LESSON PLAN

BASIC B.Sc. NUSING I YEAR

SECOND SEMESTER

Subject code: 3
Subject: Nursing Foundation
Faculty: Mrs. D.Priya, Mrs. Jasmin, Mrs. Dhanashree K, Mrs. Leena M, Mrs. Heera. B,
Mr.Sanjay. S , Mrs. jayashree

Units Topics No.Of Lectures

Lecture serial
s no.
X • General 2 2
Administration Principles/Consideration, Purposes of Medication
of medication o Principles: 5 rights, Special considerations, 2 4
Prescription Safety in administering
Medications and Medication errors 1 5
o Drug forms
o Routes of administration 2 7
o Storage and maintenance of drugs and Nurses
responsibility
o Broad classification of drugs
o Therapeutic Effect, Side Effects, 2 9
Toxic effects Idiosyncratic
Reactions, Drug Tolerance, Drug 10
Interactions, 1
o Factors Influencing drug Actions,
o Systems of Drug Measurement: Metric system, 2 12
Apothecary system, Household Measurements,
Solutions.
o Converting Measurements Units: conversion 2 14
within one system, conversion between systems,
Dosage Calculation.
o Terminologies and abbreviations used in 2 16
prescriptions of medication
2 18
*Oral Drugs Administration: Oral , sublingual and
Buccal : Equipment, procedure 2 20
o Parenteral
2 22
o General principles: decontamination and
disposal of syringes and needles
o Types of parenteral therapies
o Types of syringes, needles, cannula and
infusion sets 2 24
o Protection from needle stick injuries:
giving medications with a safety syringes
o Routes of parenteral therapies- 2
26
Intradermal : purpose, site, equipment
,procedure, special considerations 2 28
Subcutaneous : purpose, site, equipment
,procedure, special considerations
Intramuscular : purpose, site, equipment
 Advanced techniques: epidural, intra-thecal, intra-
osseous, intra-plural, intra-arterial
Role of Nurse
*Topical Administration : Purposes, site equipment
2 30
procedure special considerations for

o Application to Skin 2 32
o Application to mucous membrane
• Direct application of liquids – Gargle and swabbing the 2 34
throat
• Insertion of Drug into body cavity: Suppository / 2 36
medicated packing in rectum / vagina
• Inhalation : Nasal, oral, endo tracheal / tracheal (steam 2 38
oxygen and medications) purposes, types, equipment
procedure, special considerations
Recording and reporting of medications administered 2 40
XI
X • Documentation : Purpose of Recording and 1 41
Documentation reporting, Communication within the Health Care
Meeting
and needs
Reporting
of patient Team,
• Types of records; ward records, medical/nursing
records, Common Record-keeping forms, 1 42
• Basic needs (Activities
Computerized of daily living)
documentation
- • Guidelines
Maslow’s forhierarchy of Needs
Reporting: Factual basis, Accuracy,
o Providing safe and clean
completeness, Organization, Environment:
confidentiality 1 43
-• Methods
Physical-environment: Temperature,
of recording, Reporting: Change Humidity,
–of shift
Noise, Ventilation,
reports, light, Odor,
Incident reports, pests control
minimizing legal liability
- through
Reduction of Physical
effective recordhazards:
keeping fire, accidents Safety 1 44
devices: Restraints, side rails, airways, trapez etc.Role of
nurse in providing safe and clean environment
o Hygiene:
XII • -Physiological needs: Hygienic Practice
Factors Influencing 2 46
Meeting needs of Sleep- andHygienic
Rest: care : Care of the Skin-Bath and pressure
patient - Physiology
points, of sleep
-- Factors
feet andaffecting
nail, sleep
-- Promoting
Oral cavity, Rest and sleep 2
-- Sleep Disorders
Hair care , 48
o - Nutrition:
Eyes, Ears and NoseAssessment , Principles Types, 2
- Importance 3
Equipments, Procedure, Special Consideration
- Factors affecting nutritional needs
- Patient environment: Room Equipment and lines,
- Assessment of nutritional needs: Variables
making patient beds,Types of beds and bed making 1
- Meeting Nutritional needs: Principals, equipment
o Comfort:
procedure and special considerations
- Factors Influencing Comfort, Comfort devices 12
Oral 50
Enteral: Naso/Oro-gastric, gastrostomy
• Physiological needs:
Sleep and Rest:
- Physiology of sleep
- Factors affecting sleep 1
- Promoting Rest and sleep
- Sleep Disorders
o Nutrition:
o Urinary Elimination
-
Review of Physiology of Urine 1 51
Elimination Composition and characteristics of urine,
Factors Influencing Urination, Alteration in Urinary 2 53
Elimination
- Types and Collection of urine specimen:
Observation, urine testing 2 55
Facilitation urine elimination, assessment,
types, equipments procedures and special
considerations
2 57
Providing urinal/bed pan, Condom drainage
Perineal care, catheterization, care of urinary
diversions, bladder irrigations

o Bowel Elimination 1 58
- Review of Physiology of Bowel elimination 1 59
composition and characteristics of faces

- Factors affecting Bowel elimination, Alteration in 2 61

Bowel elimination

- Type and Collection of specimen of faces:

Observation - Facilitation bowel elimination 1 62
assessment, equipments procedures and special
considerations
Passing of Flatus tube 1 63
Enemas, Suppository 1 64
Sitz bath 65
1
66
Bowel wash 1

o Mobility and Immobility 67

1
- Principles of Body Mechanics
- Maintenance of normal body Alignment and 1 68
mobility
- Factors affecting body Alignment and mobility
- Hazards associated with immobility 1 69
- Alteration in body Alignment and Mobility
- Nursing interventions for impaired Body Alignment 1 70
and Mobility: Assessment, types, devices used
method and special considerations. Rehabilitation 1 71
aspects
Range of motion exercises
Maintaining body alignment : Positions 1 72
 Moving 1 73
Lifting, Transferring, Walking 1 74
Restraints 1 75

o Fluid, Electrolyte, Acid Base Balances

- Review of Physiological Regulation of Fluid, electrolyte, 76
1
and Acid Base Balance, Factors Affecting Fluid
Electrolyte, and Acid Base Balance, Nursing
intervention in Fluid, Electrolyte and Acid, Base
Imbalances assessment, procedure and special
considerations,
- Measuring fluid intake and output, Correcting Fluid 77
1
Electrolyte imbalance :
Replacement of fluids- oral & parenteral, venipuncture,
regulating IV flow rates, changing of Iv solutions &
tubing, changing IV dressing, administering blood
transfusion, restriction of fluids 78
• Psychosocial needs 1
O Concepts of Cultural Diversity, Stress and adaptation,
Self- Health, Coping with loss, death & grieving,
Assessment of psychosocial needs Nursing intervention
for Psychosocial needs
- Assist with coping and adaptation 1 79
- creating therapeutic environment
Recreational and Diversional therapies

XI • Infection control 1 80
Infection o Nature of infection, Chain of infection transmission
control in o Defenses against infection : natural and acquired 1 81
clinical setting Hospital acquired infection (Nosocomial infection)
• Concept of asepsis: medical asepsis and surgical 3 84
asepsis, Isolation precautions (Barrier nursing)
o Hand washing: simple, hand antisepsis and surgical 3 87
antisepsis (scrub)
o Isolation: source and protective 1 88
o Personal protecting equipments: types, uses and
technique of wearing and removing 2 90
o Decontamination of equipment and unit 2 92
o Transportation of infected patient
o Standard safety precautions(Universal precautions) 2 94
 Transmission based precautions
1 95
*Biomedical waste management
Importance, types of hospital waste, hazards associated 2 97
with hospital waste, decontamination of hospital waste,
segregation , transportation & disposal
2 99
XIV • Definition and concepts of per operative nursing
Meeting needs • Pre operative phase 5 104
of Peri- -Preparation of patient for surgery
operative • Intra operative phase
patients - operation theatre set up and environment
- role of nurse
 Post operative phase 2 106
o Recovery Unit
o Post operative unit
o Post operative care

o Wounds: types, classification, wound, healing process, 1 107

factors affecting wound, complications of wound, healing

 Surgical asepsis
 Care of the wound: types, equipments, procedure and 1 108
special considerations
- Dressing , suture care
1 109
- Care of drainage
- Application of bandages, binders, splints & slings
- Heat & cold therapy
XV • Care of patients having alteration in 1 110
Meeting o Temperature (hyper and hypothermia): 1 111
special needs Types, Assessment, Management
of the patient O Sensorium ( Unconsciousness) : assessment,
1 112
management
O Urinary Elimination (retention and 1 113
unconsciousness)Assessment , Management
O Functioning of sensory organs: (visual & hearing
1 114
impairment) assessment of self- Care ability
communication Methods and special considerations 1 115
O Mobility ( physical challenged, cast) 1 116
 assessment of self-care ability: Communication Methods 1 117
and special considerations
O Mental state (mentally challenged ) , assessment of
Self-Care ability; Communication Methods and special 1 118
considerations 1 119
o Respiration (distress); Types, Assessment, Management 1 120
o Comfort-(pain)Nature, Types, Factors influencing pain, 1 121
coping ,Assessment; Management 1 122
o Treatment related to GI system, nasogastric suction, 1 123
gastric suction, gastric irrigation, gastric analysis 1 124
XVI o Concepts of Loss, Grief grieving process
care of o Signs of clinical death
2 126
terminally ill o Care of dying patient; special considerations
patient - Advance directives:
- euthanasia will dying
- Declaration ,organ
- Donation etc
o Medico-legal issues 3 129
o Care of dead body:
o Equipment, procedure and care of unit
o Autopsy
o Embalming

XVII • Conceptual and theoretical models of nursing 2 131

Professional practice:
Nursing concepts Introduction to models- Holistic model, health belief 133
model , health promotion model etc 2
and practices
• Introduction to Theories in Nursing ; Peplau’s , 1 134
Henderson’s Orem’s , Neumann’s Roger’s and Roy’s
• Linking theories with nursing process 1 135
• Complimentary and alternate healing techniques.

PRACTICUM: demonstration and re-demonstration - 95 Hrs.

REFERENCES
1. Kozier B, Erb, G & Oliver, R : Fundamentals of Nursing ;4th ed. California,
Addison Wesley., 1991
2. Perry, A.G. & Potter, P.A.: Basic nursing essentials of practice; 5th ed. St. Louis,
Mosby, 2003
3. Potter, P.A. & Perry, A.G.: Fundamentals of nursing; 5th ed. Mosby Harcott
(India) Pvt. Ltd.
4. Beverly Witler Dugas : Introduction to patient care ; 4th ed., Saunders, 2002
5. White, Lois: Foundations of nursing caring for the whole person; U.S.A.
Delmer Thompson Learning,
6. Luckmann, J & Sorensen, K.C.: Basic nursing: a psychophysiologic approach ; 3rd
ed., W. B. Saunders, 2002
7. Park, J.E. :Text book of preventive and social medicine ; 17th ed., Banarasidas
Bhanot, 2003