Placement-
FIRST YEAR Time-
210 hours
Fundamentals
of Nursing- 190 hours
First-
Aid- 20 hours
FUNDAMENTALS OF NURSING
Course Description
This course is
designed to help students develop an ability to meet the basic health need of
the patients with regard to nursing care and develop skill in the competencies
required for rendering effective patient care.
General Objectives
Upon completion of the course,
the students shall be able to:
1
Describe the physical, mental and social
adjustment required of a sick individual and his family.
2
Carry out basic nursing techniques and care with
the application of sound scientific principle.
3
Explain the concept of comprehensive nursing
care.
4
Develop skills in assessment, planning,
implementation and evaluation of the nursing care rendered to the patients.
5
Communicate effectively and establish good
interpersonal relationship with the patients,
their relatives and other health team members.
6
Demonstrate skills in observation, recording and reporting.
7
Recognize and utilize opportunities for planning
and implementing need based health teaching programme (s) for individuals,
groups, families and communities.
Total Hours - 190
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Unit. No. |
Learning Objectives |
Content |
Hr. |
Method of
Teaching |
Assessment
methods |
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I |
Define
nursing and explain its nature, meaning, scope,ethics and principles in
nursing. Identify
the qualities of |
Introduction
to Nursing a) Nursing – concept, meaning, definitions,scope and functions. b) History of nursing in India c) Nursing as a profession d) Nursing
professional – qualities and preparation. |
25 |
Lecture
cum discussions |
Short
answer Objective type Essay type |
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Unit. No. |
Learning Objectives |
Content |
Hr. |
Method of
Teaching |
Assessment
methods |
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a
professional nurse health care agencies and its functions. Describe
the holistic approach to nursing and the determinants of health and the
effects of illness. |
e)
Ethics in Nursing-roles and responsibilities of a nurse. f)
Health care agencies – hospital and community
service – types and function of hospitals health team. g)
Modern approaches to nursing care including holistic
nursing care h)
Health and Disease -
Definition of health, determinants of
health status. -
Basic human needs -
Illness and its effects on individual |
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II |
Describe
nursing care of the patient/client in hospital using nursing process. Demonstrate
skill in the admission and discharge process, maintenance of safe environment
and records and reports |
Nursing care
of the patient a) Patient Environment in the hospital: Patients
unit b) Therapeutic environment -
Physical factors – lighting temperature,
ventilation, humidity, noise, pestilence. -
Safety needs, prevention of environmental hazard -
Psychosocial and aesthetic factors. c) Patient’s Adjustment to the Hospital. -
Understanding the patient as a person,
socio-economic, and cultural background, health status etc. -
Effect of hospitalization on patient and family. -
Admission, transfer, discharge procedures d) Basic Nursing Skills- -
Communication -
Nursing interview -
Recording and reporting e) Nursing Process -
Meaning and importance -
Assessment, Nursing
diagnosis Planning, Implementation and Evaluation -
Nursing care plan. |
6 |
Lecture
cum discussions. Demonstration of maintaining the records and reports Role Play |
Short answer
Objective type Essay type Return
demonstration |
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Unit. No. |
Learning Objectives |
Content |
Hr. |
Method of
Teaching |
Assessment
methods |
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III |
Describe
basic needs of the patient Demonstrate
skill in meeting basic care of the
patient |
Meeting the
Basic Needs of a patient a) Physical needs- -
Comfort, rest, sleep and exercise –Importance
and its promotion -
Body mechanics –moving, lifting, transferring -
Position and posture maintenance -
Comfort devices -
Beds and bed making – Principles of bed making, types and care of bed
linen -
Safety devices, restraints and splints -
Exercises – Active and Passive b) Hygienic needs -
Personal and environmental hygiene personal -
Nurses note in maintaining personal and
environmental hygiene. -
Care of eyes, nose, ears, hands and feet. -
Care of mouth, skin, hair and genitalia -
Care of pressure areas, bed sores. c) Elimination needs -
Health and sickness -
Problems – constipation and diarrhea, retention and
incontinence of urine. -
Nurse’s role in
meeting elimination needs. -
Offering bed-pan and urinal, -
Observing and recording abnormalities. -
Preparation and giving of laxative, suppositories,
enemas, bowel wash, flatus tube. -
Perineal care, care of patient with urinary
catheter, diapers. -
Maintenance of intake and output records d) Nutritional needs -
Diet in health and disease -
Factors affecting nutrition in illness, -
Nurse’s role in
meeting patients nutritional needs. -
Modification of diet in illness. -
Diet planning and serving. -
Feeding helpless patients including artificial
methods of feeding. e) Psychological and spiritual needs |
65 |
Lecture
cum discussion Demonstration |
Short
answer Objective type Essay type |
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Return
demonstration |
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Assessment
using checklist |
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Unit. No. |
Learning Objectives |
Content |
Hr. |
Method of
Teaching |
Assessment
methods |
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Importance -
Nurse’s role
-Diversional and Recreational
therapy f) Care of terminally ill and dying patient -
Dying patient’s signs and symptoms needs of dying patient and family, -
Nursing care of dying-: special considerations;
advance directives, euthanasia, will, dying declaration, organ donation etc. -
Medico legal issues -
Care of the dead body -
Care of unit -
Autopsy -
Embalming |
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IV |
Describe the principles of
assessment demonstrate skills in assessing the patient |
Assessment
of patient/client a) Physical Assessment -
Importance, principles, methods of assessment -
Height, Weight, posture -
Head to toe examination. b) Physiological Assessment -
Vital signs,
normal, abnormal Characteristics, factors influencing the variations, -
Observation and collection of specimens-urine,
stool, vomitus and sputum. c) Psychological Assessment - Mood,
Intelligence, Emotions Normal and Abnormal behavior. |
14 |
Lecture
cum discussions Demonstration |
Short
answer Objective type Essay type |
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Return
demonstration |
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Assessment
using checklist |
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V |
Describe the infection
control, methods in the clinical setting. |
Infection
control a) Infection control : -
Nature of infection -
Chain of infection transmission -
Defence against infection: natural and acquired -
Hospital acquired infection ( nosocomial infection) b) Concept of asepsis: -
Medical and surgical asepsis -
Isolation precautions , barrier nursing -
Hand washing : simple, hand asepsis, surgical asepsis (scrub) -
Isolation – source and protection -
Personal protective equipments types, uses and techniques of wearing
and removing |
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Lecture
cum discussion Demonstration |
Short answers Essay type |
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Objective type |
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Demonstrate
infection control practices |
Explain
using manual of biomedical waste management of Government of India |
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Demonstration
Videos Simulation exercises |
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Unit. No. |
Learning Objectives |
Content |
Hr. |
Method of
Teaching |
Assessment
methods |
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-
Decontamination of unit and equipment -
Transportation of infected patient -. Standard safety precaution -
Transmission based precautions c) Bio-medical waste management -
Importance -
Types of hospital wastes -
Hazards associated with hospital waste -
Decontamination of hospital waste -
Segregation and transportation -
Disposal |
20 |
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VI |
Describe therapeutic
nursing care |
Therapeutic
Nursing Care a) Care of patients with respiratory problems/dyspnea - Deep breathing and
coughing exercises - O2 inhalation - Dry and moist inhalation - Oro nasal suctioning b) Care of
patient with altered body temperature-Hot and cold Applications c) Care of
patients with Fluid and Electrolyte imbalance d) Care of unconscious
patient e) Care of
the bed-ridden patient(traction, fractures etc.) f) Care of patient with pain g) Care of patients with body
elimination deviation |
30 |
Lecture
cum discussions. |
Short answer Objective type |
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Demonstration |
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Essay type |
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Return
demonstration |
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Assessment
using checklist |
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VIII |
Explain
the principles, routes, effects of administration of medications |
Introduction
to clinical Pharmacology Administrationof
medication: a) General Principles/Considerations - Purposes of medication -
Principles: Rights, special considerations,
prescriptions, safety in
administering medications and medication errors - Drugs forms - Routes of administration -
Storage and maintenance of drugs and nurses
responsibility - Broad classification of drugs -
Therapeutic effect, side effect, toxic effect,
allergic reaction, drug tolerance,
drug interactions - Factors influencing drug actions - Systems of drug
measurement: metric system, household measurements. |
30 |
Lecture
cum discussions. Demonstration |
Short
answer Objective type Essay type |
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Return
demonstration |
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Assessment
using checklist |
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Unit. No. |
Learning Objectives |
Content |
Hr. |
Method of
Teaching |
Assessment
methods |
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Converting measurements units: conversion within one
system, between systems, dosage calculations. -
Terminologies and abbreviations used in prescription of medications. b) Oral drug
administration: oral, sublingual, buccal : equipment and procedure. c) Parentral: - General principles - Types
of parentral therapies. -
Types of
syringes, needles, canulas and infusion sets, -
Protection from needle stick injuries, giving
medications with a safety syringe. - Routes of parentral
therapies: -
Purposes, site equipment, procedure and special
considerations in giving
intradermal, subcutaneous, intramuscular and intravenous medications. -
Advanced techniques : epidural, intrathecal,
intraosseous, intraperitoneal, intrapleural, intra arterial - Role of nurse d) Topical
administration: purposes, site, equipment, procedure, special considerations
for applications to skin and mucous
membrane. e) Direct application: - Gargle, throat swab -
Insertion of drug into body cavities : nasal pack,
suppositories / medicated packing into rectum / vagina -
Instillations: ear,
eye, nasal, bladder and rectal. -
Irrigations: eye, ear,
bladder, vaginal and
rectal. Spray: nose and throat f)
Inhalations: nasal, oral, endotracheal, tracheal (steam, oxygen and medications) –
purposes, types, equipment, procedure and special considerations. g) Recording and reporting of medications administered. |
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FIRST AID
Course Description
This course is designed to help
students develop and understanding of community emergencies and be able to
render first aid services as and
when need arises.
General Objectives
Upon completion of this course,
the students shall be able to:
1.
Describe the rules of first aid.
2.
Demonstrate skills in rendering first aid in
case of emergencies.
Total Hours - 20
|
Unit |
Learning Objectives |
Content |
Hr. |
Teaching learning
activities |
Assessment
methods |
|
I |
Describe
the importance and principle of first aid |
Introduction a) Definition,
Aims and Importance of first aid b) Rules/ General principles
of First Aid c) Concept of emergency |
2 |
Lecture
cum discussions |
Short
answer Objective type |
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II |
Demonstrate skill in first aid techniques |
Procedures and Techniques in First Aid a) Preparation of First Aid kit. b) Dressing,
bandaging and splinting(spiral, reverse
spiral, figure of 8 spica, shoulder, hip, ankle, thumb, finger, stump,
single and double eye, single and double ear,
breast, jaw, capelin),
triangle bandage uses, abdominal binder and
bandage, breast binder, T and many tail bandage, knots reef, clove. c) Transportation of the injured d) CPR :
Mouth to mouth, Sylvester, Schafer, External cardiac massage |
8 |
Lecture
cum discussions Demonstration
Videos Simulation
exercises. |
Short answer Objective
type Return
demonstration |
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III |
Describe
first aid in common emergencies |
First Aid in
emergencies a) Asphyxia, drowning, shock b) Wounds
and Bleeding c) Injuries
to the Bones, Joints and Muscle - fractures, sprains, strains, hanging, falls |
6 |
Lecture
cum discussions. Videos
Demonstration |
Short answer Objective type Return
demonstration |
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Unit |
Learning Objectives |
Content |
Hr. |
Teaching learning
activities |
Assessment
methods |
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d) Burns and scalds e) Poisoning
– ingestion, inhalation, bites and stings f) Foreign body in eye, ear, nose and throat. |
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IV |
List various community
emergencies and community resources. |
Community Emergencies & Community Resources a) Fire, explosion, floods, earth-quakes, famines etc b) Role of
nurses in disaster management c) Rehabilitation d) Community Resources - Police, Ambulance services -
Voluntary agencies-local,
state national and international |
4 |
Lecture
cum discussions. Videos |
Short
answer Objective type Essay type |
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Mock drill |
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Simulation
exercise |
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Videos |
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Field visit to voluntary
agencies. |
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Placement: FIRST YEAR Time:
Practical – 880 hours Lab
- 200 hours Clinical – 680 hours
Course Description: This course is
designed to help the students to acquire knowledge, attitude and skills in
techniques of nursing and practice them in clinical settings
The nurse on completion of this
course will be able to:
q
Demonstrate appropriate attitudes and skills in
providing comprehensive nursing care to patients based on nursing process.
•
Assess the nursing needs of the clients by
collecting complete data, making relevant observation and
analyze the data collected.
•
Plan for appropriate nursing care by
prioritizing the needs and executing competent nursing actions.
•
Implement effective nursing care by integrating
scientific principles for maintaining health
optimum
•
Promote the health of the individual and the
community by giving appropriate health teaching.
•
Evaluate the patients response to nursing care
provided.
•
Apply the theoretical knowledge to the
appropriate clinical nursing practice.
•
Demonstrate skill in the use of problem solving
methods in nursing practice.
•
Contribute for promotion of health prevention of
illness & restoration of health of people by working
with other health team members.
•
Gain knowledge of health resources in the
community and the country.
•
Demonstrate leadership skills in working with
health team, community and others in the provision of
health care.
•
Recognize the need for continuing education for
professional development.
•
Demonstrate use of ethical values in their
personal and professional life.
•
Assist in research activities.
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Areas |
Time (Hours) |
Objectives |
Skills |
Assignments |
Assessment methods |
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Supervised
practice in Lab General Medical and surgery wards |
200 680 (Minimum
practice time in clinical area) |
• Performs
admission and discharge procedure |
Hospital admission and discharge a) Admission: •
Prepare Unit for new patient •
Prepare admission bed •
Perform admission procedure •
New patient •
Transfer in •
Prepare patient records |
•
Practice in Unit/ hospital |
•
Evaluate with checklist • Assessment
of clinical performance with rating scale •
Completion of Practical record |
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b) Discharge/Transfer out •
Gives discharge counseling •
Perform discharge
procedure (Planned discharge, LAMA and abscond, Referrals
andtransfers) •
Prepare records of discharge/ transfer •
Dismantle, and disinfect unit and equipment after discharge/transfer |
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• Prepares
nursing care plan as per the
nursing process format • Communic
ates effectively with patient, families and team
members and • Maintains effective human relations |
Perform assessment: •
History taking, Nursing diagnosis, problem list,
Prioritization, Goals & Expected Outcomes, selection of interventions •
Write Nursing Care Plan •
Gives care as per the plan Communication •
Use verbal and non verbal communication techniques Prepare a plan for patient teaching session |
• Write
nursing process records of patient •
Simulated -1 •
Actual - 1 • Role-plays
in simulated situations on communi- cation techniques-1 •
Health talk-1 |
• Assessment
of nursing process records with checklist • Assessment
of actual care given with rating scale • Assess
role plays with the checklist on comm. unication techniques • Assess
health talk with the checklist • Assessment
of comm.- unication techniques by rating scale |
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Areas |
Time (Hours) |
Objectives |
Skills |
Assignments |
Assessment methods |
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• Develops plan for patient teaching |
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• Prepares patient reports •
Presents reports |
write
patient report •
Change-of shift reports, •
Transfer reports, Incident reports etc. •
Present patient report |
• Write
nurses notes and present the patient report of 2-3 assigned patients |
• Assessment of performance with rating scale |
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Monitors vital signs |
Vital signs •
Measure, records and interpret alterations in body
temperature, pulse, respiration and blood pressure |
•
Lab practice • Measure Vital signs of assigned patient |
• Assessment
of each skill with checklist • Completion of activity
record |
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• Performs
health assess- ment of each body system |
Health
assessment •
Health history taking •
Perform assessment: General Body systems •
Use various methods of physical examination •
Inspection, Palpation, Percussion, Auscultation,
Olfaction Identification of system •
wise deviations |
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• Provides
basic nursing care to patients |
Prepare
Patient’s unit: •
Prepare beds: •
Open, closed, occupied, operation,
amputation, •
Cardiac, fracture, burn, Divided, & Fowler’s bed •
Pain assessment and provision
for comfort |
• Practice in lab &
hospital |
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Use comfort devices Hygienic care: •
Oral hygiene: •
Baths and care of pressure points •
Hair wash, Pediculosis treatment |
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Areas |
Time (Hours) |
Objectives |
Skills |
Assignments |
Assessment methods |
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Feeding: •
Oral/ Enteral,Naso/Orogastric, gastrostomy and
Parenteral feeding •
Naso-gastric tube insertion, suction, and irrigation Assisting patient in urinary elimination •
Provide urinal/bed pan •
Condom drainage •
Perineal care •
Catheterization •
Care of urinary drainage Bladder irrigation Assisting
bowel Elimination: •
Insertion of Flatus tube •
Enemas •
Insertion of Suppository Bowel wash Body Alignment
and Mobility: •
Range of motion exercises •
Positioning: Recumbent, Lateral, Fowlers,
Sims, Lithotomy, Prone, Trendelenburg positon- •
Assist patient in Moving, lifting,
transferring, walking •
Restraints Oxygen administration • Mask • Prongs • Tent • Catheters Suctioning: oropharyngeal, nasopharyngeal Chest physiotherapy and postural drainage Care of Chest drainage CPR- Basic life
support Observation of Intravenous therapy |
•
Simulated exercise
on CPR manikin |
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Areas |
Time (Hours) |
Objectives |
Skills |
Assignments |
Assessment methods |
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•
Performs infection control procedures |
Blood and blood component therapy Collect/assist for collection of
specimens for investigations Urine, sputum, faeces, vomitus, blood and other
body fluids Perform lab tests: •
Urine: sugar,
albumin, acetone •
Blood: sugar (with strip/ gluco-meter) Application of hot and cold therapies: •
Local and general •
Dry and moist Communicating and assisting with
self-care of visually & hearing impaired patients Communicating and assisting with
self-care of mentally challenged/disturbed patients Recreational and diversional therapies Caring of patient with alteration in sensorium Infection control •
Perform following procedures: •
Hand washing
techniques •
Simple, hand antisepsis and surgical
antisepsis (scrub) •
Prepare isolation unit in lab/ ward |
• Observation study -2 • Department of Infection control &
CSSD • Visits CSSD write observation report 1 |
• Assess
observation study with checklist • Evaluate
all procedures with checklist |
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Areas |
Time (Hours) |
Objectives |
Skills |
Assignments |
Assessment methods |
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•
Provide care to pre
and post- operative patients •
Perform procedures for care of wounds Administers
drugs |
•
Practice technique of wearing and removing
Personal protective equipment (PPE) •
Practice Standard safety precautions (Universal precautions) Decontamination of equipment and unit: •
Surgical asepsis: •
Sterilization •
Handling sterilized
equipment •
Calculate strengths of solutions, •
Prepare solutions •
Care of articles Pre and post-operative care: •
Skin preparations for surgery: Local •
Preparation of Post- operative unit •
Pre & post- operative teaching and counselling. •
Pre and post-operative monitoring •
Care of the
wound: •
Dressings of minor wounds, careof Drainage /
Application of Binders, Splints& Slings •
Bandaging of various body parts Administration of medications •
Administer Medications in different forms and routes •
Oral, Sublingual and Buccal •
Parenteral : Intradermal, subcutaneous, Intramuscular etc. •
Assist with
Intravenous medications |
•
Collection of samples
for culture •
Do clinical posting in infection control department
and write report •
Practice in lab/ward |
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•
Provide care to dying and dead •
Counsel and support
relatives |
•
Drug measurements and dose calculations •
Preparation of lotions and solutions •
Administer topical applications •
Insertion of drug into body cavity: Suppository & medicated packing etc. •
Instillation of medicines into Ear, Eye, Nose and throat •
Irrigations: Eye, Ear, bladder, Vagina and Rectum •
Inhalations: dry and moist •
Medicated/Nebulization •
Identification of spurious drugs. •
Record date, time, medication, dose, route And
sign immediately after administration Care of dying patient •
Provide care for the terminally ill •
Caring and packing of dead Body •
Counseling and supporting grieving relatives •
Handing over the body & valuables •
Transferring to mortuary with proper identification •
Terminal care of the unit |
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