Academic Regulation and Syllabus 2013-14

ACADEMIC
REGULATIONS
&
SYLLABUS
Faculty of Medical Sciences
Bachelor of Science Programme

(Nursing)
© CHARUSAT 2013 Page 1 of 135

CHAROTAR UNIVERSITY OF
SCIENCE & TECHNOLOGY
Education Campus – Changa, (ECC), hitherto a conglomerate of institutes

of professional education in Engineering, Pharmacy, Computer
Applications, Management, Applied Sciences, Physiotherapy and Nursing,
is one of the choicest destinations by students. It has been transformed
into Charotar University of Science and Technology (CHARUSAT)
through an Act by Government of Gujarat. CHARUSAT is permitted to grant
degrees under Section-22 of UGC- Govt. of India.
The journey of CHARUSAT started in the year 2000, with only 240
Students, 4 Programmes, one Institute and an investment of about Rs. 3
Crores (INR 30 million). At present there are seven different institutes
falling under ambit of six different faculties. The programmes offered by
these faculties range from undergraduate (UG) to Ph.D degrees including
M.Phil. These faculties, in all offer 32 different programmes. A quick
glimpse in as under:
Programmes
Faculty Institute
Offered
Faculty of Technology & Chandubhai S. Patel Institute  B.Tech
Engineering of Technology  M.Tech
 Ph.D
Faculty of Pharmacy Ramanbhai Patel College of  B.Pharm
Pharmacy  M.Pharm
 Ph.D
Faculty of Management Indukaka Ipcowala Institute of M.B.A
Studies Management  PGDM
 Ph.D
Faculty of Computer Smt. Chandaben Mohanbhai  M.C.A.
Applications Patel Institute of Computer  M.Sc.(IT)
Applications  Ph.D
Faculty of Applied P. D. Patel Institute of Applied  M.Sc
Sciences Sciences  M.Phil
 Ph.D
Faculty of Medical  Manikaka Topawala Institute  B.PT

Sciences of Physiotherapy  B.Sc (Nursing)
 Manikaka Topawala Institute  G.N.M.
of Nursing
The development and growth of the institutes have already led to an

investment of over Rs.80 crores (INR 800 Million). The future outlay is
planned with an estimate of Rs. 250 Crores (INR 2500 Million).
The University is characterized by state-of-the-art infrastructural facilities,

innovative teaching methods and highly learned faculty members. The
University Campus sprawls over 105 acres of land and is Wi-Fi enabled. It
is also recognized as the Greenest Campus of Gujarat.
CHARUSAT is privileged to have 350 core faculty members, educated and

trained in IITs, IIMs and leading Indian Universities, and with long exposure
to industry. It is also proud of its past students who are employed in
prestigious national and multinational corporations.
From one college to the level of a forward-looking University, CHARUSAT

has the vision of entering the club of premier Universities initially in the
country and then globally. High Moral Values like Honesty, Integrity
and Transparency which have been the foundation of ECC continue to
anchor the functioning of CHARUSAT. Banking on the world class
infrastructure and highly qualified and competent faculty, the University is
expected to be catapulted into top 20 Universities in the coming five
years. In order to align with the global requirements, the University has
collaborated with internationally reputed organizations like Pennsylvania
State University – USA, University at Alabama at Birmingham – USA,
Northwick Park Institute –UK, ISRO, BARC, etc.

CHARUSAT has designed curricula for all its programmes in line with the
current international practices and emerging requirements. Industrial
Visits, Study Tours, Expert Lectures and Interactive IT enabled Teaching
Practice form an integral part of the unique CHARUSAT pedagogy.
The programmes are credit-based and have continuous evaluation as an

important feature. The pedagogy is student-centred, augurs well for self-
learning and motivation for enquiry and research, and contains
innumerable unique features like:
 Participatory and interactive discussion-based classes.
 Sessions by visiting faculty members drawn from leading academic
institutions and industry.
 Regular weekly seminars.
 Distinguished lecture series.
 Practical, field-based projects and assignments.
 Summer training in leading organizations under faculty supervision
in relevant programmes.
 Industrial tours and visits.
 Extensive use of technology for learning.
 Final Placement through campus interviews.
Exploration in the field of knowledge through research and development

and comprehensive industrial linkages will be a hallmark of the University,
which will mould the students for global assignments through technology-
based knowledge and critical skills.
The evaluation of the student is based on grading system. A student has

to pursue his/her programme with diligence for scoring a good Cumulative
Grade Point Average (CGPA) and for succeeding in the chosen profession
and life.

CHARUSAT welcomes you for a Bright
Future

CHAROTAR UNIVERSITY OF SCIENCE AND
TECHNOLOGY
Faculty of Medical Sciences
ACADEMIC REGULATIONS
Bachelor of Science (Nursing) Programme
Charotar University of Science and Technology (CHARUSAT)

CHARUSAT Campus, At Post: Changa – 388421, Taluka: Petlad, District:
Anand
Phone: 02697-247500, Fax: 02697-247100, Email: info@charusat.ac.in
www.charusat.ac.in

Year - 2013

CHARUSAT
FACULTY OF MEDICAL SCIENCES
ACADEMIC REGULATIONS
Bachelor of Science (Nursing) Programme
Programme of study:
A student shall follow the prescribed courses as given in the programme of

study. In this course 8 semesters including internship.
Distrubution:
Course duration = 8 semester (4 year) Including Internship.
Semester -I
Duration = 26 weeks
Available weeks = 21weeks
Theory Hours per weeks = 40 hours
Gazette holidays = 1 weeks
Vacation = 2 weeks (Diwali)
Hours available per academic semester = 840 hours (21weeks x 40hours)
Semester -II
Duration = 26 weeks
Practical hours per weeks = 26 hours
Gazette holidays = 1 weeks
Examination
(Including preparatory leave) = 2weeks
Vacation = 6 weeks (summer Duration )
Hours available per academic semester = 680 hours (17weeksx 40hours)

Semester -III
Duration = 26 weeks
Theory Hours per week = 17 hours
Gazette holidays = 1 week
Examination
(Including preparatory Period) = 2weeks
Hours available per academic semester = 840 hours (21weeks x 40hours)
Semester -IV
Duration = 26 weeks
Examination = 2 weeks
(Including preparatory Period)
Vacation = 6 weeks (summer)
Hours available per academic semester = 680hours (17weeksx 40hours)

Semester -V
Duration = 26 weeks
Examination
(Including preparatory Period) = 2weeks
Hours available per academic semester = 840 hours (21 weeks × 40 hours)
Semester -VI
Duration = 26 weeks
Examination
(Including preparatory Period) = 2 week
Vacation = 2 weeks (summer)
Hours available per academic semester = 840 hours (21 weeks × 40 hours)

Semester – VII
Duration = 19 weeks
Available weeks = 14 weeks
Practical hours per weeks = 11 hours per week
Gazette holidays = 1week
Examination
(Including preparatory Period) = 2 weeks
Vacation = 2 weeks
Hours available per academic semester = 560 hours (14 weeks × 40

hours)
Semester – VIII
Duration = 33 weeks
Available weeks = 25 weeks
Practical hours per weeks = 48 hours per week
Examination
(Including preparatory Period) = 2 weeks
Vacation = 5 weeks
Hours available per academic semester = 1200 hours (25 weeks × 48

hours)

Course of Instruction:
First Year
Semester- I
Sr. Subjects Theory (In hours) Practical/ Clinical In hours

No. (in hours)
1. Anatomy 85 -
2. Physiology 85 -
3. Nutrition 60 -
4. Biochemistry 30 -
5. English* 60 -
6. Nursing Foundation-1 405 (219+186) -
7. Introduction to computer 45 -
8. Hindi/Regional language** 30 -
9. Library work/ Self study 20

10. Co-curricular activities# 20
Total hours 800 - 40
Total hours- 840 hours
Semester- II
Sr. Subjects Theory & Lab (In Practical/ Clinical (in In hours
No. hours) hours)
1. Microbiology 60
2. Psychology 60
3. Nursing Foundation-II 80 (66+14) 450
4. Library work/ Self study 10
5. Co-curricular activities# 10
Total Hours 200 450 20
Total Hours- 670 hours
# Subject related activities by students e.g. Group discussion,

Seminars, Penal Discussion, assignment & extra curricular activities
related to subject etc.

SECOND YEAR
Semester - III
Sr. Subject Theory & Lab Practical (in In hrs

No. (in hrs) hrs)
(clinical)
1 Communication &Education 90 (60+30) - -

technology
2 Pharmacology 45 - -
3 Pathology & Genetics 45 - -
4 Medical Surgical Nursing-I 145 460 -
5 Co-curricular activities 25
6 Library work/ self study 25
Total Hours = 835hrs
Semester - IV
Sr. Subject Theory & Lab Practical (in In hrs

No. (in hrs) hrs)
(clinical)
1 Community Health Nursing - 90 135

I
2 Sociology 60
3 Medical Surgical Nursing - II 70 260
4 Library work/ self study 25
5 Co-curricular activities 12
Total Hours = 652hrs

THIRD YEAR
Semester – V
Sr. Subject Theory & Practical (in In hours

No. Lab (in hours)
hours) (clinical)
1 Medical Surgical Nursing - III 140 270 -
2 Mental Health Nursing 120 270 -

3 Co-curricular activities - - 20
4 Library work/ self study - - 20
Total Hours = 840 hours
Semester – VI
Sr. Subject Theory & Lab Practical (in In hours

No. (in hours) hours)
(clinical)
1 Child Health nursing 90 270 -

2 Midwifery and obstetrical 90 360 -
nursing I
3 Library work/ self study - - 10

4 Co-curricular activities - - 10
Total Hours = 830hours

FOURTH YEAR
Semester – VII
Sr. Subject Theory & Practical (in In hrs

No. Lab (in hrs) hrs)
(clinical)
1. Community Health Nursing-II 150 150 -
2. Nursing Research & Statistics 80 - -
3. Management of Nursing Services 150 - -

and Education
4. Co-curricular activities - - 15
5. Library work/ self study - - 15
Total Hours = 560 hrs
Semester – VIII
Intern-Ship (Integrated Practice)
Sr. No. Subjects Theory Practical In weeks

(in hrs)
1. Midwifery and Obstetrical nursing-II - 240 5
2. Community Health Nursing-III - 195 4
3. Medical Surgical Nursing (Adult and - 430 9

Geriatric)
4. Child Health - 145 3
5. Mental Health - 95 2
6. Research project - 45 1
7. Soft skills training - 45 1
Total Hours - 1195 25
Note:
 Internship means 8 hours of integrated clinical duties in which 2
weeks of evening and night shift duties are included.

 Internship should be carried out as 8 hours per day@ 48hours per
week
 Students during internship will be supervised by nursing teachers.
 Fourth year final examination to be held only after completion of
internship. (INC)

Scheme of Examination:
Semester-I
Total Working Weeks: 21 weeks
Course Course title Teaching scheme Examination scheme
code Contact Hours. Credit Theory Practical Total
Theory Practical Total Internal External Internal External
NR101.01 Anatomy & Physiology 8 - 8 8 25 75 - - 100
NR102.01 Nutrition & Biochemistry 3 1 4 3.5 25 75 - - 100
NR103.01 English 3 - 3 3 25 75 100

NR104.02 Nursing Foundation - 1 20 20 20 25 75 - - 100
NR109 Introduction to Computer 1 2 3 2 25 75 25 75 200
HL101 ** Hindi/Regional language 1 - 1 1 - - - -

LW101 Library work/ self study 1 - 1 1 - - - -
CC101 Co-curricular activities 1 - 1 1 - - - -
Total 38 3 41 39.5 125 375 25 75 600

Semester –II
Total Working Weeks: 17 weeks
Theory Practical Total Internal External Internal Externa
l
NR105.01 Microbiology 4 - 4 4 25 75 100
NR106 Psychology 4 - 4 4 25 75 100
NR111.01 Nursing Foundation- II 5 26 31 18 25 75 100 100 300
LW 102 Library work/ self study 1 - 1 1

CC 102 Co-curricular activities 1 - 1 1
Total 15 26 41 28 75 225 100 100 500

Second Year
Semester-III

code Contact Hrs. Credit Theory Practical & viva voce Total
l
NR207 Communication & 4 - 4 4 25 75 - - 100

educational technology
NR202.01 Pharmacology 4 *1 5 4.5 25 75 - - 100

Pathology & Genetics
NR203.01 Medical Surgical Nursing-I 7 22 29 18 25 75 100 100 300
CC 201 Co-curricular activities 1 - 1 1 - - - -

LW 201 Library work/ self study 1 - 1 1 - -- - -
Total 17 23 40 28.5 75 225 100 100 500
* - No practical exam

Semester-IV

code
Contact Hrs. Credit Theory Practical & viva voce Total
l
NR208.01 Community Health Nursing - 5 8 13 9 25 75 50 50 200
I
NR205 Sociology 4 - 4 4 25 75 - - 100

NR206.01 Medical Surgical Nursing - II 4 16 20 12 25 75 100 100 300
LW 202 Library work/ self study 2 - 2 2 - - - -

CC 202 Co-curricular activities 1 - 1 1 - - - -
Total 16 24 40 28 75 225 150 150 600

Third Year
Semester-V
l
NR301.01 Medical Surgical Nursing - 7 13 20 13.5 25 75 50 50 200
III
NR302.01 Mental Health Nursing 6 13 19 12.5 25 75 50 50 200
CC 301.01 Co-curricular activities 1 - 1 1

LW 301.01 Library work/ self study 1 - 1 1
Total 15 26 41 28 50 150 100 100 400
Semester- VI
NR303.02 Child Health nursing 5 13 18 11.5 25 75 50 50 200
NR304.02 Midwifery and obstetrical 5 17 22 13.5 25 75 50 50 200

nursing
CC 302 Co-curricular activities 1 - 1 1
LW 302 Library work/ self study 1 - 1 1
Total 12 30 42 27 50 150 100 100 400

Fourth Year
Semester-VII

code
Contact Hrs. Credit Theory Practical Total
NR401.01 Community Health Nursing- 11 11 22 16.5 25 75 50 50 200
II
NR402 Nursing Research & Statistics 6 - 6 6 25 75 - - 100
NR403 Management of Nursing 11 - 11 11 25 75 - - 100

services and education
CC401.01 Co-curricular activities 1 - 1 1

LW401.01 Library work/ self study 1 - 1 1
Total 30 11 41 35.5 75 225 50 50 400

Semester -VIII

code
Contact Hrs. Credi Theory Practical Total
Theory Practical Total t Interna External Interna External
l l
NR404.01 Midwifery and Obstetrical nursing-I - 9 9 4.5 - - 50 50 100
NR405 Community Health Nursing-III - 8 8 4 - - 50 50 100

NR406.01 Medical Surgical Nursing (Adult - 17 17 8.5 - - 50 50 100
and Geriatric)
NR407 Child Health - 6 6 3 - - 50 50 100
NR408 Mental Health - 4 4 2 - - 50 50 100
NR409 Research project - 2 2 1 - - 50 50 100
CS 410 Soft Skills training - 2 2 1 - - 50 50 100
Total - 48 48 24 - - 350 350 700

Note: (As per INC)
1. Nutrition and Biochemistry Question paper will consist of section A Nutrition of 45 marks and
section B of Biochemistry of 30 marks.
2. Pharmacology, genetics, pathology: Section A of Pharmacology with 38 marks, section B of
Pathology of 25 and genetics with 12 marks.
3. Nursing Research & statistics – Nursing research should be of 50 marks and Statistics of 25marks.
4. Minimum pass marks shall be 40% for English only.
5. Minimum pass marks shall be 50% in each of the Theory and Practical papers separately.
6. A candidate must have minimum of 80% attendance (irrespective of the kind of absence) in theory
and practical in each subject for appearing for examination.
7. A candidate must have 100% attendance in each of the practical (clinical) areas before award of
degree.
8. A candidate has to pass in theory and practical exam separately in each of the paper.
9. If a candidate fails in either theory or practical paper he/she has to re-appear for both the paper
(Theory & practical).
10. Maximum number of attempts permitted for each paper is 3 including first attempt.
11. To appear for final year examination, the candidate shall have cleared all the previous examination
12. All practical examination must be held in the respective clinical areas. (Clinical area of the
hospital).
13. One internal and one external examiner should jointly conduct practical examination for each
student.
14. If candidate fails in internal assessment or university examination in any subject (Theory or
Practical) will be allow to next semester university examination.
15. The Internal assessment mark should be send prior to university examination.
16. The examination paper should allot 30% weight age to objective type questions, short answers and
70% to long questions, short notes.
17. Maximum number of students to be examined in the practical should not be more than 20 per day.
18. Internship means 8 hour of integrated clinical duties in which 2 weeks of evening and night shift
duties are included.
19. Internship should be carried out as 8 hours per day or 48 hour per week.
20. Students during internship will be supervised by nursing teachers.
21. 8th Semester finished after project submission.
22. Project evaluation is clubbing with other 8th semester subjects. (Depends on which subject choose
for research project)

B. Sc. (Nursing) Programme
SYLLABI
(Semester – I)
CHAROTAR UNIVERSITY OF SCIENCE AND TECHNOLOGY

CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY
Manikaka Topawala Institute of Nursing
First Year B.Sc. Nursing/Semester-I
NR101.01 Anatomy
Credit -4 Contact Hours/Week - 4 hours
Objective of the course: After completion of these course students will be able to acquire
knowledge of the normal structure of various human body systems and understand the alteration in
anatomical structures in disease and practice of nursing.
Outline of the course:
Sr.no Title of the unit Minimum Section- I Section- II

number of the out of 7 out of
hours marks 30marks
1 Introduction to anatomical terms 5 28.5% 33.5%
organization of the human Body.
2 The skeletal system 10
3 The Muscular System 10
4 The Nervous System 10 28.5% 33.5%
5 The Sensory Organs 8

6 Circulatory and Lymphatic System 12
7 The respiratory System 10 28.5%

8 The Digestive system 8
9 The excretory system (Urinary) 4
33%
10 The Endocrine System 4 14.5%
11 The Reproductive System 4
Total hours (Theory): 85hours

Total : 85hours
Detailed syllabus:
Unit – 1: Introduction to anatomical terms organization of the human Body. 5hours

(6%)
Human Cell structure● Tissues-Definition, Types, characteristics, classification,
location, functions and formation ●Membranes and glands-classification and Structure
Alterations in disease Applications and implications in nursing
Unit -2: The skeletal system 10 hours
(12%)

●Bones-types, structure, Axial & Appendicular skeleton, ●Bone formation and growth
●Description of bones ●Joints-classification and structure Alterations in disease Applications
and implications in nursing
Unit – 3: The Muscular System 10 hours
(12%)
●Types and structure of muscles ●Muscle groups Alterations in disease Applications and
implications in nursing
Unit – 4: The Nervous System 10 hours

(12%)
●Structure of neurologia & neurons
●Somatic Nervous system □Structure of brain, spinal cord, cranial nerves, spinal nerves,
peripheral nerves
●Autonomic nervous system-sympathetic, parasympathetic □Structure, location Alteration in
disease Applications and implications in nursing.
Unit -5: The Sensory Organs 8 hours
(9%)
●Structure of skin, eye, ear, nose, tongue (auditory and olfactory apparatus)
●Alterations in disease
●Applications and implications in nursing
Unit – 6: Circulatory and Lymphatic System 12 hours
(14%)
●The Circulatory System □Blood-Microscopic structure □Structure of Heart □Structure of
blood vessels-Arterial and Venous System, Circulation: systemic, pulmonary, coronary
●Lymphatic System □Lymphatic tissues Lymphatic vessels and lymph -Thymus gland
-Lymph
nodes –Spleen -Lymphatic nodules Alterations in disease Applications and implications in
nursing
Unit – 7: The respiratory System 10 hours
(12%)
●Structure of the organs of respiration
●Muscles of respiration: Intercostals and Diaphragm Alterations in disease Applications and
implications in nursing
Unit – 8: The Digestive system 8 hours
(12%)
●Structure of Alimentary tract and accessory organs of digestion, Alterations in disease
Applications and implications in nursing
Unit – 9: The excretory system (Urinary) 4hours

(4%)
●Structure of organs of urinary
●System: Kidney, ureters, urinary bladder, urethra, structure of skin Alterations in diseases
Applications and implications in nursing
Unit – 10: The Endocrine System 4 hours

(4%)

●Structure of Pituitary, Pancreas, Thyroid, Parathyroid, Thymus and Adrenal gland
Alterations
in disease Applications and implications in nursing
Unit – 11: The Reproductive System 4 hours
(4%)
●Structure of female reproductive organs Structure of breast
●Structure of male reproductive organs
●Structure of breast Alterations in disease Applications and implications in nursing
Books:-
1. Joshi Vijaya D, Anatomy and Physiology for Nursing and Health Care, B I Publication,2006.
2. Watson Rojer, Anatomy and Physiology for Nurses, Elsevier,2005.
3. Paul Annamma, Antomy Simpllified for Nursing and Paramedical Students, B. I. Publication,2008.
4. Anand M and Verma M, Human Anatomy for Nursing and Allied Sciences 1st edition, The Arora
Medical BooK, 2007.
5. Singh S H, Anatomy and Physiology for Nurses and Allied Health Sciences, CBS Pub,2008.
Reference:-
1. Pearce Evelyn, Anatomy and Physiology for Nurses 16th ed, Jaypee Brothers,1993.
2. Yalayyaswamy N N, Anatomy and Physiology for Nurses 3rd ed, CBS Pub,2009.
3. Jain P K, Anatomy and Physiology for Nurses, Arya Pub,2002.

NR101.01 Physiology
Credit -4 Contact Hours/Week - 4 hours
Objective: After completion of these course students will be able to acquire knowledge of the
normal physiology of various human body system and understand the alterations in physiology in
disease and practice of nursing
Sr.no Title of the unit Minimum Section- I Section- III

number of out of 8 out of 30
hours marks marks
1 Cell physiology 6
2 Skeletal system 6
3 Muscular system 8 33.5% 33%

4 Nervous system 12
5 Circulatory System 12
6 The Respiratory System 10
7 The Digestive System 8 33.5% 33.5%
8 The Excretory system 5
9 The sensory Organs 6
10 The Endocrine system 5 33% 33.5%
11 The reproductive System 5
12 Lymphatic and Immunological 2

System
Total hours (Theory): 85hours

Total : 85hours
Detailed syllabus:
Unit – 1: Cell physiology 6 hours (7

%)
 Tissue- formation, repair -Membranes & glands – functions alterations in disease
Applications and implications in nursing.
Unit-2: Skeletal system 6 hours (7

%)

 Bone formation & growth Bones – functions and movements of bones of axial and
appendicular skeleton, bone healing Joints and joint movement Alterations in disease
Applications and implications in nursing.
Unit – 3: Muscular system 8 hours (9

%)
 Muscle movements, muscle tone physiology of muscle contraction, levels and maintenance
of posture Alteration in disease Applications and implications in nursing.
Unit – 4: Nervous system: 12 hours (14

%)
 Functions of neuralgia &neurons Stimulus &nerve-impulse definitions and mechanism
Function of brain, spinal cord, cranial and spinal nerves Cerebrospinal fluid-composition,
circulation and function Reflex arc, reflex action and reflexes Autonomic functions: Pain:
somatic, visceral, and referred Autonomic learning and biofeedback Alterations in disease
Applications and
implications in nursing.
Unit- 5: Circulatory System 12 hours (14

%)
 Blood formation, composition, blood groups, blood coagulation Hemoglobin: Structure,
Synthesis and breakdown, Variation of molecules, estimation. Functions of Heart,
Conduction, Cardiac cycle, circulation-Principles, Control, factors influencing BP and pulse
Alteration in disease Applications and implications in nursing.
Unit- 6: The Respiratory System 10 hours (12

%)
 Functions of respiratory organs Physiology of respiration pulmonary ventilation, Volume
Mechanics of respiration Gaseous exchange in lungs Carriage of oxygen & carbon-dioxide
Exchange of gases in tissues Regulation of respiration. Alteration in disease Application
and implications in nursing.
Unit – 7: The Digestive System 8 hours (10

%)
 Functions of organs of digestive tract. Movements of alimentary tract, Digestion in mouth,
stomach, small intestines, Large intestines, Absorption of food. Functions of liver, gall
bladder and pancreas. Metabolism of carbohydrates, protein and fat.
Unit – 8: The Excretory system 5 hours

(6%)
 Functions of kidneys, ureters, urinary bladder & urethra Compositions of urine Mechanism
of urine formation Functions of skin Regulation of body temperature Fluid & electrolyte
balance. Alterations in disease Applications & implications in nursing.
Unit – 9: The sensory Organs 6 hours (7

%)

 Functions of skin, eye, ear, nose, tongue, Alterations in disease Applications & implications
in nursing
Unit – 10: The Endocrine system 5 hours (5

%)
Functions of Pituitary, pineal body, thymus, Thyroid, parathyroid, pancreas, suprarenal,
placenta and ovaries & testes. Alterations in disease Applications and implications in
nursing.
Unit – 11: The reproductive System 5 hours (6

%)
 Reproduction of cells – DNA, Mitosis, Meosis, Spermatogenesis, oogenesis.
 Functions of female reproductive organs; Functions of breast, Female sexual cycle.
 Introduction to embryology Functions of male reproductive organs, Male function in
reproduction, Male fertility system, Alterations in disease Applications and implications in
nursing.
Unit – 12: Lymphatic and Immunological System 2 hours (3%)

 Circulation of lymph Immunity, Formation of T cells & B cells, Types of immune response,
Antigens, Cytokines, Antibodies
Books:-
1. Chandramouli R, Textbook of Physiology, Jaypee Brothers,2003.

2. Ghai C L, Textbook of Practical Physiology 7th ed, Jaypee Brothers,2003.
3. Raju S M, Physiology for Nurses, Jaypee Brothers,2007.
Reference:-
2. Watson Rojer, Anatomy and Physiology for Nurses, Elsevier,2005.
3. Paul Annamma, Antomy Simpllified for Nursing and Paramedical Students, B. I. Publication,2008.
4. Anand M and Verma M, Human Anatomy for Nursing and Allied Sciences 1st edition, The Arora
Medical BooK, 2007.
5. Singh S H, Anatomy and Physiology for Nurses and Allied Health Sciences, CBS Pub,2008.

NR102.01 Nutrition

Credit (Theory) - 2 Contact Hours/Week (Theory) -2 hours
Credit (Practical)-.5 Contact Hours/Week (Practical) -1 hours
Objective: After completion of these course students will be able to acquired knowledge of nutrition
for maintenance of optimum health at different stage of life and its application for practice of
nursing.
Sr. no Title of the unit Minimum Section- I out Section- II

number of of 9marks out of
hours 36marks
1 Introduction 4 55% 33.5%
2 Carbohydrate 2
3 Fats 2
4 Proteins 2
5 Energy 3 33.5%
6 Vitamins 4
7 Minerals 4 45%
8 Water & electrolytes 3
9 Cookery rules and preservation of 20 33%
nutrients
10 Balanced diet 12
11 Role of nurse in nutritional 4

programme
Total hours (Theory) : 40hours

Total Hours (Practical) : 20hours
Total : 60hours
Detailed syllabus:
Unit – 1: Introduction 4
hours (6%)
 Nutrition: history, concepts, role of nutrition in maintaining health
 nutritional problems in India, national nutritional policy,
 factors affecting food and nutrition: socio-economic, cultural, tradition, production, system
of distribution,
 life style and food habits etc, role of food and its medicinal value.
 classification of foods, food standards, elements of nutrition :macro and micro,
 calories, BMR
Unit – 2: Carbohydrate:
2hours (4%)
 Classification, caloric value, recommended daily allowances, dietary sources, functions,
digestion, absorption and storage, metabolism of carbohydrates,
 malnutrition: deficiencies and over consumption.

Unit – 3: Fats: 2hours
(4 %)
 Classification, calories value, recommended daily allowances, dietary sources, functions,
digestion, absorption and storage, metabolism.

Unit – 4: Proteins 2hours
(4 %)
 Classification, calories value, recommended daily allowances, dietary sources, functions,
digestion, absorption, metabolism and storage.
Unit – 5: Energy
3hours (5%)
 Unit of energy- Kcl , energy requirement of different categories of people, measurements of
energy, Body mass Index(BMI) and basic metabolism.
 Basal Metabolic rate (BMR) - determination and factors affecting.
Unit-6: Vitamins 4hours

(6%)
 Classification, recommended daily allowances, dietary sources, functions, absorption,
synthesis, metabolism storage and excretion .
 Deficiencies: hyper- vitaminosis.
Unit-7: Minerals
4hours (6%)
 Classification, recommended daily allowances, dietary sources, functions, absorption,
synthesis, metabolism storage and excretion, deficiencies, over consumption and toxicity.
Unit-8: Water & electrolytes 3hours

(5 %)
 Water: daily requirement, regulation of water metabolism, distribution of body water,
 electrolytes: types, sources, composition of body fluids, maintenance of fluid and
electrolyte balance, over hydration, dehydration and water intoxication, electrolyte
imbalance.
Unit-9: Cookery rules and preservation of nutrients- Theory-5hours,

(34 %)
Lab-15 Hours
 Principals, methods of cooking and serving, preservation of nutrients.
 safe food handling – toxicity, storage of food, food preservation of food adulteration
act(PFA), food standards, preparation of simple beverage
and different types of food’.
Unit-10: Balanced diet Theory-7hours,

(20%)
Lab- 5 hours

 Elements, food groups, recommended daily, allowance,
 nutritive value of foods calculation of balanced diet for different categories of people,
planning menu, budgeting of food, introduction of therapeutic diets: Naturopathy- Diet.
Unit-11: Role of nurse in nutritional programme 4hours

(6%)
 National programme related to nutrition, vitamin-A deficiency programme, National
iodine (IDD) programme, mid-day meal programme, midday meal programme,
integrated child development scheme(ICDS).
 national and international agencies working towards food/nutrition,
 NIPCCD, CARE,FAO,NIN,CFTRI (central food technology and research institute) etc,
assessment of nutritional status, nutritional education and role of nurse.
Books:-
1. Joshi Y K, Basics of Clinical Nurtition, Jaypee Brothers,2008.

2. Sam Molly, A Text book of Nutrition for Nursing 6/e, Jaypee Brothers,2006.
3. Swaminathan M, Handbook of Food and Nutrition, The Banglore Pri & Pub,2007.
4. Indrani T K, Nursing Manual of Nutrition and Therapeutic Diet, Jaypee Brothers,2008.
Reference:-
1. Mahan Kathleen L., Krause's Food & Nutrition Therapy, Elsevier,2008.
2. Trueman Patricial, Nutritional Biochemistry, Mjp Publishers,2007.
3. Gupta L C, Food and Nutrition Facts & Figures 6th ed, Jaypee Brothers,2006.
,

NR102.01 Bio-Chemistry

Objective: After completion of these course students will be able to acquired knowledge of the
normal biochemical composition and functioning of human body and understand the alteration in
biochemistry in diseases for practice of nursing.
Sr.no Title of the unit Minimum Section- I Section- III

number of out of out of
the hours 6marks 24marks
1 Introduction 3 80% 60%

2 Structure and functions of cell 6
membrane
3 Composition and metabolism of 6
Carbohydrates
4 Composition and metabolism of lipids 4
5 Composition and metabolism of Amino 6 20% 40%

acids and Proteins
6 Composition of Vitamins and minerals 2
7 Immunochemistry 3

Total : 30hours
Detailed syllabus:
Unit – 1: Introduction
3hours (10%)
 Definition and significance in nursing. Review of structure, Composition and functions
of cell. Prokaryote and Eukaryote cell organization.,Microscopy.
Unit – 2: Structure and functions of cell membrane 6hours

(20%)
 Fluid mosaic model tight junction, Cytoskeleton. Transport mechanism; diffusion,
osmosis, filtration, active channel, sodium pump.
 Acid base balance- maintenance & diagnostic tests. PH buffers.
Unit – 3: Composition and metabolism of Carbohydrates 6hours

(20%)
 Types, structure, composition and uses Monosaccharide. Polysaccharides,
Oligosaccharides Disaccharides.
 Metabolism - Pathways of glucose: - Glycolysis, Gluconeogenesis: Cori's
cycleTricarboxylic acid ( TCA ) cycle, Glycogenolysis - Pentose Phosphate pathways
( Hexose mono phosphate ) –Regulation of blood glucose level Investigation and their
interpretations.

Unit – 4: Composition and metabolism of lipids 4hours
(13%)
 Types, structure, composition and uses of fatty acids Nomenclature, Roles
anprostaglandins.
 Metabolism of fatty acid breakdown –synthesis, Metabolism of triacylglycerols,
cholesterol metabolism -Biosynthesis and its Regulati Bile salts and bilirubin -Vitamin
D-Steroid hormones .
 Lipoproteins and their function : VLDLs- IDLs, LDLs, and HDLs -Transport of lipids-
Atherosclerosis investigations and their interpretation.
Unit – 5: Composition and metabolism of Amino acids and Proteins. 6hours

(20%)
Types, structure, composition and uses of Amino acids and Proteins, Metabolism of Amino
acids and proteins, Protein synthesis, targeting and glycosylation-Chromatography-
Electrophoresis-Sequencing, Metabolism of nitrogen -Fixation and Assimilation -Urea
Cycle
Hemes and chlorophylls.
Enzymes and co-enzymes- Classification –Properties-Kinetics and inhibition Control
Investigations and their interpretations.
Unit – 6: Composition of Vitamins and minerals

2hours (7%)
 Vitamins and minerals: - Structure - Classification - Properties, Absorption - Storage
and transportation - Normal concentration , Investigations and their interpretations.
 Free radical and antioxidant. Specialized protein : Collage
Unit – 7: Immunochemistry 3hours

(10%)
 Immune response. Structure and classification of immunoglobins,
 Elastin,
Mechanism of antibody
Keratin, Myosin,production. Antigens
Lens, Protein : HLA typing
Electrophoretic and Quantitative determination
of immunoglobins- ELISA etc. Investigations and their interpretations.
Books:-
1. Raju S M, Biochemistry for Nurses, Jaypee Brothers,2005.
2. Reddy K R Medical Biochemistry for Nurses, Jaypee Brothers,2006.
3. Vasudevan D M, Textbook of Biochemistry, Jaypee Brothers,2007.
4. Indrani T K, Nursing Manual of Nutrition and Therapeutic Diet, Jaypee Brothers,2008.
Reference:-
1. Bansal Srinandan, Food and Nutrition, A.I.T.B.S PUB,2008.
2. Sharma D C, MCQs In Biochemistry 1st Ed, A.I.T.B.S PUB,2008.
3. WHO, Diet,Nutrition and The Prevention of Chronic Diseases, A.I.T.B.S PUB,2005.
NR103.01 English

Objective: After completion of these course students will be able to enhance ability to comprehend
spoken and written English (and use English) required for effective communication in their
professional work. Students will practice their skill in verbal and written English during clinical and
classroom experience.
Outline of the Course:
Sr.no Title of the unit Minimum Section- Section- II Section- III

number of I out of out of 30 out of
hours 15marks marks 30marks
1 Review of Grammar 10 60% 100% Nil
2 Read and comprehend 30
prescribed course books
3 Various forms of composition 10
4 Spoken English 6 40% Nil 100%
5 Listening Comprehension 4
Total hours (Theory) : 60 hours

Total hours : 60 hours
Detailed syllabus:
Unit:1- Review of Grammar

10hours(17 %)
 Remedial study of Grammar. Building Vocabulary.
 Phonetics. Public Speaking.
Unit:2- Read and comprehend prescribed course books . 30hours

(50 %)
Unit: 3-Various forms of composition . 10hours
 Letter writing Note taking, précis writing, Nurses notes, anecdotal records, Diary
writing, Reports on health problems etc. Resume / CV.
(17 %)
Unit: 4- Spoken English 6hours
(10 %)
 Oral report ,Discussion , Debate, Telephonic conversation.
Unit: 5- Listening Comprehension 4hours

(6 %)
 Media, audio, video, speeches etc.
Books:-

1. Rose Selva, English For Diploma Nursing Students, B I Publication,2006.
2. Sarumathi J, English for Nursing, Jaypee Brothers,2008.
3. Anand N K, English for Nursing Courses, AITBS Pub,2007.
Reference:-
1. Anand N K, English for Nursing Courses, A.I.T.B.S PUB,2007.

2. Prabhakara G.N, English for Nurses, PEEPEE,2006.
3. Lohumi Shama, Remedial Grammar and Composition, S Vikas & Co,2009.

NR104.02 Nursing Foundation –I Theory

Objective: After completion of these course students will be able to develop an understanding of the
philosophy, objectives, theories and process of nursing in various Supervised Clinical setting. It is
aimed at helping the student to acquire knowledge, understanding and skills in techniques of nursing
and practice them in Supervised Clinical setting.
Sr.no Title of the unit Minimum number of hours
1. Introduction 10
2. Nursing as a profession 16
3. Hospital admission and discharge 4
4. Nursing Process 15
5. Documentation and Reporting 4
6. Vital signs 15
7. Health Assessment 30
8. First Aids 20
9. Machinery, equipment and linen 5
10. Meeting needs of patient 60

11. Administration of medications 40
Total hours (Theory) : 219
hours
Total Hours (lab demonstrations) :
186hours
Total : 405
hours
Detailed syllabus:
Unit – 1: Introduction – 10hours

(3%)
 Concept of health: Health illness continuum. Factors influencing health.
 Causes and risk factors for developing illness.
 Body defenses: immunity and immunization.
 Illness and illness Behavior:. Impact of illness on patient and family.
 Health Care Services:
Health promotion and prevention, primary Care, Diagnosis, Treatment, Rehabilitation
and
Continuing Care.
 Health care teams: Types of health care agencies: Hospital: Types, Organization and
Functions
Health promotion and Level.

Unit-2: Nursing as a profession - 16hours
(6%)
 Definition and characteristics of a profession, Nursing: -Definition, Concepts
philosophy, objectives- Characteristics, nature and scope of nursing practice -
Function of nurse , Qualities of a nurse, Categories of nursing personnel, Nursing as a
profession History of Nursing in India,
 Values: Definition, Types, values Clarification and values in professional Nursing ,Caring
and Advocacy.
 Ethics: Definition and Ethical Principles, Code of ethics and professional conduct for
Unit-3: Hospital admission and discharge - 4hours
(2%)
 Admission to the Hospital: Unit and its preparation admission bed, Admission procedure,
Special considerations, Medico-legal issues.Role & responsibilities of the Nurse.
 Discharge from the hospital,Types: Planned discharge, LAMA and abscond referrals and
transfers, Discharge planning, Discharge Procedures, Special considerations, Medico-legal
issues, Role & responsibilities of nurse.
Unit-4: Nursing Process- 15hours

(8%)
 Critical Thinking and Nursing Judgment , Critical Thinking:Thinking and Learning,

Competencies, Attitudes for critical thinking, levels of critical thinking in nursing.
 Nursing Process Overview: Application in Practice ,Nursing process format INC, current
format, Assessment.
 Collection of Data: Types, Sources, Methods, Formulating Nursing judgment Data
interpretation, Nursing diagnosis, Identification of client problem.
 Nursing diagnosis statement, Difference between medical and nursing diagnosis.
 Planning, Establishing Priorities , Establishing Goals and Expected Outcomes, Selection of
interventions: Protocol and standing orders, writing the nursing care plan.
 Implementation, implementation the plan of care.
 Evaluation Outcome of care, review and Modify, Documentation and reporting.
Unit-5: Documentation and Reporting – 4 hours

(2%)
 Documentation: Purposes of Recording and reporting,
 Communication within the Health care team, Types of records: Ward records, medical
/nursing records, Common record - keeping forms.
 Computerized documentation, Guideline for reporting :Factual basis, accuracy,
completeness,currentness, organization, confidentiality.
 Method of recording, Reporting : Change of shift reports:Transfer reports, Incident reports,
Minimizing legal Liability through effective record keeping.
Unit-6: Vital signs – 15hours

(8%)

 Guidelines for taking vital signs. Body temperature: Physiology Regulation, factors affecting
body temperature, Assessment of body temperature sites, equipments and technique, special
considerations.
 Temperature alterations: Hyperthermia, Heatstroke, Hypothermia, Hot and cold applications.
 Pulse :Physiology and regulation,Characteristics of the pulse, Factors affecting pulse ,
Assessment of pulse sites, location, equipments and technique, special considerations,
Alteration in pulse.
 Respiration, Physiology and regulation, mechanics of breathing, characteristics of the
respiration, factors affecting respiration, Assessment of respiration: technique, special
consideration, Alteration in respiration.
 Blood Pressure: Physiology and Regulation, Characteristics of the blood pressure, factors
affecting blood pressure, Assessment of blood pressure: sites, equipments and technique,
special considerations, alterations in blood pressure.
 Recording of vital signs.
Unit-7: Health Assessment - 30hours (12%)
 Purpose, process of health assessment, Health history.
 Physical examination methods- Inspection, palpation, percussion, Auscultation, Olfaction,
preparation for examination; patient and unit general assessment, assessment of each body
system, recording of health assessment.
Unit-8: First Aid: 20 hours

(9%)
 Introduction to First Aid
 Promoting safety consciousness
 Bandages- types, binders, splints & slings.
 First aid in emergencies such as RTA, cardiac arrest, respiratory failure, burns,
electric shock, drowning,spinal cord, animal bite, shock, snack/ Scorpio bite and
poisoning.
 First aid kit.
 Drugs and equipments used in first aid.
Unit-8: Machinery, equipment and linen – 5hours

(2%)
 Type; Disposable and reusable - linen, rubber goods, glass ware
metal, plastics, furniture, machinery ,Introduction: indent maintenance, Inventory
Unit-9: Meeting needs of patient – 60hours

(28%)
 Basic needs (activities of daily living) , Providing safe and clean environment:-
Physical environment: Temperature, Humidity, noise, ventilation, light, odor, Pests control,
Reduction of physical hazards: Fire, Restraints, side rails, airways, trapez etc. Role of nursing
providing safe and clean environment.
Hygiene: Factors Influencing Hygienic practice hygienic care: care of the skin- Bath and
pressure

points, feet and nail, oral cavity, Hair care, Eyes, Ears and Nose, Assessment, Principles,
Types,
Equipments, Procedure, Special Considerations, patient
Environment: Room equipments and linen, making patient beds. Types of beds and bed
making,
Comforts: Factors Influencing comfort, Comfort devices, Physiological needs.
Sleep and Rest:, Physiology of sleep, Factors affecting sleep, Promoting rest and sleep,
Sleep disorders, Nutrition: Importance, Factors affecting nutritional needs, Assessment
of nutritional needs, Variables , Meeting nutritional needs: Principles, equipment,
procedure and special consideration. Oral, Enteral: Naso/ Orogastric, Gastrostomy
Parenteral.
Urinary elimination: Review of physiology of urine elimination, Composition and
characteristics of urine, Factors influencing urination, Alteration in urinary elimination, Types
and collection of urine specimen: Observation, urine testing, Facilitating urine elimination:
assessment, types, equipments, procedures and special considerations, Providing urinal /
bedpan,
Condom drainage, Perineal care, Catheterization, Care of urinary drainage, Care of urinary
diversions Bladder irrigation
Bowel Elimination: Review of Physiology of bowel elimination, Composition and
characteristics of feces. Factors affecting Bowel elimination Alteration in Bowel elimination –
Types and collection of specimen of feces: Observation Facilitating bowel elimination :
assessment, equipments, procedures and special considerations ○Passing of flatus tube
○Enemas
Suppository Sitz Bath ○Bowel wash ○Care of Ostomies.
 Mobility and immobility -Principles of body Mechanics -Maintenance of normal Body
Alignment and Mobility -Factors affecting body alignment and mobility -Hazards associated
with immobility –Alteration in body -Alignment and mobility.
 Nursing intervention for impaired Body Alignment and mobility: assessment, types, devices
used,
method and special considerations, rehabilitation aspects.
○ Range of motion exercises ○ Maintaining body alignment: positions
○ Moving ○ Lifting ○ Transferring ○ Walking ○ Restraints
□ Oxygenation -Review of Cardiovascular and respiratory Physiology Factors affecting
Oxygenation -Alterations in oxygenation nursing interventions in oxygenation: assessment,
types, equipment used, procedure and special considerations Maintenance of patent
airway
○ Oxygen administration ○ Suction ○ Inhalations: dry and moist○ Chest physiotherapy and
postural drainage ○ Care of Chest drainage ○ Pulse oximetry ○ CPR-Basic life support
□ Fluid, Electrolyte, and Acid-Base Balances Review of physiological regulation of Fluid and
Electrolyte, Acid-Base Balances Factors affecting Fluid, Electrolyte and Acid-Base
Balances.
 Nursing interventions in Fluid, Electrolyte and Acid-Base Imbalances Assessment, types,
equipment, procedures And special considerations ○Measuring fluid intake and output
Correcting fluid, electrolyte imbalance: ◙ Replacement of fluid: Oral and Parenteral
Venipuncture, regulating IV flow rates, changing IV solutions and Tubing, changing IV
dressing
 Administering blood transfusion ◙ Restriction of fluids.

●Psychosocial needs □ Concepts of cultural diversity, stress and adaptation, self conceptsexuality,
spiritual health, coping with loss, death and grieving □ Assessment of psychosocial needs
□ Nursing intervention for psychosocial needs -assist with coping and daptation creating
therapeutic environment □Recreational and diversional therapies.
Unit: 10- Administration of medications 40hours (20

%)
 General, Principles/considerations: □ Purposes of medication □ Principles:5 rights, special
considerations, prescriptions, safety in administering medications and medication errors □
Drug forms □ Routes of administration □ Storage and maintenance of drugs and Nurses
Responsibility □ Broad classification of drug □ Therapeutic effect, side effects, toxic effects,
idiosyncratic reactions, allergic reactions, drug tolerance, drug interactions.□ Factors
influencing drug actions.
 Systems of drug Measurement: metric system, apothecary system, household measurements,
solutions.□ Converting measurements Units: conversion within one system, conversion
between systems, dosage calculation.
 Terminologies and abbreviations used in prescription of medications.
 Oral drugs administration: oral, sublingual and buccal: equipment, procedure Parenteral □
General principles: Decontamination and disposal of syringes and needles□ Types of
parenteral therapies □ Types of syringes, needles, cannula and infusion sets.□
Protection from needle stick injuries: giving medication with a safety syringes.
 Routes of parenteral therapies -Intradermal: purpose, site, equipment, Procedure, special
consideration -subcutaneous: purpose, site equipment, Procedure, special consideration
-intramuscular: purpose, site, equipment, Procedure, special consideration -intravenous:
purpose, site, equipment, Procedure, special consideration-advanced techniques: epidural,
intrathecal, intraosseo- inratraperitoneal, intraplural, intraarterial, -Role of nurse.
● Topical administration: purpose, site, equipment, Procedure, special consideration for
□ Application to skin □ Application to mucus membrane -direct application of liquids
gargle and swabbing the throat -insertion of drug into body cavity: suppository/medicated
packing in rectum/vaginal -instillation: ear, eye, nasal, bladder and rectal -irrigations:
eye, ear, bladder, vaginal and rectal – spraying: nose and throat .
● Inhalation: nasal, oral, endotracheal/ tracheal(steam,oxygenand
medications)purposes,Site,equipment, Procedure, special considerations □ Recording and
reporting of medications administered.
Books:-
1. Potter P A, Fundamenals of Nursing 7th ed, Elsevier, 2009.

2. Basavanthappa B T, Fundamenals of Nursing 2nd ed, Jaypee Brothers,2009.
3. Potter P A & Thresyamma Perry A G, Fundamentals of Nursing 6th ed, Mosby,2005.
4. Thresyamma, Fundamentals of Nursing Procedure Manual for General Nursing and Midwifery
Course,Jaypee Brothers,2006.
5. Nancy Sr, Stephanies Principels and Practice of Nursing 6th ed Vol 1& 2, N R Brothers,2008.
Reference:-

1. Gupta L C, Practical Nursing Procedures 2nd ed, Jaypee Brothers,2006.
2. Sirra Esther, Nursing Process 2nd ed, ELSEVIER,2008.
3. Yalayyaswamy N N, First Aid and Emergency Nursing, CBS Pub,2009.
4. Parker M E, Nursing Theories and Nursing Practice, Jaypee Brothers,2007 .

NR109 Introduction to computer

Credit (Practical)-1 Contact Hours/Week (Practical) -2 hours

Objective: After completion of these course students will be able to assist the students to develop
basic understanding of uses of computer and its applications in nursing.
Sr. no Title of the unit Minimum Section- I Section- II Section- III

number of out of out of out of
the hours 15marks 30marks 30marks
1 Introduction: 3 60% 100% Nil
2 Introduction to disk 26
operating system
3 Multimedia: 5
4 Use of internet and e-mail 4 40% Nil 100%
5 Statistical packages 4
6 Describe the use of Hospital 3
Management system
Total hours (practical) : 30hours
Total hours : 45hours
Detailed syllabus;
Unit:1- Introduction:
3hours (7%)
 Concepts of computers Hardware and software; trends and technology Application
of computers in nursing
Unit:2- Introduction to disk operating system, Theory-6hours, Practical-
20hours (57%)
 DOS, Windows, Introduction, MS Word, MS-excel with pictorial presentation,

MS-Access, MS-Power point
Unit ;3- Multimedia: Theory-2hours,Practical-

3hours (11%)
 types & uses, Computer aided teaching & testing
Unit:4- Use of internet and e-mail Theory-1hr, Practical-

3hours (9%)
Unit:5- Statistical packages Theory-2hours, Practical-

2hours (9%)
Unit:6- Describe the use of Hospital Management system, Theory- 1hr,Practical-2hours

(7%)


SYLLABI
(Semester – II)
CHAROTAR UNIVERSITY OF SCIENCE AND TECHNILOGY

First Year B.Sc. Nursing/Semester-II
NR105.01 Microbiology

Objective: After completion of these course students will be able to acquired understanding of
fundamentals of microbiology and identification of various micro-organisms. It also provides
opportunities for practicing infection control measures in hospital and community settings.

Sr.no Title of the unit Minimum Section- I Section- II Section- III
number out of out of out of
of hours 15marks 30marks 30marks
1 Introduction 5 60% 10% Nil
2 General characteristics of 15 70%
microbes
3 Infection control 12 20%
4 Pathogenic organisms 16 40% Nil 50%
5 Immunity 12 50%
hours
Total hours (Lab demonstration) : 15
hours
Total hours : 60
hours
Detailed syllabus:
Unit – 1: Introduction: 5 hours

(9 %)
 Importance and relevance to nursing, Historical perspective Concepts and terminology,
Principles of microbiology.
Unit – 2: General characteristics of microbes – theory-10 hours, Lab- 5
hours, (25 %)
 Structure and classification of microbes, Morphological types, Size and form of bacteria,
Motility, Colonization, Growth and nutrition of microbes: temperature, moisture, blood and
body fluids, Laboratory methods of identification of microorganisms, Staining techniques,
gram staining, acid fast staining, hanging drop preparation, Culture; various medias.
Unit – 3: Infection control – theory – 10 hours, Lab- 2

hours (20 %)
 Infection: sources, portals of entry and exit, Transmission, asepsis Disinfection: types and
methods, Sterilization: types and methods Chemotherapy and antibiotics, Standard safety
measures.
 Biomedical waste management, Role of nurse. Hospital acquired infection Hospital infection
control programme, Protocols, collection of samples, preparation of report and status of rate of
infection in the unit/hospital, nurse’s accountability, continuing education etc.
Unit – 4: Pathogenic organisms – theory -12 hours, Lab-

4hours, (26 %)
 Micro-organisms = Cocci – gram positive and gram negative, = Bacilli – gram positive and
gram negative = Spirochete = Mycoplasma= Rickettsiae = Chlamydiae –Viruses Fungi –

superficial and deep mycoses, Parasites, Rodents & vectors, Characteristics, source, portal of
entry, transmission of infection. Identification of disease producing micro-organisms
collection handling and transportation of various specimens.
Unit – 5: Immunity – theory- 8 hours, Lab- 4
hours ( 20 %)
 Immunity-types, classification, Antigen and antibody reaction,
Hypersensitivity – skin test, Serological tests, Immunoprophylaxis,
Vaccination & sera – types & classification, storage and handling,
cold chain, Immunization for various diseases Immunization schedule.
Books:
1. Gupte Satish ,The Short Textbook of Medical Microbiology, Jaypee Brothers,2006.

2. Parjia S C, Textbook of Microbiology, ELSEVIER,2009.
3. Ichhpujani R L, Microbiology for Nurses 2nd Ed, Jaypee Brothers, 2007.
4. Panda U N, Microbiology for Nurses, A.I.T.B.S PUB,2007.
Reference:-
1. Panda U N, Handbook of Microbiology and Parasitology, A.I.T.B.S PUB,2009.

2. Sarma P H B S, A Textbook of Microbiology, S Vikas & Co,2009.
3. Vasanthakumari R, Textbook of Microbiology, B I Publicationslication,2008.

NR106 Psychology
Objective: This course is designed to assist the students to acquire of fundaments of psychology and
develop an insight into behavior of self and others. Further it is aimed at helping them to practice the
principles of mental hygiene for promoting mental health in nursing practice.

Sr. no Title of the unit Minimum Section- I Section- II Section- III

number of out of out of out of
hours 15marks 30marks 30marks
1 Introduction 2 60% 100% Nil
2 Biology of behavior 4
3 Cognitive processes 20
4 Motivation and emotional 8
processes
5 Personality 7 40% Nil 100%
6 Developmental psychology 7
7 Mental hygiene and mental health 8
8 Psychological assessment and tests 4
hours
Total hours : 60
hours
Detailed syllabus:
Unit – 1: Introduction 2hours ( 4

%)
 History and origin of science of psychology, Definition and
scope of psychology, Relevance to nursing , Methods of psychology
Unit – 2: Biology of behavior – 4 hours (6
%)
 Body mind relationship modulation process in health and illness.
Genetics and behavior: heredity and environment, Brain and behavior: Nervous system,
neurons and synapse, Association cortex, right and left hemispheres, Psychology of sensation
Muscular and glandular controls of behavior Nature of behavior of an organism/integrated
responses.
Unit – 3: Cognitive processes – 20 hours (34

%)
 Attention: types, determinants, duration and degree, alterations , Perception: meaning,
principles, factors affecting, errors,
 Learning: nature, types, l earner and learning, factors influencing, laws and theories, process,
transfer, study habits.
 Memory: meaning, types, nature factors influencing, development theories and methods of
memorizing and forgetting ,Thinking: types and levels,stages of development, relationship
with language and communication Intelligence: meaning, classification, uses, theories,
 Aptitude: concept, types, individual differences and variability, psychometric assessment of
cognitive processes .alteration cognitive processes Applications.
Unit – 4: Motivation and emotional processes 8 hours (13
%)

 Motivation: meaning, concepts, types, theories ,motives & behaviors, conflicts and frustration,
conflict resolution, Emotions and stress, emotions definition
Components Stages in emotions, theories, emotional adjustments, emotions in health
and illness.
 Stress: stressors, cycle, effect, adaptation and coping, Attitude Meaning nature development.
 Factors affecting Behavior and attitudes, Attitudinal change.
 Psychometric assessment of emotions And attitudes.
 Alterations in emotion.
 Applications.
Unit – 5: Personality – 7 hours (12
%)
 Definitions, topography, types, theories, Psychometric assessments of personality, Alterations
in personality, Applications.
Unit – 6: Developmental psychology – 7 hours (12
%)
 Psychology of people at different ages from infancy to old age.
 Psychology of vulnerable individuals -challenged, women sick etc. Psychology of groups.
Unit – 7: Mental hygiene and mental health – 8 hours (13
%)
 Concepts of mental hygiene and mental health.
 Characteristics of mentally healthy person.
 Warning signs of poor mental health Promotive and preventive mental health-strategies and
services.
● Ego defense mechanisms and implications.
● Personal and social adjustments.
● Guidance and counseling Role of nurse.
Unit – 8: Psychological assessment and tests – 4 hours (6
%)
 Types development characteristics principles, uses, interpretations and role of nurse in
psychological assessment.

NR111.01 Nursing Foundation –II (Theory)

Credit (Practical)-13 Contact Hours/Week (Practical) -26 hours

Objective: After completion of these course students will be able to develop an understanding of the
philosophy, objectives, theories and process of nursing in various supervised clinical settings. It is
aimed at helping the students to acquire knowledge, understanding and skills in techniques of
nursing and practice them in supervised clinical settings.
Sr. no Title of the unit Minimum Section- I Section- II Section- III out
number of out of out of 30marks of 30marks
the hours 15marks
1 Infection control in clinical 20 60% 100% Nil

settings
2 Meeting needs of Peri- 10
operative patients
3 Meeting special needs of the 15
patient
4 Care of terminally ill patient 5 40% Nil 100%
5 Professional nursing 6
concepts and practices
6 Communication and Nurse 10
patient Relationship

Total hours (Lab demonstration) : 14 hours
Total hours (practical) : 450 hours
Total hour : 530 hours
Detailed syllabus;
Unit-1: Infection control in clinical settings 20hours
(30%)
 Infection control □ Nature of Infection □ Chain of infection transmission
□ Defenses against infection: natural and acquired □ Hospital acquired
infection (nosocomial infection)
● Concept of asepsis: medical asepsis, Surgical asepsis Isolation precautions(barrier nursing
Hand washing :simple, hand antisepsis and surgical antisepsis(scrub)
 Isolation: source and protective □ Personal protecting equipments: types, uses and
technique of wearing and removing □ Decontamination of equipment and unit □
Transportation of infected patients □ Standard safety precautions(universal precaution)
Transmission based precautions ● Biomedical waste management: Importance □ Types of
hospital waste □Hazards associated with hospital waste □Decontamination of hospital waste
□Segregation and transportation and disposal.
Unit: 2 Meeting needs of preoperative patients 10hours
(15 %)

 Definition and concept of perioperative nursing Pre operative phase □ Preparation of patient
for surgery ● Intra operative □ Operation theatre set up and environment □ Role of
nurse
 Post operative phase □ Recovery unit□ Post operative unit □ Post operative care, Wounds:
types, classification, wound healing process, factors affecting wound, complication of wound
healing● Surgical asepsis.
 Care of the wound: types, equipments, procedure and special considerations □ Dressing,
suture care,□ Care of drainage □ Application of bandages, binders, splints and slings □ Heat
and cold therapy.
Unit: 3 Meeting special needs of the patient 15hours
(23 %)
 Care of patients having alteration in Temperature(hyper and hypothermia) types, Assessment,
Management □ Sensorium (unconsciousness); Assessment, Management Urinary
Elimination (retention and incontinence) Assessment, Management Functioning of sensory
organs (visual and hearing impairment) □ Assessment of self care ability □
Communication methods and special considerations□ Mobility(physically challenged,
cast),assessment of self care ability: communication methods and special considerations □
Mental state(mentally challenged),assessment of self care ability: □ Communication
methods and special considerations □ Respiration (distress):types, assessment Management;
□ Comfort-(pain)-Nature, types, factors influencing pain, Coping, Assessment, Management;
●Treatments
related to gastrointestinal system: nasogastric suction, gastric irrigation, gastric analysis.
Unit: 4- Care of terminally ill patient 5hours
(8 %)
 Concepts of loss, Grief, Grieving process □ Signs of clinical death □ Care of dying patient:
special considerations – Advance directives: euthanasia, will, dying declaration, organ
donation etc.□ Medico-legal issues □Care of dead body: equipment, procedure and care of
unit □ Autopsy □Embalming.
Unit: 5 -Professional nursing concepts and practices 6hours
(9%)
 Conceptual and theoretical models of nursing practice: Introduction to models-holistic model
health belief model, health promotion model etc ● Introduction to theories in nursing:
Peplau’s, Henderson’s, Orem’s, Neuman’s, Roger’s and Roy’s ● Linking theories with
nursing process
Unit: 6 - Communication and Nurse patient Relationship: 10 hours
(15%)
 Communication: Levels, Elements, Types, Modes, Process, factor influencing
communication.
 Methods of effective communication: - Attending skills
- Rapport building skills
- Empathy skills
 Barriers to effective communication
 Helping Relationship, phases of a helping Relationship
 Communicating effectively with patient, Families and team members and maintain effective
human relations with special reference to communicating with vulnerable group (children,
woman, physically and mentally challenged and elderly)

 Patient teaching: importance, purpose, process, role of Nurse and integrating teaching in
Nursing process.
NR111.01 Nursing Foundation –II-practical
Detailed syllabus:
 Demonstration Lab, General medical and surgery ward:
Hospital admission and discharge (III) : Admission, Prepare unit for new patient, Prepare
admission bed, Performs admission procedure, New patient, Transfer in prepare patient records,
Discharge/transfer out:, Gives discharge counseling, Perform discharge procedure(planning
discharge, LAMA and abscond, referrals and transfers), Prepare records of discharge/transfer,
Dismantle, and disinfect unit and equipment after discharge/transfer
Perform assessment: History taking, nursing diagnosis, problem list, prioritization, goals and
expected outcomes, selection of interventions, Write nursing care plan, Gives care as per the plan.
Prepare a plan for patient teaching session.
Write patient report: Change of shift reports, transfer reports, incident reports etc. Presents patient
report.
Vital signs: Measure, records and interpret alterations in body temperature, pulse respiration and
blood pressure.
Health assessment: Health history taking, Perform assessment, General Body systems, Use various
methods of physical examination, Inspection, palpation, percussion, auscultation, olfaction,
Identification of system wise deviations.
Prepare patient’s unit: Prepare beds: Open bed, Close bed, Occupied bed, Operation bed, Divided
bed, Amputation bed, Cardiac bed, Fracture bed, Burn bed, Fowler’s bed, Pain assessment and
provision for comfort, Use comfort devices.
Hygienic care: Oral hygiene, Baths and care of pressure points, Hair wash, pediculosis
treatment.
Feeding: Oral, enteral, Naso/ Orogastric, Gastrostomy and parental feeding, Naso – gastric
insertion, suction and irrigation.
Assisting patient in urinary elimination: Providing urinal/bed pan, Condom drainage, and perineal
care, Catheterization, Care of urinary drainage.
Bladder irrigation: Assisting bowel Elimination; Insertion of Flatus tube, Enemas, Insertion of
Suppository Bowel wash.
 Demonstration Lab, General medical and surgery ward:
 Body Alignment and Mobility □Range of motion, Exercises ,Positioning: Recumbent,
Lateral (rt/lt), Fowlers, Sims, Lithotomy Prone, Trendelenburg position Assist patient in
moving, lifting Transferring, walking □Restraints
 Oxygen administration
 Suctioning: oropharyngeal, nasoph-aryngeal Chest physiotherapy and postural
Drainage Care of chest drainage CPR basic life support Intravenous therapy
Blood and Blood component therapy Collect /Assist for collection of specimens for
investigations, Urine, Sputum, Faeces, Vomitus, Blood and other Body Fluids
 Perform Lab Tests: Urine: Sugar, albumin, acetone ●Blood: sugar(with strip/gluco-meter)
 Hot and Cold applications: Local and general sitz bath Communicating and assisting with
self care of visually and hearing impaired patients Communicating and assisting with self

care of mentally challenged/Disturbed patients Recreational and divers ional therapies
Caring of patient with alteration in sensorium
 Infection control Perform following procedures: □Hand washing techniques □(simple, hand
antisepsis and surgical antisepsis scrub) Prepare isolation unit in lab/ward □Practice
technique of wearing and removing personal protective equipment(PPE) □Practice standard
safety precautions(universal precaution
 Documentation of equipment and unit: Surgical asepsis: □Sterilization □Handling
sterilized equipment □Calculate strengths of lotions: □prepare lotion
 Care of articles:
 Pre and post operative care Skin preparations for surgery: Local Preparation of post
operative unit Pre & post operative teaching and counseling Pre and post operative
monitoring Care of wound:` Dressing, suture care, care of drainage, application of bandages,
binder, splints & slings. Bandaging of various body parts.
 Administration of medications Administer medications in different forms and routes. Oral,
sublingual and buccal Parenteral: Intradermal, subcutaneous, Intramuscular etc. Assist with
intra venous medications Drug measurements and dose calculations Preparation of lotions
and solutions Administers topical applications Insertion of drug into body cavity: suppository
& medicated packing etc. Instillation of medicines and spray into ear, eye, nose and throat
Irrigations: eye, ear; bladder, vagina and rectum Inhalations: dry and moist
 Care of dying patient: Caring and packing of dead body Counseling and supporting
grieving relatives Terminal care of the unit.
Books:-
6. Potter P A, Fundamenals of Nursing 7th ed, Elsevier, 2009.

7. Basavanthappa B T, Fundamenals of Nursing 2nd ed, Jaypee Brothers,2009.
8. Potter P A & Thresyamma Perry A G, Fundamentals of Nursing 6th ed, Mosby,2005.
9. Thresyamma, Fundamentals of Nursing Procedure Manual for General Nursing and Midwifery
Course,Jaypee Brothers,2006.
10. Nancy Sr, Stephanies Principels and Practice of Nursing 6th ed Vol 1& 2, N R Brothers,2008.
Reference:-
5. Gupta L C, Practical Nursing Procedures 2nd ed, Jaypee Brothers,2006.

6. Sirra Esther, Nursing Process 2nd ed, ELSEVIER,2008.
7. Yalayyaswamy N N, First Aid and Emergency Nursing, CBS Pub,2009.
8. Parker M E, Nursing Theories and Nursing Practice, Jaypee Brothers,2007 .

SYLLABI
(Semester – III)

Second Year B.Sc. Nursing/ Semester-III
NR207 COMMUNICATION & EDUCATIONAL TECHNOLOGY
Credit hours (Theory): 4 Contact hrs/wk (Theory):4 Hours
Objective of the course: After completion of these course students will be able to
acquire an understanding of the principles and methods of communication and
teaching. It helps to develop skill in communicating effectively, maintaining effective
interpersonal relations, teaching individuals and groups in clinical, community health
and educational settings.
Sr.no Title of the unit Minimum number of the
hrs
1. Review of communication process 5
2. Interpersonal relations 5
3. Human relations 5
4. Guidance and counseling 10
5. Principles of education & teaching learning 5
process
6. Methods of teaching 10
7. Educational media 10
8. Assessment 5
9. Information, education & communication for 5
health(IEC)
Total hours (Theory): 90 hrs

Total : 90hrs
UNIT-1 : Review of Communication Process: Theory5hrs,

(6%)
● Process; elements and channel
● Facilities
● barriers & methods of overcoming
● techniques
Unit-2: Interpersonal relations: Theory-5hrs, (6%)
● Purpose & types

● phases
● barriers & methods of overcoming
● Johari window
Unit-3 : Human relations: Theory-5hrs(6%)
● understanding self
● social behavior, motivation, social attitudes
● Individual and groups
● groups and individuals
● human relations in context of nursing
● Group dynamics
● team work
Unit-4: Guidance and counselling : Theory-10hrs,Practical-
5hrs(16%)
● Definition
● purpose, scope and need
● basic principles
● organization of counseling services
● Types of counseling approaches
● Role and preparation of counselor
● issues for counseling in nursing: students and practitioners
● counseling process- steps and techniques, tools of counselor
● Managing disciplinary problems
● Management of crisis and referral
Unit-5: Principles of education & teaching learning process: Theory-5hrs (6%)
● Education: meaning, philosophy, aims, functions and principles
● Nature and characteristics of learning
● principles and maxims of teaching
● formulating objectives; general and specific
● lesson planning
● classroom management
Unit-6: Methods of teaching: Theory-10hrs, Practical-10hrs
(21%)
● lecture, demonstration, group discussion, seminar, symposium, panel discussion,
role play, Project, field trip, work shop, exhibition, programmed instruction,
computer assisted learning, Micro teaching, problem based learning, self instructional
module and simulation etc.
● Clinical teaching methods : case method, nursing round & reports, bedside clinic,
Conference (individual & group) process recording

Unit-7: Educational media: Theory-10hrs, Practical-8hrs
(20%)
● Purposes & types of A.V.aids, principles and sources etc.
● Graphic aids: chalk board, chart, graph, poster, flash cards, flannel graph, bulletin,
cartoon
● three dimensional aids: objects, specimen, models, puppets
● printed aids: pamphlets and leaflets
● projected aids: slides, overhead projector, films, TV, VCR/VCD, camera,
microscope,LCD
● Audio aids: tape recorder, public address system
● Computer
Unit-8: Assessment: Theory-5hrs, Practical-7hrs (13%)
● Purpose & scope of evaluation and assessment
● Criteria for selection of assessment and techniques and methods
● Assessment of knowledge: essay type question, short answer questions (SAQ),
multiple choice question (MCQ)
● Assessment of skills: observation checklist, practical exam, viva, objective
structured clinical examination (OSCE)
● Assessment of attitudes: attitude scale
Unit-9: Information, Education & communication for health (IEC) :
Theory 5hrs (6%)
● Health behavior and health education
● planning for health education
● Health education with individuals, groups & communities
● communicating health message
● Methods & media for communicating health message
● using mass media
Books:
1. Butter B K & Kumari Neelam, A Textbook of Communication and
Educational Technology, S Vikas & Co.2010.
2. Neelam Kumari, Management of Nursing Services and Education, S. vikas

&Co.

NR202.01 Pharmacology
Credit hours (Theory):2 Contact hours/wk (Theory):2
hours
Objective of the course: This course is designed to enable students to acquire

understanding of pharmacodynamics, pharmacokinetics, principles of principles of
therapeutics and nursing implications..

hrs
1. Introduction to pharmacology 3
2. Chemotherapy 6
3. Pharmacology of commonly used antiseptics, 2
disinfectants and insecticides
4. Drugs acting on G.I. system 2
5. Drugs used on Respiratory systems 2
6. Drugs used on Urinary systems 2
7. Miscellaneous 4
8. Drugs used on skin and mucous membranes 1
9. Drugs acting on Nervous system 8
10. Cardiovascular drugs 5
11. Drugs used for hormonal disorders and 4
supplementation, contraception and medical
termination of pregnancy
12. Introduction to Drugs used in alternatives 6
systems of medicine
Total hours (Theory):45 hrs
Detailed syllabus:
Unit=1: Introduction to pharmacology 3hrs
(6%)
● Definitions ● Sources ● Terminology used ● Types: Classification
● Pharmacodynamics: Actions, therapeutic
● Adverse, toxic ● Pharmacokinetics: absorption, distribution, metabolism,
interaction, excretion ● Review: Routes and principles of administration of drugs ●

Indian pharmacopoeia: Legal issues ● Rational use of drugs ● Principles of
therapeutics
Unit=2: Chemotherapy 6hrs

(13%)
● Pharmacology of commonly used: 1) Penicillin 2) Cephalosporins 3)
Aminoglycosides 4) Macrolide & Broad Spectrum Antibiotics 5) Sulfonamides 6)
Quinolones 7) Antiamoebic 8) Antimalarials 9) Anthelmintics 10) Antiscabies agents
11) Antiviral & anti – fungal agents.12) Anti tubercular drugs 13) Anti leprosy drugs
14) Anticancer drugs 15) Immuno- suppressants
Composition, action, dosage, route, indications, contraindications, drug interactions,
side effects, adverse effects, toxicity and role of nurse
Unit=3: Pharmacology of commonly used antiseptics, disinfectants and

insecticides
2hrs
(5%)
● Antiseptics; Composition, action, dosage, route, indications, contraindications, drug
interactions, side effects, adverse effects, toxicity and role of nurse
● Disinfectants
● Insecticides
Unit=4: Drugs acting on G.I. system 2hrs

(5%)
● Pharmacology of commonly used-
1) Antiemetics, 2) Emetics 3) Purgatives 4) Antacids 5) Cholinergic 6)
Anticholinergics 7) Fluid and electrolyte therapy 8) Anti diarrhoeals 9) Histamines

Unit=5: Drugs used on Respiratory systems 2hrs

(5%)
1) Antiasthmatics 2) Mucolytics 3) Decongestants 4) Expectorants 5) Bronchodilators
6) Broncho constrictors 7) Antihistamines

Unit=6: Drugs used on Urinary systems 2hrs

(5%)

1) Diuretics and antidiuretics 2) Urinary antiseptics 3) Cholinergic and
anticholinergics 4) Acidifiers and alkalanizers Composition, action, dosage, route,
indications, contraindications, drug interactions, side effects, adverse effects, toxicity
and role of nurse
Unit=7: Miscellaneous
4hrs(9%) ● Drugs used in de- addiction
● Drugs used in CPR and emergency
● Vitamins and minerals
● Immunosuppressant
● Antidotes
● Antivenom
● Vaccines and sera
Unit=8: Drugs used on skin and mucous membranes
1hrs(2%) ● Topical applications for skin, eye, ear, nose and
buccal cavity ● Antipruritics Composition, action, dosage,
route, indications, contraindications, drug interactions, side effects, adverse effects,
toxicity and role of nurse Unit=9: Drugs acting on Nervous
system 8hrs(17%) ● Basic & applied
pharmacology of commonly used: ● Analgesics
and Anaesthetics 1)
Analgesics: Non steroidal anti inflammatory ( NSAID) drugs
2) Antipyretics 3) Hypnotics and Sedatives: Opioids, Non- Opioids, Tranquilizers,
General & local anesthetics, Gases: oxygen, nitrous, oxide, carbon- dioxide
● Cholinergic and anticholinergics: 1) Muscle relaxants 2) Major tranquilizers 3)
Anti- psychotics 4) Anticonvulsants 5) Adrenergics 6) Noradregenics 7) Mood
stabilizers 8) Acetylcholine 9) Stimulants Composition, action, dosage, route,
indications, contraindications, drug interactions, side effects, adverse effects, toxicity
and role of nurse
Unit=10: Cardiovascular drugs
5hrs(11%) ● Haematinics
● Cardiotonics
● Anti anginals

● Anti- hypertensives & Vasodilators
● Anti- arrhythmics
● Plasma expanders
● Coagulants & anticoagulants
● Antiplatelets & thrombolytics
● HypolipidemicsComposition, action, dosage, route, indications, contraindications,
drug interactions, side effects, adverse effects, toxicity and role of nurse
Unit=11: Drugs used for hormonal disorders and supplementation, contraception
and medical termination of pregnancy
4hrs(9%) ● Insulins & oral hypoglycemics
● Thyroid supplements and suppressants
● steroids, Anabolics
● Uterine stimulants and relaxants
● Oral contraceptives
● Other estrogen- progesterone preparations
● Corticotrophine & Gonadotropiness
● Adrenaline
● Prostaglandins
● Calcitonins
● Calcium salts
● Calcium regulatorsComposition, action, dosage, route, indications,
contraindications, drug interactions, side effects, adverse effects, toxicity and role of
nurse
Unit=12: Introduction to Drugs used in alternatives systems of medicine 6hrs

(13%) ● Ayurveda, Homeopathy, Unani and siddha etc
Books:
1. Dr. P.P. Singh Uppal, Atext book of Pharmacology, S.vikas & co.
2. Raju S M & Chandra S, Short Textbook of Pharmacology for Nurses, Jaypee Brothers,
2009
3. Udaykumar Padmaja, Pharmacology for nurses 2nd edition, Jaypee Brothers,2008.
4. Spratto G R & wood, Nurses Drug Handbook,Thomson, 2008.
Reference:
1. Grover J.K. & Malik,Textbook of Pharmacology for Nurses, 2nd edition, CBS
Publisers,2005.
2. Tripathi K D, Essential of Medical Pharmacology, 6th edition, jaypee
Brothers,2009.
3. Lacy C F & Armstrom, Drug Information Handbook POCKET, APHA.
4. McCann JAS, Clinical Pharmacology Made incredibly Easy,Judith A.S., 2006.

NR202.01 Pathology & Genetics
Section A- Pathology

Credit hours (Practical):.5 Contact hours/wk (Practical):1

knowledge of pathology of various disease conditions and apply this knowledge in
practice of nursing

hrs
1. Introduction 3
2. Special pathology 15
3. Clinical pathology 7
4. Examination of body cavity fluids,transudates 3
and exudates
5. Urine & faeces 2
Total hours(Theory):20 hrs

Total hours(practical):10 hrs
Total: 30hrs
Detailed syllabus:
Unit=1: Introduction Theory-3hrs (10%)

1) Importance of the study of pathology 2) Definition of terms 3) Methods and
techniques 4) Cellular and Tissue change 5) Infiltration and regeneration 6)
Inflammation and Infections 7) wound healing 8) Vascular changes
● Cellular growth, Neoplasms 1) Normal and Cancer cell 2) Benign and Malignant
growths 3) In situ carcinoma
● Disturbances of fluid and electrolyte imbalance
Unit=2: Special pathology Theory-10hrs, Practical-5hrs
(51%)
● Pathological changes in diseases conditions of various systems:
● Respiratory tract: 1) Tuberculosis, Bronchitis, Pleural effusion and Pneumonia,
2) Lung abscess, emphysema, bronchiectasis 3) Bronchial asthma, chronic obstructive
pulmonary disease & tumors

● Cardio- vascular system 1) Pericardial effusion 2) Rheumatic heart disease 3)
Infective endocarditis, atherosclerosis 4) Ischemia, infarction & aneurysm
● Gastro Intestinal Tract 1) Peptic ulcer, typhoid 2) Carcinoma of GI tract- buccal,
Esophageal, 3) Gastric & intestinal
●Liver, Gall bladder & Pancreas 1) Hepatitis, Chronic liver abscess, cirrhosis 2)
Tumors of liver, gall bladder and pancreas, 3) Cholecystitis
● Kidneys & Urinary tract 1) Glomerulonephritis, pyelonephritis 2) calculi, renal
failure, renal carcinoma & cystitis
● Male genital systems 1) Cryptorchidism, testicular atrophy 2) Prostatic hyperplasia,
carcinoma penis & prostate
● Female genital system 1) Fibroids 2) Carcinoma cervix and Endometrium 3)
Vesicular mole, choriocarcinoma 4) Ectopic gestation 5) Ovarian cyst & tumors
● Cancer Breast
● Central Nervous system 1) Hydrocephalus, Meningitis, encephalitis 2) Vascular
disorders- thrombosis, embolism 3) Stroke, paraplegia, quadriplegia 4) Tumors,
meningiomas-gliomas
● Metastatic tumor
● Skeletal system 1) Bone healing, osteoporosis, osteomyelitis
● Arthritis & tumors
Unit=3: Clinical pathology Theory-4hrs, Practical-3hrs

(23%)
● Various blood and bone marrow tests in assessment and monitoring of disease
conditions 1) Hemoglobin 2) RBC, White cell & platelet counts 3) Bleeding time,
clotting time and prothrombine time 4) Blood grouping and cross matching 5) Blood
chemistry 6) Blood culture 7) Serological and immunological tests 8) Other blood
tests 9) Examination of Bone marrow 10) Methods of collection of blood specimen
for various clinical pathology, biochemistry, microbiology tests, inference and normal
values Unit=4: Examination of body cavity fluids,transudates and exudates
Theory-2hrs,Practical-1hrs(10%)
● The laboratories tests used in CSF analysis
● Examination of other body cavity fluids, transudates and exudates- sputum, wound
discharge etc
● Analysis of gastric and duodenal contents
● Analysis of semen sperm count, motility and morphology and their importance in
infertility
● Methods of collection of CSF and other cavity fluids specimen for various clinical
pathology, biochemistry, microbiology tests, inference and normal values

Unit=5: Urine & faeces Theory-1hrs, Practical-1hrs
(6%)
● Urine 1) physical characteristics 2) Analysis 3) Culture and sensitivity
● Faeces 1) characteristics 2) Stool examination: occult blood, ova, parasite and cyst,
reducing substance etc,
● Methods of collection for various tests. Inference and normal values.
Books:
1. Panda U. N. , Handbook of Pathology, A.I.T.B.S. Publisher, 2006.
2. Dr. Priti Gupta, A textbook of Pathology, S. vikas & Co.
3. Punja Rajpal,Viva in Pathology,A.I.T.B.S. Publisher,2006.
Reference:
1. Gupta Priti, A Textbook of Pathology for Nursing Courses, S Vikas & Co, 2009.
2. Panda U N, Handbook of Pathology, A.I.T.B.S Publishers, 2006.

Section B- Genetics
Credit hours (Theory):1 contact Hours/ Week (theory) - 1 hour

knowledge of Genetics, its role in causation and management of defects and diseases

hrs
1. Introduction 3
2. Maternal, prenatal and genetic influences on 3
development of defects and diseases
3. Genetic testing in the neonates and children 2
4. Genetics conditions of adolescents and adults 2
5. Services related to Genetics 5
Total hours(Theory):15 hrs

Total: 15hrs
Detailed syllabus:
Unit=1: Introduction
3hrs(20%)
● Practical application of genetics in Nursing

● Impact of genetics conditions on families
● Review of cellular division mitosis and meiosis
● Characteristics and structure of genes
● Chromosomes – sex determination
● Chromosomal aberrations patterns of inheritance 1) Mendalian theory of inheritance
2) Multiple allots and blood groups 3) Sex linked inheritance 4) Mechanism of
inheritance 5) Errors in transmission( Mutation)
Unit=2: Maternal, prenatal and genetic influences on development of defects and

diseases
3hrs(20%)

● Condition affecting the mother genetic and infections
● Consanguinity atopy
● Prenatal nutrition and food allergies
● Maternal Age
● Maternal drug therapy
● Prenatal testing and diagnosis
● Effect of Radiation, drugs and chemicals
● Infertility
● Spontaneous abortion
● Neural Tube Defects and the role of folic acid in lowering the risks
● Down syndrome( Trisomy 21)
Unit=3: Genetic testing in the neonates and children
2hrs(13%) ● Screening for
1) Congenital abnormalities 2) Developmental delay 3) Dysmorphism
Unit=4: Genetics conditions of adolescents and adults
2hrs(13%) ● Cancer genetics – Familial Cancer
● Inborn errors of metabolism
● Blood group alleles and haematological disorder
● Genetic haemochromatosis
● Huntington’s disease
●Mental illness
Unit=5: Services related to Genetics
5hrs(34%) ● Genetic testing
● Human genome project
● Gene therapy
● The Eugenics movement
● Genetic Counseling Legal and Ethical issues Role of nurse
Books:
1. Randhawa S S, A Textbook of Genetics, S Vikas & Co,2009
2. Pal G P, Basics of Medical Genetics,A.I.T.B.S. Publisher,2006.

NR203.01 Medical Surgical Nursing- I (Adult including geriatrics)-1
Credit hours (Theory): 7 Contact hours/wk (Theory):7

Credit hours (Practical): 11 Contact hours/wk (Practical):22
Objective of the course: The purpose of this course is to acquire knowledge and
develop proficiency in caring for patients with medical and surgical disorders in
varieties of health care setting and at home,

hrs
1. Introduction 15
2. Common signs and symptoms and 15
management
3. Nursing management of patients(adults 20
including elderly)with respiratory problems
including elderly)with digestive problems
including elderly)with blood and cardio
vascular problems
6. Nursing management of patients (adults 10
including elderly) with disorders of endocrine
system
7. Nursing management of disorders of male 10
(adults including elderly) disorders of
integumentary system
including elderly) with musculoskeletal
problems

Total hours (Practical): 460hours
Total hours: 605 hours
Detailed syllabus:

Unit=1: Introduction 15hrs
(13%)
●Introduction to medical surgical nursing Evolution and trends of medical and
surgical nursing.
●Review of concepts of Health and illness Disease-concepts, causations,
classification- International Classification
Diseases (ICD-10 or later version) Acute illness Chronic illness & Terminal illness,
stages of illness.
●Review of concepts of comprehensive nursing care in medical surgical conditions
based on nursing process
●Role of Nurse, patient and family in care of adult patient
●Role and responsibilities of a nurse in medical surgical settings:
1) Outpatient department
2) In-patient unit
3) Intensive care unit.
4) Home and Community settings.
●Introduction to Medical Surgical asepsis
1) Inflammation and Infection
2) Immunity
3) Wound healing
●Care of surgical patient
1) Pre- operative
2) Intra operative
3) Post operative
Unit=2: Common signs and symptoms and management

15hrs(14%)
● Fluid and electrolyte imbalance ● Vomitting
● Dyspnea and cough. Respiratory obstruction
●Fever
●Shock
●Unconsciousness, Syncope
●Pain
●Incontinence
●Edema
●Age related problems-geriatric
Unit=3: Nursing management of patients (adults including elderly) with

respiratory problems;
20hrs (19%)
● Review of anatomy and physiology of respiratory system

●Nursing Assessment- History and physical assessment
●Etiology, Pathophysiology, clinical manifestations, diagnosis, treatment,
modalities and medical, surgical, dietics & nursing management of adults
including elderly with
1) Upper respiratory tract infection
2) Bronchitis
3) Asthma
4) Emphysema
5) Empyema
6) Atelectasis
7) Chronic Obstructive pulmonary Disease(COPD)
8) Bronchiectasis
9) Pneumonia
10) Pulmonary tuberculosis
11) Lung abscess
12) Pleural effusion
13) Cysts and Tumors
14) Chest injuries
15) Respiratory arrest and insufficiency
16) Pulmonary embolism
Special therapies, alternative therapies
Nursing procedures
Drugs used in treatment of respiratory disorders
Unit=4: Nursing management of patients (adults including elderly) with digestive

problems 30hrs
(27%)
●Review of anatomy and physiology of digestive system

●Nursing Assessment – History and Physical assessment
●Etiology, pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical, surgical,dietics & nursing management
●Disorders of:
1) Oral cavity- lips, gums, tongue, salivary glands and teeth
2) Oesophagus- inflammation, stricture, obstruction, bleeding and tumors
3) Stomach and duodenum- hiatus hernia, gastritis, peptic and duodenal ulcer,
bleeding, tumors, pyloric stenosis
4) Small intestinal disorders- inflammation and infection, enteritis,
malabsorption, obstruction, tumor and perforation
5) Large intestinal disorders- Colitis, inflammation and infection, obstruction,
tumor and lump

6) Hernias
7) Appendix- inflammation, mass, abscess, rupture
8) Anal & Rectum: hemorrhoids, fissures, fistulas
9) Peritonitis/acute abdomen
10) Pancreas- inflammation, cyst, abscess and tumors
11) Liver- cysts, inflammation, abscess, corrhosis, portal hypertension, hepatic
failure, tumors
12) Gall Bladder- inflammation, obstruction, stones and tumors
Nursing procedures
Drugs used in treatment of disorders of digestive system
Unit=5: Nursing management of patients(adults including elderly)with blood and

cardio vascular problems
30hrs(27%)
● Review of anatomy and physiology of blood and cardio vascular system

●Nursing Assessment – History and physical assessment
●Etiology, pathophysiology, clinical manifestation, diagnosis, trearment
modalities and medical, surgical, dietics & nursing management of-
●Vascular system
1) Hypertension, Hypotension
2) Arterioscleroses
3) Reynard’s disease
4) Aneurism and peripheral vascular disorders
HEART
●Coronary artery diseases
1) Ischemic Heart disease
2) Coronary atherosclerosis
3) Angina pectoris
4) Myocardial infarction
●Valvular disorders of the heart
1) Congenital Heart acquired
2) Rheumatic Heart disease
●Endocarditic, Pericarditis, Myocarditis
●Cardio Myopathies
●Cardiac dysrhythmias, Heart Block
●Congestive cardiac failure
1) Cor- pulmonale, pulmonary edema, cardiogenic shock, cardiac tamponade
●Cardiac emergencies and arrest

●Cardio pulmonary Resuscitation
Blood
1) Anaemias
2) Polycythemia
3) Bleeding disorders: clotting factor defects and platelets defects
4) Thalassemia
5) Leukemia
6) Leucopenia and agranulocytosis
7) Lymphomas
8) Myelomas
●Special therapies
1) Blood transfusion, safety checks, procedures and requirements, management
of adverse transfusion reaction, records for blood transfusion
2) Management and counseling of blood donors, phlebotomy procedure, and post
donation management. Blood bank function and hospital transfusion committee.
Bio- safety and waste management in relation to blood transfusion
3) Role of a nurse in organ donation, retrieval and banking
Alternative therapies
Nursing procedures Drugs used in treatment of blood and cardio vascular
disorders
Unit-6: Nursing management of patient (adults including elderly) with
Disorders of endocrine system:
Theory10hrs (10%)
● Review of anatomy and physiology of endocrine system
● Nursing assessment- history and physical assessment
● Etiology, pathophysiology, clinical manifestations, diagnosis, treatment
Modalities and medical, surgical, dietitics and nursing management of
1. Disorders of thyroid and parathyroid 2.diabetes mellitus
3. Adrenal tumour 4. Pituitary disorders
● Special therapies, alternate therapies
● Nursing procedures
● Drugs used in treatment of disorders of endocrine system
Unit-7: Nursing management of disorders of male (adults including elderly)
Disorders of integumentary system: Theory10hrs
(9%)
● Review of anatomy and physiology of skin and its appendages
Disorders of skin and its appendages-
1. Lesion and abrasions 2. Infection and infestations; dermatitis

3. Dermatoses; infectious and non-infectious “inflammatory dermatomes”
4.acne vulgaris 5. allergies and eczema 6. Psoriasis 7. malignant
Melanoma 8. alopecia
● nursing procedures
● Drugs used in treatment of disorders of integumentary system
Unit-8: Nursing management of patients (adults including elderly) with
Musculoskeletal problems: Theory15hrs
(14%)
● Review of anatomy and physiology of musculoskeletal system
Disorders of 1. Muscles, ligaments and joints- inflammation, infection,
Trauma 2. Bones- inflammation, infection, dislocation, fracture, tumors
And trauma 3. Osteomalacia and osteoporosis 4. Arthritis 5. Congenital
Deformities 6. Spinal column-defects and deformities, tumours, prolapsed
Inter vertebral disc, pott’s spine 7. paget’s disease
● Amputation
● prosthesis
● transplant and replacement surgeries
● rehabilitation
●Special therapies, alternate therapies
● Drugs used in treatment of disorders of musculoskeletal system system
NR203.01 Medical Surgical Nursing (Adult including geriatrics)-1

Practical
Detailed syllabus:
● General Medical Ward( Respiratory, GI, Endocrine, Renal, Hemotology)

●Assessment of the patient 1) Taking history 2) Perform general and specific physical
examination. 3) Identify alterations and deviations
● Practice medical surgical asepsis- standard safety measures
● Administer medications 1) Oral, IV, IM, subcutaneous
● IV therapy 1) IV canulation 2) Maintenance and monitoring
● Oxygen therapy by different methods
● Nebulization
● Chest physio therapy

● Naso gastric feeding
● Assist in common diagnostic
● Perform/ Assist in the rapeutic procedures
● Blood and component therapy
● Throat suctioning
● Collect specimens for common investigations
● Maintain elimination 1) Catheterisation 2) Bowel wash 3) Enema 4) Urinary
drainage ● Maintain Intake, output and documentation
● Counsel and teach related to specific disease conditions
● General Surgical Ward ( GI, Urinary,CTVS):
● Practice medical surgical asepsis standard safety measures
● Pre operative preparation of patients
● Post operative care- Receiving pt, assessment, monitoring, care
● Care of wounds and drainage
● Suture removal
● Ambulation and exercise
● Naso gastric aspiration
● Care of chest drainage
● Ostomy care 1) Gastrostomy 2) Colostomy 3) Enterostomy
● Blood and component therapy
● Practice universal precautions
● cardiology ward:
● Physical examination of the cardio vascular system Recording and interpreting ECG
● Monitoring of patients
● Preparation and assisting in non- invasive and invasive diagnostic procedures
● Administer cardiac drugs
● Cardio pulmonary Resuscitation
● Teach patients and families
● Practice medical and surgical safety measures
● Skin & Communication diseases ward :
● Assessment of patients with skin disorders
● Assist in diagnostic and therapeutic procedures
● Administer topical medication
● Practice medical surgical asepsis- Standard safety measures
● Use of personal protective equipments (PPE)
● Orthopaedic ward:
● Assessment of orthopaedic patients
● Assist in application of plaster cast and removal of cast
● apply skin traction- buck’s extension traction

● Assist in application and removal of prosthesis
● Physiotherapy – Range of motion exercise(ROM), muscle strengthening exercise
● Crutch maneuvering technique
● Activities of daily living
● ambulation
● Teach and counsel patients and families
Books:
1. Smeltzer S. C. Bare,Hinkle, Brunner & Suddarths,Textbook of Medical
&
surgical Nursing 11th edition,Vol 1, 2008.
2. Body Mildre,Medical–Surgical Nursing, 3rd edition,Springhouse,1997.
3. LewisHeitkemper,Medical-SurgicalNursing 7th
edition,Mosby,Elsevier.2009.
Reference:
1. D.D.Ignatavicius, Medical & Surgical Nursing, 2nd edition, W.B.

Saunders, 1995.
2. Long Cassmeyer, Medical & Surgical Nursing: A Nursing Process

approach, 3rd edition, Mosby, 1993.
3. Basavanthappa B T, Medical Surgical Nursing 2nd ed, JaypeeBrothers,

2009.

SYLLABI
(Semester – IV)

Second Year B.Sc. Nursing/ Semester-IV
NR208.01 Community Health Nursing -1

Credit hours (Practical):4 Contact hours/wk (Practical):8
acquire knowledge for maintenance of health, prevention of disease and promotion of
health. Student will able to understand health care delivery system in community.

hrs
1. Introduction 2
2. Determinants of health 20
3. Epidemiology 10
4. Epidemiology and nursing management of 25
common Communicable diseases
5. Epidemiology and Nursing management of 10
Non communicable disease
6. Demography 6
7. Population and its control 17
Total hours (Theory): 90 hours
Total hours (Practical): 135
hours
Total hours: 225 hours
Detailed syllabus:
Unit=1: Introduction 2hrs

(2%)
● Community health nursing● Definition, concept and dimensions of health ●
Promotion of health● Maintenance of health
Unit – 2: Determinants of health 20hrs

(22%)
● Eugenics

● Environment: 1) Physical: Air, light, Ventilation, Water, Housing, Sanitation;
disposal of waste, disposal of dead bodies, Forestation, Noise, Climate,
Communication; infrastructure facilities and Linkages 2) Acts regulating the
environment: National pollution control board 3) Bacterial & viral: Agents, host
carriers and immunity 4) Arthropods and Rodents
● Food hygiene: Production, Preservation, purchase, Preparation, Consumption
● Acts regulating food hygiene act, Drugs and cosmetic act
● Socio – cultural: 1) Customs, taboos 2) Marriage system 3) Family structure 4)
Status of special groups: Females, Children, Elderly, challenged groups and sick
persons
● Life style
● Hygiene
● Physical activity 1) Recreation and sleep 2) Sexual life 3) Spiritual life philosophy
4) Self reliance 5) Dietary pattern 6) Education 7) Occupation
● Financial Management 1) Income 2) Budget 3) Purchasing power 4) Security
Unit – 3: Epidemiology
10hrs(11%)
● Definition, concept, aims, scope, uses and terminology used in epidemiology
● Dynamics of disease transmission: epidemiological triad
● Morbidity and mortality: measurements
● Levels of prevention
● Methods of epidemiology of : 1) Descriptive 2) Analytical : Epidemic investigation
3) Experimental
Unit –4: Epidemiology and nursing management of common Communicable

diseases 25hrs
(28%)
● Respiratory infections 1) Small pox 2) Chicken pox 3) Measles 4) Influenza 5)
Rubella 6) ARI’s & Pneumonia 7) Mumps 8) Diphtheria 9) Whooping cough 10)
Meningococcal meningitis 11) Tuberculosis 12) SARS
● Intestinal infections 1) Poliomyelitis 2) Viral Hepatitis 3) Cholera 4) Diarrhoeal
diseases 5) Typhoid Fever 6) Food poisoning 7) Amoebiasis 8) Hook worm infection
9) Ascariasis 10) Dracunculiasis
● Arthropod infection 1) Dengue 2) Malaria 3) Filariasis
● Zoo noses
● Viral: 1) Rabies 2) Yellow fever 3) Japanese encephalitis 4) Kyasnur Forest Disease
● Bacterial 1) Brucellosis 2) Plague 3) Human Salmonellosis 4) Anthrax 5)
Leptospieosis

● Rickettsial diseases 1) Rickettsial Zoo; noses 2) Scrub typhus 3) Murine typhus 4)
Tick typhus 5) Q fever
● parasitic zoo noses 1) Taeniasis 2) Hydatid disease 3) Leishmaniasis
● Surface infection 1) Trachoma 2) Tetanus 3) Leprosy 4) STD & RTI 5) Yaws 6)
HIV/AIDS
Any other
Unit –5: Epidemiology and nursing management of Non Communicable diseases
10hrs
(11%)
● Malnutrition: under nutrition, over nutrition, nutritional deficiencies
● Anemia ● Hypertension ● Stroke ● Rheumatic Heart Disease ● Coronary Heart

Disease ● Cancer ● Diabetes mellitus ● Blindness ● Accidents ● Mental illness ●
Obesity ● Iodine Deficiency ● Fluorosis ● Epilepsy
Unit –6: Demography

6hrs(7%)
● Definition, concept and scope
● Methods of collection, analysis and interpretation of demographic data
● Demographic rates and ratios
Unit –7: Population and its control 17hrs

(19%)
● Population explosion and its impact on social, economic development of individual,

society and country
● Population control: 1) Overall development; Women empowerment, social,

economic and educational development
● limiting family size: 1) Promotion of small family norm 2) Methods: spacing

(natural, biological, chemical, mechanical methods etc) 3) Terminal: surgical methods
4) Emergency contraception.

NR208.01 Community health Nursing -1 (Practical)
Second Year Semester - 4
Detailed syllabus:
● Use Techniques of interpersonal relationship

● Identification of health determinants of community
● History taking
● Physical examination
● Collect specimens sputum, malaria smear
● Perform simple lab tests at centre- blood for Hemoglobin and sugar, urine for
albumin and sugar
● Administer vaccines and medications to adults
● Counsel and teach individual, family and community 1) Nutrition 2) Hygiene 3)
Self health monitoring 4) Seeking health services 5) Healthy life style 6) Family
welfare methods 7) Health promotion.
Books:
1. Park K, Essentials of Community Health Nursing 4th edition, Banarasidas
Bharot,2004.
2. Rao A Sridhar, Community Health Nursing,AIBTS publisher,2009.
3. Basavanthappa B T, Community Health Nursing,Jaypee Brothers,2008
4. Neelam Kumari, A text book of Community Health Nursing-I & II, S vikas & co.
Reference:
1. Rao Sridhar, Principles of Community Medicine, A.I.T.B.S PUB,

2. Stanphone Marcia, Public and Community Health Nurses Consultant,Mosby,
3. Cary J V, Nurse s Homecare Handbook, Springhouse,
4. Vijay E, Community Medicine, B.I. publications, 2007

Second Year B.Sc. Year/ Semester-IV
NR205 Sociology
Understand the concepts of sociology related to community and social
Institutions in India and its relationship with health, illness and nursing.
hrs
1. Introduction 1
2. Individual and society 3
3. Culture 3
4. Social groups and processes 4
5. Population 6
6. Family and marriage 5
7. Social stratification 7
8. Types Of Communities In India 6
(rural, urban & regional)
9. Social change 4
10. Social organization and social system 4
11. Social control 2
12. Social problems 15
Total hours: 60hrs
UNIT-1: Introduction: Theory 1 hrs (2%)

● Definition of sociology
● Nature and scope of discipline
● Importance and application of sociology in nursing
UNIT-2: Individual and society: Theory 3hrs (5%)
● Society and community
● Nature of society
● Difference between society and community
● Process of socialization and individualization
● Personal disorganization

UNIT-3: Culture: Theory3hrs (5%)
● Nature of culture
● Evolution of culture
● Diversity and uniformity of culture
● Culture and socialization
● Tran cultural society
● influence on health and disease
UNIT-4: Social groups and processes: Theory 4hrs (7%)
● the meaning and classification of groups
● Primary and secondary group
● In-group V/s out group, class tribe caste
● Economic, political, religious groups, mob, crowd, public and audience
interaction &
Social processes
● Co-operation, competition, conflict
● Accommodation, assimilation & isolation
UNIT-5 : Population : Theory 6hrs(10%)
● Society and population
● Population distribution in India- demographic characteristics
● Malthusian theory of populations
● Population explosion in India and its impact on health status
● Family welfare programme
UNIT-6 : Family and marriage : Theory5hrs(8%)
● family- function
● types : joint, nuclear, blended and extended family
● characteristics
● the modern family : changes, problems-dowry,etc. welfare services
● changes and legislations of family and marriage in India- marriage acts
● Marriage : forms and functions of marriage,
● Marriage and family problems in India
● family, marriage and their influence on health and health practices
UNIT-7 : Social stratification : Theory7hrs(12%)
● meaning and types of social stratification
● the Indian caste system- origin and features
● features of caste in India today
● social class system and status
● social mobility- meaning & types
● race as a biological concepts, criteria of racial classification
● salient features of primary races- Racism
● influence of class, caste and race on health and health practices

UNIT-8 : Types Of Communities In India (rural, urban & regional)
Theory 6hrs(10%)
● features of village community & characteristics of Indian villages- panchayat
system,
Social dynamics
● community development project and planning
●changes in Indian rural life
● availability of health facilities in rural and its impact on health and health
practices
● urban- community-features
● the growth of cities: urbanization and its impact on health and health practices
● major urban problems- urban slums
● region: problems and impact on health
UNIT-9 : Social change : Theory 4hrs(7%)
● nature and process of social change
● factors influencing social change : cultural change,cultural lag
● introduction to theories of social change: linear, cyclical, marxian, functional
● role of nurse – change agents
UNIT-10 : Social organization and social system : Theory
4hrs(7%)
● social organization: elements, types,
● democratic and authoritarian modes of participation
● voluntary association
● social system : definition and types of social system
● role and status as structural elements of social system
● inter-relationship of institution
UNIT-11 : Social control : Theory2hrs(3%)
● nature and process of social control
● political, legal, religious, educational, economic, industrial and
technological system, norms and values-folkways & mores customs, laws and
fashion
● role of nurse
UNIT-12 : Social problems : Theory 15hrs(24%)
● social disorganization
● control and planning: poverty, housing, illiteracy, food supplies, prostitution,
rights of Women and children, vulnerable groups: elderly, handicapped, minority
groups and other marginalized groups, child labour, child abuse, delinquency
and crime, substance abuse, HIV/AIDS
● social welfare programme in India
● role of nurse

Books:
1. Neeraja K. P.,Textbook of sociology for Nursing Students,Jaypee
Brothers,2006.
2. Abraham C.M., Sociology for Nurses, B.I. Publication , 2007.
3. Kumari Neelam.A Textbook of Sociology, S.vikas & co.,2009.
Reference:
1. Indrani T K., Textbook of Sociology for Nurses, Jaypee Brothers,2006

2. Kavitha VRS, Sociology in Nursing Globe, Jaypee Brothers,2008.
3. George Maya, Sociology for Nurses, A.I.T.B.S PUB, 2009.
Second Year B.Sc. Year/ Semester-IV

NR206.01 Medical Surgical Nursing-II (Theory)
Credit hours (Theory): 4 Contact hours/wk (Theory):4

Credit hours (Practical): 8 Contact hours/wk (Practical):16
acquire knowledge and develop proficiency in caring for patients with medical
surgical disorders in verities of health care settings and at home.
hrs
including elderly) with genito-urinary
problems
2. Nursing management of disorders of male 05
(adults including elderly) reproductive system
including elderly) with immunological
problems
including elderly) with communicable diseases
5. Peri-operative nursing 25
Total Hours (Theory) - 70 hours
Total Hours (practical) - 260 hours
Total Hours – 330 hours
Unit-1 : Nursing management of patients (adults including elderly) with

genito-urinary problems : Theory10
hrs(10%)
● review of anatomy and physiology of genitor-urinary system
● nursing assessment- history and physical assessment
● etiology, pathophysiology, clinical manifestations,diagnosis, treatment
Modalities and medical, surgical,dietitics and nursing management of
1. Nephritis 2. Nephritic syndrome 3. nephrosis 4. renal calculus
5. Tumours 6. Acute renal failure 7. Chronic renal failure 8. End stage renal
Disease
9. Dialysis 10. Renal transplant 11.congenital disorders, urinary Infectioms
12. benign prostatic hypertrophy 13. Disorders of ureter, urinary bladder and
urethral inflammation, infection, stricture, obstruction, tumors,Prostate
● special therapies, alternative therapies
● drugs used in treatment of genitor-urinary disorders

Unit-2 : Nursing management of disorders of male (adults including elderly)
reproductive system : Theory
5hrs(5%)
● review of anatomy and physiology of male reproductive system
● nursing assessment- history and physical assessment
● etiology, pathophysiology, clinical manifestations, diagnosis, treatment
Modalities and medical, surgical,dietitics and nursing management of
Disorders of male reproductive system
● congenital malformations; cryptorchidism
● hypospadiasis, epispadiasis
● infections
● testis and adjacent structure
● penis
● prostate : inflammation, infection,Hypertrophy, tumour
● sexual dysfunction
● infertility
● contraception
Breast: gynecomastia, tumours
● climacteric changes
● Special therapies, alternative therapies
● drugs used in treatment of disorders of male reproductive system
immunological problems:
Theory10hrs(10%)
●Review of anatomy and physiology of skin and its appendages
Modalities and medical, surgical, dietetics and nursing management of
● Immunodeficiency disorders
● Primary immuno deficiency –
● Phagocytic dysfunction
● B-cell and T-cell deficiencies
● Secondary immunodeficiency
● acquired immunodeficiency syndrome (AIDS)
● Incidence of HIV/AIDS
● Epidemiology
● transmission- prevention of transmission
●standard safety precaution
● role of nurse; counseling

● health education and home care Consideration
● national AIDS control programme NACO, various national and
International agencies
● infection control programme
● rehabilitation
● Drugs used in treatment of disorders of immunological system
communicable diseases : Theory20hrs(19%)
● overview of infectious disease, the infectious process
●Nursing assessment- history and physical assessment
Modalities and medical, surgical, dietitics. Control and eradication of
Common communicable disease-
1. Tuberculosis 2. Diarrheal disease3. Hepatitis A-E 4. Herpes
5.chickenpox 6. smallpox 7. typhoid 8. meningitis 9. gas gangrene
10. leprosy 11. dengue 12.plague 13. malaria 14. Diphtheria 15. Peruses
16. poliomyelitis 17. measles 18. influenza 19. Tetanus
20.yellow fever 21. filariasis 22. HIV/AIDS
● reproductive tract infections
● special infectious control measures:
Notification, isolation, quarantine, immunization, infectious disease
Hospitals
● Drugs used in treatment of communicable diseases
Unit-5: Peri-operative nursing: Theory 25hrs
(23%)
● Organization and physical set of the operation theatre (OT):
1. Classification 2. O.T.DESIGN 3. Staffing 4. Members of the OT team
5. Duties and responsibilities of nurse in OT 6. Principles of health and
Operating room 7. Instruments 8. Sutures and suture materials 9.
Equipments
10. O.T.tables and sets for common surgical procedures
11. Scrubbing procedures 12. Gowning and gloving
13. Preparation of OT Sets 14. Monitoring the patient during surgical
procedures
● Maintenance of therapeutic environment in OT
● Standard safety measures

1. Infection control ; fumigation, disinfection, and sterilization
2. Biomedical waste management
3. Prevention of accidents and hazards in OT.
● Anaesthesia
1. types 2. Methods of administration 3. Effects and stages
4. equipments 5. drugs
● cardio pulmonary resuscitation (CPR)
● pain management techniques
● legal aspects
NR206.01 Medical Surgical Nursing-II (Practical)

Second Year, Semester - 4
Detailed syllabus:
● Operation theatre:
● Scrubbing, gowning, glovimg
● Identify instruments, suturing materials for common operations
● Disinfection, carbolization, fumigation
● Preparation of instrument sets for common operation
● Prepare the OT depending upon the operation
● Positioning and monitoring of patients
● Endotracheal intubation
● Assisting in minor and major operations
● Handeling specimens
● Disposal of waste as per the guidelines
Books:
1. Smeltzer S. C. Bare,Hinkle, Brunner & Suddarths,Textbook of Medical
&
surgical Nursing 11th edition,Vol 1, 2008.
2. Body Mildre,Medical–Surgical Nursing, 3rd edition,Springhouse,1997.
3. LewisHeitkemper,Medical-SurgicalNursing 7 th
edition,Mosby,Elsevier.2009.
Reference:
1. D.D.Ignatavicius, Medical & Surgical Nursing, 2nd edition, W.B.
Saunders,
1995.
2. Long Cassmeyer, Medical & Surgical Nursing: A Nursing Process
approach, 3rd edition, Mosby, 1993.
3. Basavanthappa B T, Medical Surgical Nursing 2nd ed, JaypeeBrothers,
2009.

SYLLABI
(Semester – V)


Third Year B.Sc. Nursing, Semester -5
NR 301.01 Medical Surgical Nursing (Adult including Geriatrics) –III
Credit (theory) -7 Contact Hours/week (theory) -7

Credit (practical) - 6.5 Contact Hours/week (practical) - 13
Course Description: The purpose of this course is to acquire knowledge and develop proficiency
caring for patients with medical ad surgical disorders in verities of health care setting and home.

Title of the unit Minimum Sec. I Sec. II Sec. III
Sr.no number of 15 Marks 30 marks 30 marks
the hour
1. Nursing Management of patients (adult 15 13%
including Geriatric) with disorders of Ear, 50% Nil
Nose and Throat
including Geriatric) with disorders of Eye
including Geriatric) with Neurological 50%
disorders
including Geriatric) with female
Reproductive disorders.
including Geriatric) with Burns, Nil 40%
reconstructive and cosmetic surgery
including Geriatric) with oncological
conditions
7. Nursing Management of patients in 10 7%
Emergency and Disaster 30%
8. Forensic Nursing. 6 5%
9. Nursing Care of Elderly 10 7%
including Geriatric) in Critical Care Unit 30%
including Geriatric) with occupational and
industrial health disorders
Total hours (theory) : 140

hours
Total hours (clinical) : 270
hours
Total : 410
hours

Unit: 1 Nursing Management of patients (adult including Geriatric) with disorders of Ear, Nose and
Throat: Theory: 15
hours
 Review of anatomy and physiology of the Ear, Nose and Throat
 Nursing assessment- History and physical assessment
 Etiology, Pathophysiology, Clinical manifestation, Diagnosis, Treatment modalities and
medical and surgical nursing management of Ear, Nose and Throat disorders:
 External ear: deformities otalgia, forgein bodies and tumors
 Middle ear: impacted wax, Tympanic membrane perforation, otitis media, otosclerosis,
mastoiditis, tumors
 Inner ear: meniere’s disease, labyrinthitis, ototoxicity, tumors
 Upper airway infection- common cold, sinusitis, ethinitis, rhinitis, pharyngitis, tonsillitis
and adenoiditis, peritonsilar abscess, laryngitis
 Upper respiratory airway- epistaxis
 Nasal obstruction, laryngeal obstruction, cancer of the larynx.
 Cancer of oral cavity
 Speech defects and speech therapy
 Deafness
 Prevention, control and rehabilitation
 Hearing aids, implanted hearing devices
 Special therapies
Nursing procedures
Drugs used in treatment of disorders of Ear, Nose and Throat
Role of Nurse communicating with hearing impaired and muteness.
Unit: 2 Nursing Management of patients (adult including Geriatric) with disorders of Eye
Theory: 15
hours
 Review of anatomy and physiology of the eye
medical and surgical nursing management of eye disorders:
 Refractive errors
 Eyelids- infection, tumors and deformities
 Conjunctiva- inflammation and infection, bleeding
 Cornea- inflammation and infection
 Lens-cataracts,Glaucoma,Disorder of the uveal tract, Ocular tumors,Disorder of posterior
chamber and retina: retinal and vitreous problems, Retinal detachment, Ocular
emergencies and their prevention, Blindness
 National blindness control program
 Eye banking
 Eye prostheses and rehabilitation
Role of nurse – communication with visually impaired patient, eye campus
Special therapies
Nursing procedures
Drugs used in treatment of disorders of eye.

Unit: 3 Nursing Management of patients (adult including Geriatric) with Neurological disorders
Theory: 20 hours
 Review of anatomy and physiology of the neurological system
 Nursing assessment- history and physical and neurological assessment and Glasgow coma
scale
medical and surgical nursing management of neurological disorders.
 Congenital malformation
 Headache, Head injuries
 Spinal injuries
 Paraplegia
 Hemiplegia
 Quadriplegia
 Spinal cord compression- herniation of intervertebral disk
 Tumors of the brain and spinal cord, Intra cranial and cerebral aneurysms
 Infections:
 Meningitis, encephalitis, Brain abscess, neurocysticercosis
 Movement disorder:
 Chorea
 Seizures
 Epilepsies
 Cerebro Vascular Accidents (CVA)
 Cranial, spinal neuropathies- Bell’s palsy, trigeminal neuralgia
 Peripheral neuropathies, Guillain Barr’e Syndrome
 Myasthenia gravis
 Multiple sclerosis
 Degenerative disease:
 Delirium
 Dementia
 Alzheimer’s disease
 Parkinson’s disease
 Management of unconscious patients and patients with stroke
 Role of the nurse in communicating with patient having neurological deficit
 Rehabilitation of patient with neurological deficit
Role of nurse in long stay facility (institutions) and at home
Special therapies
Nursing procedures
Drugs used in treatment of neurological disorders
Unit: 4 Nursing Management of patients (adult including Geriatric) with female Reproductive
disorders.
Theory: 16
hours
 Review of anatomy and physiology of the female reproductive system
 Nursing assessment- History and Physical assessment

 Breast self examination
medical and surgical nursing management of disorders of Female reproductive system
 Congenital abnormalities of female reproductive system
 Sexuality and reproductive Health
 Sexual health assessment
 Menstrual disorders: Dysmenorrheal, Amenorrhea, Premenstrual syndrome
 Abnormal uterine bleeding: Menorrhagia, Metrorrhagia
 Pelvic inflammatory disease
 Ovarian and fallopian tube disorders: infections, cysts and tumors
 Uterine and cervical disorders: endometriosis, polyps, Fibroids, cervical and uterine tumors,
uterine displacement, cystocele/urethrocele/rectocele
 Vaginal disorders: infections and discharges, Fistulas
 Vulvur disorders: infections, cysts and tumors
 Disease of breast: deformities, infections, cyst and tumor
 Menopause and Hormonal replacement therapy
 Infertility
 Contraception: type, methods, risk and effectiveness
 Spacing methods- Barrier methods, Intrauterine devices, Hormonal, post conceptional
methods etc.
 Terminal methods- sterilization
 Emergency contraceptive method
 Abortion- Natural, Medical and surgical abortion-MTP act
 Toxic shock syndrome
 Injuries and Trauma; sexual Violence
Special therapies
Nursing procedures
Drugs used in treatment of gynaecological disorders
National family welfare programme
Unit: 5 Nursing Management of patients (adult including Geriatric) with Burns, reconstructive and
cosmetic surgery: Theory: 10
hours
 Review of anatomy and physiology of the skin and connective tissues and various
deformities
 Nursing assessment- History and physical assessment and assessment of Burn and fluid and
electrolyte loss
 Etiology, Classification, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical and surgical nursing management of Burns and Re-constructive and
cosmetic surgery
 Types of Re-constructive and cosmetic surgery; for Burn, congenital deformities, injuries and
cosmetic purposes
 Role of Nurse
 Legal aspects
 Rehabilitation
 Special therapies

 Psychosocial aspects
Nursing procedures
Drugs used in treatment of Burns, reconstructive and cosmetic surgery
Unit: 6 Nursing Management of patients (adult including Geriatric) with oncological conditions
Theory: 10 hours
 Structure & characteristics of normal and cancer cells
 Prevention, screening, early detection, warning sign of cancer
 Epidemiology, Etiology, Classification, Pathophysiology, Staging, Clinical manifestation,
Diagnosis, Treatment modalities and medical & surgical Nursing management of oncological
conditions
 Common malignancies of various body systems; oral, larynx, lung, stomach and colon, liver,
leukemia and lymphomas, Breast, cervix, ovary, uterus, sarcoma, Brain, renal, bladder,
prostate etc.
 Oncological emergencies
 Modalities of treatment:
 Immunotherapy
 Chemotherapy
 Radiotherapy
 Surgical interventions
 Stem cell and bone marrow transplants
 Gene therapy
 Other forms of treatment
 Psychosocial aspects of cancer
 Rehabilitation
 Palliative care, symptoms and pain management, nutritional support
 Home care
 Hospice care
 Stomal therapy
 Special therapies: Psychosocial aspects
 Nursing procedures
Unit: 7 Nursing Management of patients in Emergency and Disaster

Theory: 10
hours
Disaster Nursing:
 Concepts and principles of Disaster Nursing
 Causes and types of Disaster: Natural and Man-made:
 Earthquakes, Floods, Epidemics, Cyclones
 Fire, Explosion, accidents
 Violence, Terrorism, Biochemical war
 Polices related to emergency/Disaster management; International, National, State,
Institutional
 Disaster preparedness
 Team, Guidelines, Protocols, Equipments, Resources

 Coordination and involvement of; community, various Government departments, Non-govt.
organizations and international agencies
 Role of Nurse: working
 Legal aspects of Disaster Nursing
 Impact on Health and After effects; post traumatic stress disorder
 Rehabilitation: Physical, Psychosocial, Financial, Relocation
Emergency Nursing:
 Concepts, Priorities, principles and scope of Emergency Nursing
 Organization of emergency services: physical set up, Staffing, equipments and supplies,
protocols, concepts of triage and role of triage nurse
 Coordination and involvement of different departments and facilities
 Etiology, Classification, Pathophysiology, clinical manifestations, diagnosis, treatment
modalities and medical and surgical nursing management of patient with medical surgical
emergency
 Principles of Emergency management
 Common emergencies, Respiratory emergencies, Cardiac emergencies, Shock and
hemorrhage, Pain, Poly-trauma, Road accidents. Crush injuries, wound, Bites
 Poisoning: food, gas, drugs & chemical poisoning
 Seizures
 Thermal emergencies; Heat stroke & cold injuries
 Pediatric emergencies, Psychiatric emergencies, Obstetrical emergencies, Violence, Abuse,
Sexual assault, Cardiopulmonary Resuscitation, Crisis intervention
 Role of nurse: communication and inter personal relations
 Medico- legal Aspects
Unit: 8 Forensic Nursing Theory: 6

hours
Unit: 9 Nursing Care of Elderly

Theory: 10
hours
 Nursing assessment- History and Physical assessment
 Ageing
 Demography; Myths and realities
 Concepts and theories of ageing
 Cognitive aspects of ageing
 Normal biological ageing
 Age related body system changes
 Psychosocial aspects of Ageing
 Medication and elderly
 Stress and coping in older adults
 Common health problems & Nursing Management:
 Cardiovascular

 Respiratory
 Musculoskeletal
 Endocrine
 Genitourinary
 Gastrointestinal
 Neurological, skin and other Sensory organs
 Psychosocial and sexual
 Abuse of elderly
 Role of Nurse for care of elderly: ambulation, Nutritional, communicational, psychosocial
and spiritual
 Role of Nurse for caregivers of elderly
 Role of Family and formal and non formal caregivers
 Use of aids and prosthesis (hearing aids, dentures)
 Legal and ethical issues
 Provisions and programmes for elderly: privileges, community programs and health services
 Home and institutional care
Unit: 10 Nursing Management of patients (adult including Geriatric) in Critical Care Unit
Theory: 20 hours
 Classification
 Principles of critical care nursing
 Organization, physical setup, policies, staffing norms
 Protocols, equipments and supplies
 Special equipments, ventilators, cardiac monitoring, defibrillators
 Resuscitation equipments
 Infection control protocols
 Nursing management of critical ill patients
 Monitoring of critical ill patients
 CPR- advance cardiac life support
 Treatments and procedures
 Transitional care
 Ethical and legal aspects
 Communication with patient and family
 Intensive care records
 Crisis intervention
 Death and Dying-coping with
 Drugs used in critical care unit
Unit: 11 Nursing Management of patients (adult including Geriatric) with occupational and
industrial health disorders
Theory: 8 hours
medical and surgical nursing management of occupational and industrial Health disorders
 Role of Nurse

Nursing procedures
Drugs used in treatment of occupational and industrial disorders
NR 301.01 Medical Surgical Nursing (Adult including Geriatrics) –III (practical)
Detailed syllabus:
ENT:
 Perform examination of Ear, Nose and Throat
 Assist with diagnostic procedures
 Assist with therapeutic procedures
 Instillation of drops
 Perform/ assist with irrigations
 Apply ear bandages
 Perform tracheotomy care
 Teach patients and familias
Ophthalmology:
 Perform examination of Ear
 Perform/assist with irrigations
 Apply eye bandages
 Apply eye drops/ointments
 Assist with foreign body removal
 Teach patients and families
Neurology:
 Perform neurological examination
 Use Glasgow Coma scale
 Participate in rehabilitation programme
Gynecology:
 Assist with gynecological examination
 Teaching self Breast examination
 Assist with PAP smear collection
Burn unit:
 Assessment of the Burn patient: Percentage of Burns, Degree of Burns
 Fluid and electrolyte replacement therapy: Assess, Calculate, and Replace, Record
Intake/Output.
 Care of Burn wounds: Bathing, dressing
 Perform active and passive exercise

 Practice medical & surgical asepsis
 Counsel and teach patients and families
Oncology unit:
 Screen for common cancer- TNM classification
 Assist with diagnostic procedures: Biopsies, PAP smear, Bone-marrow aspiration
 Breast examination
 Participate in various modalities of treatment: Chemotherapy, Radiotherapy, Pain
management, Stomaltherapy, Hormonal therapy, Immuno therapy, Gene therapy, Alternative
therapy
 Participate in palliative care
 Counsel and teach patients families
 Self breast examination
 Warning sign
Critical care unit:
 Monitoring of patient in ICU, Maintain flow sheet, Care of patient on ventilators, Perform
endotracheal suction, Demonstrate use of ventilators, cardiac monitors etc.
 Collects specimens and interprets ABG analysis, Assist with arterial puncture, Maintain CVP
line, Pulse oximetry, CPR- ALS, Defibrillators, Pace makers, Bag-mask ventilation,
Emergency tray/ trolly Crash Cart
 Administration of Drugs: Infusion pump, Epidural, Intrathecal, Intracardiac, Total parenteral
therapy, Chest physiotherapy, Perform active and passive exercises.
 Counsel the patient and families in dealing with grieving and bereavement
Casualty/ Emergency:
 Practice “triage”
 Assist with assessment, examination, investigation & their interpretations in emergency and
disaster situations
 Assist in documentations
 Assist in legal procedures in emergency unit
 Participate in managing crowd
 Counsel patient and families in grieving and bereavement.

NR 302.01 Mental Health Nursing

Course Description: This course is designed for developing an understanding of the modern
approach to mental health, identification, prevention and nursing management of common mental
health problems with special emphasis on therapeutic interventions for individuals, family and
community.

Sr.no number 15 Marks 30 marks 30 marks
of the
hours
1. Introduction 5 12%
2. Principles of concepts of Mental Health 10 40%
Nursing Nil
3. Assessment of Mental Health Status 13 7%
4. Therapeutic communication and Nurse-Patient 8 7%
relationship 40%
5. Treatment modalities and therapies used in 24 7%
mental disorders
6. Nursing management of patient with 6 7%
schizophrenia and other psychotic disorders 20%
7. Nursing management of patient with mood 7 7%
disorders
8. Nursing management of patient with neurotic, 10 7%
stress related and somatization disorders
9. Nursing management of patient with substance 5 7% Nil 50%
use disorders
10. Nursing management of patient with 5 6%
personality, sexual and eating disorders
11. Nursing management of childhood and 6 7%
adolescent disorders including mental
deficiency
12. Nursing management of organic brain 5 7%
disorders 50%
13. Psychiatric emergencies and crisis intervention 8 7%
14. Legal issues in mental health nursing 4 6%
15. Community mental health Nursing 4 6%
Total hours (Theory): 120 hours
Total hours (Practical) : 270
hours
Total Hours : 390 hour
Detailed syllabus

Unit: 1 Introduction
Theory: 5 hours
 Perspectives of mental health and mental health nursing, evolution of mental health services,
treatment and nursing practices.
 Prevalence and incidence of mental health problems and disorders
 Mental health Act
 National mental health policy vis a vis National Health policy
 National mental Health Programme
 Mental health team
 Nature and scope of mental health nursing
 Role and function of mental health nurse in various settings and factors affecting the level of
nursing practice
 Concepts of normal and abnormal behavior
Unit: 2 Principles of concepts of Mental Health Nursing
Theory: 10 hours
 Definitions: Mental health nursing and terminology used
 Classification of mental disorders: ICD
 Review of personality development, defense mechanism
 Maladaptive behavior of individuals and groups: stress crisis and disaster
 Etiology: Bio-psycho-social factors
 Psychopathology of mental disorders: review of structure and function of brain, limbic
system and abnormal neuro transmission
 Principles of mental health nursing
 Standards of mental health nursing practice
 Conceptual models and the role of nurse: Existential Model, Psycho-analytical models,
Behavioral models, Interpersonal models
Unit: 3 Assessment of Mental Health Status Theory: 13 hours
 History taking
 Mental status examination
 Mini mental status examination
 Neurological examination: review
 Investigations: related blood chemistry, EEG, CT & MRI
 Psychological tests
 Role and responsibilities of Nurse
Unit: 4 Therapeutic communication and Nurse-Patient relationship Theory: 8
hours
 Therapeutic communication: types, techniques, characteristics
 Types of relationship
 Ethics and responsibilities
 Elements of nurse patient contract
 Review of technique of IPR- Johari window
 Goals, phases, tasks, therapeutic techniques
 Therapeutic impasse and its interventions
Unit: 5 Treatment modalities and therapies used in mental disorders Theory: 24 hours
 Psycho pharmacology

 Psychological therapies: Therapeutic community, Psycho therapy- individual, Psycho-
analytical, Cognitive and supportive, Family, Group, Behavioral, Play, Psycho-drama, Music,
dance, Recreational and light therapy, Relaxation therapies: yoga, medication, bio feedback.
 Alternative system of medication
 Occupational therapy, Physical therapy: electroconvulsive therapy
 Geriatric considerations
Role of nurse in above therapies.
Unit: 6 Nursing management of patient with schizophrenia and other psychotic disorders
Theory: 6 hours
 Classification: ICD
 Etiology, psycho-pathology, types, clinical manifestations, diagnosis
 Nursing assessment- History, Physical and mental assessment
 Treatment modalities and nursing management of patients with schizophrenia and other
psychotic disorders
 Geriatric consideration
 Follow-up and home care and rehabilitation
Unit: 7 Nursing management of patient with mood disorders Theory: 7
hours
 Mood disorders: Bipolar affective disorder, Mania, depression and diathermia etc.
 Nursing assessment- History physical and mental assessment
 Treatment modalities and nursing management of patients with mood disorders
Unit: 8 Nursing management of patient with neurotic, stress related and somatization
disorders
Theory: 10
hours
 Anxiety disorders, phobias, Dissociation and conversion disorders, obsessive compulsive
disorder, somatoform disorders, post traumatic stress disorders
 Nursing assessment- History, physical and mental assessment
 Treatment modalities and nursing management of patients with neurotic, stress related and
somatization disorders
Unit: 9 Nursing management of patient with substance use disorders Theory: 5
hours
 Commonly used psychotropic substance: classification. forms, routes, action, intoxication
and withdrawal
 Etiology of dependence, tolerance, psychological and physical dependence, withdrawal
syndrome, diagnosis
 Nursing assessment- History physical and mental assessment and drug assay
 Treatment (detoxification, antabuse and narcotic antagonist therapy and harm reduction) and
nursing management of patients with substance use disorders.

Unit: 10 Nursing management of patient with personality, sexual and eating disorders
Theory: 5 hours
 Classification of disorders
 Etiology, psycho-pathology, characteristics, diagnosis
 Nursing assessment- History physical and mental assessment
 Treatment modalities and nursing management of patients with personality, sexual and eating
disorders
Unit: 11 Nursing management of childhood and adolescent disorders including mental
deficiency
Theory: 6 hours
 Classification
 Etiology, psycho-pathology, characteristics, diagnosis
 Nursing assessment- History physical and mental and IQ assessment
 Treatment modalities and nursing management of childhood disorders including mental
deficiency
Unit: 12 Nursing management of organic brain disorders Theory: 5 hours
 Classification: ICD
 Etiology, psycho-pathology, clinical features, diagnosis and differential diagnosis (parkinsons
and alzheimers)
 Nursing assessment- History physical, mental and neurological assessment
 Treatment modalities and nursing management of organic brain disorders
Unit: 13 Psychiatric emergencies and crisis intervention Theory: 8
hours
 Types of psychiatric emergencies and their management
 Stress adaptation model: stress and stressor, coping, resources and mechanism
 Grief: theories of grieving process, principles, techniques of councelling
 Types of crisis
 Crisis intervention: principles, technique and process
Role and responsibilities of Nurse
Unit: 14 Legal issues in mental health nursing Theory: 4
hours
 The Mental health Act 1987: Act, Sections, articles and their implications etc.
 Indian Lunacy act, 1912
 Rights of mentally ill clients, Forensic psychiatry
 Act related to narcotic and psychotropic substance and ill legal drug trafficking
 Admission and discharge procedures
Role and responsibilities of nurse.

Unit: 15 Community mental healths Nursing Theory: 4
hours
 Development of community Mental health services, National mental health programme,
Institutionalization versus deinstitutionalization
 Model of preventive psychiatric: levels of prevention
 Mental health services available at the primary, secondary, tertiary levels including
rehabilitation and role of nurse
 Mental health agencies: Government and voluntary, National and international
 Mental health nursing issues for special populations: children, adolescence, women, elderly,
victims of Violence and abuse, handicapped, HIV/AIDS etc.
NR 302.01 Mental Health Nursing (Practical)

Detailed syllabus:
Psychiatric OPD:
 History taking
 Perform mental status examination (MSE)
 Assist in psychometric assessment
 Observe & assist in therapies
 Teach patients &family members
Child guidance clinic:
 History taking
 Observe & assist in various therapies
Teach family & significant others
Inpatient ward:
 History taking
 Perform mental status examination (MSE)
 Record therapeutic communication
 Administer medications
 Assist in electroconvulsive therapy(ECT)
 Participate in all therapies
 Prepare patients for Activities of living (ADL)
 Conduct admission & discharge counseling
 Counsel & teach patients & families
Community psychiatry:
 Conduct case work
 Identify individuals with mental health problems
 Assist in mental health camps &clinics
 Counsel & teach family members, patients & community

SYLLABI
(Semester – VI)

MANIKAKA TOPAWALA INSTITUTE OF SCIENCE AND TECHNOLOGY
NR 303.02 Child Health Nursing

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

the hours
1. Introduction modern concepts of 15 13%
childcare 70% Nil
2. The healthy child 20 22%
3. Nursing care of a neonate 15 13% 30%
4. Integrated management of neonatal 10 13% 25%
and childhood illnesses (IMNCI)
5. Nursing management in common 20 26% Nil
childhood diseases 75%
6. Management of behavioral & social 10 13%
problems in children
Total hours (Theory):90 hours

Total hours (Practical) :270 hours
Total Hours : 360 hours
Detailed syllabus
Unit: 1 Introduction modern concepts of childcare Theory: 15
hours
 Internationally accepted rights of the child
 National policy and legislations in relation to child health and welfare
 National programmes related to child health and welfare
 Agencies related to welfare services to the children
 Changing trends in hospital care, preventive, promotive and curative aspects of child health
 Child morbidity and mortality rates
 Differences between an adult and child
 Hospital environment for a sick child
 Impact of hospitalization on the child and family
 Grief and Bereavement
 The role of a child health nurse in caring for a hospitalized child
 Principles of pre and post operative care of infants and children

 Child health nursing procedures
Unit: 2 The healthy child Theory: 20

hours
 Principles of growth and Development
 Factors effecting Growth and Development
 Growth and Development from birth to adolescence
 The need of normal children through the stages of development and parental guidance
 Nutritional needs of the children & infants: breast feeding, exclusive breast feeding
supplementary/ artificial feeding and weaning
 Baby friendly hospital concepts
 Accidents : causes and prevention
 Value of play and selection of play material
 Preventive immunization, Immunization programme and cold chain
 Preventive pediatric
 Care of under five & under five clinics/ well baby clinics
Unit: 3 Nursing care of a neonate Theory: 15
hours
 Nursing care of a normal new born/ Essential newborn care
 Neonatal Resuscitation, Nursing management of a low birth weight baby, Kangaroo mother
care
 Nursing management of common neonatal disorders
 Organization of neonatal unit
 Identification & nursing management of common congenital malformations.
Unit: 4 Integrated management of neonatal and childhood illnesses (IMNCI) Theory: 10

hours
Unit: 5 Nursing management in common childhood diseases Theory: 20
hours
 Nutritional deficiency disorders
 Respiratory disorders and infections
 Gastrointestinal infections, infestations and congenital disorders
 Cardio vascular problems: congenital defects and rheumatic fever, rheumatic Heart diseases
 Genitor-Urinary disorders, Acute glomerulo nephritis, Nephrotic syndrome, wilms tumor,
infections and congenital disorders
 Neurological infections and disorders: convulsions, epilepsy, meningitis, hydrocephalus,
spina-bifida
 Hematological disorders: anemia, thalasemia, ITP, leukemia, hemophilia
 Endocrine disorders: Juvenile Diabetes Mellitus
 Orthopedic disorders: club feet, hip dislocation and fracture
 Disorders of Skin, Eye and Ear
 Common communicable diseases in children, their identification, nursing management in
hospital and home and prevention
 Child health emergencies: poisoning, forgein bodies, hemorrhage, burns and drowning.
 Nursing care of infant and children with HIV/AIDS.

Unit: 6 Management of behavioral & social problems in children Theory: 10
hours
 Management of common behavioral disorders
 Management of common psychiatric disorders
 Management of challenged children: mentally, physically and socially challenged
 Welfare services for challenged children in India
 Child Guidance clinic
NR 303.02 Child Health Nursing (Practical)
Detailed syllabus:
Pediatric medicine ward:
 Taking Pediatric history
 Physical examination & assessment of children
 Administer of oral, I/M, I/V medicine/fluids
 Calculation of fluid requirements
 Prepare different strengths of I.V.fluids
 Apply restraints
 Administer oxygen inhalation by different methods
 Give baby bath
 Feed children by katori spoon, etc.
 Feed children by katori spoon, etc.
 Collect specimens for common investigations
 Assist with common diagnostic procedures
 Teach mothers/parents
- Malnutrition
- Oral rehydration therapy
- Feeding & weaning
- Immunization schedule
- Play therapy
- Specific disease conditions
 Monitoring of babies
 Cardio pulmonary resuscitation

NR 304.02 Midwifery and Obstetrical Nursing

Course Description: This course is designed for students to appreciate the concepts and principles
of midwifery and obstetrical nursing. It helps them to acquire knowledge and skills in rendering
nursing care to normal and high risk pregnant woman during antenatal, natal and post natal pers in
hospital and community settings. It also helps to develop skills in managing normal and high risk
neonates and participates in family welfare programme.

the hours
1. Introduction to midwifery and obstetrical 3
Nursing 13%
2. Review of anatomy and physiology of 8 45%
female reproductive system and foetal Nil
development
3. Assessment and management of 8 7%
pregnancy (ante-Natal)
4. Assessment and management of Intra- 12 13%
natal period
5. Assessment and management of women 5 7% 55%
during post-natal period
6. Assessment and management of normal 6 7%
neonates
7. High-risk pregnancy – assessment and 10 13%
management
8. Abnormal labour- assessment and 10 50%
management 13% Nil
9. Abnormalities during postnatal periods 4
10. Assessment and management of High- 10 13%
risk newborn 50%
11. Pharmaco-therapeutic in obstetrics 4 7%
12. Family welfare programme 10 7%
Total hours (Theory):90 hours

Total hours (practical) :360
hours
Total hours :450
hours
Detailed syllabus

Unit: 1 Introduction to midwifery and obstetrical Nursing Theory: 3
hours
 Introduction to concepts of midwifery and obstetrical nursing
 Trends in midwifery and obstetrical nursing
 Historical perceptive and current trends
 Legal and ethical aspects
 Pre-conception care and preparing for parenthood
 Role of nurse in midwifery and obstetrical care
 National policy and legislation in relation to maternal health and welfare
 Maternal morbidity, mortality and fertility rates
 Perinatal, morbidity and mortality rates
Unit: 2 Review of anatomy and physiology of female reproductive system and foetal development
Theory: 8
hours
 Female pelvis – general description of the bones, joints, ligaments, planes of the pelvis
diameters of the true pelvis, important landmarks, variation in pelvis shape
 Female organ of reproduction- external genetalia, internal genital organs and their anatomical
relations, musculature- blood supply, nerves, lymphatics, pelvic cellular tissue, pelvic
peritoneum.
 Physiology of menstrual cycle
 Human sexuality
 Foetal development:
 Conception
 Review of fertilization, implantation (embedding of the ovum), development of the
embryo and placenta at term- functions, abnormalities, the foetal sac, amniotic fluid, the
umbilical cord
 Foetal circulation
 Foetal skull, bones, sutures and measurements
Review of Genetics.
Unit: 3 Assessment and management of pregnancy (ante-Natal) Theory: 8

hours
 Normal pregnancy
 Physiological changes during pregnancy:
 Reproductive system
 Cardio vascular system
 Respiratory system
 Urinary system
 Gastrointestinal system
 Metabolic changes
 Skeletal changes
 Skin changes
 Endocrine system
 Psychological changes
 Discomforts of pregnancy
 Diagnosis of pregnancy

 Sign
 Differential diagnosis
 Confirmatory tests
 Ante-natal care
 Objectives
 Assessment: -History and physical examination
-Antenatal examination
-Sign of previous child birth
 Relationship of foetus to uterus and pelvis: Lie, Attitude, Presentations, Position
 Per vaginal examination
 Screening and assessment of High risk
 Risk approach
 History and physical examination
 Modalities of Diagnosis; Invasive and Non-invasive, Ultrasonics, Cardiotomography, NST,
CST
 Antenatal preparation: Antenatal counseling, Antenatal exercise, Diet, Substance use,
Education for child birth, Husband and families, Preparation for safe-confinement,
Prevention from, radiation.
 Psycho-social and cultural aspects of pregnancy: Adjustment to pregnancy, Unwed mother,
Single parent, Teenage pregnancy, Sexual violence, Adoption
Unit: 4 Assessment and management of Intra-natal period Theory: 12
hours
 Physiology of labour, Mechanism of labour
 Management of labour:
 First stage: - Signs and symptoms of onset of labour; normal and abnormal
- Duration
- Preparation: Labour room, woman
- Assessment and observation of women in labour: Partogram- maternal and
foetal monitoring
- Active management of labour, Induction of labour
Pain relief and comfort in labour
 Second stage
 Signs and symptoms; normal and abnormal
 Duration
 Conduct of delivery; principles and techniques
 Episiotomy (only in required)
 Receiving the new born:
- Neonatal resuscitation; initial steps and subsequent resuscitation
- Care of umbilical cord
- Immediate assessment, including screening for congenital anomalies
- Identification
- Bonding
- Initiate feeding
- Screening and transportation of the neonate
 Third stage:
 Signs and symptoms: normal and abnormal

 Duration
 Methods of placental expulsion
 Management; principles and techniques
 Examinations of the placenta
 Examination of perineum
 Maintaining records and reports
 Fourth stage
Unit: 5 Assessment and management of women during post-natal period Theory: 5
hours
 Normal puerperium; physiology, Duration
 Postnatal assessment and management:
 Promoting physical and emotional wellbeing
 Lactation management
 Immunization
 Family dynamic after child Birth
 Family welfare services: methods, counseling
 Follow- up
 Records and reports
Unit: 6 Assessment and management of normal neonates Theory: 6
hours
 Normal neonates:
 Physiological adaptation
 Initial and daily assessment
 Essential newborn care; Thermal control
 Breast feeding, Prevention of infections
 Immunization
 Minor disorders of new born and its management
 Levels of neonatal care (level I, II, and III)
 At primary, secondary and tertiary levels
 Maintenance of reports and records
Unit: 7 High-risk pregnancy – assessment and management Theory: 10

hours
 Screening and assessment
 Ultrasonic, Cardio tomography, NST, CST, Non-invasive & invasive
 Newer modalities of diagnosis
 High risk approach
 Levels of care: primary, secondary and tertiary levels
 Disorders of pregnancy
 Hyper-emesis gravidarum, bleeding in early pregnancy, abortion, ectopic
 Pregnancy, Vesicular mole
 Ante-partum hemorrhage
 Uterine abnormality and displacement
 Diseases complicating pregnancy
 Medical and surgical conditions
 Infections, RTI (STD), UTI, HIV, TORCH

 Gynecological diseases complicating pregnancy
 Pregnancy induced hypertension & diabetes, Toxemia of pregnancy, Hydramnios
 Rh incompatibility
 Mental disorders
 Adolescent pregnancy, elderly primi and grand multipara
 Multiple pregnancy
 Abnormalities of placenta and cord
 Intra-uterine growth retardation
 Nursing management of mothers with high risk pregnancy
 Maintenance of Records and reports
Unit: 8 Abnormal labour- assessment and management Theory: 10

hours
 Disorders in labour: CPD and contracted pelvis, Malpositions and Malpresentations,
Premature labour, disorders of uterine actions – precipitate labour, prolonged labour,
Complication of third stage: injuries of birth canal.
 Obstetrical emergencies and their management
 Presentations and prolapse of cord, vasa praevia, amniotic fluid embolism, rupture of
uterus, shoulder dystocia, obstetrical shock
 Obstetrical procedures and operations
 Induction of labour, forceps, vacuum version, manual removal of placenta, caesarean
section, destructive operations
 Nursing management of women undergoing obstetrical operations and procedures
Unit: 9 Abnormalities during postnatal periods Theory: 4

hours
 Assessment and management of woman with postnatal complications
 Puerperal infections, breast engorgement & infections, UTI, thrombo-embolic disorders,
post-partum hemorrhage, Eclampsia and subinvolution
 Psychological complications:
- Post partum Blues
- Post partum Depression
- Post partum psychosis
Unit: 10 Assessment and management of High-risk newborn Theory: 10
hours
 Admission of neonates in the neonatal intensive care unit- Protocols
 Nursing management of:
 Low birth weight babies
 Infections
 Respiratory problems
 Hemolytic disorders
 Birth injuries
 Malformations
 Monitoring of high risk neonates
 Feeding of high risk neonates
 Organization and management of neonatal intensive care units.

 Infection control in neonatal intensive care units
 Maintenance of records and reports
Unit: 11 Pharmaco-therapeutic in obstetrics Theory: 4

hours
 Indications, dosage, action, contraindication and side-effects of drugs
 Effect of drugs on pregnancy, labour and puerperium
 Nursing responsibilities in the administration of drug in obstetrical- oxytocins,
antihypertensives, diuretics, tocolytics agents, anti convulsants.
 Analgesics and anesthetics in obstetrics
 Effects of maternal medication of foetus and neonate
Unit: 12 Family welfare programmes Theory: 10

hours
 Population trends and problems in India
 Concepts, aims, importance and history of family welfare programme
 National population: dynamics, policy and education
 National Family Welfare Programme: RCH, ICDS, MCH, Safe motherhood
 Organization and administration: at national, state, district, block and village levels
 Methods of contraception: Spacing, temporary and permanent, emergency contraception
 Infertility and its management
 Counseling for family welfare
 Latest research in contraception
 Maintenance of vital statistics
 Role of national, international and voluntary organizations
 Role of a nurse in family welfare programme
 Training/supervision/collaboration with other functionaries in community like ANMs, LHVs,
Anganwadi workers, TBAs (Traditional Birt Attendant Dai)
NR 304.02 Midwifery and Obstetrical Nursing (Practical)
Detailed syllabus:
Antenatal clinic/OPD:
 Antenatal history taking
 Physical examination
 Recording of weight & B.P.
 Hb & urine testing for sugar and albumin
 Antenatal examination- abdomen and Breast
 Immunization
 Assessment of risk status
 Teaching antenatal mothers
 Maintenance of antenatal records
Labour room and O.T.:
 Assessment of woman in labour
 Per vaginal examination and interpretation

 Monitoring and caring of woman in labour
 Maintenance of partograph
 Conduct normal delivery
 Newborn assessment and immediate care
 Resuscitation of newborns
 Assessment of risk status of newborn
 Episiotomy and suturing
 Maintenance of labour and birth records
 Arrange for and assist with Caesarean section and care for woman and baby during
caesarean
 Arrange for and assist with MTP and other surgical procedures
Postnatal:
 Examination and assessment of mother and baby
 Identification and deviation
 Care of postnatal mother and baby
 Perineal care
 Lactation management
 Breast feeding
 Baby bath
 Immunization
 Teaching postnatal mother: mother craft, Post natal care, exercise & immunization
Newborn Nursery:
 Newborn assessment
 Admission of neonates
 Feeding of at risk neonates
 Katori spoon, paladin, tube feeding, total parenteral nutrition
 Thermal management of neonates- kangaroo mother care, care of baby in incubator
 Monitoring and care of neonates
 Administering medications
 Intravenous therapy
 Assisting with diagnostic procedures
 Assisting with exchange transfusion
 Care of baby on ventilator
 Phototherapy
 Infection control protocols in the nursery
 Teaching and counseling of parents
 Maintenance of neonatal records
Family planning clinic:
 Counseling technique
 Insertion of IUD
 Teaching on use of family planning methods
 Arrange for and assist with family planning operations
 Maintenance of records and reports

SYLLABI
(Semester – VII)

Manikaka Topawala Institute of nursing
Fourth Year B.Sc. Nursing, Semester -7
NR 401.01 Community Health Nursing – II
Credit (theory) - 11 Contact Hours/week (theory) - 11

Course description: This course is designed for students to practice community health nursing for
the individual, family and groups at both urban and rural settings by using concept and principles of
health and community health nursing.

Sr. Title of the unit Minimum Sec. I Sec. II Sec. III
no. number 15 30 30
of the marks marks marks
hour
1. Introduction 5 10% -
13.3%
2. Health planning and polices and problems 10 - 10%
3. Delivery of community health services 30 20% 40% -
4. Community health nursing approaches, 40 26.6% 50% -

concepts and roles and responsibilities of
nursing personnel
5. Assisting individuals and groups to pramote 25 13.3% - 30%

and maintain their health
6. National health and family welfare 30 20% -

programmes and the role of a nurse
60%
7. Health Agencies 10 6.6% -
Total hours (theory) :

150 hours
Total hours (clinical) :
150 hours
Total :
300 hours

Unit: 1 Introduction: Theory: 5
hours
 Definition, concept & scope of Community Health and Community Health Nursing.
 Historical development of
 Community health
 Community health Nursing.
- Pre-independence
- Post-independence
Unit: 2 Health planning and policies and problems:

Theory: 10 hours
 National planning in India Five Year Plans
 Various Committees and commissions on health and family welfare
 Central council for health and family welfare (CCH and FW)
 National health policies (1983,2002)
 National population policy
 Health problems in India
Unit: 3 Delivery of community health services:

Theory: 30 hours
 Planning, budgeting and material management of SCs, PHC and, CHC
 Rural: Organization, staffing and functions of rural health services provided by government at:
 Village
 Subcentre
 Primary health centre
 Community health center / subdivisional
 Hospitals
 District
 State
 Centre
 Urban: Organization, staffing and functions of urban health services provided by government
at:
 Slums
 Dispensaries
 Maternal and child health centres
 Special clinics
 Hospitals
 Corporation / Municipality/ Board
 Components of health services
 Environmental sanitation
 Health education
 Vital statistics
 M.C..H.-antenatal, natal, postnatal, MTP Act, female foeticide act, child adoption act
 Family Welfare
 National health programmes
 School health services

 Occupational health
 Defence services
 Institutional services
 System of medicine and health care
 Allopathy
 Indian System of Medicine and Homeopathy
 Alternative health care systems like yoga, meditation, social and spiritual healing etc
 Referral system
Unit: 4 Community health nursing approaches, concepts and roles and responsibilities of
nursing personnel:
Theory: 40
hours
 Approaches
 Nursing theories And Nursing process
 Epidemiological approach
 Problem solving approach
 Evidence based approach
 Empowering people to care for themselves
 Concepts of primary Health Care :
 Equitable distribution
 Community participation
 Focus on prevention
 Use of appropriate technology
 Multi-sectoral approach
 Roles and responsibilities of community health nursing personnel in
 Family health services
 Information Education Communication (IEC)
 Management Information System (MIS): Maintenance of records and reports
 Training and supervision of various categories of health workers
 National Health Programmes
 Environmental sanitation
 Maternal and child health and family welfare
 Treatment of minor ailments
 School Health Services
 Occupational health
 Organization of clinics, camps: types, preparation, planning, conduct and evaluation
 Waste management in the center, clinics etc.
 Home visit : Concept, principles, process, Techniques: Bag techniques home visit
 Qualities of Community Health Nurse
 Job description of community health nursing personnel
Unit: 5 Assisting individuals and groups to promote and maintain their health:
Theory: 25
hours
 Empowerment for self care of individuals, families and groups in –
A. Assessment of self and family

 Monitoring growth and development
- Mile stones
- Weight measurement
- Social development
 Temperature and blood pressure monitoring
 Menstrual cycle
 Breast self examination and testicles
 Warning signs of various diseases
 Tests: urine for sugar and albumin and blood sugar
B. Seek health services for
 Routine checkup
 Immunization
 Counseling
 Diagnosis
 Treatment
 Follow up
C. Maintenance of health records for self and family

D. Continue medical care and follow up in community for various diseases and disabilities
E. Carryout therapeutic procedures as prescribed/ required for self and family
F. Waste Management
 Collection and disposable of waste at home and community
G. Sensitize and handle social issues affecting health and development for self and family
 Women empowerment
 Women and child abuse
 Abuse of elders
 Female foeticide
 Commercial sex workers
 Food adulteration
 Substance abuse
H. Utilize community resources for self and family
 Trauma services
 Old age homes
 Orphanage
 Homes for physically and mentally challenged individuals
 Homes for destitute
Unit: 6 National health and family welfare programmes and the role of a nurse
Theory: 30 hours
1. National ARI programme
2. Revised National Tuberculosis Control Programme (RNTCP)
3. National Anti- Malaria programme
4. National Filaria control programme
5. National Guinea worm eradication programme
6. National Leprosy eradication programme
7. National AIDS control programme
8. STD control programme

9. National programme for control of blindness
10. Iodine deficiency disorder programme
11. Expanded programme on immunization
12. National Family Welfare programme- RCH Programme historical development,
organization,
Administration, research, constraints
13. National water supply and sanitation programme
14. Minimum Need programme
15. National Diabetics control programme
16. Polio Eradication: pulse Polio Programme
17. National Cancer Control Programme
18. Yaws Eradication Programme
19. National Nutritional Anemia Prophylaxis Programme
20. 20 point programme
21. ICDS Programme
22. Mid-day meal applied nutritional programme
23. National mental health programme
 Health schemes
 ESI
 CGHS
 Health insurance
Unit: 7 Health Agencies: Theory: 10

hours
International – WHO, UNFPA, UNDP, World Bank, FAO, UNICEF,DANIDA, European
Commission (EC), Red cross, USAID, UNESCO, Colombo Plan, ILO, CARE etc.
National – Indian Red Cross, Indian Council for child welfare, Family Planning Association of
India
(FPAI), Tuberculosis Association of India, Hindu Kusht Nivaran Sangh, Central Social Welfare
Board, All India women’s conference, Blind Association of India etc.
NR401.01 COMMUNITY HEALTH NURSING – II (PRACTICAL)

Time: practical- 150 hour
Placement: Fourth Year/ 7th Semester
 Community health survey
 Community diagnosis
 Family care: home adaptation of common procedures
 Home visit: bag technique
 Organize and conduct clinics- antenatal, postnatal, well baby clinic, camps etc
 Screen manage and referrals for:
 High risk mothers and neonates
 Accident and emergencies
 Illnesses: physical and mental
 Disabilities
 Conduct delivery at centre/ home: episiotomy and suturing
 Resuscitate newborn
 School Health programme
 Screen, manage, refer children
 Collaborate with health and allied agencies
 Train and Supervise health workers
 Provide family welfare services: insertion of IUD
 Counsel and teach individual, family and community about : HIV, TB, Diabetes,
hypertension, Mental health, adolescents, elderly’s health physically and mentally
challenged individuals etc
 Collect and calculate vital health statistics
 Document and maintain
 Individual, family and administrative records
 Write reports-center, disease, national health programme/ projects.

NR 402 Nursing Research and Statistics

Course 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.

no. number of 15 marks 30 marks 30 marks
the hour
1. Research and research process 8 6.6% -
40%
2. Research problem/ Question 8 13.3% -
3. Review of literature 8 6.6% -

40%
4. Research approaches and designs 8 13.3% -
5. Sampling and data collection 12 13.3% 30%
6. Analysis of data 8 13.3% 20% -
7. Introduction to statistics 20 20% -
70%
8. Communication and utilization of Research 8 13.3% -
Total hours (theory) :

80 hours
Total hours (clinical) :
45 hours
Total :
90 hours
Unit: 1 Research and research process: Theory: 8

hours
 Introduction and need for nursing research
 Definition of research and nursing research
 Steps of scientific method
 Characteristics of good research
 Steps of research process-overview

Unit: 2 Research Problems/ Question: Theory: 8
hours
 Identification of problem area
 Problem statement
 Criteria of a good research problem
 Writing objectives
Unit: 3 Review of literature: Theory: 8

hours
 Location
 Sources
 On line search; CINHAL, COCHRANE etc
 Purposes
 Method of review
Unit: 4 Research approaches and designs: Theory: 8

hours
 Historical, survey and experimental
 Qualitative and quantitative designs
Unit: 5 Sampling and data collection: Theory: 12

hours
 Definition of Population, Sample, Sampling criteria, factors influencing sampling process,
types of sampling techniques.
 Data- why, what, from whom, when and where to collect.
 Data collection method and instruments :
 Methods of data collection
 Questioning, interviewing
 Observation, record analysis and measurement
 Types of instruments
 Validity & reliability of instrument
 Pilot study
 Data collection procedure
Unit: 6 Analysis of data: Theory: 8

hours
 Compilation, tabulation, classification, summarization, presentation, interpretation of data
Unit: 7 Introduction to statistics: Theory: 20

hours
 Definition, use of statistics, scales of measurement.
 Frequency distribution and graphical presentation of data
 Mean, Median, Mode, Standard deviation
 Normal probability and tests of significance
 Co-efficient of correlation
 Statistical packages and its application

Unit: 8 communication and utilization of research: Theory: 8
hours
 Communication of research findings
 Verbal report
 Writing research report
 Writing scientific article/ paper
- Critical review of published research
- Utilization of research findings

NR 403 Management of Nursing Service and Education

Credit (theory) - 11 Contact Hours/week (theory) -11
Course description: This course is designed to enable students to acquire understanding of

management of clinical and community health nursing services, nursing educational programmes.
This is also designed to enable students to acquire understanding of the professional responsibilities,
prospects and contribution to the growth of the profession.
no. number 15 30 30
of the marks marks marks
hour
1. Introduction to management in nursing 10 6.6% -
30%
2. Management process 15 6.6% -
3. Management of nursing services in the 45 26.6% -

hospital and community
4. Organizational behavior and human relations 10 6.6% 70% -
5. In service education 20 13.3% -

65%
6. Management of nursing educational 23 20% -
institutions
7. Nursing as a profession 22 -
20% 35%
8. Professional achievement 5 -
Total hours :
150 hours
Unit: 1 Introduction to management in nursing: Theory: 10

hours
 Definition, concepts and theories
 Functions of management
 Principles of management
 Role of nurse as manager
Unit: 2 Management process: Theory: 15

hours
 Planning; mission, philosophy, objectives, operational plan
 Staffing: philosophy, staffing study, norms, activities, patient classification system,
scheduling
 Human resource management; recruiting, selecting, deployment, retaining, promrting, super
annuation etc
 Budgeting : concept, principles, types, cost benefit analysis, audit

 Material management: equipment and supplies
 Directing process (leading)
 Controlling: Quality management
 Programme Evaluation Review Technique (PERT), Bench marking, Activity Plan (Grantt
Chart)
Unit: 3 Management of nursing services in the hospital and community
Theory: 15 hours, Practical : 30 hours
 Planning:
 Hospital and patient care units including ward management
 Emergency and disaster management
 Human resource management:
 Recruiting, selecting, deployment, retaining, promoting, superannuation etc
 Categories of nursing personnel including job description of all levels
 Patient/ population classification systems
 Patient/ population assignment and Nursing care responsibilities
 Staff development and welfare
 Budgeting: proposal, projecting requirements for staff, equipments and supplies for
 Hospital and patient care units
 Material management; procurement, inventory control, auditing and maintenance in
 Hospital and patient care units
 Directing and leading: delegation, participatory management
 Assignments, rotation, delegations
 Supervision & guidance
 Implement standards, policies, procedures and practices
 Staff development and welfare
 Maintenance of discipline
 Controlling/ Evaluation:
 Nursing Rounds/ Visits, Nursing protocols, Manuals
 Quality Assurance Model, documentation
 Records and reports performance appraisal
Unit: 4 Organizational behavior and human relations Theory: 10

hours
 Concepts and theories of organizational behaviours
 Review of channels of communication
 Leadership styles
 Review of motivation; concepts and theories
 Group dynamics
 Techniques of;
 Communication and
 Interpersonal relationships
 Human relations;
 Public relations in context of nursing
 Relations with professional associations and employee unions and collecting bargaining

Unit: 5 in service education Theory: 8 hours,
Practical: 12 hours
 Nature & scope of inservice education program,
 Organization of in service education
 Principles of adult learning
 Planning for in-service education program, techniques, methods & evaluation of staff
education program
 Preparation of report
Unit: 6 Management of nursing educational institutions
Theory: 23 hours
 Establishment of Nursing educational institution-INC norms and guidelines
 Co-ordination with-
 Regulatory bodies
 Accreditation
 Affiliation
- Philosophy/ objectives
- Organization
 Structure
 Committees
- Physical facilities
 College/school
 Hostel
- students-Selection;Admission;Guidance and Counseling;Maintaining discipline
- Faculty and staff
 Selection
 Recruitment
 Job description
 Placement
 Performance appraisal
 Development and welfare
 Budgeting
 Equipments and supplies: audio visual equipments, laboratory equipment, books, journals
etc
 Curriculum; planning, implementation and evaluation
 Clinical facilities
 Transport facilities
 Institutional records and reports- administrative, faculty, staff and students
Unit: 7 Nursing as a profession
Theory: 22 hours
 Nursing as a profession
 Philosophy; nursing practice
 Aims and objectives
 Characteristics of the professional nurse
 Regulatory bodies; INC, SNC Acts;- constitution, functions
 Current trends and issue in Nursing
 Professional ethics
 Code of ethics; INC, ICN

 Code of professional conduct; INC, ICN
 Practice standards for Nursing; INC
 Consumer protection act
 Legal aspects in Nursing
 Legal terms related to practice; registration and licensing
 Laws related to nursing practice; breach and penalties
 Malpractice and negligence
Unit: 8 Professional achievement Theory: 5
hours
 Continuing education
 Career opportunities
 Collective bargaining
 Membership with professional organizations; National and international
 Participation in research activities
 Publications; journals, newspapers etc.

SYLLABI
(Semester – VIII)
Intern-Ship (Integrated Practice)
Sr. Subjects Theory Practical In weeks

No. (in hrs)

1 Midwifery and Obstetrical nursing-I 240 5
2 Community Health Nursing-III 195 4
3 Medical Surgical Nursing (Adult and Geriatric) 430 9
4 Child Health 145 3
5 Mental Health 95 2
6 Research project 45 1
7 Soft skills training 45 1
Total Hours 1195 25
Notes:
1. Internship means 8 hour of integrated clinical duties in which 2 weeks of evening and night
shift duties are included.
2. Internship should be carried out as 8 hours per day or 48 hour per week.
3. Students during internship will be supervised by nursing teachers.
4. Degree will be awarded after successful submission of research project and completion of
Internship.

CS 410 Soft Skills Training

Credit (practical) -1 Contact Hours/week (practical) -2
Objective: By the end of the soft skills training program, the students should be able to:
 Develop effective communication skills (spoken and written).
 Develop effective presentation skills.
 Conduct effective business correspondence and prepare business reports which produce results.
 Become self-confident individuals by mastering inter-personal skills, team management skills, and leadership
skills.
 Develop all-round personalities with a mature outlook to function effectively in different circumstances.
 Develop broad career plans, evaluate the employment market, identify the organizations to get good placement,
match the job requirements and skill sets.
 Take part effectively in various selection procedures adopted by the recruiters.
Unit Components Proposed Hours
1 Soft Skills : An Introduction 3

2 Interpersonal Skills 6
3 Motivational Skills 6
4 Attitude, People Skills and Team Building 6
5 Work Place Etiquettes, Work Ethics 6
6 Critical Thinking Skills 6
7 Cross Cultural Communication 6
8 Behavioral Skills 6
Total Hours :
45
Unit 1:Soft Skills: An Introduction

 Communication Skills: Heart of soft skills
 Soft skills at workplace
 Soft skills and Johari Window
 Emotional Quotient: key part of soft skills
 Five Domains of Emotional Quotient
 Personality Assessment Tools: Aptitude test, IQ,EQ Test
 Personal, Social and Communicative Competence
Unit 2:Interpersonal Skills

 Assertive skills

 Listening skills
 Social skills
 Negotiation Skills
Unit 3:Motivational Skills

 Introduction to motivation Skills
 Roles and significance of motivational skills for nurse
 Tips and Techniques of motivating patients
 Motivational tools for nurse
 Motivating self and others
Unit 4:Attitude, People Skills and Team Building

 Building Positive Attitude
 Self-confidence
 Barriers to Achieving SC and techniques of overcoming them
 Essentials and Principles of People Skills
 Leadership Skills: leadership styles, insights from great Leaders
 Team Skills: Team building and leadership, evolution of groups into teams, group
Unit 5:Work Place Etiquettes, Work Ethics
 Etiquttes-Bacics, Workplace Etiquettes, and PC Etiquettes
 Ethical values in Nursing/Medical field
 Values, Ethics and communication; Ethical Dilemmas
 Work Ethics and work Responsibilities in Medical field
 Ethical communication in Nursing
 An introduction to work ethics; Difference between Ethics and Morals
Unit 6:Critical Thinking Skills
 Introduction to critical thinking
 The tools of critical thinking
 Using critical thinking skills in Nursing
 Tools for drawing a conclusion-using logic
 Tools for evaluating a conclusion
 How to use critical thinking skills at work place
 Tools for evaluating the facts
Unit 7:Cross Cultural Communication
 Introduction to cross cultural Communication with reference to globalization and
communication across the cultures
 Getting Started With Cross Cultural Communication
 Cross-cultural Communication Conflicts and Tactics
 Dealing with patients belonging to different cultures
 Hot Spots in Cross Cultural Communication
Unit 8:Behavioral Skills

Academic Regulation and Syllabus 2013-14

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ACADEMIC

Faculty of Medical Sciences

Bachelor of Science Programme

© CHARUSAT 2013 Page 1 of 135

Education Campus – Changa, (ECC), hitherto a conglomerate of institutes

© CHARUSAT 2013 Page 2 of 135

The development and growth of the institutes have already led to an

The University is characterized by state-of-the-art infrastructural facilities,

CHARUSAT is privileged to have 350 core faculty members, educated and

From one college to the level of a forward-looking University, CHARUSAT

© CHARUSAT 2013 Page 3 of 135

The programmes are credit-based and have continuous evaluation as an

Exploration in the field of knowledge through research and development

The evaluation of the student is based on grading system. A student has

© CHARUSAT 2013 Page 4 of 135

© CHARUSAT 2013 Page 5 of 135

Faculty of Medical Sciences

Charotar University of Science and Technology (CHARUSAT)

© CHARUSAT 2013 Page 6 of 135

© CHARUSAT 2013 Page 7 of 135

A student shall follow the prescribed courses as given in the programme of

Hours available per academic semester = 840 hours (21weeks x 40hours)

© CHARUSAT 2013 Page 8 of 135

Hours available per academic semester = 840 hours (21weeks x 40hours)

Hours available per academic semester = 680hours (17weeksx 40hours)

© CHARUSAT 2013 Page 9 of 135

Hours available per academic semester = 560 hours (14 weeks × 40

Hours available per academic semester = 1200 hours (25 weeks × 48

© CHARUSAT 2013 Page 10 of 135

Sr. Subjects Theory (In hours) Practical/ Clinical In hours

9. Library work/ Self study 20

# Subject related activities by students e.g. Group discussion,

© CHARUSAT 2013 Page 11 of 135

Sr. Subject Theory & Lab Practical (in In hrs

1 Communication &Education 90 (60+30) - -

Sr. Subject Theory & Lab Practical (in In hrs

1 Community Health Nursing - 90 135

© CHARUSAT 2013 Page 12 of 135

Sr. Subject Theory & Practical (in In hours

1 Medical Surgical Nursing - III 140 270 -

2 Mental Health Nursing 120 270 -

Sr. Subject Theory & Lab Practical (in In hours

1 Child Health nursing 90 270 -

3 Library work/ self study - - 10

© CHARUSAT 2013 Page 13 of 135

Sr. Subject Theory & Practical (in In hrs

2. Nursing Research & Statistics 80 - -

3. Management of Nursing Services 150 - -

Total Hours = 560 hrs

Intern-Ship (Integrated Practice)

Sr. No. Subjects Theory Practical In weeks

1. Midwifery and Obstetrical nursing-II - 240 5

2. Community Health Nursing-III - 195 4

3. Medical Surgical Nursing (Adult and - 430 9

7. Soft skills training - 45 1

Total Hours - 1195 25

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© CHARUSAT 2013 Page 15 of 135

NR102.01 Nutrition & Biochemistry 3 1 4 3.5 25 75 - - 100

NR103.01 English 3 - 3 3 25 75 100

NR109 Introduction to Computer 1 2 3 2 25 75 25 75 200

HL101 ** Hindi/Regional language 1 - 1 1 - - - -

© CHARUSAT 2013 Page 16 of 135