Midwifery and Obstetrical Nursing - Parul University · vacuum version, manual removal of placenta,...

Midwifery and Obstetrical Nursing Placement: Third year Time: Theory - 90 hours

Practical - 180 hours

Course Description: This course is designed for students to appreciate the concepts andprinciples of midwifery and obstetrical nursing. It helps them to acquire knowledge and skills inrendering nursing care to. normal and high risk pregnant woman during antenatal, natal andpost natal periods in hospitals and community settings. It also helps to develop skills inmanaging normal and high risk neonates and participate in family welfare programme.

Unit Time(Hrs)

LearningObjectives Content

Teaching LearningActivities

Assessmentmethods

I 3 Recognisethe trendsand issues inmidwiferyandobstetricalnursing

Introduction to midwifery andobstetrical NursingIntroduction to concepts ofmidwifery and obstetrical NursingTrends in midwifery andobstetrical nursing Historical perspectives andcurrent trends Legal and ethical aspectsPre-conception care andpreparing for parenthood Role of nurse in midwifery andobstetrical care. National policy and legislation inrelation to maternal health andwelfare. Maternal, morbidity, mortalityand fertility rates Perinatal, morbidity and mortalityrates

Lecturediscussion Explain using Charts andgraphs

Shortanswers Objectivetype

II 8 Describe theanatomy andphysiology offemalereproductivesystem

Review of anatomy andphysiology of femalereproductive system andfoetal development Female pelvis — generaldescription of the bones joints,ligaments, planes of the pelvisdiameters of the true pelvis,important landmarks, variationsin pelvis shape. Female organs of reproduction -external genetalia, internalgenital organs and theiranatomical

Lecturediscussion Review withCharts andmodels

Shortanswers Objectivetype

Unit Time(Hrs)

LearningObjectives Content Teaching Learning

Activities Assessment

methods relations, musculature —blood- supply, nerves,lymphatics, pelvic cellulartissue, pelvic peritonium. Physiology of menstrual cycleHuman sexuality Foetal development Conception Review of fertilization, implantation (embedding ofthe ovum), development ofthe embryo and placenta atterm — functions,abnormalities, the foetal sac,amniotic fluid, the umbilicalchord, Foetal circulation, foetal skull,bones, sutures andmeasurements. Review of Genetics

III 8 Describe thediagnosis andmanagement ofwomen duringantenatal period.

Assessment and managementof pregnancy (ante-natal) • Normal pregnancy • Physiological changes duringpregnancy. • Reproductive system • Cardio vascular system • Respiratory system • Urinary system • Gastro intestinal system • Metabolic changes • Skeletal changes • Skin changes • Endocrine system • Psychological changes • Discomforts of pregnancy • Diagnosis of pregnancy • Signs • Differential diagnosis • Confirmatory tests • Ante-natal care C Objectives • Assessment - History and physical examination - Antenatal Examination - Signs of previous child-birth

Lecturediscussion Demonstration Case discussion! presentation Health talk Practice sessionCounseling session Supervised Clinical practice

Short answersObjective typeAssessment ofskills withcheck listAssessment ofpatientmanagementproblems

Unit Time(Hrs)



methods - Relationship of foetus to uterusand pelvis: Lie, Attitude,Presentation, Position - Per vaginal examination. • Screening and assessment forhigh risk; • Risk approach • History and PhysicalExamination • Modalities of diagnosis; Invasive& Non-Invasive, ultrasonics, cardiotomography, NST, CST • Antenatal preparation - Antenatal counseling - Antenatal exercises Q Diet - Substance use - Education for child-birth - Husband and families - Preparation for safe-confinement - Prevention from radiation • Psycho-social and culturalaspects of pregnancy - Adjustment to pregnancy - Unwed mother - Single parent - Teenage pregnancy - Sexual violence • Adoption

IV 12 Describe thephysiology andstages of labour.

Describe themanagement ofwomen duringintra- natalperiod

Assessment and management ofintra-natal period, • Physiology of labour,mechanism of labour • Management of labour. ci Firststage - Signs and symptoms of onset oflabour; normal and abnormal - Duration - Preparation of: • Labour room • Woman - Assessment and observation ofwomen in labour; partogram-maternal and foetal monitoring

Lecture discussionDemonstrationCase discussion!presentationSimulated practiceSupervised Clinicalpractice

Essay typeShort answersObjective typeAssessment ofskills withcheck listAssessment ofpatientmanagementproblems

Unit Time(Hrs)



methods - Active management of labour,Induction of labour - Pain relief and comfort inlabour • Second stage • Signs and symptoms; normaland abnormal • Duration • Conduct of delivery; Principlesand techniques • Episiotomy (only if required) • Receiving the new born - Neonatal resuscitation; initialsteps and subsequentresuscitation - Care of umbilical cord - Immediate assessmentincluding screening forcongenital anomalies - Identification - Bonding - Initiate feeding - Screening and transportationof the neonate • Third stage • Signs and symptoms; normaland abnormal • Duration • Method of placental expulsion • Management; Principles andtechniques • Examination of the placenta • Examination of perineum • Maintaining records and reports • Fourth Stage

V 5 Describe thephysiology of puerperium.

Describe themanagement ofwomen duringpost- natalperiod

Assessment and managementof women during post natalperiod • Normal puerperium; PhysiologyDuration • Postnatal assessment andmanagement • Promoting physical andemotional well-being • Lactation managementImmunization

LecturediscussionDemonstrationHealth talk -Practice SessionSupervised Clinicalpractice

Essay typeShortanswersObjective typeAssessment ofskills withcheck listAssessment

Unit Time(Hrs)



methods Family dynamics after child-birth,Family welfare services; methods,counselling Follow-up Records and reports

of patientmanagementproblems

VI 6 Describe theassessment andmanagement ofnormal neonate

Assessment and managementof normal neonates Normal Neonate; - Physiological adaptation,-Initial & Daily assessment - Essential newborn care; Thermalcontrol, - Breast feeding, prevention ofinfections Immunization Minor disorders of newborn andits management Levels of Neonatal care (level I, II,& IlI) At primary, secondary and tertiarylevels Maintenance of Reports andRecords

Lecture discussionDemonstrationPractice SessionSupervised Clinicalpractice


VII 10 Describe theIdentification andmanagement ofwomen with highrisk pregnancy

High-risk pregnancy - assessment& management • Screening and assessment - Ultrasonics, cardiotomography,NST, CST, non-invasive &invasive, - Newer modalities of diagnosis • High-risk approach • Levels of care; primary,secondary and tertiary levels • Disorders of pregnancy - Hyper-emesis gravidarum,bleeding in early pregnancy,abortion, ectopic - Pregnancy, vesicular mole, - Ante-partum haemorrage. • Uterine abnormality anddisplacement. • Diseases complicatingpregnancy - Medical and surgical conditions -Infections, RTI (STD), UTI, HIV,TORCH

Lecture discussionDemonstrate usingvideo films,scanreports, partographetc Case discussion/presentation Health talk Practice SessionSupervised Clinicalpractice


Unit Time(Hrs)



methods - Gynaecological diseasescomplicating pregnancy - Pregnancy induced hypertension.& diabetes, Toxemia ofpregnancy, hydramnios, Rh incompatibility u Mentaldisorders • Adoiscent pregnancy, Elderlyprimi and grand multipara • Multiple pregnancy • Abnormalities of placenta & cord • Intra-uterine growth-retardation • Nursing management of motherswith high-risk pregnancy • Maintenance of Records andReport

VIII 10 Describemanagement ofabnormal labour.

And obstetricalemergencies

Abnormal Labour - assessmentand management • Disorders in labour - CPD and contracted pelvis - Malpositions andmalpresentations - Premature labour, disorders ofuterine actions - precipitatelabour, prolonged labour - Complications of third stage:injuries to birth canal • Obstetrical emergencies andtheir management; - Presentation and prolapse ofcord, Vasa praevia, amniotic fluidembolism, rupture of uterus,shoulder dystocia, obstreticalshock • Obstetrical procedures andoperations; - Induction of labour, forceps,vacuum version, manual removalof placenta, caesarean section,destructive operations • Nursing management of womenundergoing Obstetrical operationsand procedures

Lecture discussionDemonstrationCase discussion!presentationPractice SessionSupervised Clinicalpractice

Essay typeShort answersObjective typeAssessment ofskills withchecklist.Assessment ofpatientmanagementproblems

IX 4 Describemanagement

Abnormalities during PostnatalPeriods

Lecture discussion Essay typeShort answers

Unit Time(Hrs)



methods of post natalcomplications

Assessment and management ofwoman with postnatalcomplications Puerperial infections, breastengorgement & infections, U’il,thrombo-Embolic disorders, post-partum haemorrage, Eclampsiaand subinvolution,Psychological complications: - Post partum Blues - Post partum Depression - Post partum Psychosis

DemonstrationCase discussion!presentationSupervised Clinicalpractice

Objective typeAssessment of skills withchecklist.Assessment ofpatientmanagementproblems

X 10 Identify the highrisk neonatesand their nursingmanagement

Assessment and management ofHigh risk newborn • Admission of neonates in theneonatal intensive care units-protocols Nursing management of: - Low birth weight babies - Infections - Respiratory problems- haemolytic disorders - Birth injuries - Malformations • Monitoring of high risk neonates • Feeding of high risk neonates • Organisation and managementof neonatal intensive care units • Infection control in neonatalintensive care units • Maintenance of reports andrecords

Lecture discussionDemonstration-Practice sessionCase discussion!presentationSupervised Clinicalpractice

Essay typeShort answersObjective typeAssessment ofskills withchecklist.Assessment ofpatientmanagementproblems

XI 4 Describeindication,dosage, action,side effects andnurses reponsi-bilities in theadministration ofdrugs used formothers

Pharmaco-therapeutics inobstetrics Indication, dosage, action, contraindication and side effects ofdrugs Effect of drugs on pregnancy,labour & puerperium, Nursing responsibilities in theadministration of drug inObstetrics - oxytocins, antihypertensives,diuretics, tocolytic agents,anticonvulsants; Analgesics and anesthesics inobstetrics. Effects of maternal medication onfoetus and neonate

Lecture discussionDrug book Drug presentation

Short answersObjective type

Unit Time(Hrs)



methods XII 10 Appreciate the

importance offamily welfareprogramme

Describe themethods ofcontraceptionand role of nursein family welfareprogramme

Family Welfare Programme • Population trends and problemsin India • Concepts, aims, importance andhistory of family welfareprogramme • National Population: dynamics,policy and education • National family welfareprogramme; RCH, ICDS, MCH.Safe motherhood • Organization and administration;at national, state, district, blockand village levels • Methods of contraception;spacing, temporary andpermanent, Emergencycontraception • Infertility and its management • Counseling for family welfare • Latest research in contraception • Maintenance of vital statistics • Role of national, internationaland voluntary organizations • Role of a nurse in family welfareprogramme • Training / Supervision / Collaboration with otherfunctionaries in commu&ty likeANMs. LHVs, Anganwadi workers,TBAs (Traditional birth attendant -Dai)

Lecture discussionDemonstrationPractice sessionSupervised practice Group projectCounseling sessionField visits

Essay typeShort answersObjective typeAssessment ofskills withcheck list,project andfield visitsreports

Midwifery and Obstetrical Nursing- Practical Placement: Third Year & Fourth year Time: Practical — 180 hours (Third Year)

Internship - 240 hours

Areas Durationin weeks Objectives Skills Assignments Assessment

methods Antenatalclinic/OPD

2 Assessment ofpregnantwomen

Antenatal history takingPhysical examinationRecording of Weight & B.P Hb.& Urine testing forsugar and albumin Antenatal examination-abdomen and breastImmunizationAssessment of risk statusTeaching antenatalmothers Maintenance of Antenatalrecords

*ConductAntenatalExaminations30 Health talk - ICase bookrecordings

Verification offindings ofAntenatalexaminationsCompletion ofcasebookrecordings

LabourroomO.T.

4 Assesswoman inlabour Carry out per-vaginalexaminationsConductnormaldeliveriesPerformepisiotomyand suture itResuscitatenewbornsAssist withCaesareanSections,

Assessment of Woman inlabour Pervaginal examinationsand interpretationMonitoring and caring ofwoman in labourMaintenance ofpartograph Conduct normal deliveryNewborn assessmentand immediate careResuscitation ofnewborns

*Conductnormaldeliveries - 20 *Prevaginalexaminations5 *Perform andSuture theepisiotomies -5 *Resuscitatenewborns - 5 *Assist withCaesareanSections - 2 *Witnessabnormaldeliveries - 5

Assessment ofclinicalperfonTiancewith ratingscaleAssessment ofeach skill WithchecklistsCompletion ofCase bookrecordings

Areas Duratio

n inweeks

Objectives Skills Assignments Assessmentmethods

MTP andother surgicalprocedures

Assessment of riskstatus of newbornEpisiotoumy aidsuturingMaintenance oflabour and birthrecords Arrange for andassist withCaesarean sectionand care forwoman& babyduring CaesareanArrange for andassist with MTPand other surgicalprocedures

Assist withMTP and otherSurgicalprocedures -Case bookrecordings

Postnatalward

4 Provide nursingcare to postnatal motherand baby

Counsel andteach motherand family forparent hood

Examination andassessment of mother and BabyIdentification ofdeviations Care of postnatalmother and babyPerineal careLactation. managementBreast feedingBabybathImmunization,Teaching postnatalmother: Mother craft Post natal care &ExercisesImmunization

Case presentation - ICase bookrecordings *Give care to Postnatal - mothers -20 Health talks-ICase study —

Assessmentof clinicalperformanceAssessmentof each skillWithchecklistsCompletion ofCase bookrecordingEvaluation ofcase studyandpresentationand healtheducationsessions

Newbornnursery

2 Providenursing care tonewborn at risk

NewbornassessmentAdmission of neonatesFeeding of at neonatesrisk

Case study-1ObservationStudy – I

Assessmentof clinicalperformanceAssessmentof each skillWithchecklistsEvaluation

Areas Duratio

n inweeks


• Katori spoon,paladi, tube feeding,total parenteralnutrition • Thermal managementof neonates-kangaroomother care, care ofbaby in incubator • Monitoring and care ofneonates • Administeringmedications . Intravenous therapy • Assisting withdiagnostic procedure Assisting with exchangetransfusion • Care of baby onventilator • Phototherapy • Infection controlprotocols in the nurseryTeaching andcounselling of parents Maintenance ofNeonatal records

of andobservationstudy

FamilyPlanningClinic

Rotationfrompostnatalward Iwk

Counsel forand providefamily welfareservices

Counselling technique Insertion of IUDTeaching on use offamily planning methodsArrange for and Assistwith family planningoperationsMaintenance ofrecords and reports

* IUD insertion-5ObservationStudy-iCounselling- 2Simulationexercise onrecording andreporting - 1

Assessmentof each skillWithchecklistsEvaluation ofandobservationstudy

* Essential Requirements for registration as midwife * Antenatal examination 30 * Conducting normal deliveries in Hospital/home/health centre 20 * Vagina! Examination 5 * Episiotomy and suturing 5 * Neonatal resuscitation 5 * Assist with Caesarean Section 2 * Witness/Assist abnormal deliveries 5 * Postnatal cases nursed in hospital/home/health centre 20 * Insertion of IUD 5

Note: All casebooks must be certified by teacher on completion of essential requirements

Internship Obstetrical Nursing

Duration- 5 weeks

Areas Duratio

n inweeks


LabourWard

Neonatalintensivecare unitNICU

Antenatal

2

1

2

Providecomprehensivecare to mothersand neonates

integratedPractice

Completion ofother essentialrequirementsCase bookrecordings

Assess clinicalperformancewith ratingscaleCompletion ofcase bookrecordings

Maternity Nursing:

Recommended Books:

1.) Myle’s Textbook for Midwives, 2008, Elsevier

2.) Reeder & Martin – Maternity Nursing, Lippincott

Reference Books:

1.) Orshan – Maternity Nursing ,2009,LWW

2.) William’s Obstetrics,2009,Mcgrahill

3.) Mudaliar – Clinical Obstetrics, Orient Black swan.

4.) Berek - Novak’s Gynecology,2008,LWW

5.) Lowdermilk – Maternity Nuring,2008,Elsevier

6.) Dutta – Obstetrics ,NCBA

7.) Seshadri – Essentials of Gynaecology,2010,WK

Community Health Nursing-Il Placement: Fourth year Time: Theory - 90 hours

Practical - 135 hours

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

Unit Time(Hrs)

LearningObjectives Content

Teaching LearningActivities

Assessmentmethods

I 4 Defineconcepts,scope,principlesand historicaldevelopmentofCommunityHealth andcommunityhealthNursing

Introduction • Definition, concept & scope ofCommunity Health andCommunity Health Nursing • Historical development ofCommunity health • Community health Nursing. - Pre-independence - Post-independence

Lecturediscussion

Essay type Shortanswers

II 6 Describehealth plans,policies,varioushealthcommitteesand healthproblems inIndia

Health planning and policies andproblems • National health planning inIndia- Five Year Plans • Various committees andcommissions on health andfamily welfare • Central council for health andfamily welfare (CCH and FW)National health policies (1983,2002) • National population policy • Health problems in India

Lecturediscussion Paneldiscussion


III 15 Describe thesystem ofdelivery ofcommunityhealthservices inrural andurban areas

Delivery of community healthservices Planning, budgeting and materialmanagement of SCs , PHC and,CHC Rural: Organization, staffing andfunctions of rural health servicesprovided by government at:

Lecturediscussion Visits to varioushealth deliverysystems Supervisedfield practice Paneldiscussion


Unit Time(Hrs)



methods List thefunctions ofvarious levelsand theirstaffing patternExplain thecomponents ofhealth servicesDescribealternativesystems ofhealthpromotion andhealthmaintenance.Describe thechain ofreferral system

• Village • Subcentre • Primary health centre • Community health center /subdivisional • Hospitals • District • State • Centre • Urban: Organization, staffingand functions of urban healthservices provided by governmentat: • Slums • Dispensaries • Maternal and child healthcenters • Special Clinics • Hospitals • Corporation / Municipality /Board • Components of health services • Environmental sanitation • Health education • Vital statistics • M.C.H.-antenatal, natal,postnatal, MTP Act, femalefoeticide act, child adoption act • Family Welfare • National health programmes • School health services • Occupational health • Defence services • Institutional services • Systems of medicine and healthcare • Allopathy • Indian System of Medicineand Homeopathy • Alternative health caresystems like yoga, meditation,social and spiritual healing etc • Referral system

Unit Time(Hrs)



methods IV 25 Describe

CommunityrIealth Nursingapproaches andconceptsDescribe theroles andresponsibilitie ofCommunityhealth nursingpersonnel

Community health nursingapproaches, concepts and rolesand responsibilities of nursingpersonnel • Approaches • Nursing theories And Nursingprocess • Epiderniological approach • Problem solving approach • Evidence based approach • Empowering people to care forthemselves • Concepts of Primary HealthCare: • Equitable distribution • Community participation • Focus on prevention • Use of appropriate technology • Multi-sectoral approach • Roles and responsibilities ofCommunity health nursingpersonnel in • Family health services • Information EducationCommunication (IEC) • Management InformationSystem (MiS): Maintenance ofRecords & reports • Training arid supervision ofvarious categories of healthworkers • National Health Programmes • Environmental sanitation • Maternal and child health andFamily welfare • Treatment of Minor ailments • School Health Services • Occupational Health • Organisation of clinics, camps:Types, Preparation, planning,conduct and evaluation • Waste management in thecenter, clinics etc. Home visit: Concept, Principles,Process, Techniques: Bagtechnique home visit Qualities of Community HealthNurse Job Description of Communityhealth nursing personnel

Lecture discussionDemonstrationPractice sessionSupervised fieldpracticeParticipation incamps Group Project

Essay typeShortanswers

Unit Time(Hrs)



methods V 15 Describe and

appreciate theactivities ofcommunityhealth nurse inassistingindividuals andgroups topromote andmaintain theirhealth

Assisting individuals and groupsto promote and maintain theirhealth Empowerment for self care ofindividuals, families and groups in

A. Assessment of self and family • Monitoring growth anddevelopment Mile stones Weight measurementSocial development • Temperature and Bloodpressure monitoring • Menstrual cycle • Breast self examination andtesticles • Warning Signs of variousdiseases • Tests : Urine for sugar andalbumin, blood sugar B. Seek health services for • Routine checkup • Immunization • Counseling • Diagnosis • Treatment • Follow up • Maintenance of health recordsfor self and family • Continue medical care andfollow up in community forvarious diseases and disabilities

Lecture discussionDemonstrationPractice sessionSupervised fieldpracticeIndividual!group/family!community health education


Unit Time(Hrs)



methods E. Carryout therapeuticprocedures as prescribed!required for self and family F. Waste Management • Collection and disposable ofwaste at home and community G. Sensitize and handle socialissues affecting health anddevelopment for self and family • Women Empowerment • Women and child abuse • Abuse of elders • Female Foeticide • Commercial sex workers • Food adulteration • Substance abuse H. Utilize community resources forself and family Trauma services • Old age homes • Orphanage • Homes for physically andmentally challenged individuals • Homes for destitute

VI 20 Describenationalhealth andfamilywelfareprogrammesand role of anurse

Describe thevarioushealthschemes inIndia

National health and familywelfare programmes and therole of a nurse 1) National ARI programme 2) Revised National TuberculosisControl Programme (RNTCP) 3) National Anti- Malariaprogramme 4) National Filaria controlprogramme 5) National Guinea wormeradication programme 6) National Leprosy eradicationprogramme

Lecture discussionParticipation innational healthprogrammes Field visits

Essay typeShort answers

Unit Time(Hrs)



methods 7) National AIDS controlprogramme 8) STD control programme 9) National programme Forcontrol of blindness 10) Iodine deficiency disorderprogramme 11) Expanded programme onimmunization 12) National Family WelfareProgramme- RCH Programmehistorical development,organisatiôn, administration,research, constraints 13) National water supply andsanitation programme 14) Minimum Need programme 15) National Diabetics controlprogramme 16) Polio Eradication: Pulse PolioProgramme 17) National Cancer ControlProgramme 18) Yaws Eradication Programme 19) National Nutritional AnemiaProphylaxis programme 20) 20 point programme 21) ICDS programme 22) Mid-day meal appliednutritional programme 23) National mental healthprgramme Health schemes • ESI • CGHS • Health insurance

VII 5 Explain theroles andfunctions ofvariousnational andinternationalhealthagencies

• Health Agencies International - WHO, UNFPA,UNDP, World Bank, FAQ,UNICEF, DANIDA, EuropeanCommission (BC), Red cross,USAID, UNESCO, Colombo Plan,ILO, CARE etc. National - Indian Red Cross,Indian Council for child welfare, FamilyPlanning Association of India

LecturediscussionField visits


Unit Time(Hrs)



methods (FPAI), Tuberculosis AssociationIndia, Hindu Kusht NivaranSangh, Central Social Welfare Board, AllIndia women’s conference, BlindAssociation of India etc.

Community Health Nursing Recommended Books

1.) Park – Social and Preventive Medicine ,Bannott Publishers

Reference Books

1.) Allender – Community Health Nursing,2009,LWW

2.) Stanhope – Community Health Nursing,2008,Elsevier

3.) Anderson – Community as Partner,2009,LWW

4) Deim – Community Health Projects,2006,Lippincott

Community Health Nursing-Il Practical Placement: Fourth year Time: Practical — 135 hours

Internship- 195 hours

Areas Duration

inweeks


Communityhealthnursing

1 wk forurban 4 wk forrural

Identifycommunityprofile Identifyprevalentcommunicableand non-communicablediseasesDiagnosehealth needs ofIndividual,families andcommunityPlan, provideand evaluatecare Participatein school healthprogramParticipate innational healthprogramsOrganize groupfor self help andinvolve clients in their ownhealth activitiesProvide familywelfare servicesCounsel andeducate

Community healthsurvey Community diagnosisFamily care: Homeadaptation of common proceduresHome visit: Bagtechnique Organize and conductclinics- antenatal, postnatal, well baby clinic,camps etc Screen manage andreferrals for: High risk mothers andneonates Accidents andemergencies ci Illnesses: Physical andmental ci Disabilities Conduct delivery atcentre/home:episiotomy and suturing Resuscitate newbornSchool Healthprogramme ci Screen, manage, referchildren Collaborate with healthand allied agencies

Communitysurvey report-I Family carestudy- IProject-iHealth talk-iCase bookrecording

Assessclinicalperformancewith ratingscaleEvaluation ofcommunitysurvey report,family carestudy, projectand healthtalkCompletion ofactivityrecord.Completion ofcase bookrecording

Areas Duratio

n inweeks


individual,family and

Train and Supervisehealth workers

communityCollect VitalhealthstatisticsMaintainRecords &Reports

Provide familywelfare services:insertion of IUDCounsel and teachindividual, familyand communityabout: HIV, TB,Diabetes,hypertension,Mental health,adolescents,elderly’s health,physically andmentally challengedindividuals etcCollect andCalculate Vitalhealth statisticsDocument andmaintainIndividual, familyand administrativerecords. Write reports-center, disease,national healthprogramme/projects,

Placement: Internship Time: 4 Weeks

Areas Duration

inweeks


Urban 4weeks

Providecomprehensivecare toindividual,family andcommunity

Integrated Practiceand group project-I in each rural andurban

Assessclinicalperformancewith rating scale

Evaluation ofproject

Note: During the Rural posting they should stay in health centers under the supervision ofteachers

Management of Nursing Services and Education

Placement: Fourth year

Theory - 90 Hours Course Description: This course is designed to enable students to acquire understanding ofmanagement of clinical and community health nursing services, nursing educationalprogrammes. This is also designed to enable students to acquire understanding of theprofessional responsibilities, prospects and contribution to the growth of the profession.

Time(Hrs) Unit T P



methods

I 4 Explain theeprinciplesandfunctions ofmanagement.

Introduction tomanagement in nursing • Definition, concepts andtheories • Functions ofmanagement • Principles ofManagement • Role of Nurse as amanager

Lecture Discussion Explain using organization chart

Shortanswers

II 5 Describe theelements andprocess ofmanagement

Management processPlanning; mission,philosophy, objectives,operational plan Staffing: philosophy,staffing study, norms,activities, patientclassification systems,scheduling Human resourcemanagement; recruiting,selecting, deployment,retaining, promoting, superannuation etc Budgeting: concept,principles, types, costbenefit analysis, auditMaterial management:equipment and supplies

Lecture Discussion SimulatedExercises Case studies


Time(Hrs) Unit T P



methods

Directing process(Leading)Controlling: QualitymanagementProgram EvaluationReview Technique(PERT), Benchmarking, Activity Plan(Gantt Chart),

III 8 20 Describe theManagementof nursingservices in thehospital andCommunity

Management of nursingservices in the hospitaland Community • Planning:Hospital and patientcare units includingward managementEmergency anddisastermanagement • Human resourcemanagement:Recruiting,selecting,deployment,retaining,promoting,superannuation etc • Categories ofnursing personnelincluding jobdescription of alllevels • Patient/populationclassificationsystemsPatients/populationassignment andNursing careresponsibilities • Staff developmentand welfare

Lecture DiscussionDemonstrationSimulated ExercisesCase studiesSupervised practicein ward- writingindents, preparingduty roaster, wardsupervisionAssignment onduties andresponsibilities ofward sister Writing report

Essay typeShortanswersAssessmentof problemsolvingexercises,Assessmentof theassignmentsPerformanceevaluationby wardsister withrating scale

Time(Hrs) Unit T P



methods

Budgeting: proposal,projecting requirements forstaff, equipments andsupplies for 1-lospital andpatient care units • Emergency anddisaster management Material Management;procurement, inventorycontrol, auditing andmaintenance inHospital and patient careunits • Emergency and disastermanagement Directing and leading:delegation,participatorymanagement • Assignments, rotations,delegations • Supervision & guidance • Implement Standards,policies, procedures andpractices • Staff development andwelfare • Maintenance of disciplineControlling / Evaluation: • NursingRounds/Visits, Nursingprotocols, Manuals

Time(Hrs) Unit T P



methods

a Quality AssuranceModel, documentation - aRecords and reportsPerformance appraisal

IV 10 Describe theconcepts,theories andtechniques ofOrganizationalbehaviour andhuman relations

Organizationalbehaviour and humanrelations • Concepts and theoriesof organizationalbehaviours • Review of Channels ofcommunication • Leadership styles • Review of Motivation;concepts and theories • Group dynamics • Techniques of; aCommunication;and • Interpersonalrelationships • Human relations; • Public relations incontext of nursing • Relations withprofessional associationsand employee unions andCollective bargaining

Lecture DiscussionRole plays Group games Self assessmentCase discussionPractice Session

Essay typeShort answersAssessment ofproblemsolving

V 5 5 Participate inplanning andorganizing inserviceeducationprogram

In service education • Nature & scope of in-service educationprogram, • Organization of inservice education • Principles of adultlearning, • Planning for in-serviceeducation program,techniques, methods &evaluation of staffeducation program • Preparation of report

Lecture DiscussionPlan & conduct aneducational sessionfor in service nursingpersonnel

Short AnswerObjective typeAssess theplanning &conduct of theeducationalsession

Time(Hrs) Unit T P



methods

VI 15 Describemanagement ofNursingeducationalinstitutions

Management of nursingeducational institutions • Establishment ofNursing educationalinstitution-INC norms andguidelines • Co-ordination with • Regulatory bodies • Accreditation • Affiliation - Philosophy! objectives - Organization • Structure • Committees - Physical facilities • College/School • Hostel - Students • Selection • Admission • Guidance andCounseling • Maintaining discipline - Faculty and staff • Selection • Recruitment • Job description • Placement • Performance appraisal • Development andwelfare Budgeting Equipments and supplies:audio visual equipments,laboratory equipment,books, journals etcCurriculum; Planning,implementation andevaluation,

Lecture DiscussionRole playsCounseling sessionGroup Exercises


Time(Hrs) Unit T P



methods

Clinical facilitiesTransport facilitiesInstitutional Records andreports administrative,faculty, staff and students

VII 15 Describe theethical and legalresponsibilitiesof a professionalnurse. Explain thenursing practicestandards

Nursing as a professionNursing as a profession • Philosophy; nursingpractice • Aims and objectives • Characteristics of aprofessional nurse • Regulatory bodies; INC.SNC Acts; - constitution,functions • Current trends andissues in NursingProfessional ethics • Code of ethics; INC, • Code of Professional conduct; INC,ICNPractice standards forNursing; INC Consumerprotection act Legal Aspects in Nursing • Legal terms related topractice; registration andlicensing • Laws related to nursingpractice; Breach andpenalties • Malpractice andnegligence ICN

Lecture DiscussionCase discussionPanel discussionRole plays Critical incidentsVisit to INC/SNRCs

Short answersAssessment ofcriticalincidents

VIII 3 Explain thevariousopportunities

ProfessionalAdvancement:Continuing education

Lecture DiscussionReview! Presentationof published articles

Short answers

Time(Hrs) Unit T P



methods

forprofessionaladvancement

Career OpportunitiesCollective bargainingMembership withProfessionalorganizations; National.and InternationalParticipation inresearch activitiesPublications; Journals,Newspapers etc.

Group work onmaintenance ofbulletin board

Nursing Management

Recommended Books:

1.) Barrett – Ward Management and Teaching, 1995, Konark Publishing.

2.) Marquis – Leadership Roles & Management Functions in Nursing, 2008,

LWW

3.) Basavanthappa – Nursing Administration, 2009, Jaypee.

Reference Books:

1.) Huber – Nursing Management & Leadership ,2008,Elsevier

2.) Marriner – Guide to Nursing management ,2008,Elsevier

3.) Powell – Case Management,2009,LWW

4.) Ellis – Managing and coordinating Nursing,2009,WK

Midwifery and Obstetrical Nursing - Parul University · vacuum version, manual removal of placenta,...

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