BSC Nursing Syllabus 2021 PDF

214 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] INDIAN NURSING COUNCIL NOTIFICATION...

214 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] INDIAN NURSING COUNCIL NOTIFICATION New Delhi, the 5th July, 2021 [INDIAN NURSING COUNCIL {REVISED REGULATIONS AND CURRICULUM FOR B.SC. (NURSING) PROGRAM), REGULATIONS, 2020] F.No. 11-1/2019-INC.—In exercise of the powers conferred by sub-section (1) of Section 16 of the Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations namely:— SHORT TITLE AND COMMENCEMENT i. These Regulations may be called The Indian Nursing Council (Revised Regulations and Curriculum for B.Sc. (Nursing) Program) Regulations, 2020. ii. These Regulations shall come into force on the date of notification of the same in the official Gazette of India. DEFINITIONS In these Regulations, unless the context otherwise requires, i. ‗the Act‘ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time; ii. ‗the Council‘ means the Indian Nursing Council constituted under the Act of 1947; iii. ‗SNRC‘ means the State Nurses and Midwives Registration Council by whichever name constituted and called by the respective State Governments; iv. ‗B.Sc. (Nursing)‘ means the four year B.Sc. (Nursing) Degree qualification in Nursing recognized by the Council under Section 10 of the Act and included in Part-II of the Schedule to the Act; v. ‗Authority‘ means a University or Body created by an Act for awarding the B.Sc. (Nursing) qualification recognized by the Council and included in Part-II of the Schedule to the Act; vi. ‗School of Nursing‘ means a recognized training institution for the purpose of teaching of the GNM course; vii. ‗College‘ means a recognized training institution for the purpose of training and teaching of the B.Sc. (Nursing) course; viii. ‗CNE‘ means Continuing Nursing Education to be compulsorily undergone by the RN&RM/ RANM/RLHV for renewal of registration after every 5 (five) years. I. INTRODUCTION OF THE PROGRAM The B.Sc. nursing degree program is a four-year fulltime program comprising eight semesters, which prepares B.Sc. nursing graduates qualified to practice nursing and midwifery in a variety of settings in either public/government or private healthcare settings. It adopts credit system and semester system as per the Authority guidelines with minor modifications suitable to professional education in a hybrid form. The program encompasses foundational, core and elective courses. The choice-based system is applicable to electives only and is offered in the form of modules. Modular learning is also integrated in the foundational as well as core courses that is mandatory. The program prepares nurses and midwives for generalist nursing including midwifery practice. Knowledge acquisition related to wellness, health promotion, illness, disease management and care of the dying is core to nursing practice. Mastery of competencies is the main focus. Students are provided with opportunities to learn a whole range of skills in addition to acquiring knowledge related to nursing practice (nursing and midwifery). This is achieved through learning in skill lab/simulated lab and clinical environment. Simulation will be integrated throughout the curriculum wherever feasible to enable them to develop competencies before entry into real field of practice. The revised curriculum embraces competency-based and outcome-based approach throughout the program integrating mastery learning and self-directed learning. Transformational and relationship based educational approaches are emphasized. Through the educational process the students assimilate and synthesize knowledge, cultivate critical thinking skills and develop care strategies. Competencies that reflect practice standards of the Council address the areas of cultural diversity, communication technology, teamwork and collaboration, safety, quality, therapeutic interventions and evidence- based practice. They are prepared to provide safe and competent care to patients across life span and influence patient outcomes. [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 215 II. PHILOSOPHY The Council believes that: Health and wellness are two fundamental concepts that are integrated throughout the program. Health is a state of well- being that encompasses physical, psychological, social, economic and spiritual dimensions. Wellness is the individual‘s perception of wellness and is influenced by the presence of disease and individual‘s ability to adapt. Health is a right of all people. Individuals have a right to be active participants in achieving health as they perceive it. Society consists of dynamic and interactive systems involving individuals, families, groups and communities. Cultural diversity, race, caste, creed, socio economic levels, religion, lifestyles, changes in environment and political factors influence it. Nurses and midwives recognize and respect human differences and diversity of population within society and provide ethical care with respect and dignity and protect their rights. Nursing as a profession and a discipline utilizes knowledge derived from arts, sciences (physical, biological and behavioral), humanities and human experience. Nursing science incorporates clinical competence, critical thinking, communication, teaching learning, professionalism, and caring and cultural competency. Nurses collaborate with other health disciplines to solve individual and community health problems. Nursing facilitates evidence-based practice, compassionate caring among its practitioners in response to emerging issues in healthcare and new discoveries and technologies in profession. Nursing practice requires personal commitment to professional development and life-long learning. Scope of nursing and midwifery practice encompasses provision of promotive, preventive, curative and rehabilitative aspects of care to people across the life span in a wide variety of healthcare settings. Nursing practice is based on acquisition of knowledge, understanding, attitude, competencies and skills through the Council‘s curricular and practice standards. The competencies in which the students are trained will guide them in performing their scope of practice. Nursing offers qualified nurses and midwives a wealth of opportunities in the field of practice, education, management and research in India and overseas. The undergraduate nursing program is broad based education within an academic curricular framework specifically directed to the development of critical thinking skills, competencies appropriate to human and professional values. Blended learning approach comprising of experiential learning, reflective learning, scenario based learning and simulated learning is also inbuilt. The teaching learning process encourages mastery learning, modular, self-directed and self-accountable in choice making in terms of elective courses. The program prepares its graduates to become exemplary citizens by adhering to code of ethics and professional conduct at all times in fulfilling personal, social and professional obligations so as to respond to national aspirations. Health and community orientation are provided with special emphasis on national health problems, national health programs and national health policy directives to achieve universal health care for all citizens of India. The main roles of graduates would be provider of care with beginning proficiency in delivering safe care, coordinator/manager of care by being active participant of inter-professional team and member of a profession demonstrating self-responsibility and accountability for practice as well as to support the profession. The faculty has the responsibility to be role models and create learning environment that facilitates cultivation of critical thinking, curiosity, creativity and inquiry driven self- directed learning and attitude of life-long learning in students. Learners and educators interact in a process whereby students gain competencies required to function within their scope of practice. III. AIMS & OBJECTIVES AIMS The aims of the undergraduate program are to 1. Produce knowledgeable competent nurses and midwives with clear critical thinking skills who are caring, motivated, assertive and well-disciplined responding to the changing needs of profession, healthcare delivery system and society. 2. Prepare them to assume responsibilities as professional, competent nurses and midwives in providing promotive, preventive, curative and rehabilitative healthcare services in any healthcare setting. 3. Prepare nurses and midwives who can make independent decisions in nursing situations within the scope of practice, protect the rights of individuals and groups and conduct research in the areas of nursing practice and apply evidence- based practice. 4. Prepare them to assume role of practitioner, teacher, supervisor and manager in all healthcare settings. OBJECTIVES On completion of the B.Sc. Nursing program, the B.Sc. nursing graduates will be able to 1. Utilize critical thinking to synthesize knowledge derived from physical, biological, behavioural sciences, and humanities, in the practice of professional nursing and midwifery. 216 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 2. Practice professional nursing and midwifery competently and safely in diverse settings, utilizing caring, critical thinking and therapeutic nursing interventions with individuals, families, populations and communities at any developmental stage and with varied lived health experiences. 3. Provide promotive, preventive and restorative health services in line with national health policies and programs. 4. Integrate professional caring into practice decisions that encompass values, ethical, and moral and legal aspects of nursing. 5. Respect the dignity, worth, and uniqueness of self and others. 6. Apply concepts of leadership, autonomy and management to the practice of nursing and midwifery to enhance quality and safety in health care. 7. Utilize the latest knowledge and skills related to information and technology to enhance patient outcomes. 8. Communicate effectively with patients, peers, and all health care providers. 9. Utilize the requisite knowledge, skills and technologies to practice independently and collaboratively with all health professionals applying the principles of safety and quality improvement. 10. Integrate research findings and nursing theory in decision making in evidence-based practice. 11. Accept responsibility and accountability for the effectiveness of one‘s own nursing and midwifery practice and professional growth as a learner, clinician and leader. 12. Participate in the advancement of the profession to improve health care for the betterment of the global society. IV. CORE COMPETENCIES FOR NURSING AND MIDWIFERY PRACTICE BY B.Sc. GRADUATE {Is adapted from NLN Model and Massachusetts: Nurse of the Future – Core Competencies (2016) as shown in figure 1} The B.Sc. Graduate nurse will be able to: 1. Patient centered care: Provide holistic care recognizing individual patient‘s preferences, values and needs, that is compassionate, coordinated, age and culturally appropriate safe and effective care. 2. Professionalism: Demonstrate accountability for the delivery of standard-based nursing care as per the Council standards that is consistent with moral, altruistic, legal, ethical, regulatory and humanistic principles. 3. Teaching & Leadership: Influence the behavior of individuals and groups within their environment and facilitate establishment of shared goals through teaching and leadership 4. System-based practice: Demonstrate awareness and responsiveness to the context of healthcare system and ability to manage resources essential to provide optimal quality of care. 5. Health informatics and Technology: Use technology and synthesize information and collaborate to make critical decisions that optimize patient outcomes. 6. Communication: Interact effectively with patients, families and colleagues fostering mutual respect and shared decision making to enhance patient satisfaction and health outcomes. 7. Teamwork and Collaboration: Function effectively within nursing and interdisciplinary teams, fostering open communication, mutual respect, shared decision making, team learning and development. 8. Safety: Minimize risk of harm to patients and providers through both system effectiveness and individual performance. 9. Quality improvement: Use data to monitor the outcomes of care processes and utilize improvement methods to design and test changes to continuously improve the quality and safety of healthcare system. 10. Evidence based practice: Identify, evaluate and use the best current evidence coupled with clinical expertise and consideration of patient‘s preferences, experience and values to make practical decisions. [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 217 CORE COMPETENCIES REQUIRED FOR PROFESSIONAL NURSING AND MIDWIFERY PRACTICE IN ALL PRACTICE SETTINGS Figure 1. Core competencies for nursing and midwifery practice by B.Sc. Nursing Graduate {Adapted from NLN Model and Massachusetts: Nurse of the Future – Core Competencies (2016)} V. GUIDELINES REGARDING MINIMUM PRE-REQUISITES FOR GRANTING SUITABILITY FOR B.Sc. (NURSING) COLLEGE OF NURSING 1. The following Organizations/Establishments are eligible to establish/open a B.Sc. (Nursing) College of Nursing: a) Central Government/State Government/Local Body; b) Registered Private or Public Trust; c) Organizations Registered under Societies Registration Act including Missionary Organizations; d) Companies incorporated under Section 8 of Company‘s Act. 2. The eligible Organizations/Establishments should have their own 100 bedded Parent Hospital. Provided that in respect of Tribal and Hilly Area the requirement of own Parent Hospital is exempted. a) Tribal Area – Scheduled notified area [Areas as the President of India may by order declare to be Scheduled Areas]; b) Hilly Area – UTs of Jammu & Kashmir and Ladakh, North Eastern States, Himachal Pradesh and Uttarakhand. 3. The eligible Organizations/Establishments should obtain Essentiality Certificate/No Objection Certificate from the concerned State Government where the B.Sc. (Nursing) College of Nursing is sought to be established. The particulars of the name of the College/Nursing Institution along with the name of the Trust/Society/Company [as mentioned in Trust Deed or Memorandum of Association] as also full address shall be mentioned in No Objection Certificate/Essentiality Certificate. 218 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 4. After receipt of the Essentiality Certificate/No objection Certificate, the eligible institution shall get recognition from the concerned SNRC for the B.Sc. (Nursing) program for the particular academic year, which is a mandatory requirement. 5. The Council shall after receipt of the above documents/proposal by online, would then conduct Statutory Inspection of the recognized training nursing institution under Section 13 of the Act in order to assess the suitability with regard to availability of Teaching faculty, Clinical and Infrastructural facilities in conformity with Regulations framed under the provisions of the Act. *Provided that training institutions shall apply for statutory inspection, under Section 13 of the Act, to the Council within 6 months from obtaining recognition from the SNRC. 1. Parent Hospital (Unitary/Single Hospital) College of Nursing should have 100 bedded parent/own hospital which is compulsory requirement. Parent Hospital for a nursing institution having the same Trust/Society/Company which has established the nursing institution and has also established the hospital. OR For a nursing institution (managed by Trust/Society/Company under Section 8), a ‗Parent Hospital‘ would be a hospital either owned and controlled by the Trust/Society/Company or managed and controlled by a trustee/member/director of the Trust/Society/Company. In case the owner of the hospital is a trustee/ member/director of the Trust/Society/Company, then the hospital would continue to function as a ‗Parent Hospital‘ till the life of the nursing institution. The Undertaking would also be to the effect that the trustee/member/director of the Trust/Society/ Company would not allow the hospital to be treated ‗Parent/Affiliated Hospital‘ to any other nursing institution and will be for minimum 30 years [i.e., signed by all trustees/members/directors of Trust/Society/ Company] to t he Undertaking to be submitted from the trustee/member/director of the Trust/Society/ Company. The beds of Parent Hospital shall be in one Unitary Hospital i.e. in same building/same campus. Further, the Parent Hospital shall be in the same State i.e. where the institution is located. a) It is to be noted that once a particular hospital is shown as ―Parent Hospital‖ and permission given to the nursing institution to conduct nursing courses, then, the permission/suitability granted would last as long as the sai d hospital is attached as a ―Parent Hospital‖. b) In case the trustee/member/director of the Trust/Society/Company withdraws the Undertaking given, in that case even the permission/ suitability letter issued would be deemed to have lapsed/stand withdrawn with immediate effect. 2. Change of Trust/Society  The Trust/Society cannot be purchased as per Indian Trust Act, but there can be change of trustees/ members. It is therefore the purchase of institution or change of membership will not be considered for continua tion of the program. The institution which is purchased/taken over will be considered as closed. And a fresh Govt. Order shall be required mentioning the Trust/Society name along with programs.  The change of membership in Society/change of trustees in the Trust to be submitted immediately after incorporating through Registrar Cooperative Societies/Indian Trust Act.  As per law Trust/Society can open number of institutions, but it will be considered as one institution under the ambit of one Trust/Society. It is therefore, a Trust/Society can open only one nursing institution in one city/town.  If already an institution is existing in that city or town with an abbreviated name (e.g R K College of Nursing) then another institution with expanded name (Rama Krishna College of Nursing) will not be allowed).  No two Institutions will have same name in same city/town. 3. Change of Address SNRC shall issue a certificate, certifying the fact that the nursing institution is being shifted to the new building/premises at the address indicated. The certificate issued should indicate clearly complete address. The certificate issued should indicate clearly the total covered area of the nursing institution, owner of the nursing institution, and detailed physical facilities like laboratories, classrooms etc. along with area specification, provision of adequate washroom facilities, lighting, ventilation etc. of the new building. [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 219 4. Change of Location (District/Town/City/Village) shall be considered under new proposal, i.e. fresh Essenti ality Certificate from the State Government and recognition from the SNRC is mandatory. 5. Strict Compliance of the Syllabus prescribed by the Council No Institutions/SNRC/University will modify the syllabi prescribed by the Council for a course/ program. How ever they can add units/subjects if need be. 6. Close/Re-start of the Nursing Programs If Institutions have not admitted the students for 2 consecutive years, it shall be considered as closed. Institute may apply for suitability to the Council under Section 13 & 14 of the Act through online within 5 years of the closure. While conducting the inspection they will not be covered under the new guidelines with regard to Parent Hospital. However, the above relaxation will be applicable only for five years. In case the proposal is submitted after 5 years from the year of closure, it has to submit a fresh proposal with due Essentiality Certificate from the State Government and recognition from the SNRC. In such cases the new guidelines with regards to parent hospital and calendar of events shall be applicable. 7. Change of Name of the Institution If the Trust/Society/Company proposes to change the name of the institute, a valid reason has to be submitted. If SNRC/University have accepted the change of name of institute it may be accepted by the Council provided the Trust/Society/Company is same and does not come under para no. 2 above. 8. Re-Inspection Re-inspection application shall be considered only two times. If the institution is found deficient even after that, then the institution shall have to submit a proposal for Suitability under Section 13 & 14 of the Act online within 5 years. However in case the proposal is submitted after 5 years it has to submit a fresh proposal with due Essentiality Certificate from the State Government and recognition from the SNRC. 9. Number of Sanctioned Seats  Maximum of 100 seats will be sanctioned for the B.Sc. (Nursing) program for which institute must have parent Medical College or parent hospital having 300 beds or above subject to teaching and physical facilities available for B.Sc. (Nursing) program.  Maximum of 60 seats will be sanctioned for the institution with parent hospital having less than 300 beds on the basis of teaching and physical facilities for B.Sc. (Nursing) program. 10. Enhancement of Seats Inspection for Enhancement of seats under Section 13 of the Act shall be conducted only once in an academic year i.e., only one application/proposal shall be accepted, in one academic year. Further, SNRC approval is mandatory for enhancement of seats. 11. Bond System Taking service bonds from students and forcefully retaining their Original Certificates is viewed as an Unethical Practice by the Council. If any such practice comes to the notice of the Council, appropriate action under Section 14 of the Act will be taken against the erring institution. MINIMUM REQUIREMENTS OF PHYSICAL FACILITIES Regulations pertaining to Building and Laboratories (i) School and College of nursing can share laboratories, if they are in same campus under same name an d under same Trust/Society/Company, that is the institution is one but offering different nursing programs. However they should have equipments and articles proportionate to the strength of admission. The classrooms should be available as per the requirement stipulated by the Council for each program. (ii) Further, two same programs by the same institute/Trust/Society/Company is not allowed in the same campus. 220 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] (iii) The nursing institution can have all the nursing programs in the same building but with requisite progr am wise infrastructure. However, laboratories can be shared. (iv) If the Trust/Society/Company has some other educational programs, the nursing program shall be in separate block/floor with prescribed sq.ft. area. (v) Nursing program may be in hospital premises with a condition that it shall be in separate block/floor with prescribed sq.ft. area. (vi) Long lease by the Government will be considered. However, rented building shall not be considered as their own building. (vii) It is mandatory that institution shall have its own building within two years of its establishment. (viii) Own Building/Lease/Rented Building: a) If one of the trustee/member/director of the Trust/Society/Company desires to lease the building owned by him for nursing program, it should be for a period of 30 years. It should also be ensured that lease deed that is entered into between the Trust/Society/Company and the trustee/member/ director, owning the building, should contain a clause that the lease deed cannot be terminated for a period of 30 years. Further, it is clarified that, for a Nursing Institution (Managed by a Trust/Society/Company), own building would be a building either owned and controlled by the Trust/Society/Company or owned and controlled by a trustee/member/director of the Trust/Society/Company. That is, if the owner of the building is a trustee/member/director of the Trust/ Society/Company and she/he leases the building to the Trust/Society/Company for 30 years, it will be considered as own building of the nursing institution. b) A duly registered gift deed of the building in favor of the Trust/Society/Company should be construed to be ―own building‖. Further it is clarified that if the lease of the building is between any government authority and the Trust/Society/Company/nursing institution and the lease is for 30 years or more, it will also be considered as own building. Any deed of the building which is not as per either clause (a) or (b) above shall be considered as ―Rented Building‖ only. c) In cases of irrevocable power of attorney, documents of the building should be duly registered as per law. d) Penalty for not having own building: Institutions which do not have their own building within two years of establishment has to pay the penalty for not having the own building. The penalty fees is Rs. 1 Lakh for B.Sc. (Nursing) Program for 6 consecutive years. Even after 6 years if the institution does not have own building then action shall be taken under Section 14 of the Act. However, a lease of 30 years is permissible with the trustee/member/director of the Trust/Society/ Company. A. TEACHING BLOCK The College of Nursing should be within 30 km distance from its parent hospital having space for expansion in an institutional area. For a college with an annual admission capacity of 60 students, the constructed area of the college should be 23200 square feet. The details of the constructed area are given below for admission capacity of 60 students. S.No. Teaching Block Area (in sq.ft.) 4 @ 900 = 1 Lecture Hall 3600 2 Skill Lab/Simulation Laboratory i. Nursing Foundation including Adult Health Nursing & Advanced Nursing Lab 1600 ii. Community Health Nursing & Nutrition Lab 1200 iii. Obstetrics and Gynaecology Nursing Lab 900 iv. Child Health Nursing Lab 900 v. Pre-Clinical Science Lab 900 3 Computer Lab* 1500 4 A.V. Aids Room 600 [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 221 5 Multipurpose Hall 3000 6 Common Room (Male and Female) 1000 7 Staff Room 800 8 Principal Room 300 9 Vice Principal Room 200 10 Library 2300 5 @ 200 = 11 One Room for each Head of Departments 1000 12 Faculty Room 2400 13 Provisions for Toilets 1000 Total Constructed Area 23200 sq.ft. *Note: 1:5 computer student ratio as per student intake. Note: i. Nursing educational institution should be in institutional area only and not in residential area. ii. If the institute has non-nursing program in the same building, nursing program should have separate teaching block. iii. Shift-wise management with other educational institutions will not be accepted. iv. Separate teaching block shall be available if it is in hospital premises. v. Proportionately the size of the built-up area will increase/decrease according to the number of seats approved. vi. The distance between two nursing colleges shall be more than 10 kilometres. 1. Class Rooms There should be at least four classrooms with the capacity of accommodating the number of students admitted each year. The rooms should be well ventilated with proper lighting. The seating arrangements for students should provide adequate space and comfortable desk/chairs with tables. There should be built-in white/green/black boards and provision for projection facilities. Also, there should be a desk/dais/big table and a chair for teacher and racks/cupboards for storing teaching aids or other equipment needed for the conduct of class. 2. Laboratories As listed above. One large skill lab/simulation lab can be constructed consisting of the labs specified with a total of 5500 sq.ft. size or can have five separate labs in the college. a) Nursing Foundation including Adult Health Nursing & Advanced Nursing Lab: The lab should have adequate demonstration beds with dummies/ mannequins/simulators in proportion to the number of students practicing a nursing skill at a given point of time. (Desired ratio being 1 bed : 6 practicing students) It should be fully equipped with built-in-cupboards and racks, wash-basins with running water supply, electric fitting, adequate furniture like table, chairs, stools, patient lockers footsteps etc. Sufficient necessary inventory articles should be there i.e. at least 10-12 sets of all items needed for the practice of nursing procedure by the students. The laboratory equipment and articles mentioned in the ‗Laboratory Equipment and Articles‘ published by the Council should be available. There should be simulators used to teach, practice & learn advance skills e.g., administration of tube feeding, tracheostomy, gastrostomy, I/V injection, BLS, newborn resuscitation model, etc. The laboratory should have computers, internet connection, monitors and ventilator models/manikins/ simulators for use in Critical Care Units. b) Community Health Nursing Practice Laboratory & Nutrition Laboratory: It should have all required articles needed for practicing nursing procedures in a community set-up. The laboratory should give appearance of that of a rural setting, with community maps, records put on display & cupboards. The laboratory equipment and articles mentioned in the ―Laboratory Equipment and Articles‖ published by the Council should be available. The Nutrition Laboratory should have facilities for imparting basic knowledge of various methods of cooking for the healthy as well as for the sick. The furnishing and equipment should include worktables, cooking cutlery, trays, and 222 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] plates, dietetic scales, cooking utensils, microwave, racks/shelves, refrigerator, pressure cookers, mixie and cupboards for storage of food items. The food items shall be purchased for the conduct of practical classes as and when required. Sets of crockery and cutlery for preparation, napkins for serving and display of food also should be there. The laboratory equipment and articles mentioned in the ―Laboratory Equipment and Articles‖ published by the Council should be available. c) Obstetrics and Gynaecology Laboratory: The laboratory should have equipment and articles as mentioned in ―Laboratory Equipment and Articles‖ published by the Council. d) Paediatrics Nursing Laboratory: The laboratory should have equipment and articles as mentioned in ―Laboratory Equipment and Articles‖ published by the Council. e) Pre-Clinical Sciences Laboratory: It is the laboratory of Biochemistry, Anatomy, and Microbiology. The laboratory equipment and articles mentioned in the ―Laboratory Equipment & Articles‖ published by the Council should be available. f) Computer Laboratory: It shall have minimum computers in the ratio of 1 : 5 (computer : students) i.e., 12 computers for 60 students‘ intake. The laboratory equipment and articles mentioned in the ―Laboratory Equipment and Articles‖ published by the Council should be available. 3. Multipurpose Hall The College of Nursing should have a multipurpose hall, which can be utilized for hosting functions of the college, educational conferences/workshops, Continuing Nursing Education (CNEs), examinations etc. It should have proper stage with green room facilities. It should be well-ventilated and should have proper lighting facilities. Arrangements should be there in place for the use of all kinds of basic and advanced audio-visual aids. 4. Library There should be a separate library for the College of Nursing. It should be easily accessible to the teaching faculty and the students, during college hours and extended hours also. It should have comfortable seating arrangements for half of the total strength of the students and teachers in the college. There should be separate budget for the library. The library committee should meet regularly for keeping the library updated with current books, journals and other literature. Internet facility should be provided in the library. The library should have proper lighting facilities and it should be well-ventilated. It should have a cabin for librarian with intercom phone facility. There should be sufficient number of cupboards, bookshelves and racks with glass doors for proper and safe storage of books, magazines, journals, newspapers and other literature. There should be provision for catalogue cabinets, racks for student‘s bags etc., book display racks, bulletin boards and stationery items like index cards, borrower‘s cards, labels and registers. Current books, magazines, journals, newspapers and other literature should be available in the library. A minimum of 500 of different subject titled nursing books (all new editions), in the multiple of editions, 3 kinds of nursing journals, 3 kinds of magazines, 2 kinds of newspapers and other kinds of current health related literature should be available in the library. There should be a separate record room with steel racks, built-in shelves and racks, cupboards and filing cabinets for proper storage of records and other important papers/documents belonging to the college. 5. Audio-Visual Aids Room & Store Room This room should be provided for the proper and safe storage of all the Audio-Visual Aids. The college should possess all kind of basic as well as advanced training aids like chalk boards, overhead projectors, slide and film-strip projector, models specimen, charts and posters, T.V. & V.C.R., Photostat machine, tape recorder and computers, LCD, laptop. It should be provided to accommodate the equipment and other inventory articles which are required in the laboratories of the college. This room should have the facilities for proper and safe storage of these articles and equipment like cupboards, built-in-shelves, racks, cabinets, furniture items like tables and chairs. This room should be properly lighted and well-ventilated. 6. Other Facilities Safe drinking water and adequate sanitary/toilet facilities should be available for both men and women separately in the college. Toilet facility to the students should be there along with hand washing facility. 7. Garage Garage should accommodate a 50 seater vehicle. [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 223 8. Fire Extinguisher Adequate provision for extinguishing fire should be available as per the local bye-laws. 9. Playground Playground should be spacious for outdoor sports like volleyball, football, badminton and for athletics. B. HOSTEL BLOCK Adequate hostel/residential accommodation for students and staff should be available in addition to the mentioned built- up area of the Nursing College respectively. Hostel Block (60 Students) S.No. Hostel Block Area (in sq,ft.) 1. Single Room 12000 (50 sq.ft. for each student) Double Room 2. Sanitary One Latrine & One Bath Room (for 5 students) – 600 × 4 = 2400 3. Visitor Room 500 4. Reading Room 250 5. Store 500 6. Recreation Room 500 7. Dining Hall 3000 8. Kitchen & Store 1500 9. Warden‘s room 450 Total 21100 sq.ft. Grand Total of Constructed Area Teaching Block 23200 sq.ft. Hostel Block 21100 sq.ft. Grand Total 44300 sq.ft. {Note: Minimum provision of hostel accommodation for 30% of the total student's intake is compulsory for the institution and accordingly the staff for hostel shall be provided as prescribed in the syllabi.} Hostel Facilities There should be a separate hostel for the male and female students. It should have the following facilities: 1. Pantry One pantry on each floor should be provided. It should have water cooler and heating arrangements. 2. Washing & Ironing Space Facility for drying and ironing clothes should be provided on each floor. 3. Warden’s Room Warden should be provided with a separate office room besides her residential accommodation. Intercom facility with College & hospital shall be provided. 224 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 4. Telephone Telephone facility accessible to students in emergency situation shall be made available. 5. Canteen There should be provision for a canteen for the students, their guests, and all other staff members. 6. Transport College should have separate transport facility under the control of the Principal. 25 and 50 seater bus is preferable and number of vehicles shall be as per strength of the students. Staff for the Hostel 1. Warden (Female) – 3: Qualification: B.Sc. Home Science or Diploma in Housekeeping/Catering. Minimum three wardens must be there in every hostel for morning, evening and night shifts. If number of students are more than 150, one more Warden/Assistant Warden for every additional 50 students. 2. Cook – 1: For every 20 students for each shift. 3. Kitchen & Dining Room helper – 1: For every 20 students for each shift. 4. Sweeper – 3 5. Gardener – 2 6. Security Guard/Chowkidar – 3 CLINICAL FACILITIES for 60 students 1. Parent hospital College of Nursing should have a 100 bedded Parent/Own Hospital. 2. Additional Affiliation of Hospital In addition to Parent Hospital of 100 beds, institution shall take affiliation of the hospital, if all the required learning experience are not available in the parent hospital. As 100 beds is not sufficient to offer clinical experience/specialities to students as laid down in the B.Sc. (Nursing) syllabus. The students should be sent to affiliated hospital/agencies/institutions where it is available. a. Criteria for Affiliation The types of experience for which a nursing college can affiliate are:  Community Health Nursing  Mental Health (Psychiatric) Nursing  Specialty like Cardiology, Neurology, Oncology Nephrology, Orthopaedics, communicable/ infectious disease etc.  Obstetrics, Gynaecology, Paediatrics etc. b. The size of the Hospital for Affiliation  Should not be less than 50 beds apart from having own hospital  Bed occupancy of the hospital should be minimum 75% 3. Clinical requirements for Nursing program are as given below: S.No. Areas of Clinical Experience Number of Beds 1 Medicine 50 2 Surgery including OT 50 3 Obstetrics & Gynaecology 50 [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 225 4 Paediatrics 30 5 Orthopaedics 15 6 Emergency medicine 10 7 Psychiatry 20 4. Additional/Other Specialties/Facilities for clinical experience required are as follows:  Community Health Nursing – own/affiliated rural and urban community health centre  Major OT  Minor OT  Dental, Otorhinolaryngology, Ophthalmology  Burns and Plastic  Neonatology care unit  Communicable disease/Respiratory medicine/TB & chest diseases  Dermatology  Cardiology  Oncology/Neurology/Neuro-surgery  Nephrology  ICU/ICCU  Geriatric Medicine  Any other specialty as per syllabus requirements Note: i. Educational visits will also be conducted as per the B.Sc. (Nursing) syllabus (for example: Milk Treatment plant, Water and Sewage plant, Rehabilitation Centres, Orphanage, Geriatric Care, Home for Destitute, Professional Organisation etc.). ii. The Nursing Staffing norms in the Parent and Affiliated Hospital should be as per the Staff Inspection Unit (SIU) norms. iii. The Parent/affiliated Hospital should give student status to the candidates of the nursing program. iv. Maximum Distance between affiliated hospitals & institutions should not be more than 30 kms. v. For Hilly & Tribal the maximum distance can be 50 kms. vi. 1:3 student patient ratio to be maintained. vii. Distribution of Beds: At least one third of the total number of beds should be for medical patients and one third for surgical patients. The number of beds for male patients should not be less than 1/6 th of the total number of beds i.e. at least 40 beds. There should be minimum of 100 deliveries per month. Provision should be made for clinics in health and family welfare and for preventive medicine. 5. Community Health Nursing Field Practice Area The students should be sent for community health nursing experience in urban as well as rural field area. The institution can be attached to primary health centre. A well set up field teaching centre should be provided with facilities for accommodation of at least 10-15 students and one staff member at a time. Peon, cook and chowkidar should be available at health centre. Each College of Nursing should have its own transport facility and it must be under the control of the principal. The security of staff and students should be ensured. ANTI-RAGGING Anti-ragging guidelines as per gazette notification shall be followed. 226 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] BUDGET In the overall budget of the institution, there should be provision for college budget under a separate head. Principal of the College of Nursing should be the drawing and disbursing authority. TEACHING FACULTY The principal should be the administrative head of the College. He/She should hold qualifications as laid down by the Council. The principal should be the controlling authority for the budget of the College and also be the drawing and disbursing officer. The Principal and Vice-Principal should be gazetted officers in Government Colleges and of equal status (though non-Gazetted) in non-government Colleges. A. Qualifications & Experience of Teachers of College of Nursing S.No. Post, Qualification & Experience 1 Principal cum Professor- Essential Qualification: M.Sc. (Nursing) Experience: M.Sc. (Nursing) having total 15 years‘ experience with M.Sc. (Nursing) out of which 10 years after M.Sc. (Nursing) in collegiate program. Ph.D. (Nursing) is desirable 2 Vice-Principal cum Professor - Essential Qualification: M.Sc. (Nursing) Experience: M.Sc. (Nursing) Total 12 years‘ experience with M.Sc. (Nursing) out of which 10 years teaching experience after M.Sc. (Nursing) Ph.D. (Nursing) is desirable 3 Professor - Essential Qualification: M.Sc. (Nursing) Experience: M.Sc. (Nursing) Total 12 years‘ experience with M.Sc. (Nursing) out of which 10 years teaching experience after M.Sc. (Nursing). Ph.D. (Nursing) is desirable 4 Associate Professor - Essential Qualification: M.Sc. (Nursing) Experience: Total 8 years‘ experience with M.Sc. (Nursing) including 5 years teaching experience Ph.D. (Nursing) desirable 5 Assistant Professor - Essential Qualification: M.Sc. (Nursing) Experience: M.Sc. (Nursing) with total 3 years teaching experience Ph.D. (Nursing) desirable 6 Tutor - M.Sc. (Nursing) preferable Experience: B.Sc. (Nursing)/P.B.B.Sc. (Nursing) with 1 year experience. B. College of Nursing which has a parent hospital shall adopt the integration of service and education model recommended by the Council placed at www.indiannursingcouncil.org C. Departments Number of Nursing departments = 6 (Six) i. Nursing Foundation ii. Adult Health Nursing iii. Community Health Nursing iv. Midwifery/Obstetrics & Gynaecology Nursing v. Child Health Nursing vi. Mental Health Nursing Note: Professor shall be head of the department. [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 227 S.No. Designation B.Sc. (Nursing) 40-60 B.Sc. (Nursing) 61-100 1 Principal 1 1 2 Vice-Principal 1 1 3 Professor 1 1-2 4 Associate Professor 2 2-4 5 Assistant Professor 3 3-8 6 Tutor 8-16 16-24 Total 16-24 24-40 (For example for 40 students intake minimum number of teachers required is 16 including Principal, i.e., 1 – Principal, 1 – Vice Principal, 1 – Professor, 2 – Associate Professor, 3 – Assistant Professor, and 8 tutors) To start the program, minimum 3 M.Sc. (Nursing) shall be appointed. Ist year IInd Year IIIrd year IVth year 40 Students 3 M.Sc. (Nursing) 5 M.Sc. (Nursing) 7 M.Sc. (Nursing) 8 M.Sc. (Nursing) (2 - Med Surg., (2 – Med Surg., (2 - Med Surg., (2 - Med Surg., 1 - Pediatrics) 1 - Pediatrics, 1 - Pediatrics, 1 - Pediatrics, + 2 Tutors 1 - Community Health 1 - Community Health 1 - Community Health Nursing, Nursing, Nursing, 1 - Psychiatric) 1 - Psychiatric, 1 - Psychiatric, + 3 Tutors 2 - OBG) 3 - OBG) + 5 Tutors + 8 Tutors 60 Students 3 M.Sc. (Nursing) 5 M.Sc. (Nursing) 7 M.Sc. (Nursing) 8 M.Sc. (Nursing) (2 - Med Surg., (2 - Med Surg., (2 - Med Surg., (2 - Med Surg., 1 - Pediatrics) 1 - Pediatrics, 1 - Pediatrics, 1 - Pediatrics, + 3 Tutors 1 - Community Health 1 - Community Health 1 - Community Health Nursing, Nursing, Nursing, 1 - Psychiatric) 1 - Psychiatric, 1 - Psychiatric, + 7 Tutors 2 - OBG) 3 - OBG) + 11 Tutors + 16 Tutors 100 Students 5 M.Sc. (Nursing) 8 M.Sc. (Nursing) 12 M.Sc. (Nursing) 16 M.Sc. (Nursing) (3 - Med Surg., (4 - Med Surg., (4 - Med Surg., (4 - Med Surg., 2 - Pediatrics) 2 - Pediatrics, 2 - Pediatrics, 2 - Pediatrics, + 5 Tutors 1 - Community Health 2 - Community Health 2 - Community Health Nursing, Nursing, Nursing, 1 - Psychiatric) 2 - Psychiatric, 2 - Psychiatric, + 12 Tutors 2 - OBG) 6 - OBG) + 18 Tutors + 24 Tutors 228 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] D. Teachers for non-nursing courses (Part-time/external faculty**) Sl.No. Courses/Subjects 1 English 2 Anatomy 3 Physiology 4 Sociology 5 Psychology 6 Biochemistry 7 Nutrition & Dietetics 8 Health Nursing Informatics and Technology 9 Microbiology 10 Pharmacology 11 Pathology & Genetics 12 Forensic Nursing 13 Any other Clinical Discipline 14 Physical Education 15 Elective Courses **The above teachers should have postgraduate qualification with teaching experience in respective discipline. Note: i. 1:10 teacher student ratio. ii. All teachers including Principal & Vice Principal shall take classes, perform clinical teaching and supervision and other academic activities. Every faculty including Principal shall spend at least four hours each day. iii. One of the tutors need to stay at the community health field by rotation. iv. The salary of the teaching faculty in private Colleges of Nursing should not be less than what is admissible in the Colleges of Nursing under State/Central government or as per the UGC scales. v. Nursing service personnel should actively participate in instruction, supervision, guidance and evaluation of students in the clinical/community practice areas. The teaching faculty of the College of Nursing should work in close coordination with the nursing service personnel. vi. The teaching faculty of the College and nursing service personnel should be deputed to attend short term educational courses/workshops/conferences etc. to update their knowledge, skills and attitude. vii. It is mandatory for College authorities to treat teaching faculty of College of Nursing on duty with respect and dignity, when nominated/selected for the purpose of examination or inspection by the Council. viii. 50% of non-nursing courses/subjects should be taught by the nursing faculty. However, it will be supplemented by external faculty who are doctors or faculty in other disciplines having Post Graduate qualification in their requisite course. Nursing faculty who teach these courses shall be examiners for the taught course/s. E. Additional Staff for College of Nursing  Ministerial a) Administrative Officer 1 b) Office Superintendent 1 c) PA to Principal 1 d) Accountant/Cashier 1 [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 229  Upper Division Clerk 2  Lower Division Clerk 2  Store Keeper 1  Classroom Attendants 2  Sanitary Staff - As per the physical space  Security Staff - As per the requirement  Peons/Office Attendants 4  Library a) Librarian 2 b) Library Attendants - As per the requirement  Hostel a) Wardens 3 o Cooks, Bearers - As per the requirement o Gardeners and Dhobi (Desirable) Note: Provision should be made to have leave reserve staff in addition to the regular staff according to rules. F. College Management Committee Following members should constitute the Board of Management of the College: Principal Chairperson Vice-Principal Member Professor/Associate Professor/Assistant Professor Member Chief Nursing Officer/Nursing Superintendent Member Representative of Medical Superintendent Member ADMISSION TERMS AND CONDITIONS 1. The minimum age for admission shall be 17 years on 31st December of the year in which admission is sought. The maximum age limit for admission shall be 35 years. 2. Minimum Educational Qualification a) Candidate with Science who have passed the qualifying 12th Standard examination (10+2) and must have obtained a minimum of 45% marks in Physics, Chemistry and Biology taken together and passed in English individually. b) Candidates are also eligible from State Open School recognized by State Government and National Institute of Open School (NIOS) recognized by Central Government having Science subjects and English only. c) English is a compulsory subject in 10+2 for being eligible for admission to B.Sc. (Nursing). 3. Colour blind candidates are eligible provided that colour corrective contact lens and spectacles are worn by such candidates. 4. Candidate shall be medically fit. 5. Married candidates are also eligible for admission. 6. Students shall be admitted once in a year. 7. Selection of candidates should be based on the merit of the entrance examination. Entrance test** shall comprise of: a) Aptitude for Nursing 20 marks b) Physics 20 marks c) Chemistry 20 marks d) Biology 20 marks 230 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] e) English 20 marks Minimum qualifying marks for entrance test shall be 50% marks. **Entrance test shall be conducted by University/State Government. 8. Reservation Policy  Reservation of seats in for admission in Nursing Colleges for SC/ST/OBC/EWSs/PH Admission under the reserved quota shall be subject to reservation policy and eligibility criteria for SC/ST/OBC/EWSs prescribed by the Central Govt./State Govt./Union Territory as applicable to the College concerned. In respect of candidates belonging to SC/ST/OBC the marks obtained in 3 core subjects shall be 40% instead of 45% for General category candidates.  Reservation for disability 5% Disability reservation to be considered for disabled candidates with a disability of loco-motor to the tune of 40% to 50% of the lower extremity and other eligibility criteria with regard to qualification will be same as prescribed for General category candidates. The upper age limit shall be relaxed by 5 years for disabled candidates. Note: A committee to be formed consisting of medical officer authorized by medical board of State government and a nursing expert in the panel which may decide whether the candidates have the disability of loco-motor to the tune of 40% to 50%. Note: i. Reservations shall be applicable within the sanctioned number of the seats. ii. The start of the semester shall be 1st August every year. iii. No admission after the cut-off date i.e. 30th September will be undertaken. Further Hall Tickets/Admit Card shall not be issued to the candidates who are admitted after 30th September. iv. The responsibility of obtaining and verifying the requisite documents for admission lies with the Institution and University. 9. Foreign Nationals: The entry qualification equivalency i.e., 12th standard will be obtained by Association of Indian Universities, New Delhi. Institution, SNRC and University will be responsible to ensure that the qualification and eligibility will be equivalent to what has been prescribed by the Council. 10. Admission/Selection Committee This committee should comprise of:  Principal (Chairperson)  Vice-Principal  Professor  Chief Nursing Officer or Nursing Superintendent 11. Admission Strength Maximum intake of students shall be sixty if the institution has a 100 bedded unitary parent hospital and 61-100 if the institution has 300 or more bedded unitary parent hospital. 12. Health Services There should be provisions for the following health services for the students. [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 231  An annual medical examination.  Vaccination against Tetanus, Hepatitis B or any other communicable disease as considered necessary.  Free medical care during illness.  A complete health record should be kept in respect of each individual student. The criteria for continuing the training of a student with long term chronic illness, will be decided by the individual College. 13. Records Following are the minimum records which needs to be/should be maintained in the College: a) For Students i. Admission record ii. Health record iii. Class attendance record iv. Clinical and Field Experience record v. Internal assessment record for both theory and practical vi. Mark Lists (University Results) vii. Record of extracurricular activities of student (both in the College as well as outside) viii. Leave record ix. Practical record books – Procedure Book and Midwifery Record Book to be maintained as prescribed by the Council. b) For each academic year, for each class/batch i. Course contents record (for each course/subjects) ii. The record of the academic performance iii. Rotation plans for each academic year iv. Record of committee meetings v. Record of the stock of the College vi. Affiliation record vii. Grant-in-aid record (if the College is receiving grant-in-aid from any source like State Govt. etc.) viii. Cumulative record. c) Record of educational activities organized for teaching faculty (CNEs) and student, both in the College as well as outside. d) Annual reports (Record) of the achievement of the College prepared annually. e) College of Nursing should possess detailed and up-to-date record of each activity carried out in the College. 14. Transcript All institutions to issue the transcript upon completion of the program and to submit only one single copy of transcript per batch to respective SNRC. 232 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] VI. CURRICULUM Curricular Framework The B.Sc. Nursing program is a four-year program comprising of eight semesters that is credit and semester based. It is choice based only for elective courses. Competency based curriculum is the main approach that is based on ten core competencies. The courses are categorized into foundational courses, core courses and elective courses. The curricular framework shown in Figure 2 depicts the entire course of curriculum, which is further outlined in the program structure. B.Sc. NURSING PROGRAM – Four years (8 semesters) CREDIT SYSTEM & SEMESTER SYSTEM COMPETENCY BASED CURRICULUM TEN CORE COMPETENCIES (Figure 1) Figure 2. Curricular Framework [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 233 1. PROGRAM STRUCTURE B.Sc. Nursing Program Structure I Semester III Semester V Semester VII Semester 1. Communicative English 1. Applied Microbiology 1. *Child Health 1. Community Health and Infection Control Nursing I Nursing II 2. Applied Anatomy including Safety 2. Mental Health 2. Nursing Research & 3. Applied Physiology 2. Pharmacology I Nursing I Statistics 4. Applied Sociology 3. Pathology I 3. Community Health 3. Midwifery/Obstetrics 5. Applied Psychology Nursing I (including and Gynecology (OBG) 4. *Adult Health (Medical Environmental Science Nursing II 6. *Nursing Surgical) Nursing I with & Epidemiology) Foundations I integrated pathophysiology 4. Educational Technology/Nursing Education 5. Introduction to Forensic Nursing and Indian Laws Mandatory Modules Mandatory Module *Essential Newborn Care *BCLS as part of Adult (ENBC), Facility Based Mandatory Module Mandatory Modules Health Nursing I Newborn Care (FBNBC), *First Aid as part of IMNCI and PLS as part of *Safe delivery app under Nursing Foundation I Child Health Nursing OBG Nursing I/II Course (VI/VII Semester) II Semester IV Semester VI Semester VIII Semester 1. Applied Biochemistry 1. *Pharmacology II 1. Child Health Internship (Intensive Nursing II Practicum/Residency 2. Applied Nutrition and 2. Pathology II & Genetics Posting) Dietetics 2. Mental Health 3. Adult Health Nursing II Nursing II 3. *Nursing with integrated Foundations II pathophysiology 3. Nursing Management & including Geriatric Leadership 4. Health/Nursing Nursing Informatics & 4. *Midwifery/Obstetrics Technology 4. Professionalism, and Gynecology (OBG) Professional Values & Nursing I Ethics including Bioethics Mandatory Module *Fundamentals of Prescribing under Mandatory Module Mandatory Module Pharmacology II * SBA Module under OBG *Health Assessment as part *Palliative care module Nursing I/II of Nursing Foundation II under Adult Health Nursing (VI/VII Semester) Course II Note: No institute/University will modify the curriculum. However they can add units/subject in the syllabus as deemed necessary. #Modules both mandatory and elective shall be certified by the institution/external agency. 234 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] MANDATORY MODULES The prepared modules/modules outlined by the Council such as Health Assessment & Fundamentals of Prescribing and available modules as National Guidelines (First Aid – NDMA, IMNCI, ENBC, FBNBC), Palliative Care, Safe Delivery App and SBA module will be provided in separate learning resource package. For BCLS, PLS – Standard national/international modules can be used. ELECTIVE MODULES Number of electives to be completed: 3 (Every module = 1 credit = 20 hours) III & IV Semesters: To complete any one elective by end of 4th semester across 1st to 4th semesters  Human values  Diabetes care  Soft skills V & VI Semesters: To complete any one of the following before end of 6th semester  CBT  Personality development  Addiction psychiatry  Adolescent health  Sports health  Accreditation and practice standards  Developmental psychology  Menopausal health  Health Economics VII & VIII Semesters: To complete any one of the following before end of 8th semester  Scientific writing skills  Lactation management  Sexuality & Health  Stress management  Job readiness and employability in health care setting 2. CURRICULUM IMPLEMENTATION: OVERALL PLAN Duration of the program: 8 semesters 1-7 Semesters One Semester Plan for the first 7 Semesters Total Weeks per Semester: 26 weeks per semester Number of Weeks per Semester for instruction: 20 weeks (40 hours per week × 20 weeks = 800 hours) Number of Working Days: Minimum of 100 working days (5 days per week × 20 weeks) Vacation, Holidays, Examination and Preparatory Holidays: 6 weeks Vacation: 3 weeks Holidays: 1 week Examination and Preparatory Holidays: 2 weeks 8th Semester One semester: 22 weeks Vacation: 1 week Holidays: 1 week Examination and Preparatory Holidays: 2 weeks  [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 235 3. COURSES OF INSTRUCTION WITH CREDIT STRUCTURE S.No Semester Course Code Course/Subject Title Theor Theor Lab/ Lab/ Clinical Clinic Total Total. y y Skill Skill al (hours) credits credits Lab Lab credits Conta Conta credits ct Conta ct hours ct hours hours 1 First ENGL 101 Communicative English 2 40 40 ANAT 105 Applied Anatomy 3 60 60 PHYS 110 Applied Physiology 3 60 60 SOCI 115 Applied Sociology 3 60 60 PSYC 120 Applied Psychology 3 60 60 N-NF (I) 125 Nursing Foundation I 6 120 2 80 2 160 10 360 including First Aid module SSCC (I) 130 Self-study/Co-curricular 40+40 TOTAL 20 400 2 80 2 160 20+2+ 640+80 2= 24 = 720 2 Second BIOC 135 Applied Biochemistry 2 40 40 NUTR 140 Applied Nutrition and 3 60 60 Dietetics N-NF (II) 125 Nursing Foundation II 6 120 3 120 4 320 560 including Health Assessment module HNIT 145 Health/Nursing Informatics 2 40 1 40 80 & Technology SSCC(II) 130 Self-study/Co-curricular 40+20 TOTAL 13 260 4 160 4 320 13+4+ 740+60 4=21 = 800 3 Third MICR 201 Applied Microbiology and 2 40 1 40 80 Infection Control including Safety PHAR (I) 205 Pharmacology I 1 20 20 PATH (I) 210 Pathology I 1 20 20 N-AHN (I) Adult Health Nursing I with 7 140 1 40 6 480 660 215 integrated pathophysiology including BCLS module SSCC (I) 220 Self-study/Co-curricular 20 TOTAL 11 220 2 80 6 480 11+2+ 780+20 6=19 =800 4 Fourth PHAR (II) 205 Pharmacology II including 3 60 60 Fundamentals of prescribing module PATH (II) 210 Pathology II and Genetics 1 20 20 N-AHN (II) Adult Health Nursing II with 7 140 1 40 6 480 660 225 integrated pathophysiology including Geriatric Nursing + Palliative care module  236 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No Semester Course Code Course/Subject Title Theor Theor Lab/ Lab/ Clinical Clinic Total Total. y y Skill Skill al (hours) credits credits Lab Lab credits Conta Conta credits ct Conta ct hours ct hours hours PROF 230 Professionalism, Professional 1 20 20 Values and Ethics including bioethics SSCC(II) 220 Self-study/Co-curricular 40 TOTAL 12 240 1 40 6 480 12+1+ 760+40 6=19 =800 5 Fifth N-CHN(I) 301 Child Health Nursing I 3 60 1 40 2 160 260 including Essential Newborn Care (ENBC), FBNC, IMNCI and PLS, modules N-MHN(I) 305 Mental Health Nursing I 3 60 1 80 140 N-COMH(I) Community Health Nursing I 5 100 2 160 260 310 including Environmental Science & Epidemiology EDUC 315 Educational 2 40 1 40 80 Technology/Nursing Education N-FORN 320 Introduction to Forensic 1 20 20 Nursing and Indian laws SSCC(I) 325 Self-study/Co-curricular 20+20 TOTAL 14 280 2 80 5 400 14+2+ 760+40 5=21 =800 6 Sixth N-CHN(II) Child Health Nursing II 2 40 1 80 120 301 N-MHN(II) Mental Health Nursing II 2 40 2 160 200 305 NMLE 330 Nursing Management & 3 60 1 80 140 Leadership N-MIDW(I) / Midwifery/Obstetrics and 3 60 1 40 3 240 340 OBGN 335 Gynaecology (OBG) Nursing I including SBA module SSCC(II) 325 Self-study/Co-curricular - TOTAL 10 200 1 40 7 560 10+1+ 800 7=18 7 Seventh N-COMH(II) Community Health Nursing 5 100 2 160 260 401 II NRST 405 Nursing Research & 2 40 2 80 120 Statistics (Projec t- 40) N-MIDW(II)/ Midwifery/Obstetrics and 3 60 1 40 4 320 420 OBGN 410 Gynaecology (OBG) Nursing II including Safe delivery app module  [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 237 S.No Semester Course Code Course/Subject Title Theor Theor Lab/ Lab/ Clinical Clinic Total Total. y y Skill Skill al (hours) credits credits Lab Lab credits Conta Conta credits ct Conta ct hours ct hours hours Self-study/Co-curricular - TOTAL 10 200 3 120 6 480 10+3+ 800 6=19 8 Eight INTE 415 Community Health Nursing (Internshi – 4 weeks p) INTE 420 Adult Health Nursing – 6 weeks INTE 425 Child Health Nursing – 4 weeks INTE 430 Mental Health Nursing – 4 weeks INTE 435 Midwifery – 4 weeks TOTAL = 22 weeks 12 1056 (1 credit {4 =4 hours × hours 22 per weeks = week 88 per hours × semester 12 ) credits = 1056 hours} (48 hours per week × 22 weeks) 1 credit theory – 1 hour per week per semester 1 credit practical/lab/skill lab/simulation lab – 2 hours per week per semester 1 credit clinical – 4 hours per week per semester 1 credit elective course – 1 hour per week per semester Total Semesters = 8 (Seven semesters: One semester = 20 weeks × 40 hours per week = 800 hours) (Eighth semester – Internship: One semester = 22 weeks × 48 hours per week = 1056 hours) Total number of course credits including internship and electives – 156 (141+12+3) Distribution of credits and hours by courses, internship and electives S.No. Credits Theory (Cr/Hrs) Lab Clinical Total Hours (Cr/Hrs) credits (Cr/Hrs) 1 Course credits 90 credit per 1800 hours 15/600 36/2880 141 5280 2 Internship 12 1056 238 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3 Electives 3 60 TOTAL 156 6396 4 Self-study and Saturdays (one semester = 5 hours per week × 12 240 Co-curricular 20 weeks × 7 semesters = 700 hours) 35 700 47 940 Distribution of credits, hours and percentage for theory and practicum (Skill Lab & Clinical) across eight semesters S.No. Theory & Practicum (Skill Lab & Clinical) Credits Hours Percentage 1 Theory 90 1800 28 2 Lab/Skill Lab 15 600 10 3 Clinical 36 3936 62 Total 141 6336 hours 100 Practicum (7 semesters) excluding internship Lab/skill lab/simulation lab – 600 (17%) Clinical – 2880 (83%) Total – 3480 Lab/skill lab/simulation lab = 17% of the total practicum planned Note: Besides the stipulated lab and clinical hours, a maximum of 13% (400-450 hours) from the clinical hours can be used in simulation lab/skill lab for skill lab/simulation learning and not to exceed 30% of total hours. 4. SCHEME OF EXAMINATION The distribution of marks in internal assessment, End Semester College Exam, and End Semester University Exam for each course is shown below. I SEMESTER S.No. Course Assessment (Marks) Internal End Semester End Semester Hours Total College Exam Marks University Exam Theory 1 Communicative English 25 25 2 50 2 Applied Anatomy & Applied Physiology 25 75 3 100 3 Applied Sociology & Applied 25 75 3 100 Psychology 4 Nursing Foundations I *25 Practical 5 Nursing Foundations I *25 *Will be added to the internal marks of Nursing Foundations II Theory and Practical respectively in the next semester (Total weightage remains the same) Example: Nursing Foundations Theory: Nursing Foundations I Theory Internal marks in 1st semester will be added to Nursing Foundations II Theory Internal in the 2nd semester and average of the two semesters will be taken. [भाग III—खण्‍ड 4] भारत‍का‍राजपत्र‍:‍असाधारण 239 II SEMESTER S.No. Course Assessment (Marks) Internal End Semester End Semester Hours Total College Exam University Exam Marks Theory 1 Applied Biochemistry and Applied 25 75 3 100 Nutrition & Dietetics 2 Nursing Foundations (I & II) 25 75 3 100 I Sem-25 & II Sem-25 (with average of both) 3 Health/Nursing Informatics & 25 25 2 50 Technology Practical 4 Nursing Foundations (I & II) 50 50 100 I Sem-25 & II Sem-25 III SEMESTER S.No. Course Assessment (Marks) Internal End Semester End Semester Hours Total College exam University Exam marks Theory 1 Applied Microbiology and Infection 25 75 3 100 Control including Safety 2 Pharmacology I and Pathology I *25 3 Adult Health Nursing I 25 75 3 100 Practical 4 Adult Health Nursing I 50 50 100 *Will be added to the internal marks of Pharmacology II and Pathology II & Genetics in the next semester (Total weightage remains the same). IV SEMESTER S.No. Course Assessment (Marks) Internal End Semester End Semester Hours Total College exam University Exam marks Theory 1 Pharmacology & Pathology (I & II) and 25 75 3 100 Genetics III Sem-25 & IV Sem-25 (with average of 240 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] both) 2 Adult Health Nursing II 25 75 3 100 3 Professionalism, Ethics and Professional 25 25 2 50 Values Practical 4 Adult Health Nursing II 50 50 100 V SEMESTER S.No. Course Assessment (Marks) Internal End Semester End Semester Hours Total College exam University Exam marks Theory 1 Child Health Nursing I *25 2 Mental Health Nursing I *25 3 Community Health Nursing I including 25 75 3 100 Environmental Science & Epidemiology 4 Educational Technology/Nursing 25 75 3 100 Education 5 Introduction to Forensic Nursing and 25 25 2 50 Indian Laws Practical 6 Child Health Nursing I *25 7 Mental Health Nursing I *25 8 Community Health Nursing I 50 50 100 *Will be added to the internal marks of Child Health Nursing II and Mental Health Nursing II in both theory and practical respectively in the next semester (Total weightage remains same). VI SEMESTER S.No. Course Assessment (Marks) Internal End Semester End Semester Hours Total College exam marks University Exam Theory 1 Child Health Nursing (I & II) 25 75 3 100 Sem V-25 & Sem VI-25 (with average of both) 2 Mental Health Nursing (I & II) 25 75 3 100 Sem V-25 & Sem VI-25