemiologyofspecific
cancers, Risk factors/
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 358
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
Causes, Prevention,
Screening, diagnosis –
signs,Signs&symptoms,
and early management
&referral
o Palliativecare
o Roleofanurseinnon-
communicabledisease  Participation
control program innationalhealthprograms

NationalHealthPrograms
 National program for
preventionandcontrolof
cancer, Diabetes,
Cardiovascular Diseases
and Stroke (NPCDCS)
 Nationalprogramfor
control of blindness
 National program for
preventionandcontrolof
deafness
 Nationaltobaccocontrol
program
 Standardtreatment
protocols used in
National Health
Programs

XI 3(T) Enumeratetheschool SchoolHealthServices  Lecture  Shortanswer

health activities and
 Objectives  Discussion  Essay
therolefunctionsofa
school health nurse  Healthproblemsofschool  Demonstration  Evaluationof
children health
 Roleplay
counselingto
 Componentsofschool
 Suggestedfieldvisits school
health services
children
 Fieldpractice
 Maintenanceofschool
 Screen,
health records
diagnose,
 Initiationandplanningof manageand
school health services referschool
children
 Roleofaschoolhealth
nurse  OSCE
assessment

Note:Labhourslessthan1Creditisnotspecifiedseparately.
CLINICALPRACTICUM
CLINICAL:2Credits(160hours)

CLINICALPOSTINGS:(4weeks×40hoursperweek)
Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment
Area/Unit (Weeks) Requirements Methods
ClinicalSkills
Urban 2weeks Buildandmaintain  Interviewingskillsusing  Community needs  Evaluationof
rapport communication and assessment/Survey surveyreport
359 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment

Area/Unit (Weeks) Requirements Methods
ClinicalSkills
interpersonalrelationship –Rural/urban–1
Rural 2Weeks Field visits:
Identify the socio-  Conductingcommunityneeds  SC/HWC,PHC,  Evaluationof
demographic assessment/survey to identify CHC fieldvisitand
characteristics, health health determinants of a observation
 Waterresources&
determinants and community reports
purification site –
resourcesofaruraland an
water quality
urban community
standards
 Rainwater
harvesting
 Sewagedisposal
Observethefunctioning Observation of
and document  Observationskills  milkdiary
significantobservations
 slaughterhouse–
meat hygiene
 Observation of
nutritionprograms
 Visitto market
 Nutritional
assessment of an
Perform nutritional individual(adult)–
assessmentandplan diet 1
plan for adult  Nutritionalassessmentskills
 Healthteaching
(Adult) – 1  Healthtalk
Educate individuals/ evaluation
 Useofaudio-visual
family/communityon aids
 Skill in teaching
- Nutrition individual/familyon: o Flashcards
- Hygiene o Nutrition,includingfood o Posters
- Foodhygiene hygiene and safety
o Flannelgraph
- Healthylifestyle o Healthylifestyle
o Flipcharts
- Healthpromotion o Healthpromotion
 Healthassessment
of woman – 1,
infant/underfive–
Perform health 1, adolescent – 1,
assessmentforclients  Health assessment including adult–1
ofvariousagegroups nutritional assessment for
clientsofdifferentagegroups  Growthmonitoring
of under-five
children – 1  Assessmentof
clinical
Documentand
performance
maintain:
 Individualrecord
 Familyrecord
 Healthcenterrecord
Maintainrecordsand  Documentationskills
reports  Communityhealth
survey to
investigate an
epidemic – 1
 Evaluationsof
reports &
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 360
ण
Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment
Area/Unit (Weeks) Requirements Methods
ClinicalSkills
Screening, records
diagnosing and
primary
Investigateepidemicof  Investigatinganepidemic– managementand
communicable disease Community health survey referral:
 Communicable
disease – 1
Identify prevalent  Screening, diagnosing,
communicableandnon- primary management of  Non-communicable
communicablediseases common health problems in diseases – 1
thecommunityandreferralof
 Homevisits–2
high-risk clients to FRUs
Screen, diagnose,  Clinical
 Conducthomevisit
manage and refer performance
clients with common assessment
healthproblemsinthe  Participationinany
community and refer twonationalhealth  OSCE
highriskclientsusing programs  Finalclinical
standing examination
orders/protocols
 Evaluationof
home visit
 Participationin
Participate in
school health
implementationof  Participation in program – 1
national health implementationofnational
programs health programs

Participateinschool
health program
 Participationinschoolhealth
program

EDUCATIONALTECHNOLOGY/NURSINGEDUCATION
PLACEMENT: V SEMESTER
THEORY:2Credits(40hours)
PRACTICUM:Lab/Practical:1Credit(40hours)
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:Oncompletionofthecourse,thestudentswillbecompetentto
1. Developbasicunderstandingoftheoreticalfoundationsandprinciplesofteachingandlearning
2. Identifythelatestapproachestoeducationandlearning
3. Initiateself-assessmenttoidentifyone‘sownlearningstyles
4. Demonstrateunderstandingofvariousteachingstylesthatcanbeused,basedonthelearners‘readinessand generational needs
5. Developunderstandingofbasicsofcurriculumplanning,andorganizing
6. Analyzeandusedifferentteachingmethodseffectivelythatarerelevanttostudentpopulationandsettings
7. Makeappropriatedecisionsinselectionofteachinglearningactivitiesintegratingbasicprinciples
 361 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

8. Utilizeactivelearningstrategiesthatenhancecriticalthinking,teamlearningandcollaboration
9. Engageinteamlearningandcollaborationthroughinterprofessionaleducation
10. Integratetheprinciplesofteachingandlearninginselectionanduseofeducationalmedia/technology
11. Applytheprinciplesofassessmentinselectionanduseofassessmentandevaluationstrategies
12. Construct simple assessment tools/tests integrating cognitive, psychomotor and affective domains of learning that can
measure knowledge and competence of students
13. Developbasicunderstandingofstudentguidancethroughmentoringandacademicadvising
14. Identifydifficultsituations,crisisand disciplinary/grievanceissuesexperiencedbystudents andprovideappropriate
counseling
15. Engageinethicalpracticeineducationalaswellasclinicalsettingsbasedonvalues,principlesandethicalstandards
16. Developbasicunderstandingofevidence-basedteachingpractices
COURSEOUTLINE
T–Theory,P–Practical(Laboratory)
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs.)
T P
I 6 3 Explainthedefinition, aims,
IntroductionandTheoretical  Lecturecum  Quiz
types, approaches and Foundations: discussion
scope of educational
Educationandeducationaltechnology
technology
 Definition,aims
 Approachesandscopeofeducational
technology
 Latestapproachestoeducation:
o Transformationaleducation
o Relationshipbasededucation
o Competencybasededucation

Compareandcontrast the Educationalphilosophy:

various educational  Definitionofphilosophy,education
philosophies and philosophy
 Comparisonofeducational
philosophies
 Philosophyofnursingeducation

Explain the teaching Teachinglearningprocess:

learning process,
nature,characteristics  Definitions
and principles  Teachinglearningasaprocess
 Natureandcharacteristicsofteaching
and learning
 Principlesofteachingandlearning
 Barrierstoteachingandlearning
 Learningtheories
 Latestapproachestolearning
o Experientiallearning
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 362
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs.)
T P
o Reflectivelearning
o Scenariobasedlearning Groupexercise:
o Simulationbasedlearning  Create/discuss Assessmentof
scenario-based Assignment:
o Blendedlearning
exercise
 Learning
theories –
analysisofany
one

II 6 6 Identify essential AssessmentandPlanning  Lecturecum  Shortanswer

qualities/attributesofa discussion
Assessmentofteacher  Objectivetype
teacher
Describetheteaching  Essentialqualitiesofateacher
styles of faculty  Teaching styles –Formal
Explain the authority,demonstrator,facilitator,
determinants of delegator
learning and initiates Assessmentoflearner
self-assessment to Self-assessment
identifyownlearning  Typesoflearners exercise:
style  Determinants of learning –  Identify your
learningneeds,readinesstolearn, learningstyleusing
learning styles any learning style
inventory (ex.
 Today‘sgenerationoflearnersand Kolb‘s learning
Identifythefactors their skills and attributes
that motivate the style inventory)
learner  Emotionalintelligenceofthe  Lecturecum
learner discussion
Definecurriculumand
classify types  Motivationalfactors–personal
factors,environmentalfactorsand
Identify the factors support system
influencingcurriculum
development CurriculumPlanning
 Curriculum–definition, types
Develop skill in  Curriculumdesign–components,
writing learning approaches
outcomes,andlesson  Curriculumdevelopment–factors
plan Individual/group
influencingcurriculumdevelopment,
exercise:
facilitators and barriers
 Writinglearning
 Writinglearningoutcomes/ Assessmentof
outcomes
behavioral objectives Assignment:
 Preparationofa  Individual/
 Basicprinciplesofwritingcourse
lesson plan Group
plan, unit plan and lesson plan

III 8 15 Explaintheprinciples Implementation  Lecturecum  Shortanswer

and strategies of Discussion
TeachinginClassroomandSkilllab–  Objective type
classroom
TeachingMethods
management
 Classroommanagement-principles
and strategies
 Classroomcommunication
o FacilitatorsandBarriersto
classroomcommunication
363 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs.)
T P
o Information communication
technology(ICT)–ICTusedin
education
Teachingmethods–Features,
Describe different advantagesanddisadvantages
methods/strategies of  Lecture,Groupdiscussion,  Practice  Assessmentof
teaching and develop microteaching teaching/Micro microteaching
beginning skill in
 Skill lab –simulations, teaching
usingvariousteaching
methods Demonstration&re-demonstration  Exercise(Peer
 Symposium,paneldiscussion, teaching)
seminar, scientific workshop,  Patientteaching
exhibitions session
 Roleplay,project
 Fieldtrips
 Self-directedlearning(SDL)
 Computerassistedlearning
 One-to-oneinstruction
Activelearningstrategies
 Teambasedlearning
Explain
 Problembasedlearning
activelearningstrategie
sand participate  Peersharing  Constructionof
actively in game –puzzle
teamandcollaborative  Casestudyanalysis
learning  Journaling  Teachingingroups
–interdisciplinary
 Debate
 Gaming
 Inter-professionaleducation

IV 3 3 Enumeratethefactors TeachingintheClinicalSetting–  Lecturecum  Shortanswer

influencing selection Teaching Methods discussion
ofclinicallearning
 Clinicallearningenvironment
experiences
 Factorsinfluencingselectionof
clinical learning experiences
 Practicemodel
 Characteristicsofeffectiveclinical
teacher
 Writing clinical learning
outcomes/practicecompetencies
 Clinicalteachingstrategies–patient
assignment – clinical conference,
Developskillinusing clinical presentation/bedside clinic,
different clinical Case study/care study, nursing  Writingclinical
teaching strategies rounds, concept mapping, project, outcomes –  Assessmentof
debate, game, role play, PBL, assignments in written
questioning, written assignment, pairs assignment
process recording
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 364
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs.)
T P
V 5 5 Explain the purpose, Educational/TeachingMedia  Lecturecum  Shortanswer
principlesandstepsin discussion
 Mediause–Purpose,components,  Objective type
the use of media
principles and steps
 Typesofmedia
Categorize the
different types of Stillvisuals
mediaanddescribeits o Non projected –drawings &
advantages and diagrams, charts, graphs, posters,
disadvantages cartoons,boarddevices(chalk/white
board, bulletin board, flannel board,
flip charts, flash cards, still
pictures/photographs, printed
materials-handout,leaflet,brochure,
flyer
o Projected–filmstripes,microscope,
power point slides, overhead
projector
Develop skill in
preparingandusing Movingvisuals
media
o Video learning resources –  Preparation of
videotapes&DVD,blu-ray,USB differentteaching  Assessmentof
flash drive aids –(Integrate the teaching
with practice media prepared
o Motionpictures/films
teachingsessions)
Realiaandmodels
o Realobjects&Models
Audioaids/audiomedia
o Audiotapes/Compactdiscs
o Radio&Taperecorder
o Publicaddresssystem
o Digitalaudio
Electronicmedia/computerlearning
resources
o Computers
o Web-basedvideoconferencing
o E-learning,Smartclassroom
Telecommunication(Distance
education)
o CableTV,satellitebroadcasting,
videoconferencingTelephones–
Telehealth/telenursing
Mobiletechnology

VI 5 3 Describe the purpose, Assessment/Evaluation  Lecturecum  Shortanswer

scope, principles in Methods/Strategies discussion
 Objective type
selectionofevaluation
 Purposes, scope and principles in
methods and barriers
selectionofassessmentmethodsand
to evaluation
types
Explaintheguidelines
todevelopassessment  Barrierstoevaluation
 Guidelinestodevelopassessment
365 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs.)
T P
tests tests
Developskillin Assessmentofknowledge:
construction of
 Essaytypequestions,
different tests
 Shortanswerquestions(SAQ)
 Multiple choice questions (MCQ –
Identifyvariousclinical
singleresponse&multipleresponse)
evaluation tools and
demonstrate skill in Assessmentofskills:
selected tests
 Clinicalevaluation
 Observation(checklist,ratingscales,
videotapes)  Exercise on
constructing
 Writtencommunication–progress  Assessmentof
assessmenttool/s
notes, nursing care plans, process tool/sprepared
recording, written assignments
 Verbalcommunication(oral
examination)
 Simulation
 ObjectiveStructuredClinical
Examination (OSCE)
 Self-evaluation
 Clinicalportfolio,clinicallogs
AssessmentofAttitude:
 Attitudescales
Assessmenttestsforhigherlearning:
 Interpretive questions, hot spot
questions,draganddropandordered
response questions

VII 3 3 Explain the scope, Guidance/academicadvising,  Lecturecum

purposeandprinciples counseling and discipline discussion
of guidance
Guidance
 Definition,objectives,scope,
purpose and principles
 Rolesofacademicadvisor/faculty
in guidance
Counseling
Differentiatebetween
guidance and  Role play on  Assessmentof
 Differencebetweenguidanceand
counseling studentcounseling performance in
counseling
indifferent role play
 Definition, objectives, scope, situations scenario
principles,types,processandstepsof
Describethe  Assignment on
counseling
principles,types,and identifying
counseling process  Counselingskills/techniques– situationsrequiring  Evaluationof
basics counseling assignment

Developbasicskillof  Rolesofcounselor
counseling and  Organizationofcounselingservices
guidance
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 366
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs.)
T P
 Issuesforcounselinginnursing
students
Disciplineandgrievanceinstudents
Recognize the
importance of  Managing disciplinary/grievance
preventive counseling problems–
and develop skill to preventiveguidance&counseling
respond to disciplinary
 Roleofstudents‘grievance
problemsandgrievance
redressal cell/committee
among students
VIII 4 2 Recognize the EthicsandEvidenceBased  Value  Shortanswer
importanceofvalue- Teaching(EBT)inNursing clarification
 Evaluationof
based education Education exercise
case study
Developskillinethical Ethics–Review  Case study analysis
decision making and analysis(student
 Definitionofterms
maintain ethical encountered
standards for students  Valuebasededucationinnursing scenarios) and
suggest ethical
Introduceknowledgeof  Valuedevelopmentstrategies decision-making
EBTanditsapplication
 Ethicaldecisionmaking steps
in nursing education
 Ethicalstandardsforstudents  Lecturecum
discussion
 Student-facultyrelationship
Evidencebasedteaching–  Quiz–MCQ
Introduction
 Evidencebasededucationprocess
and its application to nursing
education

INTRODUCTIONTOFORENSICNURSINGANDINDIANLAWS
PLACEMENT: V SEMESTER
THEORY:1Credit(20hours)
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:Oncompletionofthecourse,thestudentswillbeableto
1. Identifyforensicnursingasanemergingspecialtyinhealthcareandnursingpractice
2. Explorethehistoryandscopeofforensicnursingpractice
3. Identify forensic team, role and responsibilities of forensic nurse in total care of victim of violence and in preservation
of evidence
4. DevelopbasicunderstandingoftheIndianjudicialsystemandlegalprocedures
367 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

COURSEOUTLINE
T–Theory
Time Learning Content Teaching/Learning Assessment
Outcomes
(Hrs) Activities Me

I 3(T)Describe the nature

ForensicScience  Lecturecum  Quiz–MCQ
of forensic discussion
 Definition
science
anddiscusissues  History
concerning
violence  Importanceinmedicalscience
 VisittoRegional
 ForensicScienceLaboratory  Writevisit
ForensicScience
report
Laboratory
Violence
 Definition
 Epidemiology
 Sourceofdata

Sexualabuse–childandwomen

2(T)Explainconcepts ofForensicNursing  Lecturecum  Shortanswer

forensic nursing discussion
 Definition  Objectivetype
and
scopeofpractice  Historyanddevelopment
for forensicnurse
 Scope–settingofpractice,areasofpractice and
subspecialties
 Ethicalissues
 Rolesandresponsibilitiesofnurse
 INC&SNC Acts

7(T)Identifymembers ofForensicTeam  Lecturecum  Objectivetype

forensic team Discussion
 Membersandtheirroles  Shortanswer
anddescriberole
offorensicnurse
Comprehensiveforensicnursingcareof victim
and family
 Physicalaspects  Hypothetical/real
casepresentation
 Psychosocialaspects
 Culturalandspiritualaspects
 Legalaspects
 Assistforensicteamincarebeyondscopeof her
practice
 Admissionanddischarge/referral/deathof  Observationofpost-
victim of violence mortem
 Responsibilitiesofnurseasawitness

Evidencepreservation–roleofnurses
 Observation  Visit to department
offorensicmedicine
 Recognition  Writereport
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 368
ण
Unit Time Learning Content Teaching/Learning Assessment
Outcomes
(Hrs) Activities Methods
 Collection
 Preservation
 Documentation of Biological and other
evidencerelatedtocriminal/traumaticevent
 Forwardingbiologicalsamplesforforensic
examination

IV 3(T) Describe IntroductionofIndianConstitution  Lecturecum  Shortanswer

fundamental discussion
rights and
humanrights FundamentalRights
commission  WrittenAssignment
 Rightsofvictim  Assessmentof
written
 Rightsofaccused
assignment

 Visittoprison
 Writevisit
HumanRightsCommission report

V 5(T) ExplainIndian Sourcesoflawsandlaw-makingpowers  Lecturecum  Quiz

judicialsystem discussion
and laws
OverviewofIndianJudicialSystem
 Guidedreading
 JMFC(JudicialMagistrateFirstClass)  Shortanswer
 District
 State
 Apex

 Lecturecum
CivilandCriminalCaseProcedures
discussion
 IPC(IndianPenalCode)
 ICPC
 IEAct(IndianEvidenceAct)

Discuss the
importanceof OverviewofPOSCOAct
POSCO Act

CHILDHEALTHNURSING-II
PLACEMENT:VISEMESTER
THEORY:2Credits(40hours)
PRACTICUM:Clinical:1Credit(80hours)
DESCRIPTION:Thiscourseisdesignedfordevelopinganunderstandingofthemodernapproachtochild-care, identification,
prevention and nursing management of common health problems of neonates and children.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
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. Providecaretochildrenwithcommonbehavioural,socialandpsychiatricproblems
3. Managechallengedchildren
4. Identifythesocialandwelfareservicesforchallengedchildren
 369 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

COURSEOUTLINE
T–Theory

UnitTime LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
Hrs)
1 20(T)Describe the etiology, Cardiovascularsystem:  Lecturecum  Shortanswer
pathophysiology, discussion
 IdentificationandNursingmanagement  Objectivetype
clinical manifestation
of congenital malformations  Demonstrationand
and nursing  Assessmentof
practice session
management of  Congenital heart diseases: Cyanotic skills with
childrenwithdisorders andAcyanotic(ASD,VSD,PDA,TOF) checklist
of cardiovascular,
 Others:RheumaticfeverandRheumatic
gastrointestinal, heart disease, Congestive cardiacfailure
genitourinary, and
nervous system  Hematologicalconditions:
a) Congenital:Hemophilia,
Thalassemia
b) Others: Anemia, Leukemia,
Idiopathicthrombocytopenic
purpura, Hodgkins and non-
hodgkins lymphoma
Gastro-intestinalsystem:
 IdentificationandNursingmanagement
of congenital malformations.
 Congenital: Cleft lip, Cleft palate,
Congenital hypertrophic pyloric
stenosis, Hirschsprungs disease
(Megacolon),Anorectalmalformation,
Malabsorption syndrome, Abdominal
wall defects, Hernia
 Others: Gastroenteritis, Diarrhea,
Vomiting, Protein energy malnutrition,
Intestinalobstruction,Hepaticdiseases,
intestinal parasites
Genitourinaryurinarysystem:
 IdentificationandNursingmanagement
of congenital malformations.
 Congenital:Wilmstumor,Extropyof
bladder, Hypospadias, Epispadias,
Obstructive uropathy
 Others:Nephroticsyndrome,Acute
glomerulonephritis, renal failure
Nervoussystem:
 IdentificationandNursingmanagement
of congenital malformations
a) Congenital:Spinabifida,
Hydrocephalous.
b) Others: Meningitis, Encephalitis,
Convulsivedisorders(convulsions
andseizures),Cerebralpalsyhead
injury

II 10(T)Describetheetiology, Orthopedicdisorders:  Lecturecum  Shortanswer

pathophysiology, discussion
 Clubfoot  Objectivetype
clinicalmanifestation
 Demonstration
and nursing  Assessmentof
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 370
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
management of  Hipdislocationand  Practicesession skillswith
children with checklist
 Fracture  Clinicalpractice
Orthopedicdisorders,
eye, ear and skin Disorderofeye,earand skin:
disorders  Refractoryerrors
 Otitismediaand
Explain the preventive  Atopicdermatitis
measuresandstrategies
for children with Communicable diseases in children,
communicablediseases their identification/ diagnosis, nursing
managementinhospital,inhome,control &
prevention:
 Tuberculosis
 Diphtheria
 Tetanus
 Pertussis
 Poliomyelitis
 Measles
 Mumps,and
 Chickenpox
 HIV/AIDS
 Denguefever
 COVID-19

III 10(T) Describe the Managementofbehaviorandsocial  Lecturecum  Shortanswer

management of problems in children discussion
 Objectivetype
children with
• ChildGuidanceclinic  Fieldvisitstochild
behavioral&social  Assessmentof
guidance clinics,
problems • Commonbehaviordisordersinchildren field reports
schoolformentally
and management
& physically,
o EnuresisandEncopresis sociallychallenged
Identifythesocial&
welfare services for o Nervousness
challenged children
o Nailbiting
o Thumbsucking
o Tempertantrum
o Stealing
o Aggressiveness
o Juveniledelinquency
o Schoolphobia
o Learningdisability
 Psychiatricdisordersinchildrenand
management
o Childhoodschizophrenia
o Childhooddepression
o Conversionreaction
o Posttraumaticstressdisorder
o Autisticspectrumdisorders
371 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
 Eatingdisorderinchildrenand
management
o Obesity
o Anorexianervosa
o Bulimia
 Managementofchallengedchildren.
o Mentally
o Physically
o Socially
o Childabuse,
o Substanceabuse
 Welfareservicesforchallenged
children in India

CHILDHEALTHNURSING-II–CLINICALPRACTICUM(1Credit–80hours)

GivenunderChildHealthNursing-IasI&II

MENTALHEALTHNURSING-II
PLACEMENT:VISEMESTER
THEORY:1Credit(40Hours)
PRACTICUM:Clinical:2Credits(160Hours)
DESCRIPTION:Thiscourseisdesignedtoprovidethestudentswithbasicunderstandingandskillsessentialtomeet psychiatric
emergencies and perform the role of community mental health nurse.
COMPETENCIES:Oncompletionofthecourse,thestudentswillbeableto
1. Applynursingprocessinprovidingcaretopatientswithsubstanceusedisorders,andpersonalityandsexualdisorders.
2. Applynursingprocessinprovidingcaretopatientswithbehaviouralandemotionaldisordersoccurringduring childhood and
adolescence.
3. Applynursingprocessinprovidingcaretopatientswithorganicbraindisorders.
4. Identifyandrespondtopsychiatricemergencies.
5. Carryoutcrisisinterventionsduringemergenciesundersupervision.
6. PerformadmissionanddischargeproceduresasperMHCA2017.
7. Exploretherolesandresponsibilitiesofcommunitymentalhealthnurseindeliveringcommunitymentalhealth services.
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 372
ण
COURSEOUTLINE
T–Theory
Unit Time Learning Content Teaching/Learning Assessment
Outcomes Methods
(Hrs) Activities
I 6(T)Describe the etiology,NursingManagementofPatientswith Substance  Lecturecum  Essay
psycho- dynamics, Use Disorders discussion
 Shortanswer
clinical  Prevalenceandincidence  Casediscussion
manifestations,  Assessmentof
diagnostic criteria  Commonlyusedpsychotropicsubstance:  Casepresentation patient
andmanagementof classifications, forms, routes, action, management
patients with intoxication and withdrawal  Clinicalpractice
problems
substance use  Psychodynamics/etiologyofsubstanceuse
disorders disorder (Terminologies: Substance Use,
Abuse, Tolerance, Dependence,
Withdrawal)
 Diagnosticcriteria/formulations
 Nursing Assessment: History (substance
history),Physical,mentalassessmentand
drug and drug assay
 Treatment(detoxification,antabuseand
narcotic antagonist therapy and harm
reduction, Brief interventions, MET,
refusalskills,maintenancetherapy)and
nursing management of patients with
substance use disorders
 Specialconsiderationsforvulnerable
population
 Follow-upandhomecareand
rehabilitation

II 6(T)Describe the etiology,NursingManagementofPatientwith Personality  Lecturecum  Essay

psycho- dynamics, and Sexual Disorders discussion
 Shortanswer
clinical
 Prevalenceandincidence  Casediscussion
manifestations,  Assessmentof
diagnostic criteria  Classificationofdisorders  Casepresentation patient
andmanagementof management
patients with  Etiology,psychopathology,characteristics,  Clinicalpractice
problems
personality, and diagnosis
sexual disorders  NursingAssessment:History,Physicaland
mental health assessment
 Treatment modalities and nursing
managementofpatientswithpersonality,
and sexual disorders
 Geriatricconsiderations
 Follow-upandhomecareand
rehabilitation

III 8(T)Describe the etiology,NursingManagementofBehavioural&  Lecturecum  Essay

psycho- pathology, Emotional Disorders occurring during discussion
 Shortanswer
clinical ChildhoodandAdolescence(Intellectual
 Casediscussion
manifestations, disability, autism, attention deficit,  Assessmentof
diagnostic criteria hyperactive disorder, eating disorders,  Casepresentation patient
and management of learning disorder) management
childhood and  Clinicalpractice
problems
 Prevalenceandincidence
adolescentdisorders
including mental  Classifications
deficiency
 Etiology,psychodynamics,Characteristics,
diagnostic criteria/formulations
373 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

Outcomes Methods
(Hrs) Activities
 NursingAssessment:History,Physical,
mental status examination and IQ
assessment
 Treatment modalities and nursing
managementofchildhooddisorders
including intellectual disability
 Follow-upandhomecareand
rehabilitation

IV 5(T) Describe the NursingManagementofOrganicBrain  Lecturecum  Essay

etiology, psycho- Disorders(Delirium,Dementia,amnestic discussion
disorders)  Shortanswer
pathology, clinical
 Casediscussion
manifestations,  Assessmentof
 Prevalenceandincidence
diagnostic criteria  Casepresentation patient
andmanagementof  Classification management
organic brain  Clinicalpractice
problems
disorders.  Etiology,psychopathology,clinical
features,diagnosisandDifferential
diagnosis
 NursingAssessment:History,Physical,
mental and neurological assessment
 Treatment modalities and nursing
managementoforganicbraindisorders
 Follow-upandhomecareand
rehabilitation

V 6(T) Identifypsychiatric PsychiatricEmergenciesandCrisis  Lecturecum  Shortanswer

emergencies and Intervention discussion
 Objectivetype
carry out crisis
 Types of psychiatric emergencies  Casediscussion
intervention
(attemptedsuicide,violence/aggression,
 Casepresentation
stupor, delirium tremens and other
psychiatric emergencies) and their  Clinicalpractice
managements
 Maladaptivebehaviourofindividualand
groups, stress, crisis and disaster(s)
 Typesofcrisis
 Crisisintervention:Principles,Techniques
and Process
- Stressreductioninterventionsasper
stress adaptation model
- Copingenhancement
- Techniquesofcounseling

VI 4(T) Explain legal LegalIssuesinMentalHealthNursing  Lecturecum  Shortanswer

aspects applied in discussion
 OverviewofIndianLunacyActandThe  Objectivetype
mental health
Mental Health Act 1987  Casediscussion
settingsandroleof
the nurse  (ProtectionofChildrenfromSexual
Offence) POSCO Act
 MentalHealthCareAct(MHCA)2017
 Rightsofmentallyillclients
 Forensicpsychiatryandnursing
 Actsrelatedtonarcoticandpsychotropic
substances and illegal drug trafficking
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 374
ण
Unit Time Learning Content Teaching/Learning Assessment
Outcomes Methods
(Hrs) Activities
 Admissionanddischargeproceduresasper
MHCA 2017
 Roleandresponsibilitiesofnursesin
implementing MHCA 2017
VII 5(T) Describethemodel CommunityMentalHealthNursing  Lecturecum  Shortanswer
of preventive discussion
 DevelopmentofCommunityMental  Objectivetype
psychiatry
Health Services:  Clinical/field
 Assessmentof
practice
 Nationalmentalhealthpolicyviz.National the field visit
Describe Health Policy  Field visits to reports
CommunityMental mental health
 NationalMentalHealthProgram
health services and serviceagencies
role of the nurse  Institutionalizationversus
Deinstitutionalization
 ModelofPreventivepsychiatry
 MentalHealthServicesavailableatthe
primary, secondary, tertiary levels
including rehabilitation and nurses‘
responsibilities
 MentalHealthAgencies:Governmentand
voluntary, National and International
 Mental health nursing issues for special
populations: Children, Adolescence,
WomenElderly,Victimsofviolenceand
abuse, Handicapped, HIV/AIDS etc.

CLINICALPRACTICUM–2Credits(80hours)
ClinicalPracticumforMentalHealthNursing -I&IIaregivenunderMentalHealthNursing-IClinicalPracticum NURSING
MANAGEMENT AND LEADERSHIP
PLACEMENT:VISemester
THEORY:3Credits(60hours)includesLab/SkillLabhoursalso
PRACTICUM:Clinical:1Credits(80hours)
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:Oncompletionofthecourse,thestudentswillbeableto
1. AnalyzethehealthcaretrendsinfluencingdevelopmentofnursingservicesandeducationinIndia.
2. Describetheprinciples,functionsandprocessofmanagementappliedtonursing.
3. Developbasicunderstandingandbeginningcompetenciesinplanningandorganizingnursingservicesinahospital.
4. Applytheconceptofhumanresourcemanagementandidentifythejobdescriptionforallcategoriesofnursing personnel
including in service education.
5. Discusstheprinciplesandmethodsofstaffingandschedulinginanindividualhospital/nursingunit.
6. Developskillinmanagementofmaterialsandsuppliesincludinginventorycontrol.
7. Developteamworkingandinterprofessionalcollaborationcompetencies.
8. Identifyeffectiveleadershipstylesanddevelopleadershipcompetencies.
9. Utilizetheknowledgeofprinciplesandlineofcontrolandparticipateinqualitymanagementandevaluationactivities.
10. Utilizetheknowledgerelatedtofinancialplanninginnursingservicesandeducationduringbudgetaryprocess.
 375 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

11. Applytheknowledgeofnursinginformaticsinmaintenanceofrecordsandreportsrelevanttopatientinformation, nursing care

and progress.
12. DemonstrateunderstandingoftheINCguidelinesforestablishmentandaccreditationofeducationalinstitutionsin terms of
faculty norms, physical infrastructure and clinical facilities.
13. Demonstratebeginningcompetenciesinplanning,organizingandstaffingatcollegeincludingimplementationand evaluation
of curriculum.
14. Identifythelegalissuesandlawsrelevanttonursingpracticeandeducation.
15Applytheknowledgeandutilizethevariousopportunitiesforprofessionaladvancement.

COURSEOUTLINE
T–Theory
Unit TimeLearning Content Teaching/LearningActivities Assessment
(Hrs) Methods
Outcomes
I 1(T)Explore the health
HealthCareandDevelopmentof Nursing  Lecturecumdiscussion  Shortanswer
care, Services in India
 Directedreadingandwritten  Assessmentof
developmentof
 Currenthealthcaredeliverysystemof assignment assignment
nursingservices
India – review
and education
in India  Planninganddevelopmentofnursing
andtrends services and education at global and
national scenario
 Recenttrendsandissuesofnursing
service and management

II 2(T)Explain the ManagementBasicsAppliedto Nursing  Lectureanddiscussion  MCQ

principlesand
 Definitions,conceptsandtheoriesof  Shortanswer
functions of
management
management
applied to  Importance,featuresandlevelsof
nursing management
 Managementandadministration
 Functionsofmanagement
 Principlesofmanagement
 Roleofanurseasamanager
IntroductiontoManagementProcess
 Planning
Describe the  Organizing
introductory
concepts of  Staffing
managementas  Directing/Leading
a process
 Controlling

MANAGEMENTOFNURSING
SERVICES
III 4(T)Describethe PlanningNursingServices  LectureandDiscussion  Formulate
essential Mission
 Vision,Mission,philosophy,  Visittospecifichospital/patient
elements of &Vision
objectives care units
planning Statementfor
 Nursingservicepolicies,procedures  Demonstrationofdisasterdrill the nursing
and manuals in the respective setting department/
unit
 Functionalandoperationalplanning
 Assessment
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 376
ण
Unit Time Learning Content Teaching/LearningActivities Assessment
(Hrs) Methods
Outcomes
 Strategicplanning ofproblem-
solving
 Programplanning–Ganttchart&
exercises
milestone chart
 VisitReport
 Budgeting–concepts,principles,
types,
 Budgetproposal,costbenefitanalysis
 Planninghospitalandpatientcareunit
(Ward)
 Planningforemergencyanddisaster

IV 4(T) Discuss the Organizing  Lecturecumdiscussion  Shortanswer

concepts of
 Organizingasaprocess–assignment,  Comparisonoforganizational  Assessmentof
organizing
delegation and coordination structure of various assignment
including
organizations
hospital  Hospital–
organization types,functions&organization  Nursingcaredeliverysystems–
assignment
 Organizationaldevelopment
 PreparationofOrganizational
 Organizationalstructure
chart of hospital/ Nursing
 Organizationalcharts services
 Organizationaleffectiveness
 Hospitaladministration,Control&
line of authority
 Hospitalstatisticsincludinghospital
utilization indices
 Nursingcaredeliverysystemsand
trends
 Roleofnurseinmaintenanceof
effectiveorganizationalclimate

V 6(T) Identify the Staffing(Humanresource  Lectureanddiscussion  FormulateJob

significance of management) descriptionat
 Roleplay
humanresource  Definition,objectives,components different
management and functions  Games self-assessment, case levelsofcare
(HRM) and discussionandpracticesession & compare
material Staffing&Scheduling with existing
management  Calculation of staffing system
 Staffing–Philosophy,staffing requirementsforaspecified
and discuss its activities ward  Preparationof
elements
 Recruiting,selecting,deployment duty roster
 Training,development,credentialing,
retaining, promoting, transfer,
terminating, superannuation
 Staffing units – Projecting staffing
requirements/calculation of
requirements of staff resources Nurse
patient ratio, Nurse Population ratio as
perSIUnorms/IPHNorms,andPatient
classification system
 Categories of nursing personnel
includingjobdescriptionofalllevels
 Assignmentandnursingcare
responsibilities
377 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/LearningActivities Assessment

(Hrs) Methods
Outcomes
 Turnoverandabsenteeism
 Staffwelfare
 Disciplineandgrievances
In-ServiceEducation
 Natureandscopeofin-service  Visit
education program toinventorystoreofthe institution
 Principlesofadultlearning–review
Explain the
procedural  Planningandorganizingin-service
educational program  Preparationof
steps of
MMF/records
material
 Methods,techniquesandevaluation
management  Preparationof
 Preparationofreport log book
&condemnati
MaterialResourceManagement
Develop on documents
managerial  Procurement,purchasingprocess,
 VisitReport
skill in inventory control & role of nurse
inventory
control and  Auditingandmaintenanceinhospital
actively and patient care unit
participatein
procurement
process
VI 5(T) Describe the DirectingandLeading  Lectureanddiscussion  Assignment
important onReports&
 Definition,principles,elementsof  Demonstration of record &
methods of Records
directing reportmaintenanceinspecific
supervisionand maintainedin
wards/ departments
guidance  Supervisionandguidance nursing
department/
 Participatorymanagement
 Preparationof
 Inter-professionalcollaboration protocols and
 Managementbyobjectives manuals
 Teammanagement
 Assignments,rotations
 Maintenanceofdiscipline
 Leadershipinmanagement

VII 4(T) Discuss the Leadership  Lecturecumdiscussion  Shortanswer

significance
 Definition,concepts,andtheories  Self-assessment  Essay
andchanging
trends of  Leadershipprinciplesand  Report on types of leadership  Assessmentof
nursing competencies adopted at different levels of exercise/repor
leadership healthcareinthegivensetting t
 Leadershipstyles:Situational
leadership, Transformational  Problemsolving/Conflict
leadership management exercise
Analyze the
different  Methodsofleadershipdevelopment  Observationofmanagerialroles
leadership at different levels (middle level
styles and  Mentorship/preceptorshipinnursing
mangers-ward incharge, ANS)
develop  Delegation,power&politics,
leadership empowerment,mentoringand
competencies coaching
 Decisionmakingandproblemsolving
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 378
ण
Unit Time Learning Content Teaching/LearningActivities Assessment
(Hrs) Methods
Outcomes
 Conflictmanagementandnegotiation
 Implementingplannedchange

VIII 4(T) Explain the Controlling  Lecturecumdiscussion  Assessment

process of ofprepared
 Implementing standards, policies,  Preparation of policies/
controllingand protocols
procedures,protocolsandpractices protocolsfornursingunits/
its activities
department
 Nursingperformanceaudit,patient
satisfaction
 Nursingrounds,Documentation–
records and reports
 Totalqualitymanagement–Quality
assurance, Quality and safety
 Performanceappraisal
 Programevaluationreviewtechnique
(PERT)
 Benchmarking,Activityplan(Gantt
chart)
 Criticalpathanalysis

IX 4(T) Explain the OrganizationalBehaviorandHuman  Lectureanddiscussion  Shortanswer

concepts of Relations
 Role play/ exercise – Group  OSCE
organizational
 Conceptsandtheoriesof dynamics&humanrelations
behavior and
organizational behavior
group
dynamics  Groupdynamics
 Review–Interpersonalrelationship
 Humanrelations
 Publicrelationsinthecontextof
nursing
 Relations with professional
associationsandemployeeunions
 Collectivebargaining
 Review–Motivationandmorale
building
 Communicationintheworkplace–
assertive communication
 Committees–importanceinthe
organization, functioning

X 2(T) Describethe FinancialManagement  Lecturecumdiscussion  Shortanswer

financial
 Definition,objectives,elements,  Budgetproposalreview  Essay
management
functions, principles & scope of
related to  Preparationofbudgetproposal  Assessmentof
financial management
nursing for a specific department assignment
services  Financialplanning(budgetingfor
nursing department)
 Proposal,projectingrequirementfor
staff, equipment and supplies for –
Hospital & patient care units &
emergency and disaster units
379 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/LearningActivities Assessment

(Hrs) Methods
Outcomes
 BudgetandBudgetaryprocess
 Financialaudit

XI 1(T) Review the NursingInformatics/Information  Review  Shortanswer

concepts, Management – Review
 Practicesession
principlesand
 Patientrecords
methods and  Visittodepartments
useofnursing  Nursingrecords
informatics
 Useofcomputersinhospital,college
and community
 Telemedicine&Telenursing
 ElectronicMedicalRecords(EMR),
EHR

XII 1(T) Reviewpersonal PersonalManagement–Review  Review

management in
 Emotionalintelligence  Discussion
terms of
managementof  Resiliencebuilding
emotions,stress
and resilience  Stressandtimemanagement–de-
stressing
 Careerplanning

MANAGEMENT OF NURSING
EDUCATIONALINSTITUTIONS
XIII 4(T) Describe the EstablishmentofNursingEducational  Lectureanddiscussion  Visitreport
process of Institutions
 Visittooneoftheregulatory
establishing
 Indian Nursing Council norms and bodies
educational
guidelines – Faculty norms, physical
institutions and
facilities,clinicalfacilities,curriculum
itsaccreditation
implementation, and
guidelines
evaluation/examination guidelines
 Coordinationwithregulatorybodies–
INC and State Nursing Council
 Accreditation–Inspections
 Affiliationwithuniversity/State
council/board of examinations

XIV 4(T) Explain the PlanningandOrganizing  Directedreading–INC  Short

planning and Curriculum answer
 Philosophy,objectivesandmissionof
organizing
the college  Preparationoforganizational  Essay
functions of a
structure of the college
nursingcollege  Organizationstructureof  Assessment
school/college  Writtenassignment–writing ofassignment
philosophy of a teaching
 Review–Curriculumplanning
department
 Planning teaching and learning
 Preparation of master plan,
experiences,clinicalfacilities–master
timetableandclinicalrotation
plan, time table and clinical rotation
 Budget planning – faculty, staff,
equipment&supplies,AVaids,Lab
equipment, library books, journals,
computers and maintenance
 Infrastructurefacilities–college,
classrooms, hostel, library, labs,
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 380
ण
Unit Time Learning Content Teaching/LearningActivities Assessment
(Hrs) Methods
Outcomes
computerlab,transportfacilities
 Records&reportsforstudents,staff,
faculty and administrative
 Committeesandfunctioning
 Clinicalexperiences

XV 4(T) Develop StaffingandStudentSelection  Guidedreadingonfaculty  Shortanswer

understanding norms
 Faculty/staffselection,recruitmentand  Activity
ofstaffingthe
placement, job description  Facultywelfareactivities report
college and
report
selecting the  Performanceappraisal  Assessment
students  Writingjobdescriptionof of job
 Facultydevelopment
tutors description
 Faculty/staffwelfare
 Studentrecruitment,admission,
clinical placement

XVI 4(T) Analyze the DirectingandControlling  Reviewprinciplesofevaluation  Short

leadershipand answer
 Review–Curriculumimplementation  Assignment – Identify
management
and evaluation disciplinaryproblemsamong  Assessment
activitiesinan
students ofassignment
educational  Leadershipandmotivation,
and record
organization supervision – review  Writingstudentrecord
 Guidanceandcounseling
 Qualitymanagement–educational
audit
 Programevaluation,evaluationof
performance
 Maintainingdiscipline
 Institutionalrecordsandreports–
administrative, faculty, staff and
students

XVII 4(T) Identifyvarious PROFESSIONAL

legalissuesand CONSIDERATIONS
lawsrelevantto
Review–LegalandEthicalIssues
nursingpractice
 Nursing as a profession –
Characteristicsofaprofessionalnurse
 Nursingpractice–philosophy,aim
and objectives
 Regulatorybodies–INCandSNC
constitution and functions
Review–Professionalethics
 Codeofethicsandprofessional
conduct – INC & ICN
 Practicestandardsfornursing– INC
 InternationalCouncilforNurses(ICN)
Legalaspectsinnursing:
 Consumerprotectionact,patientrights
 Legaltermsrelatedtopractice,legal
381 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/LearningActivities Assessment

(Hrs) Methods
Outcomes
system–typesoflaw,tortlaw&liabilities
 Lawsrelatedtonursingpractice–
negligence, malpractice, breach,
penalties
 Invasionofprivacy,defamationof
character
 Nursing regulatory mechanisms –
registration, licensure, renewal,
accreditation, nurse practice act,
regulation for nurse
practitioner/specialistnursingpractice

XVIII 2(T) Explainvarious ProfessionalAdvancement  Preparejournallistavailable  Assessment

opportunities in India of
 ContinuingNursingEducation
forprofessional assignments
 Writeanarticle–research/
advancement  Careeropportunities
clinical
 Membershipwithprofessional
organizations – national and
international
 Participationinresearchactivities
 Publications–journals,newspaper

Note:Lessthan1creditlabhoursarenotspecified
CLINICALPRACTICUM
Clinical:2Credits(80hours)2weeks×40hoursperweek=80hours
PracticeCompetencies:
Hospital
1. Prepareorganizationalchartofhospital/Nursingservices/nursingdepartment
2. Calculatestaffingrequirementsforaparticularnursingunit/ward
3. FormulateJobdescriptionatdifferentlevelsofcare
4. Preparedutyrosterforstaff/studentsatdifferentlevels
5. Participateinprocuring/purchaseofequipment&supplies
6. Preparelogbook/MMFforspecificequipment/materials
7. Maintainandstoreinventoryandkeepdailyrecords
8. Prepareandmaintainvariousrecords&reportsofthesettings–incidentreports/adversereports/auditreports
9. Prepareandimplementprotocols&manuals
10. Participateinsupervision,evaluationandconductinginserviceeducationforthestaff

College&Hostel
1. Prepareorganizationalchartofcollege
2. Formulatejobdescriptionfortutors
3. PrepareMasterplan,timetableandclinicalrotation
4. Preparestudentanecdotes
5. Participateinplanning,conductingandevaluationofclinicalteaching
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 382
ण
6. Participateinevaluationofstudents‘clinicalexperience
7. ParticipateinplanningandconductingpracticalexaminationOSCE–endofposting
CLINICALPOSTING:Managementexperienceinhospital&college.

MIDWIFERY/OBSTETRICSANDGYNECOLOGY(OBG)NURSING-I
includingSBAmodule
PLACEMENT:VISEMESTER
THEORY:3Credits(60hours)
PRACTICUM:SkillLab:1Credit(40hours);Clinical:3Credits(240hours)
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:Oncompletionoftheprogram,thestudentswillbeableto
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. Communicateeffectivelywithindividuals,familiesandprofessionalcolleaguesfosteringmutualrespectandshared decision
making to enhance health outcomes.
3. Recognizethetrendsandissuesinmidwiferyandobstetricalnursing.
4. Reviewanddescribetheanatomyandphysiologyofhumanreproductivesystemandconception.
5. Describeandapplyphysiologyinthemanagementofnormalpregnancy,birthandpuerperium.
6. Demonstrate competency in providing respectful and evidence based maternity care for women during the
antenatal,intranatal and postnatal period.
7. Upholdthefundamentalhumanrightsofindividualswhenprovidingmidwiferycare.
8. Promotephysiologiclabourandbirth,andconductnormalchildbirth.
9. Provideevidencebasedessentialnewborncare.
10. Applynursingprocessapproachincaringforwomenandtheirfamilies.
11. Describethemethodsofcontraceptionandroleofnurse/midwifeinfamilywelfareservices.
12. Recognizetheimportanceofandactivelyparticipateinfamilywelfareprograms.
13. Provideyouthfriendlyhealthservicesandcareforwomenaffectedbygenderbasedviolence.

COURSEOUTLINE
T–Theory,SL/L–SkillLab/Lab,C–Clinical
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
I (T) Explain the history andIntroductiontomidwifery  Discussion  Shortanswer
current scenario
 HistoryofmidwiferyinIndia  Demonstration  Objective type
ofmidwiferyinIndia
 Currentscenario:  Roleplay  Essay
o TrendsofmaternitycareinIndia  Directed reading  Quiz
and assignment:
o MidwiferyinIndia–Transformative ICMcompetencies
educationfor relationshipbased and
transformativemidwiferypracticein  Scenariobased
India learning
 Vital health indicators – Maternal
Reviewvitalhealth mortalityratio,InfantMortalityRate,
383 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
indicators NeonatalMortalityRate,perinatal
mortality rate, fertility rates
o Maternaldeathaudit
 Nationalhealthprogramsrelatedto
RMNCH+A(ReproductiveMaternal
Newborn and Child Health +
Adolescent Health)
Describethevarious
national health CurrenttrendsinmidwiferyandOBG
programs related to nursing:
RMNCH+A
o Respectfulmaternityandnewborn
care (RMNC)
Identifythetrends o Midwifery-ledcareunits(MLCU)
and issues in o Women centered care, physiologic
midwifery birthinganddemedicalizationofbirth
o Birthingcenters,waterbirth,lotus
birth
o Essentialcompetenciesfor
midwifery practice (ICM)
o Universalrightsofchild-bearing
women
o Sexualandreproductivehealth
and rights
o Women‘sexpectations&choices
about care
Legalprovisionsinmidwiferypractice in
India:
 INC/MOH&FWregulations
 ICMcodeof ethics
 Ethicalissuesinmaternaland
neonatal care
 Adoptionlaws,MTPact,Pre-
NatalDiagnosticTest(PNDT)Act,
Discuss the legal and Surrogate mothers
ethicalissuesrelevant
 Roles and responsibilities of a
tomidwiferypractice
midwife/Nurse practitioner midwife in
differentsettings(hospital/community)
 Scopeofpracticeformidwives

II 6(T) Reviewthe Anatomy and physiology of human  Lecture  Quiz

reproductivesystemandconception
3(L) anatomy and  Discussion  Shortanswer
(Maternal, Fetal & Newborn
physiologyofhuman
physiology)  Self-directed  Essay
reproductive system
learning
Review:
 Models
 Femaleorgansofreproduction
 Videos&films
 Femalepelvis–bones,joints,
ligaments, planes, diameters,
landmarks, inclination, pelvic
variations
 Foetalskull–bones,sutures,
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 384
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
fontanelles,diameters,moulding
 Fetopelvicrelationship
 Physiologyofmenstrualcycle,
menstrual hygiene
 Fertilization,conceptionand
implantation
 Embryologicaldevelopment
 Placentaldevelopmentandfunction,
placental barrier
 Fetalgrowthanddevelopment
 Fetalcirculation&nutrition

III 12(T) Assessmentandmanagementof  Lecture  Shortanswer

normalpregnancy(ante-natal):
10(L)  Discussion  Objectivetype
Pre-pregnancyCare
40(C) Provide preconception  Demonstration  Assessmentof
caretoeligiblecouples  Reviewofsexualdevelopment(Self skills with
 Self-Learning
Learning) check list
 Healthtalk
 Socio-culturalaspectsofhuman  Casestudy
sexuality (Self Learning)  Roleplay evaluation
 Preconceptioncare  Counselingsession  OSCE
 Pre-conceptioncounseling(including
awareness regarding normal birth)
Genetic counseling (Self Learning)
 Plannedparenthood
Pregnancyassessmentandantenatal care
(I, II & III Trimesters)  Casediscussion/
Describe the Normalpregnancy presentation
physiology,assessment
 Physiologicalchangesduring  Simulation
and management of
normal pregnancy pregnancy  Supervised
 Assess and confirm pregnancy: clinicalpractice
Diagnosis of pregnancy –Signs,
differentialdiagnosisandconfirmatory
tests
 Reviewofmaternalnutrition&m
alnutrition
 Buildingpartnershipwithwomen
following RMC protocol
 Fathers‘engagementinmaternitycare
Ante-natalcare:
1stTrimesters
 Antenatalassessment:Historytaking,
physical examination, breast
examination,laboratoryinvestigation
Demonstrate
knowledge, attitude  Identificationandmanagementof  Refer SBA module
andskillsofmidwifery minor discomforts of pregnancy &Safemotherhood
practice throughout
1st,2nd and 3rd
385 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
trimesters  Antenatalcare:asperGoIguidelines booklet
 Antenatalcounseling(lifestylechanges,
nutrition,shareddecisionmaking,risky
 Lab tests –
behavior, sexual life during pregnancy,
performanceand
immunization etc.)
interpretation
 Dangersignsduringpregnancy
 Demonstration
 Respectfulcareandcompassionate
 Roleplay
communication
 Recordingandreporting:aspertheGoI
guidelines
 RoleofDoula/ASHAs
IITrimester
 Antenatal assessment: abdominal
palpation, fetal assessment,
auscultatefetalheartrate–Doppler
and pinnard‘s stethoscope
 Assessment of fetal well-being:
DFMC, biophysical profile, Non
stresstest,cardio-tocography,USG,
Vibro acoustic stimulation,
biochemical tests.
 Antenatalcare
 Womencenteredcare
 Demonstrationof
 Respectfulcareandcompassionate antenatal
communication assessment
 HealtheducationonIFA,calcium
and vitamin D supplementation,
glucose tolerance test, etc.
 Educationandmanagementof
physiological changes and
discomforts of 2nd trimester
 Rhnegativeandprophylactic
anti D
 Referralandcollaboration,
empowerment
 Ongoingriskassessment
 MaternalMentalHealth
IIITrimester
 Antenatal assessment: abdominal
palpation, fetal assessment, auscultate
fetalheartrate–Dopplerandpinnard‘s
stethoscope
 Educationandmanagementof
physiological changes and
discomforts of 3rd trimester
 Thirdtrimestertestsandscreening
 Fetalengagementinlatepregnancy
 Childbirthpreparationclasses
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 386
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
 Birthpreparednessandcomplication
readiness including micro birth
planning
 Danger signs of pregnancy –
recognitionofrupturedmembranes
 Educationonalternativebirthing  Scenariobased
positions – women‘s preferred learning
choices, birth companion
 Lecture
 Ongoingriskassessment
 Simulation
 Culturalneeds
 Roleplay
 Womencenteredcare
 Refer GoI
 Respectfulandcompassionate Guidelines
communication
 Healthtalk
 Healtheducationonexclusive
breastfeeding  Counselingsession

 RoleofDoula/ASHA‘s  Demonstrationof
birthingpositions
 Workshop on
alternativebirthing
positions

IV 12(T) Applythephysiology Physiology,managementandcare  Lecture  Essaytype

of labour in during labour
12(L)  Discussion  Shortanswer
promoting normal
 Normallabourandbirth
80(C) childbirth  Demonstration  Objective
 Onsetofbirth/labour type
 Bedsideclinics
 Pervaginalexamination(ifnecessary)  Casestudy
Describe the  Casediscussion/
evaluation
managementandcare  Stagesoflabour presentation
during labour  Assessmentof
 Organizationoflabourroom–Triage,  Simulatedpractice
skills withcheck
preparation for birth
 SupervisedClinical list
 Positivebirthenvironment practice – Per
 OSCE
vaginalexamination,
 Respectfulcareandcommunication
Conduction of
 DrugsusedinlabourasperGoI normal childbirth
guidelines
 ReferSBAmodule
FistStage
 LaQshya
 Physiologyofnormallabour guidelines
Discuss how to
maintain a safe  Monitoringprogressoflabourusing  Dakshata
environmentforlabour Partograph/labour care guide guidelines
 Assessingandmonitoringfetalwell
being
 Evidencebasedcareduring1ststage of
labour
 Painmanagementinlabour(non-
Workeffectivelyfor pharmacological)
pain management
 Psychologicalsupport–Managing
during labour
fear
 Activityandambulationduringfirst
stage of labour
387 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
 Nutritionduringlabour
 Promotepositivechildbirthexperience
for women
 Birthcompanion
 RoleofDoula/ASHA‘s
Secondstage
 Physiology(Mechanismoflabour)
 ReferENBC,
 Signsofimminentlabour NSSKmodule
 Intrapartummonitoring  Demonstration
Discuss how the
midwifeprovidescare  Birthpositionofchoice  Groupwork
and support for the
 Vaginalexamination  Scenariobased
womenduringbirthto
learning
enhancephysiological  Psychologicalsupport
birthing and promote
normal birth  Non-directivecoaching
 Evidence based management of
physiologicalbirth/Conductionof
Assess and provide normal childbirth
careofthenewborn
immediately  Essentialnewborncare(ENBC)
following birth  Immediateassessmentandcareof
the newborn
 RoleofDoula/ASHA‘s
ThirdStage
 Physiology–placentalseparation
and expulsion, hemostasis  Simulation
 Physiologicalmanagementof  Roleplay
third stage of labour
 Demonstration
 Activemanagementofthirdstage
of labour (recommended)  Videos

 Examinationofplacenta,
membranes and vessels
 Assessperineal,vaginaltear/
injuries and suture if required
 InsertionofpostpartumIUCD
 Immediateperinealcare
 Initiationofbreastfeeding
 Skintoskincontact
 Newbornresuscitation
FourthStage
Observation, Critical Analysis and
Managementofmotherandnewborn
 Maternal assessment, observation
Discusstheimpactof fundalheight,uterineconsistency,
labour and birth as a urine output, blood loss
transitional event in
the woman's life  DocumentationandRecordofbirth
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 388
ण
Unit Time LearningOutcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
 Breastfeedingandlatching
Ensureinitiationof  Managinguterinecramp
breast feeding and
 Alternative/complementarytherapies
adequate latching
 RoleofDoula/ASHA‘s
 Variouschildbirthpractices
 Safeenvironmentformotherand
newborn to promote bonding
 Maintainingrecordsandreports

V 7(T) Describe the Postpartumcare/Ongoingcareof  Lecture  Essaytype

physiology, women
6(L)  Discussion  Shortanswer
managementandcare
 Normalpuerperium–Physiology,
40(C) ofnormalpuerperium  Demonstration  Objective
duration
type
 Healthtalk
 Post-natalassessmentandcare–
 Assessmentof
facility and home-based care  Simulated
skills with
practice
 Perinealhygieneandcare checklist
 Supervised
 Bladderandbowelfunction  OSCE
clinicalpractice
 Minordisordersofpuerperiumandits
 ReferSBAmodule
management
 Physiologyoflactationandlactation
management
 Postnatalcounselingand
psychological support
 Normalpostnatal baby blues and
recognitionofpost-nataldepression
 Transitiontoparenthood
 Careforthewomanupto6weeks
after childbirth
 Culturalcompetence(Taboosrelated to
postnatal diet and practices)
 Dietduringlactation-review
 Post-partumfamilyplanning
 Follow-upofpostnatalmothers
 Drugsusedinthepostnatalperiod
 Recordsandreports

VI 7(T) Discuss the need for Assessmentandongoingcareof  Lecture  Essaytype

and provision of normal neonates
7(L)  Discussion  Shortanswer
compassionate,family
 Familycenteredcare
40(C) centered midwifery  Demonstration  Objective
care of the newborn  Respectfulnewborncareand type
 Simulated
communication
practicesession  Assessmentof
 NormalNeonate–Physiological skills with
Describe the  Supervised
adaptation checklist
assessmentandcare clinicalpractice
of normal neonate  Newbornassessment–Screeningfor  OSCE
 Refersafedeliver
congenital anomalies
app module –
 Careofnewbornupto6weeksafter newborn
389 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time LearningOutcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
thechildbirth(Routinecareof newborn) management
 Skintoskincontactand  Partialcompletion
thermoregulation of SBA module
 Infectionprevention
 Immunization
 Minordisordersofnewbornandits
management

VII 8(T) Explain various Familywelfareservices  Lecture  Essaytype

methods of family
2(L)  Impactofearly/frequentchildbearing  Supervised  Shortanswers
planningandroleof
practice
40(C) nurse/midwife in  Comprehensiverangeoffamily  Objective
providing family planning methods  Fieldvisits type
planning services
o Temporary methods – Hormonal,  Scenariobased  Fieldvisit
non-hormonalandbarriermethods learning reports
o Permanent methods – Male  Discussion  Vignettes
sterilizationandfemalesterilization
 GoI guidelines –
 Action,effectiveness, advantages, injectable
disadvantages, myths, misconception contraceptives,oral
andmedicaleligibilitycriteria(MEC) contraceptives,
for use of various family planning IUCD, male and
methods femalesterilization
 Emergencycontraceptives
 Recenttrendsandresearchin
contraception
 Familyplanning counseling using
BalancedCounselingStrategy(BCS)
 Legalandrightsaspectsof FP
 HumanrightsaspectsofFP
adolescents
 Youthfriendly services – SRHR
services,policiesaffectingSRHRand
attitude of nurses and midwives in
provision of services (Review)
 Importanceoffollowupand
recommended timing
GenderrelatedissuesinSRH
 Gender based violence – Physical,
sexualandabuse,LawsaffectingGBV
Describe youth and role of nurse/midwife
friendlyservicesand
role of nurses/  Specialcourtsforabusedpeople
midwives  Gendersensitivehealthservices
including family planning

Recognize the role of

nurses/midwives in
genderbasedviolence
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 390
ण
PRACTICUM
PLACEMENT:VI&VIISEMESTER
VISEMESTER:MIDWIFERY/OBSTETRICSANDGYNECOLOGY(OBG)NURSING-I
SKILLLAB&CLINICAL:SkillLab–1Credit(40hours);Clinical–3Credits(240hours)
PRACTICECOMPETENCIES:Oncompletionofthecourse,thestudentswillbeable to:
1. Counselwomenandtheirfamiliesonpre-conceptioncare
2. Demonstratelabtestsex.urinepregnancytest
3. Performantenatalassessmentofpregnantwomen
4. Assessandcarefornormalantenatalmothers
5. Assistandperformspecificinvestigationsforantenatalmothers
6. Counselmothersandtheirfamiliesonantenatalcareandpreparationforparenthood
7. Conductchildbirtheducationclasses
8. Organizelabourroom
9. Prepareandproviderespectfulmaternitycareformothersinlabour
10. Performper-vaginalexaminationforawomaninlabourifindicated
11. Conductnormalchildbirthwithessentialnewborncare
12. Demonstrateskillsinresuscitatingthenewborn
13. Assistwomeninthetransitiontomotherhood
14. Performpostnatalandnewbornassessment
15. Providecareforpostnatalmothersandtheirnewborn
16. Counselmothersonpostnatalandnewborncare
17. PerformPPIUCDinsertionandremoval
18. Counselwomenonfamilyplanningandparticipateinfamilywelfareservices
19. Provideyouthfriendlyhealthservices
20. Identify,assess,careandreferwomenaffectedwithgenderbasedviolence

SKILLLAB:Procedures/Skillsfordemonstrationandreturndemonstration:
1. Urinepregnancytest
2. CalculationofEDD,Obstetricalscore,gestationalweeks
3. Antenatalassessment
4. Counselingantenatalmothers
5. Microbirthplanning
6. PVexamination
7. Monitoringduringfirststageoflabour–Plottingandinterpretationofpartograph
8. Preparationfordelivery–settinguplabourroom,articles,equipment
9. Mechanismoflabour–normal
10. Conductionofnormalchildbirthwithessentialnewborncare
11. Activemanagementofthirdstageoflabour
12. Placentalexamination
13. Newbornresuscitation
14. Monitoringduringfourthstageoflabour
15. Postnatalassessment
 391 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

16. Newbornassessment
17. Kangaroomothercare
18. Familyplanningcounseling
19. PPIUCDinsertionandremoval

CLINICALPOSTINGS(6weeks×40hoursperweek=240hours)
Clinical Duration ClinicalLearning ProceduralCompetencies/ Clinical Assessment
Area (weeks) Outcomes Clinical Skills Requirements Methods
Antenatal week Performantenatal  Historycollection  Antenatal  OSCE
OPDand assessment palpation
 Physicalexamination  Case
Antenatal
 Healthtalk presentation
ward  Obstetricexamination
Performlaboratorytestsfor  Casestudy
 Pregnancyconfirmationtest
antenatalwomenandassist in
selected antenatal diagnostic  Urinetesting
procedures
 BloodtestingforHemoglobin,
grouping & typing
 Bloodtestformalaria
 KICKchart
 USG/NST
Counselantenatalwomen  Antenatalcounseling
 Preparationforchildbirth
 Birthpreparednessand
complicationreadiness

Labour weeks Monitorlabourusing partograph  Assessmentofwomaninlabour  Partograph  Assignment

room recording
 Partograph  casestudy
 PV
 Pervaginalexaminationwhen  Case
examination
indicated presentation
 Assisting/
 Careduringfirststageoflabour
Conductionof  OSCE
Providecaretowomen during  Painmanagementtechniques normal
labour childbirth
 Uprightandalternativepositions
in labour  Casestudy
 Preparationforlabour–articles,  Case
Conductnormalchildbirth, physical, psychological presentation
providecaretomotherand  Conductionofnormalchildbirth  Episiotomy
immediatecareofnewborn andsuturingif
 Essentialnewborncare
indicated
 Newbornresuscitation
 Newborn
 Activemanagementofthird resuscitation
stage of labour
 Monitoringandcareduring
fourth stage of labour

Post- partum weeks Performpostnatal  Postnatalassessment  Postnatal  Assignment

clinicand assessment assessment
 Careofpostnatalmothers–  Casestudy
Postnatal
normal  Newborn
Ward  Case
assessment
including Providecaretonormal postnatal  Careofnormalnewborn presentation
FP unit mothers and newborn  Casestudy
 Lactationmanagement
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 392
ण
Clinical Duration ClinicalLearning ProceduralCompetencies/ Clinical Assessment
Area (weeks) Outcomes Clinical Skills Requirements Methods
 Postnatalcounseling  Case
presentation
Providepostnatalcounseling  Healthteachingonpostnataland
newborn care  PPIUCD
insertion&
 Familywelfarecounseling
Providefamilywelfare removal
services
Note:PartialCompletionofSBAmoduleduringVIsemester

VIISEMESTER
MIDWIFERY/OBSTETRICSANDGYNECOLOGY(OBG)NURSING-II
PRACTICUM
SKILLLAB&CLINICAL:SkillLab–1Credit(40hours);Clinical–4Credits(320hours)
PRACTICECOMPETENCIES:Oncompletionofthecourse,thestudentswillbeable to:
1. Identify,stabilizeandreferantenatalwomenwithcomplications
2. Providecaretoantenatalwomenwithcomplications
3. Providepostabortioncare&counselling
4. Assistintheconductionofabnormalvaginaldeliveriesandcaesareansection.
5. Demonstrateskillsinresuscitatingthenewborn
6. Assistandmanagecomplicationsduringlabour
7. Identifypostnatalandneonatalcomplications,stabilizeandreferthem
8. Providecareforhighriskantenatal,intranatalandpostnatalwomenandtheirfamiliesusingnursingprocessapproach
9. Providecareforhighrisknewborn
10. Assistinadvancedclinicalproceduresinmidwiferyandobstetricnursing
11. Providecareforwomenduringtheirnonchildbearingperiod.
12. Assessandcareforwomenwithgynecologicaldisorders
13. Demonstrateskillsinperformingandassistinginspecificgynecologicalprocedures
14. Counselandcareforcoupleswithinfertility
SKILLLAB:Procedures/Skillsfordemonstrationandreturndemonstration:
1. Antenatalassessmentandidentificationofcomplications
2. Postabortioncare&counseling
3. Counselingantenatalwomenforcomplicationreadiness
4. Mechanismoflabour–abnormal
5. Assistingintheconductionofabnormalvaginaldeliveriesandcaesareansection.
6. Managementofcomplicationsduringpregnancy/labour/postpartum(casestudies/simulatedscenarios)
7. AdministrationofInj.Magnesiumsulphate
8. StartingandmaintaininganoxytocindripforPPH
9. ManagementofPPH–Bimanualcompressionofuterus
10. ManagementofPPH–Balloontamponade
11. Instrumentsusedinobstetricsandgynecology
12. Visualinspectionofcervixwithaceticacid
13. Cervicalbiopsy
14. Breastexamination
15. Counselingofinfertilecouples
 393 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

CLINICALPOSTINGS(8weeks×40hoursperweek=320hours)
Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment
Areas (Weeks) Clinical Skills Requirements Methods
Antenatal weeks Perform/assist in  Kickchart, DFMC  Antenatal  Simulation
OPD/ selected advanced palpation
 AssistinNST/CTG/USG  Case
infertility clinics/ antenataldiagnostic
 Healthtalk presentation
Reproductive procedures  Assistinginadvanced
medicineand diagnosticprocedures  Casestudy  OSCE
antenatal
ward  Careofantenatalwomenwith
Provideantenatalcare for
complications in pregnancy
women with
complications of  Antenatalcounselling
pregnancy
 Preparationforchildbirth,Birth
preparedness and complication
readiness
Counselantenatal
mothers
 Postabortioncare
Providepostabortion care  Postabortioncounselling
and postnatal
counselling

Providecounsellingand  Counsellinginfertilecouples
support to infertile
couples
Labourroom weeks Conductionofnormal  Assessmentofwomanin  Partograph  Assignment
chidlbirth labour recording
 Casestudy
 Partograph  Pain
 Case
Conduct/assist in management
 Pervaginalexaminationif presentation
abnormaldeliveries duringlabour
indicated
 Simulation
 Conductionof
 Obstetricexamination
normal  OSCE
Monitorlabourusing  Careduringfirststageof childbirth
partograph labour
 Assistingin
 Painmanagementtechniques abnormal
deliveries
 Uprightandalternative
positions in labour  Managing
complication
 Preparation for labour –
duringlabour
articles,physical,psychological
 Casestudy
 Conductionofnormal
Identify and manage childbirth  Case
complicationsduring presentation
labour  Essentialnewborncare
 Newbornresuscitation
 Activemanagementofthird
stage of labour
 Monitoringandcareduring
fourth stage of labour
 Identification, stabilization,
referal and assisting in
management of prolonged
labour,cervicaldystocia,CPD,
contracted pelvis
 Assistinthemanagementof
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 394
ण
Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment
Areas (Weeks) Clinical Skills Requirements Methods
abnormaldeliveries–posterior
position, breech deliveries,
twin deliveries, vacuum
extraction, forceps delivery,
shoulder dystocia
 Assistincervicalencerclage
procedures, D&C, D&E
 Identify, assist and manage
trauma to the birth canal,
retainedplacenta,postpartum
hemorrhage, uterine atony
 Managementofobstetricshock

Postnatal 1week Perform postnatal  Postnatalhistorycollectionand  Healthtalk  Roleplay

Ward assessmentandidentify physical examination
 Postnatal  Assignment
postnatalcomplications
 Identifypostnatal assessment
 Casestudy
complications
 Newborn
 Case
Providepostnatalcare assessment
presentation
 Care of postnatal mothers –  Casestudies
 Simulation
abnormaldeliveries,caesarean
section  Case
 Vignettes
presentation
 Careofnormalnewborn  OSCE
 PPIUCD
 Lactationmanagement insertionand
removal
 Postnatalcounselling
 Healthteachingonpostnatal
Providefamilywelfare and newborn care
services  Familywelfarecounselling

Neonatal 1week Perform assessment of  Neonatal assessment –  Casestudy  Case

IntensiveCare newborn and identify identificationofcomplication, presentation
Unit complications/congenital congenital anomalies.  Case
anomalies presentation  Carestudy
 Observationofnewborn
Performneonatal  Assignments  Careplan
 Neonatalresuscitation
resuscitation  Simulated  Simulation,
 Phototherapyandmanagement practice Vignettes
of jaundice in newborn
Careofhighrisk  OSCE
 AssistinExchangetransfusion
newborn
 Neonatalfeeding–spoonand
katori, paladai, NG tube
 Careofbabyinincubator,
Provide care for ventilator, warmer
newbornsinventilator,
 Infectioncontrolinthenursery
incubator etc
 Neonatalmedications
 StartingIVlinefornewborn,
Assist/performspecial
drug calculation
neonatal procedures

Obstetric/ 2weeks Assistingynecological  Observe/Assistincaesarean  Assisting in  Assignment

Gynae and obstetric surgeries section obstetric and
 Trayset-upfor
operation gynecological
 Managementofretained obstetric and
theatre& surgery
placenta gynecological
Gynecology  Trayset-upfor surgeries
395 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Clinical Duration LearningOutcomes ProceduralCompetencies/ Clinical Assessment

Areas (Weeks) Clinical Skills Requirements Methods
ward  Gynecologicalsurgeries caesarean  Case
section presentation
 Hysterectomy
 Careplan  Simulation
Care for women with  Uterinerupture
gynecologicaldisorders  Vignettes
 Care of women with
gynecologicalconditions
 Healtheducation

Note:CompletionofsafedeliveryAppmoduleduringVIISemester

COMMUNITYHEALTHNURSING–II
PLACEMENT:VIISEMESTER
THEORY:5Credits(100hours)–includeslabhoursalso
PRACTICUM:Clinical:2Credit(160hours)
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:Oncompletionofthecourse,thestudentswillbeableto
1. Demonstratebeginningpracticecompetencies/skillsrelevanttoprovidecomprehensiveprimaryhealthcare/community-
basedcaretoclientswithcommondiseasesanddisordersincludingemergency andfirstaidcareathome/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. Describethemethodsofcollectionandinterpretationofdemographicdata
4. Explainpopulationcontrolanditsimpactonthesocietyanddescribetheapproachestowardslimitingfamily size
5. Describeoccupationalhealthhazards,occupationaldiseasesandtheroleofnursesinoccupationalhealthprograms
6. Identifyhealthproblemsofolderadultsandprovideprimarycare,counselingandsupportivehealthservices
7. Participateinscreeningformentalhealthproblemsinthecommunityandprovidingappropriatereferralservices
8. DiscussthemethodsofdatacollectionforHMIS,analysisandinterpretationofdata
9. Discussabouteffectivemanagementofhealthinformationincommunitydiagnosisandintervention
10. Describethemanagementsystemofdeliveryofcommunityhealthservicesinruralandurbanareas
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. Identifytherolesandresponsibilitiesofhealthteammembersandexplaintheirjobdescription
14. Demonstrateinitiativeinpreparingthemselvesandthecommunityfordisasterpreparednessandmanagement
15. Demonstrateskillsinproperbio-medicalwastemanagementasperprotocols
16. Explaintherolesandfunctionsofvariousnationalandinternationalhealthagencies
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 396
ण
COURSEOUTLINE
T–Theory
Unit Time Learning Content Teaching/Learning Assessment
(Hrs) Outcomes Activities Methods
I 10(T) Explainnurses‘role inManagementofcommonconditionsand  Lecture  Shortanswer
identification, emergencies including first aid
 Discussion  Essay
primary
 Standingorders:Definition,uses
management and  Demonstration  Fieldvisit
referral of clientsScreening,diagnosing/identification, primary reports
with common  Roleplay
care and referral of Gastrointestinal
disorders/conditions System  OSCE
 Suggestedfield
and emergencies assessment
visits
including first aid o Abdominalpain
 Fieldpractice
o Nauseaandvomiting
 Assessment of
o Diarrhea
clientswithcommon
o Constipation conditions and
provide referral
o Jaundice
o GIbleeding
o Abdominaldistension
o Dysphagiaanddyspepsia
o Aphthousulcers
RespiratorySystem
o Acute upper respiratory infections –
Rhinitis,Sinusitis,Pharyngitis,Laryngitis,
Tonsillitis
o Acute lower respiratory infections –
Bronchitis,pneumoniaandbronchial
asthma
o Hemoptysis,Acutechestpain
Heart&Blood
o Common heart diseases – Heart
attack/coronaryarterydisease,heartfailure,
arrhythmia
o Bloodanemia,bloodcancers,bleeding
disorders
Eye&ENTconditions
 Eye – local infections, redness of eye,
conjunctivitis,stye,trachomaandrefractive
errors
 ENT–Epistaxis,ASOM,sorethroat,
deafness
UrinarySystem
 Urinary tract infections – cystitis,
pyelonephritis,prostatitis,UTIsinchildren
Firstaidincommonemergencyconditions –
Review
 Highfever,lowbloodsugar,minorinjuries,
fractures, fainting, bleeding, shock, stroke,
bites, burns, choking, seizures, RTAs,
poisoning, drowning and foreign bodies
397 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

(Hrs) Outcomes Activities Methods
II 20(T) Provide Reproductive, maternal, newborn, child  Lecture  Shortanswer
reproductive, andadolescentHealth(ReviewfromOBG
 Discussion  Essay
maternal,newborn Nursing and application in community
and childcare, setting)  Demonstration  OSCE
including assessment
 Presentsituationofreproductive,maternal  Roleplay
adolescent care in
and child health in India
theurbanandrural  Suggestedfield
healthcaresettings Antenatalcare visits and field
practice
 Objectives, antenatal visits and
examination,nutritionduringpregnancy,  Assessment of
counseling antenatal,postnatal,
newborn, infant,
 Calciumandironsupplementationin
preschool child,
pregnancy
school child, and
 Antenatalcareathealthcentrelevel adolescent health
 Birthpreparedness
 High risk approach – Screening/early
identificationandprimarymanagementof
complications – Antepartumhemorrhage,
pre-eclampsia, eclampsia, Anemia,
Gestational diabetes mellitus,
Hypothyroidism, Syphilis
 Referral,followupandmaintenanceof
records and reports
Intranatal care
 Normallabour–process,onset,stagesof
labour
 Monitoringandactivemanagementof
different stages of labour
 Careofwomenafterlabour
 Earlyidentification,primarymanagement,
referral and follow up – preterm labour,
fetal distress, prolonged and obstructed
labour,vaginal&perennialtears,ruptured
uterus
 Careofnewbornimmediatelyafterbirth
 Maintenanceofrecordsandreports
 UseofSafechildbirthcheck list
 SBAmodule–Review
 Organizationoflabourroom
Postpartumcare
 Objectives,Postnatalvisits,careofmother
and baby, breast feeding, diet during
lactation, and health counseling
 Earlyidentification,primarymanagement,
referral and follow up of complications,
Danger signs-postpartum hemorrhage,
shock,puerperalsepsis,breast conditions,
post-partum depression
 Postpartumvisitbyhealthcare provider
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 398
ण
Unit Time Learning Content Teaching/Learning Assessment
(Hrs) Outcomes Activities Methods
Newbornandchildcare
 Review:Essentialnewborncare
 Managementofcommonneonatalproblems
 Management of common child health
problems:Pneumonia,Diarrhoea,Sepsis,
screening for congenital anomalies and
referral
 Review:IMNCIModule
 Underfiveclinics
AdolescentHealth
 Commonhealthproblemsandriskfactors in
adolescent girls and boys
 Common Gynecological conditions –
dysmenoorhea, Premenstrual Syndrome
(PMS),Vaginaldischarge,Mastitis,Breast
lump, pelvic pain, pelvic organ prolapse
 Teenagepregnancy,awarenessaboutlegal
age of marriage, nutritional status of
adolescents National Menstrual Hygiene
scheme
 Youthfriendlyservices:
Promoteadolescent
health and youth o SRHServiceneeds
friendly services o Role and attitude of nurses:Privacy,
confidentiality,nonjudgementalattitude,  Screen,manageand
client autonomy, respectful care and refer adolescents
communication  Counseladolescents
 Counselingforparentsandteenagers(BCS –
balanced counseling strategy)
NationalPrograms
 RMNCH+A Approach – Aims, Health
systems strengthening, RMNCH+A
strategies,Interventionsacrosslifestages,
program management, monitoring and
evaluation systems
 UniversalImmunizationProgram(UIP)as
per Government of India guidelines –
Review
 RashtriyaBalSwasthyaKaryakaram
(RSBK) -children
 RashtriyaKishorSwasthyaKaryakram
(RKSK) – adolscents
Anyothernewprograms
399 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

(Hrs) Outcomes Activities Methods
III 4(T) Discuss the Demography,Surveillanceand  Lecture  Shortanswer
conceptsandscope Interpretation of Data
 Discussion  Essay
of demography
 Demography and vital statistics –
 Demonstration
demographiccycle,worldpopulation
trends, vital statistics  Roleplay
 Sexratioandchildsexratio,trendsofsex  Suggestedfield
ratio in India, the causes and social visits
implications
 Fieldpractice
 Sourcesofvitalstatistics–Census,
registration of vital events, sample
registration system
 Morbidityandmortalityindicators–
Definition,calculationandinterpretation
 Surveillance, Integrated
diseasesurveillanceproject(IDSP),Organizat
ionof IDSP, flow of information and mother
and child tracking system (MCTS) in India
 Collection,analysis,interpretation,useof
data
 Review:Commonsamplingtechniques–
random and nonrandom techniques
 Disaggregationofdata

IV 6(T) Discusspopulation PopulationanditsControl  Lecture  Shortanswer

explosion and its
 PopulationExplosionanditsimpacton  Discussion  Essay
impact on social
Social, Economic development of
and economic  Demonstration  OSCE
individual, society and country.
development of assessment
India  Roleplay
 Population Control – Women
 Counselingon
Empowerment;Social,Economicand  Suggestedfield
family
Educational Development visits
planning
Describe the
 LimitingFamilySize–Promotionofsmall  Fieldpractice
variousmethodsof
familynorm,TemporarySpacingMethods
population control
(natural, biological, chemical, mechanical
methods etc.), Terminal Methods
(Tubectomy, Vasectomy)
 EmergencyContraception
 Counselinginreproductive,sexualhealth
including problems of adolescents
 MedicalTerminationofpregnancyand
MTP Act
 NationalPopulationStabilizationFund/JSK
(Jansankhya Sthirata Kosh)
 Familyplanning2020
 NationalFamilyWelfareProgram
 RoleofanurseinFamilyWelfareProgram

V 5(T) Describe OccupationalHealth  Lecture  Essay

occupationalhealth
 Occupationalhealthhazards  Discussion  Shortanswer
hazards,
occupational  Occupationaldiseases  Demonstration  Clinical
diseases and the performance
role of nurses in  ESIAct  Roleplay
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 400
ण
Unit Time Learning Content Teaching/Learning Assessment
(Hrs) Outcomes Activities Methods
occupationalhealth  National/StateOccupationalHealth  Suggestedfield evaluation
programs Programs visits
 Role of a nurse in occupational health  Fieldpractice
services – Screening, diagnosing,
managementandreferralofclientswith
occupational health problems

VI 6(T) Identify health GeriatricHealthCare  Lecture  Visitreporton

problems of older elderly home
 Healthproblemsofolderadults  Discussion
adultsandprovide
 Essay
primary care,  Managementofcommongeriatricailments:  Demonstration
counseling and counseling, supportive treatment of older  Shortanswer
supportive health adults
services
 Organizationofgeriatrichealthservices
 Nationalprogramforhealthcareofelderly
(NPHCE)
 Statelevelprograms/Schemesforolder
adults
 Role of a community health nurse in
geriatric health services – Screening,
diagnosing,managementandreferralof
older adults with health problems

VII 6(T) Describe screening MentalHealthDisorders  Lecture  Essay

for mental health
 Screening,management,preventionand  Discussion  Shortanswer
problems in the
referral for mental health disorders
community, take  Demonstration  Counseling
preventive  Review: report
measures and  Roleplay
provideappropriate o Depression,anxiety,acutepsychosis,
 Healthcounseling
referral services Schizophrenia
on promotion of
o Dementia mental health
o Suicide  Suggestedfield
visits
o Alcoholandsubstanceabuse
 Fieldpractice
o Drugdeaddictionprogram
o NationalMentalHealthProgram
o NationalMentalHealthPolicy
o NationalMentalHealthAct
 Role of a community health nurse in
screening,initiationoftreatmentandfollow
up of mentally ill clients

VIII 4(T) Discuss about HealthManagementInformationSystem  Lecture  Groupproject

effective (HMIS) report
 Discussion
management of
 Introductiontohealthmanagementsystem:  Essay
healthinformation  Demonstration
data elements, recording and reporting
in community  Shortanswer
formats, data quality issues  Roleplay
diagnosis and
intervention  Review:  Suggestedfield
visits
o BasicDemographyandvitalstatistics
 Fieldpractice
o Sourcesofvitalstatistics
 Groupprojecton
o Commonsamplingtechniques,frequency
community
distribution
diagnosis – data
401 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

(Hrs) Outcomes Activities Methods
o Collection,analysis,interpretationofdata management
 Analysis of data for community needs
assessmentandpreparationofhealthaction
plan

IX 12(T) Describethesystem Managementofdeliveryofcommunity health  Lecture  Essay

management of services:
 Discussion  Shortanswer
delivery of
 Planning, budgeting and material
community health  Visits to various  Filedvisit
managementofCHC,PHC,SC/HWC
servicesinruraland healthcaredelivery reports
urban areas  ManpowerplanningasperIPHS systems
standards
 Supervisedfield
 Rural:Organization,staffingandmaterial practice
management of rural health services
provided by Government at village,
SC/HWC,PHC,CHC,hospitals–district,
state and central
 Urban: Organization, staffing, and
functionsofurbanhealthservicesprovided
by Government at slums, dispensaries,
special clinics, municipal and corporate
hospitals
 Defenseservices
 Institutionalservices
 Other systems of medicine and health:
Indiansystemofmedicine,AYUSHclinics,
Alternative health care system referral
systems, Indigenous health services

X 15(T) Describe the Leadership,SupervisionandMonitoring  Lecture  Report on

leadership role in interaction
 Understanding work responsibilities/job  Discussion
guiding, withMPHWs,
descriptionofDPHN,HealthVisitor,PHN,
supervising, and  Demonstration HVs , ASHA,
MPHW (Female), Multipurpose health
monitoring the AWWs
Worker (Male), AWWs and ASHA  Roleplay
healthservicesand
 Participation
thepersonnelatthe  RolesandresponsibilitiesofMid-Level  Suggestedfield in training
PHCs, SCs and Health Care Providers (MLHPs) visits programs
community level
including financial  Village Health Sanitation and Nutrition  Fieldpractice  Essay
management Committees (VHSNC): objectives,
compositionandroles&responsibilities  Shortanswer
 Healthteammanagement
Describe the roles
and responsibilities  Review:Leadership&supervision–
of Mid-Level concepts, principles & methods
Health Care  Leadershipinhealth:leadershipapproaches
Providers(MHCPs) in healthcare setting, taking control of
in Health Wellness health of community and organizing health
Centers (HWCs) camps, village clinics
 Training, Supportive supervision and
monitoring – concepts, principles and
processe.g.performanceoffrontlinehealth
workers
FinancialManagementandAccounting&
Computing at Health Centers (SC)
o Activitiesforwhichfundsarereceived
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 402
ण
Unit Time Learning Content Teaching/Learning Assessment
(Hrs) Outcomes Activities Methods
o Accountingand bookkeepingrequirements –
accounting principles & policies, book of
accountstobemaintained,basicaccounting
entries, accounting process, payments &
expenditure, fixed asset, SOE reporting
format,utilizationcertificate(UC)reporting
o Preparingabudget
o Audit
Records&Reports:
 Concepts of records and reports –
importance, legal implications, purposes,
useofrecords,principlesofrecordwriting,
filing of records
 Typesofrecords–communityrelated
records, registers, guidelines for
maintaining
 Reportwriting–purposes,documentation
of activities, types of reports
 MedicalRecordsDepartment–functions,
filing and retention of medical records
 Electronic Medical Records (EMR) –
capabilities and components of EMR,
electronichealthrecord(EHR),levelsof
automation, attributes, benefits and
disadvantages of HER
 Nurses’responsibilityinrecordkeeping
and reporting

XI 6(T) Demonstrate DisasterManagement  Lecture

initiative in
 Disastertypesandmagnitude  Discussion
preparing
themselvesandthe  Disasterpreparedness  Demonstration
community for
disaster  Emergencypreparedness  Roleplay
preparedness and  Commonproblemsduringdisastersand  Suggestedfield
management methods to overcome visits,andfield
practice
 Basicdisastersupplieskit
 Mockdrills
 Disaster response including emergency
reliefmeasuresandLifesavingtechniques  Refer Disaster
module(NDMA)
Usedisastermanagementmodule
National
Disaster/INC –
Reaching out in
emergencies

XII 3(T) Describe the Bio-MedicalWasteManagement  Lecturecum  Fieldvisit

importanceofbio- Discussion report
 Waste collection, segregation,
medical waste
transportationandmanagementinthe  Fieldvisittowaste
management, its
community management site
process and
management  Wastemanagementinhealthcenter/clinics
 Bio-medicalwastemanagementguidelines
– 2016, 2018 (Review)

XIII 3(T) Explaintheroles HealthAgencies  Lecture  Essay

and functions of
403 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

(Hrs) Outcomes Activities Methods
various national  International: WHO, UNFPA, UNDP,  Discussion  Shortanswer
andinternational World Bank, FAO, UNICEF, European
 Fieldvisits
health agencies Commission, Red Cross, USAID,
UNESCO,ILO,CAR,CIDA,JHPIEGO,
any other
 National:IndianRedCross,IndianCouncil
for Child Welfare, Family Planning
Association of India, Tuberculosis
Association of India, Central SocialWelfare
Board, All India Women‘s
Conference,BlindAssociationofIndia,any
other
 VoluntaryHealthAssociationofIndia
(VHA)

COMMUNITYHEALTHNURSINGII
Clinical practicum – 2 credits (160 hours)
CLINICALPOSTINGS(4weeks×40hoursperweek)
Clinical Duration LearningOutcomes Procedural ClinicalRequirements Assessment
Area (Weeks) Competencies/ Methods
ClinicalSkills
Urban 2weeks Screen, diagnose,  Screening,  Screening,diagnosing,Primary  Clinical
manageandreferclients diagnosing, managementandcarebasedon performance
with common managementand standing orders/protocols assessment
Rural 2Weeks conditions/emergencies referralofclients approved by MOH&FW
 OSCEduring
with common
 Minorailments–2 posting
conditions/
emergencies  Emergencies–1  Finalclinical
examination
 Dentalproblems–1
(University)
 Assessment  Eyeproblems–1
(physical &
nutritional)of  Ear,nose,andthroatproblems –
antenatal, 1
intrapartum,  Highriskpregnantwoman–1
postnatal and  Clinical
newborn  Highriskneonate–1
Assess and provide performance
antenatal, intrapartum,  Conduction of  Assessment of antenatal – 1, assessment
postnatalandnew-born normaldeliveryat intrapartum–1,postnatal–1
 OSCE
care health center and newborn – 1

 Newborncare  Conductionofnormaldelivery
at health center and
 Counseladolescents documentation – 2
 Familyplanning  Immediatenewborncareand
counselling documentation – 1
 Distribution of
temporary
contraceptives –  Adolescentcounseling–1
condoms,OCP‘s,
emergency
contraceptives
Promoteadolescent  Familyplanningcounselling–
health
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 404
ण
Clinical Duration LearningOutcomes Procedural ClinicalRequirements Assessment
Area (Weeks) Competencies/ Methods
ClinicalSkills
 Screening, 1
diagnosing,
Providefamilywelfare  Familycasestudy–1
management and
services (Rural/Urban)
referral of clients  FamilyCase
withoccupational study
health problems evaluation

 Healthassessment
Screen, diagnose, of elderly
manageandreferclients
withoccupationalhealth
problem  Screening, diagnosing,
managementandreferralof
clients with occupational
health problems – 1
 Mentalhealth
screening  Clinical
performance
Screen, assess and evaluation
manageelderlywith
healthproblemsand
refer appropriately  Healthassessment(Physical&
nutritional) of elderly – 1
 Participation in
Screen, diagnose, Community
manageandreferclients diagnosis–data
who are mentally management  OSCE
unhealthy  Mentalhealthscreeningsurvey
–1
 Writinghealth
Participate in centeractivity
communitydiagnosis– report
data management
 Group project: Community
 Organizingand diagnosis–datamanagement
conducting
clinics/camp
Participateinhealth
centre activities
 Writereportonhealthcenter
 Participation in activities – 1
disastermockdrills
 Project
Organize and conduct evaluation
clinics/healthcampsin
the community  Organizingandconducting
Antenatal/under-five
clinic/Health camp – 1
Preparefordisaster
preparedness and
management  Participationindisastermock
drills

Recognize the
importanceandobserve  Fieldvisittobio-medicalwaste
the biomedical waste management site
management process

 VisittoAYUSHclinic
405 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

NURSINGRESEARCHANDSTATISTICS

PLACEMENT:VIISEMESTER
THEORY:2Credits(40hours)
PRACTICUM:Lab/SkillLab:1Credit(40hours)ClinicalProject:40hours

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:Oncompletionofthecourse,studentswillbecompetentto
1. Identifyresearchpriorityareas
2. Formulateresearchquestions/problemstatement/hypotheses
3. Reviewrelatedliteratureonselectedresearchproblemandprepareannotatedbibliography
4. Preparesampledatacollectiontool
5. Analyzeandinterpretthegivendata
6. Practicecomputing,descriptivestatisticsandcorrelation
7. Drawfiguresandtypesofgraphsongivenselectdata
8. Developaresearchproposal
9. Planandconductagroup/individualresearchproject

COURSEOUTLINE
T–Theory,P– Practicum
Unit Time(Hrs.) Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
T P
I 6 Describe the ResearchandResearchProcess  Lecturecum  Shortanswer
concept of Discussion
research, terms,  Introductionandneedfornursing  Objectivetype
needandareasof
research  Narrate steps of
research process
research in  DefinitionofResearch&nursing followed from
nursing research
examples of
Explainthesteps  Stepsofscientificmethod publishedstudies
of research
process  Characteristicsofgoodresearch  Identify research
prioritiesonagiven
Statethepurposes  StepsofResearchprocess– area/ specialty
and steps of overview
Evidence Based  Listexamplesof
 EvidenceBasedPractice–Concept, Evidence Based
Practice Meaning, Purposes, Steps of EBP Practice
Process and Barriers

II 2 8 Identifyandstate ResearchProblem/Question  Lecturecum  Shortanswer

the research Discussion
problem and  Identificationofproblemarea  Objectivetype
objectives  Exerciseonwriting
 Problemstatement statement of  Formulationof
problem and research
 Criteriaofagoodresearchproblem questions/
objectives
 Writingobjectivesandhypotheses objectives/
hypothesis
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 406
ण
Unit Time(Hrs.) Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
T P
III 2 6 Review the ReviewofLiterature  Lecturecum  Shortanswer
relatedliterature Discussion
 Location  Objectivetype
 Exercise on
 Sources reviewing one  Assessmentof
research report/ review of
 Onlinesearch;CINHAL, literature on
COCHRANE etc. articleforaselected
research problem given topic
 Purposes presented
 Prepareannotated
 Methodofreview Bibliography

IV 4 1 Describe the ResearchApproachesandDesigns  Lecturecum  Shortanswer

Research Discussion
approachesand  Historical,surveyandexperimental  Objectivetype
 Identify types of
designs  QualitativeandQuantitative researchapproaches
designs
usedfromexamples
of published and
unpublishedresearch
 Studieswith
rationale

V 6 6 Explainthe SamplinganddataCollection  Lecturecum  Shortanswer

Sampling Discussion
process  DefinitionofPopulation,Sample  Objectivetype
 Readingassignment
 Sampling criteria, factors onexamplesofdata  Developing
influencingsamplingprocess,types collection tools questionnaire/
of sampling techniques Interview
 Preparationof Schedule/
 Data–why,what,fromwhom, sample data Checklist
when and where to collect
collectiontool
Describethe
 Datacollectionmethodsand  Conduct group
instruments researchproject
methodsofdata
o Methodsofdatacollection
collection
o Questioning,interviewing
o Observations,recordanalysisand
measurement
o Typesofinstruments,Validity&
Reliability of the Instrument
 Researchethics
 Pilotstudy
 Datacollectionprocedure

VI 4 6 Analyze, Analysisof data  Lecturecum  Shortanswer

Interpret and Discussion
summarizethe  Compilation, Tabulation,  Objectivetype
research data classification, summarization,  Preparationof
presentation,interpretationofdata sample tables  Analyze and
interpretgiven
data

VII 12 8 Explaintheuse IntroductiontoStatistics  Lecturecum  Shortanswer

of statistics, Discussion
scales of  Definition,useofstatistics,scales  Objectivetype
measurement
of measurement.  Practiceon
 Computationof
407 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time(Hrs.) Learning Content Teaching/Learning Assessment

Outcomes Activities Methods
T P
and graphical  Frequency distribution and graphical descriptive
presentationof graphicalpresentationofdata presentations statistics
data
 Mean,Median,Mode,Standard  Practice on
deviation computation of
measures of central
Describe the  NormalProbabilityandtestsof tendency,variability
measures of significance & correlation
central tendency
andvariabilityand  Co-efficientofcorrelation
methods of  Statisticalpackagesandits
Correlation application

VIII 4 5 Communicate and Communicationandutilizationof  Lecturecum  Shortanswer

utilizetheresearch Research Discussion
findings  Objectivetype
 Communicationofresearch  Read/Presentations
findings of a sample  Oral
published/ Presentation
 Verbalreport unpublished  Developmentof
 Writingresearchreport research report research
 Writingscientificarticle/paper  Plan,conductand proposal
Write  Assessment of
 Critical review of published individual/group
40 Hrs researchincludingpublication researchProject
research project
(Clinical ethics
Project)
 Utilizationofresearchfindings
 Conductinggroupresearchproject

MIDWIFERY/OBSTETRICANDGYNECOLOGYNURSING-II
includingSafeDeliveryAppModule
PLACEMENT:VIISEMESTER
THEORY:3Credits(60hours)
PRACTICUM:SkillLab:1Credit(40Hours)Clinical:4Credits(320Hours)
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
maternitycaretohighriskwomanduringantenatal,natalandpostnatalperiodsinhospitalsandcommunitysettingsandhelp 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:Oncompletionofthecourse,thestudentswillbeableto:
1. Describetheassessment,initialmanagement,referralandrespectfulmaternitycareofwomenwithhighriskpregnancy.
2. Demonstratecompetencyinidentifyingdeviationfromnormalpregnancy.
3. Describetheassessment,initialmanagement,referralandnursingcareofwomenwithhighrisklabour.
4. Assistintheconductionofabnormalvaginaldeliveriesandcaesareansection.
5. Describetheassessment,initialmanagement,referralandnursingcareofwomenwithabnormalpostnatalconditions.
6. Demonstratecompetencyintheinitialmanagementofcomplicationsduringthepostnatalperiod.
7. Demonstratecompetencyinprovidingcareforhighrisknewborn.
8. Applynursingprocessincaringforhighriskwomenandtheirfamilies.
9. Describetheassessmentandmanagementofwomenwithgynecologicaldisorders.
 [भाग III—खण्ड4] भारतकाराजपत्र:असाधार 408
ण
10. Demonstrateskillsinperformingandassistinginspecificgynecologicalprocedures.
11. Describethedrugsusedinobstetricsandgynecology.
12. Counselandcareforcoupleswithinfertility.
13. Describeartificialreproductivetechnology.

COURSEOUTLINE
T–Theory,SL/L–SkillLab,C–Clinical
Unit Time Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
(Hrs.)
I 12(T) Describe the RecognitionandManagementof problems  Lecture  Essay
assessment,initial during Pregnancy
10(L)  Discussion  Shortanswer
management, and
 Assessmentofhigh-riskpregnancy
80(C) referralofwomen  Demonstration  Objective type
with problems Problems/ComplicationsofPregnancy
during pregnancy  Video&films  Assessmentof
 Hyper-emesisgravidarum, skills with
 Scanreports
check list
 Bleedinginearlypregnancy–abortion,
Support women  Casediscussion
ectopic pregnancy, vesicular mole  OSCE
withcomplicated  Casepresentation
pregnancy and  Unintendedormistimedpregnancy
facilitatesafeand  Drugpresentation
 Postabortioncare&counseling
positive birthing  Healthtalk
outcome  Bleedinginlatepregnancyplacenta
previa, abruption placenta, trauma  Simulation
 Medical conditions complicating  Roleplay
pregnancy – Anemia, PIH/Pre-
eclampsia,Eclampsia,GDM,cardiac  SupervisedClinical
disease, pulmonary disease, practice
thyrotoxicosis, STDs, HIV, Rh  WHOmidwifery
incompatibility toolkit
 Infectionsinpregnancy–urinarytract  GoI guideline –
infection, bacterial, viral, protozoal, screening for
fungal, malaria in pregnancy hypothyroidism,
 Surgicalconditionscomplicating screeningforsyphilis,
pregnancy – appendicitis, acute deworming during
abdomen pregnancy, diagnosis
and management of
 COVID-19&pregnancyandchildren GDM
 Hydramnios
 Multiplepregnancy
 Abnormalitiesofplacentaandcord
 Intrauterinegrowthrestriction
 Intrauterinefetaldeath
 Gynaecologicalconditionscomplicating
pregnancy
 Mentalhealthissuesduringpregnancy
 Adolescentpregnancy
 Elderlyprimi,grandmultiparity
 Managementandcareofconditionsas
per the GoI protocol
 Policyforthereferralservices
409 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

Outcomes Activities Methods
(Hrs.)
 Drugsusedinmanagementofhigh-risk
pregnancies
 Maintenanceofrecordsandreports

II 20(T) Identify, provide Recognitionandmanagementof  Lecture  Essay

initialmanagement abnormal labour
15(L)  Discussion  Shortanswer
and refer women
 Preterm labour – Prevention and
80(C) with problems  Demonstration  Objective type
managementofpretermlabour;(Useof
during labour
antenatal corticosteroids in preterm  Casediscussion/  Assessmentof
withinthescopeof
labour) presentation skills with
midwiferypractice.
check list
 Prematureruptureofmembranes  Simulation
 OSCE
 Malposition‘s and abnormal  Roleplay
presentations(posteriorposition,breech,
brow, face, shoulder)  Drugpresentation

 ContractedPelvis,CephaloPelvic  Supervisedclinical
Disproportion (CPD) practice

 Disorders of uterine action – Prolonged  WHOmidwifery

labour,Precipitatelabour,Dysfunctional toolkit
labour  GoIguidelines–use
 Complications of third stage – Retained ofuterotonicsduring
placenta, Injuries to birth canal, labour, antenatal
Postpartum hemorrhage (bimanual corticosteroids
compression of the uterus, aortic  GoIguidancenoteon
compression,uterineballoontamponade) prevention and
 Obstetric emergencies – Foetal distress, management of PPH
Ruptureduterus,Cordprolapse,Shoulder
dystocia, Uterine inversion, Vasa previa,
Obstetrical shock, Amniotic fluid
embolism
 Episiotomyandsuturing
 Obstetricprocedures–Forcepsdelivery,
Vacuum delivery, Version
 Inductionoflabour–Medical&surgical
 Caesareansection–indicationsand
preparation
 Nursingmanagementofwomen
undergoing
 Obstetricoperationsandprocedures
 Drugsusedinmanagementofabnormal
labour
 Anesthesiaandanalgesiainobstetrics

III 9(T) Describe the RecognitionandManagementof  Lecture  Quiz

assessment, initial postnatal problems
5(L)  Demonstration  Simulation
management,
 Physicalexamination,identificationof
40(C) referral and  Casediscussion/  Shortanswer
deviation from normal
nursing care of presentation
women with  OSCE
 Puerperalcomplicationsandits
abnormalpostnatal  Drugpresentation
management
conditions.  Supervisedclinical
o Puerperalpyrexia
practice
o Puerperalsepsis
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 410
ण
Unit Time Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
(Hrs.)
o Urinarycomplications
o SecondaryPostpartumhemorrhage
o Vulvalhematoma
o Breast engorgement including
mastitis/breastabscess,feeding
problem
o Thrombophlebitis
o DVT
o Uterinesubinvolution
o Vesicovaginalfistula(VVF),Recto
vaginal fistula (RVF)
o Postpartumdepression/psychosis
 Drugsusedinabnormalpuerperium
 Policyaboutreferral

IV 7(T) Describehighrisk AssessmentandmanagementofHigh-  Lecture  Shortanswer

neonatesandtheir risk newborn (Review)
5(L)  Discussion  Objective type
nursing
 ModelsofnewborncareinIndia–
40(C) management  Demonstration  Assessmentof
NBCC; SNCUs
skills with
 Simulation
 Screeningofhigh-risknewborn check list
 Casediscussion/
 Protocols,levelsofneonatalcare,  OSCE
presentation
infection control
 Drugpresentation
 Prematurity,Post-maturity
 SupervisedClinical
 Lowbirthweight
practice
 KangarooMotherCare
 Integrated
 Birthasphyxia/Hypoxicencephalopathy Management of
NeonatalChildhood
 Neonatalsepsis
Illnesses (IMNCI)
 Hypothermia
 Respiratorydistress
 Jaundice
 Neonatalinfections
 Highfever
 Convulsions
 Neonataltetanus
 Congenitalanomalies
 BabyofHIVpositivemothers
 BabyofRhnegativemothers
 Birthinjuries
 SIDS(SuddenInfantDeathSyndrome)
prevention, Compassionate care
 Calculationoffluidrequirements,
EBM/formula feeds/tube feeding
 Homebasednewborncareprogram-
411 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

Unit Time Learning Content Teaching/Learning Assessment

Outcomes Activities Methods
(Hrs.)
communityfacilityintegrationin newborn
care
 Decisionmakingaboutmanagementand
referral
 Bereavementcounseling
 Drugsusedforhighrisknewborns
 Maintenanceofrecordsandreports

V 12(T) Describe the Assessmentandmanagementofwomen  Lecture  Essay

assessmentand with gynecological disorders
5(L)  Discussion  Shortanswer
managementof
 Gynecologicalassessment–Historyand
80(C) women with  Demonstration  Objectivetype
Physical assessment
gynecological
disorders.  Casediscussion/  Assessmentof
 BreastSelf-Examination
presentation skills with
 Congenitalabnormalitiesoffemale check list
 Drugpresentation
reproductive system
 OSCE
 Videos,films
 Etiology, pathophysiology, clinical
manifestations, diagnosis, treatment  Simulatedpractice
modalitiesandmanagementofwomen
with  SupervisedClinical
practice
o Menstrualabnormalities
 Visittoinfertility
o Abnormaluterinebleed clinic and ART
centers
o Pelvicinflammatorydisease
o Infectionsofthereproductivetract
o Uterinedisplacement
o Endometriosis
o Uterineandcervicalfibroidsand
polyps
o Tumors–uterine,cervical,ovarian,
vaginal, vulval
o Cysts–ovarian,vulval
o Cystocele,urethrocele,rectocele
o Genitor-urinaryfistulas
o Breastdisorders–infections,
deformities, cysts, tumors
o HPVvaccination
o DisordersofPubertyandmenopause
o Hormonalreplacementtherapy
 Assessmentandmanagementofcouples
with infertility
o Infertility–definition,causes
o Counselingtheinfertilecouple
o Investigations–maleandfemale
o Artificialreproductivetechnology
o Surrogacy,spermandovumdonation,
cryopreservation
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 412
ण
Unit Time Learning Content Teaching/Learning Assessment
Outcomes Activities Methods
(Hrs.)
 Adoption–counseling,procedures
 InjuriesandTrauma;Sexualviolence
 Drugsusedintreatmentof
gynaecological disorders

Note:CompletesafedeliveryappduringVIISemester.

PRACTICUM
SKILLLAB&CLINICALAREGIVENUNDEROBGNURSING–I
LISTOFAPPENDICES
1. InternalAssessment:Distributionofmarks
2. InternalAssessmentguidelines
3. UniversityTheorypaperQuestionpatternandPracticalexamination
APPENDIX1
INTERNALASSESSMENT:Distributionofmarks
I SEMESTER
S.No. NameoftheCourse Continuous SessionalExams– TotalInternalMarks
Assessment Theory/Practical

Theory

1 CommunicativeEnglish 10 15 25

2 AppliedAnatomy&AppliedPhysiology 10 15 25

3 AppliedSociology&AppliedPsychology 10 15 25

4 NursingFoundationsI 10 15 25

Practical

5 NursingFoundationsI 10 15 25

II SEMESTER
S.No. Course Continuous SessionalExams– TotalMarks
Assessment Theory/Practical

Theory

1 AppliedBiochemistryandAppliedNutrition&Dietet 10 15 25
ics

2 NursingFoundationsIIincludingFirstAid I 10 15 25
& II I&II=25+25=50/2

3 Health/NursingInformatics&Technology 10 15 25

Practical

4 NursingFoundationsII I 10 15 25
& II I&II=25+25=50
413 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

III SEMESTER
S.No. Course Continuous SessionalExams– TotalMarks
Assessment Theory/Practical

Theory

1 AppliedMicrobiologyandInfectionControl 10 15 25
including Safety

2 PharmacologyIandPathologyI 10 15 25

3 Adult Health Nursing I with integrated 10 15 25

pathophysiologyincludingBCLSmodule

Practical

4 AdultHealthNursingI 20 30 50

IV SEMESTER
S.No. Course Continuous SessionalExams/ TotalMarks
Assessment Practical

Theory

1 PharmacologyII&PathologyII I 10 15 25
& II I&II=25+25=50/2

2 Adult Health Nursing II with integrated 10 15 25

pathophysiologyincludingGeriatricNursing

3 Professionalism,Professionalvalues&Ethics 10 15 25
including bioethics

Practical

4 AdultHealthNursing II 20 30 50

V SEMESTER
S.No. Course Continuous SessionalTheory/ TotalMarks
Assessment Practical Exams

Theory

1 ChildHealthNursingI 10 15 25

2 MentalHealthNursingI 10 15 25

3 CommunityHealthNursingI 10 15 25

4 EducationalTechnology/Nursingeducation 10 15 25

5 IntroductiontoForensicNursingandIndianLaws 10 15 25

Practical

6 ChildHealthNursingI 10 15 25

7 MentalHealthNursingI 10 15 25

8 CommunityHealthNursingI 20 30 50
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 414
ण
VI SEMESTER
S.No. Course Continuous SessionalExams/ TotalMarks
Assessment Practical

Theory

1 ChildHealthNursingII I 10 15 25
& II I&II=25+25=50/2

2 MentalHealthNursingII I 10 15 25
& II I&II=25+25=50/2

3 NursingManagementandLeadership 10 15 25

4 Midwifery/ObstetricsandGynecology I 10 15 25

Practical

5 ChildHealthNursingII I 10 15 25
& II I&II=25+25=50

6 MentalHealthNursingII I 10 15 25
& II I&II=25+25=50

7 Midwifery/ObstetricsandGynecology(OBG) 10 15 25
Nursing I

VII SEMESTER
S.No. Course Continuous SessionalExams/ TotalMarks
assessment Practical

Theory

1 CommunityHealthNursingII 10 15 25

2 NursingResearch&Statistics 10 15 25

3 Midwifery/ObstetricsandGynecology(OBG) 10 15 25
Nursing II
I&II
I&II=25+25=50/2

Practical

4 CommunityHealthNursingII 20 30 50

5 Midwifery/ObstetricsandGynecology(OBG) 10 15 25
Nursing II
I&II
I&II=25+25=50

VIII SEMESTER(Internship)
S.No. Course Continuousperformance OSCE TotalMarks
evaluation

1 Competencyassessment– 5 Eachspecialty–10 Eachspecialty–10 100

specialties × 20 marks 5×10 = 50 marks 5×10 = 50 marks
415 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

APPENDIX2
INTERNALASSESSMENTGUIDELINES
THEORY
I. CONTINUOUSASSESSMENT:10marks
1. Attendance–2marks(95-100%:2marks,90-94:1.5marks,85-89:1mark,80-84:0.5mark,<80:0)
2. Writtenassignments(Two)–10marks
3. Seminar/microteaching/individualpresentation(Two)–12marks
4. Groupproject/work/report–6marks
Total = 30/3 = 10
Ifthereismandatorymoduleinthatsemester,marksobtainedbystudentoutof10canbeaddedto30totaling 40 marks
Total=40/4=10marks
II. SESSIONALEXAMINATIONS:15marks
Twosessionalexamspercourse
Exampattern:
MCQ–4×1=4
Essay–1×10=10
Short–2×5=10
VeryShort–3×2=6
30marks×2=60/4=15

PRACTICAL
I. CONTINUOUSASSESSMENT:10marks
1. Attendance–2marks(95-100%:2marks,90-94:1.5marks,85-89:1mark,80-84:0.5mark,<80:0)
2. Clinicalassignments–10marks
(Clinicalpresentation–3,drugpresentation&report–2,casestudyreport–5)
3. Continuousevaluationofclinicalperformance–10marks
4. EndofpostingOSCE–5marks
5. Completionofproceduresandclinicalrequirements–3marks
Total = 30/3 = 10

II. SESSIONALEXAMINATIONS:15marks
Exampattern:
OSCE–10marks(2-3hours)
DOP–20marks(4-5hours)
{DOP–Directlyobservedpracticalintheclinicalsetting}
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.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 416
ण
COMPETENCYASSESSMENT:(VIIISEMESTER)
Internalassessment
Clinicalperformanceevaluation–10×5specialty=50marks OSCE =
10 × 5 specialty = 50 marks
Total=5specialty×20marks=100

APPENDIX3
I. UNIVERSITYTHEORYQUESTIONPAPERPATTERN(For75marks)
1. SectionA–37marksandSectionB–38marks
a. Applied Anatomy & Applied Physiology: Applied Anatomy – Section A and Applied Physiology – Section
B,
b. AppliedSociology&AppliedPsychology:AppliedSociology–SectionAandAppliedPsychology–
SectionB
c. AppliedMicrobiology&InfectionControlincludingSafety:AppliedMicrobiology–SectionAand Infection
Control including Safety – Section B
SectionA(37marks)
MCQ–6×1=6
Essay–1×10=10
Short–3×5=15
VeryShort–3×2=6
SectionB(38marks)
MCQ – 7 × 1 = 7
Essay–1×10=10
Short–3×5=15
VeryShort–3×2=6

2. SectionA–25marksandSectionB–50marks
AppliedBiochemistry&Nutrition&Dietetics:AppliedBiochemistry–SectionAandAppliedNutrition& Dietetics –
Section B
SectionA(25marks)
MCQ–4×1=4
Short–3×5=15
VeryShort–3×2=6
SectionB(50marks)
MCQ – 8 × 1 = 8
Essay/situationtype–1×10=10
Short–4×5=20
VeryShort–6×2=12

3. SectionA–38marks,SectionB–25marksandSectionC–12marks
Pharmacology,PathologyandGenetics:Pharmacology–SectionA,Pathology–SectionBandGenetics– Section C
SectionA(38marks)
MCQ–7×1=7
Essay–1×10=10
Short–3×5=15
417 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

VeryShort–3×2=6
SectionB(25marks)
MCQ – 4 × 1 = 4
Short–3×5=15
VeryShort–3×2=6
SectionC(12marks)
MCQ – 3 × 1 = 3
Short–1×5=5
VeryShort–2×2=4

4. SectionA–55marksandSectionB–20marks
ResearchandStatistics:Research–SectionAandStatistics–SectionB
SectionA(55marks)
MCQ–9×1=9
Essay/situationtype–2×15=30
Short–2×5=10
VeryShort–3×2=6
SectionB(20marks)
MCQ – 4 × 1 = 4
Short–2×5=10
VeryShort–3×2=6

5. Marks75(Forallotheruniversityexamswith75marks)
MCQ–12×1=12
Essay/situationtype–2×15=30
Short–5×5=25
VeryShort–4×2=8

6. CollegeExam(EndofSemester)–50marks(50/2=25marks)
MCQ–8×1=8
Essay/situationtype–1×10=10
Short–4×5=20
VeryShort–6×2=12
II. UNIVERSITYPRACTICALEXAMINATION–50marks
OSCE–15marks
DOP – 35 marks

III. COMPETENCYASSESSMENT–UniversityExam(VIIISEMESTER)
IntegratedOSCEincludingall5specialties(Stationsbasedoneveryspecialty)=5specialty5×20=100marks

Totalof5Examiners:external–2andinternal–3(Onefromeachspecialty)
Internalexaminersmaybechosenfromcollegefacultywithrequiredqualificationorfromhospitalwithrequiredqualification.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 418
ण
ClinicalLogbookforB.Sc.NursingProgram
(Procedural Competencies/Skills)

I&II SEMESTER
S.No. ProceduralCompetencies/Skills Performs Assists/ DATE Signatureofthe
independently Observes Tutor/Faculty
procedures Skill Lab/ Clinical
Simulation Area
A/O Lab

I SEMESTER

I CommunicationandDocumentation

1 MaintainingCommunicationand
interpersonal relationship with
patient and families

2 VerbalReport

3 Recording/Documentationof
patientcare(WrittenReport)

II MonitoringVitalSigns

Temperature

4 Oral

5 Axillary

6 Rectal

7 Tympanic

Pulse

8 Radial

9 Apical

10 Respiration

11 BloodPressure

III Hot&ColdApplication

12 ColdCompress

13 HotCompress

14 IceCap

15 Tepidsponge

IV HealthAssessment(Basic–Firstyearlevel)

16 HealthHistory

17 PhysicalAssessment–General&
system wise

18 Documentationoffindings

V InfectionControlinClinical
Settings
419 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. ProceduralCompetencies/Skills Performs Assists/ DATE Signatureofthe

independently Observes Tutor/Faculty
procedures Skill Lab/ Clinical
Simulation Area
A/O Lab

19 Handhygiene(Handwashing&
Hand rub)

20 Useofpersonalandprotective
equipment

VI Comfort

21 OpenBed

22 OccupiedBed

23 Post-operativeBed

24 SupinePosition

25 Fowler‘sPosition

26 LateralPosition

27 PronePosition

28 SemiPronePosition

29 TrendelenburgPosition

30 LithotomyPosition

31 ChangingPositionofhelpless
patient (Moving/Turning/
Logrolling)

32 Cardiactable/Over-bedtable

33 BackRest

34 BedCradle

35 PainAssessment(Initial&Reassess
ment)

VII Safety

36 Side rail

37 Restraint(Physical)

38 Fallriskassessment&postfall
assessment

VIII Admission&Discharge

39 Admission

40 Discharge

41 Transfer(withinhospital)

IX Mobility

42 Ambulation

43 Transferringpatientfrom& to
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 420
ण
S.No. ProceduralCompetencies/Skills Performs Assists/ DATE Signatureofthe
independently Observes Tutor/Faculty
procedures Skill Lab/ Clinical
Simulation Area
A/O Lab

bed& wheelchair

44 Transferringpatientfrom&to bed
& stretcher

45 RangeofMotionExercises
(ROM)

X PatientEducation

46 IndividualPatientTeaching

IISEMESTER

XI Hygiene

47 Spongebath/Bedbath

48 PressureInjuryAssessment

49 Skincareandcareofpressure points

50 Oralhygiene

51 Hairwash

52 Pediculosistreatment

53 PerinealCare/Meatalcare

54 UrinaryCathetercare

XII NursingProcess-Basiclevel

55 Assessmentandformulating
nursing diagnosis

56 Planningthenursing Care

57 ImplementationofCare

58 EvaluationofCare(Reassessment &
Modification)

XIII Nutrition&FluidBalance

59 24HoursDietaryRecall

60 PlanningWellbalanceddiet

61 Makingfluidplan

62 Preparationofnasogastrictube
feed

63 Nasogastrictubefeeding

64 Maintainingintake&outputchart

65 IntraVenousInfusionPlan

XIV Elimination
421 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. ProceduralCompetencies/Skills Performs Assists/ DATE Signatureofthe

independently Observes Tutor/Faculty
procedures Skill Lab/ Clinical
Simulation Area
A/O Lab

66 ProvidingBedpan

67 ProvidingUrinal

68 Enema

69 BowelWash

XV DiagnosticTests-Specimencollection

70 UrineSpecimenforRoutine
Analysis

71 UrineSpecimenforCulture

72 Timedurinespecimencollection

73 Fecesspecimenforroutine

74 SputumCulture

UrineTesting

75 Ketone

76 Albumin

77 Reaction

78 SpecificGravity

XVI OxygenationNeeds/PromotingRespiration

79 DeepBreathing&Coughing
Exercises

80 Steaminhalation

81 Oxygenadministrationusingface
mask

82 Oxygenadministrationusing
nasal prongs

XVII MedicationAdministration

83 OralMedications

84 Intramuscular

85 Subcutaneous

86 RectalSuppositories

XVIII DeathandDying

87 Deathcare/LastOffice

XIX FirstAidandEmergencies

Bandages&Binders

88 Circular
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 422
ण
S.No. ProceduralCompetencies/Skills Performs Assists/ DATE Signatureofthe
independently Observes Tutor/Faculty
procedures Skill Lab/ Clinical
Simulation Area
A/O Lab

89 Spiral

90 ReverseSpiral

91 Recurrent

92 Spica

93 Figureof eight

94 Eye

95 Ear

96 Caplin

97 Jaw

98 ArmSling

99 AbdominalBinder

100 BasicCPR(firstaidmodule)

III&IVSEMESTER
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

IIISEMESTER

I MEDICAL

Intravenoustherapy

1 IVcannulation

2 IVmaintenance&monitoring

3 AdministrationofIVmedication

4 CareofpatientwithCentral
Line

Preparation,assisting,andaftercareofpatientsundergoingdiagnosticprocedures

5 Thoracentesis

6 Abdominalparacentesis

Respiratorytherapiesandmonitoring

7 Administrationofoxygenusing
venturi mask

8 Nebulization
423 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

9 Chestphysiotherapy

10 Posturaldrainage

11 Oropharyngealsuctioning

12 Careofpatientwithchest
drainage

Planningtherapeuticdiet

13 Highproteindiet

14 Diabeticdiet

15 Performingandmonitoring
GRBS

16 Insulinadministration

II SURGICAL

17 Pre-Operativecare

18 ImmediatePost-operativecare

19 Post-operativeexercise

20 Painassessmentandmanagement

Assistingdiagnosticproceduresandaftercareofpatientsundergoing

21 Colonoscopy

22 ERCP

23 Endoscopy

24 LiverBiopsy

25 Nasogastricaspiration

26 Gastrostomy/Jejunostomyfeeds

27 Ileostomy/Colostomycare

28 Surgicaldressing

29 Sutureremoval

30 Surgicalsoak

31 Sitzbath

32 Careofdrain

III CARDIOLOGY

33 Cardiacmonitoring

34 RecordingandinterpretingECG

35 Arterialbloodgasanalysis–
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 424
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

interpretation

36 Administrationofcardiacdrugs

37 Preparationandaftercareof
patients undergoing cardiac
Catheterization

38 PerformingBCLS

Collectionofbloodsamplefor

39 Bloodgrouping/crossmatching

40 Bloodsugar

41 Serumelectrolytes

42 Assistingwithbloodtransfusion

43 Assistingforbonemarrow
aspiration

44 Applicationofantiembolism
stockings (TED hose)

45 Application/maintenanceof
sequential Compression
Device

IV DERMATOLOGY

46 Applicationoftopicalmedication

47 Intradermalinjection-Skinallergy
testing

48 Medicatedbath

V COMMUNICABLE

49 Intradermal injection-BCG and

TuberculinskinTestorMantoux
test

50 Barriernursing&Reversebarrier
nursing

51 Standard precautions-Hand
hygiene,useofPPE,needlestick
and sharp injury prevention,
Cleaning and disinfection,
Respiratory hygiene, waste
disposal and safe injection
practices

VI MUSCULOSKELETAL

52 Preparationofpatientwith
Myelogram/CT/MRI
425 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

53 Assistingwithapplication&
removal of POP/Cast

54 Preparation,assistingandafter
care of patient with Skin
traction/skeletal traction

55 Careoforthotics

56 Musclestrengtheningexercises

57 Crutchwalking

58 Rehabilitation

VII OR

59 Positionanddraping

60 Preparationofoperationtable

61 Setupoftrolleywithinstrument

62 Assistinginmajorandminor
operation

63 Disinfectionandsterilizationof
equipment

64 Scrubbing procedures –
Gowning,maskingandgloving

65 Intraoperativemonitoring

IVSEMESTER

I ENT

1 Historytakingandexamination of
ear, nose & throat

2 Applicationofbandagesto
Ear & Nose

3 Tracheostomycare

Preparationofpatient,assistingandmonitoringofpatientsundergoingdiagnosticprocedures

4 Auditoryscreeningtests

5 Audiometrictests

6 Preparing and assisting in special

procedureslikeAnterior/posterior
nasal packing, Ear Packing and
Syringing

7 Preparation and after care of

patientsundergoingENTsurgical
procedures

8 Instillationofear/nasal
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 426
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

medication

II EYE

9 Historytaking and
examinationofeyesand
interpretation

Assistingprocedures

10 Visualacuity

11 Fundoscopy, retinoscopy,
ophthalmoscopy,tonometry

12 Refractiontests

13 Pre and postoperative care of

patientundergoingeyesurgery

14 Instillationofeye
drops/medication

15 Eyeirrigation

16 Applicationofeyebandage

17 Assistingwithforeignbody
removal

III NEPHROLOGY&UROLOGY

18 Assessmentofkidneyandurinary
system
 Historytakingandphysical
examination
 Testicularself-examination
 Digitalrectalexam

Preparationandassistingwithdiagnosticandtherapeuticprocedures

19 Cystoscopy,Cystometrogram

20 Contraststudies–IVP

21 Peritonealdialysis

22 Hemodialysis

23 Lithotripsy

24 Renal/ProstateBiopsy

25 Specifictests–Semenanalysis,
gonorrhea test

26 Catheterizationcare

27 Bladderirrigation
427 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

28 Intakeandoutputrecordingand
monitoring

29 Ambulationandexercise

IV BURNS&RECONSTRUCTIVESURGERY

30 Assessment of burns wound –

area/degree/percentageofwound
using appropriate scales

31 Firstaidofburns

32 Fluid&electrolytereplacement
therapy

33 Skin care

34 CareofBurnwounds
o Bathing
o Dressing

35 Pre-operativeandpost-operative
care of patient with burns

36 Caringofskingraftandpost
cosmetic surgery

37 Rehabilitation

V NEUROLOGY

38 History taking, neurological

Examination–UseofGlasgow
coma scale

39 Continuousmonitoringthe
patients

40 Preparation and assisting for

various invasive and non-
invasivediagnosticprocedures

41 Careofpatientundergoing
neurosurgery including
rehabilitation

VI IMMUNOLOGY

42 HistorytakingandPhysical
examination

43 Immunologicalstatusassessment
andinterpretationofspecifictest
(e.g. HIV)

44 Careofpatientwithlow
immunity

VII ONCOLOGY
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 428
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

45 History taking & physical

examinationofcancerpatients

46 Screeningforcommoncancers–
TNM classification

Preparation,assistingandaftercarepatientsundergoingdiagnosticprocedures

47 Biopsies/FNAC

48 Bone-marrowaspiration

Preparationofpatientsandassistingwithvariousmodalitiesoftreatment

49 Chemotherapy

50 Radiotherapy

51 Hormonaltherapy/
Immunotherapy

52 Genetherapy/anyother

53 Careofpatientstreatedwith nuclear
medicine

54 Rehabilitation

VIII EMERGENCY

55 Practicing‗triage‘

56 Primaryandsecondarysurveyin
emergency

57 Examination, investigations &

their interpretations, in
emergency&disastersituations

58 Emergencycareofmedicaland
traumatic injury patients

59 Documentation,andassistingin
legal procedures in emergency
unit

60 Managingcrowd

61 Counselingthepatientandfamily in
dealing with grieving
&bereavement

IX CRITICALCARE

62 Assessmentofcriticallyill
patients

63 Assistingwitharterialpuncture

64 AssistingwithETtubeintubation &
extubation
429 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

65 ABG analysis and interpretation

–respiratoryacidosis,respiratory
alkalosis, metabolic acidosis,
metabolic alkalosis

66 Setting up of ventilator modes

andsettingsandcareofpatient on
ventilator

67 Settingupoftrolleywith
instruments

68 Monitoringandmaintenanceof
Chest drainage system

69 Bagandmaskventilation

70 Assisting with starting and

maintenanceofCentraland
peripheral lines invasive

71 Settingupofinfusionpump,and
defibrillator

72 Administration of drugs via

infusion,intracardiac,intrathecal,
epidural

73 Monitoringandmaintenanceof
pacemaker

74 ICUcarebundle

75 Managementofthedyingpatient in
the ICU

X Geriatric

76 HistorytakingandAssessmentof
Geriatric patient

77 Geriatriccounseling

78 Comprehensive Health
assessment(adult)aftermodule
completion

V&VISEMESTER–CHILDHEALTHNURSINGI& II

I PEDIATRICMEDICAL&SURGICAL

Healthassessment–Takinghistory&Physicalexaminationandnutritionalassessmentof

1 Neonate

2 Infant

3 Toddler

4 Preschooler

5 Schooler
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 430
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

6 Adolescent

Administrationofmedication/fluids–Calculation,preparationandadministrationofmedication

7 Oral

8 I/M

9 I/V

10 Intradermal

11 Subcutaneous

12 Calculationoffluidrequirements

13 Preparationofdifferentstrengths of
I/V fluids

14 AdministrationofIVfluids

15 Applicationofrestraints

AdministrationofO2inhalationbydifferentmethods

16 NasalCatheter/NasalProng

17 Mask

18 Oxygenhood

19 Babybath/spongebath

20 FeedingchildrenbyKatori&
spoon/paladai, cup

Collectionofspecimensforcommoninvestigations

21 Urine

22 Stool

23 Blood

24 Assistingwithcommon
diagnostic procedures
(Lumbarpuncture,bonemarrow
aspiration)

Healtheducationtomothers/parents–Topics

25 Preventionandmanagementof
Malnutrition

26 Preventionandmanagementof
diarrhea (Oral rehydration
therapy)

27 Feeding&Complementary
feeding
431 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

28 Immunizationschedule

29 Playtherapy

30 Conductindividualandgroup
play therapy sessions

31 Preventionofaccidents

32 Bowelwash

33 Administrationofsuppositories

Careforostomies:

34 ColostomyIrrigation

35 Ureterostomy

36 Gastrostomy

37 Enterostomy

38 Urinarycatheterization&dra
inage

Feeding

39 Naso-gastric

40 Gastrostomy

41 Jejunostomy

Careofsurgicalwounds

42 Dressing

43 Sutureremoval

II PEDIATRICOPD/IMMUNIZATIONROOM

GrowthandDevelopmentalassessmentofchildren

44 Infant

45 Toddler

46 Preschooler

47 Schooler

48 Adolescent

49 Administrationofvaccination

50 Health/Nutritionaleducation

III NICCU/PICU

51 Assessmentofnewborn

52 Careofpreterm/LBWnewborn
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 432
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

53 Kangaroocare

54 Neonatalresuscitation

55 Assistinginneonataldiagnostic
procedures

56 Feedingofhighrisknewborn–
EBM (spoon/paladai)

57 Insertion/removal/feeding–
Naso/oro-gastric tube

58 Administrationofmedication–
oral/parenteral

59 Neonataldrugcalculation

60 Assistinginexchangetransfusion

61 Organizingdifferentlevelsof
neonatal care

62 Careofachildonventilator/ CPAP

63 EndotrachealSuction

64 ChestPhysiotherapy

65 Administrationoffluidswith
infusion pumps

66 TotalParenteralNutrition

67 Recording&reporting

68 CardiopulmonaryResuscitation–
PLS

V&VISEMESTER–MENTALHEALTHNURSINGI& II

PSCHIATRYOPD

1 Historytaking

2 Mentalstatusexamination(MSE)

3 Psychometricassessment
(Observe/practice)

4 Neurologicalexamination

5 Observing&assistingin
therapies

Individualandgrouppsychoeducation

6 Mentalhygienepractice
education

7 Familypsycho-education
433 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

CHILDGUIDANCECLINIC
8 HistoryTaking&mentalstatus
examination
9 Psychometricassessment
(Observe/practice)
10 Observingandassistingin
various therapies
11 Parentalteachingforchildwith
mental deficiency
IN-PATIENTWARD
12 Historytaking
13 Mentalstatusexamination(MSE)
14 Neurologicalexamination
15 Assistinginpsychometric
assessment
16 Recordingtherapeutic
communication
17 Administrationofmedications
18 AssistinginElectro-convulsive
Therapy (ECT)
19 Participationinalltherapies
20 Preparation of patients for
ActivitiesofDailyliving(ADL)
21 Conductingadmissionand
discharge counseling
22 Counselingandteachingpatients
and families
COMMUNITYPSYCHIATRY&DEADDICTIONCENTRE
23 Conductinghomevisitandcase
work
24 Identificationofindividualswith
mental health problems
25 Assistinginorganizationsof
Mental Health camp
26 Conductingawarenessmeetings
for mental health & mental
illness
27 CounselingandTeachingfamily
members, patients and
community
28 Observationofdeaddictioncare
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 434
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

V SEMESTER – COMMUNITY HEALTH NURSING I

INCLUDINGENVIRONMENTALSCIENCE&EPIDEMIOLOGY

1 Interviewing skills (using

communicationandinterpersonal
skills)

2 Conductingcommunityneeds
assessment/survey

3 Observationskills

4 Nutritionalassessmentskills

5 Teachingindividualsandfamilies
on nutrition-food hygiene and
safety, healthy lifestyle andhealth
promotion

6 BCC(Behaviourchange
communication) skills

7 Health assessment including

nutritionalassessment-different
age groups
 Childrenunder five
 Adolescent
 Woman

8 Investigatinganepidemic–
Community health survey

9 Performing lab tests –

Hemoglobin,bloodsugar,blood
smear for malaria, etc.

10 Screening,diagnosisandprimary
management of common health
problems in the community and
referral of high-risk clients
(Communicable & NCD)

11 Documentationskills

12 Homevisit

13 Participationinnationalhealth
programs

14 Participationinschoolhealth
programs

VSEMESTER–EDUCATIONALTECHNOLOGY/NURSINGEDUCATION

1 Writinglearningoutcomes

2 Preparationoflessonplan

3 PracticeTeaching/Microteaching
435 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

4 Preparationofteachingaids/
media

Preparationofassessmenttools

5 ConstructionofMCQtests

6 Preparationofobservation
checklist

VISEMESTER–NURSINGMANAGEMENT&LEADERSHIP

HospitalandNursingServiceDepartment

1 Preparation of organogram
(hospital/nursingdepartment)

2 Calculation of staffing
requirementsforanursing
unit/ward

3 FormulationofJobdescriptionof
nursing officer (staff nurse)

4 PreparationofPatientassignment
plan

5 Preparation of duty roster for

staff/studentsatdifferentlevels

6 Preparationoflogbook/MMFfor
specific equipment/ materials

7 ParticipationinInventorycontrol
and daily record keeping

8 Preparationandmaintenanceof
records & reports such as
incident reports/adverse
reports/audit reports

9 Participation in performance
appraisal/evaluationofnursing
staff

10 Participate in conducting in-

serviceeducationforthestaff

College&Hostel

11 Preparationoforganogramof
college

12 Formulationofjobdescription for
tutor

13 Participationinperformance
appraisal of tutor

14 PreparationofMasterplan,time-
table and clinical rotation
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 436
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

15 Preparationofstudentanecdotes

16 Participationinclinical
evaluation of students

17 Participation in planning and

conductingpracticalexamination
OSCE – end of posting

VI&VIISEMESTER–MIDWIFERY/OBSTETRICSANDGYNECOLOGY(OBG)NURSINGI&II

I ANTENATALCARE
Healthassessmentofantenatalwoman
1 History Taking including
obstetricalscore,Calculationof
EDD, gestational age
2 Physicalexamination:headto foot

3 Obstetricalexaminationincluding
Leopards maneuvers &
auscultation of Fetal heart sound
(fetoscope/stethoscope/ Doppler)

Diagnostictests
4 Urinepregnancytest/cardtest

5 Estimationofhemoglobinusing
Sahle‘s hemoglobinometer
6 Advice/assistinHIV/HBsAg/
VDRL testing
7 Preparationofperipheralsmear
for malaria
8 Urinetestingforalbuminand
sugar
9 PreparationofmotherforUSG

10 Kickchart/DFMC(DailyFetal
and Maternal Chart)
11 Preparationandrecordingof
CTG/NST

12 Antenatal counseling for each

trimester including birth
preparednessandcomplication
readiness
13 Childbirthpreparationclassesfor
couples/family
14 AdministrationofTd/TT
15 Prescriptionofiron&folicacid and
calcium tablets
437 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

II INTRANATALCARE

16 Identificationandassessmentof
woman in labour

17 Admissionofwomaninlabour

18 Performing/assistingCTG

19 Vaginalexaminationduring
labour including Clinical
pelvimetry

20 Plottingandinterpretationof
partograph

21 Preparationforbirthing/delivery
– physical and psychological

22 Settingupofthebirthing
room/delivery unit and
newborncorner/carearea

23 Painmanagementduringlabour-
non-pharmacological

24 Supportingnormalbirths/conduct
normal childbirth in upright
positions/evidence based

25 Essentialnewborncare

26 Basicnewbornresuscitation

27 Management of third stage of

labour – Physiologic
management/activemanagement
(AMTSL)

28 Examinationofplacenta

29 Careduringfourthstageof
labour

30 Initiationofbreastfeedingand
lactation management

31 Infectionpreventionduring
labour and newborn care

III POSTNATALCARE

32 Postnatalassessmentandcare

33 Perineal/episiotomycare

34 Breastcare

35 Postnatalcounseling-diet,
exercise&breastfeeding
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 438
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

36 Preparationfordischarge

IV NEWBORNCARE

37 Assessmentofnewborn

38 Weighingofnewborn

39 AdministrationofVitaminK

40 Neonatal immunization –
AdministrationofBCG,Hepatitis
B vaccine

41 Identificationofminordisorders
of newborn and their
management

V CAREOFWOMENWITHANTENATAL,INTRANATAL&POSTNATALCOMPLICATIONS

42 High risk assessment –

identification of antenatal
complications such as pre-
eclampsia, anemia, GDM,
Antepartumhemorrhageetc.

43 Postabortioncare&counseling

44 Glucosechallengetest/Glucose
Tolerance test

45 Identificationoffetaldistressand its
management

46 AdministrationofMgSo4

47 Administration of antenatal
corticosteroidsforpretermlabour

48 AssistingwithMedicalinduction of
labour

49 Assist in Surgical induction –

strippingandartificialruptureof
membranes

50 Episiotomy(onlyifrequired)and
repair

51 Preparationforemergency/
elective caesarean section

52 Assistingincaesareansection

53 Preparationofmotherandassist in
vacuum delivery

54 Identification and assisting in

managementofmalpresentation
and malposition during labour

55 Preparationandassistingin low
439 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

forcepsoperation

56 Preparation and assisting in

emergencyobstetricsurgeries

57 Prescription/administration of
fluidsandelectrolytesthrough
intravenous route

Assistinginprocedures

58 AssistinginManualremovalof
the placenta

59 Assisting in Bimanual
compressionofuterus/Balloon
tamponade for atonic uterus

60 AssistinginAorticcompression for
PPH

61 Identification and first aid

managementofPPH&obstetric
shock

62 Assistinginmanagementof
obstetric shock

63 Identification and assisting in

managementofpuerperalsepsis
andadministrationofantibiotics

64 Management of breast
engorgementandinfections

65 Managementofthrombophlebitis

HIGHRISKNEWBORN(SomeaspectsofhighrisknewborncareareincludedinChildHealthNursing)

66 Identificationofhigh-risk
newborn

67 Careofneonateunderradiant
warmer

68 Careofneonateonphototherapy

69 Referralandtransportationof
high risk newborn

70 Parentalcounselling–sick
neonate and neonatal loss

FAMILYWELFARE

71 PostpartumFamilyplanning
counseling

72 Postpartumfamilyplanning–
Insertion and removal of
PPIUCD/PAIUCD
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 440
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

73 Counsellingofthewomanfor
Postpartum sterilization

74 Preparationandassistingin
tubectomy

OTHERPROCEDURES

75 Preparationandassistingfor
D&C/D&E operations

76 Observation/AssistinginManual
Vacuum Aspiration

77 Assessmentofwomenwith
gynaecological disorders

78 Assisting/performingPapsmear

79 PerformingVisualinspectionof
cervix with acetic acid

80 Assisting/observationofcervical
punch biopsy/
Cystoscopy/Cryosurgery

81 Assistingingynecological
surgeries

82 Postoperativecareofwoman
withgynecologicalsurgeries

83 CounselonBreastself- examination

84 Counselingcoupleswith
infertility

85 Completionofsafedeliveryapp
with certification

VIISEMESTER–COMMUNITYHEALTHNURSINGII

1 Screening, diagnosing,
managementandreferralof
clients with common
conditions/emergencies

2 Antenatalandpostnatalcareat
home and health centre

3 Conductionofnormalchildbirth
&newborncareathealthcentre

4 Trackingeverypregnancyand
filling up MCP card

5 Maintenanceofrecords/
registers/reports

6 Adolescent counseling &

participationinyouthfriendly
441 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe

Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

services

7 Counselingforsafeabortion
services

8 Familyplanningcounseling

9 Distribution of temporary
contraceptives – condoms,
OCP‘s, emergency
contraceptives,InjectableMPA

10 InsertionofintervalIUCD

11 RemovalofIUCD

12 Participation in conducting
vasectomy/tubectomycamp

13 Screening, diagnosis, primary

management and referral of
clientswithoccupationalhealth
problems

14 Healthassessmentofelderly

15 MentalHealthscreening

16 Participation in community
diagnosis–datamanagement

17 Writinghealthcentreactivity report

18 Participationinorganizingand
conducting clinic/health camp

19 Participationindisastermock
drills

20 Co-ordinating with ASHAs and

othercommunityhealthworkers

VIISEMESTER–NURSINGRESEARCH&STATISTICS

ResearchProcessExercise

1 Statementoftheproblem

2 FormulationofObjectives&Hypot
heses

3 Literaturereviewofresearch
report/article

4 Annotatedbibliography

5 Preparationofsampleresearch
tool

Analysis&Interpretationofdata–Descriptivestatistics
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 442
ण
S.No. SpecificProcedural Performs Assists/ DATE Signatureofthe
Competencies/Skills independently Observes Tutor/
Procedures Skill Clinical
Lab/Simulation Area Faculty
A/O Lab

6 Organizationofdata

7 Tabulationofdata

8 Graphicrepresentationofdata

9 Tabularpresentationofdata

10 Research Project
(Group/Individual)
Title:

VIIISEMESTER(INTERNSHIP)

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%
*–Whenthestudentisfoundcompetenttoperformtheskill,itwillbesignedbythefaculty/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:Mustensurethatthesignatureisgivenforeachcompetencyonlyaftertheyreachlevel3.
 Level3competencydenotesthattheNPstudentisabletoperformthatcompetencywithoutsupervision
 Level2Competencydenotesthatthestudentisabletoperformeachcompetencywithsupervision
 Level1competencydenotesthatthestudentisnotabletoperformthatcompetency/skillevenwithsupervision

SignatureoftheFacultyCoordinator SignatureoftheHOD/Principal

CLINICALREQUIREMENTS
S.No. ClinicalRequirement Date Signatureofthe
Faculty

I&II SEMESTER

NURSINGFOUNDATIONI&II

1 HistoryTaking–2 1.
2.

2 PhysicalExamination–2 1.
2.

3 Fallriskassessment–2
443 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. ClinicalRequirement Date Signatureofthe

Faculty

1.
2.

4 PressureSoreAssessment–2 1.
2.

5 NursingProcess–2 1.
2.

6 Completionoffirstaidmodule

7 CompletionofHealthassessmentmodule

IIISEMESTER–ADULTHEALTHNURSINGI

Medical

1 CareStudy–1

2 Healtheducation–1

3 Clinicalpresentation/carenote–1

Surgical

4 Carestudy–1

5 Healtheducation–1

6 ClinicalPresentation/Carenote–1

Cardiac

7 Cardiacassessment–1

8 Drugpresentation–1

Communicable

9 Clinicalpresentation/Carenote–1

Musculoskeletal

10 Clinicalpresentation/Carenote–1

OR

11 Assistascirculatorynurse–5 i.
ii.
iii.
iv.
v.

12 Assistasscrubnurseinminorsurgeries–5 i.
ii.
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 444
ण
S.No. ClinicalRequirement Date Signatureofthe
Faculty

iii.
iv.
v.

13 Positioning&draping–5 i.
ii.
iii.
iv.
v.

14 Assistasscrubnurseinmajorsurgeries–5 i.
ii.
iii.
iv.
v.

15 CompletionofBCLSmodule

IVSEMESTER–ADULTHEALTHNURSINGII

ENT

1 ENTassessmentofanadult–2 i.
ii.

2 Observationandactivityreportof OPD

3 Clinicalpresentation–1

4 Drug Book

EYE

5 Eyeassessment
i. Adult–1
ii. Geriatric–1

6 Patient-teaching–1

7 ClinicalPresentation–1

NEPHROLOGY&UROLOGY

8 Assessment of adult – 1
AssessmentofGeriatric–1

9 Drugpresentation–1

10 Carestudy/Clinicalpresentation–1

BURNSANDRECONSTRUCTIVESURGERY
445 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. ClinicalRequirement Date Signatureofthe

Faculty

11 Burnwoundassessment–1

12 Clinicalpresentation–1

13 ObservationreportofBurnsunit

14 Observecosmetic/reconstructiveprocedures

NEUROLOGY

15 Neuro-assessment–2
i
ii.

16 Unconsciouspatient–1

17 Carestudy/casepresentation–1

18 Drugpresentation–1

IMMUNOLOGY

19 Assessmentofimmunestatus

20 Teachingofisolationtopatientandfamilycaregivers

21 Nutritionalmanagement

22 CareNote–1

ONCOLOGY

23 Observationreportofcancerunit

24 Assessmentofeachsystemcancerpatients–2

25 Carestudy/clinicalpresentation–1

26 Pre and post-operative care of patient with various modes of cancer

treatmentsuchaschemotherapy,radiationtherapy,surgery,BMT,etc. –3(at
least)
i.
ii.
ii.

27 TeachingonBSEtofamily members

EMERGENCY

28 Primaryassessmentofadult–1

29 Immediatecare(IVaccessestablishment,assistinginintubation, suction,
etc.)

30 Useofemergencytrolley

CRITICALCARE

31 Assessmentofcriticallyill

i. Adult

ii. Geriatric
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 446
ण
S.No. ClinicalRequirement Date Signatureofthe
Faculty

32 Carenote/Clinicalpresentation–1

GERIATRIC

33 Geriatricassessment–1

34 Carenote/clinicalpresentation–1

35 Fallriskassessment1

36 Functionalstatusassessment–1

37 CompletionofFundamentalsofPrescribingmodule

38 CompletionofPalliativecaremodule

V&VISEMESTER–CHILDHEALTHNURSINGI& II

Pediatricmedical

1 Nursingcareplan–1

2 Casepresentation–1

3 Healthtalk–1

Surgical

4 Nursingcareplan–1

5 Casestudy/presentation–1

OPD/ImmunizationRoom

6 GrowthandDevelopmentalstudy:
i. Infant–1
ii. Toddler–1
iii. Preschooler–1

NICCU/PICU

7 Newbornassessment–1

8 NursingCarePlan–1

9 Kangaroomothercare–2

10 Nursingcareplanofhighrisknewborn–1

11 CompletionofENBCmodule

12 CompletionofFNBCmodule

13 CompletionofIMNCImodule

14 CompletionofPLSmodule

V&VISEMESTER–MENTALHEALTHNURSINGI& II

PsychiatryOPD

1 HistorytakingandMentalstatusexamination–2 i.
447 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. ClinicalRequirement Date Signatureofthe

Faculty

ii.

2 Healtheducation–1

3 ObservationreportofOPD

Childguidanceclinic

4 Casework–1

InpatientWard

5 Casestudy–1

6 Careplan–2

7 Clinicalpresentation1

8 Processrecording2

9 Maintaindrugbook

Communitypsychiatry&Deaddictioncentre

10 Casework–1

11 Observationreportonfieldvisits

12 Visittodeaddictioncentre

V SEMESTER – COMMUNITY HEALTH NURSING – I

INCLUDINGENVIRONMENTALSCIENCE&EPIDEMIOLOGY

1 Communityneedsassessment/survey(Rural/Urban)–1

2 Visitsto
– SC/HWC
– PHC
– CHC

3 Observationofnutritionalprograms
Anganwadi

4 Observationvisits

i. WaterpurificationsiteandWaterqualitytests

ii.Milkdiary

iii.Slaughter-house

iv.Market

v.Sewagedisposalsite

vi.Rainwater harvesting

vii.Slaughter-house

5 Nutritionalassessment–Adult1

6 Individualhealthteaching–Adult1
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 448
ण
S.No. ClinicalRequirement Date Signatureofthe
Faculty

7 UseofAVaids–flashcards/posters/flannelgraphs/flipcharts(Any Two)
i.
ii.

8 Healthassessmentof
i. Woman–1
ii. Infant/underfivechild–1
iii. Adolescent–1
iv. Adult–1

9 Growthmonitoringofchildrenunderfive–1

10 Documentation
i. Individualrecords–1
ii. Familyrecords–1

11 Investigationofanepidemic–1

12 Screeningandprimarymanagementof
i. Communicablediseases–1
ii. NCD–1

13 Homevisits–2

14 Participationinnationalhealthprograms–2

15 Participationinschoolhealthprogram–1

VSEMESTER–EDUCATIONALTECHNOLOGY/NURSINGEDUCATION

1 Microteaching–2
i. Theory–1
ii. Practical/lab–1

2 FieldVisittonursingeducationalinstitution–regional/national
organization

VISEMESTER–NURSINGMANAGEMENT&LEADERSHIP

1 FieldvisittoHospital–regional/nationalorganization

VI&VIISEMESTER–MIDWIFERY/OBSTETRICSANDGYNECOLOGY(OBG)NURSINGI&II

1 Antenatalassessmentandcare–20

2 Postnatalassessmentandcare– 15

3 Assessmentoflabourusingpartograph–10

4 Pervaginalexamination– 10

5 Observingnormalchildbirths/deliveries–10

6 Assistinginconductionofnormalchildbirth– 10

7 Conductionofnormaldeliveries– 10
449 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

S.No. ClinicalRequirement Date Signatureofthe

Faculty

8 Assistinginabnormal/instrumentaldeliveries–5

9 Performingplacentalexamination–5

10 Episiotomyandsuturing(onlyifindicated)–3

11 Assist/observeInsertionofPPIUCD–2

12 Newbornassessment–10

13 Newbornresuscitation–5

15 Kangaroomothercare–2

NursingCarePlan/ClinicalpresentationwithDrugStudy

16 Antenatalcare
Normal(careplan)–1
Highrisk(casestudy/Clinicalpresentation)–1

17 Intrapartumcare
Highrisk(Clinicalpresentation)–1

18 Postnatalcare
Normal(careplan)–1
Highrisk(Clinicalpresentation)–1

19 Newborncare
Normal(careplan)–1

20 Gynecologicalcondition
Care plan – 1

21 Healthtalk–individual/group–2

22 Counselingmothersandfamilymembers

23 Visit to
 Peripheralhealthfacility/Laqshyacertifiedlabourroom
 Infertilitycentre(Virtual/videos)

24 CompletionofSBAmodule

25 Completionofsafedeliveryapp

VIISEMESTER–COMMUNITYHEALTHNURSINGII

1 Screeningandprimarymanagementof of
i. Minorailments–2
ii. Emergencies–1
iii. Dentalproblems–1
iv. Eye–1
v. ENT–1

2 Primarymanagementandcarebasedonprotocolsapprovedby MOH&FW
(Home/health centre)
[भाग III—खण्ड4] भारतकाराजपत्र:असाधार 450
ण
S.No. ClinicalRequirement Date Signatureofthe
Faculty

3 Screeningandprimarymanagementof
i. Highriskpregnancy
ii. Highriskneonate
4 Assessmentof
i. Antenatal–1
ii. Intrapartum–1
iii. Postnatal–1
iv. Newborn–1
5 Conductionofnormalchildbirthanddocumentation–2
6 Immediatenewborncareanddocumentation–1
7 Familyplanningcounseling–1
8 Grouphealtheducation(Rural/urban)–1
9 Adolescentcounseling–1
10 Familycasestudy(Rural/urban)–1
11 Screening,diagnosis,primarymanagementandreferralofclientswith
occupational health problems – 2
i.
ii.
12 Healthassessment(physical&nutritional)ofelderly–1
13 Mentalhealthscreeningsurvey–1
14 Groupproject–Communitydiagnosis(datamanagement)
15 Writingreportonhealthcentreactivity–1
16 Participationinorganizingandconductingunderfive/antenatal
clinic/health camp – 2
i.
ii.
17 Participationindisastermockdrills
18 Fieldvisits
- Biomedicalwastemanagementsite
- AYUSHcentre
- Industry
- Geriatrichome
19 ReportoninteractionwithMPHW/HV/ASHA/AWWs(Any2) 1.
2.

VIISEMESTER–NURSINGRESEARCH
1 ResearchProject–Group/Individual
Title:

SignatureoftheFacultycoordinator SignatureoftheHOD/Principal
451 THEGAZETTEOFINDIA :EXTRAORDINARY [PARTIII—SEC.4]

CLINICALEXPERIENCEDETAILS

NameofICU ClinicalCondition Numberofdayscare Signature of

given Faculty/Preceptor

SignatureoftheFacultyCoordinator SignatureoftheHOD/Principal

Dr.T.DILEEPKUMAR,President
[ADVT.-III/4/Exty./140/2021-22]

UploadedbyDte. ofPrintingatGovernment ofIndia Press,RingRoad,Mayapuri,NewDelhi-110064

andPublishedby theControllerof Publications,Delhi-110054. ALOKKUMA DigitallysignedbyALOKKUM
ARDate:2021.07.0620:24:26+0

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