COMMUNITY HELTH NURSING -II

Unit

Topic

Hours

I

Management of Common Conditions and Emergencies including First Aid

·         Standing orders: Definition, uses

Screening, Diagnosing/ Identification, Primary Care and Referral of Gastrointestinal System

Respiratory System

o    Acute upper respiratory infections – Rhinitis, Sinusitis, Pharyngitis, Laryngitis, Tonsillitis

o    Acute lower respiratory infections – Bronchitis, Pneumonia and Bronchial asthma

o    Hemoptysis, Acute chest pain

Heart & Blood

o    Common heart diseases – Heart attack/Coronary artery disease, Heart failure, Arrhythmia

o    Blood anemia, Blood cancers, Bleeding disorders

Eye & ENT Conditions

o    Eye – Local infections, Redness of eye, Conjunctivitis, Stye, Trachoma and Refractive errors

o    ENT – Epistaxis, ASOM, Sore throat, Deafness

Urinary System

·         Urinary tract infections – Cystitis, Pyelonephritis, Prostatitis, UTIs in children

First Aid in Common Emergency Conditions – Review

·         High fever, low blood sugar, minor injuries, fractures, fainting, bleeding, shock, stroke, bites, burns, choking, seizures, RTAs, poisoning, drowning and foreign bodies

10T

II

Reproductive, Maternal, Newborn, Child and Adolescent Health (Review from OBG Nursing and Application in Community Setting)

·         Present situation of reproductive, maternal and child health in India

Antenatal Care

·         Objectives, antenatal visits and examination, nutrition during pregnancy, counseling

·         Calcium and iron supplementation in pregnancy

·         Antenatal care at health centre level

·         Birth preparedness

·         High risk approach – Screening/early identification and primary management of complications – Antepartum hemorrhage, Pre-eclampsia, Eclampsia, Anemia, Gestational diabetes mellitus, Hypothyroidism, Syphilis

·         Referral, follow up and maintenance of records and reports

Intra Natal Care

·         Normal labour – process, onset, stages of labour

·         Monitoring and active management of different stages of labour

·         Care of women after labour

·         Early identification, primary management, referral and follow up – Preterm labour, Fetal distress, Prolonged and Obstructed labour, Vaginal & perennial tears, Ruptured uterus

·         Care of newborn immediately after birth

·         Maintenance of records and reports

·         Use of Safe child birth check list

·         SBA module – Review

·         Organization of labour room

Postpartum Care

·          Objectives, Postnatal visits, care of mother and baby, breast feeding, diet during lactation, and health counseling

·         Early identification, primary management, referral and follow up of complications, Danger signs-Postpartum hemorrhage, Shock, Puerperal sepsis, Breast conditions, Post-partum depression

·         Postpartum visit by health care provider

Newborn and Child Care

·         Review: Essential newborn care

·         Management of common neonatal problems

·         Management of common child health problems: Pneumonia, Diarrhoea, Sepsis, screening for congenital anomalies and referral

·         Review: IMNCI Module

·         Under five clinics

Adolescent Health

·         Common health problems and risk factors in adolescent girls and boys

·         Common Gynecological conditions – Dysmenorrhoea, Premenstrual Syndrome (PMS), Vaginal discharge, Mastitis, Breast lump, Pelvic pain, Pelvic organ prolapse

·         Teenage pregnancy, awareness about legal age of marriage, nutritional status of adolescents National Menstrual Hygiene Scheme

·         Youth friendly services:

• SRH Service needs

• Role and attitude of nurses: Privacy, confidentiality, non judgemental attitude, client autonomy, respectful care and communication

·         Counseling for parents and teenagers (BCS – Balanced Counseling Strategy)

National Programs

·         RMNCH+A Approach – Aims, Health systems strengthening, RMNCH+A strategies, Interventions across life stages, program management, monitoring and evaluation systems

·         Universal Immunization Program (UIP) as per Government of India guidelines – Review

·         Rashtriya Bal Swasthya Karyakaram (RSBK) - Children

·         Rashtriya Kishor Swasthya Karyakram (RKSK) – Adolescents

·         Any other new programs

20 (T)

III

Demography, Surveillance and Interpretation of Data

·         Demography and Vital Statistics – Demographic cycle, world population trends, vital statistics

·         Sex ratio and child sex ratio, trends of sex ratio in India, the causes and social implications

·         Sources of Vital Statistics – Census,  registration of vital events, sample registration system

·                   Morbidity and mortality indicators – Definition, calculation and interpretation

·         Surveillance, Integrated disease surveillance project (IDSP), Organization of IDSP, flow of information and Mother and Child Tracking System (MCTS) in India

·         Collection, analysis, interpretation, use of data

·         Review: Common sampling techniques – random and nonrandom techniques

·         Disaggregation of data

4 (T)

IV

Population and its Control

·         Population Explosion and its impact on social, economic development of individual, society and country.

·         Population Control – Women Empowerment; Social, Economic and Educational Development

·         Limiting Family Size – Promotion of small family norm, Temporary Spacing Methods (natural, biological, chemical, mechanical methods etc.), Terminal Methods (Tubectomy, Vasectomy)

·         Emergency Contraception

·         Counseling in reproductive, sexual health including problems of adolescents

·         Medical Termination of pregnancy and MTP Act

·         National Population Stabilization Fund/JSK (Jansankhya Sthirata Kosh)

·         Family planning 2020

·         National Family Welfare Program

·         Role of a nurse in Family Welfare Program

6 (T)

V

Occupational Health

·         Occupational health hazards

·         Occupational diseases

·         ESI Act

·         National/ State Occupational Health Programs

·         Role of a nurse in occupational health services – Screening, diagnosing, management and referral of clients with occupational health problems

5 (T)

VI

Geriatric Health Care

·         Health problems of older adults

·         Management of common geriatric ailments: Counseling, supportive treatment of older adults

·         Organization of geriatric health services

·         National Program for Health Care of Elderly (NPHCE)

·         State level programs/Schemes for older adults

·         Role of a community health nurse in geriatric health services – Screening, diagnosing, management and referral of older adults with health problems

6 (T)

VII

Mental Health Disorders

·         Screening, management, prevention and referral for mental health disorders

·         Review:

• Depression, anxiety, acute psychosis, Schizophrenia

• Dementia

• Suicide

• Alcohol and substance abuse

• Drug deaddiction program

• National Mental Health Program

• National Mental Health Policy

• National Mental Health Act

·         Role of a community health nurse in screening, initiation of treatment and follow up of mentally ill clients

VIII

Health Management Information System (HMIS)

·         Introduction to health management system: data elements, recording and reporting formats, data quality issues

·         Review:

• Basic Demography and vital statistics

• Sources of vital statistics

• Common sampling techniques, frequency distribution

• Collection, analysis, interpretation of data

·         Analysis of data for community needs assessment and preparation of health action plan

4 (T)

IX

Management of Delivery of Community Health Services:

·         Planning, budgeting and material management of CHC, PHC, SC/HWC

·         Manpower Planning as per IPHS Standards

·         Rural: Organization, staffing and material management of rural health services provided by Government at village, SC/HWC, PHC, CHC, hospitals – district, state and central

·         Urban: Organization, staffing, and functions of urban health services provided by Government at slums, dispensaries, special clinics, municipal and corporate hospitals

·         Defense services

·         Institutional services

·         Other systems of medicine and health: Indian system of medicine, AYUSH clinics, Alternative health care system referral systems, Indigenous health services

12 (T)

X

Leadership, Supervision and Monitoring

·         Understanding work responsibilities/job description of DPHN, Health Visitor, PHN, MPHW (Female), Multipurpose health Worker (Male), AWWs and ASHA

·         Roles and responsibilities of Mid-Level Health Care Providers (MLHPs)

·         Village Health Sanitation and Nutrition Committees (VHSNC): Objectives, composition and roles & responsibilities

·         Health team management

·         Review: Leadership & Supervision – Concepts, principles & methods

·         Leadership in health: Leadership approaches in healthcare setting, taking control of health of community and organizing health camps, village clinics

·         Training, Supportive supervision and monitoring – Concepts, principles and process e.g. performance of frontline health workers

Financial Management and Accounting & Computing at Health Centers (SC)

o    Activities for which funds are received

o    Accounting and book keeping requirements– accounting principles & policies, book of accounts to be maintained, basic accounting entries, accounting process, payments & expenditure, fixed asset, SOE reporting format, utilization certificate (UC) reporting

o    Preparing a budget

o    Audit

Records & Reports:

·         Concepts of Records and Reports – Importance, legal implications, purposes, use of records, principles of record writing, filing of records

·         Types of Records – Community related records, registers, guidelines for maintaining

·         Report Writing – Purposes, documentation

·         of activities, types of reports

·         Medical Records Department – Functions, filing and retention of medical records

·         Electronic Medical Records (EMR) – Capabilities and components of EMR, Electronic Health Record (EHR), levels of automation, attributes, benefits and disadvantages of EHR

·         Nurses’ responsibility in record keeping and reporting

15 (T)

XI

Disaster Management

·         Disaster types and magnitude

·         Disaster preparedness

·         Emergency preparedness

·         Common problems during disasters and methods to overcome

·         Basic disaster supplies kit

·         Disaster response including emergency relief measures and Life saving techniques

Use disaster management module

6 (T)

XII

Bio-Medical Waste Management

·         Waste collection, segregation, transportation and management in the community

·         Waste management in health center/clinics

·         Bio-medical waste management guidelines – 2016, 2018 (Review)

3 (T)

XIII

Health Agencies<