CARE COLLEGE OF NURSING

NURSING FOUNDATION - II
COURSE PLAN
PLACEMENT: II SEMESTER
THEORY: 6 Credits (120 hours)
PRACTICUM: Skill Lab: 3 Credits (120 hours), Clinical: 4 Credits (320 hours)
DESCRIPTION: This course is designed to help novice nursing students develop
knowledge and competencies required to provide evidence-based, comprehensive
basic nursing care for adult patients, using nursing process approach.
COMPETENCIES: On completion of the course, the students will be able to
1. Develop understanding about fundamentals of health assessment and perform
health assessment in supervised clinical settings
2. Demonstrate fundamental skills of assessment, planning, implementation and
evaluation of nursing care using Nursing process approach in supervised clinical
settings
3. Assess the Nutritional needs of patients and provide relevant care under supervision
4. Identify and meet the hygienic needs of patients
5. Identify and meet the elimination needs of patient
6. Interpret findings of specimen testing applying the knowledge of normal values
7. Promote oxygenation based on identified oxygenation needs of patients under supervision
8. Review the concept of fluid, electrolyte balance integrating the knowledge of applied
physiology
9. Apply the knowledge of the principles, routes, effects of administration of medications in
administering medication
10.Calculate conversions of drugs and dosages within and between systems of measurements
11.Demonstrate knowledge and understanding in caring for patients with altered
functioning of sense organs and unconsciousness
12.Explain loss, death and grief
13.Describe sexual development and sexuality
14.Identify stressors and stress adaptation modes
15.Integrate the knowledge of culture and cultural differences in meeting the spiritual needs
16.Explain the introductory concepts relevant to models of health and illness in patient care
*Mandatory Module used in Teaching/Learning:
Health Assessment Module: 40 hours
 COURSE OUTLINE

Unit Time Learning Outcomes Content Teaching/ Learning Assessment

(Hrs) Activities Methods
I 20 (T) Describe the Health Assessment  Modular Learning  Essay
purpose and process  Short answer
20
of health
 Interview techniques *Health Assessment
(SL) Module 
assessment and  Observation techniques
perform assessment  Objective
under supervised  Purposes of health assessment type
Lecture cum
clinical practice  Process of Health assessment Discussion  OSCE
o Health history  Demonstration
o Physical examination:
 Methods: Inspection, Palpation,
Percussion, Auscultation,
Olfaction
 Preparation for examination:
patient and unit
 General assessment
 Assessment of each body system
 Documenting health assessment
findings
II 13 (T) Describe The Nursing Process  Lecture  Essay
assessment,
8 (SL)  Critical Thinking Competencies,  Discussion  Short answer
planning,
Attitudes for Critical Thinking, Levels
implementation and  Demonstration  Objective type
of critical thinking in Nursing
evaluation of
nursing care using  Nursing Process Overview  
Nursing process Supervised Evaluation of
 Collection of Data: Clinical Practice care plan
Types, Sources, Methods
 Organizing Data
 Validating Data
 Documenting Data
o Nursing Diagnosis
 Identification of client
problems, risks and strengths
 Nursing diagnosis statement –
parts, Types, Formulating,
Guidelines for formulating
Nursing Diagnosis
 NANDA approved diagnoses
 Difference between medical and
nursing diagnosis
o Planning
 Types of planning
 Establishing Priorities
 Establishing Goals and
Expected Outcomes – Purposes,
types, guidelines, Components of
goals and outcome statements
  Types of Nursing
Interventions, Selecting
interventions: Protocols and
Standing Orders
 Introduction to Nursing
Intervention Classification and
Nursing Outcome
Classification

 Guidelines for writing care plan

o Implementation
 Process of Implementing the
plan of care
 Types of care – Direct
and Indirect
o Evaluation
Evaluation Process,
Documentation and Reporting

III 5 (T) Identify and meet Nutritional needs  Lecture  Essay
the Nutritional
5 (SL)  Importance  Discussion  Short answer
needs of patients
 Factors affecting nutritional needs  Demonstration  Objective type
 Assessment of nutritional status  Exercise 
Evaluation of
 Review: special diets – Solid,  nutritional
Liquid, Soft Supervised
assessment &
Clinical practice
 Review on therapeutic diets diet planning
 Care of patient with Dysphagia,
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
Anorexia, Nausea, Vomiting
 Meeting Nutritional needs:
Principles, equipment, procedure,
indications
o Oral
o Enteral: Nasogastric/
Orogastric
o Introduction to other enteral
feeds – types, indications,
Gastrostomy, Jejunostomy
o Parenteral – TPN (Total
Parenteral Nutrition)
IV 5 (T) Identify and meet Hygiene  Lecture  Essay
the hygienic needs
15  Factors Influencing Hygienic Practice  Discussion  Short answer
of patients
(SL)
 Hygienic care: Indications  Demonstration  Objective type
and purposes, effects of neglected
 OSCE
care
o Care of the Skin – (Bath, feet and nail,
Hair Care)
o Care of pressure points
o Assessment of Pressure Ulcers
using Braden Scale and Norton
Scale
o Pressure ulcers – causes, stages and
manifestations, care and prevention
o Perineal care/Meatal care
o Oral care, Care of Eyes, Ears and
Nose including assistive devices (eye
glasses, contact lens, dentures,
hearing aid)
V 10 (T) Identify and meet Elimination needs  Lecture  Essay
the elimination
10  Urinary Elimination  Discussion  Short answer
needs of patient
(SL)
o Review of Physiology of Urine  Demonstration  Objective type
Elimination, Composition and  OSCE
characteristics of urine
o Factors Influencing Urination
o Alteration in Urinary Elimination
o Facilitating urine elimination:
assessment, types,
equipment, procedures and
special considerations
o Providing urinal/bed pan
o Care of patients with
 Condom drainage
 Intermittent Catheterization
 Indwelling Urinary catheter and
urinary drainage
 Urinary diversions
 Bladder irrigation
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
 Bowel Elimination
o Review of Physiology of Bowel
Elimination, Composition and
characteristics of feces
o Factors affecting Bowel elimination
o Alteration in Bowel Elimination
o Facilitating bowel elimination:
Assessment, equipment,
procedures
 Enemas
 Suppository
 Bowel wash
 Digital Evacuation of
impacted feces
 Care of patients with
Ostomies (Bowel Diversion
Procedures)
VI 3 (T) Explain various Diagnostic testing  Lecture  Essay
types of specimens
4 (SL)  Phases of diagnostic testing  Discussion  Short answer
and identify normal
(pre-test, intra-test & post-test) in
values of tests  Demonstration  Objective type
Common investigations and clinical
implications
Develop skill in o Complete Blood Count
specimen
collection, handling o Serum Electrolytes
and transport o LFT
o Lipid/Lipoprotein profile
o Serum Glucose – AC, PC,
HbA1c
o Monitoring Capillary Blood
Glucose (Glucometer Random
Blood Sugar – GRBS)
o Stool Routine Examination
o Urine Testing – Albumin,
Acetone, pH, Specific Gravity
o Urine Culture, Routine,
Timed Urine Specimen
o Sputum culture
o Overview of Radiologic
& Endoscopic Procedures
VII 11 (T) Assess patients for Oxygenation needs  Lecture  Essay
oxygenation needs,
10  Review of  Discussion  Short answer
promote
(SL) Cardiovascular and Respiratory
oxygenation and   Objective type
provide care during Physiology
Demonstration &
oxygen therapy  Factors affecting Re-demonstration
respiratory functioning
 Alterations in Respiratory Functioning
 Conditions affecting
o Airway
o Movement of air
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
o Diffusion
o Oxygen transport
 Alterations in oxygenation
 Nursing interventions to promote
oxygenation: assessment, types,
equipment used & procedure
o Maintenance of patent airway
o Oxygen administration
o Suctioning – oral, tracheal
o Chest physiotherapy –
Percussion, Vibration &
Postural drainage
o Care of Chest drainage –
principles & purposes
o Pulse Oximetry – Factors
affecting measurement of oxygen
saturation using pulse oximeter,
Interpretation
 Restorative & continuing care
o Hydration
o Humidification
o Coughing techniques
o Breathing exercises
o Incentive spirometry
VIII 5 (T) Describe the Fluid, Electrolyte, and Acid –  Lecture  Essay
concept of fluid, Base Balances
10  Discussion  Short answer
electrolyte balance
(SL)  Review of Physiological
 Demonstration  Objective type
Regulation of Fluid, Electrolyte and
Acid-Base Balances 
Problem
 Factors Affecting Fluid,
solving –
Electrolyte and Acid-Base Balances
calculations
 Disturbances in fluid volume:
o Deficit
 Hypovolemia
 Dehydration
o Excess
 Fluid overload
 Edema
 Electrolyte imbalances (hypo
and hyper)
o Acid-base imbalances
 Metabolic – acidosis & alkalosis
 Respiratory – acidosis & alkalosis
o Intravenous therapy
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
 Peripheral venipuncture sites
 Types of IV fluids
 Calculation for making IV
fluid plan
 Complications of IV fluid therapy
 Measuring fluid intake and output
 Administering Blood and
Blood components
 Restricting fluid intake
 Enhancing Fluid intake
IX 20 (T) Explain the Administration of Medications  Lecture  Essay
principles, routes,
22  Introduction – Definition of  Discussion  Short answer
effects of
(SL) Medication, Administration of
administration of   Objective type
Medication, Drug Nomenclature,
medications Demonstration &
Effects of Drugs, Forms of Medications,  OSCE
Re-demonstration
Purposes, Pharmacodynamics and
Pharmacokinetics
Calculate
conversions of  Factors influencing Medication Action
drugs and dosages
 Medication orders and Prescriptions
within and between
systems of  Systems of measurement
measurements
 Medication dose calculation
 Principles, 10 rights of
Administer oral and Medication Administration
topical medication
and document  Errors in Medication administration
accurately under  Routes of administration
supervision
 Storage and maintenance of
drugs and Nurses responsibility
 Terminologies and abbreviations
used in prescriptions and medications
orders
 Developmental considerations
 Oral, Sublingual and Buccal
routes: Equipment, procedure
 Introduction to Parenteral
Administration of Drugs –
Intramuscular, Intravenous,
Subcutaneous, Intradermal: Location of
site, Advantages and disadvantages of
the specific sites, Indication and
contraindications for the different
routes and sites.
 Equipment – Syringes &
needles, cannulas, Infusion sets –
parts, types, sizes
 Types of vials and ampoules,
Preparing Injectable medicines from
vials and ampoules
o Care of equipment:
decontamination and disposal of
syringes, needles,
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
infusion sets
o Prevention of Needle-Stick Injuries
 Topical Administration:
Types, purposes, site, equipment,
procedure
o Application to skin & mucous
membrane
o Direct application of liquids,
Gargle and swabbing the throat
o Insertion of Drug into body cavity:
Suppository/ medicated packing in
rectum/vagina
o Instillations: Ear, Eye, Nasal,
Bladder, and Rectal
o Irrigations: Eye, Ear, Bladder, Vaginal
and Rectal
o Spraying: Nose and throat
 Inhalation: Nasal, oral,
endotracheal/tracheal (steam, oxygen
and medications) – purposes, types,
equipment, procedure, recording and
reporting of medications
administered
 Other Parenteral Routes:
Meaning of epidural, intrathecal,
intraosseous, intraperitoneal, intra-
pleural, intra- arterial
X 5 (T) Provide care to Sensory needs  Lecture  Essay
patients with altered
6 (SL)  Introduction  Discussion  Short answer
functioning of sense
organs and  Components of sensory  Demonstration  Objective type
unconsciousness in experience – Reception, Perception &
supervised clinical Reaction
practice
 Arousal Mechanism
 Factors affecting sensory function
 Assessment of Sensory
alterations – sensory deficit,
deprivation, overload & sensory
poverty
 Management
o Promoting meaningful
communication (patients with
Aphasia, artificial airway & Visual
and Hearing impairment)
Care of Unconscious Patients
 Unconsciousness: Definition,
causes & risk factors, pathophysiology,
stages of Unconsciousness, Clinical
Manifestations
 Assessment and nursing
management of patient with
unconsciousness, complications
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
XI 4 (T) Explain loss, death Care of Terminally ill, death and dying  Lecture  Essay
and grief
6 (SL)  Loss – Types  Discussion  Short answer
 Grief, Bereavement & Mourning  Case discussions  Objective type
 Types of Grief responses  Death
care/last office
 Manifestations of Grief
 Factors influencing Loss &
Grief Responses
 Theories of Grief & Loss –
Kubler Ross
 5 Stages of Dying
 The R Process model (Rando‘s)
 Death – Definition, Meaning,
Types (Brain & Circulatory Deaths)
 Signs of Impending Death
 Dying patient‘s Bill of Rights
 Care of Dying Patient
 Physiological changes occurring
after Death
 Death Declaration, Certification
 Autopsy
 Embalming
 Last office/Death Care
 Counseling & supporting
grieving relatives
 Placing body in the Mortuary
 Releasing body from Mortuary
 Overview – Medico-legal
Cases, Advance directives,
DNI/DNR, Organ Donation,
Euthanasia

PSYCHOSOCIAL NEEDS (A-D)

XII 3 (T) Develop basic A. Self-concept  Lecture  Essay
understanding of
 Introduction  Discussion  Short answer
self-concept
 Components (Personal Identity,  Demonstration  Objective type
Body Image, Role Performance, Self
 Case
Esteem)
Discussion/ Role
 Factors affecting Self Concept play
 Nursing Management
XIII 2 (T) Describe sexual B. Sexuality  Lecture  Essay
development and
 Sexual development throughout life  Discussion  Short answer
sexuality
 Sexual health 
Objective
 Sexual orientation
type
 Factors affecting sexuality
Unit Time Learning Outcomes Content Teaching/ Learning Assessment
(Hrs) Activities Methods
 Prevention of STIs, unwanted
pregnancy, avoiding sexual
harassment and abuse
 Dealing with inappropriate
sexual behavior

XIV 2 (T) Describe stress and C. Stress and Adaptation –  Lecture  Essay
adaptation Introductory concepts
4 (SL)  Discussion  Short answer
 Introduction

 Sources, Effects, Indicators & Objective
Types of Stress type
 Types of stressors
 Stress Adaptation – General
Adaptation Syndrome (GAS),
Local Adaptation Syndrome (LAS)
 Manifestation of stress – Physical
& psychological
 Coping strategies/ Mechanisms
 Stress Management
o Assist with coping and
adaptation
o Creating therapeutic environment
 Recreational and diversion therapies
XV 6 (T) Explain culture and D. Concepts of Cultural Diversity and  Lecture  Essay
cultural norms Spirituality
 Discussion  Short answer
 Cultural diversity

Integrate cultural o Cultural Concepts – Culture, Objective
differences and Subculture, Multicultural, type
spiritual needs in Diversity,
providing care to Race, Acculturation, Assimilation
patients under
supervision o Transcultural Nursing
o Cultural Competence
o Providing Culturally Responsive Care
 Spirituality
o Concepts – Faith, Hope, Religion,
Spirituality, Spiritual Wellbeing
o Factors affecting Spirituality
o Spiritual Problems in Acute,
Chronic, Terminal illnesses & Near-
Death Experience
o Dealing with
Spiritual
Distress/Problems
XVI 6 (T) Explain the Nursing Theories: Introduction  Lecture  Essay
significance of
 Meaning &Definition, Purposes,  Discussion  Short answers
nursing theories
Types of theories with examples, Objective type
Overview of selected nursing theories –
Nightingale, Orem, Roy
 Use of theories in nursing practice
 CLINICAL PRACTICUM

Clinical: 4 Credits (320 hours)

PRACT|ICE COMPETENCIES: On completion of the course, the student will be able to

1. Perform health assessment of each body system
2. Develop skills in assessment, planning, implementation and evaluation of nursing care using Nursing process approach
3. Identify and meet the Nutritional needs of patients
4. Implement basic nursing techniques in meeting hygienic needs of patients
5. Plan and Implement care to meet the elimination needs of patient
6. Develop skills in instructing and collecting samples for investigation.
7. Perform simple lab tests and analyze & interpret common diagnostic values
8. Identify patients with impaired oxygenation and demonstrate skill in caring for patients with impaired oxygenation
9. Identify and demonstrate skill in caring for patients with fluid, electrolyte and acid – base imbalances
10. Assess, plan, implement & evaluate the basic care needs of patients with altered functioning of sense organs and
unconsciousness
11. Care for terminally ill and dying patients
SKILL LAB
Use of Mannequins and Simulators
S.No. Competencies Mode of Teaching
1. Health Assessment Standardized Patient
2. Nutritional Assessment Standardized Patient
3. Sponge bath, oral hygiene, perineal care Mannequin
4. Nasogastric tube feeding Trainer/ Simulator
5. Providing bed pan & urinal Mannequin
6. Catheter care Catheterization Trainer
7. Bowel wash, enema, insertion of suppository Simulator/ Mannequin
8. Oxygen administration – face mask, Mannequin
venture mask, nasal prongs
9. Administration of medication through IM injection trainer, ID injection trainer, IV arm (Trainer)
Parenteral route – IM, SC, ID, IV
10. Last Office Mannequin

CLINICAL POSTINGS – General Medical/Surgical

Wards (16 weeks × 20 hours per week = 320 hours)
Clinical Duration Learning Outcomes Procedural Competencies/ Clinical Assessment
Unit (Weeks) Clinical Skills (Supervised Requirements Methods
Clinical Practice)
General 3 Perform health Health Assessment  History  Assessment of
Medical/ assessment of each Taking – 2 clinical skills
 Nursing/Health history taking using checklist
Surgical body system
 Physical
wards  Perform physical examination:
examination – 2  OSCE
o General
Clinical Duration Learning Outcomes Procedural Competencies/ Clinical Assessment
Unit (Weeks) Clinical Skills (Supervised Requirements Methods
Clinical Practice)
o Body systems
 Use various methods of
physical examination –
Inspection, Palpation,
Percussion, Auscultation,
Olfaction
 Identification of system
wise deviations
 Documentation of findings

1 Develop skills in The Nursing Process  Nursing  Evaluation of

assessment, planning, process – 1 Nursing process
 Prepare Nursing care plan for
implementation and with criteria
the patient based on the given
evaluation of nursing
case scenario
care using Nursing
process approach

2 Identify and meet the Nutritional needs, Elimination  Nutritional  Assessment of

Nutritional needs of needs& Diagnostic testing Assessment and clinical skills
patients Clinical using checklist
Nutritional needs
Presentation – 1
 OSCE
 Nutritional Assessment
 Preparation of Nasogastric tube
feed
 Nasogastric tube feeding
Hygiene
 Pressure sore
Implement basic  Care of Skin & Hair:
assessment – 1
nursing techniques in
– Sponge Bath/ Bed bath
meeting hygienic
needs of patients – Care of pressure points &
back massage
 Pressure sore risk
assessment using
Braden/Norton scale
– Hair wash
– Pediculosis treatment
 Oral Hygiene
 Perineal Hygiene
 Catheter care
2 Plan and Implement Elimination needs  Clinical  Assessment of
care to meet the Presentation on clinical skills
 Providing
elimination needs of Care of patient using checklist
patient – Urinal with
 OSCE
Constipation – 1
– Bedpan
 Insertion of Suppository
 Enema
 Lab values –
 Urinary Catheter care inter-pretation
Develop skills in  Care of urinary drainage
instructing and
collecting samples for Diagnostic testing
investigation.
Clinical Duration Learning Outcomes Procedural Competencies/ Clinical Assessment
Unit (Weeks) Clinical Skills (Supervised Requirements Methods
Clinical Practice)
 Specimen Collection
Perform simple lab o Urine routine and culture
tests and analyze &
o Stool routine
interpret common
diagnostic values o Sputum Culture
 Perform simple Lab
Tests using reagent strips
o Urine – Glucose, Albumin,
Acetone, pH, Specific gravity
 Blood – GRBS Monitoring

3 Identify patients with Oxygenation needs, Fluid,  Assessment of

impaired oxygenation Electrolyte, and Acid – Base clinical skills
and demonstrate skill Balances using checklist
in caring for patients
Oxygenation needs  OSCE
with impaired
oxygenation  Oxygen administration
methods
o Nasal Prongs
o Face Mask/Venturi Mask
 Steam inhalation
 Chest Physiotherapy
 Deep Breathing &
Coughing Exercises
 Oral Suctioning
Identify and  Assessment of
Fluid, Electrolyte, and Acid –
demonstrate skill in clinical skills
Base Balances
caring for patients using checklist
with fluid, electrolyte  Maintaining intake output chart
 OSCE
and acid – base
imbalances
 Identify & report
complications of IV therapy
 Observe Blood & Blood
Component therapy
 Identify & Report
Complications of Blood & Blood
Component therapy

3 Explain the principles, Administration of Medications  Assessment of

routes, effects of clinical skills
 Calculate Drug Dosages
administration of using checklist
medications  Preparation of lotions &  OSCE
solutions
 Administer Medications
Calculate conversions
of drugs and dosages o Oral
within and between
o Topical
systems of
Measurements o
Inhalations
Administer drugs by o
the following routes- Parenteral
Oral, Intradermal,
 Intradermal
 Subcutaneous
Clinical Duration Learning Outcomes Procedural Competencies/ Clinical Assessment
Unit (Weeks) Clinical Skills (Supervised Requirements Methods
Clinical Practice)
Subcutaneous,  -Intramuscular
Intramuscular, Intra
 Instillations
Venous Topical,
inhalation o Eye, Ear, Nose –instillation of
medicated drops, nasal
sprays, irrigations
2 Assess, plan, Sensory Needs and Care of  Nursing  Assessment of
implement & evaluate Unconscious patients, Care of rounds on care clinical skills
the basic care needs Terminally ill, death and dying of patient with using checklist
of patients with altered
Sensory Needs and Care of  OSCE
altered functioning of sensorium
Unconscious patients
sense organs and
unconsciousness  Assessment of Level of
Consciousness using Glasgow
Coma Scale
Terminally ill, death and dying
Care for terminally ill
and dying patients
 Death Care  Assessment of
clinical skills
using checklist