Home Nursing

FUNDAMENTAL OF NURSING

  • ENGLISH & COMMUNICATION SKILLS
  • Verbal, Body Language & Attitude
  • Art of listening and observing
  • Principles of recording & reporting
  • Audio & visual aids
  • Communication skills- Interpersonal relationships

FUNDAMENTAL OF HOME NURSING

  • History of Nursing
  • Understanding of nursing
  • Definition of Home nursing in today’s world
  • Role of a nurse
  • Qualities of a nurse
  • Ethics, Etiquette, Rights of patient and care giver
  • Sickroom – Preparation according to resources available
  • Meeting the needs of the individual – physical, mental, social, spiritual, recreational and rehabilitative.

FOUNDATION: THEAPEUTIC NURSING

  1. Bed Making – Occupied

-Unoccupied

-Closed

  • General rules and Procedures
  • How to shift a patient
  • Mobilize a patient
  • Help a patient to toilet/commode
  • Onto a wheel chair
  • ROM & body mechanics
  • Use of comfort devices and positions
  • Sponge bath
  • General rules & purpose
  • Articles required and Procedures
  • Mouth wash
  • Purpose & General rules
  • Articles required & Procedures
  • Observations to be made
  • After care of articles
  • Hair wash
  • Purpose
  • Article required & Procedure
  1. DECUBITUS ULCER
  • Meaning
  • The common areas
  • Pressure areas
  • Cause of bed sores
  • Main causes and predisposing factors
  • How to prevent bedsores
  • Nurse role in prevention of bedsores
  • Ability to recognize onset of bedsores
  • Signs & symptoms
  • Back care
  • Article and procedures
  1. TPR & BLOOD PRESSURE, APICAL BEAT

  • Explanation & Monitoring
  • Definition of Temperature, Pulse, Apical beat and Blood pressure
  • Temperature – grading and recording
  • Changes in temperature
  • Normal & abnormal
  • Different sites for taking temperature
  • Points to be noted while taking temperature
  • Reporting and recording
  • Nursing care of a patient with fever
  1. CLINICAL THERMOMETER

  • Diagram & Description
  • Care of thermometer
  1. PULSE

  • Definition
  • Changes
  • Normal and abnormal variation
  • Points to be noted while taking pulse
  • Method of taking pulse
  • Reporting and recording
  1. RESPIRATION

  • Definition
  • Normal and abnormal changes
  • Points to be noted
  • Method of taking respiration
  • TRP Procedure, Axillary, Oral and Rectal
  • Reporting and recording
  • Apical beat – Method, reporting and recording
  1. BLOOD PRESSURE

  • Definition
  • Diagram
  • Factors causing changes in Blood Pressure
  • Reporting and recording
  1. INUNCTIONS

  • Use of hot water bags
  • Use of Ice caps, cold compress, tepid sponge
  1. INHALATION

  • Medication through Nelson’s inhaler or any device available at home
  • Nebulizer
  • Purpose
  • Articles required
  • Medication used
  1. OXYGEN ADMINISTRATION

  • Purpose
  • Articles & Procedure
  1. SUCTION ASPIRATION

  • Purpose
  • Procedure (Manual with foot petal)
  • Electrical
  1. IRRIGATION

  • Enema – Definition
  • Purpose
  • Articles Required
  • Procedure
  1. BOWEL WASH

  • Purpose
  • Articles Required
  • Procedure
  1. FLATUS TUBE

  • Purpose
  • Articles Required
  • Procedure
  1. BLADDER WASH

  • Purpose
  • Medication used
  • Articles Required
  • Procedure
  • PARENTERAL ADMINISTRATION OF MEDICINE
  • INJECTION
  1. Types of injections
  2. Purpose of injection
  3. Complication of injections
  4. Selection of equipment for Subcutaneous & Intravenous
  5. Position of a patient
  6. Identifying injection site
  7. Articles required
  8. Procedure
  • FIRST AID

Introduction

Importance

Principles & uses of first aid

Mobilization of resources available

Bandaging

  • Purpose
  • Types of bandages
  • Different patterns in bandaging & application to different parts of the body as required
  • Rules for application of bandages
  • Points to be remembered
  • Home emergencies and management
  • Life threatening conditions e.g. bleeding, drowing, strangulation Electric shock, Burns, minor injuries and ailments, cuts, wounds, stomachache.

    NUTRITION AND HYGIENE

          NUTRITION

  • Balance diet
  • Role of nutrition in maintaining health
  • Role food and its medicinal value
  • Nutritional problems
  • Malnutrition
  • Recommended diets for disease conditions
  • Specific diets
  • How to prepare small meals for patients
  • Recipes- Normal and therapeutic
  • Feeding
  • General rules
  • Artificial feeding (Rules tube)
  • Indications
  • General rules
  • Articles required & procedure
  • Other uses of Ryles tube
  1. HYGIENE

  • Personal hygiene
  • Environmental sanitation
  • Hygiene for the comfort of the sick
  • Mental health
  • Human behavior
  • Basis of emotions in health and disease
  • Human behavior in sickness
  • Habits – Development and breaking of habits
  • Mental health- Characteristics, Factors contributing to mental health

MICROBIOLOGY AND PHARMACOLOGY

  • MICROBIOLOGY

  • What is infection?
  • Different types of micro-organism
  • Transmission of infection
  • Classification of DISEASES
  • Preventive measures to prevent infection, DISEASES
  • Disinfection and sterilization – meaning, methods
  • Immunity – Types, Immunization schedule
  • Participation in PHC programme e.g. Filaria eradication programme
  • Collection of specimens, precautions diposal
  • Urine sugar test, test for albumin, Rothera’s test
  • Blood sugar Glucometer test
  • Normal values of blood, urine & stool
  • General care of patients with wounds
  • Universal precautions
  • HIV & AIDS
  • Safe disposal of wastes
  1. PHARMACOLOGY

  • Definition
  • Classification of drugs
  • Administration of medication
  • Knowledge of trade name and generic names
  • Different forms available
  • Different doses, preparation, calculation
  • Different timings for different medication
  • Essential parts of prescription order
  • Legal and ethical aspects
  • Rules for giving medication
  • Medical abbreviation and measures used in calculation of dosages and treatment
  1. ANATOMY & PHYSIOLOGY

  • Various system
  • Skeletal system – bone types, joint classification, structure and functions
  • Muscular system – types, chief muscles, functions of muscles
  • Circulatory system – Blood composition, clotting, heart position, structure, functions, blood vessel, circulation of blood, blood groups
  • Lymphatic system – vessels, glands, circulation, spleen
  • Respiratory system – structure and function
  • Digestive system – structure and function, organs and process of digestion
  • Excretory system – structure, functions of organs of urinary system
  • Reproductory system – Male & Female Reproductory system, structure & function
  • Endocrine system – important endocrine glands
  • Nervous system – central nervous system and functions
  • Sense organs – Ear, nose, eye, tongue, skin

MOTHER AND CHILD CARE

  • Anatomy and physiology of reproductive system
  • Puberty, care during menstruation, menopause
  • Conception – care during pregnancy, childbirth, postnatal
  • Care of the newborn, breast feeding, weaning
  • Malnutrition – kwashiorkor, Marasmus, Diarrhea
  • Care of the breasts
  • Cancer – breast, cervix
  • Family planning

General Instructions and Rules for Home Nursing Students:

  1. Students must wear their uniform daily as prescribed by the institute.
  2. Students are forbidden to carry a cellphone inside the campus of the institute. If you are found using a cellphone the student will be fined.
  3.  The practical training for a duration of six months will be conducted by the management of Don Bosco Vocational Training Institute, Quepem, in a hospital chosen by the management. This will be done only after the student has paid the full fees of the course.During this period of time, the student will have to be present for eight hours each day in the assigned hospital, for which he/she will have no objection.The student will have to submit to the rules and regulations of the assigned hospital, including adhering to the night duties assigned by the hospital.
  4. During the course of practical training, the student will report at the Don Bosco Vocational Training Institute, once or twice a week as decided by the management of the institute, and present her report book containing the type of practical professional activity done by her in the hospital. The student may not remain absent from the institute on these days without prior permission from the principal.
  5.  The admission to the institute is a contract between the student and her parent who sign the application form, and the management of the institute, represented by the Director/Principal of the Don Bosco Vocational Training Institute.
  6. Proper grooming and Personal hygiene as prescribed by the institute and the hospital where training is held, is mandatory. Hence every student must carry a pocket notebook and pen in the campus at all times.
  7. The entire fee of Rs.20000/- for the home nursing course shall be paid to the institute at the time of admission. Additionally, the student will pay the examination fee in the institute’s office, which is prescribed by the state government , on receipt of the govt. notification about the examinations. Students failing to pay this fee at the stipulated time will not obtain the hall ticket for the examination, and consequently will be unable to answer the examination conducted by the HRDF Society, Govt of Goa.The fees in whole or in part are not refundable under any condition.
  8.  I-card will be given to any student only after paying the full fees of the course.
  9. Holidays are decided by the management of the institute. Students remaining absent en masse from the institute, will be suspended and their parents will be summoned by the management before re-admitting them to the institute. They may be dismissed for indiscipline and for destroying the sanctity and dignity of the home nursing profession.

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