Session

(Hrs.)

Topics

Methods of T/L

Remarks

1(5 hrs.)

Historical evolution of Nursing profession

·    History of nursing

·    Nursing history in Bhutan

·    Definition of a professional nurse

·    Functions of a nurse

·    Qualities of a nurse

·    Professional etiquettes

·    Career  development  and  expanded  nursing roles

Lecture with

discussion, group activities

2(15 hrs.)

Nursing Theories: Development of nursing theory

and conceptual models

Nursing Theories:

·    Nightingale (1860): The body’s reparative processes

& clients environment

·    Peplau (1952): Nursing is therapeutic interpersonal process

·    Henderson (1955): Henderson’s 14 basic needs

·    Abdellah (1962): Delivering nursing care for whole person

·    Orem (1971): Self care deficit theory

·    Roy (1979): based on the physiological, sociological and dependence-independence adaptive modes

·    King   (1971):   Communicating   to   help   client reestablish positive environment

·    Neuman (1972): System model of nursing

·    Watson (1979): Humanistic aspect of life

Lecture with

discussion, group activities

3 (1hr.)

Non-nursing Theories

·  General system theory

·  Human needs theory

·  Change theory

·  Bio-medical theory

Lecture with

discussion, group activities

4 (2 hrs.)

·    Professional  nursing  practice-  Standards  of

Nursing practice

·    Nurse practice acts (BMHC)

·    Nursing organization

·    Current and future trends in nursing practice

·    Nursing competencies

·    Nursing code of ethics

Lecture with

discussion, group activities

5(5 hrs.)

Hospital Admission and Discharge

·    Admission Plan and Procedures

·    Discharge Plan and Procedure

·    Care  and  maintenance  of  the  unit    after discharge

·    Documentation- Recording and Reporting

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration, role play, video film & group activities

6(10hrs.)

Infection Control

·    Types of infection

·    Chain of infection transmission

·    Defenses    against    infection:    natural    and acquired

·    Concept   of   asepsis:   medical   and   surgical asepsis

·    Standard      safety      precaution      (Universal precaution)

·    Isolation  techniques  and  precautions  (Barrier nursing)

·    Hand washing

·    Personal protective equipments

·    Decontamination of equipments and units

·    Needle prick injury

·    Post exposure prophylaxis (PEP)

Biomedical Waste management

·    Types of hospital waste

·    Waste segregation

·    Waste management

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration, role play, video film & group activities

7(1 hr.)

Specimen Collection

·    Stool, Urine, Sputum, Throat culture

·    Collection of specimens and transportation

·    Recording and Reporting

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration, role play, video film & group activities

8(3 hrs.)

Bed making

·  Purpose of bed making

·  Principals in bed making

·  Types of bed

·  Procedure of bed making

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration, role play, video film & group activities

Student participation

9(5 hrs.)

Basic Human needs & Hygiene care

·    Hygiene care and comfort (skin, foot, Nails,

oral, hair, eyes, ears, nose and back care)

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration, role play, video film & group activities

10(10hrs.)

Assessment of Vital signs

Body temperature:

·  Physiology, regulation, factors affecting body temperature

·  Assessment    of    body    temperature:    sites, equipments and technique

·  Temperature alterations: hyperthermia/pyrexia

(types of pyrexia), hypothermia & heatstroke

·  Nursing Management of Fever

Pulse

·    Physiology  and  regulation,  characteristic  of pulse

·    Factors affecting pulse

·    Assessment of Pulse: Sites, and techniques

Respiration

·    Physiology   and   regulation,   mechanism   of breathing

·    Characteristics of respiration

·    Factors effecting respiration

·    Assessment of respiration

·    Oxygen saturation

Blood pressure

·    Factors effecting blood pressure

·    Assessment     of     blood     pressure:     sites, equipments and technique

·    Common errors in assessing blood pressure

Pain

·    Definition

·    Classification of pain

·    Physiology of pain

·    Factors influencing pain perception

·    Causes of pain

·    Assessment of pain

·    Management of pain

Recording and reporting of vital signs

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration,

role play, video film & group activities

11 (1 hr.)

Housekeeping

·    Cleanliness of the unit

·    Care   of   articles   and   equipments   (rubber, stainless steel, linens)

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration, role play, video

film & group

activities

12(5 hrs.)

Mobility and Immobility

·    Maintenance  of  normal  body  alignment  and mobility

·    Principles of body mechanics

·    Using  body  mechanics  (safe  transferring  of patients, pulling and pushing, preventing back injury, positioning patients, moving and turning patients in bed)

·    Factors affecting body alignment and activity

·    Affects of immobility

·    Range of motion exercises

Lecture with

discussion, lab practice, clinical demonstration and supervised return demonstration, role play, video film & group activities

13 (2hrs.)

Hot and Cold Applications

·    Classification of Hot and cold application

·    Therapeutic  use  of  Local  Hot  and  cold application

·    Contraindication     of     hot     and     cold applications

·    Applications of hot and cold

·    Advantages  and  Disadvantages  of  moist heat application

·    Scientific  principles  involved  in  hot  and cold applications

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration, role play, video film & group activities

14 (3 hrs.)

Oxygenation

·    Review  of   cardiovascular  and   respiratory physiology

·    Factors affecting respiratory function

·    Alteration in respiratory function

·    Nursing intervention

·    Maintenance of patent airway

·    Oxygen administration system

·    Chest  physiotherapy  (deep  breathing  &

coughing exercise and Postural drainage)

·    Suction

·    Pulse oximetry/SPO2 monitoring

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration, role play, video film & group activities

15 (13 hrs.)

Nutrition

Nursing      intervention:       assessment,      types, equipments, procedure and special consideration

·    Inserting nasogastric tube

·    Gastric gavage/Tube feeding

·    Gastric lavage

Lecture with

discussion, lab practice, and clinical demonstration and supervised return demonstration, role play, video film & group activities

16 (2 hrs.)

Bowel Function and Elimination

·    Review of bowel function and elimination

·    Factors effecting bowel elimination

·    Alteration in bowel elimination

·    Bowel diversion ostomies

·    Facilitating   bowel   elimination:   assessment, equipments, procedures, and special consideration

·    Flatus tube insertion

·    Enemas and Suppositories

·    Sitz bath

·    Bowel wash

Lecture with

discussion, lab practice, clinical demonstration and supervised return demonstration, role play, video film & group activities

17 (30 hrs.)

Laboratory Practices

Nursing skill lab

18 (60hrs.)

Clinical posting

Medical,Surgical,

orthopedic, EENT,Medical Extension II