298 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.

4]

COURSE OUTLINE
T – Theory
Unit Time Learning Outcomes Content Teaching/Learning Assessment
Activities Methods
(Hrs)
I 3 (T) Describe Introduction to Pharmacology  Lecture cum  Short answer
Pharmacodynamics, Discussion
Pharmacokinetics,  Definitions & Branches  Objective type
Classification,  Guided reading and
 Nature & Sources of drugs  Assessment of
principles of written assignment
assignments
administration of drugs  Dosage Forms and Routes of drug on schedule K drugs
administration
 Terminology used
 Classification, Abbreviations,
Prescription, Drug Calculation, Weights
and Measures
 Pharmacodynamics: Actions, Drug
Antagonism, Synergism, Tolerance,
Receptors, Therapeutic, adverse, toxic
effects, pharmacovigilance
 Pharmacokinetics: Absorption,
Bioavailability, Distribution,
Metabolism, Interaction, Excretion
 Review: Principles of drug
administration and treatment
individualization
o Factors affecting dose, route etc.
 Indian Pharmacopoeia: Legal Issues,
Drug Laws, Schedule Drugs
 Rational Use of Drugs
 Principles of Therapeutics

II 1 (T) Describe antiseptics, Pharmacology of commonly used  Lecture cum  Short answer
and disinfectant & antiseptics and disinfectants Discussion
nurse‘s responsibilities  Objective type
 Antiseptics and Disinfectants  Drug study/
presentation
 Composition, action, dosage, route,
indications, contraindications,
Drug interactions, side effects, adverse
effects, toxicity and role of nurse

III 2 (T) Describe drugs acting Drugs acting on G.I. system  Lecture cum  Short answer
on gastro-intestinal Discussion
system & nurse‘s  Pharmacology of commonly used drugs  Objective type
responsibilities  Drug study/
o Emetics and Antiemetics
presentation
o Laxatives and Purgatives
o Antacids and antipeptic ulcer drugs
o Anti-diarrhoeals – Fluid and
electrolyte therapy, Furazolidone,
dicyclomine
 Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 299

Unit Time Learning Outcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
IV 2 (T) Describe drugs acting Drugs acting on respiratory system  Lecture cum  Short answer
on respiratory system & Discussion
nurse‘s responsibilities  Pharmacology of commonly used  Objective type
 Drug study/
o Antiasthmatics – Bronchodilators
presentation
(Salbutamol inhalers)
o Decongestants
o Expectorants, Antitussives and
Mucolytics
o Broncho-constrictors and
Antihistamines
 Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse
effects toxicity and role of nurse
V 4 (T) Describe drugs used on Drugs used in treatment of  Lecture cum  Short answer
cardio-vascular system Cardiovascular system and blood Discussion
& nurse‘s disorders  Objective type
responsibilities  Drug study/
 Haematinics, & treatment of anemia presentation
and antiadrenergics
 Cholinergic and anticholinergic
 Adrenergic Drugs for CHF &
vasodilators
 Antianginals
 Antiarrhythmics
 Antihypertensives
 Coagulants & Anticoagulants
 Antiplatelets & thrombolytics
 Hypolipidemics
 Plasma expanders & treatment of shock
 Drugs used to treat blood disorders
 Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse
VI 2 (T) Describe the drugs used Drugs used in treatment of endocrine  Lecture cum  Short answer
in treatment of system disorders Discussion
endocrine system  Objective type
disorders  Insulin & oral hypoglycemics  Drug study/
presentation
 Thyroid and anti-thyroid drugs
 Steroids
o Corticosteroids
o Anabolic steroids
 Calcitonin, parathormone, vitamin D3,
calcium metabolism
o Calcium salts
300 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

Unit Time Learning Outcomes Content Teaching/Learning Assessment

Activities Methods
(Hrs)
VII 1 (T) Describe drugs used in Drugs used in treatment of  Lecture cum  Short answer
skin diseases & nurse‘s integumentary system Discussion
responsibilities  Objective type
 Antihistaminics and antipruritics  Drug study/
presentation
 Topical applications for skin-
Benzylbenzoate, Gamma BHC,
Clotrimazole, Miconazole, Silver
Sulphadiazine (burns)
 Composition, action, dosage, route,
indications, contraindications, drug
interactions, side effects, adverse
effects toxicity and role of nurse

VIII 5 (T) Explain drug therapy/ Drugs used in treatment of  Lecture cum  Short answer
chemotherapy of communicable diseases (common Discussion
specific infections & infections, infestations)  Objective type
infestations & nurse‘s  Drug study/
responsibilities  General Principles for use of presentation
Antimicrobials
 Pharmacology of commonly used
drugs:
o Penicillin, Cephalosporin‘s,
Aminoglycosides, Macrolide & broad
spectrum antibiotics, Sulfonamides,
quinolones, Misc. antimicrobials
 Anaerobic infections
 Antitubercular drugs,
 Antileprosy drugs
 Antimalarials
 Antiretroviral drugs
 Antiviral agents
 Antihelminthics, Antiscabies agents
 Antifungal agents
 Composition, action, dosage, route,
indications, contraindications, Drug
interactions, side effects, adverse
effects, toxicity and role of nurse

PATHOLOGY - I

PLACEMENT: III SEMESTER

THEORY: 1 Credit (20 hours) (includes lab hours also)
DESCRIPTION: This course is designed to enable students to acquire knowledge of pathology of various disease
conditions, understanding of genetics, its role in causation and management of defects and diseases and to apply this
knowledge in practice of nursing.
COMPETENCIES: On completion of the course, the students will be able to
1. Apply the knowledge of pathology in understanding the deviations from normal to abnormal pathology.
2. Rationalize the various laboratory investigations in diagnosing pathological disorders.
3. Demonstrate the understanding of the methods of collection of blood, body cavity fluids, urine and feces for various
tests.
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 301

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

5. Appreciate the various manifestations in patients with diagnosed genetic abnormalities.
6. Rationalize the specific diagnostic tests in the detection of genetic abnormalities.
7. Demonstrate the understanding of various services related to genetics.

COURSE OUTLINE
T – Theory
Unit Time Learning Content Teaching/ Learning Assessment
Outcomes Activities Methods
(Hrs)
I 8 (T) Define the Introduction  Lecture  Short answer
common terms
used in  Importance of the study of pathology  Discussion  Objective type
pathology  Definition of terms in pathology  Explain using slides
 Cell injury: Etiology, pathogenesis of reversible  Explain with
Identify the and irreversible cell injury, Necrosis, Gangrene clinical scenarios
deviations from  Cellular adaptations: Atrophy, Hypertrophy,
normal to Hyperplasia, Metaplasia, Dysplasia, Apoptosis
abnormal
structure and  Inflammation:
functions of
o Acute inflammation (Vascular and Cellular
body system
events, systemic effects of acute
inflammation)
o Chronic inflammation (Granulomatous
inflammation, systemic effects of chronic
inflammation)
 Wound healing
 Neoplasia: Nomenclature, Normal and Cancer
cell, Benign and malignant tumors, Carcinoma
in situ, Tumor metastasis: general mechanism,
routes of spread and examples of each route
 Circulatory disturbances: Thrombosis,
embolism, shock
 Disturbance of body fluids and electrolytes:
Edema, Transudates and Exudates
II 5 (T) Explain Special Pathology  Lecture  Short answer
pathological
Pathological changes in disease conditions of  Discussion  Objective type
changes in
selected systems:
disease  Explain using
conditions of slides, X-rays and
various scans
1. Respiratory system
systems
 Pulmonary infections: Pneumonia, Lung  Visit to pathology
abscess, pulmonary tuberculosis lab, endoscopy unit
and OT
 Chronic Obstructive Pulmonary Disease:
Chronic bronchitis, Emphysema, Bronchial
Asthma, Bronchiectasis
 Tumors of Lungs
2. Cardio-vascular system
 Atherosclerosis
 Ischemia and Infarction.
 Rheumatic Heart Disease
302 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

Unit Time Learning Content Teaching/ Learning Assessment

Outcomes Activities Methods
(Hrs)

 Infective endocarditis
3. Gastrointestinal tract
 Peptic ulcer disease (Gastric and Duodenal
ulcer)
 Gastritis-H Pylori infection
 Oral mucosa: Oral Leukoplakia, Squamous
cell carcinoma
 Esophageal cancer
 Gastric cancer
 Intestinal: Typhoid ulcer, Inflammatory
Bowel Disease (Crohn‘s disease and
Ulcerative colitis), Colorectal cancer
4. Liver, Gall Bladder and Pancreas
 Liver: Hepatitis, Amoebic Liver abscess,
Cirrhosis of Liver
 Gall bladder: Cholecystitis.
 Pancreas: Pancreatitis
 Tumors of liver, Gall bladder and Pancreas
5. Skeletal system
 Bone: Bone healing, Osteoporosis,
Osteomyelitis, Tumors
 Joints: Arthritis - Rheumatoid arthritis and
Osteoarthritis
6. Endocrine system
 Diabetes Mellitus
 Goitre
 Carcinoma thyroid
III 7 (T) Describe Hematological tests for the diagnosis of blood  Lecture  Short answer
various disorders
laboratory tests  Discussion  Objective type
 Blood tests: Hemoglobin, White cell and platelet
in assessment  Visit to clinical lab,
counts, PCV, ESR
and monitoring biochemistry lab
of disease  Coagulation tests: Bleeding time (BT), and blood bank
conditions Prothrombin time (PT), Activated Partial
Prothrombin Time (APTT)
 Blood chemistry
 Blood bank:
o Blood grouping and cross matching
o Blood components
o Plasmapheresis
o Transfusion reactions
Note: Few lab hours can be planned for
observation and visits
(Less than 1 credit, lab hours are not specified
separately)
314 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

COURSE OUTLINE
T – Theory
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
Activities Methods
(Hrs)
I 4 (T) Describe drugs used in Drugs used in disorders of ear, nose,  Lecture cum  Short answer
disorders of ear, nose, throat & Eye Discussion
throat and eye and  Objective type
nurses‘  Antihistamines  Drug study/
responsibilities presentation
 Topical applications for eye
(Chloramphenicol, Gentamycin eye
drops), ear (Soda glycerin, boric spirit
ear drops), nose and buccal cavity-
chlorhexidine mouthwash

 Composition, action, dosage, route,

indications, contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse
II 4 (T) Describe drugs acting Drugs used on urinary system  Lecture cum  Short answer
on urinary system & Discussion
nurse‘s  Pharmacology of commonly used  Objective type
responsibilities drugs  Drug study/
presentation
o Renin angiotensin system
o Diuretics and antidiuretics
o Drugs toxic to kidney
o Urinary antiseptics
o Treatment of UTI – acidifiers and
alkalinizers
 Composition, action, dosage, route,
indications, contraindications, Drug
interactions, side effects, adverse
effects toxicity and role of nurse

III 10 (T) Describe drugs used Drugs acting on nervous system  Lecture cum  Short answer
on nervous system & Discussion
nurse‘s  Basis & applied pharmacology of  Objective type
responsibilities commonly used drugs  Drug study/
presentation
 Analgesics and anaesthetics
o Analgesics: Non-steroidal anti-
inflammatory (NSAID) drugs
o Antipyretics
o Opioids & other central analgesics
 General (techniques of GA, pre
anesthetic medication) & local
anesthetics
 Gases: oxygen, nitrous, oxide,
carbon-dioxide & others

 Hypnotics and sedatives

 Skeletal muscle relaxants

 Antipsychotics
o Mood stabilizers
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 315

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)

 Antidepressants

 Antianxiety Drugs

 Anticonvulsants

 Drugs for neurodegenerative

disorders & miscellaneous drugs

 Stimulants, ethyl alcohol and

treatment of methyl alcohol poisoning

 Composition, action, dosage, route,

indications, contraindications, drug
interactions, side effects, adverse
effects toxicity and role of nurse
IV 5 (T) Describe drugs used Drugs used for hormonal, disorders  Lecture cum  Short answer
for hormonal disorder and supplementation, contraception Discussion
& supplementation, and medical termination of pregnancy  Objective type
contraception &  Drug study/
medical termination of  Estrogens and progesterones presentation
pregnancy & nurse‘s o Oral contraceptives and hormone
responsibilities replacement therapy
 Vaginal contraceptives
 Drugs for infertility and medical
termination of pregnancy
o Uterine stimulants and relaxants
 Composition, actions dosage route
indications contraindications, drugs
interactions, side effects, adverse
effects, toxicity and role of nurse

V 3 (T) Develop Drugs used for pregnant women during  Lecture cum  Short answer
understanding about antenatal, labour and postnatal period Discussion
important drugs used  Objective type
for women before,  Tetanus prophylaxis  Drug study/
during and after presentation
 Iron and Vit K1 supplementation
labour
 Oxytocin, Misoprostol
 Ergometrine
 Methyl prostaglandin F2-alpha
 Magnesium sulphate
 Calcium gluconate

VI 10 (T) Describe drugs used in Miscellaneous  Lecture cum  Short answer

deaddiction, Discussion
emergency, poisoning,  Drugs used for deaddiction  Objective type
vitamins & minerals  Drug study/
 Drugs used in CPR and emergency- presentation
supplementation, adrenaline, Chlorpheniramine,
drugs used for hydrocortisone, Dexamethasone
immunization &
immune-suppression  IV fluids & electrolytes replacement
& nurse‘s
responsibilities  Common poisons, drugs used for
treatment of poisoning
o Activated charcoal
316 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)
o Ipecac
o Antidotes,
o Anti-snake venom (ASV)
 Vitamins and minerals
supplementation
 Vaccines & sera (Universal
immunization program schedules)
 Anticancer drugs: Chemotherapeutic
drugs commonly used
 Immuno-suppressants and
Immunostimulants

VII 4 (T) Demonstrate Introduction to drugs used in  Lecture cum  Short answer
awareness of common alternative systems of medicine Discussion
drugs used in  Objective type
alternative system of  Ayurveda, Homeopathy, Unani and  Observational visit
medicine Siddha etc.
 Drugs used for common ailments

VIII 20 (T) Demonstrate Fundamental principles of prescribing  Completion of  Short answer

understanding about module on
fundamental  Prescriptive role of nurse practitioners:  Assignments
Fundamental
principles of Introduction evaluation
principles of
prescribing  Legal and ethical issues related to prescribing
prescribing
 Principles of prescribing
 Steps of prescribing
 Prescribing competencies

PATHOLOGY - II AND GENETICS

PLACEMENT: IV SEMESTER
THEORY: 1 Credit (20 hours) (Includes lab hours also)
DESCRIPTION: This course is designed to enable students to acquire knowledge of pathology of various disease
conditions, understanding of genetics, its role in causation and management of defects and diseases and to apply this
knowledge in practice of nursing.
COMPETENCIES: On completion of the course, the students will be able to
1. Apply the knowledge of pathology in understanding the deviations from normal to abnormal pathology
2. Rationalize the various laboratory investigations in diagnosing pathological disorders
3. Demonstrate the understanding of the methods of collection of blood, body cavity fluids, urine and feces for various
tests
4. Apply the knowledge of genetics in understanding the various pathological disorders
5. Appreciate the various manifestations in patients with diagnosed genetic abnormalities
6. Rationalize the specific diagnostic tests in the detection of genetic abnormalities.
7. Demonstrate the understanding of various services related to genetics.
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 317

COURSE OUTLINE
T – Theory
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
Activities Methods
(Hrs)
I 5 (T) Explain pathological Special Pathology:  Lecture  Short answer
changes in disease
Pathological changes in disease  Discussion  Objective type
conditions of various
conditions of selected systems
systems  Explain using
1. Kidneys and Urinary tract slides, X-rays and
 Glomerulonephritis scans

 Pyelonephritis  Visit to pathology

lab, endoscopy unit
 Renal calculi and OT
 Cystitis
 Renal Cell Carcinoma
 Renal Failure (Acute and Chronic)
2. Male genital systems
 Cryptorchidism
 Testicular atrophy
 Prostatic hyperplasia
 Carcinoma penis and Prostate.
3. Female genital system
 Carcinoma cervix
 Carcinoma of endometrium
 Uterine fibroids
 Vesicular mole and
Choriocarcinoma
 Ovarian cyst and tumors
4. Breast
 Fibrocystic changes
 Fibroadenoma
 Carcinoma of the Breast
5. Central nervous system
 Meningitis.
 Encephalitis
 Stroke
 Tumors of CNS

II 5 (T) Describe the Clinical Pathology  Lecture  Short answer

laboratory tests for
examination of body  Examination of body cavity fluids:  Discussion  Objective type
cavity fluids, urine o Methods of collection and  Visit to clinical lab
and faeces examination of CSF and other body and biochemistry
cavity fluids (sputum, wound lab
discharge) specimen for various
clinical pathology, biochemistry and
microbiology tests
318 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)

 Analysis of semen:
o Sperm count, motility and
morphology and their importance in
infertility
 Urine:
o Physical characteristics, Analysis,
Culture and Sensitivity
 Faeces:
o Characteristics
o Stool examination: Occult blood,
Ova, Parasite and Cyst, Reducing
substance etc.
o Methods and collection of urine and
faeces for various tests

GENETICS
COURSE OUTLINE
T – Theory
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
Activities Methods
(Hrs)
I 2 (T) Explain nature, Introduction:  Lecture  Short answer
principles and
perspectives of  Practical application of genetics in  Discussion  Objective type
heredity nursing
 Explain using slides
 Impact of genetic condition on families
 Review of cellular division: mitosis and
meiosis
 Characteristics and structure of genes
 Chromosomes: sex determination
 Chromosomal aberrations
 Patterns of inheritance
 Mendelian theory of inheritance
 Multiple allots and blood groups
 Sex linked inheritance
 Mechanism of inheritance
 Errors in transmission (mutation)

II 2 (T) Explain maternal, Maternal, prenatal and genetic  Lecture  Short answer
prenatal and genetic influences on development of defects
influences on and diseases  Discussion  Objective type
development of  Explain using slides
defects and diseases  Conditions affecting the mother:
genetic and infections
 Consanguinity atopy
 Prenatal nutrition and food allergies
 Maternal age
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 319

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)

 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)

III 2 (T) Explain the screening Genetic testing in the neonates and  Lecture  Short answer
methods for genetic children
defects and diseases in  Discussion  Objective type
neonates and children  Screening for  Explain using slides
o Congenital abnormalities
o Developmental delay
o Dysmorphism
IV 2 (T) Identify genetic Genetic conditions of adolescents and  Lecture  Short answer
disorders in adults
adolescents and adults  Discussion  Objective type
 Cancer genetics: Familial cancer
 Explain using slides
 Inborn errors of metabolism
 Blood group alleles and hematological
disorder
 Genetic haemochromatosis
 Huntington‘s disease
 Mental illness

V 2 (T) Describe the role of Services related to genetics  Lecture  Short answer
nurse in genetic
services and  Genetic testing  Discussion  Objective type
counselling  Gene therapy
 Genetic counseling
 Legal and Ethical issues
 Role of nurse

ADULT HEALTH NURSING - II WITH INTEGRATED PATHOPHYSIOLOGY including Geriatric Nursing

AND PALLIATIVE CARE MODULE

PLACEMENT: IV SEMESTER
THEORY: 7 Credits (140 hours)
PRACTICUM: Lab/Skill Lab (SL): 1 Credit (40 hours) Clinical: 6 Credits (480 hours)
DESCRIPTION: This course is designed to equip the students to review and apply their knowledge of Anatomy,
Physiology, Biochemistry and Behavioral sciences in caring for adult patients with Medical/Surgical disorders using nursing
process approach. It also intends to develop competencies required for assessment, diagnosis, treatment, nursing
management, and supportive/palliative and rehabilitative care to adult patients with various Medical Surgical disorders.
320 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

COMPETENCIES: On completion of the course the students will apply nursing process and critical thinking in delivering
holistic nursing care with selected Medical and Surgical conditions.
At the completion of Adult Health Nursing II course, students will
1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and complications of selected
common medical and surgical disorders.
2. Perform complete health assessment to establish a data base for providing quality patient care and integrate the
knowledge of diagnostic tests in the process of data collection.
3. Identify diagnoses, list them according to priority and formulate nursing care plan.
4. Perform nursing procedures skillfully and apply scientific principles while giving comprehensive nursing care to
patients.
5. Integrate knowledge of anatomy, physiology, pathology, nutrition and pharmacology in caring for patients experiencing
various medical and surgical disorders.
6. Identify common diagnostic measures related to the health problems with emphasis on nursing assessment and
responsibilities.
7. Demonstrate skill in assisting/performing diagnostic and therapeutic procedures.
8. Demonstrate competencies/skills to patients undergoing treatment for medical surgical disorders.
9. Identify the drugs used in treating patients with selected medical surgical conditions.
10. Plan and provide relevant individual and group education on significant medical surgical topics.
11. Maintain safe environment for patients and the health care personnel in the hospital.

COURSE OUTLINE
T – Theory, L/SL – Lab/Skill Lab
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
Activities Methods
(Hrs)
I 12 (T) Explain the etiology, Nursing management of patient with  Lecture and  MCQ
pathophysiology, disorders of Ear, Nose and Throat discussion
4 (SL)  Short answer
clinical manifestations, (Includes etiology, pathophysiology,
diagnostic measures clinical manifestations, diagnostic  Demonstration of
and medical, surgical, measures and medical, surgical, hearing aids, nasal  Essay
nutritional and nursing nutritional and nursing management) packing, medication  OSCE
management of administration
 Review of anatomy and physiology of  Assessment of
patients with ENT  Visit to audiology
the ear, nose and throat skill (using
disorders and speech clinic checklist)
 History, physical assessment, and
diagnostic tests  Quiz
 Ear  Drug book
o External ear: deformities otalgia,
foreign bodies and tumors
o Middle ear: impacted wax,
tympanic, membrane perforation,
otitis media, and tumors
o Inner ear: Meniere‘s disease,
labyrinthitis, ototoxicity tumors
 Upper respiratory airway infections:
Rhinitis, sinusitis, tonsillitis, laryngitis
 Epistaxis, Nasal obstruction, laryngeal
obstruction
 Deafness and its management
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 321

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)
II 12 (T) Explain the etiology, Nursing management of patient with  Lecture and  MCQ
pathophysiology, disorder of eye discussion
4 (SL)  Short Essay
clinical manifestations,
diagnostic measures  Review of anatomy and physiology of  Demonstration of
the eye visual aids, lens,  OSCE
and management of
patients with disorders medication  Drug book
 History, physical assessment,
of eye administration
diagnostic assessment
 Visit to eye bank
Eye Disorders
Describe eye donation,  Refractive errors
banking and
transplantation  Eyelids: infection, deformities
 Conjunctiva: inflammation and
infection bleeding
 Cornea: inflammation and infection
 Lens: cataract
 Glaucoma
 Retinal detachment
 Blindness
 Eye donation, banking and
transplantation
III 15 (T) Explain the etiology, Nursing management of patient with  Lecture cum  MCQ
pathophysiology, Kidney and Urinary problems Discussion
4 (L/SL)  Short Note
clinical manifestations,
diagnostic tests, and  Review of Anatomy and physiology of  Demonstration
the genitourinary system  Long essay
medical, surgical,  Case Discussion
nutritional, and nursing  History, physical assessment,  Case report
management of Kidney diagnostic tests  Health education
 Submits health
and urinary system
 Urinary tract infections: acute,  Drug book teaching on
disorders
chronic, lower, upper prevention of
 Field visit – Visits urinary calculi
 Nephritis, nephrotic syndrome hemodialysis unit
Demonstrate skill in
genitourinary  Renal calculi
assessment
 Acute and chronic renal failure
 Disorders of ureter, urinary bladder
Prepare patient for and Urethra
genitourinary
investigations  Disorders of prostate: inflammation,
infection, stricture, obstruction, and
Benign Prostate Hypertrophy
Prepare and provide
health education on
prevention of renal
calculi
IV 6 (T) Explain the etiology, Nursing management of disorders of  Lecture, Discussion  Short essay
pathophysiology, male reproductive system
clinical manifestations,  Case Discussion
diagnostic tests, and  Review of Anatomy and physiology of
the male reproductive system  Health education
medical, surgical,
nutritional, and nursing  History, Physical Assessment,
management of male Diagnostic tests
reproductive disorders
 Infections of testis, penis and adjacent
structures: Phimosis, Epididymitis, and
322 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)
Orchitis
 Sexual dysfunction, infertility,
contraception
 Male Breast Disorders: gynecomastia,
tumor, climacteric changes

V 10 (T) Explain the etiology, Nursing management of patient with  Lecture and  OSCE
pathophysiology, burns, reconstructive and cosmetic discussion
4 (SL)  Short notes
clinical manifestations, surgery
types, diagnostic  Demonstration of
measures and  Review of anatomy and physiology of burn wound
management of the skin and connective tissues assessment, vacuum
patients with disorders dressing and fluid
 History, physical assessment,
of burns/cosmetic calculations
assessment of burns and fluid &
surgeries and its electrolyte loss  Visit to burn
significance rehabilitation centers
 Burns
 Reconstructive and cosmetic surgery
for burns, congenital deformities,
injuries and cosmetic purposes, gender
reassignment
 Legal and ethical aspects
 Special therapies: LAD, vacuumed
dressing. Laser, liposuction, skin
health rejuvenation, use of derma
filters
VI 16 (T) Explain the etiology, Nursing management of patient with  Lecture and  OSCE
pathophysiology, neurological disorders discussion
4 (L/SL)  Short notes
clinical manifestations,
diagnostic measures  Review of anatomy and physiology of  Demonstration of
and management of the neurological system physiotherapy, neuro  Essay
patients with assessment,  Drug book
 History, physical and neurological
neurological disorders tracheostomy care
assessment, diagnostic tests
 Visit to
 Headache, Head injuries
rehabilitation center,
 Spinal injuries: Paraplegia, long term care
Hemiplegia, Quadriplegia clinics, EEG, NCV
study unit,
 Spinal cord compression: herniation of
in vertebral disc
 Intra cranial and cerebral aneurysms
 Meningitis, encephalitis, brain,
abscess, neuro-cysticercosis
 Movement disorders: Chorea, Seizures
& Epilepsies
 Cerebrovascular disorders: CVA
 Cranial, spinal neuropathies: Bell‘s
palsy, trigeminal neuralgia
 Peripheral Neuropathies
 Degenerative diseases: Alzheimer‘s
disease, Parkinson‘s disease
 Guillain-Barré syndrome, Myasthenia
gravis & Multiple sclerosis
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 323

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)

 Rehabilitation of patient with

neurological deficit

VII 12 (T) Explain the etiology, Nursing management of patients with  Lecture, discussion
pathophysiology, Immunological problems
4 (L/SL)  Case Discussion/
clinical manifestations,
diagnostic tests, and  Review of Immune system seminar
medical, surgical,  Nursing Assessment: History and  Refer Module on
nutritional, and nursing Physical assessment HIV/AIDS
management of
immunological  HIV & AIDS: Epidemiology,
disorders Transmission, Prevention of
Transmission and management of
HIV/AIDS
Prepare and provides  Role of Nurse; Counseling, Health
health education on education and home care consideration
prevention of HIV and rehabilitation
infection and
rehabilitation  National AIDS Control Program –
NACO, various national and
international agencies for infection
Describe the national control
infection control
programs

VIII 12 (T) Explain the etiology, Nursing management of patient with  Lecture and  OSCE
pathophysiology, Oncological conditions discussion
4 (L/SL)  Essay
types, clinical
manifestations,  Structure and characteristics of normal  Demonstration of
and cancer cells chemotherapy  Quiz
staging, diagnostic
measures and preparation and  Drug book
 History, physically assessment,
management of administration
diagnostic tests  Counseling,
patients with different  Visit to BMT,
 Prevention screening early detections health
cancer, treatment radiotherapy units
warning sign of cancer teaching
modalities including (linear accelerator,
newer treatments brachytherapy, etc.),
 Epidemiology, etiology classification,
Pathophysiology, staging clinical nuclear medicine
manifestations, diagnosis, treatment unit
modalities and medical and surgical
nursing management of Oncological
condition
 Common malignancies of various
body system eye, ear, nose, larynx,
breast, cervix, ovary, uterus, sarcoma,
renal, bladder, kidney, prostate Brain,
Spinal cord.
 Oncological emergencies
 Modalities of treatment:
Chemotherapy, Radiotherapy:
Radiation safety, AERB regulations,
Surgical intervention, Stem cell and
bone marrow transplant,
Immunotherapy, Gene therapy
 Psychological aspects of cancer:
anxiety, depression, insomnia, anger
 Supportive care
 Hospice care
 Completion of
palliative care
324 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)
module during
clinical hours
(20 hours)
IX 15 (T) Explain the types, Nursing management of patient in  Lecture and  OSCE
policies, guidelines, Emergency and Disaster situations discussion
4 (L/SL)  Case
prevention and
Disaster Nursing  Demonstration of presentations
management of
disaster and the disaster and case study
 Concept and principles of disaster
etiology, preparedness (Mock
nursing, Related Policies
pathophysiology, drill) and triaging
clinical manifestations,  Types of disaster: Natural and
 Filed visit to local
diagnostic measures manmade
disaster management
and management of  Disaster preparedness: Team, centers or demo by
patients with acute guidelines, protocols, equipment, fire extinguishers
emergencies resources
 Group presentation
 Etiology, classification, (role play, skit,
Pathophysiology, staging, clinical concept mapping) on
manifestation, diagnosis, treatment different emergency
modalities and medical and surgical care
nursing management of patient with
 Refer Trauma care
medical and surgical emergencies –
management/
Poly trauma, Bites, Poisoning and
ATCN module
Thermal emergencies
 Guided reading on
 Principles of emergency management
National Disaster
 Medico legal aspects Management
Authority (NDMA)
guidelines

X 10 (T) Explain the Concept, Nursing care of the elderly  Lecture and  OSCE
physiological changes, discussion
and psychosocial  History and physical assessment  Case
problems of ageing  Demonstration of presentations
 Aging process and age-related body
communication with
visual and hearing  Assignment
changes and psychosocial aspects
impaired on family
Describe the nursing  Stress and coping in elder patient
systems of
management of the  Psychosocial and sexual abuse of  Field visit to old age India focusing
elderly elderly homes on geriatric
population
 Role of family and formal and non-
formal caregivers
 Use of aids and prosthesis (hearing
aids, dentures)
 Legal and ethical issues
 National programs for elderly,
privileges, community programs and
health services
 Home and institutional care

XI 15 (T) Explain the etiology, Nursing management of patients in  Lecture and  Objective type
pathophysiology, critical Care units discussion
8 (L/SL)  Short notes
clinical manifestations,
diagnostic measures  Principles of critical care nursing  Demonstration on
the use of  Case
and management of presentations
patients in critical care  Organization: physical set-up, policies, mechanical
units staffing norms ventilators, cardiac  Assessment of
monitors etc. skill on
 Protocols, equipment and supplies
 Clinical practice in monitoring of
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 325

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)

 Use and application of critical care different ICUs patients in

biomedical equipment: ventilators, ICU.
cardiac monitors, defibrillators,
 Written
infusion pump, Resuscitation
assignment on
equipment and any other
ethical and
 Advanced Cardiac Life support legal issues in
critical care
 Nursing management of critically ill
patient
 Transitional care
 Ethical and Legal Aspects
 Breaking Bad News to Patients and/or
their families: Communication with
patient and family
 End of life care
XII 5 (T) Describe the etiology, Nursing management of patients  Lecture and  Assignment
pathophysiology, occupational and industrial disorders discussion on industrial
clinical manifestations, health hazards
diagnostic measures  History, physical examination,  Industrial visit
and management of Diagnostic tests
patients with  Occupational diseases and
occupational/ management
industrial health
disorders

CLINICAL PRACTICUM
CLINICAL PRACTICUM: 6 Credits (480 Hours) – 20 weeks × 24 hours
PRACTICE COMPETENCIES: On completion of the clinical practicum, the students will develop proficiency in
applying nursing process and critical thinking in rendering holistic nursing care including rehabilitation to the adult/geriatric
patients admitted in Critical Care Units, undergoing cosmetic and reconstructive surgery and with selected medical &
surgical disorders of ear, nose, throat, eye, Genitourinary, reproductive, immunologic, nervous systems and in
emergency/disaster conditions.
The students will be competent to
1. Utilize the nursing process in providing care to the sick adults in the hospital
a. Perform complete health assessment to establish a data base for providing quality patient care.
b. Integrate the knowledge of diagnostic tests in patient assignment.
c. Identify nursing diagnoses and list them according to priority.
d. Formulate nursing care plan, using problem solving approach.
e. Apply scientific principles while giving nursing care to patients.
f. Develop skill in performing nursing procedures applying scientific principle.
g. Establish/develop interpersonal relationship with patients and family members.
h. Evaluate the expected outcomes and modify the plan according to the patient needs.
2. Provide comfort and safety to adult patients in the hospital.
3. Maintain safe environment for patients during hospitalization.
4. Explain nursing actions appropriately to the patients and family members.
5. Ensure patient safety while providing nursing procedures.
6. Assess the educational needs of the patient and their family related to medical and surgical disorders and provide
appropriate health education to patients.
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 331

 Central & Peripheral line

 Pacemaker
B. Clinical Postings
Clinical Duration Learning Procedural Competencies/ Clinical Skills Clinical Assessment
area/unit (weeks) Outcomes Requirements Methods
Critical 2 Develop skill  Assessment of critically ill patients  Hemodynamic  Clinical
Care Unit in assessment monitoring evaluation
 Assisting in arterial puncture, ET tube
of critically ill
intubation & extubation  Different scales  OSCE
and providing
care to  ABG analysis & interpretation - used in ICU
 RASS scale
patients with respiratory acidosis, respiratory alkalosis,  Communicating assessment
critical health metabolic acidosis, metabolic alkalosis with critically ill
conditions patients  Use of VAE
 Setting up of Ventilator modes and bundle VAP,
settings and care of patient on a ventilator CAUTI, BSI
 Set up of trolley with instruments
 Case
 Monitoring and maintenance of Chest Presentation
drainage system
 Bag and mask ventilation
 Assisting and maintenance of Central and
peripheral lines invasive
 Setting up of infusion pump, defibrillator,
 Drug administration-infusion, intracardic,
intrathecal, epidural,
 Monitoring pacemaker
 ICU care bundle
 Management of the dying patient in the
ICU

PROFESSIONALISM, PROFESSIONAL VALUES & ETHICS INCLUDING BIOETHICS

PLACEMENT: IV SEMESTER
THEORY: 1 Credit (20 hours)
DESCRIPTION: This course is designed to help students to develop an understanding of professionalism and demonstrate
professional behavior in their workplace with ethics and professional values. Further the students will be able to identify
ethical issues in nursing practice and participate effectively in ethical decision making along with health team members.
COMPETENCIES: On completion of this course, the students will be able to
1. Describe profession and professionalism.
2. Identify the challenges of professionalism.
3. Maintain respectful communication and relationship with other health team members, patients and society.
4. Demonstrate professional conduct.
5. Describe various regulatory bodies and professional organizations related to nursing.
6. Discuss the importance of professional values in patient care.
7. Explain the professional values and demonstrate appropriate professional values in nursing practice.
8. Demonstrate and reflect on the role and responsibilities in providing compassionate care in the healthcare setting.
9. Demonstrate respect, human dignity and privacy and confidentiality to self, patients and their caregivers and other
health team members.
10. Advocate for patients‘ wellbeing, professional growth and advancing the profession.
11. Identify ethical and bioethical concerns, issues and dilemmas in nursing and healthcare.
12. Apply knowledge of ethics and bioethics in ethical decision making along with health team members.
13. Protect and respect patient‘s rights.
332 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

COURSE OUTLINE
T – Theory
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
Activities Methods
(Hrs)
I 5 (T) Discuss nursing as a PROFESSIONALISM  Lecture cum  Short answer
profession Discussion
Profession  Essay
 Definition of profession  Objective type
 Criteria of a profession
 Nursing as a profession
Describe the concepts
and attributes of Professionalism
professionalism  Definition and characteristics of
professionalism
 Concepts, attributes and indicators of
professionalism
 Challenges of professionalism
o Personal identity vs professional
Identify the challenges identity
of professionalism
o Preservation of self-integrity: threat
to integrity, Deceiving patient:  Debate
Maintain respectful withholding information and
communication and falsifying records
relationship with other o Communication & Relationship with
health team members, team members: Respectful and open
patients and society communication and relationship
 Role play
pertaining to relevant interests for
ethical decision making
o Relationship with patients and society
Demonstrate
professional conduct Professional Conduct
 Following ethical principles
Respect and maintain  Adhering to policies, rules and
professional regulation of the institutions
 Case based
boundaries between
 Professional etiquettes and behaviours discussion
patients, colleagues
and society  Professional grooming: Uniform, Dress
code
 Professional boundaries: Professional
relationship with the patients,
Describe the roles and caregivers and team members
responsibilities of
regulatory bodies and Regulatory Bodies & Professional
professional Organizations: Roles & Responsibilities
 Lecture cum
organizations  Regulatory bodies: Indian Nursing Discussion
Council, State Nursing Council
 Professional Organizations: Trained
Nurses Association of India (TNAI),
Student Nurses Association (SNA),
Nurses League of Christian Medical
Association of India, International  Visit to INC, SNC,  Visit reports
Council of Nurses (ICN) and TNAI
International Confederation of
Midwives
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 333

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)
II 5 (T) Discuss the PROFESSIONAL VALUES  Lecture cum  Short answer
importance of Discussion
professional values  Values: Definition and characteristics  Essay
of values  Value clarification
exercise  Assessment of
 Value clarification student‘s
Distinguish between  Interactive learning behavior with
personal values and  Personal and professional values
patients and
professional values  Story telling families
 Professional socialization: Integration
of professional values with personal  Sharing experiences
values
Demonstrate  Scenario based
appropriate Professional values in nursing discussion
professional values in  Importance of professional values in
nursing practice nursing and health care
 Caring: definition, and process
 Compassion: Sympathy Vs empathy,
Altruism
 Conscientiousness
 Dedication/devotion to work
 Respect for the person- Human dignity
 Privacy and confidentiality: Incidental
disclosure
 Honesty and integrity: Truth telling
 Trust and credibility: Fidelity, Loyalty
 Advocacy: Advocacy for patients, work
environment, nursing education and
practice, and for advancing the
profession

III 10 (T) Define ethics & ETHICS & BIOETHICS  Lecture cum  Short answer
bioethics discussion
Definitions: Ethics, Bioethics and  Essay
Ethical Principles  Group discussion
with examples  Quiz
Explain ethical  Beneficence
principles  Flipping/ self-  Reflective diary
 Non-maleficence: Patient safety,
directed learning  Case report
protecting patient from harm, Reporting
Identify ethical errors  Role play  Attitude test
concerns  Justice: Treating each person as equal  Story telling  Assessment of
 Care without discrimination, equitable  Sharing experiences assignment
access to care and safety of the public
 Case based Clinical
 Autonomy: Respects patients‘ discussion
autonomy, Self-determination, Freedom
of choice  Role modeling

Ethical issues and ethical dilemma:  Group exercise on

ethical decision-
Common ethical problems making following
 Conflict of interest steps on a given
scenario
Ethical issues and  Paternalism
dilemmas in health  Assignment
care  Deception
 Privacy and confidentiality
334 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)

 Valid consent and refusal

 Allocation of scarce nursing resources
 Conflicts concerning new technologies
 Whistle-blowing
 Beginning of life issues
o Abortion
o Substance abuse
o Fetal therapy
o Selective deduction
o Intrauterine treatment of fetal
conditions
o Mandated contraception
o Fetal injury
o Infertility treatment
 End of life issues
o End of life
o Euthanasia
o Do Not Resuscitate (DNR)
 Issues related to psychiatric care
o Non compliance
o Restrain and seclusion
o Refuse to take food

Explain process of
ethical decision
making and apply
knowledge of ethics
and bioethics in
making ethical
decisions

Explain code of ethics

stipulated by ICN and
INC
[भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 335

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

Activities Methods
(Hrs)
Discuss the rights of Process of ethical decision making
the patients and  Assess the situation (collect
families to make information)
decisions about health
care  Identify the ethical problem
 Identify the alternative decisions
 Choose the solution to the ethical
Protect and respect
decision
patients‘ rights
 Implement the decision
 Evaluate the decision
Ethics committee: Roles and
responsibilities
 Clinical decision making
 Research
Code of Ethics
 International Council of Nurses (ICN)
 Indian Nursing Council
Patients’ Bill of Rights-17 patients’
rights (MoH&FW, GoI)
1. Right to emergency medical care
2. Right to safety and quality care
according to standards
3. Right to preserve dignity
4. Right to nondiscrimination
5. Right to privacy and confidentiality
6. Right to information
7. Right to records and reports
8. Right to informed consent
9. Right to second opinion
10. Right to patient education
11. Right to choose alternative treatment
options if available
12. Right to choose source for obtaining
medicines or tests
13. Right to proper referral and transfer,
which is free from perverse
commercial influences
14. Right to take discharge of patient or
receive body of deceased from
hospital
15. Right to information on the rates to
be charged by the hospital for each
type of service provided and facilities
available on a prominent display
board and a brochure
16. Right to protection for patients
involved in clinical trials, biomedical
and health research
17. Right to be heard and seek redressal