SECOND YEAR

IN G- I
ME DI CA L SURGICAL NU RS

Demonstration in medical
· Clinical
surgical nursing lab
Si
Subjects
with Med ical Disorders
1. Nursing Care of Adu lt Pat ient
Assessment of pati ent
History taking
sica l examination
Perform general and specific phy
iations
Iden tify the alterations and dev
measure
Practice medical surgical safety
Standard safety measures
Counseling and education
fi ndings
Documentation of assessment
2. Medication Administration
Or;,il, sublingual, buccal
lnlradPrmal
Subcutaneous
lntr,1muscular
lnl r,1venous
lnlr.ivenous therapy
Int, ,,venous calculation
M,1lntenance and mon itor ing
Atlinrntstratlon of IV medications
Cire of patient with central lines
infusion pum ps
Medication administration by
adm inis trat ion
Documentation in medication
3. The rap eut ic Procedures
O)(yqcn therapy diffe ren t methods
Ncbulization
Chest•physiotherapy
Nasoqa~tric feeding
Blood and com pon ent therapy
Throat suctioning
Ma ntnln elim inat ion
Carht':enzatlon
BJadrler img ario n
~w lwa sh
EnNN
Colost:irn, rtgatM>n and care

~~ ch at t
contd-
 Hemodialysis
peritoneal dialysis
Care of AV Shunt tubes
ldenlification of abnorma l co nditions
Documentation of proced ure
Diagnostic Procedures
4,
invasive and no n-i nvasi ve tests
Electrocardiogra m
Doppler studies
Central venous pressure
Abdominal paracentesis
Lumbar puncture
Gastric lavage
Sternal puncture
Thoracocentesis
Cystoscopy
Cystometrogram
Intravenous pyelogram and kid ney, ureter, bladder (KUB)

Barium enema
Renal biopsy
Liver biopsy
Protoscopy
Endoscopy
Cholecystography
Esophagogastroduodenoscopy
Blood studies
Thyroid functi on test
FBS/ PPBS/ RBS
Glucose tolerance test
Liver function test
Pulmonary function test
Interpretation of various t est s
Identification of abnormal results
Documentation of diagnostic test s
Pre- and Postoperative Nursing Care
Preoperative nu rsing
• Skin preparation: local and general surgery

• Physiological preparation
• Psychological preparat ion
• Informed consent
Sptritual preparation
• Pharmacological preparat ions (pre-medications)
Contd...
--------■■•••------------d-f--Ba_s_i_c_B_Sc- (N_u_r_s-in_g_)_C_o_u_rs-e
d/Cumulative Recor or
'111
__,~s~_:i:o____________ Practical ~R~e:c:o:r: :==-~ - - - - - - - - - - - - - - - - - - - - - - . . , ~ -

Contd...
• Preoperative checklist .
Teaching preoperative exercises
Documentation in preoperative care
Postoperative nursing
Setting up postoperative unit
Postoperative assessment
• Pain : assessment and management
Postoperative care: immediate and late care
Recovery room care
Care of wound and drainage
Suture removal
• Su rgical sock
• Sitz bath
• Ambulation and exercise
Nasogastric aspiration
• Care of chest drainage
Ostomy care: gastrostomy and colostomy
• Blood and com pon ent therapy
Practice universa l precautions
Postoperative exercises
Maintenance of ICU fl ow chart
Identification of alterations
Documentation of postoperative care
6. Nursing Care of Adult Patient with Cardiac Disorders 2 6 l:,.JL1,
Cardiac assessment
Physical examination
Cardiac monitoring
Electroca rd iog ram
Assisting diagnostic procedures
Non-invasive
Electrocardiogram
Stress ECG
Echocardiogram

• Radiological i_nvestigations: X-ray, computed tomography

(CT), magnetic resonance Imaging (MRI), positron emi .
tomography (PET) ss1on
• Recording and interpreting ECG
Invasive
• Cardiac catheterization
• Cardiac enzymes
• Centra l ven ous pressure
• Pul mona ry artery wedge pressure

Arterial blood gas analysis: Interpretations

Blood sample for cardiac studies
Administer cardiac drugs
 Second Year 21

contd...
Assisting therapeutic procedures
• Percutaneous translumi nal
coronary an . I
, Thrombolyti c therapy giop asty

Cardiopulmonary resuscitation
Cardi·ac rehabilitation
Teach patients and families
Practice medical and surgical asepsis
Standard safety measures
Application of anti-embolism stockings (TED hose)
Application/ ..
maintenance of sequential compression
. . device
ldent1ficat1on of alterations
Documentation of cardiac conditions

7. Intensive Care Nursing

I
I
Intensive ca re assessment
Setting up of emergency trolley
Cardiac monitoring
Pulse oximeter monitori ng
Suction ing
• Oropharyngea l
Endotracheal
• Tracheostomy
Assisting
• Endotracheal intubation
• Ventilator care
• Defibrillation
Administration drug through infusion pump
Emergency drugs
Maintain ICU Flowchart

l o/tJ~r
Documentation in ICU
8. Nursing Care of Adult Patient with Skin Disorders
Assessment of patient
Physica l examination
Assisti ng diagnostic procedures: inva sive and non-invasive

Assisting therapeutic procedures

Administration of topical medications
Intra-dermal injection-skin allergy testing

Skin biopsy
Blood examination for dermatological conditions

Practice medical surgical asepsls

Standard safety measures
Contd...
Use of personal protective equipment
 Practical Record/Cumulative Record for Basic BSc (Nursing) Course

~r= -
Contd...

Providing medicated bath

Identification of alterations
Documentation of dermatological conditions

9. Nursing Care of Adult Patient with Skeletomu scular 7 f & ( ~'l,- n,. /,lz.1
Disorders
Skeletomuscular assessment
Physical examination
Non-invasive procedures
Radiological: X-ray, CT and MRI
• Muscle: tone and strength
Invasive
Blood examination
Bone marrow studies
Bone biopsy
Myelogram
Assist in application and removal of plaster cast
Application of traction
Skin traction
Skeletal traction
Bucks extension traction
Assist In application and removal of prosthesis q J.e/11-,,- ,, 1, It 5
Care of orthotics
Muscle strengthening exercises
Crutch walking
Rehabilitation
Physiotherapy
Range of motion exercises
• Muscle strengthen exercises
• Crutch maneuvering technique
Activities of daily living
Ambulation
Teach and counsel patients and fam ilies
Stump care
Documentation in skeletomuscular conditions

10. Communicable diseases ,,,g/i,1, /18/}/l~

Assessment in infectious Diseases
Ph) s,cal examination
Diagnosis infectious diseases: invasive and non-Invasive
• Blood examination
• Nasal swab
Sputum collection
• C~rv\cal Swab
contd.-·
 23
Second Year

contd...

Universal precaution
Isolation techniques
Reverse barrier nursing
Standard precautions
Handling PPE Kit

Needle and sharp injury prevention

Cleaning and disinfection
Respiratory hygiene
Waste disposal
Safe injection practices
Pandemic guidelines and procedures
Control measures of epidem ic and pandemic outbreaks
Safety measures: patien t and staff
Documentation of infectious conditions
11. Operation Theate r Nursing
Packing of articles for surgery
Surgical scrubbing
Gowning and gloving
Identify instrum ents used for commo n surgeries
Identify suturin g materials used for common surgeries
Disinfection of OT
Carbolization
• Fumigati on
Preparation of instrum ent sets for common operations
Setting up of sterile trolley for surgery
Sterilization of sharp and other instruments
Preparing the OT table depen ding upon the operation
Positioning and drapin g for surgery
Assisting in anesthesia
Monito ring the patien t
Endotracheal intuba tion
Handling specimens
Disposal of waste as per the guidelines
lntraop erative monito ring
Assisting in major and minor operations
Assisting in major surgeries
1.
2.
3.
4.

5.
Contd...
 • d/C lat'ive Record for Basic BSc (Nursing) Course
Practica 1Recor umu
24

Assisting in minor surgeries

1.
2.
3.
4.
5.
Equipment used in OT
Monitoring the patient during surgery
Documentation in intraoperative care

12. Observational Visit

Blood bank and participation in blood camps
Orientation visit to hospital control system

rsing Care Plan

2.
3.
4.
5.

Case Studies

l"i I Z3
2. I( J, }J3
3.
4.
,~/1 /Z).
S,

~ a s e Presentation / Ward Teaching

2.
3.

4.

Health Education: Individual/Group OPD/Ward

 sin g) Course
fo r Basic BS- c (N ur
1 f e Record
Practic al Re co rd /C um u a ,v
26
SECOND YEAR
H NURSING-I
COMMUNITY HEALT
r- -_ _c_o_mmunity lab
Date Signature I •

alt h De ter mi na nt
s of Co mm un ity i Jt/J1,,
Identification of He
1.
ity Survey
2-/11
Conduct Co mm un
2.
alt h Survey
J/11
3. Conduct Family He
4. Report Presentat
ion on Survey '/ /11
s. Techniques of IPR
~/fl
6. Family Care
7/11
• History tak ing
' n
• Physical examinatio
7. Demonstrate Bag
Technique a/11
8. Community Nursi
ng Procedures Cf/11
Hand washing
Recording vital signs
umin
Urine: sugar and alb
ent
Nutritional assessm
Hemoglobin analysis
Wound dressing
-U rb an
9. mily Nu rsing ca ;e 10/11
Compreh en sive Fa

-R ur al
10.
Compreh ensive Fa
mily Nursing Ca re
11/11

en
11. Collecti on of Specim
Urine
!t/1r
• Sputum
• Blood smear
• Thick smear
• Thin smear
12. dio -visual Aids
Prepa ration of Au
I ;/It
• Flannel graph
• Flash cards
Flip charts
Posters
• Bulletin boards
• Puppet show

I
13.
Health Education
• Ind ividual
,~/,,
• Group

• Community.ll'lass
contd.··
 Second Year
27

Contd...
Participate in Family Welfare Program
14-
3o/q 16 /11
Oral contraceptives
Injectable contraceptives
Condoms - male and female
Assisting in copper-T- insertion
Assisting in permanen t method of sterilization
Assisting in MTP/ abortions

1s. Participate in PHC Clinics

/ 7/I/
Participate in Immuniza tion Program
16.
17. Observational Visits
Primary health center
,cu,,
I'8/11

• Sub-center
Communi ty health center
Anganwadi
• Postpartum center
Sewage treatmen t plant
Water purificatio n center
Slaughter house
• Family planning association of India
• Anganwadis program

/.mil y Studies
Identified health problems Duration of study Signature
SI. No. Name of the head of the family
1.
2.
3.
4.
5.

SI. No. Topic Focused group AV-Aids Method

-
Date
I i, I~? ..'
I~/11/Jl--
Signature

2. lC /J1/:J1,
3.
4.
_ _ _ _ _ _ ____,
5, _ _ _ _ _ _ _ _ _ _ _ _ _ __

Signature of the Principal

Signature of Class Coordinator
 si ng ) Course
I

BSc (N ur
. e Rec o rd fo r Basic .
d /C um u/ at 1v
r
Pr ac tic al Re co

SECOND YEAR
28
.
CATIONAL TECHNOLOGY
N AND EDU
COMMUNICATIO ou rs P ra cr Total H lCaj: 30
hoiq,
Classroom
Signature

SI. No.
1.
ISubjects
Preparat ion of R
otat ion Plan
Date
~
,.

dual rota tion pl

an
Indivi
Master rotation
plan
an
Clinica l rota tion pl
2. Preparation of
Un it plan
Course plan
Lesson pla n
ouns eling
3. Guid ance and C
unseling services
Organization of co
• Individual
• Group
ary problems
Managing disciplin
es
Teaching Practic
4.
Method Used in
hod:
Classroom met
d
• Lecture metho
method
· Demonstration
scussion metho
d
• Di
enta tio n
• Sem inar pres
• Project metho
d

• Symposium
:
Clinical methods
Nurs ing clinics
• Nurs ing roun
ds

• Nursing conf
erence
rdin g
• Process reco
• Field trips
s. eaching Aids
Preparation of T
:
No np roje cted aids
• Charts
• Chalk board
• Posters
• Flash cards
Projected aids:
s
• Transparencie
• LCD
(()l1td.·
 Second Year 2~

contd. ..
Three dimensional aids:
• Models
• Puppets
Printed aids:
• Pamphlets
• Leaflets

6, Preparation of Evaluation Tools

Classroom tools:
• Objective type
• Subjective type
Clinical tools:
Checklist
• Rating scale
Observational
• Interview
Anecdotal

7. Observational Visits to School/College of Nursing and

Presentation of Reports
a. Libraries
b. College of Nu rsi ng
c. School of Nu rsi ng
d. Edu cationa l ce nters
8. Lesson Plans
a.
b.
c.
d.
e.

Signature of the Principal

S1gn.1111rr. ofClnss Coordinntor