Rajiv Gandhi University of Health Sciences Karnataka




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PROCEDURES OBSERVED


PROCEDURES OBSERVED:

  • Diagnostic investigations: amniotcentecis, chordocentecis, chorionic villi sampling

  • Infertility management: artificial reproduction: artificial insemination, invitro fertilization, and related procedures

^ PROCEDURES ASSISTED:

  • Medical termination of pregnancy,

PROCEDURES PERFORMED:

  • Antenatal assessment -20

  • Postnatal assessment -20

  • Assessment during labour : use of partograph -20

  • Per vaginal examination -20

  • Conduct of normal delivery -20

  • Episiotomy and suturing -10

  • Setting up of delivery areas

  • Insertion of intra uterine devices( copper T)

OTHERS:

    • Identification of high risk women and referral

    • Health education: to women and their families

    • Motivation of couples for planned parenthood



CLINICAL SPECIALTY –I

CHILD HEALTH (PAEDIATRIC) NURSING

Placement: Ist Year Hours of Instruction

Theory 150 Hours

Practical 650 Hours

Total 800 Hours

^ COURSE DESCRIPTION:

This course is designed to assist students in developing expertise and in depth understanding in the field of Pediatric Nursing. It will help students to appreciate the child as a holistic individual and develop skill to function as neonatal and pediatric nurse specialist. It will further enable the student to function as educator, manager, and researcher in the field of Paediatric nursing

OBJECTIVES:

At the end of the course the students will be able to:

  1. Appreciate the history and developments in the field of pediatrics and pediatric nursing as a specialty

  2. Apply the concepts of growth and development in providing care to the pediatric clients and their families.

  3. Appreciate the child as a holistic individual

  4. Perform physical, developmental, and nutritional assessment of pediatric clients

  5. Apply nursing process in providing nursing care to neonates & children

  6. Integrate the concept of family centered pediatric nursing care with related areas such as genetic disorders, congenital malformations and long term illness.

  7. Recognize and manage emergencies in neonates

  8. Describe various recent technologies and treatment modalities in the management of high risk neonates

  9. Appreciate the legal and ethical issues pertaining to pediatric and neonatal nursing

  10. Prepare a design for layout and management of neonatal units

  11. Incorporate evidence based nursing practice and identify the areas of research in the field of pediatric/neonatal nursing

  12. Recognize the role of pediatric nurse practitioner and as a member of the pediatric and neonatal health team

  13. Teach pediatric nursing to undergraduate students & in-service nurses



COURSE CONTENT:

Units

Hours

Content

I

10

INTRODUCTION:

  • Historical development of Pediatrics and Pediatric Nursing in India;

  • Current status of child health in India;

  • Trends in Pediatrics and Pediatric Nursing,

  • Ethical and cultural issues in pediatric care

  • Rights of children

  • National health policy for children, special laws and ordinances relating to children.

  • National goals,

  • Five year plans,

  • National health programs related to child health.

II

10

ASSESSMENT OF PEDIATRIC CLIENTS:

  • History taking

  • Developmental assessment

  • Physical assessment

  • Nutritional assessment

  • Family assessment

III

10

HOSPITALIZED CHILD:

  • Meaning of hospitalization of the child, preparation for hospitalization, effects of hospitalization on the child and family

  • Stressors and reactions related to developmental stages, play activities for ill hospitalized child.

  • Nursing care of hospitalized child and family -principles and practices




IV

15

PRE-NATAL PEDIATRICS:

  • Embryological and fetal development, Prenatal factors influencing growth and development of fetus,

  • Genetic patterns of common pediatric disorders, chromosomal aberrations, genetic assessment and counseling legal and ethical aspects of genetic, screening and counseling role of nurse in genetic counseling,

  • Importance of prenatal care and role of pediatric nurse.

V

15

GROWTH AND DEVELOPMENT OF CHILDREN:

  • Principles of growth and development,

  • Concepts and theories of growth and development,

  • Developmental tasks and special needs from infancy to adolescence, developmental milestones,

  • Assessment of growth and development of pediatric clients,

  • Factors affecting growth and development.

VI

15

BEHAVIORAL PEDIATRICS AND PEDIATRIC NURSING:

  • Parent child relationship,

  • Basic behavioral pediatric principles and specific behavioral pediatric concepts/disorders- maternal deprivation, failure to thrive, child abuse, the battered child,

  • Common behavioral problems and their management,

  • Child guidance clinic.




VII

15

PREVENTIVE PEDIATRICS AND PEDIATRIC NURSING:

  • Concept, aims and scope of preventive pediatrics,

  • Maternal health and its influence on child health antenatal aspects of preventive pediatrics,

  • Immunization, expanded program on immunization/ universal immunization program and cold chain,

  • Nutrition and nutritional requirements of children, changing patterns of feeding, baby- friendly hospital initiative and exclusive breast feeding,

  • Health education, nutritional education for children

  • Nutritional programs

  • National and international organizations related to child health,

Role of pediatric nurse in the hospital and community.

VIII

25

NEONATAL NURSING:

  • New born baby- profile and characteristics of the new born,

  • Assessment of the new born,

  • Nursing care of the new born at birth, care of the new born and family,

  • High risk newborn- pre term and term neonate and growth retarded babies,

  • Identification and classification of neonates with infections, HIV & AIDS, Ophthalmia neonatorum, congenital syphilis.

  • High risk new born- Identification, classification and nursing management

  • Organization of neonatal care, services (Levels), transport, neonatal intensive care unit, organization and management of nursing services in NICU.

IX

20

IMNCI:

(Integrated management of neonatal and childhood illnesses)

X

5

PAEDIATRIC EMERGENCY:

  • Foreign body aspiration.

  • Accidents.

  • Poisoning.

  • Bites.

  • Stings.

XI

5

QUALITY ASSURENCE IN PAEDIATRIC NURSING CARE:

  • Research in Paediatric Nursing.

  • Standard of Paediatric Nursing Care.

  • Nursing Audit.

XII

5

MODIFICATION OF NURSING MANAGEMENT FOR CHILDREN:

  • Anatomic and physiologic difference between adult and child.

  • Restraining and positioning.

  • Fluid administration.

  • Drug administration.

  • Collection of specimens.






PRACTICAL:

Total = 660Hours

1 Week = 30Hours

S. No.

Department / Unit

No. of Week

Total Hours

1

Pediatric Medicine Ward

4

120 Hours

2

Pediatric Surgery Ward

4

120 Hours

3

Labor Room/Maternity Ward

2

60 Hours

4

Pediatric OPD

2

60 Hours

5

Neonatal Intensive Care Unit

4

120 Hours

6

Creche

1

30 Hours

7

Child Guidance Clinic

1

30 Hours

8

Community

4

120 Hours

Total

22Weeks

660 Hours.
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