Syllabus

for Courses affiliated to the

Kerala University of Health Sciences
Thrissur 680596

BACHELOR OF SCIENCE IN NURSING

B.Sc. Nursing
Course Code: 006

(2021-2022 Academic Year onwards)

2021
 SEMESTER III
APPLIED MICROBIOLOGY AND INFECTION CONTROL INCLUDING SAFETY
PLACEMENT : SEMESTER III MICR-201
THEORY : 2 Credits (40 hours)
PRACTICAL : 1 Credit (40 hours) (Lab/Experiential Learning – L/E)
SECTION A:
APPLIED MICROBIOLOGY
THEORY : 20 hours
PRACTICAL : 20 hours (Lab / Experiential Learning – L/E)
DESCRIPTION: This course is designed to enable students to acquire understanding of
fundamentals of Microbiology, compare and contrast different microbes and comprehend
the means of transmission and control of spread by various microorganisms. It also
provides opportunities for practicing infection control measures in hospital and community
settings.
COMPETENCIES: On completion of the course, the students will be able to:
1. Identify the ubiquity and diversity of microorganisms in the human body and the environment.
2. Classify and explain the morphology and growth of microbes.
3. Identify various types of microorganisms.
4. Explore mechanisms by which microorganisms cause disease.
5. Develop understanding of how the human immune system counteracts infection by specific
and non-specific mechanisms.
6. Apply the principles of preparation and use of vaccines in immunization.
7. Identify the contribution of the microbiologist and the microbiology laboratory to the diagnosis of
infection.

COURSE OUTLINE
T – Theory, L - Lab, L/E- Lab/Experiential Learning, E - Experiential Learning

Time Learning Teaching/ Learning Assessment

Unit Content
(Hrs) Outcomes Activities Methods
I  Explain Introduction:
3 (T) concepts and Importance and relevance to  Short answer
principles of nursing  Lecture cum
microbiology Historical perspective
and its
Discussion  Objective
Concepts and terminology type
importance in
nursing Principles of microbiology

II General characteristics of
10 (T)  Describe Microbes:
 Lecture cum  Short answer
10 structure,  Structure and classification of Discussion
(L/E) classification Microbes
morphology and Morphological types  Objective
growth of  Demonstration type
Size and form of bacteria
bacteria
Motility

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 Time Learning Teaching/ Learning Assessment
Unit Content
(Hrs) Outcomes Activities Methods
Colonization
 Identify Growth and nutrition of  Experiential
Microorganisms microbes Learning through
Temperature visual
Moisture
Blood and body fluids
Laboratory methods for
Identification of
Microorganisms
Types of Staining – simple,
differential (Gram‘s, AFB),
special – capsular staining
(negative), spore, LPCB,
KOH mount.
Culture and media
preparation – solid and
liquid. Types of media – semi
synthetic, synthetic, enriched,
enrichment, selective and
differential media. Pure
culture techniques – tube
dilution, pour, spread, streak
plate. Anaerobic cultivation
of bacteria
III Pathogenic organisms
4 (T)  Describe the Micro-organisms:
6 (L/E) different disease Cocci – gram positive and
producing gram negative; Bacilli – gram
organisms positive and gram negative  Lecture cum
Viruses Discussion
Fungi:  Short answer
Superficial and Deep  Demonstration
mycoses
 Objective
Parasites
Rodents & Vectors  Experiential type
learning through
 Characteristics, Source,
visual
portal of entry,
transmission of infection,
Identification of disease
producing micro-
organisms
IV Immunity
3 (T)  Explain the Immunity: Types,
 Lecture
4 (L/E) concepts of classification
immunity, hyper Antigen and antibody
sensitivity and reaction  Discussion
immunization  Short answer
Hypersensitivity reactions
Serological tests  Demonstration
Immuno-globulins:  Objective type
Structure, types & properties
Vaccines: Types &  Visit to observe  Visit report
classification, storage and vaccine storage
handling, cold chain,
Immunization for various  Clinical practice
diseases
Immunization Schedule

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References /Recommended Books (Latest Edition)

1. R Ananthanarayan & CK Jayaram Paniker, Ananthanarayan and Paniker's Textbook of

Microbiology, edited by Reba Kanungo, Universities Press.
2. Nagoba P S, Puchare A. Medical Microbiology, Preparatory Manual for Undergraduates,
Jaypee Brothers Medical Publishers (P) Ltd.
3. Balaji V, Ananthanarayan & Paniker. Textbook of Microbiology for Nurses, The Orient
Blackswan
4. Guptha S. A Short Text Book of Microbiology(including parasitology), Jaypee Brothers
Meidcal Publishers (P)Ltd
5. Tombury M C, Notes on Medical Microbiology, Churchill Livingstone, Edinburgh.
6. Shastri S. Apurba, Essentials of Medical Microbiology, Jaypee Brothers Medical Publishers
(P) Ltd.
7. Kumar Surinder, Textbook of Microbiology for BSc Nursing, Jaypee Brothers Medical
Publishers (P) Ltd.
8. Nagoba BS, Medical Microbiolgy and Parasitology, Elsevier, New Delhi.
9. Sasthri S Apurba, Essentials of Practical Microbiology, Jaypee Brothers Medical Publishers
(P) Ltd.

SECTION B:
INFECTION CONTROL & SAFETY
THEORY : 20 hours
PRACTICAL/LAB : 20 hours (Lab / Experiential Learning – L/E)
DESCRIPTION: This course is designed to help students to acquire knowledge and
develop competencies required for fundamental patient safety and infection control in
delivering patient care. It also focuses on identifying patient safety indicators, preventing
and managing hospital acquired infections, and in following universal precautions.
COMPETENCIES: The students will be able to:
1. Develop knowledge and understanding of Hospital acquired Infections (HAI) and effective
practices for prevention.
2. Integrate the knowledge of isolation (Barrier and reverse barrier) techniques in implementing
various precautions.
3. Demonstrate and practice steps in Hand washing and appropriate use of different types of PPE.
4. Illustrate various disinfection and sterilization methods and techniques.
5. Demonstrate knowledge and skill in specimen collection, handling and transport to optimize the
diagnosis for treatment.
6. Incorporate the principles and guidelines of Bio Medical waste management.
7. Apply the principles of Antibiotic stewardship in performing the nurses ‘role.

70
 8. Identify patient safety indicators and perform the role of nurse in the patient safety audit process.
9. Apply the knowledge of International Patient Safety Goals (IPSG) in the patient care settings.
10. Identify employee safety indicators and risk of occupational hazards.
11. Develop understanding of the various safety protocols and adhere to those protocols.

COURSE OUTLINE
T – Theory, L - Lab, L/E- Lab/Experiential Learning, E - Experiential Learning

Time Learning Teaching/ Learning Assessment

Unit Content
(Hrs) Outcomes Activities Methods
I HAI
2 (T)  Summarize the (Hospital acquired Infection)
2 (E) evidence based  Hospital acquired infection
and effective  Bundle approach
patient care
practices for the - Prevention of Urinary Tract
Infection (UTI)  Knowledge
prevention of assessment
common - Prevention of Surgical Site  Lecture & Discussion
healthcare Infection (SSI)
associated - Prevention of Ventilator  MCQ
 Experiential learning
infections in the Associated events (VAE)
Healthcare - Prevention of Central Line  Short answer
setting Associated Blood Stream
Infection (CLABSI)
 Surveillance of HAI –
- Infection control team &
Infection control committee
II Isolation Precautions and use
3 (T)  Demonstrate of Personal Protective
4 (L) appropriate use Equipment (PPE)
of different  Types of isolation system,  Lecture  Performance
types of PPEs standard precaution and
and the critical assessment
transmission-based
use of risk precautions (Direct Contact,  Demonstration & Re-
assessment Droplet, Indirect) demonstration  OSCE
 Epidemiology & Infection
prevention – CDC guidelines
 Effective use of PPE
III Hand Hygiene
1 (T)  Demonstrate the  Types of Hand hygiene.
hand hygiene  Lecture
2 (L)  Hand washing and use of
practice and its  Performance
alcohol hand rub
effectiveness on  Demonstration & Re- assessment
infection control  Moments of Hand Hygiene demonstration
 WHO hand hygiene
promotion
IV Disinfection and sterilization
1 (T)  Illustrates  Definitions
disinfection and  Lecture
2 (E)  Types of disinfection and
sterilization in sterilization  Short answer
the healthcare  Discussion
setting  Environment cleaning
 Equipment Cleaning  Objective type
 Experiential learning
 Guides on use of
through visit
disinfectants
 Spaulding‘s principle

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 Time Learning Teaching/ Learning Assessment
Unit Content
(Hrs) Outcomes Activities Methods
V Specimen Collection  Knowledge
1 (T)  Illustrate on (Review) evaluation
what, when,  Principle of specimen
how, why collection
specimens are  Quiz
 Types of specimens
collected to
optimize the  Collection techniques and  Discussion
diagnosis for special considerations
treatment and  Appropriate containers  Performance
assessment
management.  Transportation of the sample
 Staff precautions in handling
specimens  Checklist

VI BMW (Bio Medical Waste

2 (T)  Explain on Bio Management)
2 (E) Medical waste Laundry management process
management & and infection control and
laundry prevention
 Knowledge
management  Waste management process  Discussion
assessment by
and infection prevention short answers,
 Staff precautions  Demonstration objective type
 Laundry management
 Country ordinance and  Experiential learning  Performance
BMW National guidelines through visit assessment
2017: Segregation of wastes,
Colour coded waste
containers, waste collection
& storage, Packaging &
labeling, Transportation
VII  Explain in detail  Lecture
2 (T) about Antibiotic Antibiotic stewardship  Short answer
stewardship,
 Importance of Antibiotic  Discussion
AMR
Stewardship  Objective type
 Anti-Microbial Resistance  Written assignment
 Describe
MRSA/ MDRO  Prevention of MRSA, –Recent AMR  Assessment of
and its MDRO in healthcare setting (Antimicrobial assignment
prevention resistance) guidelines
VIII Patient Safety Indicators
3 (T)  Enlist the patient  Care of Vulnerable patients
5 (L/E) safety indicators  Prevention of Iatrogenic
followed in a
health care
injury  Lecture  Knowledge
organization and  Care of lines, drains and assessment
the role of nurse tubing‘s  Demonstration
in the patient  Restrain policy and care –  Performance
safety audit Physical and Chemical assessment
 Experiential learning
process  Blood & blood transfusion
policy  Checklist/ OSCE
 Prevention of IV
Complication
 Prevention of Fall
 Prevention of DVT
 Shifting and transporting of
patients
 Surgical safety
 Care coordination event
related to medication  Lecture

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 Time Learning Teaching/ Learning Assessment
Unit Content
(Hrs) Outcomes Activities Methods
reconciliation and
administration  Role play  Knowledge
 Prevention of assessment
communication errors
 Inquiry Based
 Prevention of HAI Learning  Short answer
 Documentation
 Objective type
 Captures and
Incidents and adverse Events
analyzes
incidents and  Capturing of incidents
events for  RCA (Root Cause Analysis)
quality  CAPA (Corrective and
improvement Preventive Action)
 Report writing
IX IPSG (International Patient
1 (T)  Enumerate IPSG safety Goals)
and application  Identify patient correctly
of the goals in  Improve effective
the patient care communication
settings.
 Improve safety of High Alert  Lecture
medication
 Objective type
 Ensure safe surgery
 Role play
 Reduce the risk of health
care associated infection
 Reduce the risk of patient
harm resulting from falls
 Reduce the harm associated
with clinical alarm system
X Safety protocol
2 (T)  Enumerate the  5S (Sort, Set in order, Shine,
3 (L/E) various safety Standardize, Sustain)
protocols and its  Radiation safety
applications
 Laser safety
 Fire safety
- Types and classification of
fire
- Fire alarms
- Firefighting equipment
 HAZMAT (Hazardous  Mock drills
Materials) safety  Lecture
- Types of spill
 Post tests
- Spillage management  Demonstration/
- MSDS (Material Safety Experiential learning
 Checklist
Data Sheets)
 Environmental safety
- Risk assessment
- Aspect impact analysis
- Maintenance of Temp and
Humidity (Department
wise)
- Audits
 Emergency Codes
 Role of Nurse in times of
disaster

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 Time Learning Teaching/ Learning Assessment
Unit Content
(Hrs) Outcomes Activities Methods
XI Employee Safety Indicators
2 (T)  Explain  Vaccination
importance of Needle stick injuries (NSI)
employee safety prevention
indicators
 Fall prevention
 Radiation safety  Lecture
 Annual health check  Knowledge
 Discussion assessment by
 Identify risk of Healthcare Worker short answers,
occupational Immunization Program  Lecture method objective type
hazards, and management of
prevention and occupational exposure  Short answer
post exposure  Occupational health
prophylaxis. ordinance  Journal review
 Vaccination program for
healthcare staff
 Needle stick injuries and
prevention and post exposure
prophylaxis

*Experiential Learning:
Experiential learning is the process by which
knowledge is created through the process of
experience in the clinical field. Knowledge results
from the combination of grasping and transforming
experience. (Kolb, 1984). The experiential learning
cycle begins with an experience that the student has
had, followed by an opportunity to reflect on that
experience. Then students may conceptualize and draw
conclusions about what they experienced and observed,
leading to future actions in which the students
experiment with different behaviors. This begins the
new cycle as the students have new experiences based
on their experimentation. These steps may occur in
nearly and order as the learning progresses. As per the
need of the learner, the concrete components and
conceptual components can be in different order as they
may require a variety of cognitive and affective
behaviors.

References /Recommended Books (Latest Edition)

1. Shastri S Apurba. Essentials of Hospital Infection Control, Jaypee Brothers Medical
Publishers.
2. Jain Amita. Microbiology Practical Manual, Elsevier Publications.
3. Sasthri S Apurba. Text book of Essentials of Microbiology, Jaypee Brothers Medical
Publishers.

74
 4. Patwardhan Neeta. Hospital Associated Infections; Epidemiology, Prevention, and Control
Jaypee Brothers Medical Publishers.
5. Ronda G. Hughes. Patient Safety and Quality: An Evidence-Based Handbook for Nurses,
AHRQ Publication, Rockville.
6. Kannan I. Essentials of Microbiology for Nurses, Elsevier Publications.
7. Matur, Purva. Hospital Acquired Infections, Wolter’s Kluwer Publisher.
8. Thayalan K. Text Book of Radiological Safety, Jaypee Brothers Medical Publishers.
9. Online resources (WHO/ National Institute of Disaster Management/ National Centre for
Disease Control India/ Ministry of Health and Family Welfare.
10. Online resources (Department of Fire and Rescue Services Kerala/ Director General Fire
Services, Civil Defence & Home Guards India/ Radiation Safety from Department of
Atomic Energy, Govt. of India).

PHARMACOLOGY - I
PLACEMENT: SEMESTER III PHAR-I-205
THEORY : 1 Credit (20 hours)
DESCRIPTION: This course is designed to enable students to acquire understanding
of Pharmacodynamics, Pharmacokinetics, principles of therapeutics and nursing
implications.
COMPETENCIES: On completion of the course, the students will be able to
1. Describe pharmacodynamics and pharmacokinetics.
2. Review the principles of drug calculation and administration.
3. Explain the commonly used antiseptics and disinfectants.
4. Describe the pharmacology of drugs acting on the GI system.
5. Describe the pharmacology of drugs acting on the respiratory system.
6. Describe drugs used in the treatment of cardiovascular and blood disorders.
7. Explain the drugs used in the treatment of endocrine system disorders.
8. Describe the drugs acting on skin and drugs used to treat communicable diseases.

COURSE OUTLINE
T – Theory

Unit Time Learning Content Teaching/ Assessment

(Hrs) Outcomes Learning Activities Methods
I Introduction to Pharmacology  Short answer
 Lecture cum
3 (T)  Describe  Definitions & Branches
Pharmaco- Discussion
 Nature & Sources of drugs  Objective type
dynamics,
 Dosage Forms and Routes of
Pharmacokineti  Guided reading and
written assignment  Assessment
cs, drug administration
Classification,  Terminology used on schedule K drugs of
principles of  Classification, Abbreviations, assignments

75
Unit Time Learning Content Teaching/ Assessment
(Hrs) Outcomes Learning Activities Methods
administration Prescription, Drug Calculation,
of drugs Weights and Measures
 Pharmacodynamics: Actions,
Drug Antagonism, Synergism,
Tolerance, Receptors,
Therapeutic, adverse, toxic
effects, pharmaco-vigilance
 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 Pharmacology of commonly used
1 (T)  Describe antiseptics and disinfectants
antiseptics, and  Antiseptics and Disinfectants  Lecture cum
disinfectant &
 Composition, action, dosage, Discussion  Short answer
nurse‘s route, indications,
responsibilities contraindications,  Drug study/  Objective type
Drug interactions, side effects, presentation
adverse effects, toxicity and role
of nurse
III Drugs acting on G.I. system
2 (T)  Describe drugs  Pharmacology of commonly used
acting on drugs
gastro- o Emetics and Antiemetics
intestinal
system & o Laxatives and Purgatives
nurse‘s o Antacids and antipeptic ulcer  Lecture cum
Discussion  Short answer
responsibilities drugs
o Anti-diarrhoeals – Fluid and
electrolyte therapy,  Drug study/  Objective type
Furazolidone, dicyclomine presentation
 Composition, action, dosage,
route, indications,
contraindications, drug
interactions, side effects, adverse
effects, toxicity and role of nurse
IV Drugs acting on respiratory
2 (T)  Describe drugs system
acting on  Pharmacology of commonly used
respiratory  Lecture cum
o Antiasthmatics –
system & Discussion  Short answer
Bronchodilators (Salbutamol
nurse‘s
inhalers)
responsibilities
o Decongestants  Drug study/  Objective type
o Expectorants, Antitussives presentation
and Mucolytics
o Broncho-constrictors and
Antihistamines

76
Unit Time Learning Content Teaching/ Assessment
(Hrs) Outcomes Learning Activities Methods
 Composition, action, dosage,
route, indications,
contraindications, drug
interactions, side effects, adverse
effects toxicity and role of nurse
V Drugs used in treatment of
4 (T)  Describe drugs Cardiovascular system and blood
used on cardio- disorders
vascular system  Haematinics, & treatment of
& nurse‘s anemia and antiadrenergics
responsibilities
 Cholinergic and anticholinergic
 Adrenergic Drugs for CHF &
vasodilators
 Antianginals
 Antiarrhythmics  Lecture cum
 Antihypertensives Discussion  Short answer
 Coagulants & Anticoagulants
 Antiplatelets & thrombolytics  Drug study/  Objective type
presentation
 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 Drugs used in treatment of
2 (T)  Describe the endocrine system disorders
drugs used in  Insulin & oral hypoglycemics
treatment of
 Thyroid and anti-thyroid drugs  Lecture cum
endocrine Discussion  Short answer
system  Steroids
disorders o Corticosteroids
 Drug study/  Objective type
o Anabolic steroids presentation
 Calcitonin, parathormone,
vitamin D3, calcium metabolism
o Calcium salts
VII Drugs used in treatment of
1 (T)  Describe drugs integumentary system
used in skin  Antihistaminics and antipruritics
diseases &  Topical applications for skin-
nurse‘s  Lecture cum
responsibilities
Benzylbenzoate, Gamma BHC, Discussion  Short answer
Clotrimazole, Miconazole, Silver
Sulphadiazine (burns)
 Drug study/  Objective type
 Composition, action, dosage, presentation
route, indications,
contraindications, drug
interactions, side effects, adverse
effects toxicity and role of nurse
VIII Drugs used in treatment of  Lecture cum  Short answer
5 (T)  Explain drug communicable diseases (common Discussion
therapy/ infections, infestations)
chemotherapy  General Principles for use of  Objective type
 Drug study/

77
 Unit Time Learning Content Teaching/ Assessment
(Hrs) Outcomes Learning Activities Methods
of specific Antimicrobials presentation
infections &  Pharmacology of commonly used
infestations & drugs:
nurse‘s o Penicillin, Cephalosporins,
responsibilities 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

References /Recommended Books (Latest Edition)

1. Padmaja Udayakumar. Pharmacology for nurses, Jaypee Brothers Medical Publishers.
2. Chandrasekhar R. Text Book of Pharmacology for Nursing students, Emmees Publishers.
3. Meena Shrivastava. Fundamental and Applied pharmacology for Nurses, Jaypee Brothers Medical
Publishers.
4. Joginder Singh, Pathania Rupendra, Kumar Bharati, Vikas Sood. Textbook of Pharmacology for
BSc Nursing Students, CBS Publishers.
5. Suresh K Sharma. Textbook of Pharmacology, Pathology and Genetics for Nurses Vol I , Jaypee
Brothers Medical Publishers.
6. Satoskar R S, Nirmala Rege, Bhandarkar SD. Pharmacology and Pharmaco-therapeutics, Elsevier
India.
7. Thripathi K D, Essentials of Medical Pharmacology, Jaypee Brothers Medical Publishers.
8. Drug Indices and online resources

PATHOLOGY - I
PLACEMENT : SEMESTER III PATH-I-210
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.
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 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.

COURSE OUTLINE
T – Theory
Time Learning Teaching/ Learning Assessment
Unit Content
(Hrs) Outcomes Activities Methods
I Introduction
8 (T)  Define the  Importance of the study of
common terms pathology
used in  Definition of terms in
pathology pathology
 Cell injury: Etiology,
pathogenesis of reversible
 Identify the and irreversible cell injury,
deviations from Necrosis, Gangrene
normal to  Cellular adaptations:
abnormal Atrophy, Hypertrophy,
structure and Hyperplasia, Metaplasia,
functions of Dysplasia, Apoptosis
body system  Inflammation:
o Acute inflammation  Lecture
(Vascular and Cellular
events, systemic effects
 Discussion
of acute inflammation)  Short answer
o Chronic
inflammation  Explain using slides
 Objective type
(Granulomatous
inflammation,  Explain with
systemic effects of clinical scenarios
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

79
 Time Learning Teaching/ Learning Assessment
Unit Content
(Hrs) Outcomes Activities Methods
and electrolytes: Edema,
Transudates and Exudates
II Special Pathology
5 (T)  Explain Pathological changes in
pathological disease conditions of selected
changes in systems:
disease 1. Respiratory system
conditions of  Pulmonary infections:
various systems Pneumonia, Lung abscess,
pulmonary tuberculosis
 Chronic Obstructive
Pulmonary Disease:
Chronic bronchitis,
Emphysema, Bronchial
Asthma, Bronchiectasis
 Tumors of Lungs
2. Cardio-vascular system
 Atherosclerosis
 Ischemia and Infarction.
 Rheumatic Heart Disease
 Infective endocarditis
3. Gastrointestinal tract
 Peptic ulcer disease
(Gastric and Duodenal  Lecture
ulcer)
 Gastritis-H Pylori  Discussion
infection
 Oral mucosa: Oral  Short answer
Leukoplakia, Squamous  Explain using slides,
X-rays and scans
cell carcinoma  Objective type
 Esophageal cancer
 Gastric cancer  Visit to pathology lab,
endoscopy unit and
 Intestinal: Typhoid ulcer, OT
Inflammatory Bowel
Disease (Crohn‘s disease
and Ulcerative colitis),
Colorectal cancer
3. 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
4. Skeletal system
 Bone: Bone healing,
Osteoporosis,
Osteomyelitis, Tumors
 Joints: Arthritis -
Rheumatoid arthritis and
Osteoarthritis
5. Endocrine system

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 Time Learning Teaching/ Learning Assessment
Unit Content
(Hrs) Outcomes Activities Methods
 Diabetes Mellitus
 Goiter
 Carcinoma thyroid
III Hematological tests for the
7 (T)  Describe diagnosis of blood disorders
various  Blood tests: Hemoglobin,
laboratory tests White cell and platelet
in assessment counts, PCV, ESR
and monitoring  Coagulation tests:
of disease Bleeding time (BT),
conditions Prothrombin time
(PT), Activated  Lecture
Partial Prothrombin
Time (APTT)  Short answer
 Discussion
 Blood chemistry
 Blood bank:  Objective type
 Visit to clinical lab,
o Blood grouping and cross biochemistry lab and
matching blood bank
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)

References /Recommended Books (Latest Edition)

1. Ramdas Nayak, Sharada Rai & Astha Gupta. Textbook of Pathology and Genetics for
Nurses, Jaypee Brothers Medical Publishers.
2. Mandal AK & Shramana Choudhary. Comprehensive textbook of Pathology for Nursing,
Avichal Publishers.
3. Vinay Kumar, Abbas A K, Aster C J, Robbins & Cotran Pathologic Basis of Disease,
ELSEVIER.
4. Suresh K Sharma. Textbook of Pharmacology, Pathology and Genetics for Nurses (Vol-I)
Jaypee Brothers Medical Publishers.
5. Swaminathan K, Pathology and Genetics for Nurses, Jaypee Brothers Medical Publishers.
6. Harsh Mohan, Textbook of Pathology, Jaypee Brothers Medical Publishers.

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 ADULT HEALTH NURSING - I
with Integrated Pathophysiology including BCLS module

PLACEMENT : SEMESTER III N-AHN-I-215

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 and critical thinking. It
also intends to develop competencies required for assessment, diagnosis, treatment, nursing
management, and supportive/palliative care to patients with various Medical Surgical disorders.
COMPETENCIES: On completion of Medical Surgical Nursing I course, students will be able to
1. Explain the etiology, pathophysiology, manifestations, diagnostic studies, treatments and
complications of 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 anatomy, physiology and diagnostic tests in the process of data
collection.
3. Identify nursing 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 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 medical surgical conditions.
10. Plan and give relevant individual and group education on significant medical surgical topics.
11. Maintain safe environment for patients and the health care personnel in the hospital.
12. Integrate evidence-based information while giving nursing care to patients.

COURSE OUTLINE
T – Theory, L – Lab, L/SL – Lab/ Skill Lab
Learning Teaching/ Learning Assessment
Unit Time Outcomes
Content
Activities Methods
(Hrs)
I Introduction  Lecture cum
6 (T)  Narrate the  Evolution and trends of discussion
evolution of medical and surgical  Demonstration &  Short Answer
4
medical nursing Practice session
(L/SL) surgical nursing
 International classification  Role play  OSCE
 Apply nursing of diseases  Visit to outpatient
process in  Roles and responsibility of department, in patient

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 Learning Teaching/ Learning Assessment
Unit Time Outcomes
Content
Activities Methods
(Hrs)
caring for a nurse in medical and and intensive care unit
patients with surgical settings
medical o Outpatient department
surgical o In-patient unit
problems
o Intensive care unit
 Execute the role
 Introduction to medical and
of a nurse in
various medical surgical asepsis
surgical setting o Inflammation, infection
o Wound healing – stages,
influencing factors
 Develop skills
in assessment o Wound care and dressing
and care of technique
wound  Care of surgical patient
o pre-operative
 Develop o post-operative
competency in o Alternative therapies
providing pre used in caring for patients
and with Medical Surgical
postoperative Disorders
care
II Intraoperative Care
15 (T)  Explain  Organization and physical
organizational set up of the operation
4
set up of the theatre
(L/SL) operating
o Classification
theatre o O.T Design
 Differentiate o Staffing
the role of scrub
o Members of the OT team
nurse and
circulating o Duties and
nurse responsibilities of the
nurse in OT
 Describe the
different  Position and draping for
positioning for common surgical
procedures  Caring for
various  Lecture cum
surgeries  Instruments, sutures and Discussion patient intra
 Apply suture materials, equipment operatively
principles of for common surgical
procedures  Demonstration,
asepsis in Practice session, and  Submit a list of
handling the  Disinfection and disinfectants
Case Discussion
sterile sterilization of equipment used for
equipment  Preparation of sets for instruments with
 Visit to receiving
 Demonstrate common surgical the action and
procedures bay precaution
skill in
scrubbing  Scrubbing procedures –
procedures Gowning, masking and
 Demonstrate gloving
skill in  Monitoring the patient
assessing the during the procedures
patient and  Maintenance of the
document therapeutic environment in
accurately the OT
surgical safety
 Assisting in major and
checklist
minor operation, handling
 Develop skill in specimen
assisting with  Prevention of accidents and
selected hazards in OT
surgeries
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 Learning Teaching/ Learning Assessment
Unit Time Outcomes
Content
Activities Methods
(Hrs)
 Explain the  Anaesthesia – types,
types, methods of administration,
functions, and effects and stages,
nursing equipment & drugs
considerations  Legal aspects
for different
types of
anaesthesia
III Nursing care of patients with
6 (T)  Identify the common signs and
signs and symptoms and
4 management
symptoms of
(L/SL) shock and  Fluid and electrolyte
electrolyte imbalance
imbalances  Shock
 Short answer
 Pain  Lecture, discussion,
 Develop skills demonstration
in managing  MCQ
fluid and
electrolyte  Case discussion
 Case report
imbalances

 Perform pain
assessment and
plans for the
nursing
management
IV  Demonstrate Nursing Management of
18 (T) skill in patients with respiratory
respiratory problems
4 (L) assessment  Review of anatomy and
physiology of respiratory
 Differentiates system
different breath  Nursing Assessment –
sounds and lists history taking, physical
the indications assessment and diagnostic
tests
 Explain the  Common respiratory  Lecture, discussion
etiology, problems:
pathophysiolog o Upper respiratory tract
 Demonstration  Essay
y, clinical infections
manifestations, o Chronic obstructive
diagnostic tests, pulmonary diseases  Practice session  Short answer
and medical, o Pleural effusion,
surgical, Empyema  Case presentation  OSCE
nutritional, and
o Bronchiectasis
nursing
management of o Pneumonia  Visit to PFT Lab
common o Lung abscess
respiratory o Cyst and tumors
problems o Chest Injuries
o Acute respiratory distress
 Describe the syndrome
health behavior o Pulmonary embolism
to be adopted in
 Health behaviors to prevent
preventing
respiratory illness
respiratory
illnesses

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 Learning Teaching/ Learning Assessment
Unit Time Outcomes
Content
Activities Methods
(Hrs)
V Nursing Management of
16 (T)  Explain the patients with disorders of
etiology, digestive system
5 (L)
pathophysiolog  Review of anatomy and
y, clinical physiology of GI system
manifestations,  Nursing assessment –
diagnostic tests, History and physical
and medical, assessment
surgical,  GI investigations
nutritional, and
nursing  Common GI disorders:
management of o Oral cavity: lips, gums
gastrointestinal and teeth
disorders o GI: Bleeding, Infections,
Inflammation, tumors,  Lecture, Discussion
 Demonstrate Obstruction, Perforation &
skill in Peritonitis
o  Demonstration
gastrointestinal Peptic & duodenal ulcer,  Short answer
assessment o Mal-absorption,
Appendicitis,  Role play
 Quiz
 Prepare patient Hernias
for upper and o Hemorrhoids, fissures,  Problem Based
 OSCE
lower Fistulas Learning
gastrointestinal o Pancreas: inflammation,
investigations cysts, and tumors  Visit to stoma clinic
o Liver: inflammation,
 Demonstrate cysts, abscess, cirrhosis,
skill in gastric portal hypertension,
decompression, hepatic failure, tumors
gavage, and o Gall bladder:
stoma care inflammation,
Cholelithiasis, tumors
 Demonstrate  Gastric decompression,
skill in different gavage and stoma care,
feeding different feeding techniques
techniques o Alternative therapies,
drugs used in treatment of
disorders of digestive
system
VI Nursing Management of
20 (T)  Explain the patients with  Lecture, discussion  Care plan
etiology, cardiovascular problems
5 (L)
pathophysiolog  Review of anatomy and  Demonstration  Drug record
y, clinical physiology of cardio-
manifestations, vascular system
diagnostic tests,  Nursing Assessment:  Practice session
and medical, History and Physical
surgical, assessment  Case Discussion
nutritional, and  Invasive & non-invasive
nursing cardiac procedures  Health education
management of
cardiovascular  Disorders of vascular
disorders system- Hypertension,  Drug Book/
arteriosclerosis, Raynaud‘s presentation
disease, aneurysm and
 Demonstrate peripheral vascular
skill in disorders  *Completion of  BLS/ BCLS
cardiovascular  Coronary artery diseases: BCLS Module evaluation
assessment coronary atherosclerosis,

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 Learning Teaching/ Learning Assessment
Unit Time Outcomes
Content
Activities Methods
(Hrs)
 Prepare patient Angina pectoris,
for invasive and myocardial infarction
non- invasive  Valvular disorders:
cardiac congenital and acquired
procedures  Rheumatic heart disease:
 Demonstrate pericarditis, myocarditis,
skill in endocarditis,
monitoring and cardiomyopathies
interpreting  Cardiac dysrhythmias,
clinical signs heart block
related to
 Congestive heart failure,
cardiac
disorders corpulmonale, pulmonary
edema, cardiogenic shock,
 Complete cardiac tamponade
BLS/BCLS
 Cardiopulmonary arrest
module
VII  Explain the Nursing Management of
7 (T) etiology, patients with disorders of
pathophysiolog blood
3 (L) y, clinical  Review of Anatomy and
manifestations, Physiology of blood
diagnostic tests,  Nursing assessment:
and medical, history, physical
surgical, assessment & Diagnostic  Field visit to blood  Interpretation of
nutritional, and tests bank blood reports
nursing
management of  Anemia, Polycythemia
hematological Bleeding Disorders: clotting  Counseling  Visit report
disorders factor defects and platelets
defects, thalassemia,
 Interpret blood
leukemia, leukopenia,
reports
agranulocytosis
 Prepare and
 Lymphomas, myelomas
provides health
education on
blood donation
VIII 8 (T)  Explain the Nursing management of
etiology, patho- patients with disorders of
2 (L)
physiology, endocrine system
clinical  Review of anatomy and
manifestations, physiology of endocrine
diagnostic tests, system
and medical,
 Nursing Assessment –
surgical,
History and Physical
nutritional, and  Lecture, discussion,  Prepare health
assessment
nursing demonstration education on
management of  Disorders of thyroid and self-
endocrine Parathyroid, Adrenal and administration
Pituitary (Hyper, Hypo,  Practice session
disorders of insulin
tumors)
 Demonstrate
 Diabetes mellitus  Case Discussion
skill in  Submits a
assessment of diabetic diet
endocrine organ  Health education plan
dysfunction
 Prepare and
provides health
education on
diabetic diet
 Demonstrate
skill in insulin
administration
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 Learning Teaching/ Learning Assessment
Unit Time Outcomes
Content
Activities Methods
(Hrs)
IX 8 (T)  Explain the Nursing management of
2 (L) etiology, patients with disorders of
pathophysiolog Integumentary system
y, clinical  Review of anatomy and
manifestations, physiology of skin
diagnostic tests,  Nursing Assessment:
and medical, History and Physical
surgical, assessment
nutritional, and
nursing  Infection and infestations;  Lecture, discussion
management of Dermatitis
 Dermatoses; infectious and  Drug report
disorders of  Demonstration
integumentary Non infectious
system  Acne, Allergies, Eczema &  Preparation of
 Practice session
 Demonstrate Pemphigus Home care plan
skill in  Psoriasis, Malignant
integumentary melanoma, Alopecia  Case Discussion
assessment  Special therapies,
 Demonstrate alternative therapies
skill in  Drugs used in treatment of
medicated bath disorders of integumentary
 Prepare and system
provide health
education on
skin care
X 16 (T)  Explain the Nursing management of
4 (L) etiology, patients with
pathophysiolog musculoskeletal problems
y, clinical  Review of Anatomy and
manifestations, physiology of the
diagnostic tests, musculoskeletal system
and medical,
surgical,  Nursing Assessment:
nutritional, and History and physical
nursing assessment, diagnostic tests
management of Musculoskeletal trauma:
musculoskeletal Dislocation, fracture,
disorders sprain, strain, contusion,  Lecture
 Demonstrate amputation
 Nursing care
skill in  Musculoskeletal infections  Discussion plan
musculoskeletal and tumors: Osteomyelitis,
assessment benign and malignant
tumour  Demonstration  Prepare health
 Prepare patient
for radiological  Orthopedic modalities: teaching on care
and non- Cast, splint, traction, crutch  Case Discussion of patient with
radiological walking cast
investigations  Musculoskeletal  Health education
of inflammation: Bursitis,
musculoskeletal synovitis, arthritis
system
 Special therapies,
 Demonstrate alternative therapies
skill in crutch
walking and  Metabolic bone disorder:
splinting Osteoporosis, osteomalacia
and Paget‘s disease
 Demonstrate
skill in care of  Spinal column defects and
patient with deformities – tumor,
replacement prolapsed intervertebral
surgeries disc, Pott‘s spine

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 Learning Teaching/ Learning Assessment
Unit Time Outcomes
Content
Activities Methods
(Hrs)
 Prepare and  Rehabilitation, prosthesis
provide health  Replacement surgeries
education on
bone healing
XI 20 (T)  Explain the Nursing management of
3 (L) etiology, patients with
pathophysiolog Communicable diseases
y, clinical  Overview of infectious
manifestations, diseases, the infectious
diagnostic tests, process
and medical,  Nursing Assessment:  Lecture, discussion,
surgical, History and Physical demonstration
nutritional, and assessment, Diagnostic
nursing tests
management of  Practice session
patients with  Tuberculosis
communicable  Diarrhoeal diseases,  Case Discussion/
diseases hepatitis A- E, Typhoid seminar  Prepares and
 Herpes, chickenpox, submits protocol
 Demonstrate Smallpox, Measles,
 Health education on various
skill in barrier Mumps, Influenza isolation
and reverse  Meningitis techniques
 Drug Book/
barrier  Gas gangrene
presentation
techniques  Leprosy
 Dengue, Plague, Malaria,
 Refer TB
 Demonstrate Chikungunya, swine flu,
Control &
skill in Filariasis
Management
execution of  Diphtheria, Pertussis, module
different Tetanus, Poliomyelitis
isolation
 COVID-19
protocols
 Special infection control
measures: Notification,
Isolation, Quarantine,
Immunization
* Mandatory Module

References /Recommended Books (Latest Edition)

1. Lewis S L, Heitkemper M M & Diriksen S R. Medical-Surgical Nursing. Mosby.
2. Smeltzer SC, Bare BG et al. Brunner & Suddarth’s Textbook of Medical-Surgical Nursing.
Lippincott Williams & Wilkins.
3. Black JM, Hawks JH. Medical-Surgical Nursing: Clinical Management for positive
outcomes. Saunders.
4. Lemone P, Burke K. Medical –Surgical Nursing: Critical Thinking in Client care. Pearson.
5. Ignatavicius Donna M. Lynda Workman. Medical Surgical Nursing: Nursing process
approach. WB Saunders
6. The Lippincott Manual of Nursing Practice. Lippincott
7. Krishna Das KV, Textbook of Medicine. Jaypee Brothers Medical Publishers.
8. Davidson’s Principles & Practice of Medicine. Churchill Livingstone.
9. Kumar & Clark. Clinical Medicine. W.B.Saunders.

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